Teaching Unit Title: Structure and Function of Infectious Proteins Developers: John Lukesh and Kristin Jenkins Date: Bio 100, Fall 2013 Topics: Structure and function, proteins, chemistry, biochemistry, interdisciplinary science, communication and collaboration, science and society Level: Introductory biology, chemistry, or biochemistry for college and upper level high school students Class Structure: The power point presentation was designed for a large lecture while also incorporating active learning and student participation. The discussion activity developed for this lecture is suitable for a small discussion section of 20–30 students. Overview: In this activity, students will work in pairs (or groups of three) to answer a series of questions about prions, while developing a protocol for hunters in Wisconsin to ensure the deer meat they consume will not contain infectious prion proteins. Learning goals and outcomes: Students will be introduced to protein structure and function, and in particular, how structure is imperative for proper function. Students will also be introduced to protein structure hierarchy and the noncovalent interactions that govern their three-dimensional shpae. Description: In lecture, students learned about an infectious disease caused by a protein (PrPC) in a misfolded form (PrPSc). This invariably fatal infection can be transmitted by coming into contact with the misfolded protein. In Humans, variant Creutzfeldt-Jakob disease (vCJD), is believed to be closely related to mad cow disease and can be acquired from consuming contaminated beef. Unfortunately, other animals such as deer and elk, are known to carry a deadly prion disease known as chronic wasting disease (CWD). This is especially worrisome in states such as Wisconsin and Minnesota where deer hunting is popular. In this activity, students will work in pairs (or groups of three) to answer a series of questions about prions, while developing a protocol for hunters in Wisconsin to ensure the deer meat they consume will not contain infectious prion proteins. Unit timeline: 50 minute lecture (30 minutes of lecturing with 15–20 minutes of class participation/active learning) and 50 minute discussion activity. Student Materials: In discussion, students will work in groups of 2–3, but each student will turn in their own discussion activity worksheet. Instructor Materials: 5 min-course logistics 5 min-introduction to assignment, 25-30 min work on assignment 10 min-wrap-up/go over general precautions listed on the chronic wasting disease alliance website (below). Give students additional resources/websites with information on chronic wasting disease in Wisconsin. Weight loss over time, listlessness, lowering of the head, and nervousness are the most obvious signs of chronic wasting disease in cervids Chronic wasting disease among free-ranging cervids by county, United States, August 2012 Scenario: You work for the department of natural resources and receive a phone call from a local deer hunter in Wisconsin who's planning on hunting this upcoming season, but has heard some talk on the news about chronic wasting disease in Wisconsin deer herds. Deer Hunter: "Hello, I plan on participating in the upcoming deer hunting season in Wisconsin but I've heard some grumblings online and in the news about chronic wasting disease or CWD. This will be my first year hunting and I'm not very familiar with this. Can you please tell me a little bit more about it? What exactly is CWD and how can you tell if a deer has it? Are there any physical signs? Response: Chronic Wasting Disease (or CWD) is a transmissible spongiform encephalopathy (TSE), or prion disease in cervids (mule deer, white-tailed deer, elk, and moose). The infectious agent is a misfolded prion protein (PrPSc). Prions are not actually alive, but like viruses they can reproduce on their own by hijacking living cells. Like all prion diseases, CWD is invariably fatal. The most obvious signs of chronic wasting disease in cervids are: weight loss, listlessness, lowering of the head, and nervousness. You can also get your deer sampled for CWD testing. DNR will test it free of charge. Many veterinary clinics throughout the state will sample deer for CWD testing. Deer Hunter: This sounds pretty rare. Are similar diseases found in humans or other mammals? Is it transmissible? Response: Yes. Scrapie in sheep and goats, bovine spongiform encephalopathy (mad cow disease) in cows, Creutzfeldt-Jakob Disease (CJD), fatal familial insomnia, and Kuru in humans. The disease is also known to affect mink (transmissible mink encephalopathy) and cats (transmissible feline encephalopathy) as the prion protein (PrPC) is well conserved among most mammals. CWD is highly transmissible between cervids. Although the protein tends to accumulate in the brain and spinal tissue, it can be found in virtually all tissue. It can even be found in blood, saliva and feces. CWD transmission to humans has not yet been reported, but it is always better to be safe than sorry!!! Deer Hunter: I plan on hunting mostly in and around Dane county (south central Wisconsin). Are there known cases of CWD in this area? Do you recommend any other areas where it would be safer to hunt? Response: Yes. The CWD management zone is located throughout south central Wisconsin which includes Dane county. There have not been any confirmed cases of CWD in north central and north eastern Wisconsin. Deer Hunter: I actually have a bit of a science background and I know that proteins tend to be thermally unstable. I will make sure to cook my deer meat at a very high temperature. I'm assuming this will protect my family and I from acquiring this deadly disease. Response: Unfortunately cooking meat at high temperatures doesn't denature the misfolded protein. PrPSc is extremely stable, making it nearly impossible to denature the fibrous protein aggregates. They are resistant to almost all denaturation processes including heat. Deer Hunter: That's incredible! Why are these misfolded proteins so stable?! Response: PrPSc proteins are much higher in β-sheet content than native PrPC. This causes the protein to form insoluble aggregates of tightly packed β-sheets, held together by many noncovalent interactions (H–bonding). This is an unfortunate example of how these relatively weak forces can add up to something quite significant. You can also bring up the gecko example from lecture. Deer Hunter: Is there anything I can do to sanitize my utensils and counters after processing the meat? Response: It is recommend that you thoroughly clean and sanitize work equipment and work areas with bleach after processing. Wipe down counters with 50/50 solution of household chlorine bleach and water, and let them air dry. The World Health Organization recommends the following procedure for the sterilization of all heatresistant surgical tools to ensure they are not contaminated with Prions: Immerse in a pan containing 1 N NaClO (20,000 parts per million chlroine) and heat in a gravity-displacement autoclave at 121 °C for 30 minutes. Deer Hunter: Thanks for all your help! My last question has to do with proper disposal of brain and spinal tissue from the deer. I've always been told to dispose of it in a landfill. Could this be problematic and potentially spread the disease to other animals? Do you have any other suggestions? Response: With this being a transmissible disease one would think that you would want to dispose of the brain and spinal tissue in an area that wouldn't be frequented by other animals (cyotes, cats, racoons, etc.). Encourage the students to come up with alternative options. Student Materials: Weight loss over time, listlessness, lowering of the head, and nervousness are the most obvious signs of chronic wasting disease in cervids Chronic wasting disease among free-ranging deer by county, United States, August 2012 Scenario: You work for the department of natural resources and receive a phone call from a local deer hunter in Wisconsin who's planning on hunting this upcoming season, but has heard some talk on the news about chronic wasting disease in Wisconsin deer herds. Deer Hunter: "Hello, I plan on participating in the upcoming deer hunting season in Wisconsin but I've heard some grumblings online and in the news about chronic wasting disease or CWD. This will be my first year hunting and I'm not very familiar with this. Can you please tell me a little bit more about it? What exactly is CWD and how can you tell if a deer has it? Are there any physical signs? Response: Deer Hunter: This sounds pretty rare. Are similar diseases found in humans or other mammals? Is it transmissible? Response: Deer Hunter: I plan on hunting mostly in and around Dane county (south central Wisconsin). Are there known cases of CWD in this area? Do you recommend any other areas where it would be safer to hunt? Response: Deer Hunter: I actually have a bit of a science background and I know that proteins tend to be thermally unstable. I will make sure to cook my deer meat at a very high temperature. I'm assuming this will protect my family and I from acquiring this deadly disease. Response: Deer Hunter: That's incredible! Why are these misfolded proteins so stable?! Response: Deer Hunter: Is there anything I can do to sanitize my utensils and counters after processing the meat? Response: Deer Hunter: Thanks for all your help! My last question has to do with proper disposal of brain and spinal tissue from the deer. I've always been told to dispose of it in a landfill. Could this be problematic and potentially spread the disease to other animals? Do you have any other suggestions? Response: Supplementary Materials: http://www.knowcwd.com/ http://dnr.wi.gov/topic/wildlifehabitat/regulations.html General precautions listed on the chronic wasting disease alliance website General Precautions Do not eat the brain, eyes, spinal cord, spleen, tonsils, or lymph nodes Do not eat any part of a deer that appears sick (unsteady on their feet) Get your deer sampled for CWD testing and wait for the test results before consuming the deer Wear rubber gloves when coming into contact with the deer Minimize contact with brain, eyes, spinal cord, spleen, tonsils, or lymph nodes Don't use household knives or utensils Cutting and Processing Wear rubber or latex gloves If processing deer from a CWD management zone, keep meat and trimmings from each deer separate Minimize handling of brain and spinal tissues Do not cut through spinal column except when removing the head. Use a separate knife designated for only this purpose Remove all fat and connective tissue. This will also remove lymph nodes Discard any meat that is bruised or discolored Cleaning up Dispose of brain and spinal tissues in a landfill Thoroughly clean and sanitize work equipment and work areas with bleach after processing Wipe down counters with 50/50 solution of household chlorine bleach and water, and let them air dry CWD transmission to humans has not yet been reported, but it is always better to be safe than sorry!!!