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Updated: Jan 6, 2026

Real-time Quaking-induced Conversion Assay for Detection of CWD Prions in Fecal Material
Published on: September 29, 2017
Tracking Prions by RT-QuIC: An Update
Christina D Orrù1, Bradley R Groveman2, Byron Caughey3
1Laboratory of Neurological Infections and Immunity, Rocky Mountain Laboratories, Division of Intramural Research, National Institute of Allergy and Infectious Disease, National Institutes of Health, Hamilton, MT, USA. christina.orru@nih.gov.
Real-time quaking-induced conversion (RT-QuIC) assays offer highly sensitive and specific detection of prions for diagnosing prion diseases. Recent advancements expand the application of these assays in research, surveillance, and clinical settings.
Area of Science:
- Biochemistry
- Neuroscience
- Veterinary Medicine
Background:
- Prion diseases are fatal neurodegenerative disorders caused by misfolded prion proteins.
- Current diagnostic methods for prion diseases can be slow, invasive, or lack sensitivity.
- Prion seed amplification assays (SAA) have emerged as promising tools for early and accurate detection.
Purpose of the Study:
- To summarize recent advancements in prion seed amplification assays, specifically real-time quaking-induced conversion (RT-QuIC).
- To highlight the expanding applications of RT-QuIC in research, surveillance, and clinical diagnostics for prion diseases.
- To discuss ongoing developments and future directions for RT-QuIC technology.
Main Methods:
- Real-time quaking-induced conversion (RT-QuIC) assays.
- Ultrasensitive detection of misfolded prion proteins.
- Application in various biological matrices (e.g., cerebrospinal fluid, blood, tissue).
Main Results:
- RT-QuIC assays demonstrate high sensitivity and specificity for prion detection.
- The assays are increasingly practical for widespread use in research and diagnostics.
- Significant progress has been made in broadening RT-QuIC applications across different fields.
Conclusions:
- RT-QuIC assays are a powerful tool for the ultrasensitive and specific detection of prions.
- The technology is rapidly advancing, enabling broader applications in prion disease research and diagnostics.
- Continued development promises improved diagnostic capabilities and surveillance strategies for prion diseases.

