An electrostatic-interaction-based mechanism triggering misfolding of prion proteins from cellular isoform to scrapie isoform

Understanding how prion proteins refold from a cellular isoform (PrPC) to a disease-causing isoform (PrPSc) has been among the "ultimate challenges" in molecular biology, biophysics, pathology, and immunology. Conformational changes of prion proteins from PrPC to PrPSc involve the unfolding of a short -helix that overshadows the challenge. Considering the mechanisms of electrostatic attraction, thermal disturbance, hydrogen ion concentration, hydrophobic interaction, and the shielding effect of water molecules, this study reveals an electrostatic-interaction-based mechanism by means of which prion proteins refold in an aqueous environment. The electrostatic-interaction-induced protein unfolding mechanism causes a hydrophobic polypeptide segment to dangle out over the conglobate main body of the prion protein, thereby allowing the first triangular hydrophobic rung formation via hydrophobic interaction. A molecular model of PrPSc is proposed that allows the {beta}-solenoid with a triangular hydrophobic core. Statement of SignificanceWe present three main results that would revolutionize the understanding of pathology of prion diseases. First, the prion protein refolding (from cellular isoform to scrapie isoform) derives from the unfolding of the shortest -helix of PrPC, which provides a long polypeptide segment full of hydrophobic residues dangling out over the conglobate main body of the prion protein, thereby allowing formation of the first triangular hydrophobic rung via hydrophobic interaction. Second, polyanions-induced increasing in local concentration of hydrogen ion (i.e., the PH increase) undermines the shielding effect of water molecules, thereby allowing escape of the arginine side chains from the hydration shell, destabilizing the shortest -helix and initiating the refolding of PrPC. Third, a {beta}-solenoid structural model for PrPSc with a triangular hydrophobic core is proposed.