WarmStart LAMP Kit (DNA & RNA)

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POLYMERASES & AMPLIFICATION WarmStart LAMP Kit (DNA & RNA) Instruction Manual NEB #E1700S/L 100/500 reactions Version 1.0 9/16

This product is intended for research purposes only. This product is not intended to be used for therapeutic or diagnostic purposes in humans or animals. ISO 9001 Registered Quality Management ISO 14001 Registered Environmental Management ISO 13485 Registered Medical Devices This product is covered by one or more patents, trademarks and/or copyrights owned or controlled by New England Biolabs, Inc. For more information about commercial rights, please email us at gbd@neb.com. While NEB develops and validates its products for various applications, the use of this product may require the buyer to obtain additional third party intellectual property rights for certain applications. The purchase of this product conveys to the purchaser the limited, non-transferable right to use the purchased product to perform loop-mediated isothermal amplification ("LAMP") for Research Use Only. The purchase of this product further conveys to the purchaser the limited, non-transferable right to use the purchased product to perform reverse transcription loop-mediated isothermal amplification ("RT-LAMP") for Research Use Only. LAMP is a patented technology belonging to Eiken Chemical Co., Ltd and any use other than research may require a license from Eiken Chemical Co., Ltd. Notice to Purchaser: Nucleic-acid based aptamers for use with thermophilic DNA polymerases are licensed exclusively by New England Biolabs, Inc. from SomaLogic, Inc. (See Patent Nos. 5,475,096; 5,670,637; 5,696,249; 5,874,557; and 5,693,502). New England Biolabs, Inc. gives the Buyer/User a non-exclusive license to use the aptamer-based RT-LAMP Master Mix for Research Purposes Only. Commercial use of the aptamer-based RT-LAMP Master Mix requires a license from New England Biolabs, Inc. Please contact busdev@neb.com for more information. SYBR is a registered trademark of Molecular Probes, Inc. Copyright 2017, New England Biolabs, Inc.; all rights reserved.

WarmStart LAMP Kit (DNA & RNA) Table of Contents: Introduction...2 Protocol...4 Troubleshooting...8 References...10 Ordering Information...11 Kit Components: The volumes provided are sufficient for preparation of up to 100 reactions (NEB #E1700S) or 500 reactions (NEB #E1700L). All components should be stored at 20 C. WarmStart LAMP 2X Master Mix LAMP Fluorescent Dye (50X) Required Materials Not Included: LAMP Primers (we recommend using PrimerExplorer for design of optimal LAMP Primers; PrimerExplorer V5 is recommended, https://primerexplorer.jp, though requiring browser translation from Japanese; V4 in English accessible via http://primerexplorer.jp/e) Target Nucleic Acid Samples Molecular Biology Grade H 2 O Heat block, water bath, real-time turbidimeter or thermocycler (with real-time fluorescence measurement if desired) and instrument-appropriate reaction vessels 1

Introduction: The WarmStart LAMP Kit (DNA & RNA) is designed to provide a simple, onestep solution for Loop-Mediated Isothermal Amplification (LAMP) of DNA or RNA (RT-LAMP) targets. LAMP and RT-LAMP are commonly used isothermal amplification techniques that provides rapid detection of a target nucleic acid using LAMP-specific primers (supplied by the user) and a strand-displacing DNA polymerase. This kit is supplied with the WarmStart LAMP 2X Master Mix, which contains a blend of Bst 2.0 WarmStart DNA Polymerase and WarmStart RTx Reverse Transcriptase in an optimized LAMP buffer solution. Both Bst 2.0 WarmStart DNA Polymerase and WarmStart RTx Reverse Transcriptase have been engineered for improved performance in LAMP and RT-LAMP reactions. A fluorescent dye is also supplied to enable real-time fluorescence measurement of LAMP. The WarmStart LAMP Kit is compatible with multiple detection methods, including turbidity detection, real-time fluorescence detection (when used with LAMP fluorescent dye) and end-point visualization. 2

Protocol: Reaction Setup: For simplicity in setting up reactions, we recommend making stocks of the LAMP primers at a usable concentration. For example, we suggest a 10X Primer Mix containing all 6 LAMP primers. A 10X LAMP Primer Mix contains: LAMP PRIMERS 10X CONCENTRATION (STOCK) 1X CONCENTRATION (FINAL) FIP 16 μm 1.6 μm BIP 16 μm 1.6 μm F3 2 μm 0.2 μm B3 2 μm 0.2 μm Loop F 4 μm 0.4 μm Loop B 4 μm 0.4 μm Prepare primer stocks in nuclease-free water and store at 20 C for up to 2 years. 1. Thaw all components to be used at room temperature and place on ice. Vortex briefly to mix and centrifuge to collect material. 2. Prepare reaction mix as described below. Volumes are listed for a 25 μl LAMP reaction, but other volumes (10, 20, 50 μl etc.) are all effective; if desired, adjust volumes accordingly. A 1 µl target DNA volume is shown; if higher sample volumes are needed, adjust volume of H 2 O. For non-template reactions add equivalent volume of H 2 O or sample storage buffer. WarmStart LAMP 2X Master Mix DNA TARGET DETECTION RNA TARGET DETECTION NO- TEMPLATE CONTROL (NTC) 12.5 µl 12.5 µl 12.5 µl Fluorescent dye (50X) 0.5 µl 0.5 µl 0.5 µl LAMP Primer Mix (10X) 2.5 µl 2.5 µl 2.5 µl Target DNA 1 µl - - Target RNA - 1 µl - dh 2 O 8.5 µl 8.5 µl 9.5 µl Total Volume 25 µl 25 µl 25 µl 3. Vortex reaction mix and centrifuge to collect material. 4. Pipet 24 μl per reaction into desired reaction vessels and add sample. Mix by vortexing and centrifuge to collect, or by pipetting if using a plate or other vessel. 3

5. Seal reaction vessel. 6. Incubate at 65 C for 30 minutes. Time can be extended as necessary for very low copy targets, challenging sample types, or reactions known to be produce slower amplification times. 7. If reaction products will be manipulated or analyzed after LAMP is complete, Bst 2.0 and RTx can be inactivated by heating at > 80 C for 5 minutes. 4 Experimental Considerations: LAMP is an extremely sensitive detection method, and accordingly care should be taken to avoid any contamination of new reactions with products of previous LAMP reactions. Reaction vessels do not need to be opened after a reaction is completed when using a real-time or in situ detection of amplification, reducing the risk of potential carryover contamination. But if agarose gel or other post-reaction analysis is desired, vessels should be opened and handled in a secondary location with separate equipment. Regular decontamination of setup locations and equipment using chlorine bleach is recommended to avoid potential carryover contamination. For reactions detecting RNA targets in RT-LAMP, standard RNase prevention protocols are recommended, including use and frequent changing of gloves, RNase-free water and plasticware, and periodic decontamination of surfaces and equipment. LAMP primers can be challenging to design manually, and software programs are strongly recommended for both ease of design and likelihood of reaction success (we recommend using PrimerExplorer for design of optimal LAMP Primers; PrimerExplorer V5 is recommended, https://primerexplorer. jp, though requiring browser translation from Japanese; V4 in English accessible via http://primerexplorer.jp/e). As performance and levels of nontemplate amplification can vary even with in silico design, we recommend evaluating 2 4 complete sets of LAMP primers for optimal sensitivity and specificity before choosing a final set. Use of Loop primers is strongly recommended for maximum amplification speed. Primers can be ordered with any level of desired purity; PAGE or HPLC purification of LAMP primers is not required, standard desalting is sufficient. For real-time fluorescence detection with the included fluorescent dye, data should be collected using the SYBR Green I or FAM channel of any real-time instrument. Add the fluorescent dye fresh when preparing reactions, do not store the combined dye and master mix. Melt curve analysis can be performed using real-time fluorescent instruments. LAMP products, though long and varied in size and structure, are concatamers of a defined 150 400 bp amplicon and, when evaluated using

melt analysis, tend to give a single species. Non-template amplification products can thus be discriminated from positive reactions using differences in their respective melt curves if desired. Negative Controls and Non-template Amplification The most common problem with LAMP reactions is amplification in negative or no-template controls. This result can occur due to carryover contamination of amplification products or non-template amplification of LAMP primers. Carryover: LAMP is an extremely sensitive detection method, and care should be taken to avoid any potential contamination of setup areas and equipment with products of completed reactions. If reaction vessels are to be opened for analysis or processing of products, this should be done in a secondary laboratory space and with separate, or thoroughly cleaned, equipment. Signs of carryover contamination: Change in reaction performance. Reactions with previously acceptable performance and discrimination between positive and negative samples may display variation in which the non-template or negative controls give much faster amplification. This indicates potential carryover contamination from LAMP products, particularly where the same reaction is performed routinely. Extremely poor sensitivity vs. negative controls, with NTC overlapping with moderate template inputs (> 1000 copies). This problem can occur with poor primers (see below), but a decontamination cleaning is recommended. Melt curve signature. If using real-time fluorescence, a melt or denaturation curve can be included after the LAMP incubation. When NTC signal is a result of carryover contamination, the melt profiles of reactions with and without template will be identical. Mitigation strategies: Secondary laboratory areas and equipment if LAMP reaction tubes or plates will be opened Periodic cleaning of setup space and equipment using a 10% chlorine bleach solution Frequent replacement of all reagents, primer stocks, water, etc. If desired, 700 μm dutp and Antarctic Thermolabile UDG (NEB #M0372) can be added to the reaction setup for carryover contamination prevention. Note that it is important to use Antarctic Thermolabile UDG, as the isothermal temperature (65 C) of the LAMP reaction is insufficient to inactivate E. coli UDG, and use of the E. coli form can result in inhibition of LAMP. Simply add 0.02 units/μl Antarctic Thermolabile UDG and set up reactions at room temperature to destroy contaminating LAMP products. 5

Nonspecific Amplification: Due to the LAMP reaction conditions (high concentrations of Mg and dntp) and the high concentration and nature of LAMP primers, amplification can occur from secondary structure and terminal transferase-like activity of the DNA polymerases used in LAMP. This activity is hard to predict from sequence, and even when using primer design software parameters it is not easily eliminated. One source of this nonspecific amplification is the activity of the LAMP polymerases at room or setup temperature, but the activity control by the WarmStart aptamers in the WarmStart LAMP Kit removes this source of nonspecific activity and enables reaction setup without ice. However, a significant level of non-template amplification can occur at elevated reaction temperatures (65 C) for many primer sets. Signs of nonspecific amplification: Positive amplification in negative or non-template control reactions. Threshold times can be variable, and can overlap with low input (< 1000 copy) samples but will likely be slower. Carryover contamination prevention measures (reagent replacement, bleach decontamination) show no effect on NTC amplification. Melt curve signature. If using real-time fluorescence, a melt or denaturation curve can be included after the LAMP incubation. When NTC signal is a result of nonspecific amplification, the melt profiles of reactions with and without template will likely be different. Mitigation strategies: Design multiple (2 4) primer sets for each target, selecting entire distinct sets from Primer Explorer or other software. Each set can be ordered (desalting of oligos is sufficient) and should be tested with and without target. Evaluate performance based on speed and successful amplification of positive and discrimination of positive from negative sample. The optimal set will display little to no non-template amplification in the desired time frame (60 minutes or less). Change reaction temperature. A 65 C incubation is recommended for general LAMP, but the temperature can be increased to eliminate non-template amplification. Reactions showing NTC should be tested at 65 70 C. 6

Troubleshooting: Observation Probable Cause(s) Solution(s) Positive reactions do not show amplification Reaction has not amplified sufficient LAMP product No amplification occurred, reaction failed Increase incubation time Check primers are added at: 1.6 μm FIP/ BIP, 0.2 μm F3/ B3, 0.4 μm LoopF/ LoopB If not using loop primers, add to increase reaction speed Remake primer stocks, Check primers are added at: 1.6 μm FIP/ BIP, 0.2 μm F3/ B3, 0.4 μm LoopF/ LoopB Purify nucleic acid target from sample if high inhibitor concentrations are present Add positive control reaction using validated standard target material For real-time detection, check that a 1X amount of the fluorescent dye was added fresh to the reaction and that the instrument is collecting in the SYBR or FAM channel Some precipitation of the master mix can occur, thoroughly mix the reagents by vortexing before use For RNA targets RNase contamination could prevent amplification, ensure RNasefree water and other materials are used, or add RNase Inhibitor 7

Troubleshooting (continued): Observation Probable Cause(s) Solution(s) Negative reactions show amplification (see Experimental Considerations for more detail) Carryover contamination of previous reaction product Non-template amplification from LAMP primers Avoid opening reaction vessels after amplification Use secondary preparation area and equipment if post-reaction processing is necessary Clean equipment and areas with 10% chlorine bleach solution Replace reagent stocks with new materials Add 700 μm dutp and 0.2 units/μl Antarctic Thermolabile UDG to prevent carryover contamination in future reactions Design new LAMP primer set for target sequence and evaluate without target Evaluate reaction completion at earlier timepoint, as non-template amplification will occur more slowly than positive reactions 8

References: 1. Notomi, T., et al. (2000) Nucleic Acids Res., 28, E63. 2. Nagamine, K., Watanabe, K., Ohtsuka, K., Hase, T., Notomi, T. (2001) Clin. Chem., 47, 1742 1743. 3. Nagamine, K., Hase, T., Notomi, T. (2002) Mol. Cell Probes, 16, 223 229. 4. Mori, Y., Nagamine, K., Tomita, N., Notomi, T. (2001) Biochem. Biophys. Res. Commun., 289, 150 154. 5. Mori, Y., Kitao, M., Tomita, N., Notomi, T. (2004) J. Biochem. Biophys. Methods, 59, 145 157. 6. Tomita, N., Mori, Y., Kanda, H., Notomi, T. (2008) Nat. Protoc., 3, 877 882. 7. Tanner, N.A. and Evans, T.C. Jr. (2014) Curr. Protoc. Mol. Biol., 105, Unit 15.14. 8. Hsieh et al. (2014) Chem. Comm. 50(28), 3747 3749. 9. Tanner, N.A., Zhang, Y., and Evans, T.C. Jr. (2015) Biotechniques 58(2), 59 68. 9

Ordering Information PRODUCT NEB # SIZE WarmStart LAMP Kit (DNA & RNA) E1700S/L 100/500 reactions KIT COMPONENTS SOLD SEPARATELY Bst 2.0 WarmStart DNA Polymerase M0538S/L 1,600/8,000 units WarmStart RTx Reverse Transcriptase M0380S/L 50/250 reactions Isothermal Amplification Buffer Pack B0537S 6 ml Deoxynucleotide (dntp) Solution Mix N0447S/L 8/40 µmol COMPANION PRODUCTS WarmStart Colorimetric LAMP Master Mix M1800S/L 100/500 reactions Bst 3.0 DNA Polymerase M0374S/L/M 1,600/8,000/ 8,000 units 10

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