Neurons are often assumed to be the principal sites for replication of the infectious agents causing Creutzfeldt-Jakob disease (CJD), scrapie, and bovine spongiform encephalopathy because they express high levels of normal and pathological prion protein (PrP). However, isolated brain cell types have not been evaluated for either infection or gene expression. Microglia purified from CJD-infected mice showed infectivity comparable to that of starting brain homogenate but expressed ϳ50-fold less PrP. CJD-infected microglia also displayed morphological changes indicative of cellular activation. To determine the molecular pathways of activation, we evaluated pertinent transcripts, including those linked to inflammation. Semiquantitative reverse transcription-PCR showed a >4-fold increase in cathepsin S, an enzyme important in antigen presentation, the cytokine interleukin-1, and the chemokine B-lymphocyte chemoattractant. The profile of microglial changes induced by the CJD agent differed substantially from activation induced by bacterial lipopolysaccharide or by -amyloid, a structure comparable to pathological PrP. These microglial studies emphasize migratory hematopoietic cells in the dispersion, and possibly replication, of the CJD agent. The low PrP levels in these highly infectious and activated cells further support the concept that pathological PrP is the result of infection rather than the infectious agent itself. Because microglia develop a specific pattern of responses to the CJD agent, microglial markers may be exploited in the diagnosis of these spongiform encephalopathies.Creutzfeldt-Jakob disease (CJD) and scrapie are neurodegenerative diseases caused by infectious agents that are incompletely characterized at the molecular level. The outbreak of bovine spongiform encephalopathy (BSE) and its link to variant CJD in humans makes it important to identify which types of cells carry the agent through the body. Many investigators emphasize neurons in agent spread because these cells accumulate abundant pathological prion protein (PrP), a host protein that aggregates with amyloid properties after infection. Although the contribution of other cell types in the brain, such as microglia, is unknown, such cells are often considered only reactive players. Nevertheless, these infectious agents can be recovered from circulating peripheral white blood cells that have no direct contact with neurons (20).More recent studies have suggested that B lymphocytes or B-cell-dependent follicular dendritic cells are required for infection from the periphery (4, 35). However, this conclusion is contradicted by positive infection in several different B-cellnull mouse models (28, 39). An alternative route for the agent would be through cells of the myeloid lineage (24). Myeloid cells are phenotypically flexible and can develop macrophage or related dendritic cell characteristics in response to environmental stimuli. We have shown that peripheral myeloid cells can carry and maintain the CJD agent for at least 5 weeks in vitro (28...