The structure of PrPC (left of above figure) is primarily alpha-helix (tubular features) with limited beta-structures (waved arrows) connected by loop features (linear sections) and attached to cell membranes by a GPI anchor (yellow end).

Either by mutation of the protein's amino acid sequence (Familial TSEs) or by interaction with infectious PrPSc, the protein adopts more of a beta-structure; PrPSc (right of above figure). In many TSEs this is the predominant from of PrP found in brain (i.e., not all of the PrPSc is converted to PrPSc 27-30). In addition, proteins similar in size to PrPSc 27-30 are found in normal brain (i.e. PrPC 27-30 although they are not resistant to exogenous proteinase K).

In conditions where amyloid plaques form, a cleaved () protease-resistant core PrPSc 27-30 is present in the extracellular regions (left of figure). This truncated protein () may have loss most if not all of its alpha-helical structure after the cleavage (removal) of 50-80 amino acids from the beginning (N-terminus) of the protein and the last 70-80 amino acids from the end (C-terminus) of the protein. Multiple beta-structures (waved arrows) lying within a plane probably form a beta-sheet (further llustrated as either as lying on a flat surface with a dangling loop region () or as a Greek key motif () with an additional beta-structure made from the loop region).

The resulting 27-30 aggregates in certain forms of TSE forming amyloid plaques. The structure of the plaques is not known but probably results from stacking of multiple beta-sheets (right of figure showing 9 proteins alternating colors for illustration between orange and green).

At this point, the original PrPC has been mis-folded to form PrPSc, cleaved to PrPSc 27-30, released into the extracellular environment and finally in some cases stacked within plaques.

PrPSc (but probably not PrPSc 27-30) may be held together by intramolecular cystine bonds (normally the protein has a single intermolecular bond).

click on image for more information about cystine bonds and stabilizing abnormal prion structures

click on image for more on PrP fragment analysis and use in strain typing