The transmissible spongiform encephalopathies appear as neurodegenerat
ive diseases of the central nervous system, without associated inflamm
atory syndrome, with a double genetic and infectious determinism. Neve
rtheless recent observations emphasise the importance of the immune sy
stem in the pathophysiology of these diseases, both in the initial rep
lication of the agent at the peripheral level and in the appearance of
cerebral lesions. These data which run contrary to a direct role for
the PrPSc in the development of brain damage provide new information c
oncerning the transmission of these disease.