Differentiation of scrapie from chronic wasting disease in white-tailed deer

Authors: LAMBERT, ZOE - Oak Ridge Institute For Science And Education (ORISE); Bian, Jifeng; Cassmann, Eric; WEST GREENLEE, HEATHER - Iowa State University; Greenlee, Justin

Submitted to: Emerging Infectious Diseases
Publication Type: Peer Reviewed Journal
Publication Acceptance Date: 6/13/2024
Publication Date: N/A
Citation: N/A

Interpretive Summary: Prion diseases are a neurodegenerative disease that can spread between animals. They are caused when the normal cellular prion protein misfolds and accumulates in the host’s central nervous system. This change is irreversible and invariably causes neurological disease and death of the host. The prion disease that affects sheep, scrapie, has been recognized for hundreds of years. However, chronic wasting disease, a similar disease found in white-tailed deer (WTD), has only been recognized since the 1960s. It has long been suggested that prion disease in deer (chronic wasting disease) was caused by the prion agent from sheep (scrapie). Recently, our lab confirmed that WTD will become infected by scrapie from sheep under conditions that mimic natural exposure. The disease produced in these animals was termed WTD scrapie. This manuscript addresses the next step in disease spread: whether sick WTD can pass WTD scrapie on to other deer. We found that white-tailed deer sick with scrapie can infect other deer under conditions mimicking natural exposure. The work reported in this manuscript demonstrates that CWD is difficult to differentiate from WTD scrapie. Regardless, WTD scrapie prions accumulate in the lymphoreticular system, meaning that environmental contamination is likely through feces, saliva, and other body fluids. Controlling WTD scrapie would require precautions similar to those taken with chronic wasting disease. The presence of WTD scrapie could confound mitigation efforts for chronic wasting disease. This information will be of interest to regulatory officials, the farmed cervid industry, and officials tasked with protecting animal health such as state Departments of Agriculture, Natural Resources, or Parks and Wildlife.

Technical Abstract: White-tailed deer (WTD) are susceptible to the scrapie agent from sheep after oronasal inoculation, termed WTD scrapie. However, results from western blotting these brainstems and lymph nodes are difficult to differentiate from WTD infected with chronic wasting disease (CWD). In order to assess the transmissibility of WTD scrapie and tissue phenotypes upon its further passage in WTD, three wildtype WTD (QQ95/GG96) were oronasally inoculated with WTD scrapie. These WTD presented with clinical signs and were euthanized between 21 and 26 months post-inoculation. Enzyme immunoassay (IDEXX) confirmed the presence of misfolded prion protein in the central nervous and lymphoreticular systems of all WTD in the study. Immunohistochemical staining, western blotting, and conformational stabilities were generally similar between the misfolded prion protein of WTD scrapie and CWD, though some differences were noted. Specifically, intraneuronal accumulation of misfolded prion protein was present in retinal ganglion cells of a WTD with WTD scrapie, not CWD. Additionally, epitope mapping revealed that the misfolded prion protein of CWD is slightly longer than that of WTD scrapie. Strong differences were seen in bioassays of cervidized mice, which exhibit significantly longer survival periods when inoculated with WTD scrapie as compared to those inoculated with CWD. Overall, this article establishes that WTD are highly susceptible to the WTD scrapie agent. Though subtle molecular differences exist between the misfolded prion protein of WTD scrapie and CWD, the presence of WTD scrapie in the lymphoreticular system determines that suspected cases be handled consistent with current guidelines for CWD.