Prions alone do not appear to interact and convert PrPC to PrPSc.

PrPC and PrPSc interact within special cellular compartments after internalization.

At this point the proteins probably bind together in conjunction with a third uncharacterized protein (Protein X; not shown in the figure) and the structure of PrPSc is imprinted onto PrPC.

The PrPSc 27-30 found in amyloid plaques is partially cleaved, leaving the protease-resistant internal core of PrPSc to form plaques (not always present in TSE).