CYP 2C19 Genotyping Reagents

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CONTENTS Introduction 4 Overview of Mutector TM Assay 5 Materials Provided 6 Materials Required 7 CYP 2C19 Genotyping Reagents Equipment Required 7 DNA Sample Preparation 8 Sequencer Setup 8 Thermal Cycling Programs 9 Mutector TM Assay Protocol 10 A. PCR Amplification 10 User Manual V1.3 B. PCR Product Clean Up 13 C. STA (Genotyping) Reaction 14 D. Sample Loading 16 E. Data Analysis 16 Cat No. GP12 Storage Upon receipt of the kit, store at 20 o C until use. At this temperature the reagents are stable for 6 months. After first use, store all of reagents at 2-8 o C and keep them protected from direct light. At this condition the reagents are stable for 1 month. 1 2

Notice to Purchaser The Mutector TM kit is provided as research use only, not for use in diagnostic procedures. The purchaser must determine the suitability of the product for their particular use. TRIMGEN DISCLAIMS ALL WARRANTIES WITH RESPECT TO THIS DOCUMENT, EXPRESSED OR IMPLIED, INCLUDING BUT NOT LIMITED TO THOSE OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. TO THE FULLEST EXTENT ALLOWED BY LAW, IN NO EVENT SHALL TRIMGEN BE LIABLE, WHETHER IN CONTRACT, TORT, WARRANTY, OR UNDER ANY STATUTE OR ON ANY OTHER BASIS FOR SPECIAL, INCIDENTAL, INDIRECT, PUNITIVE, MULTIPLE OR CONSEQUENTIAL DAMAGES IN CONNECTION WITH OR ARISING FROM THIS DOCUMENT, INCLUDING BUT NOT LIMITED TO THE USE THEREOF, WHETHER OR NOT FORESEEABLE AND WHETHER OR NOT TRIMGEN IS ADVISED OF THE POSSIBILITY OF SUCH DAMAGES. Introduction CYP2C19 Mutector TM Kit is comprised of two sets of reagents to detect and differentiate eight alleles: Set A reagents are used to detect alleles *2, *3, *4, and *5; Set B reagents are used to detect alleles *6, *7, *8, and *17. CYP2C19 Alleles and Enzyme Activity Allele Genotype Activity CYP2C19*2 c.681g>a None Limited Product Warranty It is imperative that the users strictly adhere to this manual. Failure to do so will void TrimGen's guarantee of this product. TrimGen Corporation makes no other warranties of any kind, expressed or implied, including without limitation, warranties of merchantability or fitness for a particular purpose. CYP2C19*3 c.636g>a None CYP2C19*4 c.1a>g None CYP2C19*5 c.1297c>t None CYP2C19*6 c.395g>a None CYP2C19*7 IVS5+2T>A None License The purchase of Mutector TM kit includes a limited, nonexclusive license to use the kit. This license does not grant rights to reproduce or modify the Mutector TM kit for resale, or to use the Mutector TM kit to manufacture commercial products without written approval of TrimGen Corporation. No other license, expressed, implied or by estoppels is granted. Product Safety and Liabilities When working with the kit reagents, always wear a lab coat, disposable gloves, and protective goggles. TrimGen Corporation shall not be liable for any direct, indirect, consequential or incidental damages arising out of the misuse, the results of use, or the inability to use this product. CYP2C19*8 c.358t>c Decreased CYP2C19*17 c.-806c>t Increased * Shifted Termination Assay (STA) Shifted Termination Assay is a proprietary technology that uses uniquely designed primers, mixtures of modified enzymes and specially synthesized nucleotides. STA technology extends primers by multiple bases to increase signal strength and fragment size, creating mutation peaks that are easily distinguished from wild type. enriched mutation signals are then detected by fragment analysis. The Trademarks The trademarks mentioned herein are the property of TrimGen or their respective owners. TrimGen Corporation. All rights reserved. Wild type x Mutation Information in this document is subject to change without notice. Mutant Wild type x STA reaction Fragment analysis 3 4

Overview of CYP2C19 Genotyping Assay Materials Provided: The Mutector TM CYP2C19 Genotyping contains reagents for 32 tests. Tube A Tube B PCR Amplification Reaction 1.5 hours Materials GP12 Description Master Mix 2x 600 μl PCR Reagent Mix C-UP 1 65 μl PCR Product Clean UP Enzyme 1 C-UP 2 65 μl PCR Product Clean UP Enzyme 2 C-UP Buffer 780 μl Buffer for Clean UP Enzymes PCR Product Clean Up 30 min ST-F* 780 μl Reagent Mix for Allele Detection Loading Buffer* 2x 650 μl Sample Loading Buffer with Size Standards PCR-P A 70 μl PCR Primers for *2, *3, *4, and *5 PCR-P B 70 μl PCR Primers for *6, *7, *8, and *17 DP- A 70 μl Detection Primers for *2, *3, *4, and *5 DP- B 70 μl Detection Primers *6, *7, *8, and *17 STA (genotyping) Reaction 45 min CTL- A 50 μl Control DNA for *2, *3, *4, and *5 CTL- B 50 μl Control DNA for *6, *7, *8, and *17 * Light sensitive: Keep these reagents protected from direct light. Capillary Electrophoresis Fragment Analysis 30-40 min Tube -A for alleles *2, *3, *4, and *5 Tube-B for alleles *6, *7, *8, and *18 5 6

Materials required: DNA Sample Preparation: 0.2 ml PCR tubes (8-well strip tube) DS-32 Matrix Standard Kit for calibration of sequencer (Applied Biosystems Pat No. 4345831) Equipment required: Reagents for DNA preparation are not provided with the kit. Any commercially available DNA extraction kit is acceptable. DNA concentration adjustment: When using a column or bead DNA extraction method, adjust the final concentration of extracted DNA to 100 ng/ l. Thermal Cycler: Any type of thermal cycler with a 0.2 ml tube block is acceptable for performing the assay. Sequencer: Applied Biosystems Genetic Analyzer Instrument Data Collection Data Analysis Genetic analyzer 3100 Genetic analyzer 3700 Genetic analyzer 3130 Data Collection Software v3.0 or v3.1 GeneMapper Software v4.0 or v4.1 Sequencer Setup: First time users should set up the analysis program for the ABI sequencer (one time setup). After setup, the program can apply to all Mutector tests for data analysis. Step I. GeneMapper Setup www.trimgen.com/docs/parti-genemapper-setup.pdf Genetic analyzer 3500 3500 Data Collection Software v1.0 GeneMapper Software v4.1 Step II. Data Collection Software Setup www.trimgen.com/docs/partii-data-collection-setup.pdf Step III. Data Analysis Using GeneMapper www.trimgen.com/docs/partiii-data-analysis-genemapper.pdf 7 8

Important Spectral calibration is required before running the test Mutector TM Assay Protocol: A. PCR Amplification The sequencer needs to be calibrated with the DS-32 calibration kit (Applied Biosystems cat No. 4345831). This is a one-time calibration to set up spectral channels to collect the test results. Refer to the DS-32 Matrix standards kit to prepare the DS-32 matrix standards. Run a Matrix Standard Set DS-32 (5FAM, JOE, NED, ROX) to perform a spectral calibration. Thaw all reagents and keep on ice. Spin down the reagents before use. Negative and positive controls are recommended for each run. Tube A (alleles *2, *3, *4, and *5) Thermal Cycling Programs: Program 1 (PCR) 1 cycle 94 o C 2 min A.1. Prepare PCR Reaction Mix A: Calculate the amount of Master Mix and PCR primers using following formula. Master Mix = 18 μl x ( ) x 1.1* = l # of Samples/Controls 35 cycles 94 o C 20 sec 53 o C 30 sec 72 o C 30 sec PCR-P A = 2 μl x ( ) x 1.1** = l # of Samples/Controls 1 cycle 72 o C 1 min * Adjustment for pipetting error. Program 2 (PCR Product Clean-up) Label a tube with A and transfer the above reagents to the "A" tube and gently mix the contents (avoid bubble). This is the PCR Reaction Mix A. 37 o C 25 min 95 o C 5 min A.2. Collect 0.2 ml PCR tubes, 1 tube per sample and label the tubes as shown below: Sample 1, 2, 3 Program 3 (STA Reaction) 1 cycle 94 o C 1 min 20 cycles 94 o C 20 sec 50 o C 45 sec 72 o C 10 sec A.3. A.4. Neg 1 2 3 4 5 1A 2A 3A 4A 5A Neg: Negative control Transfer 20 l from the tube "A" into each of the tubes. Add 2 l of nuclease free water to the Neg tube. 9 10

A.5. Add 1-2 l of sample DNA ( 50-200 ng/ l) to each sample tube. A.11. Cap the tubes and mix the contents. After spin, place the PCR tubes in a thermal cycler and run Program 1. Tube-B (Alleles *6, *7, *8, and *17) Program 1 A.6. Prepare PCR Reaction Mix B: Calculate the amount of Master Mix and PCR primers using following formula. Master Mix = 18 μl x ( ) x 1.1* = l # of Samples/Controls PCR-P B = 2 μl x ( ) x 1.1** = l # of Samples/Controls 1 cycle 94 o C 2 min 35 cycles 94 o C 20 sec 53 o C 30 sec 72 o C 30 sec 1 cycle 72 o C 1 min The procedure can be temporarily stopped after Program 1. The PCR products can be stored at 2-8 o C for next day test. * Adjustment for pipetting error. Label a tube with B and transfer the above reagents to the "B" tube, gently mix the contents (avoid bubble). This is the PCR Reaction Mix B. A.7. Collect 0.2 ml PCR tubes, 1 tube per sample and label the tubes as shown below: Sample 1, 2, 3 Neg 1B 2B 3B 4B 5B Neg: Negative control A.8. A.9. Transfer 20 l each from the tube B into all of the tubes. Add 2 l of nuclease free water to the Neg tube. A.10. Add 1-2 l of sample DNA (50-200 ng/ l) to each sample tube. 11 12

B. PCR Products Clean Up B.1. Prepare PCR Clean-Up (C-UP) Mix: C. STA Reaction (Genotyping) Calculate the amount of C-UP Buffer, C-UP1 and C-UP2 using following formula: Tube Set-A (Alleles *2, *3, *4, and *5) C-UP Buffer = 9 μl x ( ) x 1.2* = μl # of PCR tubes C-UP1 = 1 μl x ( ) = μl # of PCR tubes C.1. Prepare STA Mix A (SA): Label a tube as SA. Prepare "SA" mix as following: C-UP2 = 1 μl x ( ) = μl # of PCR samples * Adjustment for pipetting error. Label a tube with C-UP and transfer the above reagents to the C-UP tube and gently mix the contents (avoid bubble). This is the PCR Clean-Up Mix. B.2. Collect 0.2 ml strip tubes, one tube for each PCR reaction. Label the tubes the same as the PCR tubes. B.3. Transfer 11 μl C-Up mix to new tube, B.4. After PCR reaction finished, spin the PCR tube and transfer 5 μl of PCR product to each C-Up tube (the remaining PCR products can be stored at 20 C for re-test). B.5. Gently mix the content and spin the tubes. B.6. Incubate the tubes in a thermal cycler using Program 2. Program 2 ST-F Mix = 11 μl x ( + 1*) x 1.1** = μl # of C-UP tubes DP-A = 2 μl x ( + 1*) x 1.1** = μl # of C-UP tubes * For mutation controls ** Adjustment for pipetting error Transfer the above reagents to the "SA" tube and gently mix the contents (avoid bubble). This is the STA Mix A. C.2. Collect 0.2 ml strip tubes, one tube for each C-UP treated sample. Add an extra new tube for genotype controls and label the tube with CTL. Tube Set-A Sample 1, 2, 3. 37 o C for 25 min 95 o C for 5 min Neg CTL 1 A 2 3 4 5 New tube for genotype controls The procedure can be temporarily stopped after Program 2. The C-UP products can be stored at 2-8 o C for next day test. The CT- A is genotype controls designed for data analysis and should be run each time. 13 14

C.3. Add 13 μl of "SA" into each tube of Tube Set-A. C.4. Add 5 μl of 2C19 CTL-A into the CTL-A tube C.9. Add 13 μl of "SB" into each tube of Tube Set-B. C.5. Transfer 5 μl of C-UP treated PCR products from the Tube A in C-UP section to each Set-A tube correspondingly. C.6. Cap the tubes, mix the contents and spin the tubes. C.10. Add 5 μl of 2C19 CTL-B into the CTL-B tube C.11. Transfer 5 μl of C-UP treated PCR products from the Tube B in C-UP section to each Set-B tube correspondingly. Tube Set-B (Alleles *6, *7, *8, and *17) C.7. Prepare STA Mix B (SB): C.12. Cap the tubes, mix the contents and spin the tubes. C.13. Place the tubes into the thermal cycler and perform the STA reaction using Program 3. Label a tube as SB. Prepare SB mix as following: ST-F Mix = 11 μl x ( + 1*) x 1.1** = μl # of C-UP tubes Program 3 1 cycle 94 o C 1 min 20 cycles 94 o C 20 sec 50 o C 45 sec 72 o C 10 sec DP-B = 2 μl x ( + 1*) x 1.1** = μl # of C-UP tubes * For mutation controls The procedure can be temporarily stopped after Program 3. The STA products can be stored at 2-8 o C overnight. ** Adjustment for pipetting error Transfer the above reagents to the "SB" tube and gently mix the contents (avoid bubble). This is the STA Mix B. D. Sample Loading D.1. Add 15 μl of the Loading Buffer to each well of a sequencer adapter plate. C.8. Collect 0.2 ml strip tubes, one tube for each C-UP treated sample. Add an extra new tube for genotype controls and label the tube with CTL. Tube Set-B Sample 1, 2, 3. D.2. D.3. Transfer 5 μl of the STA reaction products into each well. Confirm and remove any bubbles in the well. Load the plate into the sequencer and run the pre-setup Data Collection Program. E. Data Analysis Neg CTL B 2 3 1 4 5 New tube for genotype controls User can set up the allele identification method using GeneMapper (detail see GeneMApper instruction). TrimGen also provide a third party analysis software, for detail information please contact us at "inforequest@trimgen.com". The CTL-B is genotype controls designed for data analysis and should be run each time. 15 16