AdnaTest EMT-2/StemCell Add-on Ovarian-2 Detect

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AdnaTest EMT-2/StemCell Add-on Ovarian-2 Detect PCR-expression analysis of ovarian cancer associated gene expression in enriched tumor cells For research use only Manual T-1-537-PO-2

Contents Order Information... 3 Purpose... 3 Abbreviations and Symbols... 4 Patents and Registered Trademarks... 4 Product Description... 5 Kit Components... 5 Additional Materials Needed... 6 Storage... 7 Application Information... 7 Protocol... 8 A. Multiplex-PCR... 8 B. Fragment Analysis... 9 References... 12 Troubleshooting... 12 Short Manual... 13 2

Order Information On the website www.adnagen.com the addresses of distributors and information about our products can be found. Our distributors will provide you also with technical support. Furthermore, the QIAGEN Hannover support team will answer you any questions regarding the AdnaTests (support@adnagen.com). Purpose is used for the analysis of ovarian cancer-associated gene expression in immunomagnetically enriched tumor cells by reverse transcription and PCR and is intended for research use only. The specificity of the detection is 90%. In spiking experiments 5 tumor cells per sample are detected at a recovery rate of at least 90%. AdnaTest EMT-2/StemCell is used for the enrichment of circulating tumor cells from peripheral blood and reverse transcription. 3

Abbreviations and Symbols bp Base pairs cdna Complementary deoxyribonucleic acid C+ Positive control C- Negative control CA-125 Cancer antigen 125 DNA Deoxyribonucleic acid GA733-2 Gastrointestinal tumor associated antigen 733-2 Muc-1 Muc-1 gene PCR Polymerase chain reaction RNase Ribonuclease rpm Revolutions per minute RT Reverse transcription Expiry date Storage temperature Catalogue number Consider instructions for use Manufactured by Patents and Registered Trademarks This test requires licenses of Hoffmann-La Roche AG, Basel. The purchase of AdnaTests does not authorize the user to perform the PCR without license. The trademark HotStarTaq is registered by QIAGEN, Hilden. LabChip is a US registered trademark of Caliper Technology Corp. 4

Product Description The PrimerMix Ovarian-2 Detect allows the amplification of three tumor associated antigens and one control gene. The primers generate fragments of the following sizes: CA125: 432 bp GA733-2: 395 bp Muc-1: 299 bp Actin: 120 bp (internal PCR control) Note: Fragment sizes may vary slightly. Please use the Positive Control (C+) 9 for assignment of the detected signals. Kit Components includes the following components: Table 1: Kit components Component Symbol T-1-537-PO-2 (12 tests) PrimerMix Ovarian-2 Detect 8 1 Positive Control Ovarian-2 (C+) 9 1 The reagents are sufficient to analyze 6 PCR controls and 12 blood samples. 5

Additional Materials Needed Equipment: Thermocycler with a heated lid and a heating rate of 2 C/s. Agilent 2100 Bioanalyzer (Agilent Technologies) or an alternative analysis system. Material: Sterile, RNase-free thin-wall 0.2 ml PCR-tubes Sterile, RNase-free 1.5 ml reaction tubes (e. g. Sarstedt, cat. no. 72.690) Pipets and RNase-free pipet tips with aerosol barrier, suitable for pipetting volumes from 4 µl to 200 µl Protective gloves Reagents: HotStarTaq Master Mix Kit (QIAGEN, cat no. 203443, 250 U) 6

Storage has to be stored at -20 C. In order to prevent possible contaminations and frequent temperature changes aliquot the primer mix. All components must not be used beyond the expiry date. Application Information The test must be performed by personnel skilled in molecular biological techniques. All components and additional reagents provided by other suppliers have to be stored according to their instructions. Safety advices of the respective manufacturers are valid. Wear protective gloves to avoid contamination with DNA, RNA and RNases. The test has to be performed in the denoted sequence and has to comply with all specifications stated in respect of incubation times and incubation temperatures. Perform sample processing incl. reverse transcription (AdnaTest EMT-2/StemCell) and subsequent analysis of amplified PCR products in different rooms, if possible, to avoid crosscontamination. The use of products from other suppliers than suggested may cause inferior results. The safety and hygiene regulations of the laboratory must be respected (e. g. wear lab coats, protective goggles, gloves). 7

Protocol A. Multiplex-PCR 1. Thaw HotStarTaq Master Mix (QIAGEN), RNase-free water, Positive Control Ovarian-2 (C+) 9 and PrimerMix Ovarian-2 Detect 8, vortex, spin down and place on ice. 2. The PCR Master Mix is prepared as shown in Table 2 according to the number of samples. The volume of the Master Mix should be at least 10 % larger than the requirement calculated from the number of samples. Note that a Positive Control Ovarian-2 (C+) 9, RNase-free water as Negative Control (C-) and the RT Control must always be included. 3. For each preparation dispense 42.0 µl of the Master Mix into 0.2 ml PCR reaction tubes. Resuspend the cdna/bead mix by pipetting and add 8.0 µl of it to each reaction tube. Note: As Negative Control add 8.0 µl of RNase-free water instead of cdna. Table 2: Preparation of the Multiplex-PCR Component PCR Master Mix Volume HotStarTaq Master Mix 25.0 µl RNase-free water 13.0 µl PrimerMix Ovarian-2 Detect 8 4.0 µl Samples cdna or RT Control or Negative Control (RNase-free water) or Positive Control Ovarian-2 (C+) 9 each: 8.0 µl Total volume 50.0 µl 8

A thermocycler is used for the PCR following the program described in Table 3. Run the thermocycler with a ramp of 2 C/second. The PCR is performed with a total of 37 cycles. Table 3: PCR program 95 C 15 min 94 C 30 sec 58 C 30 sec 72 C 30 sec 72 C 10 min 4 C 37 cycles B. Fragment Analysis Agilent 2100 Bioanalyzer The analysis with the Agilent 2100 Bioanalyzer (Agilent Technologies) on a DNA 1000 LabChip is recommended. Follow the instructions of the DNA 1000 LabChip manual and make sure that no beads are transferred into the LabChip. Magnetic beads in the gel can cause false results. Start the Bioanalyzer software "2100 expert". Under "Contexts" select "Instrument", click the button "Assay" next to "Assay selection". Choose "electrophoresis > DNA 1000 Series II.xsy. Prepare the chip and start run. 9

For evaluation of the results set a detection threshold as it is described below: Under "Contexts" select "Data", choose the tab "Assay Properties". On the right select "Global" and "Normal" from the pull down menu. Choose "Sample Setpoints > Integrator > height threshold (FU) and set this value to "0" (default value is "20") to detect all signals. Evaluation Using the Agilent 2100 Bioanalyzer, peaks with a concentration of 0.20 ng/µl are positive (Fig. 1). The fragment of the control gene actin must show in all patient samples (internal PCR control). An actin signal provides a positive control for the Multiplex-PCR. Negative Control and RT Control samples must not show any bands larger than 80 base pairs (primer dimers). Any deviation from the protocol might lead to false negative or false positive results. In case assistance is needed to interpret the results, please do not hesitate to contact our support team. 10

Base pairs 1500 DNA-Ladder Sample 1 Sample 2 Sample 3 Sample 4 Sample 5 Sample 6 Negative control (C-) Positive Control (C+) 1000 850 700 500 400 CA-125 GA733-2 300 Muc-1 200 150 100 Actin 50 15 Fig. 1: results of multiplex-pcr samples analyzed with an Agilent 2100 Bioanalyzer The first lane shows the DNA size standard (DNA-Ladder). Sample 1 is positive for CA-125, GA733-2 and Muc-1, samples 3, 4 and 5 are positive for GA733-2 and Muc-1 and sample 6 is positive for GA733-2. Sample 2 is negative. Actin is detected in samples 1 to 6. The PCR negative (C-) and Positive Control (C+) are shown in the last two lanes. 11

References For references please refer to our website http://www.adnagen.com Troubleshooting A failure of the gene expression analysis may have various reasons. It is essential that all assay steps are always executed precisely according to the manual. In case problems still occur, please go to: www.adnagen.com and download our troubleshooting guide in the product section. You will find practical hints for the test procedure and for the correct interpretation of test results. Do not hesitate to contact our support team when problems continue to exist. 12

Short Manual Components PrimerMix Ovarian-2 Detect 8 Positive Control Ovarian-2 (C+) 9 You need 0.2 ml PCR-tubes pipets and tips (RNase free) for 4-200 µl HotStarTaq Master Mix Kit (QIAGEN) Thaw all components, mix and keep on ice before use. Table 4: Multiplex-PCR Component PCR Master Mix Volume HotStarTaq Master Mix 25.0 µl RNase-free water 13.0 µl PrimerMix Ovarian-2 Detect 8 4.0 µl Samples cdna or RT Control or Negative Control (RNase-free water) or Positive Control Ovarian-2 (C+) 9 each: 8.0 µl Total volume 50.0 µl The PCR is performed with a total of 37 cycles. 13

Table 5: PCR program 95 C 15 min 94 C 30 sec 58 C 30 sec 72 C 30 sec 72 C 10 min 4 C 37 cycles For fragment analysis we recommend the use of an Agilent 2100 Bioanalyzer. 14

QIAGEN GmbH QIAGEN Strasse 1 D-40724 Hilden Germany For support call Phone: +49 (0) 511 72 59 50-50 Fax: +49 (0) 511 72 59 50-40 Email: support@adnagen.com Internet: www.adnagen.com