RT-QuIC Assay for the Detection of Chronic Wasting Disease in Rectal Mucosa of White-Tailed Deer

Robert B. Piel, David A. Schneider, Aaron Lomax, Daniel Walsh, Eric M. Nicholson, Tracy A. Nichols, Susan E. Veneziano

Published: 2024-06-14 DOI: 10.17504/protocols.io.yxmvmn2y6g3p/v1

Disclaimer

Mention of trade names or commercial products in this article is solely for the purpose of providing specific information and does not imply recommendation or endorsement by the US Department of Agriculture.

Abstract

This protocol details a Real-Time Quaking-Induced Conversion (RT-QuIC) assay to detect the prion-seeding activity associated with Chronic Wasting Disease prions in rectal mucosa samples from white-tailed deer. The authors tested this protocol as part of an agreement between USDA-APHIS, USDA-ARS, and USGS.

Note
*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.0.069906-0Haley, 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.02699-15Haley, 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.02700-15Orru, 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_14Haley, 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:10.1080/19336896.2020.1716657Haley, 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:10.1080/19336896.2020.1724754Henderson, 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

Before start

Steps

Sample Preparation: Rectal Mucosa Homogenization – 10% w/v

1.

For each sample, prepare a 2-mL screw cap tube containing 1g of 0.7 mm Zirconia beads (BioSpec 11079107zx) and label with sample/animal ID.

2.

Weigh and add biopsy sample (up to 150mg*) to each tube.

Note
*Biopsy samples larger than 150mg may be processed in multiple pieces/tubes and homogenates pooled prior to freezing.

Note
This protocol is designed for mucosa-only samples. Skin, muscle layers, or excess connective tissue should be removed if evident.

3.

Add 9 volumes 1X PBS 7.4 .

Note
Example: 100mg biopsy sample + 900µL 1X PBS

4.

Homogenize using bead beating grinder.

4.1.

3 cycles of 0h 0m 45s at speed 5.5 with 0h 5m 0s rest On ice between cycles.

5.

Centrifuge at 3000x g.

5.1.

Collect supernatant*, pooling tubes from larger biopsy samples if necessary.

Note
*Un-disrupted connective tissue will likely remain following homogenization; do not collect.

6.

Prepare 50µL aliquots in 0.2-mL snap cap tubes and reserve remainder in one 2-mL tube. Store at -80°C .

Note
We suggest preparing enough 50µL aliquots for any planned experiments plus a few extra before storing the remainder. Though not fully characterized, it is likely that excessive freeze/thaw cycling may degrade the seeding activity present in sample homogenates.

Sample Preparation: NaPTA Precipitation and Resuspension of Rectal Mucosa Homogenate

7.

Thaw a 50µL aliquot of 10% homogenate from each sample to be tested.

8.

Sonicate for 0h 0m 30s in a water bath sonicator at a power output of 180-200 W.

Note
Sonication is performed in a 0.2 mL tube using a sonicator equipped with a microplate horn. Other sonication methods have not been evaluated.

9.

Centrifuge ~0h 1m 0s in a benchtop centrifuge at ~2,000 x g (or in a single speed 0.2-mL tube centrifuge) to pellet tissue debris.

9.1.

Supernatant will be added to the NaPTA reaction in the next step* .

Note
*Pipette carefully to avoid disturbing the pellet.*Ensure the supernatant is free of insoluble material before adding it to the NaPTA reaction.

10.

In a 1.5-mL centrifuge tube, combine:

AB
15 μLHomogenate supernatant from Step 9
1380 μL1X PBS pH 7.4
105 μL4% NaPTA solution
11.

Incubate with gentle rocking or rotation 1h 0m 0s at -80Room temperature .

Note
*Tubes should be rocked/rotated in a horizontal position; adequate agitation can be visualized as the movement of the air bubble within the tube.

12.

Pellet by centrifugation 21000x g.

13.

Discard supernatant.*

Note
*It is important to remove the supernatant that contains NaPTA so that it does not interfere with resuspension in the subsequent step.*We recommend using a vacuum flask with fresh 200-µL pipette tips on the suction line for each sample. *The vacuum line should be protected from aerosol contamination following applicable regulations but minimally including an in-line High-Efficiency Particulate Air (HEPA) filter.

14.

Resuspend the pellet* in 150µL Resuspension Buffer **.

Note
*The pellet can be difficult to resuspend. As needed to resolubilize fully, transfer initial resuspension with all undissolved material to 0.2-mL tube and alternate vortexing and sonication (0h 0m 30s in water bath sonicator at 180-200 W).

Note
**Resuspension Buffer is prepared fresh. N2 media supplement contains protein components that may degrade if stored for extended periods.

rPrPC Substrate Preparation

15.

Substrate Preparation Instructions:

  • prepare fresh for each assay run
  • rPrPCsubstrate was shipped as frozen aliquots and filtered before use .

To filter substrate:

  1. Thaw aliquot(s) completely at room temperature.
  2. Add substrate to 100 kDa centrifugal filter(s).
  3. Centrifuge at 3,000 x g for 10 min or until all liquid has passed through the filter
  4. Collect filtrate
  5. Determine protein concentration*

Note
*A loss of approximately 10-15% of protein concentration is expected following filtration. rPrP concentration of the substrate may be measured by absorbance at 280 nm. A mass extinction coefficient (Abs 0.1% (=1 g/L)) of 1.4 is commonly used for truncated hamster (Ha90) substrate.

Note
Do not re-freeze rPrPC substrate rPrPCloses sensitivity and shows increased propensity for spontaneous misfolding over time once thawed or when subject to repeated freeze/thaw cycles.

RT-QuIC Assay

16.

Prepare RT-QuIC Assay Buffer

  • must be prepared fresh for each assay run
  • see materials for buffer recipe and Step 15 for substrate handling instructions

Note
Prepare enough RT-QuIC Assay Buffer to test samples in quadruplicate.(For full 96-well plate, prepare 10mL RT-QuIC Assay Buffer .)

17.

Add 98µL RT-QuIC Assay Buffer to each well of a 96-well optical bottom black plate (Thermo Scientific Nunc 265301).

18.

Add 2µL prepared sample from Step 14 to each reaction well.

18.1.

The following microplate layout is suggested for testing samples in quadruplicate and allows use of a 12-well multichannel pipette for reaction seeding:

AB
WellsSample ID
Column 1 Rows A-DSample 1
Column 2 Rows A-DSample 2
Column 3 Rows A-DSample 3
Column 4 Rows A-DSample 4
Column 5 Rows A-DSample 5
Column 6 Rows A-DSample 6
Column 7 Rows A-DSample 7
Column 8 Rows A-DSample 8
Column 9 Rows A-DSample 9
Column 10 Rows A-DSample 10
Column 11 Rows A-DSample 11
Column 12 Rows A-DSample 12
Column 1 Rows E-HSample 13
Column 2 Rows E-HSample 14
Column 3 Rows E-HSample 15
Column 4 Rows E-HSample 16
Column 5 Rows E-HSample 17
Column 6 Rows E-HSample 18
Column 7 Rows E-HSample 19
Column 8 Rows E-HSample 20
Column 9 Rows E-HSample 21
Column 10 Rows E-HSample 22
Column 11 Rows E-HSample 23
Column 12 Rows E-HSample 24
19.

Seal the plate with film (Thermo Scientific Nunc 232702).

20.

Insert the sealed plate into the microplate reader.

21.

Incubation and Fluorescence Measurement Conditions :

Temperature : 42°C

Shaking : cycles of 700rpm double orbital followed by 0h 1m 0s rest.

Measure : at 0h 43m 0s (or 0h 15m 0s)* intervals: Bottom Read, 20 flashes/well.

Fluorescence: excitation: 450 ± 10 nm, emission: 480 ± 10 nm.

Gain : (manual) 1800.**

Assay length : 85h 0m 0s

Note
*This protocol was optimized using a 43-minute measurement interval, which was the setting of an older plate reader program/script. We currently use and suggest 15-minute measurement intervals when running the protocol. This improves the estimation of baseline ThT fluorescence, which is generally used to calculate reaction threshold values. This also provides a more precise estimation of the time-to-threshold, an informative measure of reaction kinetics.**Ideal gain settings may vary between individual plate readers and may be adjusted to allow better visualization of fluorescence curves with no impact on the assay reaction itself. A gain set too high will result in excessive baseline signal noise and/or saturated readings for positive reactions. A gain set too low may make it difficult to distinguish a positive signal from the baseline.

Export to datafile

22.

For data analysis, we suggest exporting the data in a table format consisting of ThT relative fluorescence units corresponding to each Well/Sample ID at each Measurement Time.

Instructions for data export using BMG MARS software (version ####) are provided below:

22.1.

Times can be recorded in hour decimal time to facilitate compatibility with downstream calculations:

  1. In the MARS software, open the Formats and Settings tab
  2. Select the Number Format Settings button
  3. Open the Number Formats tab
  4. Under Global Time Format Options , select the middle bubble and choose In hours from the drop down menu
22.2.

To generate an Excel export table:

  1. In the MARS software, open the assay file
  2. Open the Table View tab
  3. Open the

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