The properties of amyloidogenic protease-resistant form (PrP-res) have failed attempts to determine its high resolution structure. Nonetheless, low resolution analyses have shown that PrP-res retains significant α-helical content, but has much higher β-sheet content than PrPC. Biochemical analyses indicate that within its ordered aggregate, PrPSc molecules have, at least, three distinguishable folding domains. Under physiologically compatible conditions, PrP-res can also induce the conversion of PrP-sen to a protease resistant state reminiscent of PrPSc. This conversion reaction is highly species- and strain-specific, as is PrP-res formation in vivo. Heterologous PrP-sen molecules from one species can bind to PrP-res of another and interfere with the conversion of homologous PrP-sen molecules. It is not known whether the cell-free conversion reaction, or any other in vitro manipulation of PrP-sen, generates infectivity.