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        33740 - Protocol (48 reactions)
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1.   e Using a lower volume of sample RNA than recommended may affect the sensitivity of the HIV  Limit of Detection   e To avoid any contamination while preparing the RT 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 RT PCR Negative Control  Table 1   2  Prepare the RT PCR HIV Assay  Table 2   3  Prepare the RT PCR Positive Control Dilution Series  Table 3   4  Prepare the RT PCR Positive Control Assay  Table 4   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 RNA  or Positive Control      1  For each RT PCR set  prepare one no template control RT PCR as shown in Table 1 below     Table 1  RT PCR Negative Control Preparation       RT PCR Components Volume Per RT PCR Reaction       Nuclease Free Water 8 uL                Total Volume 20 uL       2  Prepare the RT PCR reaction for sample detection as shown in Table 2 below  The  recommended amount of sample RNA to be used is 2 5 uL  However  a volume between 1  and 5 uL of sample RNA may be used as template  Adjust the final volume of the RT PCR  reaction to 20 uL using the Nuclease Free Water provided     Table 2  RT PCR HIV Assay Preparation                      RT PCR Components Volume Per RT PCR Reaction  Nuclease Free Water 5 5 uL   Sample RNA 2 5 uL   Total Volume 20 uL               
2.  3  For each RT PCR set  prepare a Positive Control dilution series as shown in Table 3 below     Table 3  RT PCR Positive Control Dilution Series Preparation                      3 Volume of Nuclease Free Volume of PosC of Different  nN Copies par mL Water Concentration  2x 104 Original PosC  No dilution Original PosC  No dilution  Required Required  2x 10   18 uL 2 uL of PosC  2 x 10   2 x 10   18 uL 2 uL of PosC  2 x 10     2x10  18 uL 2 uL of PosC  2 x 10     2x10   18 uL 2 uL of PosC  2 x 10                     4  Using the Positive Control dilution series prepared above  prepare positive control PCRs as shown  in Table 4 below     Table 4  RT PCR Positive Controls Preparation       PCR Components Volume Per PCR Reaction                Nuclease Free Water 3 uL       Total Volume 20 uL  NOTE  Set up one reaction for each of the PosC dilution       C  HIV RT PCR Assay Programming  1  Program the thermocylcer according to the program shown in Table 5 below   2  Run one step RT PCR     Table 5  HIV Assay Program                               One Step RT PCR Cycle   Step   Temperature   Duration  Cycle 1 Step 1 50  C 25 min  Cycle 2 Step 1 95  C 5 min  Step 1 94  C 15 sec  Cycle 3  40x  Step 2 60  C 30 sec  Step 3 72  C 45 sec  Cycle 4 Step 1 72  C 5 min  Cycle 5 Step 1 4  C eo                   D  HIV RT PCR Assay Interpretation   e For real time analysis  use the analysis software of the thermocycler to generate a  standard curve using the Ct values of the Positive Control 
3.  Circulating RNA and Exosomal Purification Kit   Cat  42800   Plasma Serum RNA Purification Kit  Cat  55000      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  RNA  This will help to prevent the carry over of any ethanol into the purified RNA  as ethanol is  known to be a strong inhibitor of PCR  Ensure that any traces of ethanol from the sample  preparation steps are eliminated prior to the elution of the RNA     B  RT PCR Assay Preparation    Notes Before Use    e Before use  suitable amounts of all RT 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 Real Time RT PCR Master Mix provided is enough for up to 96 RT PCR  reactions  48 sample RT PCR  32 positive control standard curve RT PCR and 16 no template  control RT PCR     e For every RT PCR run  one reaction containing the non diluted HIV Positive Control and one  reaction as no template control must be included for proper interpretation of results    e For quantitative interpretation  a dilution series of the positive control RNA should be generated   instruction provided below     e The recommended minimum number of RNA samples tested per RT PCR run is 6   
4.  HIV infects primarily vital cells  in the human immune system such as helper T cells  CD4  T cells   macrophages  and dendritic  cells  HIV progresses to AIDS at a variable rate affected by viral  host  and environmental factors   HIV specific treatment delays this process  Most people will progress to AIDS within 10 years of  HIV infection  however others will progress much sooner while some will take much longer   Treatment with anti retrovirals increases the life expectancy of people infected with HIV  In 2013   around 12 9 million people living with HIV  37  of the total  had access to antiretroviral therapy     Product Description   Norgen   s HIV Quantitative RT PCR Kit is a research use only diagnostic test for the detection of  HIV specific RNA transcripts  The kit could be used for quantification of HIV RNA using end point  RT PCR  gel electrophoresis based  or real time RT PCR  detected via SYBR Green    with the  Primer Set and the Master Mix provided with the kit via amplification of a 142 nt region of the HIV  RNA genome  In addition  the kit contains a quantified Positive Control  PosC  20 000 copies per  uL  that can be used for construction of a dilution series for HIV RNA quantification     Norgen   s HIV Quantitative RT PCR Kit was developed and validated to be used with the following  PCR instruments    e Qiagen Rotor Gene Q   e BioRad iCycler   e BioRad CFX96 Touch    Kit Components    Component Product   33740  48 Samples                    2X Real Time 
5. 6  Phone   905  227 8848  Fax   905  227 1061  Toll Free in North America  1 866 667 4362      2014 Norgen Biotek Corp  PI33740 1    
6. Dilution Series  The standard  curve can then be used to determine the starting quantity of the sample of interest    e For the analysis of the end point RT PCR data  the entire 20 uL RT PCR reaction should  be loaded on a 1X TAE 2  Agarose DNA gel along with 10 uL of Norgen   s DNA Marker   provided     e The RT 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 target amplicon  o Positive Control shows the 142 bp band  o Positive Control shows the 142 bp band even it is diluted to as little as 20 copies  per uL  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 10 10   105 104 10  102 10  109 Nes   mM    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 np bp band represented by the provided DNA  Marker  M   No amplification of the target is obs
7. RT PCR Master Mix 1 mL  HIV Primer Set Mix 300 uL  HIV Positive Control 100 uL  Nuclease Free Water 1 25 mL  DNA Ladder 200 uL  Product Insert 1                Storage Conditions and Product Stability    The HIV Quantitative RT PCR Kit is shipped on dry ice  The components of the kit  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    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 or Real Time PCR Instrument  RNA Purification Kit  o The kit is compatible with all RNA purification kits that yield high quality  inhibitor   free DNA  o Recommended Purification Kit  Norgen Biotek   s purification kits for RNA  isolation  including     Total RNA Purification Kit   Cat  17200    Plasma  Serum Circulating RNA and Exosomal Purification Kit   Cat   42800    Plasma Serum RNA Purification Kit   Cat  55000  Disposable powder free gloves  Benchtop microcentrifuge  Micropipettors  Sterile pipette tips with filte
8. eagents and add it to the reaction mix in a spatially separated facility     e Dispose of unused kit reagents and human specimens according to local  provincial or  federal regulations     e 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     e The presence of PCR inhibitors may cause false negative or invalid results     e Potential mutations within the target regions of the HIV 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 RNA is the starting material for Norgen   s HIV Quantitative RT PCR Kit  The quality of the  RNA template will have a major impact on the performance of the diagnostic test  The user must  ensure that the method used for RNA purification is compatible with RT PCR technology  We  recommend the use of Norgen   s purification kits for RNA isolation  including Norgen   s Total RNA  Purification Kit  Cat  17200   Plasma Serum
9. erved in with the Negative Control       Amplification          Figure 2  A representative RT qPCR baseline graph showing the successful amplification of a  dilution series of HIV Positive Control     E  Specificity   The specificity of Norgen   s HIV Quantitative RT PCR Kit is first and foremost ensured by the  selection of the HIV specific primers  as well as the selection of stringent reaction conditions  The  primers were checked for possible homologies to all GenBank 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   HIV     F  Linear Range   e The linear range  analytical measurement  of Norgen   s HIV Quantitative RT PCR Kit was  determined by analysing a dilution series of a HIV quantification standard ranging from 1  x 10    copes l to 1 x 10   copies l    e Each dilution has been tested in replicates  n   4  using Norgen   s HIV Quantitative RT   PCR Kit on 1X TAE 1 7  Agarose gel    e The linear range of Norgen   s HIV Quantitative RT PCR Kit has been determined to cover  concentrations from 1 x 10   copies ul to at least 1 x 10   copies l 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 F
10. 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 Quantitative RT PCR Detection Kit Product Insert  Product   33740    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 blood  semen  vaginal fluid  pre ejaculate  or breast milk  Within these bodily  fluids  HIV is present as both free virus particles and virus within infected immune cells  The four  major routes of transmission are unsafe sex  contaminated needles  breast milk  and  transmission from an infected mother to her baby at birth  vertical transmission   Screening of  blood products for HIV has largely eliminated transmission through blood transfusions or infected  blood products in the developed world  HIV infection in humans is considered pandemic by the  World Health Organization  WHO   Since its discovery in 1981  AIDS has infected over 78 million  people  and 39 million people have died  Currently  an estimated 0 8  of adults aged 15 49  years worldwide are living with HIV  In 2013 alone  AIDS claimed an estimated 1 5 million lives   and an estimated 2 1 million people were newly infected with HIV 
11. ree 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    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     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 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  Quantitative RT 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 4Y
12. rs  PCR tubes  Vortex mixer  Agarose gel electrophoresis apparatus  End Point PCR   UV transilluminator with suitable gel documentation system  End Point PCR     Quality Control   In accordance with Norgen   s ISO 9001 and ISO 13485 certified Quality Management System   each lot of Norgen   s HIV Quantitative RT PCR Kit is tested against predetermined specifications  to ensure consistent product quality     Warnings and Precautions    Follow 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     e 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     e Store and extract positive material  specimens  controls and amplicons  separately from  all other r
    
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