BackgroundSelective neuronal vulnerability is a common, yet poorly understood characteristic of neurodegenerative diseases. It is particularly fascinating in familial prion diseases, such as fatal familial insomnia (FFI) and Creutzfeldt-Jakob disease (CJD), where different mutants of the prion protein manifest as clinically and neuropathologically distinct diseases. MethodsTo determine how distinct neurons respond to different mutations in the prion protein gene at pre-symptomatic stages, we used RiboTag to isolate cell type-specific, translating mRNA from GABAergic, glutamatergic, somatostatin- (SST) and parvalbumin- (PV) expressing neurons of 9-month-old knock-in mouse models of FFI and CJD. Differential gene expression analysis followed by gene set enrichment analysis (GSEA) was performed for all cell types in both diseases. We further constructed a undirected weighted gene co-expression network for SST neurons to identify functional models and hub genes.ResultsWe found SST+ neurons showed the most prominent gene expression changes in both diseases, especially in FFI, with high similarities between the two diseases. GSEA demonstrated similar enrichment patterns of functional terms for GABAergic cell types in both FFI and CJD, whereas responses in glutamatergic neurons were disease specific. For SST+ neurons, functional analysis revealed upregulation of ribosomal biogenesis, mitochondrial function and neurodegenerative disease pathways, and downregulation of synaptic function and small GTPase mediated signaling in FFI. Analysis of an SST co-expression network revealed a disease-associated module, functionally associated with autophagy and TORC1 signaling. Of the identified module hub genes, three were further significantly differentially expressed in FFI SST neurons, including Depdc5, a component of mTOR regulator complex GATOR1, and Nucleosome Remodeling Deacetylase complex component Mta3. Importantly, the molecular changes reported here were very different from those reported for an acquired prion disease model.ConclusionsThis study identifies SST neurons as an early affected cell type, showing similar responses in both FFI and CJD with downregulation of mTOR signaling as a potential explanatory mechanism underlying many of the observed changes. The observation that FFI and CJD have such similar cellular and molecular signatures indicates that a common therapy may be effective for multiple inherited prion diseases, but possibly less effective for acquired prion disease.