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1.    Use sectioned tissue within 3 months     Prepare the slides for the RNAscope  Assay    Workflow       Fix the sections  15 MIN    i    Dehydrate the sections  20 MIN    i     Optional  Stopping Point  2     Create a hydrophobic barrier  10 MIN    i    Apply Pretreat 4  30 MIN    i    Proceed IMMEDIATELY to the RNAscope  Assay                                  Immediately proceed to the RNAscope   Fluorescent Multiplex Detection Kit Part 2 User Manual   Catalog No  320293      12 Sample Preparation and Pretreatment Guide for Fresh Frozen Tissue    Materials required       e 1X PBS   e 1096 NBF or 496 PFA   e 10096 ethanol  EtOH    e Tissue Tek  Vertical 24 Slide Rack   e Tissue Tek  Staining Dishes  5 required     e ImmEdge Hydrophobic Barrier Pen    Fix the sections    Chill 200 mL 10  NBF  fresh 10  NBF or 4  PFA in 1X PBS  to 4  C in a Tissue Tek   Staining Dish   Remove slides from  80 C  and place in a Tissue Tek  Slide Rack     Immediately immerse slides in the pre chilled fixative  Fix for 15 MIN at 4  C     Note  Formalin that has been stored for more than 6 months  exposed to air for more  than a week  or used repeatedly may result in suboptimal tissue fixation     Dehydrate the sections    Reagents may be prepared ahead of time  Ensure all containers remain covered     IE    UL o 2 JT    Prepare 200 mL 50  EtOH  200 mL 70  EtOH  and 600 mL 100  EtOH in Tissue Tek    Staining Dishes     Place the slides in 50  EtOH for 5 MIN at ROOM TEMPERATURE  RT    Place the slid
2.   to the best practices published in the World Health Organization  WHO  Laboratory  Biosafety Manual  third edition  found at   www who int csr resources publications biosafety who cds csr lyo 2004 11 en     Information about the Registration  Evaluation  Authorisation and Restriction of  Chemicals  REACH  can be found at  eur   lex europa eu LexUriServ LexUriServ do uri OJ L 2010 133 0001 0043 EN PDF    Sample Preparation and Pretreatment Guide for Fresh Frozen Tissue    AED    ANCED CELL DIAGNOSTICS  IN     Documentation and support    Obtaining MSDSs    Material Safety Data Sheets  MSDSs  are available at  www acdbio com support technical   doc category msds  For the MSDSs of chemicals not distributed by Advanced Cell  Diagnostics  contact the chemical manufacturer     Obtaining support    For the latest services and support information  go to  www acdbio com support   At the website  you can   e Access telephone and fax numbers to contact Technical Support and Sales facilities   e Search through frequently asked questions  FAQs    e Submit a question directly to Technical Support     e Search for user documents  MSDSs  application notes  citations  training videos  and  other product support documents     e Find out information about customer training events     Contact information  Advanced Cell Diagnostics  Inc     3960 Point Eden Way  Hayward  CA 94545    Toll Free  1 877 576 3636  Direct  1 510 576 8800  Fax  1 510 576 8801    Information  info acdbio com  Orders  or
3. NT  Do not apply Pretreat 1 or Pretreat 2 to fresh  frozen sections when using the  RNAscope   Fluorescent Multiplex Kit  Other sample types may need these treatments     Materials required          Materials provided by the RNAscope  Other materials and equipment  Reagent Kit  e Pretreat 3  amp  4 e Prepared slides    e Distilled water   e Paper towel or absorbent paper  e HybEZ  Humidifying System   e Tissue Tek  Slide Rack   e Tissue Tek  Staining Dish       Prepare the equipment    e Turn on HybEZ    Oven and set temperature to 40  C     e Place a Humidifying Paper in the Humidity Control Tray and wet completely with  distilled water     Apply Pretreat 4    IMPORTANT  View the wash step video at www acdbio com support online training   videos wash slides before proceeding     1  Place the dried slides on the HybEZ    Slide Rack  and add  5 drops of Pretreat 4 to  entirely cover each section     2  Incubate for 30 MIN at RT     14 Sample Preparation and Pretreatment Guide for Fresh Frozen Tissue    AED    ANCED CELL DIAGNOSTICS  INE    3  Take each slide one at a time from the HybEZ    Slide Rack and tap and or flick to  remove the excess liquid  Immediately place each slide in a Tissue Tek   Slide Rack  submerged in a Tissue Tek  Staining Dish filled with 1X PBS     4  Wash slides with 1X PBS by moving the rack up and down 3 5 times and repeat with 1X  PBS     Proceed to the RNAscope  Assay    While slides are incubating  proceed immediately to the appropriate RNAscope  A
4. USER MANUAL AG      ye  PED    ADVANCED CELL DIAGNOSTICS  INC     RNAscope  Sample Preparation and  Pretreatment Guide for Fresh Frozen    Tissue   For Manual RNAscope  Assay     PART 1    Catalog Number 320513    Compatible with the RNAscope  Fluorescent Multiplex Detection Kit Part 2  Catalog  No  320293      For Molecular Biology Applications  not intended for diagnosis Rev  Date 20131105    For Molecular Biology Applications     Trademarks    RNAscope  and HybEZ are trademarks of Advanced Cell Diagnostics  Inc  All other trademarks belong to their    respective owners     Citing RNAscope  2 0 in Publications   When describing a procedure for publication using this product  please refer to it as the RNAscope  2 0 Assay and cite   Wang F  Flanagan J  Su N  Wang L C  Bui S  Nielson A  Wu X  Vo H T  Ma X J and Luo Y  RNAscope  A Novel In Situ  RNA Analysis Platform for Formalin Fixed Paraffin Embedded Tissues  J  Mol  Diagnostics  2012  14 22 29     Disclaimers  Advanced Cell Diagnostics  Inc  reserves the right to change its products and services at any time to incorporate  technological developments  This manual is subject to change without notice     Although this manual has been prepared with every precaution to ensure accuracy  Advanced Cell Diagnostics  Inc   assumes no liability for any errors  omissions  or for any damages resulting from the use of this information     Copyright     2013  Advanced Cell Diagnostics  Inc  All rights reserved     Chapter 1  Product Infor
5. ble at www acdbio com product literature html  and view the training video at www acdbio com demo video html  The system contains  the following components           Component Quantity Cat  No     EEL  int 310012  ALL       pun    User supplied materials    IMPORTANT  Do not substitute other materials for the ImmEdge    Hydrophobic Barrier Pen  and the SuperFrost  Plus Slides listed in the following table           Description Supplier Cat  No     ImmEdge  Hydrophobic Barrier Pen  required  Vector Laboratory H 4000  SuperFrost  Plus Slides  required  Fisher Scientific 12 550 15    100  ethanol  EtOH  ALREAGAL  Scientific MLS          Cryo embedding medium  e g  OCT  NC9806257    Sample Preparation and Pretreatment Guide for Fresh Frozen Tissue       a 3    Description Supplier Cat  No     Cryomold Fisher Scientific MLS NC9511236  10  neutral buffered formalin  NBF  or Fisher Scientific MLS 23 245 684  4  paraformaldehyde  PFA    Cryostat  capable of cooling down to at least MLS          20 C     Slide boxes MLS      Aluminum foil or zip lock bags MLS        l      American Master Tech LWSRA24  Tissue Tek Vertical 24 Slide Rack Scientific MLS   l Bana   l American Master Tech  Tissue Tek    Staining Dish  6 required  ecientific MLS LWT4457EA  Water bath or incubator  capable of holding MLS      temperature at 40     1  C    Distilled water MLS      Paper towel or absorbent paper MLS          Major Laboratory Supplier in North America  For other regions  please check Catalog Nu
6. cal samples such as tissues  body fluids   infectious agents  and blood of humans and other animals have the potential to  transmit infectious diseases  Follow all applicable local  state provincial  and or  national regulations  Wear appropriate protective equipment  which includes but  is not limited to  protective eyewear  face shield  clothing lab coat  and gloves   All work should be conducted in properly equipped facilities using the  appropriate safety equipment  for example  physical containment devices    Individuals should be trained according to applicable regulatory and  company institution requirements before working with potentially infectious    Sample Preparation and Pretreatment Guide for Fresh Frozen Tissue 19    ASD    20    In the U S      In the EU     materials  Read and follow the applicable guidelines and or regulatory  requirements in the following     U S  Department of Health and Human Services guidelines published in Biosafety in  Microbiological and Biomedical Laboratories found at  www cdc gov biosafety    Occupational Safety and Health Standards  Bloodborne Pathogens  29 CFR  1910 1030    found at  www access gpo gov nara cfr waisidx_01  2029cfr1910a_01 html    Your company s institution s Biosafety Program protocols for working with handling  potentially infectious materials     Additional information about biohazard guidelines is available at  www cdc gov    Check local guidelines and legislation on biohazard and biosafety precaution and refer
7. ders acdbio com    Support Email  support acdbio com    Limited product warranty    Advanced Cell Diagnostics  Inc  and or its affiliate s  warrant their products as set forth in  the ACD General Terms and Conditions of Sale found on the ACD website at  www acdbio com tos terms and conditions of sale  If you have any questions  please  contact Advanced Cell Diagnostics at www acdbio com support     Sample Preparation and Pretreatment Guide for Fresh Frozen Tissue    Headquarters  3960 Point Eden Way   Hayward  CA 94545   Phone 1 510 576 8800   Toll Free 1 877 576 3636 E   For support  email support acdbio com  Wo    ADVANCED CELL DIAGNOSTICS  INC    www acdbio com    
8. e Forceps   e Cryo embedding medium  OCT    e Dry ice  liquid nitrogen  or isopentane  e Cryostat   e Slide boxes   e SuperFrost   Plus slides   e Aluminum foil or zip lock bags    Prepare the block  1  Remove tissue and cut to fit into cryomolds     AN CAUTION  Handle biological specimens appropriately     2  Freeze the specimen on dry ice or in liquid nitrogen within 5 MIN of tissue harvest   3  Embed frozen tissue in cryo embedding medium  OCT     a  Add two drops of OCT into a cryomold    b  Place the frozen tissue on the OCT in the correct orientation for cutting   C  Add more OCT to fill the cryomold  Do not allow any air bubbles to form   d    Hold the block with forceps on the surface of liquid nitrogen or isopentane cooled  by dry ice or liquid nitrogen  or place the cryomold on dry ice     4  Store the frozen block in an air tight container at  80 C prior to sectioning     Note  Embedded tissue may be stored for at least 3 MONTHS     Section the block  1  Equilibrate block to  20 C in a cryostat  1 HR     Sample Preparation and Pretreatment Guide for Fresh Frozen Tissue 11    AD    ADVANCED CELL DIAGNOSTICS  IN     2  Cut 10 20 um sections and mount onto SuperFrost  Plus slides   3  Keep the sections at  20 C to dry     4  Store the sections in slide boxes wrapped air tight with aluminum foil or zip lock bags  at  80 C until use     Note  Sections may be stored for at least 3 MONTHS   IMPORTANT  Do not fix the slides prior to this step     OPTIONAL STOPPING POINT  1
9. en ennnennnnnenn eens  Biological hazard safety                                sssseuuuse    Documentation and support                            Obtaining MSDSS   ssssvevtiencis iste TERR IXEER TA FhYX ERE R Cui UE EDS     Sample Preparation and Pretreatment Guide for Fresh Frozen Tissue    AED    Contents    AD    ADVANCED CELL DIAGNOSTICS  INC    Obtaining support                 eeeeesssssssesesseeeneeeennnnnen nnne nennen nnne nar nnn nnns 21  Contact information                      sssssssesssessssesseeene nennen nnne nnnm nain nnn nnns 21  Limitea prod  ct Waranty ase erscies cca thetaucnecniaeni iniia a aai 21    4 Sample Preparation and Pretreatment Guide for Fresh Frozen Tissue    ASD    Chapter 1  Product Information       Before using this product  read and understand the information in Appendix B   Safety on page 19 in this document     IMPORTANT  We recommend reading the entire user manual before beginning any protocols     About this guide    This user guide provides guidelines and protocols for the proper preparation and  pretreatment of fresh  frozen tissues mounted on slides  The slides can then be assayed  using an RNAscope  Reagent Kit     RNAscope  Reagent Kits come with a separate RNAscope  Assay User Manual  Do not  perform an RNAscope  Assay without the correct user manual     Product description    Background    The RNAscope  Assays use a novel and proprietary method of in situ hybridization  ISH   to visualize single RNA molecules per cell in sample
10. es in 70  EtOH for 5 MIN at RT    Place the slides in 100  EtOH for 5 MIN at RT    Repeat step 6 with fresh 100  EtOH     OPTIONAL STOPPING POINT  2   Slides may be stored in 100  EtOH at  20  C for up  to 1 WEEK  Prolonged storage may degrade sample RNA     Create a hydrophobic barrier    1     Take slides out of 100  EtOH and place on absorbent paper with the section face up   Air dry for 5 MIN at RT     Use the following template to draw a barrier 2 4 times around each section with the  Immedge    hydrophobic barrier pen  See example below  size of this hydrophobic  barrier is 0 75    x 0 75         Note  Refer to Appendix A  Reagent Volume Guidelines on page 17 to determine the  recommended number of drops needed per slide     IMPORTANT  Do not let the barrier touch the section  Immedge    hydrophobic barrier  pen is highly recommended  Alternative type of pen may result in suboptimal results     Sample Preparation and Pretreatment Guide for Fresh Frozen Tissue 13    Hydrophobic  Barrier  0  75   x0 75         Tissue    Slide  L abel       Note  We do not recommend drawing a smaller barrier and using less than the  recommended volume amounts  even for smaller sections  Larger barriers will result in  fewer tests per kit     3  Let the barrier dry completely   1 MIN     Note  If you need to reapply the hydrophobic barrier during the following procedures   dry the appropriate area of the slide with a Kimwipe    Do not touch the tissue section     Pretreat samples    IMPORTA
11. et RNA 3  Amplify signal   Start with properly prepared Hybridize multiple sets of Use up to four signal amplification systems to Visualize target RNA  tissue sections and pretreat gene specific probe pairs to detect multiple target RNAs  Probes are using a standard   to allow access to target target mRNAs  hybridized to a cascade of signal amplification fluorescent   RNA  molecules  culminating in binding of dye labeled microscope     probes visible in different fluorescent chanels     RNAscope   Assay reagents    RNAscope  Assays require the RNAscope  Probes and an RNAscope   Reagent Kit  If you  are performing an automated assay using the Ventana   DISCOVERY XT or ULTRA  Systems  you must use RN Ascope   VS Probes and the RNAscope   VS Reagent Kit  Probes  and Reagent Kits are available separately     Visit www acdbio com products target probes search product to find a gene specific  probe from a searchable catalog of  gt 27 000 predesigned Target Probes  or order a custom  probe  Visit www acdbio com products target probes controls housekeeping to find  appropriate Control Probes     RNAscope  Reagent Kit    Each RNAscope  Reagent Kit provides enough reagents to stain  20 sections  each with an  area of approximately 20 mm x 20 mm  0 75  x 0 75    Larger tissue sections will result in  fewer tests     Each kit contains three sub kits including a Pretreatment Kit  which come with up to three  reagents  Fresh frozen tissue  Cat  No  320842  requires only Pretreat 4  Pretrea
12. mation        About this guide     naan enn eennnneenn eenn  Product description     nanne eenn eennnn eener ennen     BACKOFOUNO M       Sample types                      eseeeeeneeeennenmn  RNAscope   Assay reagents                  eee  RNAscope   Reagent Kit neen  Required materials and equipment                               HybEZ  Hybridization System          User supplied materials                                             Chapter 2  Before You Begin                             Important procedural guidelines                                    Chapter 3  Prepare and Pretreat Samples    Prepare fresh frozen sections                                       Materials required     nanne senen enn enen   Prepare the block     annae eennn enne eenen   Section the block aaan eennnnenn   Prepare the slides for the RNAscope   Assay            WY ORO T         Materials required     an aen enn ennn enn enen   Fix the sections         aaan an nen ene eenen e ennen vennen  Dehydrate the sections     annees enene enen  Create a hydrophobic barrier      Pretreat samples     nanne en nennen vena enn venen    Materials required     naan ennen enn enen   Prepare the equipment     annen enen  Apply Pretreat 4 nanne vennen   Proceed to the RNAscope  Assay      nennen    Troubleshooting     nnen enn eeens venn    Appendix A  Reagent Volume Guidelines    Determine reagent volume     annen eneen    Appendix B  Safety                                             Chemical safety     nanos enn
13. mbers with your local lab supplier     8 Sample Preparation and Pretreatment Guide for Fresh Frozen Tissue    ASD    Chapter 2  Before You Begin       Prior to running the RNAscope   Assay on your samples for the first time  we recommend  that you     e View the video demonstrations available at www acdbio com support online training   videos     Important procedural guidelines    e Start with properly fixed and prepared sections     e Always run positive and negative control probes on your sample to assess sample RNA  quality and optimal permeabilization     e Do not substitute required materials  Assay has been validated with these materials  only     e Follow the protocol exactly for best results     e Use good laboratory practices and follow all necessary safety procedures  Refer  to Appendix B  Safety on page 19 for more information     Sample Preparation and Pretreatment Guide for Fresh Frozen Tissue    AD    ADVANCED CELL DIAGNOSTICS  INC    10 Sample Preparation and Pretreatment Guide for Fresh Frozen Tissue    AED    Chapter 3  Prepare and  Pretreat Samples       Fresh frozen sample preparation and pretreatment are described in the following protocols   For other sample types and preparation methods  contact support acdbio com for the  latest protocols and guidelines     IMPORTANT  We highly recommend following these guidelines  We cannot guarantee assay  results with other preparation methods     Prepare fresh frozen sections    Materials required       e Scalpel   
14. or Fresh Frozen Tissue 17    AD    ADVANCED CELL DIAGNOSTICS  INC    18 Sample Preparation and Pretreatment Guide for Fresh Frozen Tissue       ASD    Appendix B  Safety    Chemical safety    AN    WARNING  GENERAL CHEMICAL HANDLING  To minimize hazards   ensure laboratory personnel read and practice the general safety guidelines for  chemical usage  storage  and waste provided below  and consult the relevant  SDS for specific precautions and instructions     Read and understand the Material Safety Data Sheets  MSDSs  provided by the   chemical manufacturer before you store  handle  or work with any chemicals or  hazardous materials  To obtain MSDSs  see Documentation and Support in this  document     Minimize contact with chemicals  Wear appropriate personal protective equipment  when handling chemicals  for example  safety glasses  gloves  or protective clothing      Minimize the inhalation of chemicals  Do not leave chemical containers open  Use only  with adequate ventilation  for example  fume hood      Characterize  by analysis if necessary  the waste generated by the particular  applications  reagents  and substrates used in your laboratory     Ensure that the waste is stored  transferred  transported  and disposed of according to  all local  state provincial  and or national regulations     IMPORTANT  Radioactive or biohazardous materials may require special handling   and disposal limitations may apply     Biological hazard safety    AN    WARNING  BIOHAZARD  Biologi
15. s mounted on slides  The assays are  based on ACD   s patented signal amplification and background suppression technology   Proprietary RNA specific probes are hybridized to target RNA  and are then bound to a  cascade of signal amplification molecules culminating in signal detection  Figure 1   Single   plex  2 plex  multiplex  and automated assays are all available  The RNAscope  Assay  procedure is illustrated in Figure 1 on page 6 and can be completed in 6 10 hours  depending on the assay  or conveniently divided over two days  Most RNAscope  Assay  reagents are available in convenient Ready To Use  RTU  dropper bottles and provide a  simple  nearly pipette free workflow  Results are observable using standard bright field or  fluorescent microscopy     Sample types    In order to perform the RNAscope  Assays  you must start with properly prepared and  pretreated samples  Multiple sample types are now compatible with RNAscope  Assays  and include  formalin fixed  paraffin embedded  FFPE  tissue  fresh frozen  FF  tissue   fixed frozen tissue  tissue microarray  TMA   and cell samples  Visit www acdbio com and  contact support acdbio com for more information     Sample Preparation and Pretreatment Guide for Fresh Frozen Tissue    AD    ADVANCED CELL DIAGNOSTICS  INC    Figure 1 Procedure overview    Z Z Target RNA Specific Oligo Probes a     PreAMP AMP Label Probe  Z Z2   pe     zz  z   z z    ei    YY  MED FF    mRNA1       mRNA2       1  Tissue section 2 Hybridize to targ
16. ssay  protocol  Ensure you have the appropriate user manual  User manuals are available at  www acdbio com support technical doc  For any questions  please contact  support acdbio com     Note  Slides can stay in 1X PBS for up to 15 MIN     IMPORTANT  Slides should not stay in 1X PBS for longer than 15 MIN  Proceed to the  RNAscope  Assay using the appropriate user manual     Troubleshooting    For troubleshooting information  please contact technical support at support acdbio com     Sample Preparation and Pretreatment Guide for Fresh Frozen Tissue    15    AD    ADVANCED CELL DIAGNOSTICS  INC    16 Sample Preparation and Pretreatment Guide for Fresh Frozen Tissue    AED      LL DIAGNOSTI    A Appendix A  Reagent Volume  Guidelines       Determine reagent volume    Before starting your experiment  measure the inner edge of the hydrophobic barrier to  determine the recommended number of drops needed per slide  see table below         Size of Recommended Recommended Relative template size  hyrophobic number of drops   volume per slide  barrier     in  per slide  uL     B  E  180    0 75    x 1 25    6          um         Hydrophobic barrier measured at inner edge  References in this user manual are for the 0 75  x 0 75  hydrophobic  barrier size     t Recommended hydrophobic barrier size is 0 75  x 0 75   With this barrier size  each probe is sufficient for staining   20 sections  Larger tissue sections will result in fewer tests     Sample Preparation and Pretreatment Guide f
17. tment Kit  instructions are provided in this guide  For information on the other sub kits and directions  for use  refer to an RNAscope  Assay User Manual  The reagents have a shelf life of six  months from the shipment date when stored as indicated in the following table        Pretreatment Kit  Cat  No  320842     Pretreat 3   1X protease 4 5 mL x 1 bottle       Pretreat 4   2X protease 4 5 mL x 2 bottle       Note  Use Pretreat 3 with Cultured Adherent Cells and Peripheral Blood Mononuclear Cells   PBMC   Use Pretreat 4 for Fresh Frozen Tissues     6 Sample Preparation and Pretreatment Guide for Fresh Frozen Tissue    AED    CELL DIAGNOSTI    IMPORTANT  RNAscope   Reagent Kits share the same Pretreatment Kit and Wash Buffer  but  have unique Detection Kits  Do not interchange the reagent components of the Detection Kits   even those having the same name     Required materials and equipment    The following materials and equipment are needed to perform the RNAscope  Assay     HybEZ  Hybridization System  IMPORTANT  The RNAscope  Assay has been validated using this system only     The HybEZ  Hybridization System  110 VAC  Cat  No  310010  220 VAC  Cat  No  310013   is designed for the hybridization and incubation steps in the RNAscope  Assays   Incubation steps in the RNAscope  Assay require humid conditions to prevent sections  from drying out     For instructions on how to use the HybEZ    Hybridization System  refer to the HybEZ     Hybridization System User Manual availa
    
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