Plasma-Serum HPV (High and Low Risk)
Contents
1. The isolated plasma has to be transferred into sterile polypropylene tubes e The sensitivity of the assay can be reduced if you freeze the samples as a matter of routine or store them for a longer period of time e Virus encapsulated DNA is stable for days if stored at 4 C for weeks if stored at 20 C and even for months and years when stored at 70 C 3 Sample Transport e Sample material should be transported in a shatterproof leak proof transport container as a matter of principle Thus a potential danger of infection due to a leakage of sample can be avoided e The samples should be transported following the local and national instructions for the transport of pathogen material e We recommend sample transport with a courier The blood samples should be shipped cooled 2 C to 8 C and the separated plasma deep frozen 20 C 4 Interfering substances e Elevated levels of bilirubin 15 mg dl and lipids 800 mg dl and haemolytic samples do not influence the system e Heparin 10 IU ml affects the PCR Samples which have been collected in tubes containing heparin as an anticoagulant should not to be used Also samples of heparinised patients must not be used B Isolation of DNA from Plasma Serum Notes e Ensure that all solutions are at room temperature prior to use and that no precipitates have formed If necessary warm the solutions and mix well until the solutions become clear again e Clean disposable gloves s2. advanced or specialized uses of our products This information is helpful to other scientists as well as to the researchers at NORGEN We therefore encourage you to contact us if you have any suggestions about product performance or new applications and techniques For technical assistance and more information please contact our Technical Support Team between the hours of 8 30 and 5 30 Eastern Standard Time at 905 227 8848 or Toll Free at 1 866 667 4362 or call one of the NORGEN local distributors www norgenbiotek com or through email at techsupport norgenbiotek com 3430 Schmon Parkway Thorold ON Canada L2V 4Y6 Phone 905 227 8848 Fax 905 227 1061 Toll Free in North America 1 866 667 4362 2014 Norgen Biotek Corp P131600 5 10
3. program shown in Table 4 below 2 Run one step PCR Table 4 HPV High Risk PCR Assay Program PCR Cycle Step Temperature Duration Cycle 1 Step 1 95 C 3 min Step 1 94 C 15 sec Cycle 2 40x Step 2 60 C 30 sec Step 3 72 C 45 sec Cycle 3 Step 1 72 C 5 min Cycle 4 Step 1 4 C o E HPV PCR Assay Interpretation 1 For the analysis of the PCR data the entire 20 uL PCR reaction should be loaded on a 1X TAE 2 Agarose DNA gel along with 10 uL of Norgen s DNA Marker provided 2 The PCR products should be resolved on the 1X TAE 2 Agarose gel at 150V for 30 minutes Gel running time will vary depending on an electrophoresis apparatus M 1 2 3 4 5 6 7 8 ve M Figure 1 A representative 1X TAE 2 agarose gel showing the amplification of HPV at different concentrations The size of the HPV target amplicon corresponds to the 280 bp band represented by the provided DNA Marker M No amplification of the target is observed in with the Negative Control 4 5 6 NTC _ Isolation Control PCR Control Figure 2 A representative 1X TAE 1 7 agarose gel showing the amplification of Isolation Control and PCR Control under different conditions using the Control 2X PCR Master Mix The size of the Isolation Control amplicon and PCR Control amplicon correspond to 499 bp and 150 bp respectively as represented by the provided DNA Marker M Lanes 1 to 5 showed detection of bot
4. the principal HPVs detectable in the remaining cancers Principle of the Test Norgen s Plasma Serum HPV High and Low Risk PCR Detection Kit constituents a ready to use system for the isolation and detection of 18 HPV DNA groups low risk HPV types 6 11 42 43 44 and high intermediate risk HPV types 16 18 31 33 35 39 45 51 52 56 58 59 68 using end point PCR The kit first allows for the isolation of total DNA including viral DNA from the plasma serum samples using spin column chromatography based on Norgen s proprietary resin The viral DNA is isolated free from inhibitors and can then be used as the template in a PCR reaction for HPV and HPV Low Risk detection using the provided HPV Master Mix The HPV Master Mix contains reagents and enzymes for the specific amplification of a 280 bp region of HPV High and Low Risk In addition Norgen s Plasma Serum HPV High and Low Risk PCR Detection Kit contains a second heterologous amplification system to identify possible PCR inhibition and or inadequate isolation The amplification and detection of either the HPV Isolation Control IsoC or the PCR control PCRC does not reduce the detection limit of the analytical HPV High and Low Risk PCR The kit is designed to allow for the testing of 24 samples Kit Components Component Contents Lysis Solution 30 mL Binding Solution 1 6 mL Binding Solution 2 6 mL Wash Solution 22 mL Elution Buffer 3 mL Mini Filter S
5. thoroughly at room temperature before starting an assay e When thawed mix the components and centrifuge briefly e Work quickly on ice Quality Control In accordance with Norgen s ISO 9001 and ISO 13485 certified Quality Management System each lot of Norgen s HPV 2X PCR Master Mix Control 2X PCR Master Mix Isolation Control IsoC and HPV Positive Control PosC are tested against predetermined specifications to ensure consistent product quality Product Use Limitations Norgen s Plasma Serum HPV High and Low Risk PCR Detection Kit is designed for research purposes only It is not intended for human or diagnostic use Product Warranty and Satisfaction Guarantee NORGEN BIOTEK CORPORATION guarantees the performance of all products in the manner described in our product manual The customer must determine the suitability of the product for its particular use Safety Information Ensure that a suitable lab coat disposable gloves and protective goggles are worn when working with chemicals For more information please consult the appropriate Material Safety Data Sheets MSDSs These are available as convenient PDF files online at www norgenbiotek com The Lysis Solution Binding Solution 1 and Binding Solution 2 contain guanidine hydrochloride and should be handled with care Guanidine hydrochloride forms highly reactive compounds when combined with bleach thus care must be taken to properly dispose of any of these solutions If l
6. ear range analytical measurement of Norgen s Plasma Serum HPV High and Low Risk PCR Detection Kit was determined by analyzing a dilution series of an HPV quantitative standard ranging from 8 46 x 10 VP ul to 1 x 107 IU ul e Each dilution has been tested in replicates n 4 using Norgen s Plasma Serum HPV High and Low Risk PCR Detection Kit on 1X TAE 1 7 Agarose gels e The linear range of Norgen s Plasma Serum HPV High and Low Risk PCR Detection Kit has been determined to cover concentrations from 2 7 VP ul to at least 8 x 10 VP ul e Under the conditions of Norgen s Plasma Serum DNA Isolation procedure Norgen s Plasma Serum HPV PCR detection Kit covers a linear range from 200VP mL Plasma Serum to at least 8 x 10 VP mL Plasma Serum G Frequently Asked Questions 1 How many samples should be included per PCR run e Norgen s Plasma Serum HPV High and Low Risk PCR Detection Kit is designed to test 24 samples For every 6 samples a Negative Control and a Positive Control must be included It is preferable to pool and test 6 samples at a time If not the provided Negative Control and Positive Control are enough to run 3 samples at a time 2 How can interpret my results for a sample if neither the HPV PCR Control nor the HPV Isolation Control IsoC amplifies e f neither the HPV PCR control nor the HPV Isolation Control IsoC amplifies the sample must be re tested If the positive control showed amplificati
7. g DR NORGEN BIOTEK wi CORPORATION 3430 Schmon Parkway Thorold ON Canada L2V 4Y6 Phone 866 667 4362 e 905 227 8848 Fax 905 227 1061 Email techsupport norgenbiotek com Plasma Serum HPV High and Low Risk PCR Detection Kit Product Insert Product 31600 More than 70 types of human papillomavirus HPV have been identified and are generally classified as high risk or low risk depending on their relationship or lack of relationship with cancer and high grade cervical intraepithelial neoplasia CIN 2 3 HPV viruses are predominantly sexually transmitted and high risk HPV types are a major risk factor for development of cervical cancer Low risk HPV types 6 and 11 have been associated with the presence of genital warts There are many other low risk HPV types that are not associated with genital warts or cervical cancer Until now HPV cannot be cultured in vitro and immunological tests are inadequate to determine the presence of HPV cervical infection On the other hand biopsies can be analyzed by nucleic acid hybridization to directly detect the presence of HPV DNA HPV 16 and HPV 18 have been considered as high risk cancer associated HPV types HPV types 31 33 and 35 have been shown to have an intermediate relationship with cancer These five HPV types together account for about 80 of cervical cancers Additional high and intermediate risk HPV DNA types including types 39 45 51 52 56 58 59 and 68 have been identified as
8. h Isolation Control and PCR Control suggesting that the DNA isolation as well as the PCR reaction was successful Lane 6 showed only the detection of PCR Control suggesting that while the PCR was successful the isolation failed to recover even the spiked in Isolation control NTC Negative Control Table 5 Interpretation of PCR Assay Results Input Type Target Reaction Control Reaction Interpretation HPV High and Low IsoC Band PCRC Band Risk Target Band 499bp 150 bp 280 bp Positive Control X X X Valid Negative j Control 5 valid Sample X X X Positive Sample X X Negative Sample X Negative Sample X Re Test Sample Re Test Sample X X Positive Sample X X Positive Sample X Re Test For results obtained that are not covered in Table 5 above please refer to the Troubleshooting Section Ignore any bands that appear between the Isolation Control band and the PCR Control band F Specificity e The specificity of Norgen s Plasma Serum HPV High and Low Risk PCR Detection Kit is first and foremost ensured by the selection of the HPV specific primers as well as the selection of stringent reaction conditions The primers were checked for possible homologies in GenBank published sequences by sequence comparison analyses Furthermore the specificity of the HPV specific primers were tested against most of the known sexually transmitted pathogens G Linear Range e The lin
9. hould be worn at all times when handling reagents samples pipettes disposable tubes etc It is recommended that gloves are changed frequently to avoid contamination e All centrifugation steps are performed at room temperature e A variable speed centrifuge should be used for maximum kit performance If a variable speed centrifuge is not available a fixed speed centrifuge can be used however reduced yields may be observed e Preheat an incubator or heating block to 60 C e Prepare a working concentration of the Wash Solution by adding 50 mL of 96 100 ethanol provided by the user to the supplied bottles containing the concentrated Wash Solution This will give a final volume of 72 mL The labels on the bottles have a box that may be checked to indicate that the ethanol has been added e Ensure that samples have not undergone more than one freeze thaw cycle as this may lead to DNA degradation e Binding Solution 1 contains resin and must be mixed well before every pipetting e This kit is suitable for the isolation of DNA from fresh or frozen serum or plasma prepared from blood collected on either Heparin EDTA or citrate e Isolation Control IsoC e An Isolation Control IsoC is supplied This allows the user to control the DNA isolation procedure For this assay add the Isolation Control IsoC as indicated during the isolation procedure e The Isolation Control IsoC must not be added to the sample material directly e Do not free
10. iquid containing these buffers is spilt clean with suitable laboratory detergent and water If the spilt liquid contains potentially infectious agents clean the affected area first with laboratory detergent and water and then with 1 v v sodium hypochlorite Plasma or Serum of all human and animal subjects is considered potentially infectious All necessary precautions recommended by the appropriate authorities in the country of use should be taken when working with plasma or serum 1 Protocol A Specimen Collection Storage and Transport Precaution All samples have to be treated as potentially infectious material 1 Specimen Collection and Sample Storage e Blood withdrawal causes injury of blood vessels arteries veins and capillaries e Only safe and sterile material should be used e For blood withdrawal appropriate disposables are available For the vein puncture too fine capillary needles should not be employed e Venous blood withdrawal should be carried out on the appropriate parts of the elbow bend the forearm or the back of the hand e Blood has to be withdrawn with standard specimen collection tubes red cap Sarstedt or equivalent tube of another manufacturer 5 10 ml EDTA blood should be withdrawn Precaution Samples of heparinised humans must not be used 2 Sample Storage e Whole blood should be separated into plasma and cellular components by centrifugation for 20 minutes at 800 1 600 x g within six hours
11. may not affect the DNA yields EXCEPT if more Elution Buffer was added Eluting DNA in higher volumes of Elution Buffer will result in diluting your DNA 10 What If my incubation temperature varied from the specified 60 C e The incubation temperature can be in the range of 55 C 65 C At other temperatures the activity of both the Proteinase K and the Pronase will be reduced This will result in a reduction in your DNA yields 11 What If my incubation varied from the 20 minutes specified in the product manual e Less than 20 minutes will result in lower DNA yields More than 20 minutes may not affect your DNA yields 12 What If forgot to do a dry spin after my second wash e Your first DNA elution will be contaminated with the Wash Solution This may dilute the DNA yield in your first elution and it may interfere with your down stream applications 13 What If I forgot to add the HPV Isolation Control IsoC during the isolation e The isolation must be repeated Technical Assistance NORGEN s Technical Service Department is staffed by experienced scientists with extensive practical and theoretical expertise in sample and assay technologies and the use of NORGEN products If you have any questions or experience any difficulties regarding Norgen s Plasma Serum HPV High and Low Risk PCR Detection Kit or NORGEN products in general please do not hesitate to contact us NORGEN customers are a valuable source of information regarding
12. on then the problem occurred during the isolation where as if the Positive control did not amplify the problem has occurred during the setup of the PCR assay reaction 3 How should it be interpreted if only the HPV PCR control showed amplification but neither the HPV target nor the HPV Isolation Control IsoC amplified for a sample e This indicates a poor isolation The isolation procedure must be repeated 4 How should it be interpreted if only the HPV Isolation Control IsoC was amplified in a sample e The sample tested can be considered as HPV negative 5 How should it be interpreted if only the HPV target and the HPV PCR control were amplified in a sample e The sample tested can be considered as HPV positive 6 How should it be interpreted if only the HPV target was amplified in a sample e The sample tested can be considered positive At high HPV viral load the HPV amplicon will be predominant and the HPV PCR control as well as the HPV Isolation control may not amplify 7 How should it be interpreted if only the HPV PCR control and the HPV Isolation Control IsoC showed amplification e The sample tested can be considered negative 8 Can process a different Plasma Serum volume e The reagents provided with the isolation kit are only sufficient to process 24 Plasma serum samples of 0 5mL each 9 What If added more or less of the specified reagents volume e Adding less volume may reduce your DNA yields Adding more
13. pin Columns 24 Collection Tubes 24 Elution tubes 1 7 mL 24 Nuclease Free Water 1 25 mL Norgen s DNA Marker 0 1 mL Product Insert IsoC lsolateion Control PosC Positive Control The isolation control is a cloned PCR product P The positive control is a fragment of HPV cloned in a plasmid Customer Supplied Reagents and Equipment e Disposable powder free gloves Benchtop microcentrifuge and 60 C incubator Micropipettors and Sterile pipette tips with filters PCR tubes 96 100 ethanol Storage Conditions and Product Stability All buffers should be kept tightly sealed and stored at room temperature 15 25 C for up to 1 year without showing any reduction in performance The HPV 2X PCR Master Mix Control 2X PCR Master Mix Isolation Control IsoC and HPV Positive Control PosC should be kept tightly sealed and stored at 20 C for up to 1 year without showing any reduction in performance Repeated thawing and freezing gt 2 x should be avoided as this may reduce the sensitivity If the reagents are to be used only intermittently they should be frozen in aliquots General Precautions The user should exercise the following precautions while using the kit e Use sterile pipette tips with filters e Store and extract positive material specimens controls and amplicons separately from all other reagents and add it to the reaction mix in a spatially separated facility e Thaw all components
14. r interpretation of results e The recommended minimum number of DNA samples tested per PCR run is 6 e Using a lower volume from the sample than recommended may affect the sensitivity of the HPV High and Low Risk Limit of Detection 1 Prepare the PCR reaction for sample detection Set 1 using HPV 2X PCR Mastermix and the PCR reaction for control detection Set 2 using Control 2X PCR Mastermix as shown in Table 1 below The recommended amount of sample DNA to be used is 2 5 uL However a volume between 1 and 5 uL of sample DNA may be used as template Ensure that one HPV detection reaction and one control reaction is prepared for each DNA sample Adjust the final volume of the PCR reaction to 20 uL using the Nuclease Free Water provided Table 1 PCR Assay Preparation PCR Components Volume Per PCR Reaction Sample DNA 2 5 uL Nuclease Free Water 7 5 uL Total Volume 20 uL 2 For each PCR set prepare one positive control PCR as shown in Table 2 below Table 2 PCR Positive Control Preparation PCR Components Volume Per PCR Reaction Total Volume 20 uL 3 For each PCR set prepare one no template control PCR as shown in Table 3 below Table 3 PCR Negative Control Preparation PCR Components Volume Per PCR Reaction Nuclease Free Water 10 uL Total Volume 20 uL E HPV High and Low Risk PCR Assay Programming 1 Program the thermocylcer according to the
15. y decant the supernatant in order to ensure that the slurry pellet is not dislodged Repeat Step 8 to wash the slurry pellet for a second time 10 To the slurry pellet from Step 9 add 500 uL Wash Solution Mix well by vortexing for 15 seconds 11 Transfer the entire mixture from Step 10 into a Mini Filter Spin column Centrifuge for 1 minute at 14 000 RPM Discard the flowthrough and reassemble the spin column with its collection tube 12 Spin the column empty for 2 minute at 14 000 RPM Discard the collection tube 13 Transfer the spin column to a fresh 1 7 mL Elution tube Apply 100 uL of Elution Buffer to the column and centrifuge for 2 minutes at 200 x g 2 000 RPM followed by 2 minute at 10 000 x g 14 000 RPM Ph C HPV High and Low Risk PCR Assay Preparation Notes e Before use suitable amounts of all PCR components should be completely thawed at room temperature vortexed and centrifuged briefly e The amount of HPV 2X Detection PCR Master Mix and Control 2X PCR Master Mix provided is enough for up to 32 PCR reactions 24 sample PCR 4 positive control PCR and 4 no template control PCR e For each sample one PCR reaction using the HPV 2X PCR Master Mix and one PCR reaction using Control 2X PCR Master Mix should be set up in order to have a proper interpretation of the results e For every PCR run one reaction containing HPV Positive Control and one reaction as no template control must be included for prope
16. ze and thaw the Isolation Control IlsoC more than 2 times e The Isolation Control IsoC must be kept on ice at all times during the isolation procedure e The PCR components of the Plasma Serum HPV High and Low Risk PCR Detection Kit should remain at 20 C until DNA is extracted and ready for PCR amplification e Itis important to work quickly during this procedure In a 2mL tube add 400 uL Plasma Serum sample To each 400 uL Plasma Serum sample add 1 2 mL of Lysis Solution Mix well by vortexing for 15 seconds 3 Incubate the mixture from Step 2 for 10 minutes at 60 C 4 After incubation add 200 uL of Binding Solution 1 and mix well by vortexing for 15 seconds Note Binding Solution 1 contains resin and must be mixed well before every pipeting 5 Centrifuge the mixture from Step 4 for 1 minute at 2 000 RPM then carefully decant the supernatant in order to ensure that the slurry pellet is not dislodged 6 To the slurry pellet from Step 5 add 180 uL from Binding Solution 2 followed by the addition of 420 uL of 96 100 Ethanol provided by the user and 10 uL Isolation Control IsoC Mix well by vortexing for 15 seconds 7 Centrifuge the mixture from Step 6 for 1 minute at 2 000 RPM then carefully decant the supernatant in order to ensure that the slurry pellet is not dislodged 8 To the slurry pellet from Step 7 add 1 mL Wash Solution mix well by vortexing for 15 seconds and then centrifuge for 1 minute at 2 000 RPM Carefull
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