The recent outbreaks of West Nile virus (WNV) in the northeastern United St
ates and other regions of the world have made it essential to develop an ef
ficient protocol for surveillance of WNV. In the present report, we describ
e a high-throughput procedure that combines automated RNA extraction, ampli
fication, and detection of WNV RNA. The procedure analyzed 96 samples in ap
proximately 4.5 h, A robotic system, the ABI Prism 6700 Automated Nucleic A
cid workstation, extracted RNA and set up reactions for real-time reverse t
ranscription (RT)-PCR in a 96-well format. The robot extracted RNA with a r
ecovery as efficient as that of a commercial RNA extraction kit, A real-tim
e RT-PCR assay was used to detect and quantitate WNV RNA. Using in vitro tr
anscribed RNA, we estimated the detection limit of the real-time RT-FCR to
be approximately 10 copies of RNA. A standard RT-PCR assay was optimized to
a sensitivity similar to that of the real-time RT-PCR. The standard assay
can be reliably used to test a small number of samples or to confirm previo
us test results, Using internal primers in a nested RT-PCR, we increased th
e sensitivity by approximately 10-fold compared to that of the standard RT-
PCR. The results of the study demonstrated for the first time that the use
of an automated system for the purpose of large-scale viral RNA surveillanc
e dramatically increased the speed and efficiency of sample throughput for
diagnosis.