Although prion proteins are most efficiently propagated through intrac
erebral inoculation, peripheral administration has caused the diseases
kuru, iatrogenic Creutzfeldt-Jakob disease (CJD), bovine spongiform e
ncephalopathy (BSE) and new-variant CJD(1,2). The development of neuro
logical disease after peripheral inoculation depends on prion expansio
n within cells of the lymphoreticular system(3,4). Here we investigate
the identity of these cells by using a panel of immune-deficient mice
inoculated with prions intraperitoneally: we found that defects affec
ting only T lymphocytes had no apparent effect, but that all mutations
that disrupted the differentiation and response of B lymphocytes prev
ented the development of clinical scrapie. As an absence of B cells an
d of antibodies correlates with severe defects in follicular dendritic
cells, a lack of any of these three components may prevent the develo
pment of clinical scrapie. However, we found that scrapie developed af
ter peripheral inoculation in mice expressing immunoglobulins that wer
e exclusively of the M subclass and without detectable specificity for
the normal form of the prion PrPc, and in mice which had differentiat
ed B cells but no functional follicular dendritic cells. We conclude t
hat differentiated B cells are crucial for neuroinvasion by scrapie, r
egardless of the specificity of their receptors.