*The authors appreciate and acknowledge the initial critiques and refinements made to this protocol as were provided by Christina Orru, Andrew Hughson, Natália do Carmo, and Byron Caughey at the NIH/NIAID Laboratory of Persistent Viral Diseases, Rocky Mountain Laboratories, Hamilton, MT.
**The protocol described herein is a unification of the general method described by Orru, et al. (2017) with additional details and modifications supported in studies reporting sensitivity for CWD in cervid species. Notable publications included:
Henderson, et al. (2015). Quantitative assessment of prion infectivity in tissues and body fluids by real-time quaking-induced conversion. J Gen Virol, 96(Pt 1), 210-219. doi:10.1099/vir.0.069906-0
Haley, Siepker, Walter, et al. (2016). Antemortem Detection of Chronic Wasting Disease Prions in Nasal Brush Collections and Rectal Biopsy Specimens from White-Tailed Deer by Real-Time Quaking-Induced Conversion. J Clin Microbiol, 54(4), 1108-1116. doi:10.1128/JCM.02699-15
Haley, Siepker, Hoon-Hanks, et al. (2016). Seeded Amplification of Chronic Wasting Disease Prions in Nasal Brushings and Recto-anal Mucosa-Associated Lymphoid Tissues from Elk by Real-Time Quaking-Induced Conversion. J Clin Microbiol, 54(4), 1117-1126. doi:10.1128/JCM.02700-15
Orru, et al.. (2017). RT-QuIC Assays for Prion Disease Detection and Diagnostics. Methods Mol Biol, 1658, 185-203. doi:10.1007/978-1-4939-7244-9_14
Haley, Donner, et al. (2020). Cross-validation of the RT-QuIC assay for the antemortem detection of chronic wasting disease in elk. Prion, 14(1), 47-55. doi:10.1080/19336896.2020.1716657
Haley, Henderson, et al. (2020). Management of chronic wasting disease in ranched elk: conclusions from a longitudinal three-year study. Prion, 14(1), 76-87. doi:10.1080/19336896.2020.1724754
Henderson, et al. (2020). Progression of chronic wasting disease in white-tailed deer analyzed by serial biopsy RT-QuIC and immunohistochemistry. PLoS One, 15(2), e0228327. doi:10.1371/journal.pone.0228327