-Prion diseases are characterised by neuronal loss, vacuolation (spongiosis), reactive astrocytosis, microgliosis and in most cases by the accumulation in the central nervous system of the abnormal prion protein, named PrP Sc . In this review on the "cellular pathogenesis in prion diseases", we have chosen to highlight the main mechanisms underlying the impact of PrP C /PrP Sc on neurons: the neuronal dysfunction, the neuronal cell death and its relation with PrP Sc accumulation, as well as the role of PrP Sc in the microglial and astrocytic reaction.