
Prions can be denatured by subjecting them to a temperatures of 134 degrees Celsius (274 degrees Fahrenheit) for 18 minutes in a pressurised steam autoclave. O Ozone sterilization is currently being studied as a potential method for prion deactivation. R
Full Answer
How do you get rid of prions on medical equipment?
Immerse in 1 N NaOH for 1 hour and heat in a gravity displacement sterilizer at 121°C for 30 minutes, then clean and subject to routine sterilization. *Tread carefully, however, as it remains unclear which of the above options is best for completely eradicating prions from medical equipment.
What drives the transformation of normal prions into prions?
The ensuing chain reaction drives a relentless conversion of normal prion proteins into prions.
Why can't prions be sterilized?
Sterilization of prions therefore requires denaturing their protein structure to a state where the prion is no longer able to induce abnormal protein folding. The size and structure of prions make them resistant to proteases, heat, radiation and fixative (ie formaldehyde) treatments.
Why are prions so resistant to degradation?
But 43% of a prion is so folded. Such a substantial percentage makes the protein highly resistant to degradation, the reasoning goes. The herding of prions into chain-linked amyloid fiber may also protect them from assault. Whatever the cause, prions are, to put it mildly, good survivors.

Etymology and pronunciation
The word prion, coined in 1982 by Stanley B. Prusiner, is derived from pr otein and i nfecti on, hence prion, and is short for "proteinaceous infectious particle", in reference to its ability to self-propagate and transmit its conformation to other proteins.
Prion protein
The protein that prions are made of (PrP) is found throughout the body, even in healthy people and animals. However, PrP found in infectious material has a different structure and is resistant to proteases, the enzymes in the body that can normally break down proteins.
Transmissible spongiform encephalopathies
It has been recognized that prion diseases can arise in three different ways: acquired, familial, or sporadic. It is often assumed that the diseased form directly interacts with the normal form to make it rearrange its structure.
Fungi
Proteins showing prion-type behavior are also found in some fungi, which has been useful in helping to understand mammalian prions. Fungal prions do not appear to cause disease in their hosts. In yeast, protein refolding to the prion configuration is assisted by chaperone proteins such as Hsp104.
Treatments
There are no effective treatments for prion diseases. Clinical trials in humans have not met with success and have been hampered by the rarity of prion diseases. Although some potential treatments have shown promise in the laboratory, none has been effective once the disease has commenced.
In other diseases
Prion-like domains have been found in a variety of other mammalian proteins.
Weaponization
Prions can be employed as a weaponized agent. With potential fatality rates of 100%, it makes prions a very effective bio-weapon choice. One unfavorable aspect is that prions have very long incubation periods. However, persistent and heavy exposure of prions to intestine, might shorten the overall onset.
What Are Prions?
The Centers for Disease Control and Prevention defines prions as “abnormal, pathogenic agents that are transmissible and are able to induce abnormal folding of specific normal cellular proteins called prion proteins that are found most abundantly in the brain.” An article published in the Oxford Journal’s Clinical Infectious Disease’s journal more clearly defines a prion as “a class of proposed proteinaceous infectious agents that cause fatal brain diseases.”.
The Problem with Prions
The problem with prions is that they are incredibly resistant to most routine methods of decontamination and sterilization. In fact, experts featured in the above Oxford Journal post believe there is no method of prion decontamination or sterilization that has proven 100% effective.
Prion Sterilization Recommendations in the U.S
In the United States, the national standards on how to disinfect and sterilize medical equipment that has come into contact with prions (i.e. CJD) come from AAMI and are approved by the American National Standards Institute (ANSI) as American National Standards.
Infectious Proteins
A prion is an illness-inducing misfolded protein. Depending on how it is misfolded, the prion may also be infectious, and they often are.
The Stainless Steel Vector
Avoiding this awful, if improbable, fate is something you unfortunately have little control over.
Are Prions More Common Than We Realize?
The enduring infectious power of prions is unsettling all on its own, but some scientists are beginning to suspect something far scarier.
ABOUT THE AUTHOR (S)
Jennifer Frazer, an AAAS Science Journalism Award–winning science writer, authored The Artful Amoeba blog for Scientific American. She has degrees in biology, plant pathology and science writing. Follow Jennifer Frazer on Twitter Credit: Nick Higgins

Overview
Transmissible spongiform encephalopathies
Prions cause neurodegenerative disease by aggregating extracellularly within the central nervous system to form plaques known as amyloids, which disrupt the normal tissue structure. This disruption is characterized by "holes" in the tissue with resultant spongy architecture due to the vacuole formation in the neurons. Other histological changes include astrogliosis and the absence of an inflammatory reaction. While the incubation period for prion diseases is relatively long (5 to 2…
Etymology and pronunciation
The word prion, coined in 1982 by Stanley B. Prusiner, is derived from protein and infection, hence prion, and is short for "proteinaceous infectious particle", in reference to its ability to self-propagate and transmit its conformation to other proteins. Its main pronunciation is /ˈpriːɒn/ (listen), although /ˈpraɪɒn/, as the homographic name of the bird (prions or whalebirds) is pronounced, is also heard. In his 1982 paper introducing the term, Prusiner specified that it is "pronounced pree-on".
Prion protein
The protein that prions are made of (PrP) is found throughout the body, even in healthy people and animals. However, PrP found in infectious material has a different structure and is resistant to proteases, the enzymes in the body that can normally break down proteins. The normal form of the protein is called PrP , while the infectious form is called PrP – the C refers to 'cellular' PrP, while the Sc refers to 'scrapie', the prototypic prion disease, occurring in sheep. While PrP is str…
Prion replication
The first hypothesis that tried to explain how prions replicate in a protein-only manner was the heterodimer model. This model assumed that a single PrP molecule binds to a single PrP molecule and catalyzes its conversion into PrP . The two PrP molecules then come apart and can go on to convert more PrP . However, a model of prion replication must explain both how prions propagate…
Fungi
Proteins showing prion-type behavior are also found in some fungi, which has been useful in helping to understand mammalian prions. Fungal prions do not appear to cause disease in their hosts. In yeast, protein refolding to the prion configuration is assisted by chaperone proteins such as Hsp104. All known prions induce the formation of an amyloid fold, in which the protein polymerises into an aggregate consisting of tightly packed beta sheets. Amyloid aggregates are f…
Treatments
There are no effective treatments for prion diseases. Clinical trials in humans have not met with success and have been hampered by the rarity of prion diseases. Although some potential treatments have shown promise in the laboratory, none have been effective once the disease has commenced.
In other diseases
Prion-like domains have been found in a variety of other mammalian proteins. Some of these proteins have been implicated in the ontogeny of age-related neurodegenerative disorders such as amyotrophic lateral sclerosis (ALS), frontotemporal lobar degeneration with ubiquitin-positive inclusions (FTLD-U), Alzheimer's disease, Parkinson's disease, and Huntington's disease. They are also implicated in some forms of systemic amyloidosis including AA amyloidosis that develops in h…