Bovine spongiform encephalopathy (BSE) has become a public health issu
e because a recently evolved BSE agent has infected people, yielding a
n unusual form of Creutzfeld-Jakob disease (CJD). A new CJD agent that
provokes similar amyloid plaques and cerebellar pathology was seriall
y propagated. First-passage rats showed obvious clinical signs and act
ivated microglia but had negligible PrP-res (the more protease-resista
nt form of host PrP) or cerebellar lesions. Microglia and astrocytes m
ay participate in strain selection because the agent evolved, stabiliz
ed, and reproducibly provoked BSE-like disease in subsequent passages.
Early vacuolar change involving activated microglia and astrocytes pr
eceded significant PrP-res accumulation by more than 50 days. These st
udies reveal several inflammatory host reactions to an exogenous agent
.