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Re:Prions, Nearly Indestructible and Universally Lethal, See... by nonbel on Monday December 10, 2018 @02:10PM (#18650359)
How is this at all a "twist"? The reason you cannot deactivate prions using these methods is that they are meant to denature protein. Prions are "amyloids"/beta-sheets, which means they are already in the lowest-energy state. This lowest-energy-state is exactly why the presence of prion can serve as a nucleation point for other proteins to denature into beta-sheets.
Re:Prions, Nearly Indestructible and Universally Lethal, See... by travisoneill1 on Monday December 10, 2018 @02:42PM (#18650596)
I don't care whether or not it's a "twist". I care that there is an entire class of pathogen that we don't know how to sterilize a surface of.
Re:Prions, Nearly Indestructible and Universally Lethal, See... by arkades on Monday December 10, 2018 @08:54PM (#18652781)
It’s been said a few times in this thread that that is a misrepresentation by the article. Allow me to quote at length from an article on the topic by Brown and Lee:

One of the characteristic features of prions is their resistance to a number of normal decontaminating procedures. These pathogens are resistant to processes affecting nucleic acids, such as hydrolysis or shearing [9]. However, agents that digest, denature, or modify proteins do have activity against prions [7]. The PrP purified from the brains of scrapie-infected animals (PrPSc) can be inactivated by prolonged autoclaving (at 121ºC and 15 psi for 4.5 hours), or immersion in 1N NaOH (for 30 minutes, repeat three times), or immersion in concentrated (>3 M) solutions of guanidine thiocyanate [10]. However, certain cautions prevail; it appears that inadequate autoclaving can establish heat-resistant subpopulations that fail to diminish with a further cycle of autoclaving [11]. Stainless steel instruments also may retain infectivity even after treatment with 10 percent formaldehyde [12,13].

Newer decontamination techniques are being investigated. There has been some success in sterilization using a combination of sodium dodecyl sulfate (SDS), proteinase K, and pronase [14]. A radio-frequency gas-plasma treatment has been shown to effectively decontaminate surgical instruments [15]. Another group has tested a decontamination formula combining copper metal ions with hydrogen peroxide [16].

Re:Prions, Nearly Indestructible and Universally Lethal, See... by mirimir on Tuesday December 11, 2018 @12:56AM (#18653501)
OK, but how do ophthalmologists typically decontaminate their instruments?
Re:Prions, Nearly Indestructible and Universally Lethal, See... by nonbel on Monday December 10, 2018 @03:07PM (#18650801)
You just use bleach and then autoclave:

>"combining autoclaving (even at 121 degrees C) with a sodium hydroxide treatment is extremely effective." https://www.ncbi.nlm.nih.gov/pubmed/10658760

Re:Prions, Nearly Indestructible and Universally Lethal, See... by coryrc on Tuesday December 11, 2018 @02:16AM (#18653684)
Bleach is sodium hypochlorite; sodium hydroxide is lye/caustic soda.
Re:Prions, Nearly Indestructible and Universally Lethal, See... by nonbel on Tuesday December 11, 2018 @09:40AM (#18655533)
Yea, sorry. Earlier in the abstract it mentioned sodium hypochlorite then I didnt read closely: "Strong sodium hypochiorite solutions achieve inactivation but other chlorine-releasing compounds are less effective"

Usually there is some sodium hydroxide in standard sodium hypochlorite bleach solution as well though, perhaps that explains why they reported it is the most effective of the chlorine bleaches.