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        33840 - Protocol (48 reactions)
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1.      Table 1  Negative Control PCR Preparation       PCR Components Volume Per PCR Reaction          8 uL    Nuclease Free Water             Total Volume 20 uL       2  Prepare the PCR reaction for sample detection as shown in Table 2 below  The recommended  amount of sample DNA to be used is 2 5 uL  However  a volume between 1 and 5 uL of  sample DNA may be used as template  Adjust the final volume of the PCR reaction to 20 uL    using the Nuclease Free Water provided     Table 2  HIV Proviral DNA Assay PCR Preparation       PCR Components Volume Per PCR Reaction                   Nuclease Free Water 5 5 uL  Sample DNA 2 5 uL  Total Volume 20 uL                3  For each PCR set  prepare one positive control PCR as shown in Table 3 below     Table 3  Positive Control PCR Preparation       PCR Components Volume Per PCR Reaction             Nuclease Free Water 3 uL          20 uL    Total Volume       C  HIV Proviral DNA PCR Assay Programming    1  Program the thermocylcer according to the program shown in Table 4 below   2  Run one step PCR     Table 4  HIV Proviral DNA PCR Assay Assay Program                         PCR Cycle Step   Temperature   Duration  Cycle 1 Step 1 95  C 3 min  Step 1 94  C 15 sec  Cycle 2  40x    Step 2 60  C 30 sec  Step 3 72  C 45 sec  Cycle 3 Step 1 72  C 5 min  Cycle 4 Step 1 4  C 0                      D  HIV Proviral DNA PCR Assay Interpretation   e For the analysis of the PCR data  the entire 20 uL PCR reaction should be loaded on a  1X TAE 2 
2.  Agarose DNA gel along with 10 uL of Norgen   s DNA Marker  provided     e The PCR products should be resolved on the 1X TAE  2  Agarose gel at 150V for 30  minutes  Gel running time will vary depending on an electrophoresis apparatus      Valid Test Run  e Positive Sample  A sample is determined to be positive only when   o Sample lanes shows the 142 bp band corresponding to the HIV Proviral DNA  target amplicon  o Positive Control shows the 142 bp band  o Negative Control shows no bands  e Negative Sample  A sample is determined to be negative only when   o Sample lanes contain no bands  o Positive Control shows the 142 bp band  o Negative Control shows no bands    Invalid Test Run  e  A test run is invalid if   o The run has not been completed  o Positive Control does not show the 142 bp band  o Negative Control shows any amplification    M 107 10   10   10 103 102 20 2 Nes wy    2000  1500    1000  750    500    300    150       Figure 1  A representative 1X TAE 2  agarose gel showing the amplification of HIV  The size of the  HIV target amplicon corresponds to the 142 bp band represented by the provided DNA Marker  M   No  amplification of the target is observed in with the Negative Control    E  Specificity   The specificity of Norgen   s HIV Proviral DNA PCR Kit is first and foremost ensured by the  selection of the HIV Proviral DNA specific primers  as well as the selection of stringent reaction  conditions  The primers were checked for possible homologies to all GenB
3. ank published  sequences by sequence comparison analysis  The specific detectability of all relevant strains has  thus been ensured by a database alignment and by PCR amplification with the following  commonly found pathogens  Pneumocystis jirovecii Neisseria gonorrhoea  Chlamydia  trachomatis  Norovirus  West Nile Virus     F  Linear Range   e The linear range  analytical measurement  of Norgen   s HIV Proviral DNA PCR Kit was  determined by analysing a dilution series of an HIV proviral DNA quantification standard  ranging from 1 x 10   copies ul to 1 x 10  copies ul    e Each dilution has been tested in replicates  n   4  using Norgen   s HIV Proviral DNA PCR  Kit on 1X TAE 1 7  Agarose gel    e The linear range of Norgen   s HIV Proviral DNA PCR Kit PCR Kit has been determined to  cover concentrations from 1 x 10   copies ul to at least 1 x 10   copies ul of isolated DNA    G  Technical Support  Contact our Technical Support Team between the hours of 8 30 and 5 30  Eastern Standard  Time  at  905  227 8848 or Toll Free at 1 866 667 4362     Technical support can also be obtained from our website  www norgenbiotek com  or through  email at techsupport norgenbiotek com     Product Use Restriction   Norgen   s HIV Proviral DNA PCR Kit is intended for use by professional users such as technicians  and biologists experienced and trained in molecular biological techniques including PCR and in  vitro diagnostic procedures     Good laboratory practice is essential for the proper 
4. blood test such as in the case of  low viral load in patients undergoing treatment or suppressive therapy  Finally  HIV proviral DNA  detection is very useful for HIV diagnosis in infants under 2 years of age born to infected mothers     Product Description   Norgen   s HIV Proviral DNA PCR Kit is a research use only test  based on the use of end point  PCR technology  for the detection of HIV proviral DNA  The kit includes Master Mix and primers for  the specific amplification of a 142 bp region of the HIV proviral DNA  In addition  the kit contains a  positive and a negative control to confirm the integrity of the kit reagents     The detection of HIV proviral DNA is based on end point PCR technology  utilizing polymerase  chain reaction  PCR  for the amplification of specific HIV proviral DNA sequences  For analysis  of the PCR data  the PCR reaction is loaded on an agarose DNA gel along with the provided DNA  marker for qualitative analysis     Norgen   s HIV proviral DNA PCR Kit was developed and validated to be used with the following  PCR instruments    e Qiagen Rotor Gene Q   e BioRad iCycler    Kit Components    Component Product   33840  48 preps                    2X PCR Master Mix 1 mL  HIV Proviral DNA Primer Set Mix 300 uL  HIV Proviral DNA Positive Control 100 uL  Nuclease Free Water 1 25 mL  DNA Ladder 200 uL  Product Insert 1                Storage Conditions and Product Stability  e The HIV Proviral DNA PCR Kit is shipped on dry ice  The components of the ki
5. fy 3430 Schmon Parkway     N O   2 G F N Thorold  ON  Canada L2V 4Y6  p Phone   905  227 8848    BIOTEK wie CORPORATION Fax   905  227 1061  Email  techsupport norgenbiotek com       HIV Proviral DNA PCR Kit Product Insert  Product   33840    Background Information   Human immunodeficiency virus  HIV  is a lentivirus  a member of the retrovirus family  that  causes acquired immunodeficiency syndrome  AIDS   a condition in humans in which the immune  system begins to fail  leading to life threatening opportunistic infections  Infection with HIV occurs  by the transfer of bodily fluids including blood  semen  vaginal fluid  pre ejaculate  or breast milk   The lifecycle of HIV consists of the injection of its RNA into human cells and conversion into  complementary DNA  cDNA  via reverse transcription  The integration of cDNA strands into the  host cell genome is known as the proviral form of HIV  The mRNA that is transcribed from the  proviral DNA is used to create new viral proteins that are used to build new viruses  thereby  completing the replication process  Within hours of infection  proviral DNA is present  This initial  stage of HIV infection prior to antibody response is known as an acute HIV infection  Testing for  proviral DNA is used to determine if an individual who has had high risk exposure with someone  known to have HIV has contracted it themselves  thus shortening the  window period  for testing   Moreover  HIV proviral DNA test could help resolve inconclusive 
6. performance of this kit  Ensure that the purity  of the kit and reactions is maintained at all times  and closely monitor all reagents for  contamination  Do not use any reagents that appear to be contaminated     Ensure that appropriate specimen collection  transport  storage and processing techniques are  followed for optimal performance of this test     The presence of PCR inhibitors may cause false negative or invalid results     Potential mutations within the target regions of the HIV Proviral DNA genome covered by the  primers in this kit may result in failure to detect the presence of the pathogen     The respective user is liable for any and all damages resulting from application of Norgen   s HIV  Proviral DNA PCR Kit for use deviating from the intended use as specified in the user manual     All products sold by Norgen Biotek are subjected to extensive quality control procedures and are  warranted to perform as described when used correctly  Any problems should be reported  immediately  The kit contents are for laboratory use only  and they must be stored in the  laboratory and must not be used for purposes other than intended  The kit contents are unfit for  consumption     Norgen Biotek Corp   3430 Schmon Parkway  Thorold  ON Canada L2V 4Y6  Phone   905  227 8848  Fax   905  227 1061  Toll Free in North America  1 866 667 4362      2014 Norgen Biotek Corp  P133840 1    
7. s within the target regions of the HIV Proviral DNA genome covered by  the primers in this kit may result in failure to detect the presence of the pathogen     e Good laboratory practice is essential for the proper performance of this kit  Ensure that  the purity of the kit and reactions is maintained at all times  and closely monitor all  reagents for contamination  Do not use any reagents that appear to be contaminated     e Ensure that appropriate specimen collection  transport  storage and processing  techniques are followed for optimal performance of this test     Instructions for Use    A  Sample Preparation   Purified DNA is the starting material for Norgen   s HIV Proviral DNA PCR Kit  The quality of the  DNA template will have a major impact on the performance of the diagnostic test  The user must  ensure that the method used for DNA purification is compatible with end point PCR technology   We recommend the use of Norgen   s purification kits for DNA isolation  including Norgen   s Blood  Genomic DNA Isolation Mini Kit  Cat  46300      If using a different spin column based sample preparation procedure that includes ethanol based  wash buffers  a column drying step consisting of centrifugation for 10 minutes at 14 000 x g    14 000 RPM   using a new collection tube  is highly recommended prior to the elution of the  DNA  This will help to prevent the carry over of any ethanol into the purified DNA  as ethanol is  known to be a strong inhibitor of PCR  Ensure that an
8. t should  be frozen upon arrival  If one or more of the components is not frozen when the kit is  received  or if any of the components have been compromised during shipment  please  contact Norgen Biotek for assistance   e All kit components should be stored at  20  C upon arrival    Repeated thawing and freezing   gt  2 x  of the Master Mix and Positive Control should be  avoided  as this may affect the performance of the assay  If the reagents are to be used  only intermittently  they should be frozen in aliquots    These reagents should remain stable for at least 1 year when stored at the specified  conditions     Customer Supplied Reagents and Equipment    Appropriate End point PCR Instrument  DNA Purification Kit  o The kit is compatible with all DNA purification kits that yield high quality  inhibitor   free DNA  o Recommended Purification Kit  Norgen Biotek   s purification kits for DNA  isolation  including     Blood Genomic DNA Isolation Mini Kit   Cat  46300  Disposable powder free gloves  Benchtop microcentrifuge  Micropipettors  Sterile pipette tips with filters  PCR tubes  Vortex mixer  Agarose gel electrophoresis apparatus  UV transilluminator with suitable gel documentation system    Quality Control   In accordance with Norgen   s ISO 9001 and ISO 13485 certified Quality Management System   each lot of Norgen   s HIV Proviral DNA PCR Kit is tested against predetermined specifications to  ensure consistent product quality     Warnings and Precautions    Follow 
9. universal precautions  All patient specimens should be considered as potentially  infectious and handled accordingly     Ensure that a suitable lab coat  disposable gloves and protective goggles are worn when  handling specimens and kit reagents     Use sterile pipette tips with filters  Use proper pipetting techniques and maintain the  same pipetting pattern throughout the procedure to ensure optimal and reproducible  values     As contamination of patient specimens or reagents can produce erroneous results  it is  essential to use aseptic techniques  Pipette and handle reagents carefully to avoid mixing  of the samples     Do not use supplies and equipment across the dedicated areas of i  specimen extraction   ii  reaction set up and iii  amplification detection  No cross movement should be allowed  between the different areas  Personal protective equipment  such as laboratory coats and  disposable gloves  should be area specific     Store and extract positive material  specimens  controls and amplicons  separately from  all other reagents and add it to the reaction mix in a spatially separated facility     Dispose of unused kit reagents and human specimens according to local  provincial or  federal regulations     Do not substitute or mix reagents from different kit lots or from other manufacturers  Do  not use components of the kit that have passed their expiration date     The presence of PCR inhibitors may cause false negative or invalid results     e Potential mutation
10. y traces of ethanol from the sample  preparation steps are eliminated prior to the elution of the DNA     B  PCR Assay Preparation    Notes   e Before use  suitable amounts of all PCR components should be completely thawed at room  temperature  mixed by gentle vortexing or by pipetting  and centrifuged briefly   e Work quickly on ice   e The amount of 2X PCR Master Mix provided is enough for up to 64 PCR reactions  48 sample  PCR  8 positive control PCR and 8 no template control PCR    e For every PCR run  one reaction containing HIV Proviral DNA Positive Control and one reaction  as no template control must be included for proper interpretation of results   e The recommended minimum number of DNA samples tested per PCR run is 6   e Using a lower volume of sample DNA than recommended may affect the sensitivity of the HIV  Proviral DNA Limit of Detection   e To avoid any contamination while preparing the PCR assay  follow the order outlined in Tables  1  2 and 3 below to prepare the Negative Control  Detection Assay and Positive Control   1  Prepare the Negative Control PCR  Table 1   2  Prepare the HIV Proviral DNA Assay PCR  Table 2   3  Prepare the Positive Control PCR  Table 3   e To further avoid contamination  add the components to the PCR tubes in the order shown in the  tables below  ie  1  Nuclease free water  2  Master Mix  3  Primer Set  and 4  the Sample DNA  or Positive Control      1  For each PCR set  prepare one no template control PCR as shown in Table 1 below
    
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