RT Journal Article SR Electronic T1 Syntaxin-6 delays prion protein fibril formation and prolongs presence of toxic aggregation intermediates JF bioRxiv FD Cold Spring Harbor Laboratory SP 2022.08.25.505283 DO 10.1101/2022.08.25.505283 A1 Sangar, Daljit A1 Hill, Elizabeth A1 Jack, Kezia A1 Batchelor, Mark A1 Mistry, Beenaben A1 Ribes, Juan M. A1 Jackson, Graham S. A1 Mead, Simon A1 Bieschke, Jan YR 2023 UL http://biorxiv.org/content/early/2023/09/21/2022.08.25.505283.abstract AB Prions replicate via the autocatalytic conversion of cellular prion protein (PrPC) into fibrillar assemblies of misfolded PrP. While this process has been extensively studied in vivo and in vitro, non-physiological reaction conditions of fibril formation in vitro have precluded the identification and mechanistic analysis of cellular proteins, which may alter PrP self-assembly and prion replication. Here, we have developed a fibril formation assay for recombinant murine and human PrP (23-231) under near-native conditions (NAA) to study the effect of cellular proteins, which may be risk factors or potential therapeutic targets in prion disease. Genetic screening suggests that variants that increase syntaxin-6 expression in the brain (gene: STX6) are risk factors for sporadic Creutzfeldt-Jakob disease (CJD). Analysis of the protein in NAA revealed counterintuitively that syntaxin-6 is a potent inhibitor of PrP fibril formation. It significantly delayed the lag phase of fibril formation at highly sub-stoichiometric molar ratios. However, when assessing toxicity of different aggregation time points to primary neurons, syntaxin-6 prolonged the presence of neurotoxic PrP species. Electron microscopy and super-resolution fluorescence microscopy revealed that, instead of highly ordered fibrils, in the presence of syntaxin-6 PrP formed less-ordered aggregates containing syntaxin-6. These data strongly suggest that the protein can directly alter the initial phase of PrP self-assembly and, uniquely, can act as an ‘anti-chaperone’, which promotes toxic aggregation intermediates by inhibiting fibril formation.Competing Interest StatementThe authors have declared no competing interest.