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        TruSight Tumor 26 Reference Guide
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1.    11   Hybridization of Oligo Pool  14   Remove Unbound Oligos         sese esee ns 16  Extension Ligation of Bound Oligos    19   PCR Amplification        esses lille ll 20   Verify Library Preparation  Optional          nnnm 23  DChClean Up e cece eee E E ERa AE E AEE 24   Library Quantification          esses n 26   Library Normalization        0000000000 sess n 27   Library Denaturing and Pooling            eese e enne 28   Appendix A Supporting Information    31  Introduction       esses Rer rarnana 32   AGONY MS eea ex Lr LR o ER E Dee 33   TruSight Tumor 26 Kit Contents      eee er Rr rrr 34   Consumables and Equipment       essen 36   Index Sequences      39    Technical Assistance    TruSight Tumor 26 Reference Guide Vi        Material   20000848  Part   15042911 v01    Overview     ic A ihdidensd Maeceelabiticdddestesdaeeubieeeted se 2  How Does the Assay Work   3  DNA Input Recommendations    4  Additional Resources l l    nro 5    A  em  A  TUE AA aT um IDR TT fi  ES m  ron reas rco rca  wa       TruSight Tumor 26 Reference Guide 1    LJe3deuo    Overview    Introduction    TruSight Tumor 26 takes a deeper view of variation in solid tumors including lung  colon   melanoma  gastric  and ovarian  This step enables clinical researchers to look beyond point  mutations within hot spots in single genes for a more comprehensive view of somatic  variation  TruSight Tumor 26 provides amplicon based library preparation reagents  DNA  QC  sample indexes  and oligos targetin
2.    The protocol guide is intended for experienced users  For new   1000000001444  or less experienced users  see the TruSight Tumor 26  Reference Guide    TruSight Tumor 26 Checklist Provides a checklist of the protocol steps     document   1000000001445  The checklist is intended for experienced users  For new or less  experienced users  see the TruSight Tumor 26 Reference  Guide    IEM TruSight Quick Reference Provide information about creating and editing appropriate   Card  part   15048138  sample sheets for Illumina sequencing systems and analysis    software and record parameters for your sample plate     Visit the TruSight Tumor 26 Kit support pages on the Illumina website for additional  documentation  software downloads  and best practices     TruSight Tumor 26 Reference Guide 5    SooJnoseMH IGUOIUDDv    Material   20000848  Part   15042911 v01    Protocol          Introduction  EE 8  Tips and Techniques   9  Belle   nne Ce e UE 10  Qualification of DNA Extracted from FFPE Samples       sss 11  Hybridization of Oligo Pool  14  Remove Unbound Oligos    16  Extension Ligation of Bound Oligos                 22 ccc cece cece cece eee e ccc eeeeeeeeeeeeeeees 19  PGR nee EEN 20  Verify Library Preparation  Optional  23  POR ClSanUD ccc o a e la do DUE 24  Library Quantification              aaa RRR I RR I eme e R eaa R 26  Library Normalization   22 2    II RR RRRRR IRR RRRRIeIeleemerrlll lll 27  Library Denaturing and Pooling           IR RR IIR erret ells 28  i T   E  
3.    Wash the FPU plate  as follows     a Using a multichannel pipette  add 50 ul of SW1 to each sample well   b Centrifuge at 2 400 x g for 5 minutes   Repeat the wash as described in the previous step     Discard all the flow through waste in a hazardous waste container  and then  reassemble the FPU   The same midi plate can be reused for the rest of the pre amplification process     Using a multichannel pipette  add 45 ul of UB1 to each sample well   Centrifuge the FPU at 2 400 x g for 5 minutes     Material   20000848  Part   15042911 v01    Extension Ligation of Bound Oligos    This process connects the hybridized upstream and downstream oligos  A DNA  polymerase extends the upstream oligo through the targeted region  and is ligated to the 5   end of the downstream oligo using a DNA ligase  The ligation step forms products  containing the targeted regions of interest flanked by sequences required for amplification     Consumables  ELM3  Extension Ligation Mix 3   Adhesive aluminum foil seal  Troughs    Procedure    1 Using a multichannel pipette  add 45 ul of ELMG to each sample well of the FPU plate     The extension ligation reaction takes place on the filter plate membrane   If you use care to avoid cross contamination  changing tips between columns is not  required     2 Seal the FPU plate with adhesive aluminum foil  and then cover with the lid     3 Incubate the entire FPU plate unit assembly in the preheated 37  C incubator for 45  minutes     4 During incubation  p
4.   3 2 Material   20000848    Part   15042911 v01    Acronyms  Acronym Definition   ACD1 Amplicon Control DNA 1  ACP1 Amplicon Control Oligo Pool 1  CEP Clean up Plate   DAL Diluted Amplicon Library  EBT Elution Buffer with Tris  ELM3 Extension Ligation Mix 3   FPA TruSight Tumor Oligo Pool A  FPB TruSight Tumor Oligo Pool B  FPU Filter Plate Unit   HI  Hybridization Buffer   HYE HYbridization Plate   IAP Indexed Amplification Plate  LNP Library Normalization Plate  OHS3 Oligo Hybridization for Sequencing   Reagent 3   PAL Pooled Amplicon Library  PMM2 PCR Master Mix 2   QCP Quality Control Primers  OCT Quality Control Template  SGP Storage Plate   SW1 Stringent Wash 1   TDP1 TruSeq DNA Polymerase 1  UB1 Universal Buffer 1    TruSight Tumor 26 Reference Guide    33    SWAUOIOVY    Supporting Information    TruSight Tumor 26 Kit Contents    The TruSight Tumor 26 Kit contains the following components and is shipped on dry ice  unless specified otherwise  When you receive your kit  store the kit components at the  specified temperatures and in designated pre amplification and post amplification areas     Kit Name Catalog     Samples  TruSight Tumor 26 FC 130 2001 48  TG  TruSight Tumor 26 TG 130 2001 48   4 NOTE     TG labeled consumables include features intended to help reduce the frequency of  revalidation  They are available only under supply agreement and require you to provide a  binding forecast  Contact your account manager for more information     TruSight Tumor 26 Kit  
5.   Box 1   Pre Amplification    Quantity Reagent Description Storage Temperature  1 ACD1 Amplicon Control DNA 1  25  C to  15  C   1 ACP1 Amplicon Control Oligo Pool 1  25  C to  15  C   1 OHS3 Oligo Hybridization  25  C to  15  C   for Sequencing Reagent 3   1 ELM3 Extension Ligation Mix 3  25  C to  15  C   1 PMM2 PCR Master Mix 2  25  C to  15  C   1 TDP1 TruSeq DNA Polymerase 1  25  C to  15  C   1 sw1 Stringent Wash 1 2  C to 8  C   1 UB1 Universal Buffer 1 2  C to 8  C    a y WARNING  This set of reagents contains formamide  an aliphatic amide that is a probable  reproductive toxin  Personal injury can occur through inhalation  ingestion  skin contact   and eye contact  Wear protective equipment  including eye protection  gloves  and  laboratory coat  Handle used reagents as chemical waste and discard in accordance with  the governmental safety standards for your region  For environmental  health  and safety  information  see the SDS for this kit at support illumina com sds html     Box 2   Post Amplification    Quantity Reagent Description Storage Temperature  1 HI Hybridization Buffer  25  C to  15  C  4 EBT Elution Buffer with Tris Room temperature    Box 3   TruSight Tumor Oligo Set  Pre Amplification  Store at  25  C to       15  C  Quantity Reagent Description  I QCP Quality Control Primers    3 A Material   20000848    Part   15042911 v01        Quantity Reagent Description   1 TruSight Tumor Oligo Pool A  1 TruSight Tumor Oligo Pool B  1 OCT Quality Control Templ
6.   Delta Cq  2 5 to  1 5  1 5 to  0 5  0 5 to 0 5 0 5 to 1 5 1 5 to 4  Dilution 16x 8x 4x 2x No dilution    NOTE    If preparing libraries from the control DNA in parallel with FFPE DNA samples  dilute 5  ul of ACD1 with 45 ul of TE Buffer  Add 10 ul to each of 2 control wells for FPA and FPB   and or 2 control wells for ACP1   Add 10 ul of each diluted sample to wells on the left half of the HYP plate  starting  with column 1  Then  repeat this process on the right half of the HYP plate  starting  with column 7     Using a multichannel pipette  add 5 ul of FPA to all sample containing wells on the  left half of the HYP plate  Then  add 5 ul of FPB to all sample containing wells on the  right half of the HYP plate     L NOTE     If preparing libraries from ACD1  add 5 ul of FPA to 1 control well and 5 ul of FPB to the  second control well  If preparing libraries using ACP1  add 5 ul of ACP1 to 2 additional  control wells of ACD1     Using a multichannel pipette  add 35 ul of OHS3 to each sample in the HYP plate   Gently pipette to mix     L NOTE     Make sure that there are no crystals or precipitate visible in the OHS3     Seal the HYP plate with a heat sealer or an aluminum foil seal    Centrifuge at 1 000 x g at 20  C for 1 minute    Place the HYP plate in the 95  C heat block and incubate for 1 minute    Change the temperature of the same heat block to 40  C  and incubate for 14 18 hours     E NOTE  e Moving the plate from the 95  C heat block to another preheated block se
7.   Ice bucket    KAPA SYBR FAST qPCR Master Mix  2X    Universal     Microseal  B  adhesive seals  PCR 8 tube strips  Solution basin  PVC  nonsterile  trough     OlAamp DNA FFPE Tissue Kit    Supplier  Illumina  FC 110 3001    General lab supplier    Bio Rad  Part    MSP 9601    Fisher Scientific  Part    AB 0859  Fisher Scientific  Part    AB 0765    Beckman Coulter  Part   538619  General lab supplier   Beckman Coulter  Part   A63881 A63880  General lab supplier   QIAGEN  part   19093    Agilent 5067 1504   for 300 samples     General lab supplier    General lab supplier    General lab supplier  General lab supplier    KAPA Biosystems    Bio Rad  Part   MSB 1001  General lab supplier  Labcor  Part  730 001    QIAGEN  Part 4 56404    Material   20000848  Part   15042911 v01    Equipment  Pre PCR Equipment    Consumable  37  incubator    Heat block  96 well    Tabletop centrifuge    d NOTE    Supplier  Forced Air Oven  VWR International or comparable    SciGene  Hybex Microsample Incubator for PCR plate  Note  This model is recommended for this assay  Passive  cooling  as opposed to active cooling performed in a PCR  thermal cycler  is recommended for maximum target  enrichment specificity and uniformity     General lab supplier  Plate centrifuge that attains  designated speeds of protocol     Use a dedicated set of pipettes  pipette tips  vortexer  and centrifuge during pre amplification    steps   Post PCR Equipment    Consumable    Post PCR plate shaker    Tabletop centrifu
8.   Prepare PhiX Control Library    28    1    In a microcentrifuge tube  add 2 ul of stock 10 nM PhiX library to 8 ul EBT buffer to  yield 10 ul of 2 nM PhiX library     Add 10 ul of 0 1 N NaOH to 10 ul of 2 nM PhiX library to yield 20 ul of 1 nM PhiX  library   Vortex the 1 nM PhiX library briefly to mix  then spin at 280 x g for 1 minute     Incubate the PhiX library for 4 minutes 30 seconds at room temperature to denature   Make sure that incubation time does not exceed a maximum of 5 minutes     Add 980 ul of prechilled HT1 to the 20 ul denatured PhiX library to make 20 pM PhiX  library     E NOTE     The denatured 20 pM PhiX library can be stored up to 3 weeks at  25  C to  15  C as  single use aliquots  After 3 weeks  cluster numbers tend to decrease     Material   20000848  Part   15042911 v01    Prepare Samples for Sequencing    1  2  3    Centrifuge the LNP plate at 1 000 x g at 20  C for 1 minute to collect condensation   Determine the samples to be pooled for sequencing     If the LNP plate was stored frozen  use a P200 multichannel pipette to mix each library  to be sequenced     Library Denaturing and Pooling    When sequencing TruSight Tumor 26 libraries on the MiSeq System  Illumina recommends  sequencing 4 tumor samples  8 libraries total  per run when using v2 chemistry  If  sequencing a different number of samples  adjust the following procedure accordingly     10    11  12    z NOTE  Two libraries represent each sample and are generated from the TruSight Tum
9.   nnenan  ne S a Wi  A   A  B K A    TruSight Tumor 26 Reference Guide T    Z Je1deuo    Protocol    Introduction    This chapter describes the TruSight Tumor 26 protocol   Review Best Practices before proceeding  See Additional Resources on page 5 for  information on how to access TruSight Tumor 26 Best Practices on the Illumina  website   Follow the protocols in the order shown  using the specified volumes and incubation  parameters   If you are pooling  record information about your samples before beginning library  preparation for later use in data analysis   Use IEM to create and edit well formed sample sheets for Illumina sequencing  systems and analysis software  See Additional Resources on page 5 for information on  how to download IEM software and documentation from the Illumina website   As a troubleshooting aid  ACD1  Amplicon Control DNA   and ACP1  Amplicon  Control Oligo Pool  have been included in this kit  Using ACD1 instead of gDNA and  ACP1 instead of FPA and FPB in the TruSight Tumor 26 assay can help narrow down  issues arising from gDNA sample prep or primer contamination  Libraries made with  these controls cannot be sequenced along side other TruSight Tumor 26 libraries as  they require longer cycles     8 Material   20000848  Part   15042911 v01    Tips and Techniques    Unless a safe stopping point is specified in the protocol  proceed immediately to the next  step     Avoiding Cross Contamination  When adding or transferring samples  change tips betw
10.  5 0 ul 275 ul 550 ul    2X   Universal    Diluted QCP 1 0 ul 55 ul 110 ul   Nuclease free water 2 0 ul 110 ul 220 ul    Mix gently but thoroughly   Place the reaction mix on ice and protect it from light until use   Add 8 ul of the master mix to each well of the plate     According to your plate layout  add 2 ul of the QCT dilution  the sample dilutions  or  nuclease free water to each well of the plate     Seal the plate using an appropriate seal for your qPCR machine     Centrifuge the plate at 250 x g for 1 minute     Make sure that the seal is free of any liquid or dust   Place the plate on the qPCR machine  then close the lid and run the following program   Procedure Temperature Time   minutes   Hot Start 50  C 2  95  C 10  x40 95  C 30  60  C 30  72  C 30    Confirm that the instrument captures images after the 72  C step     E NOTE  e Set the Cq threshold to a value that avoids inaccurate measurements due to background   100 RFU on the Bio Rad 396CFX System      After the final step  the thermal cycler analyzes the quantified libraries  Make sure that  amplification of the NTC occurs at least 10 cycles after OCT amplification     Make sure that there is good amplification for the OCT and remove outliers from a  triplicate group that are  gt  0 5 Cq different from the rest of the group       NOTE  Four or more outliers per plate indicate technical errors     Material   20000848  Part   15042911 v01    20 Exclude replicates exhibiting abnormal amplification curves   For
11.  ST TA ee EE   GATAACAGTAACACACTTCTGTTAACC TTAAGATTACT TGATCCACTGAT TCAACG TACCG TAACGAACG TATCAAT TGAGACTAAATAT TAACG TACCAT TAAGAGCTACCGTCT TCTGT TAACCT TAA  EE EE  ACCATTAAGAGCTACCGTGCAACTTAACCTTAAGAT TACTTGATCCACTGATTCAACGTACCGTAACGAACGTATCAAT TGAGACTAAATATTAACGTACCAT TAAGAGCTACCGTGCAACGACGAACT T CTGT TAACCT TAAGAT TACTTGA   GCTACCGTGCAACGAAAATAACC T TAAGATTACT TGATCCACTGAT TCAACGTACTTCTGTTAACCTTAAGATTACTTGATCCACTGAT TCAACGTACCGTAACGAACGTATCAATTGAGACTAAGCTACCGTGCAACGACGAAAAGAATGA  GAAAAGAATGATAACAG TAACACAC T TCTGT TAACC T TAAGAT TA  va D eM TA CCGTAAAGATTACTTGATCCACTGAT TCAACGTACCGTAACGAACGTA  ovd AU e i es a   GATAACAGTAACACACT TCTGTTAACCT TAAGAT TACTTGATCCACTGAT TCAACG TACCGTAACGAACGTAT CAAT TGAGACTAAATAT TAACGTACCAT TAAGAGCTACCGTGCAACGACGAAAAGAAT GATAACAGTAACACACT T CTGT  ACCA TANGAGCTACCGTGCANCAGTAACAGACTI GTO TACO TTAMQATIACT TONI COAC IGAEM OGIA CSTM CGM CE TACAT CACAO TARATAT TAA GTACCATTAAGAGU TACT ORA C OA EE    GATAACAGTAACACACT TCTGTTAACCT TAAGAT T  ee ME Mc Eer CTAAATAT Ti d C e eee ee ILIA    GTACCGTAACGAACGTATCATTAAGATTACTIGATCCACTGATTCAACG GTAACGAACGTATCAA GACTAAATAT TAACGTACCATTAAGAGCTACCGTGCAACGACGAAAAGAATGATAACAG TAACACACT TCTGT TAACC T T   OENE CACICA CAACGITAAGATTACTIGATGCACTGATI CAACGIACCCTAACGAACGTATCAATT CASC LICTOLIAAGC TAAGATTAC LIGATCCAGT GATT CAACCTACCG TAACGAACGTATCARTTOAGACTAGCAACGACE  GAAAAGAATGATAACAGTAACACACT TCTGTTAACCT TAAGATTACTTGATCCACTGATTCAACGTACCGTAAAGAT TACT TGATCCACTGAT TCAACGTACCGTAACGAACGTAT CAAT TGAGACTAAATAT TAACGTACCAT TAAGAG
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13.  bp   Expect this concentration to correlate with the relative library intensities previously  observed on the agarose gel  For more information  see Verify Library Preparation   Optional  on page 23     Figure 5 Representative DNA Sample Prep Library Size Distribution  300 330 bp    1500     emm e        Fu  1000        700          150 500          100 400          50 300         MM  0 200      150      15 100 200 300 500 700  bp  Ir  15              NOTE   If  gt  1076 of the library product is present in the 150 250 bp range  Illumina recommends  repeating the PCR Clean Up procedure  Use 40 ul of product and 32 ul of AMPure XP beads  for the repeat procedure     Material   20000848  Part   15042911 v01    Library Normalization    This process normalizes the quantity of each library to ensure more equal library  representation in your pooled sample     Consumables    Procedure  1    EBT  Elution Buffer with Tris   Microseal  B  adhesive film  Midi plate    From the Agilent Bioanalyzer run  determine the concentration for all samples  Add all  concentrations  in terms of nM  for all peaks in the 300 330 bp range  or 350 380 bp  for ACP1 libraries  and record the values    The expected concentration range is 4 300 nM     Label a MIDI plate LNP_plate  Library Normalization Plate      Dilute 4 ul of all samples  gt  20 nM to 4 nM with the EBT buffer   For example  if a sample is 254 nM  add 4 ul of library to 250 ul of EBT buffer to give 4  nM     For any samples  lt  20 nM  d
14.  conditions as your CAT        Using a multichannel pipette set to 60 ul  transfer 55 ul PCR product from the IAP  plate to the CLP plate    Shake the CLP plate at 1 800 rpm for 2 minutes    Incubate at room temperature without shaking for 10 minutes    Place the plate on a magnetic stand for 2 minutes or until the supernatant has cleared   Keep the plate on the magnetic stand until step 11    Using a multichannel pipette set to 100 ul  carefully remove and discard the  supernatant     E NOTE  i Delays during this step can lead to bead clumping following removal of the supernatant   Proceed immediately to next step when all supernatant is removed     Material   20000848  Part   15042911 v01    10    11    12    13    14    15    16  17    Wash 2 times  as follows     a Using a multichannel pipette  add 200 ul freshly prepared 80  EtOH  Avoid  disturbing the beads    b Incubate on the magnetic stand for 30 seconds or until the supernatant appears  clear   c Carefully remove and discard all supernatant from each well     Using a multichannel pipette and fine pipette tips  remove residual EtOH from each  well     Remove the CLP plate from the magnetic stand and allow the beads to air dry for 5  minutes     Using a multichannel pipette  add 40 ul of EBT to each sample   If you use care to avoid cross contamination  changing tips is not required     Shake the CLP on a microplate shaker at 1 800 rpm for 5 minutes   After shaking  if any samples are not resuspended  gently pipette o
15.  more information  see Illumina sequencing white paper  Generating Sequencing  Libraries Using DNA from FFPE Samples     21 Subtract the average Cq for the OCT from the average Cq for each sample to yield the  ACq values for each sample     TruSight Tumor 26 Reference Guide 1 3    3d33 W01  P9I9811X3 VNC 40 VOB On IenO    Protocol    Hybridization of Oligo Pool    During this step  a custom pool containing upstream and downstream oligos specific to  your targeted regions of interest is hybridized to your genomic DNA samples     Y WARNING  This set of reagents contains formamide  an aliphatic amide that is a probable    i    reproductive toxin  Personal injury can occur through inhalation  ingestion  skin contact   and eye contact  Wear protective equipment  including eye protection  gloves  and  laboratory coat  Handle used reagents as chemical waste and discard in accordance with  the governmental safety standards for your region  For environmental  health  and safety  information  see the SDS for this kit at support illumina com sds html     NOTE  Illumina does not support the use of gDNA samples giving a delta Cq value of  gt  4     Consumables     Optional  ACD1  Amplicon Control DNA1     Optional  ACP1  Amplicon Control Oligo Pool 1    FPA  TruSight Tumor Oligo Pool A    FPB  TruSight Tumor Oligo Pool B    OHS3  Oligo Hybridization for Sequencing 3    Genomic DNA   96 well skirted PCR plate    Optional  Adhesive aluminum foil seal  if a heat sealer is not available   Tro
16.  the first time  aliquot 5 ul of QCT into different PCR tube strips for  long term storage to avoid freeze thawing     Place thawed tubes on ice     Add 5 ul of QCT to 495 ul of nuclease free water in a microcentrifuge tube   Vortex the dilution to mix the sample   Add 1 ul of QCP to 9 ul of nuclease free water in a microcentrifuge tube     L NOTE    Make a larger dilution if qualifying more than one genomic DNA sample     Vortex the dilution to mix the sample     Add 1 5 ul of QIAGEN extracted genomic DNA to 148 5 ul of nuclease free water in  microcentrifuge tubes to make a 100 fold dilution     Vortex the dilutions to mix the samples     TruSight Tumor 26 Reference Guide 1 1    3d33 W01  p919   J1XH VNC JO VOB OL IEnO    Protocol    12    7    10  11  12    13  14  15  16    17    18    19    Determine the plate layout of the qPCR reaction   For 10 samples  use the following layout     1 2 3 4 5 6  A QCT Sample 1 Sample 3 Sample 5 Sample 7 Sample 9  B QCT Sample 1 Sample 3 Sample 5 Sample 7 Sample 9  C OCT Sample 1 Sample 3 Sample 5 Sample 7 Sample 9  D NTC  Sample 2 Sample 4 Sample 6 Sample 8 Sample 10  E NTC  Sample 2 Sample 4 Sample 6 Sample 8 Sample 10  F NTC  Sample 2 Sample 4 Sample 6 Sample 8 Sample 10    NTC  No template control  Illumina recommends using nuclease free water     Prepare the SYBR master mix reaction as follows   The master mix contains extra volume     Consumable ul per well ul per 48 well ul per 96 well  plate plate   KAPA SYBR FAST qPCR Master Mix
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19. 1 minute     Handling Beads    Pipette bead suspension slowly   When mixing  mix thoroughly   To avoid sample loss  confirm that no beads remain in pipette tips after resuspension  and mixing steps   When washing beads   Use the appropriate magnet for the plate   Dispense liquid so that beads on the side of the wells are wetted   Keep the plate on the magnet until the instructions specify to remove it   Do not agitate the plate while on the magnetic stand  Do not disturb the bead pellet     TruSight Tumor 26 Reference Guide 9    senbiuuo2e   pue edit    Protocol    TruSight Tumor 26 Workflow    The following diagram illustrates the workflow using the TruSight Tumor 26 Kit  Safe  stopping points are marked between steps     Figure 2 TruSight Tumor 26 Workflow    Qualification of DNA  Extracted from FFPE Samples    Hands on  1 hour  Total  3 hours  Reagents  QCT  QCP    Hands on  15 minutes  Total  14 18 hours  overnight   Reagents  FPA  FPB  OHS3    e Hybridization of Oligo Pool    Removal of Unbound Oligos  Hands on  20 minutes   Total  20 minutes   Reagents  ELM3  SW1  UB1       Extension Ligation of Bound Oligos  Hands on  5 minutes   Total  45 minutes   Reagents  ELM3    PCR Amplification   Hands on  30 minutes   Total   1 hour 45 minutes   Reagents  PMM2  TDP1  15 Index Primers   Safe Stopping Point 17 Index Primers  NaOH    PCR Clean Up   Hands on  20 minutes   Total  30 minutes   Reagents  EBT  AMPURE XP beads  EtOH    oo 9       e Library Quantification    Library Norm
20. ACGTACCGTAACGAACGTATCAATTGAGCTICTGTTAACCTTAAGATTACTTGATCCACTGATTCAACGTACCGT  o AET  CAATTGAGACT ANAK YA OAS CAT AAGAGT CTGTTAACCTIAAGA TANG HGATCCAGTOATICHACGIACCETAACGAACCIATCAATIGAGA CTAAATATTAACGTACCATTAAGAGCTACCGTGCAACGAAAAGAATGATAACAGT   do e TREAT RA U AT TA  TT  CTTGATCCACTGATTCAACGTIAAGA DAMM UE SUE CCGIAACGAACGTATCAATTGAGCTTCTGTTAACCT TAAGATTACT TGATCCACTGATTCAACGTACCGTAACGAACGTATCAAT T GAGAC TAGCAACGACC  GAAAAGAATGATAACAGTAACACAC T TCTGT TAACCT TAAGATTACTTGATCCACTGATTCAACGTACCGTAAAGATTACT TGATCCACTGAT TCAACGTACCGTAACGAACGTAT CAAT TGAGACTAAATATTAACGTACCATTAAGAGCTAC     GATAACAGTAACACACTTCTGTTAACCTTAAGATTACTTGT TGATCCACTGAT TCAACGTACCG TATCAAT TGAGAC TAAATAT TAACGTACCAT TAAGAGC TACCGTCTTCTGTTAACC T TAAGAT TACTIGATCCACTGATTCAACGTACCGI  CACTGATTCAACGT YQ US ME Er CGTATCAATTGAGACTAAATATTAACGTACCAT TAAGAGCTACCGTCT TC TGT TAACCT TAAGAT TACT T GATCCAC TGAT TCAACGTACCGTAACG   GAAAAGAATGATAACAG TAACACACTTCTGTTAACCTTAAGAT TACTT GATCCACTGATTCAACGTACCGTAAAGAT TACT TGATCCACTGAT TCAACGTACCGTAACGAACGTATCAAT T GAGAC TAAATAT TAACGTACCAT TAAGAGCTAC   A Lee LA Ae CDD ee RAT TACTA AAT TE EST ADEM Ke UM GUEST TET  TA etel GATA T VEA UU CATAL L  TTGAGACTAAATATTAACGTTGTTAACCTTAAGATTACTTGATCCACTGATTCAACGTACCG TAACGAACG TATCAATTGAGACTAAATATTAACGTACCAT TAAGAGCT TCTGT TAACCT TAAGAT TACTT GATCCACTGAT TCAACGTACCG T7  TATCAAT TGAGACTAAATAT TAACGTAC T TAACCT TAAGAT TACT TGATCCACTGATTCAACGTACCGTAACGAACGTCTTCTGT TAACCTTAAGAT TACT TGATCCACTGATT CAACGTACCGTAACGAACGTAT CAAT TGAGACTAACGACG   AM RAT ACTA
21. ACTAAATATTAACGTACCA IIS ce CCGTGCAACGACGAAAAGAAT GATAACAGTAACA  REH    IACCAT IAAGAGC TACCGTGCAACAGTAACACACT T  AAGATTACTTGATCCACTGAT TCAACGTA GE RA e CTAAATATTAACGTACCAT TAAGAGCTACCGTGCAACGACGAAAAGAAT G  TGATAACAGTAACACACT TCTGTTAACCTTAAG  ATIACTTGATCCAG LTGAPTCANCGTA CCGTAACGAACGTAT CAAT TGAGACT  RAATATIAACGTACCATAAGAGCIACCOTCITOT GTIAACCTTAAGA FRAC I GATCCACTGATIGAAG  l peg Hed UU ALTA M eMe T GATTARA TNR EE H ENT TAA TT  O ULM  AACGTTAAGATTACTTGATCCACTGATTCAACG TACCGTAACGAACG TATCAAT TGAGCTTCTGTTAACCT TAAGAT T  P TCAAT TGAGACTAGCAACGAC   GAAAAGAATGATAACAGTAACACACTTCTGT TAACCT TAAGAT TACTTGAT  SGA CT GATT CAACGTACCGTAAAGAT TACT TGATCCACTGAT TCAACGTACCGTAACGAACG TATCAAT TGAGAC TAAATAT TAACG TACCAT TAAGAGCTAC   RM TU P ERIS ME L o el EE e Sup RM M AMA pre USE CU C ee SUE poe A  Sy Ns RC eerie EEN ACCGTAACGAACGTA AA ee CTAAATAT TAACGTACCATTAAGAGCTACCG TGCAACGACGAAAAGAA NS e e CTTCTGTTAACCT    GAAAAGAATGAT   AAACACACTTCTGTTAACCT TAAGATTACTTGATCCACTGATTCAACGTA  AAAGAT TACTTGATCCACTGAT TCAACGTACCGTAACGAACG TATCAAT TGAG  TTAACGTACCAT TAAGAGCTAC  COAT TAAGAGCIACOGT GCAACAGTAACACACTICTGT ARCO TAAGATTACT IGAT COAG TOATTOAACG TACCGTARCGAACG AT CAAT TGAGAG AAATAT TAACG AGAT IAAGAGCTACOS I GCAACGAGGAAAAGAAT GATA  TGATAACAGTAACACACTTCTGTTAACCTTAAGATTACTTGATCCACTGATTCAACGTACCGT  pecs CGTATCAAT TGAGAC TAAATAT TAACGTACCAT TAAGAGCTACCGTCTTCTGTTAACCTTAAGAT TACTT GATCCACTGATTCAAC   CTTGATCCACTGATTCAACGTIAAGAT TACTTGATCCACT GATTCAACGTACCGTAACGAACGTATCAAT TGAGCT TCT GT TAACCT TAAGATTACT TGATCCA
22. CAACGACGAAAAGAATGA  SRAAAGANTOATAACAGTAACACACHTCTO TAACCLIAAGAT IAG LIGATCCACT GATT CAACTACCGTAMAGATIAG LIGATCCAGTGATICAASGTACCGIAACGAACGTALCAAITCAGAG TAAATAT TAACGTACCAT TAAGAGCTAC   MS Vi UT TEC Ce A ATT ACTA AC NAME GATA TAM AC Vee Ca  ACCAT IAAGAGC TACCGTGCAACAGTAACACACT TCTGT TAACCTTAAGAT TACT TGATCCACTGAT TCAACGTACCG TAACGAACGTAT CAAT TGAGAC TAAATAT TAACGTACCAT TAAGAGCTACCGT GCAACGACGAAAAGAAT GAT    GATAACAGTAACACACT TCTGTTAACCTTAAGAT TACTTGATCCACTGATTCAACGTACCG TAACGAACGTAT CAATTGAGACT  AAATATIAACGTACCATIAAGAGCIACCOTCHOTOTT AACCTTAAGA IAC I GATCCACTGATTICAACL  O LLL A CR AAA TE ATTRACT  Se S IMs CGTTAAGA R RN AAB H EAL  CGTAACGAACG TATCAATTGAGCTICTGTTAACCTTAAGATTACTTGATCCACTGATTCAACGTACCGTAACGAACGTATCAAT TGAGAC TAGCAACGACC  GAAAAGAATGATAACAG TAACACAC TL TCTGT TAACCT TAAGAT TACTT GA    TOGA CT GATT CAACGTACCGTAAAGATTACT TGATCCACTGAT TCAACGTACCGTAACGAACGTATCAAT TGAGAC TAAATAT TAACG TACCAT TAAGAGCTAC   Kee E ee EE    GTACCGT  E A GATTCAACGTACCGTAACGAACGIA AA CTAAATAT TAACGTACCAT TAAGAGC TA  EE e DACIA TRE RT ARE  AAAAGAATGAT AACACACTTCTGTTAACCT TAAGAT TACTTGATCCACTGATTCAACGTACCGTAAAGAT TACT TGATCCACTGAT TCAACGTACCG TAACGAACGTATCAATTGAG  TTAACGTACCAT TAAGAGCTAC   ACA TANGAGCYACGOTACAACAGTAACACACTICTGTTAACUTTARQA TTIACTIGATCCACTGATTCAACGTAGCOTAACCAACG TAT CAATIGAGAGTABATATTAACGTACCAMAAGAGGTACCCTACAACCACGAAAR SANT GATA     GATAACAG TAACACA  EAS GI T DL ee CTAAATATTAACGTACCATTAAGAGCTACCGTCTICTGTTAACCTTAAGATTACTIGATCCACTGATTCAAC   CTTGATCCACTGATTCAACGTIAAGATTACTTGATCCACTGATTCA
23. CTAC     5  E          Illumina   5200 Illumina Way   San Diego  California 92122 U S A    1 800 809 ILMN  4566    1 858 202 4566  outside North America   techsupport illumina com  www  illumina com    
24. CTGAT TCAACG TACCG T  ARD DSL CUA GA C RAE fu  ICAATTGAGACTAAATATTAACGTACCAT TAAGAGTCTGTTAACCT TAAGA HAC TIGATCC AGT GATT CANCE TACCGTARCOAACOTAI CAATIGAQACT AAATATTAACGTACCATTAAGAGC TACCGTGCAACGAAAAGAATGATAACAGT  Pee EAT EPA AREE ONORAT ALTO M INR E L ETAT  Vy ce QUIS AACGTTAAGATTACTTGATCCACTGATTCAACG TACCGTAACGAACG TATCAAT TGAGCTTCTGTTAACCTTAAGATTACT TGATCCACTGAT TCAACG TACCGTAACGAACG TATCAAT TGAGAC TAGCAACGAC    AAAAGAATGATAACAG TAACACACTTCTGT TAACCT T  ASA TATI CAA OA TONA E TACCGTAAAGATPACTTGAT COACH GATTORACG TACCQTARCOAAC DATCART GAGACTAAAATTAACO TACOATTAAGAGCIAG      CACTGAT ICAACG TACCAAGAT TACTIGATCCACTGAT TCAACGTACCGTAACGAACGTATCAAT TGAGAC TAAATAT TAACGTACCAI TAAGAGC TACCGT CT TC TGT TAACCT TAAGAT TACT T GATCCAC TGAT TCAACG TACCG TAACG   AAAAGAATGATAACAG TAACACACTTCTGTTAACCTTAAGAT TACTTGATCCACTGAT TCAACGTACCGTAAAGATTACT T GATCCACTGAT TCAACGTACCGTAACGAACGTATCAAT TGAGAC TAAATAT TAACGTACCAT TAAGAGCTAC    GATAACAGTAACAGACT ICTGTTAACCTIAAGAT TACT GATGCACT GAT TCAACGTACCGIAACGAACGIAT CAAT I GAGACTAAATATTAAGGTACCATIAAGAGCTACCGTCITCTGI TAACGT TAAGATTACTTGATGGACTGATICAAC  ATTGAGACTAAATAT TAACGTTGTTAACCTTAA  SARI ER Out GATTCAACGTACCGTAACGAACGTATCAATT GAGACTAAATAT TAACGTACCAT TAAGAGCTTCTGT TAACCT TAAGAT TA  Me  i TATCAAT TGAGACTAAATAT TAACGTACT TAACCT TAAGAT TACT TGATCCACTGATTCAACGTACCGTAACGAACG TCTTCTGT TAACCT TAAGAT TACTT GATCCACTGAT TCAACGTACCG TAACGAACG TATCAAT TGAGAC TAACGACG   AGACTAAATAT TAACGTACCAT TAAGAGCTACAACCT TAAGAT TACT TGATCCACTGAT TCAACGTACCGTAACGAACGTATCAAT 
25. Consumables  will  conform to their Specifications until the later of  i  3 months from the date of shipment from Illumina  and   ii  any expiration date or the end of the shelf life pre printed on such Consumable by Illumina  but in no  event later than 12 months from the date of shipment  With respect to custom Consumables  i e    Consumables made to specifications or designs made by Purchaser or provided to Illumina by  or on  behalf of  Purchaser   Illumina only warrants that the custom Consumables will be made and tested in  accordance with Illumina s standard manufacturing and quality control processes  Illumina makes no  warranty that custom Consumables will work as intended by Purchaser or for Purchaser s intended uses    b Warranty for Hardware  Illumina warrants that Hard ware  other than Upgraded Components  will  conform to its Specifications for a period of 12 months after its shipment date from Illumina unless the  Hardware includes Illumina provided installation in which case the warranty period begins on the date of  installation or 30 days after the date it was delivered  whichever occurs first   Base Hardware Warranty      Upgraded Components  means Illumina provided components  modifications  or enhancements to  Hardware that was previously acquired by Purchaser  Illumina warrants that Upgraded Components will  conform to their Specifications for a period of 90 days from the date the Upgraded Components are  installed  Upgraded Components do not extend the 
26. Fixture is not needed  The indexes can    then be added to the appropriate wells of the IAP plate manually     Material   20000848  Part   15042911 v01    Procedure  1    Figure 4 TruSeq Index Plate Fixture       A i5 primers  white caps   B i7 primers  orange caps   C IAP plate    Label a new 96 well PCR plate IAP  Indexed Amplification Plate  and place the plate  on the TruSeq Index Plate Fixture     Add 9 ul of each Index 1  i7  adapter to each row   Add 9 ul of each Index 2  i5  adapter to each column     L NOTE  i To avoid index cross contamination  discard the original index caps and apply the new  caps provided in the kit  After use  remove all index primer tubes from the working  area   Prepare the PMM2 TDP1 PCR master mix according to the number of reactions   For 96 reactions  add 60 ul of TDP1 to 2 58 ml of PMM2   If preparing fewer reactions  use the following calculation   Number of reactions x  0 625 ul TDP   26 875 ul PMM2      4 NOTE  Do not pipette volumes of  lt  5 ul of TDPI     Invert the PMM2 TDP1 PCR master mix 20 times to mix  Do not vortex     When the 45 minute extension ligation reaction is complete  remove the FPU plate from  the incubator  To ensure the reaction supernatant drains into the waste plate  remove  the aluminum foil seal and replace with the filter plate lid     Centrifuge the FPU plate at 2 400 x g for 2 minutes     Using a multichannel pipette  add 25 ul of 0 05 N NaOH to each sample well on the  FPU plate  If necessary  gently pipett
27. Purchaser s use of this Product outside of the scope of research use purposes   iii  any use of this Product  not in accordance with this Products Specifications or Documentation  or  iv  any Excluded Claim   Conditions to Indemnification Obligations  The parties  indemnification obligations are conditioned  upon the party seeking indemnification  i  promptly notifying the other party in writing of such claim or  action   ii  giving the other party exclusive control and authority over the defense and settlement of such  claim or action   iii  not admitting infringement of any intellectual property right without prior written    Material   20000848  Part   15042911 v01    consent of the other party   iv  not entering into any settlement or compromise of any such claim or action  without the other party s prior written consent  and  v  providing reasonable assistance to the other party in  the defense of the claim or action  provided that  the party reimburses the indemnified party for its  reasonable out of pocket expenses incurred in providing such assistance    e Third Party Goods and Indemnification  Illumina has no indemnification obligations with respect to  any goods originating from a third party and supplied to Purchaser  Third party goods are those that are  labeled or branded with a third party s name  Purchaser s indemnification rights  if any  with respect to  third party goods shall be pursuant to the original manufacturer s or licensor s indemnity  Upon written  
28. Store  the additional DAL at  25 C to  15 C for up to 3 days  Longer storage can lead to  suboptimal cluster densities     Centrifuge the DAL tube at 1 000 x g at 20  C for 1 minute to collect contents   Incubate the DAL tube in a heat block at 96  C for 2 minutes     TruSight Tumor 26 Reference Guide 2 9    Bulijoo y pue Bulinjeuag AISIOn    Protocol    30    13 After the incubation  invert the DAL tube to mix  Incubate immediately in the ice water  bath for 5 minutes  then transfer contents to the template position in the MiSeq reagent    cartridge   4 NOTE  The heat denaturation and cooling steps must occur immediately before loading the    DAL into the MiSeq reagent cartridge to ensure efficient template loading onto the flow  cell   14 Proceed to library sequencing as instructed in the MiSeg System User Guide     Material   20000848  Part   15042911 v01       Supporting Information    Introduction A nu ede oan elus e du ebd 32  e elek E 33  Trusight Tumor 26 e EE 34  Consumables and Equipment       sse RR esses lli 36  Index Sequences E 39  n  d AP OPT TAR SS   Es m A  DN D Ki  AN d   NV 3  A U  gt   SA   me      rico f  E E tf  Keen  gees REA ATGCGGCA sprengen   prota TT    e    itm uis    TruSight Tumor 26 Reference Guide 31    v xipueddaw    Supporting Information    Introduction    The protocols described in this guide assume that you have reviewed the contents of this  appendix  confirmed your kit contents  and obtained all the required consumables and  equipment   
29. TGAGACTAAATAT TAACG TACCAT TAAGAGC TACCGTGCAACGACGAAAAGAAT GATAACAGTAACAC  ies El AACACACTTCTGTIAACCTTAAGATTACTTGATCCACTGAT I CAACGTACCG TAACGAACG TATCAAT TGAGAC TAAATAT TAACG TACCAT TAAGAGC TACCG TCT TCTGT TAACCT TAAGAT TACT TGATCCACTGAT TCAAC  IACCATTAAGAGCTACCGT GCAACTTAACCTIAAGAT TACTTGATCCACTGATTCAACGTACCGTAACGAACGTATCAAT TGAGAC TAAATAT ITAACGTACCAT TAAGAGCTACCGTGCAACGACGAAC LTCTGTTAACCT TAAGAT TACT TGA  TO E RM E EC GAAAAG   GAAAAGAATGATAACAG TAACACAC T TCTGT TAACCTTAAGAT TACTTGATCCACTGATTCAACGTACCG TAAAGATTACTTGATO  TGATAACAGTAACACACT TCTGTTAACCT TAAGAT TACTTGATCCACTGAT TCAACGTACCGTAACGAACG TATCAAT TGAGACTA  IACCAT TAAGAGCTACCGTGCAACAGTAACACACT TCTGT TAACCTTAAGAT TACTTGATCCACTGAT TCAACGTACCG TAACGA  TGATAACAGTAACACACT TCTGTTAACCTIAAGAT TACTTGATCCACTGATTCAACGTA SE RR pe  ZGTACCGTAACGAACGTATCAT TAAGAT TACTTGATCCACTGATTCAACGTACCGTAACGAACGTATCAAT TGAGACTAAA t  TOCATA CAACGITAAGALTACTTGA  CCACTGATICAACGTACCGIAACGAACGTATCAATTGAGCTTC TOT TAAG  GAAAAGAATGATAACAGTAACACACT TCTGTTAACCTTAAGATTACTTGATCCACTGATTCAACGTACCGTAAAGAT TACTTGATG           O   Si          For Research Use Only  Not for use in diagnostic procedures     ILLUMINA PROPRIETARY    Material 4 20000848  Document   15042911 vO1  September 2015    Customize a short end to end workflow guide with the Custom Protocol Selector  support illumina com custom protocol selector html    This document and its contents are proprietary to Illumina  Inc  and its affiliates   Illumina    and are intended solely for the  contractual
30. alization  Hands on  30 minutes  Total  50 minutes    Reagents  EBT  Safe Stopping Point       Library Denaturing and Pooling  Hands on  10 minutes   Total  10 minutes   Reagents  HT1  PhiX  NaOH  TE Buffer         Pre Amp   Post Amp       1 O Material   20000848    Part   15042911 v01    Qualification of DNA Extracted from FFPE Samples    During this step  a qPCR reaction determines the amplifiability of your FFPE extracted  gDNA samples  By comparing the amplifiability of FFPE DNA relative to that of the OCT  non FFPE reference gDNA  a ACq value is calculated for each sample  The ACq value is  then used to predict sample performance in the TruSight Tumor 26 assay  The exact  amount of FFPE DNA input varies according to the quality of the extracted DNA     Consumables    Preparation    1    Procedure    OCT  Quality Control Template    QCP  Quality Control Primer    Genomic DNA   48 or 96 well plate   Adhesive seal  dependent on qPCR machine    KAPA SYBR FAST qPCR Master Mix  2X   Universal   Nuclease free water   PCR 8 tube strips  if using OCT for the first time     Prepare the following consumables   Item Storage Instructions  OCT  25  C to  15  C Thaw at room temperature for up to 30 minutes   OCP  25  C to  15  C Thaw at room temperature for up to 30 minutes   Genomic DNA  25  C to  15  C Thaw at room temperature for up to 30 minutes   KAPA SYBR FAST    25 C to  15  C Thaw at room temperature for up to 30 minutes   qPCR Master Mix     2X   Universal     If using QCT for
31. ate    TruSight Tumor 26 Index Kit    Box 1  Pre Amplification  Store at  25  C to  15  C    Quantity Description  15 Index Primers  A501 to A508    12 i7 Index Primers  A701 to A712       Box 2  Pre Amplification  Store at Room Temperature    Quantity Description  32 15 Index Tube Caps  White  48 i7 Index Tube Caps  Orange       Additional Required Components  Pre Amplification  Store at  Room Temperature  Consumable    TruSeq Custom Amplicon Filter Plate with Lid  TruSeq Index Plate Fixture and Collar Kit  reusable          Catalog    FC 130 1006  FC 130 1007             TruSight Tumor 26 Reference Guide 3 5     1U91UO2 YM 93 Joun   1yBisna      Supporting Information    Consumables and Equipment    Make sure that you have the required user supplied consumables and equipment before    starting the protocol     The protocol has been optimized and validated using the items listed  Comparable  performance is not guaranteed when using alternate consumables and equipment     Consumables    Consumable  PhiX Control v3    10 N NaOH  prepare from tablets or use a  standard solution     96 well skirted PCR plates  0 2 ml   polypropylene    96 well storage plates  0 8 ml  midi plates     Adhesive aluminum foil seal  Agarose gel  2  or 4    Agencourt AMPure XP  60 ml kit  Conical tubes  15 ml  Deparaffinization Solution    DNA 1000 Kit for Bioanalyzer    DNA molecular weight markers    Eppendorf microcentrifuge tubes  screw top  recommended     Ethanol  200 proof for molecular biology
32. d  indemnify  or hold harmless Purchaser for any Illumina Infringement Claim to the extent such infringement arises  from   i  the use of this Product in any manner or for any purpose outside the scope of research use  purposes   ii  the use of this Product in any manner not in accordance with its Specifications  its  Documentation  the rights expressly granted to Purchaser hereunder  or any breach by Purchaser of these  terms and conditions   iii  the use of this Product in combination with any other products  materials  or  services not supplied by Illumina   iv  the use of this Product to perform any assay or other process not  supplied by Illumina  or  v  Illumina s compliance with specifications or instructions for this Product  furnished by  or on behalf of  Purchaser  each of  i       v   is referred to as an  Excluded Claim     Indemnification by Purchaser  Purchaser shall defend  indemnify and hold harmless Illumina  its  affiliates  their non affiliate collaborators and development partners that contributed to the development of  this Product  and their respective officers  directors  representatives and employees against any claims   liabilities  damages  fines  penalties  causes of action  and losses of any and every kind  including without  limitation  personal injury or death claims  and infringement of a third party s intellectual property rights   resulting from  relating to  or arising out of  i  Purchaser s breach of any of these terms and conditions   ii   
33. e   UB1 2  C to 8  C Set aside at room temperature     Material   20000848  Part   15042911 v01    2 Assemble the filter plate assembly unit  FPU  in the following order  from top to  bottom     Figure 3 Filter Plate Unit Assembly       Lid   Filter plate  Adapter collar  midi plate    UO0U gt     3 Apply the FPU barcode plate sticker to the filter plate   4  Prewash the FPU plate membrane  as follows     2 NOTE  i Prewash only the wells to be used in the current assay  If using a previously opened  filter plate  use only unused wells  Do not reuse wells that have been used in a previous  assay     a Using a multichannel pipette  add 50 ul of SW1 to each well   b Cover the FPU plate with the filter plate lid   c Centrifuge the FPU at 2 400 x g at 20  C for 5 minutes   5 Preheat the incubator to 37  C   6 After the overnight incubation  confirm that the heat block has cooled to 40  C     E NOTE  e If the heat block fails to cool to 40 C overnight  repeat library preparation     TruSight Tumor 26 Reference Guide 1 T    SOBIIO punoqun   now  y    Protocol    Procedure    18    L NOTE  E Cover the FPU plate with the filter plate lid during each centrifugation step     Remove the HYP plate from the heat block and centrifuge at 1 000 x g at 20  C for 1  minute to collect condensation     Using a multichannel pipette set to 60 ul  transfer the entire volume of each sample to  the corresponding prewashed wells of the FPU plate     Centrifuge the FPU at 2 400 x g at 20 C for 5 minutes
34. e a largely intact DNA template that can be denatured  The process of  preparing FFPE samples negatively impacts DNA quality by fragmenting  cross linking   and otherwise damaging DNA through various chemical modifications  As a result  it is  essential to assess the extent of the damage and  where possible  improve the procedures  for fixation of tissue extraction of DNA from FFPE  This adjustment can partially  compensate for damage and improve results from the TruSight Tumor 26 assay with FFPE  DNA     DNA Extraction Recommendations    Illumina recommends using the QIAGEN Supplementary Protocol  Purification of Genomic  DNA from FFPE Tissue using the QlAamp DNA FFPE Tissue Kit and Deparaffinization Solution   This protocol extracts the highest amount of amplifiable DNA from an FFPE tissue block   with the following modifications    Extract gDNA from 8 separate 5 um FFPE tissue sections per extraction   Deparaffinize with 320 ul of QIAGEN Deparaffinization Solution   Lyse samples with 40 ul of Proteinase K in a thermal mixer at 56  C overnight at 1000   rpm to improve genomic DNA yields   Digest with Proteinase K in a thermal mixer overnight at 1000 rpm   Decrease elution volume to 30 ul to maximize DNA concentration    A Material   20000848  Part   15042911 v01    Additional Resources    The following documentation is available for download from the Illumina website     Resource Description   TruSight Tumor 26 Protocol Provides only protocol instructions    Guide  document
35. e on the thermal cycler overnight     2 p Material   20000848  Part   15042911 v01    Verify Library Preparation  Optional     1 After PCR  combine 5 ul of amplified product with 15 ul of DEPC DI H20     2 Run on a 4  TBE agarose gel along with 100 bp ladder to confirm the presence of the  300   330 bp library product  Alternatively  the products can be run on a Bioanalyzer   If generating libraries with ACPI  expect the product to be present at 350   380 bp     TruSight Tumor 26 Reference Guide y  3       euonido  uoneledalg Meqi   UA    Protocol    PCR Clean Up    This process uses AMPure XP beads to purify the PCR products from the other reaction  components     Consumables    Preparation    e oO H BB    Procedure    24    EBT  Elution Buffer with Tris   AMPure XP beads   96 well midi plates   Freshly prepared 80  ethanol  EtOH   Microseal  B  adhesive film   Troughs    Bring the AMPure XP beads to room temperature   Prepare fresh 80  ethanol from absolute ethanol   Label a new midi plate CLP_Plate_ID  Clean up Plate    Label a new 96 well PCR plate SGP  Storage Plate      Centrifuge the IAP plate at 1 000 x g at 20  C for 1 minute to collect condensation   Invert AMPure XP beads 10 times  Vortex vigorously and then invert again 10 times     A NOTE  Immediately proceed to the next step to avoid settling of the beads     Using a multichannel pipette  add 55 ul of AMPure XP beads to each well of the CLP  plate     A NOTE  The ACD1 ACP1 control can be processed using the same
36. e to mix     TruSight Tumor 26 Reference Guide 2 1    uoneoriduwy HOd    Protocol    4 Incubate the FPU plate at room temperature for 5 minutes     5 During incubation  use a multichannel pipette to transfer 22 ul of the PMM2 TDP1  PCR master mix to each well of the IAP plate containing index primers     6 Transfer samples eluted from the FPU plate to the IAP plate  as follows       NOTE  g Slightly tilt the FPU plate to ensure complete aspiration and to avoid air bubbles    a Seta multichannel P20 pipette to 20 ul and pipette to mix the contents in the first  column of the FPU plate    b Transfer 20 ul from the FPU plate to the corresponding column of the IAP plate    c Gently pipette to mix    d Transfer the remaining columns from the FPU plate to the IAP plate in a similar  manner    e After all the samples have been transferred  discard the waste collection midi plate  of the FPU  Store the metal adapter collar     7 Centrifuge the IAP plate at 1 000 x g at room temperature for 1 minute   8 Transfer the IAP plate to the post amplification area     9 On the thermal cycler  set the reaction volume to 60 ul and the temperature ramp  speed to maximum     10 Perform PCR on a thermal cycler using the following program   95  C for 3 minutes  27 cycles of   95 C for 30 seconds  62  C for 30 seconds  72  C for 60 seconds  72  C for 5 minutes  Hold at 10  C    SAFE STOPPING POINT    If you are stopping  seal the plate and store at 2  C to 8  C for up to 2 days  Alternatively   leav
37. een each sample   When adding adapters or primers  change tips between each row and each column   Remove unused index adapter tubes from the working area     Sealing the Plate   Always seal the 96 well plate before the following steps in the protocol    Shaking steps   Vortexing steps   Centrifuge steps   Thermal cycling steps  Apply the adhesive seal to cover the plate and seal with a rubber roller   Microseal  B  adhesive seals are effective at  40 C to 110  C  and suitable for skirted or  semiskirted PCR plates  Use Microseal  B  for shaking  centrifuging  and long term  storage   Foil seals are effective at  70  C to 105  C  and suitable for skirted or semiskirted plates   Microseal  A  adhesive film is effective for thermal cycling and easy to cut when using  fewer than 96 wells     Plate Transfers  When transferring volumes between plates  transfer the specified volume from each  well of a plate to the corresponding well of the other plate   If beads are aspirated into the pipette tips  dispense back to the plate on the magnetic  stand and wait until the liquid is clear   2 minutes    When multiple plates are used in a step  such as a plate 1 and a plate 2  transfer  volumes from the existing plate 1 to the new plate 1  Transfer volumes from the  existing plate 2 to the new plate 2     Centrifugation  Centrifuge at any step in the procedure to consolidate liquid or beads in the bottom of  the well  and to prevent sample loss   To pellet beads  centrifuge at 280 x g for 
38. g identified regions of interest  Sufficient reagents  are supplied for 48 samples and the indexes provided enable sample indexing of 4  samples per sequencing run  TruSight Tumor 26 harnesses the paired end read capability   speed  and high data quality of the MiSeq System  providing on instrument variant calling  software and cloud based annotation and filtering software   The TruSight Tumor 26 protocol offers   High Accuracy  Low Frequency Variant Detection    Highly accurate somatic variant  analysis at limit of detection below 5  allele frequency across 174 amplicons with  1000x minimum coverage of each region Optimized for formalin fixed  paraffin   embedded  FFPE  tissues   Optimized for Formalin Fixed  Paraffin Embedded  FFPE  Tissues    Exceptional  sample success rate with minimal DNA input for accurate base calling even in  degraded FFPE samples   Deep Coverage of Variants Involved with Solid Tumors     Coverage of exon coding  regions for analysis of molecular heterogeneity in highly relevant content selected from  CAP and NCCN guidelines and late stage clinical trials     2 Material   20000848  Part   15042911 v01    How Does the Assay Work     For each amplicon  2 pairs of oligos are designed  One pair is complementary to one strand  and another pair to the opposite strand  In separate wells of a 96 well plate  these oligos  hybridize to the genomic DNA  Extension and ligation then form DNA templates  consisting of the regions of interest flanked by universal pr
39. ge   Gel electrophoresis supplies and  apparatus   Bioanalyzer System    Heat block for 1 5 ml centrifuge  tubes    Magnetic stand 96    1 NOTE    Supplier   O Instruments BioShake iO high speed thermoshaker   part   1808 0506  or O Instruments BioShake XP  high speed lab shaker  part   1808 0505     General lab supplier  plate centrifuge that attains  designated speeds of protocol     General lab supplier    Agilent Technologies    General lab supplier    Invitrogen DynaMag    96 Side Skirted    Use a dedicated set of pipettes  pipette tips  vortexer  heat block  and centrifuge during post     amplification steps     TruSight Tumor 26 Reference Guide    3     jueuudinbz3 pue sejqewinsuoy    Supporting Information    38    Thermal Cyclers    The following table lists the recommended settings for the Illumina recommended thermal  cycler  as well as other comparable models  If your lab has a thermal cycler that is not  listed  validate the thermal cycler before performing the TruSight Tumor 26 protocol     Thermal Cycler Temp Mode Lid Temp Vessel Type  Bio Rad DNA Engine Calculated Heated  Constant Polypropylene plates  Tetrad 2 at 100  C and tubes  MJ Research DNA Calculated Heated Plate  Engine Tetrad   no longer available  for purchase   Eppendorf Gradient S  Heated Plate  Mastercycler Pro S Simulated Tube  y NOTE    The gDNA qPCR evaluation was optimized on the Illumina Eco Real Time PCR System and  the Bio Rad CFX396 System  If using other machines  verify the protocol bef
40. ible fields of use  the  Core IP     Application Specific IP and Core IP are separate  non overlapping  subsets of all IIlumina owned or controlled  intellectual property  By way of non limiting example  Illumina intellectual property rights for specific diagnostic  methods  for specific forensic methods  or for specific nucleic acid biomarkers  sequences  or combinations of  biomarkers or sequences are examples of Application Specific IP   Consumable s   means Illumina branded  reagents and consumable items that are intended by Illumina for use with  and are to be consumed through the use  of  Hardware   Documentation  means Illumina s user manual for this Product  including without limitation   package inserts  and any other documentation that accompany this Product or that are referenced by the Product or in  the packaging for the Product in effect on the date of shipment from Illumina  Documentation includes this  document   Hardware  means Illumina branded instruments  accessories or peripherals   Illumina  means Illumina   Inc  or an Illumina affiliate  as applicable   Product  means the product that this document accompanies  e g    Hardware  Consumables  or Software    Purchaser  is the person or entity that rightfully and legally acquires this  Product from Illumina or an Illumina authorized dealer   Software  means Illumina branded software  e g    Hardware operating software  data analysis software   All Software is licensed and not sold and may be subject to  addi
41. illumina    Trusight   Tumor 26  Heference Guide    1a NV LYS CST A A AIT CAT PAGO R TAG eda cata AN TB OCC TORT e TATGAATTOAQITRARDAT DAC GTACCATTAAGAGCTAC    TGATAACAG IAACACACT TCTGTTAACCT TAAGAT TACTTGT TGATCCACTGATTCAACGTACCG TATCAAT TGAGAC TAAATAT TAACG TACCAT TAAGAGC TACCGTCTTCTGTTAACCTTAAGAT TACTTGATCCACTGATTCAACGTACCG  CAC T S T T A TT DEE  GAAAAGAATGATAAC AG TAACACACTTCTGTTAACCT T  LDL ACCG Eer Ae ACCGTAACGAACGTATCAAT TGAGACTAAATAT TAACGTACCAT TAAGAGCTAC   TGATAACAGTAACACACT TCTGTTAACCTTAAGAT T  ACT GATCCACTGATTCAACGTACCGTAACGAACG TATCAAT TGAGAC TAAATATTAACGTACCAT TAAGAGCTACCGTCTTCTGT TAACCT TAA CATH ACT TGATCCACTGATTCAAC  IFIGAGACTAAATAT AGG a  TAACCT IAAGAT TACT  GATCCACTGAI IGAAGG TACCGTAACGAACG IAT CAAT IGAGACTAAATATIAACGTACCAT IAAGAGC LT T L a E a S  El ee O BOOT Ne Ge LY EEN M G re CCGTAACGAACGTCTICTGTIAACCTTAAGATTACTTGATCCACTGATTCAACGTACCGTAACGAA O EE e T Der    CTAAATA CGTACCAT TAAGAGCTACAACCT T   TTGATCCACTGATTCAACGTACCGTAACGAACGTATCAAT TGAGACTAAATAT TAACG TACCAT TAAGAGC TACCGTGCAACGACGAAAAGAA GTAACAC  IGATAACAGTAACAGAGT e TI GATOCACTGA TOMOS TACOGTAAQGARCO E E er 2  e eer GATTACTTGATCCACT  ATTE AE UAE RAGA ACTA OAA H AAAT  AT AER ACCATTAAGAGCTACCGTGCAACGACGAACTTCTGTTAACCT TAAGAT TACT T ion     GCTACCGTGCAACGAAAATAA   AAGATTACTTGATCCACTGATICAACG AACCTTAAGATTACTTGATCCACTGAT TCAACGTACCGTAACGAACGTATCAATTGAGAC TAAGC TACCGTGCAACGACGAAAAGAA  GARAAGAATGATARCAGTAACACACTICIGT IAAGC LTAAGAT TACT TGATCGAG GAT EE  RAG ARRON CTICTGTTAACCTT EE Eh ACCGTAACGAACGTATCAATTGAG
42. ilute so that the volume of the final 4 nM working stock is  at least 20 ul     SAFE STOPPING POINT  If you are stopping  seal the plate and store at  25 C to  15  C for up to 7 days     TruSight Tumor 26 Reference Guide 2 T    uonezi euJoN Aeq    Protocol    Library Denaturing and Pooling    Preparation    In preparation for cluster generation and sequencing  equal volumes of normalized library  are combined  diluted in Hybridization Buffer  and heat denatured before sequencing on the  MiSeq System  PhiX is used as an internal control for sequencing     Consumables    1    EBT  Elution Buffer with Tris    HT1  Hybridization Buffer    2 ul 10 nM PhiX Library   Laboratory grade water   2 5 L ice bucket   Microcentrifuge tubes  screw cap recommended   PCR 8 tube strip   Stock 1 0 N NaOH  diluted to 0 1 N NaOH     Prepare the following consumables   Item Storage Instructions  HT1  25  C to  15  C Thaw at room temperature  and then place in    an ice bath to chill     If the LNP plate was stored frozen  thaw at room temperature   Set a heat block with a microcentrifuge tube insert to 96  C     To prepare a fresh dilution of 0 1 N NaOH  add 100 ul stock 1 N NaOH toa   microcentrifuge tube containing 900 ul laboratory grade water    d NOTE  Using freshly diluted NaOH is essential to denature samples for cluster generation on  the MiSeq  Preparing a volume of 1 ml prevents small pipetting errors from affecting the  final NaOH concentration     Invert the tube several times to mix   
43. imer sequences  Using indexed  primers supplied with the kit  DNA templates are then amplified using PCR  The library  products are then pooled into a single tube  and sequenced on the MiSeq System     Figure 1 How the TruSight Tumor 26 Assay Works    Custom Custom    Probe 1 Region of interest Probe 2       4440M Aessy   y  seo MOH    Custom Custom    Probe 1 Probe 2             P7 X Index 1 Index 2  P5        B  P7 Index 1 Index2 P5    Hybridization of custom oligonucleotide probes  Extension and ligation   Addition of indexes and sequencing adapters by PCR  Final amplicon ready for sequencing on the MiSeq System    G 000 E    TruSight Tumor 26 Reference Guide 3    Overview    DNA Input Recommendations    Formalin fixed  paraffin embedded  FFPE  human tissues are a valuable source of material  for molecular analysis and clinical studies  Several processes and protocols now exist for  the extraction and purification of nucleic acids from FFPE samples  The assays used to  evaluate DNA and RNA have evolved from simple monoplex PCR to higher plexity  products  As a result  the quality and amount of nucleic acid extracted from FFPE material  becomes more critical to the success of these assays     The TruSight Tumor 26 assay can be used to generate sequencing libraries that are highly  multiplexed at both the target and sample level  The high level of assay complexity is  enabled by combining an oligo extension ligation process with universal PCR  Both of these  reactions requir
44. ina  SureMDA  TruGenome   TruSeq  TruSight  Understand Your Genome  UYG  VeraCode  verifi  VeriSeq  the pumpkin orange color  and the  streaming bases design are trademarks of Illumina  Inc  and or its affiliate s  in the U S  and or other countries  All other  names  logos  and other trademarks are the property of their respective owners     Patent pending for methods performed by components in this kit     For Research Use Only  not for any clinical or therapeutic use in humans or animals  a  This product includes GoTaq   Hot Start Polymerase manufactured by Promega A  Corporation for distribution by Illumina  Inc  Licensed to Promega Corporation under   U S  Patent Nos  5 338 671 and 5 587 287 and their corresponding foreign patents  Promega    Read Before Using this Product    This Product  and its use and disposition  is subject to the following terms and conditions  If  Purchaser does not agree to these terms and conditions then Purchaser is not authorized by Illumina  to use this Product and Purchaser must not use this Product     1 Definitions   Application Specific IP  means Illumina owned or controlled intellectual property rights that pertain  to this Product  and use thereof  only with regard to specific field s  or specific application s   Application Specific  IP excludes all Illumina owned or controlled intellectual property that cover aspects or features of this Product  or  use thereof  that are common to this Product in all possible applications and all poss
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46. or Oligo  Pools  FPA and FPB   The FPA and FPB libraries for each sample must be run together  on the same flow cell for the MiSeq software to analyze the results for each sample     L NOTE    Control libraries generated from ACD1 with ACP1 must be pooled and run separately  from those libraries prepared with FPA and FPB  as they require a longer MiSeq run of  151 cycles     Add 10 ul of IN NaOH to 140 ul EBT buffer  Vortex the solution     Transfer 5 ul of each 4 nM library to be sequenced from the LNP plate to its own tube  in a PCR 8 tube strip     E NOTE    After use  the sealed LNP plate can be stored at  25  C to  15  C for up to 7 days     Add 15 ul of the NaOH EBT solution to each 5 ul of library and incubate for 5 minutes  at room temperature     Label 1 microcentrifuge tube PAL  Pooled Amplicon Library    Add 10 ul of each of the 8 library NaOH EBT solutions into the PAL tube     Pipette to mix   Make sure that the pooled libraries are mixed well   Label 1 microcentrifuge tube DAL  Diluted Amplicon Library      In the DAL tube  mix 792 ul of HT1 with 8 ul of 20 pM PhiX library  Using the same  tip  pipette up and down 3 5 times to rinse the tip and ensure complete transfer     Add 8 ul from the PAL tube to the DAL tube containing HT1 and PhiX  Using the  same tip  pipette up and down 3 5 times to rinse the tip and ensure complete transfer     Vortex the DAL tube at top speed     L NOTE     You can make and save additional DAL from the remaining 72 ul of unused PAL  
47. ore use     Material   20000848  Part   15042911 v01    Index Sequences    Use the following sequences for entry on your MiSeq system sample sheet     17 Index PCR Primer Index Sequence  A701 ATCACGAC  A702 ACAGTGGT  A703 CAGATCCA  A704 ACAAACGG  A705 ACCCAGCA  A706 AACCCCTC  A707 CCCAACCT  A708 CACCACAC  A709 GAAACCCA  A710 TGTGACCA  A711 AGGGTCAA  A712 AGGAGTGG  A501 TGAACCTT  A502 TGCTAAGT  A503 TGTTCTCT  A504 TAAGACAC  A505 CTAATCGA  A506 CTAGAACA  A507 TAAGTICC  A508 TAGACCTA    TruSight Tumor 26 Reference Guide    39    seouenbes xepu     40    Material   20000848  Part   15042911 v01    Technical Assistance    For technical assistance  contact Illumina Technical Support     Table 1 Illumina General Contact Information    Website www illumina com    Email   techsupport illumina com    Table2 Ilumina Customer Support Telephone Numbers    Region Contact Number Region Contact Number  North America 1 800 809 4566 Italy 800 874909  Australia 1 800 775 688 Netherlands 0800 0223859  Austria 0800 296575 New Zealand 0800 451 650  Belgium 0800 81102 Norway 800 16836  Denmark 80882346 Spain 900 812168  Finland 0800 918363 Sweden 020790181  France 0800 911850 Switzerland 0800 563118  Germany 0800 180 8994 United Kingdom 0800 917 0041  Ireland 1 800 812949 Other countries  44 1799 534000    Safety data sheets  SDSs     Available on the Illumina website at  support illumina com sds html     Product documentation     Available for download in PDF from the Illumina website  Go  to supp
48. ortillumina com  select a product  then select Documentation  amp  Literature     TruSight Tumor 26 Reference Guide    9UB SISSY JEOIUYDS      E EE a E Ee    GATAACAGTAACACACT TC TGTTAACCT T  TIGTTGATCCACTGATTCAACGTACCG TATCAAT TGAGAC TAAATAT IAACGTACCAT TAAGAGCTACCGTCTTCTGTTAACCT TAAGAT TACTI GATCCAC TGATTCAACGTACCGI  GACT GATT GAACGACCAAGAT TACT IGATGCACT GAT I CAAGG TACUGTAACGAACGTAT CAAT GAGAC EE GTTAACCTTAAGAT TACTTGATCCACTGATTCAACGTACCGTAACGS  GAATGATAACAGTAACACACTTCTGTTAACCTTAAGAT TACTTGATCCACTGAT TCAACGTACCGTAAAGATTAC T TGATCCACTGAT TCAACGTACCGTAACGAACGTATCAAT TGAGAC T DEREN ACH BURA OPC AG Ts e   GATAACAGTAACACACT TCTGTTAACCTTAAGAT TACTTGATCCACTGAT TCAACGTACCGTAACGAACG TATCAAT TGAGAC TAAATATTAACG TACCAT TAAGAGCTACCGTCT TC TGT TAACCT TAAGATTACT T  CTGATT  ee EE as EE  El ee Kee E TAE LASTI EO ET SAU RA LO TRA UAR NARRA IET CTGTTAACCTT  AGAT BL ATA TTC ATE eS EH Roe L TT eU AACGACG   CTAAATA CATTAAGAGCTAC  TTACTTGATCCACTGATTCAACGTACCGTAACGAACQG TATCAAT TGAGACTAAATAT TAACG TACCAT TAAGAGCTACCGTGCAAC GAAAAG  AACAGTAACAC   GATAACAGTAACAGACTTCYGL IAACG  AGA TACT GATOCACTOA GAACGIAGOG TRAO GANGO IAI CAAT I GAGAG AAATAT TAACG TAGGAHARGAGG GGG TON TOTT TACT TANGATTACT TGATCUACT GAT ICAA  ACCA MSS TAC CAS vss  AACCTTAAGATTACTTGATCCACT IVRE RAS T AACGAACGTATCAAT TGAGACTAAATATTAACG TACCAT TAAGAGCTACCGTGCAACGACGAACT TCTGT T  A AAGAT TACTTGA   GCTACCGTGCAACGAAAATAACC lTAAGATTACT TGATCCACTGAT TCAACGTACTTCTGTTAACCTTAAGATTACTTGATCCACTGAT TCAACGTACCG TAACGAACGTATCAATTGAGAC TAAGCTACCGTG
49. r agrees not to  nor authorize any third party to  engage in  any of the following activities   i  disassemble  reverse engineer  reverse compile  or reverse assemble the Product    ii  separate  extract  or isolate components of this Product or subject this Product or components thereof to any  analysis not expressly authorized in this Product s Documentation   iii  gain access to or attempt to determine the  methods of operation of this Product  or  iv  transfer to a third party  or grant a sublicense  to any Software or any  third party software  Purchaser further agrees that the contents of and methods of operation of this Product are  proprietary to Illumina and this Product contains or embodies trade secrets of Illumina  The conditions and  restrictions found in these terms and conditions are bargained for conditions of sale and therefore control the sale of  and use of this Product by Purchaser     5 Limited Liability  TO THE EXTENT PERMITTED BY LAW  IN NO EVENT SHALL ILLUMINA OR ITS  SUPPLIERS BE LIABLE TO PURCHASER OR ANY THIRD PARTY FOR COSTS OF PROCUREMENT OF  SUBSTITUTE PRODUCTS OR SERVICES  LOST PROFITS  DATA OR BUSINESS  OR FOR ANY  INDIRECT  SPECIAL  INCIDENTAL  EXEMPLARY  CONSEQUENTIAL  OR PUNITIVE DAMAGES OF ANY  KIND ARISING OUT OF OR IN CONNECTION WITH  WITHOUT LIMITATION  THE SALE OF THIS  PRODUCT  ITS USE  ILLUMINA S PERFORMANCE HEREUNDER OR ANY OF THESE TERMS AND  CONDITIONS  HOWEVER ARISING OR CAUSED AND ON ANY THEORY OF LIABILITY  WHETHER IN  CONTRACT 
50. r tap on the bench to  mix  and then repeat this step     Incubate at room temperature without shaking for 2 minutes    Place the plate on the magnetic stand for 2 minutes    Transfer 40 ul of the supernatant from the CLP plate to the SGP plate   Centrifuge the SGP at 1 000 x g for 1 minute     NOTE   Store the SGP plate at room temperature during the library quantification and normalization  steps  After library normalization  store the SGP plate at  25 C to  15  C until ready to  quantify and normalize any remaining samples     TruSight Tumor 26 Reference Guide 2 5    dn ueal9 YOd    Protocol    Library Quantification    To achieve the highest quality of data on the Illumina MiSeq sequencing platform  it is  important to create optimum cluster densities  This step requires accurate quantification of  DNA libraries  Illumina recommends quantifying libraries generated from FFPE samples  using the Agilent Technologies Bioanalyzer 2100     Procedure    20    1    Load 1 ul of the resuspended library on an Agilent Technologies 2100 Bioanalyzer  using the Agilent DNA 1000    Refer to the Agilent DNA Kit Guide  Part Number G2938 90014  and Agilent DNA  1000 Kit Quick Start Guide  Part Number G2938 90015  for complete instructions on  using the Agilent Technologies 2100 Bioanalyzer     Check the size and purity of the sample  The expected final product is a band at  300   330 bp  as in Figure 5    If generating libraries using ACP1  the expected final product is present at  350 380
51. repare the IAP  Indexed Amplification Plate  as described in the  following section     TruSight Tumor 26 Reference Guide 1 9    soBIJO punog jo uoneB6r 1 uoisue1Xx3    Protocol    PCR Amplification    In this step  the extension ligation products are amplified using primers  These primers add  index sequences for sample multiplexing  i5 and i7  as well as common adapters required    for cluster generation  P5 and P7      Consumables    PMM2  PCR Master Mix 2    i5 primers  A501 A508    i7 primers  A701 A712    TDP1  TruSeq DNA Polymerase 1    0 05 N NaOH  freshly prepared from 10 N NaOH   96 well skirted PCR plate   Microseal  B  adhesive film   Troughs    Preparation    20     1    Prepare the following consumables     Item Storage Instructions   PMM2  25  C to  15  C Thaw at room temperature  Vortex to mix  and  then briefly centrifuge    Thaw at room temperature  Vortex each tube to    Index primers  25  C to  15  C  mix  and then briefly centrifuge      i5 and i7   To prepare fresh 0 05 N NaOH  add 20 ul of 10 N NaOH to 3 98 ml of sterile water     Arrange the index primers in the TruSeq Index Plate Fixture  as follows   Index 1  i7  adapters  A701 A712  in columns 1 12  Index 2  i5  adapters  A501 A508  in rows A H  Collect all liquid in the bottoms of the tubes by holding them in place in the rack and  tapping it against the bench   d NOTE    If fewer than 48 samples  96 reactions  are being prepared or alternate index  combinations are being employed  the Index Plate 
52. request Illumina will attempt to pass through such indemnity  if any  to Purchaser     TruSight Tumor 26 Reference Guide V    Revision History    Document Date  Material   20000848 September  Document    15042911 2015  v01    Part   15042911 Rev  A May 2013    TruSight Tumor 26 Reference Guide    Description of Change      Updated to new library prep style      Rebranded to TruSight Tumor 26      Corrected Consumables list in Library Denaturing and Pooling  section    Removed 1X TE and replaced with EBT to match  protocol      Corrected Box 2 and Box 3 in TruSight Tumor 26 Kit      Updated Consumables list      Added Deparaffinization Solution  OLAamp DNA FFPE  Tissue Kit  and KAPA SYBR FAST qPCR Master Mix  2X    Universal       Removed 100x TE Buffer      Corrected PhiX control kit name to PhiX Control v3 and  corrected the catalog number     Initial release     Material   20000848  Part   15042911 v01    Table of Contents    Revision History Lo ooooocccccccccccocccccccccccccccccncccncnccnnc cnn rrr rrr vi   Table of Contents 200000    cee cece cece cece cece cece cece ce cece noraa narenn viii   Chapter 1 Overview    1  Introduction      2   How Does the Assay Work  3   DNA Input Recommendations        22 22  e cece eee ccceee cece cecccceeee 4   Additional Resources    5  Es An 7  INrOdUCHON       8   Tips and Techniques         aaea aaaea araar naonana 9   TruSight Tumor 26 Workflow      10   Qualification of DNA Extracted from FFPE Samples                               
53. t to 40  C can  adversely affect hybridization     TruSight Tumor 26 Reference Guide 1 5      004 OBIJO jo uonezipugAH    Protocol    Remove Unbound Oligos    This process removes unbound oligos from genomic DNA using a filter capable of size  selection  Two wash steps using SW1 ensure complete removal of unbound oligos  A third  wash step using UB1 removes residual SW1 and prepares samples for the extension   ligation step     Consumables  ELM4  Extension Ligation Mix 4   SW1  Stringent Wash 1   UB1  Universal Buffer 1   Filter plate with lid  keep spare filter plates as general lab supplies   Adapter collar  reusable   Midi plate  Troughs    Y y WARNING  This set of reagents contains formamide  an aliphatic amide that is a probable  reproductive toxin  Personal injury can occur through inhalation  ingestion  skin contact   and eye contact  Wear protective equipment  including eye protection  gloves  and  laboratory coat  Handle used reagents as chemical waste and discard in accordance with  the governmental safety standards for your region  For environmental  health  and safety  information  see the SDS for this kit at support illumina com sds html     Y WARNING  This set of reagents contains   mercaptoethanol  Perform the following procedure in a hood  or well ventilated area     Preparation    16    1 Prepare the following consumables   Item Storage Instructions  ELM3  25  C to  15  C Thaw at room temperature for  20 minutes   sw1 2  C to 8  C Set aside at room temperatur
54. that  it confirms is covered by this warranty  Repaired or replaced Consumables come with a 30 day warranty   Hardware may be repaired or replaced with functionally equivalent  reconditioned  or new Hardware or  components  if only a component of Hardware is non conforming   If the Hardware is replaced in its  entirety  the warranty period for the replacement is 90 days from the date of shipment or the remaining  period on the original Hardware warranty  whichever is shorter  If only a component is being repaired or  replaced  the warranty period for such component is 90 days from the date of shipment or the remaining  period on the original Hardware warranty  whichever ends later  The preceding states Purchaser s sole  remedy and Illumina s sole obligations under the warranty provided hereunder    Third Party Goods and Warranty  Illumina has no warranty obligations with respect to any goods  originating from a third party and supplied to Purchaser hereunder  Third party goods are those that are  labeled or branded with a third party s name  The warranty for third party goods  if any  is provided by  the original manufacturer  Upon written request Illumina will attempt to pass through any such warranty to  Purchaser     Indemnification     a    Infringement Indemnification by Illumina  Subject to these terms and conditions  including without  limitation  the Exclusions to Illumina s Indemnification Obligations  Section 9 b  below   the Conditions to  Indemnification Obligatio
55. tional terms found in the Software s end user license agreement   Specifications  means Illumina s written  specifications for this Product in effect on the date that the Product ships from Illumina     2 Research Use Only Rights  Subject to these terms and conditions and unless otherwise agreed upon in writing by  an officer of Illumina  Purchaser is granted only a non exclusive  non transferable  personal  non sublicensable right  under Illumina s Core IP  in existence on the date that this Product ships from Illumina  solely to use this Product in  Purchaser s facility for Purchaser s internal research purposes  which includes research services provided to third  parties  and solely in accordance with this Product s Documentation  but specifically excluding any use that  a   would require rights or a license from Illumina to Application Specific IP   b  is a re use of a previously used  Consumable   c  is the disassembling  reverse engineering  reverse compiling  or reverse assembling of this  Product   d  is the separation  extraction  or isolation of components of this Product or other unauthorized analysis  of this Product   e  gains access to or determines the methods of operation of this Product   f  is the use of non   Illumina reagent consumables with Illumina s Hard ware  does not apply if the Specifications or Documentation state  otherwise   or  g  is the transfer to a third party of  or sub licensing of  Software or any third party software  AII    Material   20
56. ughs    About Reagents    Using ACPD1 and ACP1 enables Illumina Technical Support to troubleshoot in the  event you need assistance  Illumina technical support recommends including control  samples in your assay periodically to establish baselines and monitor overall  performance    If you are using controls  use ACDI instead of gDNA and ACP1 instead of FPA and  FPB    ACP1 is specific for Homo sapiens and does not work with DNA from other species     Preparation    14    1    Prepare the following consumables     Item Storage Instructions    Optional  ACD1  25  C to  15  C Thaw at room temperature for up to 30  minutes     Optional  ACP1  25  C to  15  C Thaw at room temperature for up to 30  minutes    FPA  25  C to  15  C Thaw at room temperature for up to 30  minutes    FPB  25  C to  15  C Thaw at room temperature for up to 30  minutes    OHS3  25  C to  15  C Thaw at room temperature  If precipitate is    observed  incubate at 37  C for 10 minutes and  vortex for 1 minute  Repeat as needed until  precipitate is no longer visible     Material   20000848  Part   15042911 v01    Procedure  1    oN O OF    Item Storage Instructions  Genomic DNA  25  C to  15  C Thaw at room temperature for up to 30  minutes     Place thawed tubes on ice   Set a 96 well heat block to 95  C   Label a new 96 well PCR plate  HYP_Plate_ID      Dilute 10 ul of genomic DNA extracted from FFPE samples   Use the following table to determine the fold dilution required for each calculated delta  Ca   
57. warranty for the Hardware unless the upgrade was    TruSight Tumor 26 Reference Guide    9    conducted by Illumina at Illumina s facilities in which case the upgraded Hardware shipped to Purchaser  comes with a Base Hardware Warranty    Exclusions from Warranty Coverage  The foregoing warranties do not apply to the extent a non   conformance is due to  i  abuse  misuse  neglect  negligence  accident  improper storage  or use contrary to  the Documentation or Specifications   ii  improper handling  installation  maintenance  or repair  other than  if performed by Illumina s personnel    iii  unauthorized alterations   iv  Force Majeure events  or  v  use  with a third party s good not provided by Illumina  unless the Products Documentation or Specifications  expressly state such third party s good is for use with the Product     Procedure for Warranty Coverage  In order to be eligible for repair or replacement under this warranty  Purchaser must  i  promptly contact Illumina s support department to report the non conformance   ii   cooperate with Illumina in confirming or diagnosing the non conformance  and  iii  return this Product   transportation charges prepaid to Illumina following Hlumina s instructions or  if agreed by Illumina and  Purchaser  grant Illumina s authorized repair personnel access to this Product in order to confirm the non   conformance and make repairs    Sole Remedy under Warranty  Illumina will  at its option  repair or replace non conforming Product 
    
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