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1.   IVD  Revision No   ZJ0002 EU C        Issue Date Jul 1   2015  For Research Use Only In USA  amp  China   Leukemia SIL TAL1 Fusion Gene Real Time RT PCR Kit    User Manual   20   C    REF  155508276   Instrument I  II  For use with LightCycler1 0 2 0 Instrument      e frer    1  Intended Use   Leukemia SIL TAL1 Fusion Gene real time RT PCR Kit is used for the detection of Leukemia  SIL TAL1 Fusion Gene in leukocyte by using real time PCR systems    2  Principle of Real Time PCR   The principle of the real time detection is based on the fluorogenic 5   nuclease assay  During the PCR  reaction  the DNA polymerase cleaves the probe at the 5    end and separates the reporter dye from the  quencher dye only when the probe hybridizes to the target DNA  This cleavage results in the  fluorescent signal generated by the cleaved reporter dye  which is monitored real time by the PCR  detection system  The PCR cycle at which an increase in the fluorescence signal is detected initially is  proportional to the amount of the specific PCR product  Monitoring the fluorescence intensities in  real time allows the detection of the accumulating product without having to re open the reaction tube  after the amplification    3  Product Description   The microdeletion on 1p32 is the most frequent chromosome aberration found in childhood T ALL   The microdeletion involves the TALI gene  T cell acute leukemia 1 gene  and the SIL gene  SCL  interrupting locus   which is located approximately 90 kb u
2.  above  approximately 0 4 0 6 ml  into a new 1 5 ml centrifuge tube   avoiding disturbing any of the white interphase    6  Add pre cooled isopropanol into the aqueous phase  and mix by pipetting up and down for 10 times   7  Incubate for 1 hour at  20  C    8  Centrifuge at 13 000 rpm for 15 min at 4  C  and carefully remove the supernatant from the tube    9  Add pre cooled 75  ethanol and gently pipet RNA pellet    10  Centrifuge the sample at 13 000 rpm for 15 min at 4  C  and carefully remove the supernatant from  the tube avoiding disturbing the RNA pellet    11  Add 40 pl DEPC H 0 to the RNA pellet after Air drying for 5 10 min  then shake gently    12  Centrifuge instantaneously  and incubate for 10 min at room temperature to make RNA fully  dissolved    Extracted RNA can be used for following PCR reactions immediately  or stored at  80  C for long time   9 2 Quantitation   The kit can be used for quantitative or qualitative real time RT PCR  A positive control defined as  1x10   copies ml is supplied in the kit    For performance of quantitative real time PCR  Standard dilutions must prepare first as follows   Molecular Grade Water is used for dilution    Dilution is not needed for performance of qualitative real time PCR    Take positive control  110   copies ml  as the starting high standard in the first tube  Respectively  pipette 36ul of Molecular Grade Water into next three tubes  Do three dilutions as the following  figures        Dilution of Standards   Aul Au
3. Q1  An external positive  control  110   copies ml  supplied  allows the determination of the gene load  For further information   please refer to section 9 2 Quantitation    4  Kit Contents    Type of reagent    SIL TAL1 Super Mix 1 vial  480ul  RT PCR Enzyme Mix 1 vial  28 ul  Molecular Grade Water 1 vial  400u1  SIL TALI Positive Control  1 10   copies ml  1 vial  30ul    Analysis sensitivity  1 X 10  copies ml  LOQ  2X10   1X 10  copies ml  Note  Analysis sensitivity depends on the sample volume  elution volume  nucleic acid extraction  methods and other factors  If you use the RNA extraction kits recommended  the analysis sensitivity is  the same as it declares  However  when the sample volume is dozens or even hundreds of times greater  than elution volume by some concentrating method  it can be much higher   5  Storage  e All reagents should be stored at  20  C  Storage at  4  C is not recommended   e All reagents can be used until the expiration date indicated on the kit label   e Repeated thawing and freezing   gt  3x  should be avoided  as this may reduce the sensitivity of the  assay   e Cool all reagents during the working steps   e Super Mix should be stored in the dark   6  Additionally Required Materials and Devices  e Biological cabinet  e Biological cabinet  e Vortex mixer  e Cryo container  e Sterile filter tips for micro pipets  e Disposable gloves  powderless e Biohazard waste container  e Refrigerator and Freezer e Tube racks  e Desktop microcentrifuge fo
4. cleic acid extraction  methods and other factors  If you use the RNA extraction kits recommended  the analysis sensitivity is  the same as it declares  However  when the sample volume is dozens or even hundreds of times greater  than elution volume by some concentrating method  it can be much higher   5  Storage   e All reagents should be stored at  20  C  Storage at  4  C is not recommended    e All reagents can be used until the expiration date indicated on the kit label    e Repeated thawing and freezing   gt  3x  should be avoided  as this may reduce the sensitivity of the   assay    e Cool all reagents during the working steps    e Super Mix should be stored in the dark   6  Additionally Required Materials and Devices   e Biological cabinet   e Real time PCR system   e Desktop microcentrifuge for    eppendorf    type tubes  RCF max  16 000 x g    e Vortex mixer   e RNA extraction kit   e Real time PCR reaction tubes plates   e Cryo container   e Pipets  0 5 ul     1000 pl    e Sterile filter tips for micro pipets   e Sterile microtubes   e Disposable gloves  powderless   e Biohazard waste container   e Refrigerator and freezer   e Tube racks       7  A Warnings and Precaution  e Carefully read this instruction before starting the procedure   e For in vitro diagnostic use only   e This assay needs to be carried out by skilled personnel   e Clinical samples should be regarded as potentially infectious materials and should be prepared in  a laminar flow hood   e This assay 
5. etected initially is  proportional to the amount of the specific PCR product  Monitoring the fluorescence intensities in  real time allows the detection of the accumulating product without having to re open the reaction tube  after the amplification    3  Product Description   The microdeletion on 1p32 is the most frequent chromosome aberration found in childhood T ALL   The microdeletion involves the TALI gene  T cell acute leukemia 1 gene  and the SIL gene  SCL  interrupting locus   which is located approximately 90 kb upstream  SIL TALI1 transcripts are  exclusively found in T ALL  in which they are present in 5 25  of the patients  The SIL TAL1 fusion  gene transcripts seem to be more frequent in children compared to adults    Leukemia SIL TAL1 fusion gene real time RT PCR kit contains a specific ready to use system for the  detection of the Leukemia SIL TAL1 fusion gene using RT PCR  Reverse Transcription Polymerase  Chain Reaction  in the real time PCR system  The reaction is done in one step real time RT PCR  The  first step is a reverse transcription  RT   during which the Leukemia SIL TAL1 fusion gene is  transcribed into cDNA  Afterwards  a thermostable DNA polymerase is used to amplify the specific  gene fragments by means of PCR  polymerase chain reaction   Fluorescence is emitted and measured  by the real time systems optical unit during the PCR  The detection of amplified SIL TAL1 fragment  is performed in fluorimeter channel FAM with the fluorescent quencher BH
6. fly  in a centrifuge    2  Pipet 15ul Master Mix with micropipets of sterile filter tips to each of the real time PCR  reaction plate tubes  Separately add 5u  RNA sample  positive and negative controls to different  plate tubes  Immediately close the plate tubes to avoid contamination    3  Spin down briefly in order to collect the Master Mix in the bottom of the reaction tubes    4  Perform the following protocol in the instrument   45  C for 20min Icycle  95  C for 5min Icycle  95  C for S5sec  58  C for 20 sec   72  C for 35 sec    Fluorescence measured at 58  C    10  Threshold setting  Choose Arithmetic as back ground and none as Noise Band method  then   adjust the Noise band just above the maximum level of molecular grade water  and adjust the threshold   just under the minimum of the positive control     AScycles       11  Calibration for quantitative detection  Input each concentration of standard controls at the end  of run  and a standard curve will be automatically formed     12  Quality control   Negative control  positive control  QS and must be performed correctly  otherwise the sample results is  invalid     Crossing point value    Molecular Grade Water  Positive Control qualitative assay     QS  quantitative detection  Correlation coefficient of QS curve lt     0 98    13  Data Analysis and Interpretation       The following results are possible         Crossing point value Result Analysis  Below the detection limit or negative    2  lt 43 Positive  the samp
7. it    For performance of quantitative real time PCR  Standard dilutions must prepare first as follows   Molecular Grade Water is used for dilution    Dilution is not needed for performance of qualitative real time PCR    Take positive control  110   copies ml  as the starting high standard in the first tube  Respectively  pipette 36ul of Molecular Grade Water into next three tubes  Do three dilutions as the following  figures        Dilution of Standards  Aul Au l 4u l    1X107 1X10 1X10    1X 104 copiesim  To generate a standard curve on the real time system  all four dilution standards should be used and  defined as standard with specification of the corresponding concentrations   Attention   A  Mix thoroughly before next transfer   B  The positive control  1 lt 10   copies ml  contains high concentration of the target DNA  Therefore  be  careful during the dilution in order to avoid contamination   9 3 RT PCR Protocol  The Master Mix volume for each reaction should be pipetted as follows     14 ul 1 yl  Super Mix Enzyme Mix  Spl 154l  Extraction RNA Master Mix  Reaction  Plate  Tube    l    PCR Instrument    1  The volumes of Super Mix and Enzyme Mix per reaction multiply with the number of samples   which includes the number of controls and sample prepared  Molecular Grade Water is used as  the negative control  For reasons of unprecise pipetting  always add an extra virtual sample   Mix completely then spin down briefly in a centrifuge  Mix completely then spin down brie
8. l Aul To generate a standard curve on the  H pe a  pas ak real time system  all four dilution      i standards should be used and   defined as standard with    specification of the corresponding           k   concentrations   y y y y Attention   A  Mix thoroughly before next  1X107 1X10 1X10  1X1D4copiesjm transfer     B  The positive control   1x10   copies ml  contains high concentration of the target DNA  Therefore  be careful during the  dilution in order to avoid contamination   9 3 RT PCR Protocol  The Master Mix volume for each reaction should be pipetted as follows     194l 1 yl 1  The volumes of Super Mix and      gt  Enzyme Mix per reaction   Super Mix Enzyme Mix multiply with the number of  ii  na ll samples  which includes the  number of controls and sample   Syl 20 prepared  Molecular Grade Water  Extraction RNA Master Mix is used as the negative control     For reasons of     unprecise  ile ee   pipetting  always add an extra  Reaction virtual sample  Mix completely  Plate  Tube then spin down briefly in a  ate   tu centrifuge  Mix completely then    spin down briefly in a centrifuge   PCR Instrument 2  Pipet 20n1 Master Mix   with  micropipets of sterile filter tips to  each of the real time PCR  reaction plate tubes  Separately add 5u  RNA sample  positive and negative controls to different  plate tubes  Immediately close the plate tubes to avoid contamination   3  Spin down briefly in order to collect the Master Mix in the bottom of the reaction tubes   4  Pe
9. le contains SIL TAL1 fusion gene transcripts   and the software displays the quantitative value  43 45 Re test  If it is still 43 45  report as 1     For further questions or problems   please contact our technical support       FOR RESEARCH USE ONLY  NOT FOR USE IN DIAGNOSTIC OR THERAPEUTIC PROCEDURES     Selection of fluorescence channels  Target Nucleic Acid    J  IVD  Revision No   ZJ0003 EU  C       Issue Date  Jul 1   2015  For Research Use Only In USA  amp  China   Leukemia SIL TAL1 Fusion Gene Real Time RT PCR Kit    User Manual   20   C  25    IREF 39509976   Instrument HI  IV    For use with ABI Prism  7000 7300 7500 7900 Step One Plus  iCycler iQ   4 iQ    5   Smart Cycler Il Bio Rad CFX 96 Rotor Gene    6000  Mx3000P 3005P MJ Option2 Chromo4   LightCycler  480 Instrument    Ea tod    1  Intended Use   Leukemia SIL TAL1 Fusion Gene real time RT PCR Kit is used for the detection of Leukemia  SIL TAL1 Fusion Gene in leukocyte by using real time PCR systems    2  Principle of Real Time PCR   The principle of the real time detection is based on the fluorogenic 5   nuclease assay  During the PCR  reaction  the DNA polymerase cleaves the probe at the 5    end and separates the reporter dye from the  quencher dye only when the probe hybridizes to the target DNA  This cleavage results in the  fluorescent signal generated by the cleaved reporter dye  which is monitored real time by the PCR  detection system  The PCR cycle at which an increase in the fluorescence signal is d
10. needs to be run according to Good Laboratory Practice   e Do not use the kit after its expiration date   e Avoid repeated thawing and freezing of the reagents  this may reduce the sensitivity of the test   e Once the reagents have been thawed  vortex and centrifuge briefly the tubes before use   e Prepare quickly the Reaction mix on ice or in the cooling block   e Set up two separate working areas  1  Isolation of the RNA  DNA and 2  Amplification   detection of amplification products   e Pipets  vials and other working materials should not circulate among working units   e Use always sterile pipette tips with filters   e Wear separate coats and gloves in each area   e Do not pipette by mouth  Do not eat  drink  smoke in laboratory   e Avoid aerosols   8  Sample Collection  Storage and transport  e Collected samples in sterile tubes   e Specimens can be extracted immediately or frozen at  20  C to  80  C     e Transportation of clinical specimens must comply with local regulations for the transport of  etiologic agents  9  Procedure  9 1 RNA Extraction  RNA extraction kits are available from various manufacturers  You may use your own extraction  systems or the commercial kit based on the yield  For the RNA extraction  please comply with the  manufacturer   s instructions  The recommended extraction kit is as follows     9 2 Quantitation   The kit can be used for quantitative or qualitative real time RT PCR  A positive control defined as  1x10   copies ml is supplied in the k
11. pstream  SIL TALI1 transcripts are  exclusively found in T ALL  in which they are present in 5 25  of the patients  The SIL TAL1 fusion  gene transcripts seem to be more frequent in children compared to adults    Leukemia SIL TAL1 fusion gene real time RT PCR kit contains a specific ready to use system for the  detection of the Leukemia SIL TAL1 fusion gene using RT PCR  Reverse Transcription Polymerase  Chain Reaction  in the real time PCR system  The reaction is done in one step real time RT PCR  The  first step is a reverse transcription  RT   during which the Leukemia SIL TAL1 fusion gene is  transcribed into cDNA  Afterwards  a thermostable DNA polymerase is used to amplify the specific  gene fragments by means of PCR  polymerase chain reaction   Fluorescence is emitted and measured  by the real time systems optical unit during the PCR  The detection of amplified SIL TAL1 fragment  is performed in fluorimeter channel 530nm with the fluorescent quencher BHQ1  An external positive  control  110   copies ml  supplied  allows the determination of the gene load  For further information   please refer to section 9 2 Quantitation    4  Kit Contents    Type of reagent  1    SIL TAL1 Super Mix 1 vial  380ul  RT PCR Enzyme Mix 1 vial  281  Molecular Grade Water 1 vial  400ul  SIL TALI Positive Control  1 10   copies ml   1 vial  30ul    Analysis sensitivity  1 X 10  copies ml  LOQ  2X10   1X 10  copies ml  Note  Analysis sensitivity depends on the sample volume  elution volume  nu
12. r    eppendorf    type tubes  RCF max  16 000 x g     IN    7   amp  gt  Warnings and Precaution  e Carefully read this instruction before starting the procedure   e For in vitro diagnostic use only   e This assay needs to be carried out by skilled personnel   e Clinical samples should be regarded as potentially infectious materials and should be prepared in  a laminar flow hood   e This assay needs to be run according to Good Laboratory Practice   e Do not use the kit after its expiration date   e Avoid repeated thawing and freezing of the reagents  this may reduce the sensitivity of the test   e Once the reagents have been thawed  vortex and centrifuge briefly the tubes before use   e Prepare quickly the Reaction mix on ice or in the cooling block   e Set up two separate working areas  1  Isolation of the RNA  DNA and 2  Amplification   detection of amplification products   e Pipets  vials and other working materials should not circulate among working units   e Use always sterile pipette tips with filters   e Wear separate coats and gloves in each area   e Do not pipette by mouth  Do not eat  drink  smoke in laboratory   e Avoid aerosols   8  Sample Collection  Storage and transport  e Collected samples in sterile tubes   e Specimens can be extracted immediately or frozen at  20  C to  80  C   e Transportation of clinical specimens must comply with local regulations for the transport of  etiologic agents  9  Procedure       e Real time PCR system   e Real time PCR reaction 
13. rform the following protocol in the instrument     45  C for 20min  95  C for Smin    95  C for 15sec  58  C for 30 sec   72  C for 45 sec AScycles    Fluorescence measured at 58  C     A    5  ZA if you use ABI Prism   system  please choose    none    as passive reference and quencher    10  Threshold setting  just above the maximum level of molecular grade water    11  Calibration for quantitative detection  Input each concentration of standard controls at the end  of run  and a standard curve will be automatically formed    12  Quality control  Negative control  positive control and QS curve must be performed correctly     otherwise the sample results is invalid     Molecular Grade Water  13  Data Analysis and Interpretation   The following results are possible      Ctvalue   Result Analysis          2  lt 43 Positive  the sample contains SIL TAL1 fusion gene transcripts   and the software displays the quantitative value  43 45   Re test  If it is still 43 45  report as 1     For further questions or problems   please contact our technical support       FOR RESEARCH USE ONLY  NOT FOR USE IN DIAGNOSTIC OR THERAPEUTIC PROCEDURES     Selection of fluorescence channels  Target Nucleic Acid    
14. tubes plates  e Pipets  0 5ul     10001    e Sterile microtubes    9 1 RNA Extraction   9 1 1 Leukocytes separation   You can use commercial erythrocytes lysis buffer to remove the erythrocytes from blood samples   Please refer to the specific instructions for erythrocytes lysis buffer    Attention  Do not use the lymphocytes separation media to obtain leukocytes    The leukocytes precipitate obtained can be directly used for RNA extraction  and it can also be  dissolved in RNA extraction reagents   such as Trizol  RLT buffer  for long time storage at  80  C  It   s  strongly recommended not to store the leukocytes precipitate without any RNA extraction reagent   9 1 2 RNA extraction from leukocytes   RNA extraction kits are available from various manufacturers  You may use your own extraction  systems or the commercial kits based on the yield  For the RNA extraction  please comply with the  manufacturer   s instructions  The recommended extraction kit is as follows     e g  RNA extraction with Trizol   1 Add 1 ml Trizol into the leukocytes  and pipet up and down several times to make cells fully  dissolved   Increase the volume of Trizol proportionately if leukocytes are more than 5 X 10   cells     2  Add 0 2 ml chloroform and shake the tube by vortex for 15 sec at least    3  incubate the tube at room temperature for 2 3 min   4  Centrifuge the sample at 13 000 rpm for 15 min at 4  C    The following procedures should be operated on ice box    5  Transfer the aqueous phase
    
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