Abstract
The cellular prion protein PrP$^{C}$ mediates the neurotoxicity of prions and other protein aggregates through poorly understood mechanisms. Antibody-derived ligands against the globular domain of PrP$^{C}$ (GDL) can also initiate neurotoxicity by inducing an intramolecular R$_{208}$ -H$_{140}$ hydrogen bond ("H-latch") between the α2-α3 and β2-α2 loops of PrP$^{C}$ . Importantly, GDL that suppresses the H-latch prolong the life of prion-infected mice, suggesting that GDL toxicity and prion infections exploit convergent pathways. To define the structural underpinnings of these phenomena, we transduced 19 individual PrP$^{C}$ variants to PrP$^{C}$ -deficient cerebellar organotypic cultured slices using adenovirus-associated viral vectors (AAV). We report that GDL toxicity requires a single N-proximal cationic residue (K$_{27}$ or R$_{27}$ ) within PrP$^{C}$ . Alanine substitution of K$_{27}$ also prevented the toxicity of PrP$^{C}$ mutants that induce Shmerling syndrome, a neurodegenerative disease that is suppressed by co-expression of wild-type PrP$^{C}$ . K$_{27}$ may represent an actionable target for compounds aimed at preventing prion-related neurodegeneration.