Project:EUNCL LLC-PK1KidneyCytotoxicityAssay AUTHORED BY: DATE: Vu To, Geir Klinkenberg 13-05-2016 REVIEWED BY: DATE: Matthias Roesslein 14-05-2016 Rainer Ossig Sabrina Gioria APPROVED BY: DATE: Matthias Roesslein 14-05-2016 DOCUMENTHISTORY Effective Date Date Revision Required Supersedes DD/MM/YYYY DD/MM/YYYY DD/MM/YYYY Version Approval Date Description of the Change Author / Changed by 1.0 13.05.2016 All Geir Klinkenberg DocumentType SOP Initial Document DocumentID EUNCL-GTA-001 Version 1.0 Status Page 1/15 TableofContent 1 Introduction......................................................................................................................................3 2 PrincipleoftheMethod....................................................................................................................3 3 ApplicabilityandLimitations(Scope)...............................................................................................3 4 RelatedDocuments..........................................................................................................................3 5 EquipmentandReagents..................................................................................................................4 5.1 EquipmentandCultureware.....................................................................................................4 5.2 Reagents....................................................................................................................................4 5.3 ReagentPreparation..................................................................................................................4 6 Procedure.........................................................................................................................................6 6.1 Flowchart..................................................................................................................................6 6.2 Cellhandling..............................................................................................................................6 6.3 Cellseeding................................................................................................................................7 6.4 Assayprocedure........................................................................................................................8 6.5 Calculations.............................................................................................................................10 7 QualityControl,QualityAssurance,AcceptanceCriteria...............................................................10 8 HealthandSafetyWarnings,CautionsandWasteTreatment.......................................................11 9 Abbreviations.................................................................................................................................11 10 References....................................................................................................................................12 11 Appendix......................................................................................................................................13 11.1 Cellhandlingandstorage......................................................................................................13 11.1.1 Celloriginandprovenance.............................................................................................13 11.1.2 ThawingProcedure.........................................................................................................13 11.1.3 Propagationofstockampoules......................................................................................14 11.1.4 Platemapwithpositioningofsamplesandcontrolsinassayplates.............................15 DocumentType SOP DocumentID EUNCL-GTA-001 Version 1.0 Status Page 2/15 1 Introduction This protocol describes the cytotoxicity testing of nanoparticle formulations in porcine proximal tubule cells (LLC-PK1), as part of the in vitro EU-NCL preclinical characterization cascade. The protocol utilizes two methods for estimation of cytotoxicity, 3-(4,5-Dimethyl-2- thiazolyl)-2,5-diphenyl-2H-tetrazolium bromide (MTT) reduction and lactate dehydrogenase (LDH)release[1-2]. 2 PrincipleoftheMethod 1. MTTAssay MTT is a yellow, water-soluble tetrazolium dye that is reduced by live cells to a water- insoluble,purpleformazan.Theamountofformazancanbedeterminedbysolubilizingitin DMSO and measuring it spectrophotometrically. Comparisons between the spectra of treatedanduntreatedcellscangivearelativeestimationofcytotoxicity[3]. 2. LDHAssay LDHisacytoplasmicenzymethatisreleasedintothecytoplasmuponcelllysis.TheLDH assay,therefore,isameasureofmembraneintegrity.ThebasisoftheLDHassay:a)LDH oxidizes lactate to pyruvate, b) pyruvate reacts with the tetrazolium salt INT to form formazan, and c) the water-soluble formazan dye is detected spectrophotometrically [4, 5]. 3 ApplicabilityandLimitations(Scope) TheSOPdescribesinvitromethodsforevaluationofcytotoxicityofnanoparticleformulationsusing theMTT(metabolicactivity)andLDH-assays(membraneactivity)forLLC-PK1cells.Forbothassays, potentialinterferencesofthenanoformulationsontheassayreadoutshouldbetakenintoaccount duringdesignofexperimentsandinterpretationofdata.Existingavailableliteratureshouldtherefore be reviewed during design of experiments in order to evaluate the applicability of the assays. Theassaysprovidebasicinformationofthecytotoxicityofthenanoparticleformulations.Theassays doesnotprovideinformationofsublethalcellulareffectsordetailedmechanisticinformationofthe toxiceffectexperiencedbythecells. 4 RelatedDocuments Table1: DocumentType SOP DocumentID EUNCL-GTA-001 Version 1.0 Status Page 3/15 DocumentID EUNCL-GTA-2 DocumentTitle HepG2HepatocarcinomaCytotoxicityAssay 5 EquipmentandReagents 5.1 EquipmentandCultureware 1. Costar96wellflatbottomcellcultureplates(Nunc,3598) 2. Greiner96wellflatbottompolystyreneplates(Greiner,655163) 3. Halfarea96wellplate(Costar,3695) 4. Platereader(TecanInfinity200Pro-orequivalent) 5. Orbitalplateshaker 6. Incubator,37˚Cwith5%CO2and95%humidity 5.2 Reagents 1. LLC-PK1(pigkidneycells)(LGCStandards,CL-101,LOT59681631) 2. MTT(3-(4,5-dimethyl-2-thiazolyl)-2,5-diphenyl-2H-tetrazoliumbromide)(Sigma,M5655) 3. Dimethylsulfoxide(Sigma,D5879) 4. Glycine(Sigma,G7126orG7403) 5. Sodiumchloride(Sigma,S7653) 6. 10%Triton-X-100(Sigma,93443) 7. Digitonin(Sigma,D141-500MG) 8. Medium199Cellculturemedia(Sigma,M2154) 9. Fetalbovineserum(Sigma,F7524,LOT025M3302) 10. L-Glutamine(Sigma,G7513) 11. Penicillin-Streptomycin(Gibco,15140122) 12. Dissociationreagente.gTrypsin/EDTAorTrypLE(e.gGibco,12605-010) 13. BiovisionLDH-cytotoxicityassaykit(Biovision,K311-400) 14. PBS(Difco,BR0014) 5.3 ReagentPreparation Cellculturemedium: ThecompletemediumforLLC-PK1shouldbemadefresheveryweekandstoredat4˚C.Ifitis not used within a week remaining media should be discarded. The complete cell culture DocumentType SOP DocumentID EUNCL-GTA-001 Version 1.0 Status Page 4/15 media is prepared by adding 2 mM L-Glutamine, 3% FBS and 100 U/mL PenicillinStreptomycintoMedium199. PositiveControls: Prepareallpositivecontrolsfreshforeachroundofassay,samecontrolcanbeusedforallreading point(0,4,24and48hr) 1. 0.1%Triton-X-100: Preparea20Xstock(2%)ofTriton-X-100byadding2mLofTriton-X-100to8mLofMedium 199CellCultureMedia(with3%FBS).Sterilizebyfilteringthrougha0.2µmfilter. 2. DigitoninstocksolutionismadebysolubilizingdigitonininDMSOtoafinalconcentrationat 20mg/mL.Mixuntilaclearandhomogeneoussolutionisobtained.Thestocksolutioncanbe aliquoted and frozen at -20˚C. Prepare a 2X digitonin solution for internal plate control by diluting digitonin stock (20 mg/mL) in Medium 199 Cell Culture Media to a final concentrationof60µg/mL. MTTassay: 1. MTTsolution: Prepare5mg/mLMTTinPBS.Sterilizebyfilteringusinga0.2µmfilter.Thesolutioncanbe storedforuptoonemonthat4˚Cinthedark,orfreezeat-20˚C. 2. GlycineBuffer: Prepare0.1Mglycine(MW75.07)with0.1MNaCl(MW58.44)inMQwater,pH10.5. Sterilizebyfilteringusinga0.2µmfilter.Thesolutioncanbestoredatroomtemperaturefor upto4weeks. LDHassay: 1. Reconstitute catalyst in 1 mL dH2O for 10 min with occasional vortexing. The solution is stablefor2weeksat4˚C. 2. Reaction mixture (for one 96-well plate): Add 250 µL of reconstituted catalyst solution to 11.25mLofdyesolution.Oncethawed,thekitcomponentsarestablefor2weeksstoredat 4˚C.Reconstitutedcatalystsolutionshouldbeaddedtothedyesolutionimmediatelybefore use. DocumentType SOP DocumentID EUNCL-GTA-001 Version 1.0 Status Page 5/15 6 Procedure 6.1 Flowchart Figure1:Briefoutlineoftheworkflow. 6.2 • Cellhandling The LLC-PK1 cell line used by EUNCL is obtained from LGC Standards, see Annex for detailed informationaboutthawingandpropagationofasetofstockampoules. • Thesestockampoulesserveasstartingpointforallexperiments. • After thawing of stock ampoules, cells are subcultured for 3 passages or more until enough amountofcellsareachieved(seeSubcultivation). • Onthedayofexperiment,performcellseedingasdescribedin6.4,continuewithadditionof samplesthefollowingdayasdescribedin6.5. Subcultivation DocumentType SOP DocumentID EUNCL-GTA-001 Version 1.0 Status Page 6/15 LLC-PK1 cells are kept in a sub confluent state by routinely passaging twice or three times a weektoseedingdensitiesbetween1.2x104–3.2x104cells/cm2. Givenvolumesarefor75cm2flask–proportionallyreduceorincreaseamountofdissociation mediumforculturevesselofothersize. 1. Removeanddiscardculturemedium. 2. Wash the cell layer twice by gently rinsing it with 10-15 mL preheated (37˚C) Dulbecco'sphosphate-bufferedsalinewithoutcalciumandmagnesium. 3. Add 2.0-3.0 mL dissociation reagent (e.g Trypsin/EDTA or TrypLE®), incubate at 37˚C for10minutes,andgentlyknockcultureflaskstodetachmostofthecells. 4. ResuspendcellsinmediumcontainingFBStostoptrypsination. 5. Transferanddiluteinnewculturevessels. 6. Incubate the culture at 37˚C in a humidified atmosphere with 5% CO2 in a suitable incubator. 6.3 Cellseeding Cellpreparation(orasrecommendedbysupplier,seealso6.3.) 1. Harvest cells from prepared flasks, the cells should be cultivated for minimum 3 passages before use for experiment. Note: Limit to 20 passages from vial from cell bank at LGC Standards(Figure3). 2. Countcellnumberusingacoultercounterorhemocytometer. 5 3. Dilutecellstoadensityof2.5x10 cells/mLinMedium199(3%FBS)cellculturemedia. 4. Plate100µLcells/wellasperplateformat(Annex)forfour96-wellplates(timezero,4,24, and48hrsampleexposure).Seeplatedesign. 5. Incubate plates for 24 hr at 5% CO2, 37˚C and 95% humidity. Cells are grown to approximately80%confluence(Figure2). DocumentType SOP DocumentID EUNCL-GTA-001 Version 1.0 Status Page 7/15 Figure2.LLC-PK1CellCulture.Imagewastakenwithaphasecontrastmicroscopeat 225Xmagnification.LLC-PK1cellsareapproximately80%confluentatthisstage. 6.4 Assayprocedure The cells are prepared in 96-well plates as described in section 6.4. See also plate design in Annex. The format indicates no cells in rows A and H as they serve as particle blanks to be subtractedfromcelltreatmentwells.Eachplateaccommodatestwosamples(RowsA–DandEH).Eachnanoparticleistestedatninedilutions.Column11receivestheTritonX-100attheend oftherelevanttimepointandcolumn12receivesthepositivecontrolDigitonin. TimeZeroPlate(MTTAssay) 1. Removetimezeroplatefromtheincubatorandadd100µLfreshculturemediatoallwells. Thenadd10µLof20XTriton-X-100tothepositivecontrolwellsincolumn11(seeplate format in Annex) for a final concentration of 0.1% Triton-X-100 (see Section 5.3). Let the platesetfor10minutesatroomtemperature. 2. Remove100µLofmediafromeachwellandtransferittoanotherplate(Greiner, 655163), maintaining plate format. Transfer 50 µL if half area plates are used for LDHassay(Costar,3695).UsethisplateimmediatelyfortheLDHassay(seeSection below). 3. Removeremainingmediafromoriginalplateanddiscard. 4. Add200µLfreshmediatoallwells. 5. Add50µLMTT(seeSection5.3)toallwells. 6. Coverwithaluminumfoilandincubateat37˚Cfor3-4hrs. 7. Aspirateanddiscardmedia. 8. Add200µLDMSOtoallwellstosolubilizetheMTTformazancrystals. DocumentType SOP DocumentID EUNCL-GTA-001 Version 1.0 Status Page 8/15 9. Add25µLglycinebuffer(seeSection5.3)toallwells.Coverwithaluminumfoilandplaceon shakertomixfor10minutesinroomtemperature. 10. Readabsorbanceat570nmonplatereaderusingareferencewavelengthof680nm. TestSamplesandPositiveControlAddition Allsamplesarerunintriplicateswith9dilutionseach(seePlateMap). 1. The highest concentration of nanoparticle tested should be at the limit of solubility or determinedbythepotencyofthetestmaterial. 2. Dilutethetestcompoundinmedia,makingatotalofnine1:4dilutionsat2Xofthedesired final concentration. Different dilution series (i.e. 1:2, 1:10) can be done depending on test materialpotencyandavailability. 3. Add100µLofeachsampledilutionandpositivecontrolto4,24and48hrexposureplatesas pertheplateformat(Annex),andplacein37˚Cincubatorwith5%CO2and95%humidityfor indicatedtime.NotethatTritonX-100controlisaddedlaterattheendoftheexposuretime, so that these wells receive only 100µL media at this point (See step 1 in MTT assay). Alternatively,sampleandpositivecontrolcanbemadeatdesiredfinalconcentration.Media isaspiratedfromthewellsonthetestplates,andsampleandpositivecontrolareaddedat 200μLperwellaspertheplateformat(Annex). TestPlates,4,24and48hrexposures(MTTAssay) 1. Attheendofeachexposuretimepoint,removeplatefromincubatorandadd10µLof 20XTriton-X-100topositivecontrolwells(seeplateformatinAnnex)forafinal concentrationof0.1%Triton-X-100(seeSection5.3).Lettheplatesetfor10minutesat roomtemperature. 2. Remove100µLofmediafromeachwellandtransferittoanotherplate(Greiner, 655163),maintainingplateformat.Transfer50µLifhalfareaplatesareusedforLDH assay(Costar,3695).UsethisplateimmediatelyfortheLDHassay(seeSectionbelow). 3. Removeremainingmediafromoriginalplateanddiscard. 4. Add200µLfreshmediatoallwells. 5. Add50µLMTTtoallwells. 6. Coverwithaluminumfoilandincubatefor37˚Cfor3-4hr. 7. Aspirateanddiscardmedia. 8. Add200µLofDMSOtoeachwell. DocumentType SOP DocumentID EUNCL-GTA-001 Version 1.0 Status Page 9/15 9. Add25µLofglycinebuffertoeachwell.Coverwithaluminumfoilandplaceonshaker tomixfor10minutesinroomtemperature. 10. Readabsorbanceat570nmonplatereaderusingareferencewavelengthof680nm. Testplates,0,4,24and48hrexposures(LDHAssay) (AdaptedfromBiovisionLDHCytotoxicityAssayKit,K311-400) 1. Add100µLoftheReactionMixture(seeSection5.3)toeachwelloftransferplate. Alternativelyadd50µLoftheReactionMixtureifhalfareaplatesareused.Shakeplate onanorbitalshakerbrieflytomixsamples. 2. Incubateatroomtemperatureforupto20minutesinthedark. 3. Readtheplateonaplatereaderat490nmusingareferencewavelengthof680nm. 6.5 Calculations Allsamples,positive,negative,andmediacontrolsarerunintriplicate(e.g.,rowsB-DorE-G).Each wellwillbesubtractedfromitsrespectivecell-freeblank(e.g.,B2-A2orG3-H3)inthefollowing calculations.Theaverageofthesethreevaluesshouldbeusedintheequationsbelowforthe positiveandnegativecontrols(e.g.,[(B10-A10)+(C10-A10)+(D10-A10)]/3=meanmediacontrol absorbanceforsample1,or[(B11-A11)+(C11-A11)+(D11-A11)]/3=meanTriton-X-100positive controlabsorbanceforsample1.Sample2usestheblankrowHforsubtractions.). 1. MTTAssay % Cell Viability = 2. sample absorbance − cell free sample blank mean media control absorbance ×100 LDHAssay % Total LDH Leakage = !"#$%& !"#$%"!&'(!!"## !"## !"#$%& !"#$% !!"#$ !"#$% !"#$%"& !"#$%"!&'( !!"! !"#$%&' !"#$%$&' !!"#!!" !!"#!!!!!!!!"#$ !"#$% !"#$%"& !"#$%"!&'( ×100 3. Mean,SDand%CVshouldalsobecalculatedforeachpositivecontrol,negativecontroland unknownsample. 7 QualityControl,QualityAssurance,AcceptanceCriteria Acceptancecriteria 1. Asetofassaywellsexposedtoadilutionseries(9dilutions,3parallelwellsper concentration)ofthepositivecontroldigitoninfor24hoursisincludedineach assaybatch,startingat140µg/ml.TheEC50valueofthedigitoninpositivecontrol DocumentType SOP DocumentID EUNCL-GTA-001 Version 1.0 Status Page 10/15 isusedformonitoringofassayperformance.Plotvaluesforeachassaybatch. AssaysbatchesinwhichtheEC50valueofthedigitoninpositivecontrolare outsideof3standarddeviationsshouldbediscarded. 2. Theviabilityinwellswiththeplateinternaldigitionincontrolshouldbelessthan 50%. 3. Thereplicatecoefficientofvariationsofthepositivecontrolsandofthesamples shouldbewithin50%. 4. Theassayisacceptableifcriteria1and3aremet.Otherwise,theassayshouldbe repeateduntilacceptancecriteriaaremet. 5. Iftheacceptancecriteriaaremet,determinethehighestconcentrationofthe nanoparticulatematerialthatdoesnotinterferewiththeassaysystemindicated inrowsAandH. 6. Theconcentration–responsecurvesforthe48hrMTTandLDHdatashouldbe classifiedashavingcomplete(twoobservedasymptotes)orincomplete(second asymptotenotobtained)curves,singlepointactivity(activityatthehighest concentrationonly),ornoactivity.Forallcomplete48hrconcentration–response curves,anonlinearfitofthesigmoidalHillequationshouldbeperformed,andan estimateofpotency(EC50-CalculatedusingGraphpadPrism),efficacy(Emax), minimumresponse(E0),andHillslope(γ)fromtheHillequation(below)fitshould bereported.Anyexcludedpoints(excludedbyoutlieranalysis)shouldalsobe reported. E=E0 +[(Emax –E0)Cγ/ECγ50 ·Cγ] 8 HealthandSafetyWarnings,CautionsandWasteTreatment PleaserefertoavailableH.S.Einformationforanynanoformulationsevaluatedintheassays.Note thatsomeofthelistedreagentsarehazardousandmustbehandledwithprecaution.Pleasereferto safety data sheets for each reagent, wear protective equipment, and dispose waste according to localregulations. 9 Abbreviations CV coefficientofvariation DMSO dimethylsulfoxide FBS fetalbovineserum DocumentType SOP DocumentID EUNCL-GTA-001 Version 1.0 Status Page 11/15 INT 2-(p-iodophenyl)-3-(p-nitrophenyl)-5-phenyltetrazoliumchloride LDH lactatedehydrogenase LLC-PK1 renalepithelialcellline,porcinekidney MTT 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazoliumbromide MW molecularweight NaCl SodiumChloride PBS phosphatebufferedsaline SD standarddeviation 10 References 1. ISO10993-5,Biologicalevaluationofmedicaldevices:Part5,Testsforinvitro cytotoxicity. 2. F1903–98,StandardPracticeforTestingforBiologicalResponsestoParticlesinvitro. 3. Alley,etal.(1988)CancerRes.48:589-601. 4. Decker,T.&Lohmann-Matthes,M.L.(1988)J.ImmunolMethods15:61-69. 5. Korzeniewski,C.&Callewaert,D.M.(1983)J.ImmunolMethods64:313-320. 6. Freshney,R.I.(2010).Cultureofanimalcells:amanualofbasictechniqueandspecialized applications.(pp.87-88,193)Hoboken,N.J.,Wiley-Blackwell 7. NCLMethodGTA-1,Version1.2,November2015 LGCStandards DocumentType SOP DocumentID EUNCL-GTA-001 Version 1.0 Status Page 12/15 11 Appendix 11.1 Cellhandlingandstorage 11.1.1 Celloriginandprovenance LLC-PK1porcineproximaltubulecellsareusedasafunctionalmodelinthekidneycytotoxicity assayandmustbewellcharacterizedandvalidated.ValidatedcelllinesareobtainedfromLGC Standards. Upon arrival the LLC-PK1 cells should be propagated and cryopreserved at a low passagenumber.InordertominimizevariationsbetweenEU-NCLlabsduetocellcultivation, celllinesusedintheEU-NCL-GTA01assayshouldnotbepropagatedabove20passagesfrom originalvialsfromLGCStandards(Seefigure3)[6,7]. Figure3:PropagationofstockampoulesfromLGCStandards. 11.1.2 ThawingProcedure Thawingoffrozenampoulewasdoneaccordingtoinstructionsfromcellbank[8]. 1. Thawthevialbygentleagitationina37˚Cwaterbath.Toreducethepossibilityof contamination,keeptheO-ringandcapoutofthewater.Thawingshouldberapid, approximately1-2minutes. 2. Removethevialfromthewaterbathassoonasthecontentisthawed,anddecontaminate bysprayingwith70%ethanol.Placethevialintobiosafetycabinetandworkunderstrict asepticconditions. DocumentType SOP DocumentID EUNCL-GTA-001 Version 1.0 Status Page 13/15 3. Transferthevialcontenttoasterile15mLconicalcentrifugetubecontaining9.0mL preheatedcompleteculturemedium,andspinat140xGfor5minutes.Discardsupernatant. 4. Resuspendthecellpelletgentlyin2-3mLofthecompletecellmedium(thissmallvolume makesiteasiertoachieveahomogeneoussuspension).Gentlydilutethecellsuspensionto therecommendedfinalvolumeinculturevessel. 5. Incubatethecultureat37˚Cinahumidifiedatmospherewith5%CO2inasuitableincubator. 11.1.3 Propagationofstockampoules Stock ampoules were propagated by thawing vial from cell bank according to thawing procedure (11.2.2). For LLC-PK1 the vial from cell bank was thawed, old media containing freeze agent was removed by diluting in fresh media before spinning down the cells. Cell pellet was resuspended in freshmediaandtransferredtoaT25culturevessel.Thecelllinebecame70-80%confluentaftertwo days,andwaspassagedtwicebeforefreezingofstockampoules. P1:Thawto10mLinT25(2days) P2:Splitandseedto2.6x104cells/cm2toT75(1-2days) P3:Splitandseedto1.2x104cells/cm2(3days),freezestockampouleswhencellsbecome70-80% confluent. FreezingProcedure Alwaysstartbypreparingallreagents,vialsandequipmentneededforfreezingcells.Afterthecells areoutoftheincubator,minimaltimeshouldbeusedforsuchpreparationsteps. 1. Harvestcellsaccordingtothedescriptionforsubculturing.Afterdissociationofcells,dilute theminfreshculturemedium. 2. Measurecelldensityandviabilitybytakingoutanaliquotofthecellsuspension.Calculate thenecessaryvolumeoffreezingmedia(SeeFreezingMediaunderneath). 3. Transfercellsuspensiontocentrifugetubes,andspindowncellsat140xGfor5-7minutes. Avoidverydensecellsuspensionsasthesemightbedifficulttospindown. 4. Removeallmedium. 5. Gently resuspend cells to wanted concentration in fresh freezing medium. Freeze LLC-PK1 cellsat1x106–2x106cells/mLincryogenicvials,aliquot1mLineachvial. 6. Transfercryovialstofreezingcontainers(CoolCell®),andplacethecontainerin-80˚Cfreezer, leaveforatleastfourhoursbeforetransferringtostorageinliquidnitrogen. FreezingMedia 1. ToprepareLLC-PK1freezingmediausecompletesupplementedmediumandaddsterile DMSO(DimethylsulfoxideHybri-MaxTM(Sigma,D2650orequivalent)toafinalvolumeof5% (v/v). DocumentType SOP DocumentID EUNCL-GTA-001 Version 1.0 Status Page 14/15 11.1.4 Platemapwithpositioningofsamplesandcontrolsinassayplates 1 Media A TS1,D9 B C D E F G H 2 Media TS1,D8 3 Media TS1,D7 4 Media TS1,D6 5 Media TS1,D5 6 Media TS1,D4 7 Media TS1,D3 8 Media TS1,D2 9 Media TS1,D1 10 Media 11 Media Triton-X 0.1% Cells Cells Cells Cells Cells Cells Cells Cells Cells Cells Cells TS1,D9 TS1,D8 TS1,D7 TS1,D6 TS1,D5 TS1,D4 TS1,D3 TS1,D2 TS1,D1 Media Triton-X 0.1% Cells Cells Cells Cells Cells Cells Cells Cells Cells Cells Cells TS1,D9 TS1,D8 TS1,D7 TS1,D6 TS1,D5 TS1,D4 TS1,D3 TS1,D2 TS1,D1 Media Triton-X 0.1% Cells Cells Cells Cells Cells Cells Cells Cells Cells Cells Cells TS1,D9 TS1,D8 TS1,D7 TS1,D6 TS1,D5 TS1,D4 TS1,D3 TS1,D2 TS1,D1 Media Triton-X 0.1% Cells Cells Cells Cells Cells Cells Cells Cells Cells Cells Cells TS2,D9 TS2,D8 TS2,D7 TS2,D6 TS2,D5 TS2,D4 TS2,D3 TS2,D2 TS2,D1 Media Triton-X 0.1% Cells Cells Cells Cells Cells Cells Cells Cells Cells Cells Cells TS2,D9 TS2,D8 TS2,D7 TS2,D6 TS2,D5 TS2,D4 TS2,D3 TS2,D2 TS2,D1 Media Triton-X 0.1% Cells Cells Cells Cells Cells Cells Cells Cells Cells Cells Cells TS2,D9 TS2,D8 TS2,D7 TS2,D6 TS2,D5 TS2,D4 TS2,D3 TS2,D2 TS2,D1 Media Triton-X 0.1% Media Media Media Media Media Media Media Media Media Media Media TS2,D9 TS2,D8 TS2,D7 TS2,D6 TS2,D5 TS2,D4 TS2,D3 TS2,D2 TS2,D1 Triton 0.1% 12 Media DIGI 30µg/mL Cells DIGI 30µg/mL Cells DIGI 30µg/mL Cells DIGI 30µg/mL Cells DIGI 30µg/mL Cells DIGI 30µg/mL Cells DIGI 30µg/mL Media DIGI 30µg/mL Abbreviations: TSX:TestsamplenumberX DX:DilutionnumberX DIGI:Digitoninplateinternalcontrolsample DocumentType SOP DocumentID EUNCL-GTA-001 Version 1.0 Status Page 15/15