A total of 216 local crossbred sheep from 16 scrapie-affected Greek flocks and 210 purebred sheep of the milk breeds Chios and Karagouniko from healthy flocks were analysed for scrapie-linked polymorphisms in the prion protein (PrP) gene. Of the 216 sheep in this case-control study, 96 sheep were clinical cases, 25 subclinical cases (asymptomatic at the moment of euthanasia but positive by histopathology and/or ELISA detecting proteinase-resistant PrP) and 95 healthy controls (negative by all evaluations). Polymorphisms at codons 136, 154 and 171 were determined by denaturing gradient gel electrophoresis, followed by RFLP and sequencing. Scrapie, both clinical and subclinical, was associated with the genotypes ARQ/ARQ (88 of 110 sheep of that genotype), ARQ/TRQ (9 of 13), ARQ/AHQ (15 of 38) and VRQ/VRQ (9 of 17). Histopathological lesions were more severe in the clinical cases. Genotypes ARQ/ARR (26 sheep), ARQ/ARK (seven sheep), AHQ/ARR (one sheep), ARH/ARH (one sheep) and ARR/ARH (three sheep) were detected exclusively in healthy control sheep. In the purebred survey, four genotypes were present in the Chios sheep (ARQ/ARQ, ARQ/TRQ, ARQ/AHQ and ARQ/ARR) and four in the Karagouniko sheep (ARQ/ARQ, ARQ/AHQ, ARQ/ARR and ARQ/ARH).
INTRODUCTIONScrapie is an infectious neurodegenerative fatal disease of sheep and goats belonging to the group of transmissible subacute spongiform encephalopathies (TSEs), along with bovine spongiform encephalopathy (BSE), chronic wasting disease and Creutzfeldt-Jakob disease. All TSEs are characterized by long incubation periods, disturbances in behaviour and movement, degeneration in tissues of the central nervous system (CNS) and accumulation of an abnormal isoform of the host-encoded cellular prion protein in tissues of the CNS. It has been hypothesized that these diseases are attributable to a conformational change in the prion protein (PrP), which results in a change from a predominantly a-helical protein to a b-sheet form (Prusiner, 1996). Normal PrP protein (PrP c ) is a cell-surface glycoprotein, the expression of which is necessary for the production of prions (Büeler et al., 1993;Prusiner et al., 1993). PrP c is expressed in most tissues of the body, with the nervous tissues showing the highest PrP c expression levels (Bendheim et al., 1992;Horiuchi et al., 1995).In several animal species and in humans, polymorphisms within the open reading frame of the PrP gene are associated with the occurrence and the pathological lesions of TSEs (Pocchiari, 1994). The incidence of natural scrapie is strongly influenced by alterations in the host gene that encodes the PrP (Hunter, 1997). Such polymorphisms may influence the conversion of PrP c into the pathogenic isoform . The mechanism by which the individual allelic variants lead to altered susceptibility or incubation periods has not been elucidated. It has been proposed that in humans PrP polymorphisms may be present at critical sites involved in the conformational transition from PrP c to PrP Sc (Glockshuber et al., 1999). The study o...