Setting Up a qpcr Lab. Julie Kinzelman, PhD NEMC (Micro Session)

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Setting Up a qpcr Lab Points to Consider for Accreditation Julie Kinzelman, PhD NEMC (Micro Session) 7 August2012 (1530 1600)

Remember QPCR is not Measuring the Same Thing as a Culture QPCR differs from traditional culture based assays in that it measures all DNA: live cells dead cells non culturable cells free DNA Culture assays only measure cells possessing the ability to grow on the selective media you are using

Feasibility Studies Ability of the method to accurately characterize water quality Will you use the same indicator as your culture based assay? Is live vs. dead cells important? Will the assay work with your samples? Inhibition, underestimation Unexplained false negatives w/o inhibition Turn Around Time Will you be able to collect and process the sample in order to make it real time? Distance of site to analytical lab Do you have diurnal variation?

Choice of Molecular Target Site Specific Suitability E. coli or enterococci for fresh water Enterococci for marine water Bacteroides? Wet chemistry or beads Assay time Precision/accuracy Sample DNA extract pre treatment? Crude Serial Dilution DNA extraction or purification kits

Inhibition or Underestimation Chemical or inorganic constituents in the sample which prevent reaction from occurring Humic substances Non point source pollutants Competition for target twith bacteria rich ih samples Other environmental conditions which result in no detection in the absence of inhibition i.e. some algal blooms

Beach Sanitary Surveys Guided data gathering at time of sample collection Environmental conditions Wave height, turbidity, recent precipitation, presence of algal biomass Can be used to predict site specific inhibition Can be used in developing predictive models Can help you make sense of your data!

Environmental Data Collected Routine/Daily BSS General Beach Conditions Air temperature Wind speed/direction Rainfall W th condition Weather diti (sunny, ( etc.) t ) Current speed/direction Wave Height Water Quality FIB concentrations Water temperature Water color/odor Turbidity (clarity) Bather Load Total number of people at beach Swimmers/non swimmers Potential Pollution Sources Sources of discharge Rivers, outfalls, wetlands, etc. Floatables Amount of debris/litter Amount of algae Stranded on beach Floating/submerged in water Presence of wildlife Gull counts Geese, deer, other Presence of domestic animals Dogs, Horses

Physical Space Requirements Segregated g work spaces Sample filtration/dna extraction Preparation of master mix Sample analysis Washable surfaces Non porous UV disinfection, bleach Unidirectional workflow Dedicated equipment Dedicated PPE Proper disposal of DNA waste

Product Sourcing/Costs Consistent product quality Sole suppliers vs. open market Single lot numbers Wet chemistry vs. beads/kits Manufactured vs. lb lab prepared Cost differential Culture vs. qpcr Total analytical costs for qpcr (2 beaches, including QC): qpcr (E. coli) = $65.00 IDEXX (E. coli) = $20.0000

Staff Training Needs Aseptic technique! Pipetting skills Good laboratory practices Understanding of molecular concepts Need comprehensive understanding of assay results Precision/accuracy Reproducibility Academic and hands on Learn the basics Observe a trained professional Vendor training National and regional training opportunities Train the trainer (referee labs) Data review prior to doing it alone

QA/QC What QC samples should be run? Method Blank (contamination during sample filtration) Filter Blank (contamination in extraction process) NTC (reagent contamination) Calibrator (target quantification check) SPC control (extraction and inhibition control) Number/Frequency? Definition of inhibition >3 cycle threshold difference b/w cal SPC and unknown SPC (EPA definition)

QA/QC Field replicates vs. sample replicates Sample replicates = 2 sub samples from 1 DNA extraction Detection in the negative controls >35 CT in more than a single NTC <45 CT in a third of NTC rxns for a single MM Non agreement/non consensus Replicate analyses should agree within 1 CT When is it ok to average replicate CT values? How do you know what the right answer is? How do you know what the right answer is? Reporting out non detects Less than half the reciprocal of the dilution factor What does that mean?

Sample Handling & Storage Storing supplies Calibrators, Lab prepared cells @ 80 C Controls, SPC @ 4 8 C DNA Reagents, product dependent How long? Stock salmon DNA was good for 5 years @ 4 C Lab prepared cell suspensions were good for 5 years @ 80 C Storing samples Fresh, analyzed w/i 4 hours of collection Filters, freeze @ 80 C DNA extracts, good for 7 days @ 4 C (up to 1% loss/day) Mailing samples and/or reagents Degradation can occur if temp is not maintained

Reagents and Controls Reagents Wet Chemistry or bead technology Troubleshooting contamination Calibrators and Controls Lab prepared vs. commercial products Precision (cal curves, replicate sample agreement) Accuracy (calibrators, SPC) Reproducibility (b/w run calibrator agreement) Inter laboratory validation studies

Comparative Testing (Method Validation) Within lab Can you continue to use the same procedures/protocols that you used for culture based assays? Time of sample collection Composite sampling Numerical agreement Should/could you expect to see this? Regulatory action agreement Will you be as protective to public health and safety? Between labs Inter laboratory reproducibility studies Rf Referee labs lb

Composite Sampling Physical combining of multiple sub samples into a single sample Is it valid to composite? Does the composite value fall within the range if individual values? Would a composite sample mask a true elevation? Increases spatial coverage Maintains analytical costs May be particularly useful when considering qpcr

Inter laboratory Reproducibility Study Chosen based on Level of experience with qpcr Type of instrument platform Certification as a water testing laboratory Most proficient lab acted as the referee lab Sole source of reagents, calibrators, and controls Same day shipping Analyze replicate filters within a set timeframe

Study Design Target = E. faecalis 24 sets of replicate filters from archived surface water samples 75% unspiked, 25% spiked Phase I = analysis of 6 standard curves Phase II = analysis of 12 replicate spiked and unspiked filters Phase III = analysis of 12 archived replicate filters from inland waters and Great Lakes

Standard curves Results 10, 100, 1000, and 10,000000 cells Very good agreement between laboratories Composite standard curve: R 2 = 0.99, PCR efficiency = 101.5% Spiked and unspiked filters No significant difference in DNA recovery as determined by calculated CCE/100 ml (p = 0.50 0.99) Archived filters No significant difference b/w participant p labs Significant difference b/w referee lab and participant labs Degraded SPC probes/primers (primarily) DNA loss Inherent sample variability

Pilot Implementation Racine (2011) E. coli Method 1603 vs. Colilert 18 Colilert 18 vs. qpcr Colilert 18 vs. Virtual Beach model qpcr vs. Virtual Beach model Enterococci Method 1600 vs. Enterolert Enterolert vs. qpcr Relate back to NEEAR study findings

E. coli (Method 1603) and enterococci (Method 1600) were correlated when usingculture culture based enumeration methods 3.5 Log10 Method 1603 vs. Method 1600 (2011) 3 1603 1600 1603 LOG10 1 1600 LOG10 0.65087973 1 Enterococci, LOG10 cfu/100 ml 25 2.5 2 1.5 1 y = 0.7719x + 0.4609 R² = 0.4236 0.5 0 0 0.5 1 1.5 2 2.5 3 E. coli, LOG10 cfu/100 ml

Correlation: culture to culture There is not perfect agreement, even 3.0 2.5 2.0 C 18 vs. 1603, North Beach AM (2011) between two culture 1.5 based methods 1.0 0.5 y = 0.7283x + 0.3392 R² = 0.7205 Anova: Single Factor SUMMARY Groups Count Sum Average Variance Colilert 18 46 4388 95.39130435 102011.8879 Method 1603 46 2350 51.08695652 7865.458937 ANOVA Source of Variation SS df MS F P value F crit Between Groups 45146.13043 1 45146.13043 0.821755015 0.367088177 3.946875558 Within Groups 4944480.609 90 54938.67343 0.0 0.0 0.5 1.0 1.5 2.0 2.5 3.0 3.5 METHOD 1603 vs. Colilert 18 Total 4989626.739 91

1000 900 800 700 600 500 400 300 200 100 0 E. coli, Colilert 18 vs. qpcr (2011) C 18, PM qpcr, PM C 18, PM 1 qpcr, PM 0.903933 1 C 18, PM qpcr, PM Unit ts per 100 ml (MPN or CCE) 5 Jul 7 Jul 9 Jul 11 Jul 13 Jul 15 Jul 17 Jul 19 Jul 21 Jul 23 Jul 25 Jul 27 Jul 29 Jul 31 Jul 2 Aug 4 Aug 6 Aug 8 Aug 10 Aug 12 Aug 14 Aug 16 Aug 18 Aug 20 Aug 22 Aug 24 Aug 26 Aug 28 Aug 30 Aug 1 Sep Date

9 E. coli CCE/100 ml vs. Date of Sample (2011) 8 7 6 E. coli CCE/100 ml (Log Normalized) 5 4 3 NB-AM qpcr Avg. Value NB-PM qpcr Avg. Value 2 1 0 5 6 7 11 13 14 18 19 20 21 25 26 27 28 1 2 3 4 8 9 10 11 Date of Sample (July 5, 2011 - August 11) E. coli CCE/100 ml (Log Normalized) E. coli CCE/100 ml vs. Date of Sample (2011) 9 8 7 6 5 4 3 2 1 0 5 7 13 18 20 25 27 1 3 8 10 Date of Sample (July 5, 2011 - August 11) NB-AM qpcr Avg. Value NB-PM qpcr Avg. Value

2011 VB Model Pilot Study VB Predictions vs. Colilert 18 Correct, 42/46 91% Incorrect, 4/46 9% Type I, 2/46 4% Type II, 2/46 4% VB Predictions vs. qpcr CCE Correct, 43/44 98% Incorrect, 1/44 2% Type I, 1/44 2% Type II, 0/46 0% The predictive model constructed using Virtual Beach accurately estimated E. coli concentrations enumerated by culture based (Colilert 18, 91%) and qpcr assays (98%).

Implementation 2012 Regulatory monitoring 5 days/week Received approval as an ATP indicator/method combination in May 2012 2 beaches E. coli by qpcr (BioGx Smartbeads : E. coli and Sketa) Compare to culture 4 days/week Compare to model 5 days/week y/ Compare E. coli/enterococci by culture (qpcr to follow) Archived filters (Fall 2012)

Data Handling Reality Check Replicate analyses do not always agree Open, advisory, closed, coin toss (?) Culture does not always agree with qpcr Results do not always make sense based on environmental conditions Inhibition i False negatives w/o inhibition (algae blooms?) Filter blanks or NTC are contaminated Contamination as a result of visitors/observers not wearing PPE

The Way Forward What is the way forward for broader implementation? Further comparative studies Know your beach Years of comparative data USE THE SANITARY SURVEY TOOL Correlations b/w inhibition and ambient conditions Virtual Beach Helps make sense of environmental conditions and analytical results

Points to Consider Make sure this analytical method works for you before you start the lab set up process Consult with proficient labs Exchange sample filters Future needs: Sole source or approved QC materials Accreditation Laboratory Inspections Staff Credentials Proficiency Testing

Ak Acknowledgements ld EPA Contract #EP115000072 City of Racine, WI US EPA Office of Water, NERL, Region 5 Tamara Anan eva (qpcr Queen of the WI & EPA OW ORISE Intern) A long line of dedicated staff and students: Jennifer Lavender Michelle Leittl Denny Mudd Jenni Creekmur

Thank You!