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1.    Thaw all reagents and keep on ice  Spin down the reagents before    use     A blank control  water  and a positive control  your sample control   is suggested to run with samples each time     A 1     A 2   A 3   A 4     A 5   A 6     A 7   A 8     Collect and label PCR tubes or a 96 well PCR plate as  follows   Sample 1  2  3                DAO OOOO    Neg  Negative control  water   Pos  Positive control  CTL WR     Add 26u  of Master mix into each tube   Add 1ul of PCR primer mix  PCR P  to each tube     Add 3ul of nuclease free water to the    Neg    tube for negative  control     Add 3ul of CTL WR to the    Pos    tube for positive control   Add 3ul of sample DNA  20 80 ng ul  to correspondent tube   Cap the tubes and place the tubes to thermal cycler    Run Program 1    Program 1  1 cycle 95  C 5 min  35 cycles 94  C 30 sec    52  C 45 sec  72  C 45 sec    1 cycle 72  C 5 min  Hold at 4  C       Technical Support 1 888 825 6005    11    Y      UOISJ  A    TrimGen Mutector II Warfarin Genotyping    Note    y Option  To verify the PCR product  load 5 ul of the PCR product  onto 1 2  agarose gel and use 100 bp size markers to confirm  the PCR products  The three PCR product sizes are     VKORC1   167 bp  CYP 2C9 2   174 bp  CYP2C9 3   221 bp     V The procedure can be temporarily stopped after Program 1   Store the PCR product in 4  C for next day testing     PCR Product Clean up    B 1  Collect new 0 2 ml tubes  One tube for each PCR reaction    Label the tubes the same
2.  UOISJ  A      Discard the Collection Tubes and transfer the TF Filters into  C 2  Add 11 1 of ST WR into all tubes  a new Collection Tube  Label the Collection Tubes with  sample ID  The TF Filters are ready for use        C 3  Add 2u  of DP WR into all tubes     D 5  After the ST reaction  load all ST reaction contents  15      C 4  Add 2ul of E1 treated Negative PCR control to the    Neg    onto the top of the gel in each pre prepared TF Filter     tube     et D 6  Centrifuge the TF Filters at 1 000 x g  2 000 3000 rpm for  C 5  Add 2ul of E1 treated Pos to the    Pos    tube  most tabletop centrifuge  for 2 3 minutes   C 6  Add 2ul of E1 treated Sample to each corresponding sample   tube  D 7  Discard the TF Filters  The solution in the tubes contains    ST product and is ready for sample loading   C 7  Cap the tubes  mix the contents and spin all tubes     C 8  Place the tubes into thermal cycler and perform ST reaction E  Sample Loading    using Program 3   g rogram   E 1  Add 15yl of Loading buffer to each well of a sequencer    adapter plate           Program 3  E 2  Transfer 2 4ul of the filtered ST products into each well    1 cycle 94  C 4 min H p  20 cycles 94  C 30 sec GE Do not mix sample by pipetting the mixture up down  It may  50  C  45 sec Na generate bubbles  Signal may vary depending on the  70  C 30sec instrument used  It is recommended to adjust the loading  Hold at 4  C volume  2 4ul  to optimize the signal on your machine  If the  signal is too strong 
3.  as the PCR tubes     B 2  Add 11 ul of E1 Mix to each new tube     B 3  Transfer 4ul of PCR product to each tube   The remaining  PCR products can be stored at    20  C for re testing      f      PCR product may cause lab contamination  To  avoid the PCR product contamination  use the filter tip  for the pipetting  handle with care and perform this    step in a designated area  After transfer  clean up  the work area and change gloves        B 4  Cap the tubes  mix the contents and spin all tubes     B 5  Incubate the tubes in thermal cycler using Program 2     Program 2  37  C for 30 min    95  C for 5 min  Hold at 4  C       Note     V The procedure can be temporarily stopped after Program 2   Store the reaction tube in 4  C for next day testing     Technical Support 1 888 825 6005    12    Y      UOISJ  A    TrimGen Mutector II Warfarin Genotyping TrimGen Mutector II Warfarin Genotyping    c  ST Reaction  D  ST Product Clean up    C 1  Collect 0 2ml strip tubes  1 tube per sample and 2 control  tubes for each test run   Label the tubes as follows     Filter preparation    D 1  Collect the TF Filters and Collection Tubes  one set for  each ST reaction    E1 treated PCR controls    D 2  Snap off the bottom portion of the filter tip  ref  page 7 for    Sc    Zaoa snap off line        Centrifuge the TF Filters at 1 000 x g  2 000 3000 rpm for  most tabletop centrifuge  for 2 3 minutes to remove the    E1 treated PCR Samples 1  2  3    excess buffer from the filters     Y     
4.  dilute the ST product with water  3 5   v The procedure can be temporarily stopped after Program 3  times  and re loading the sample   Store the reaction tube at 4  C for next day testing  E 3  Load the plate to sequencer and run the pre set Data   Collection Program  ref  page 8     Technical Support 1 888 825 6005 Technical Support 1 888 825 6005    13 14    Y      UOISJ  A    TrimGen    F     Data Analysis    Mutector II Warfarin Genotyping    The CTL WR  Genotype controls  shows all genotypes   color and size   Use these controls as a standard to identify  peak s  present in the samples     Results for mutation controls    Red                VKORC1 209 2   1639 A 430 T    Red    2C9  2     430C     Blue      AJ    Oe ne DO  A                                    Peak Color Peak Size  Interpretation  1 Blue 20 27 VKORC1    1639 G  2 Red 23 54 VKORC1  1639 A  3 Blue 43 09 2C9 2   430C  4 Red 45 75 2C9 2   430T  5 Blue 53 86 2C9 3   1075C  6 Red 57 96 2C9 3   1075A                    The data were produced using POP7 and 36 cm capillary  The  peak size may vary slightly depending on instrument  polymer type  and the length of capillary  Customer can confirm the correct  peak size using the CTL WR     Technical Support 1 888 825 6005    15    Y      UOISJ  A    TrimGen    Notes     Mutector II Warfarin Genotyping    Technical Support 1 888 825 6005    16    Y      UOISJ  A    
5.  single nucleotide variation through multiple steps   1  Sequence   specific amplification of target gene  2  Sequence selective termination  of target nucleotide and  3  Sequence dependent primer extension     Y      UOISJ  A    Enzymatic cleanup of  PCR product  The genotypes are easily differentiated by fragment size and colors to give 40 min    clear cut results     ST reaction      Shifted Termination Assay  STA    Shifted Termination Assay is a proprietary technology that uses a  combination of uniquely designed primers  mixtures of modified enzymes  and specially synthesized nucleotides  The STA reaction recognizes wild  type or mutant target sequences and selectively terminates or extends the  detection primers with 1 to 20 nucleotides  This extension is repeated 20  times with labeled nucleotides to enrich the detection signal  The enriched  signals are then easily detected by fragment analysis     1 hour       Cleanup of ST product  10 mi  Wild type i      0O Wild type   gt X Mutant     Mutant          0   2  N      X  Fragment analysis 40 min   Capillary sequencer   Technical Support 1 888 825 6005 Technical Support 1 888 825 6005    5 6    Y      UOISJ  A    TrimGen    Mutector II Warfarin Genotyping    Materials Provided     The Mutector II    Warfarin Kit contains reagents for 32 tests                       Materials Cap label Quantity  PCR Primer Mix PCR P 50 pl  Master Mix MM 1000 ul  E1 Mix E1 430 ul  ST  WR  ST 430 ul  DP  WR DP 80 pl  CTL  WR CTL 50 ul  Loa
6. Mutector II    Warfarin  Genotyping kit     Cat No  GP03     User Manual V1 4    Storage    Upon receipt of the kit  store at    20  C until use  At this  temperature the reagents are stable for 1 year     After first use  store all of the reagents at 2 8  C and keep  them protected from direct light  At this condition the  reagents are stable for 3 months     For research use only  not for use in diagnostic procedures       TrimGen    Mutector II Warfarin Genotyping    Technical Support  1 888 825 6005    2    Y      UOISJ  A    TrimGen Mutector II Warfarin Genotyping    CONTENTS    Introduction  Overview of Mutector II     Detection  Materials Provided  Materials Required  Equipment Required  Sample Preparation  Sequencer setup  Thermal Cycling Programs  Mutector II    Assay Protocol  PCR Amplification  PCR Product Clean up  ST Reaction  ST Product Clean up  Sample Loading    Data Analysis    Technical Support 1 888 825 6005    3    pL UOISJ  AN    TrimGen    Limited Product Warranty    It is imperative that the users strictly adhere to this manual   Failure to do so will void TrimGen s guarantee of this product   TrimGen Corporation makes no other warranties of any kind   expressed or implied  including without limitation  warranties  of merchantability or fitness for a particular purpose     Notice to Purchaser    The Mutector II    kit is provided as a research use only  product  The purchaser must determine the suitability of the  product for their particular use  No cl
7. aim or representation is  intended for use of this product to identify any specific  organism or for a specific clinical use  diagnostic  prognostic   therapeutic  or blood banking      The purchase of Mutector II     kit includes a limited   nonexclusive license to use the kit  This license does not  grant rights to reproduce or modify the Mutector I    kit for  resale  or to use the Mutector II    kit to manufacture  commercial products without written approval of TrimGen  Corporation  No other license  expressed  implied or by  estoppels is granted     Product Safety and Liabilities    When working with the kit reagents  always wear a lab coat   disposable gloves  and protective goggles  TrimGen  Corporation shall not be liable for any direct  indirect   consequential or incidental damages arising out of the misuse   the results of use  or the inability to use this product     Technical Support  1 888 825 6005    4    Mutector II Warfarin Genotyping    Y      UOISJ  A    TrimGen Mutector II Warfarin Genotyping TrimGen Mutector II Warfarin Genotyping    Introduction Overview of Mutector II    Detection    The Mutector    I1 Warfarin genotyping assay is a single tube test  designed for identifying the following single nucleotide polymorphisms   SNPs     CYP2C9 2 C430T   CYP2C9 3 A1075C   VKORC1  1639 G gt A    PCR amplification  1 5  2 hours       The assay uses TrimGen   s proprietary technology called Shifted  Termination Assay  STA   The STA technology accurately detects 
8. com docs Partll Data Collection Setup pdf    Step Ill  Data Analysis Using GeneMapper    www trimgen com docs Partlll Data Analysis GeneMapper pdf    GeneScan   Analysis    Step I  Data Collection   Software Setup  www trimgen com docs Partll Data Collection Setup pdf    Step Il  GeneScan   Setup and Data Analysis  www trimgen com docs PartlV Genescan pdf    Technical Support 1 888 825 6005    9    Y      UOISJ  A    TrimGen Mutector II Warfarin Genotyping    Gi  Important    Spectral calibration is required before running  the test    To read the test results correctly  the sequencer needs to be  calibrated with the DS 32 calibration kit  Applied Biosystems Cat   No  4345831   This is a one time calibration to set up correct  spectral channels to read the test results  Refer to the DS 32  Matrix standards kit to prepare the DS 32 matrix standards  Run a  Matrix Standard Set DS 32  5FAM  JOE  NED  ROX  to perform a  spectral calibration     Thermal Cycling Programs        Program 1  PCR    1 cycle 95  C 5 min   35 cycles 94  C 30 sec  52  C 45 sec  72  C 45 sec   1 cycle 72  C 5 min  Hold at 4  C             Program 2  E1 treatment     37  C 30 min  95  C 5 min    Hold at 4  C          Program 3  ST reaction           1 cycle 94  C 4 minute   20 cycles 94  C 30 sec  50  C 45 sec  70  C 30 sec  Hold at 4  C       Technical Support 1 888 825 6005    10    Y      UOISJ  AN    TrimGen    Mutector II Warfarin Genotyping    Mutector II    Assay Protocol     A     PCR Amplification 
9. ding Buffer  LB 1200 ul  TF   Filters N A 32  Collection Tubes N A 32            Light sensitive  Keep these reagents protected from direct light     Reagents Description     PCR Primer Mix    PCR primer mix for amplification of VKORC1 and CYP2C9 gene     Master Mix    Pre mixed reagents for PCR amplification     E1 Mix    Enzyme mix for cleanup of PCR products     ST WR  Light sensitive   Pre mixed reagents for signal enrichment and detection     DP WR    Pre mixed detection primers     CTL WR    Pre mixed genotype control DNA     Loading Buffer  Light sensitive     Contains the loading buffer for ABI capillary type sequencers and    special fluorescent labeled size standards     Technical Support  1 888 825 6005    7    pL UOISJ  A    TrimGen Mutector II Warfarin Genotyping    TF 50 Filter  TF 50 filter is a tip filter designed to remove free fluorescent dyes  from the reaction mixture     Dry Store the tip filter in 2 8  C   If the buffer on top of the gel  evaporates  Dry  see picture  on left   add 100 150ul  deionized water to re hydrate  Snap the gel  If the gel is completely  off line   dried  white in appearance   it  is necessary to soak the gel      overnight after adding water   Good Completely dried    Before use  snap off the tip at  the position of Snap off line        Materials required   0 2 ml PCR tubes  8 well strip tube     DS 32 Matrix Standard Kit for the 3100 and 3130 Series  Systems  one time set up  Applied Biosystems Cat  No   4345831     Equipment r
10. equired     Thermal Cycler   Any type of thermal cycler with a 0 2 ml tube block is  acceptable for performing the Mutector    II assay     Sequencer   Applied Biosystems capillary type Genetic DNA Analyzer    Analysis Software   Data Collection   software for ABI capillary sequencer  GeneMapper   for fragment analysis or GeneScan      Technical Support 1 888 825 6005    8    Y      UOISJ  A    TrimGen Mutector II Warfarin Genotyping    DNA Sample Preparation   Reagents for DNA preparation are not provided with the  Mutector    II kit     Paraffin  FFPE  and fresh or frozen tissue samples   A kit specially designed for FFPE sample DNA extraction is  available at TrimGen  WaxFree    DNA  Cat  WF 50 for 50 samples   WF 100 for 100 samples      Blood  Any commercially available DNA extraction kit is acceptable     DNA concentration    When using commercial DNA extraction kit for DNA extraction   adjust the final concentration of extracted DNA to 20 80 ng ul   When using TrimGen   s DNA preparation kit  follow the kit protocol  to perform the PCR reaction     Sequencer setup    First time users should set up the analysis program for the ABI  sequencer  one time setup   After setup  the program can apply to  all Mutector    II tests for data analysis  Please choose either  GeneMapper   or GeneScan   to analyze your data     GeneMapper   Analysis    Step I  GeneMapper   Setup  www trimgen com docs Partl GeneMapper Setup pdf    Step Il  Data Collection   Software Setup  www trimgen 
    
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