Prion diseases are characterized by the presence of the abnormal prion prot
ein PrPSc, which is believed to be generated by the conversion of the alpha
-helical structure that predominates in the normal PrP isoform into a beta-
sheet structure resistant to proteinase K (PK). In human prion diseases, tw
o major types of PrPSc, type 1 and 2, can be distinguished based on the dif
ference in electrophoretic migration of the PK-resistant core fragment. In
this study, protein sequencing was used to identify the PK cleavage sites o
f PrPSc in 36 cases of prion diseases. We demonstrated two primary cleavage
sites at residue 82 and residue 97 for type 1 and type 2 PrPSc, respective
ly, and numerous secondary cleavages distributed along the region spanning
residues 74-102. Accordingly, we identify three regions in PrPSc: one N-ter
minal (residues 23-73) that is invariably PK-sensitive, one C-terminal (res
idues 103-231) that is invariably PK-resistant, and a third variable region
(residues 74-102) where the site of the PK cleavage, likely reflecting the
extent of the beta-sheet structure, varies mostly as a function of the PrP
genotype at codon 129.