RODENT ENDPOINT PCR/RT-PCR FORM (D-1-M) Please print and complete this form and forward (via e-mail or fax to MDS/RRDA. We will contact you for a detailed quotation. Institution: Investigator: Email: Billing Address: Submitted by: Date Submitted: / / PO #: Shipping Address: Zip: State: Fax:( ) - Phone:( City: ) - Ext:: Services Requested: Mouse Panels: 18 Tests Panel 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Mycoplasma pulmonis Sendai Virus Mouse Hepatitis Virus Pneumonia Virus of Mice Minute Virus of Mice Mouse Parvovirus Theiler's GD-VII Reo-3 Virus Mouse rotavirus Ectromelia (Poxvirus) 11. 12. 13. 14. 15. 16. 17. Lymphocytic Choriomeningitis Virus Polyoma virus K Virus Mouse Adenovirus Mouse cytomegalovirus Lactodehydrogenase Virus Choice of Mouse Thymic Virus or Mouse Parvovirus (MMV) 18. Choice of Hantaan virus or other Mycoplasma spp. * 15 Tests Panel 1. 2. 3. 4. 5. 6. 7. 8. Mycoplasma pulmonis Sendai Virus Mouse Hepatitis Virus Pneumonia Virus of Mice Minute Virus of Mice Mouse Parvovirus Theiler's GD-VII Reo-3 Virus 9. 10. 11. 12. 13. 14. 15. Mouse rotavirus Ectromelia (Poxvirus) Lymphocytic Choriomeningitis Virus Polyoma virus K Virus Mouse Adenovirus Mouse cytomegalovirus 13 Tests Panel 1. 2. 3. 4. 5. 6. 7. Mycoplasma pulmonis Sendai Virus Mouse Hepatitis Virus Pneumonia Virus of Mice Minute Virus of Mice Mouse Parvovirus Theiler's GD-VII 8. 9. 10. 11. 12. 13. Reo-3 Virus Mouse rotavirus Ectromelia (Poxvirus) Lymphocytic Choriomeningitis Virus Polyoma virus K Virus 9. 10. 11. 12. 13. 14. 15. Rat coronavirus Sialodacryoadenitis virus Rat minute virus Seoul virus Mouse Adenovirus Reovirus 3 Theiler’s murine encephalomyelitis virus 7. 8. 9. 10. 11. Rat cytomegalovirus Sendai Virus Rat coronavirus Sialodacryoadenitis virus Rat minute virus Rat Panels: 15 Tests Panel 1. 2. 3. 4. 5. 6. 7. 8. Mycoplasma spp. Pneumonia virus of mice Kilham’s rat virus Toolan’s H1 virus Rat Parvovirus Lymphocytic Choriomeningitis Virus Rat cytomegalovirus Sendai Virus 11 Tests Panel 1. 2. 3. 4. 5. 6. Mycoplasma spp. Pneumonia virus of mice Kilham’s rat virus Toolan’s H1 virus Rat Parvovirus Lymphocytic Choriomeningitis Virus Hamster Panel: 11 Tests Panel 1. 2. 3. 4. 5. 6. Mycoplasma spp. Pneumonia virus of mice Kilham’s rat virus Toolan’s H1 virus Hamster Parvovirus Lymphocytic Choriomeningitis Virus 7. Mice minute virus 8. Theiler’s murine encephalomyelitis virus 9. Sendai virus 10. Reovirus 3 11. Hantaan virus Other animal pathogens Rotavirus, equine Rotavirus, feline Rotavirus, canine Rotavirus, bovine Rotavirus, porcine Equine influenza virus Equine protozoal myeloencephalitis (Sarcocystis neurona) Samples (For multiple samples, please complete Form D-3.) What type of sample will be submitted? (see recommendations page 3) Sample source: human rat mouse other Cell culture (flask size ; number of flasks ; passage # Cell pellet (number of cells ; lot # ) Tissue (type ; amount ) DNA (concentration ; volume ; total amount ng) RNA (concentration ; volume ; total amount ng) Lysis buffer (if applicable) Special components of buffer (if applicable) ) Recommended Sample Size for Endpoint PCR Sample Cultured cells Liver Brain Lung Heart/muscle Kidney Spleen Plant leaf Mouse tail Blood Buffy coat DNA RNA Other Amount 5 x 10^6 25 mg (~2mm3) 25 mg 25 mg 25 mg 25 mg 10 mg 100 mg 0.8-1.2 cm 1 ml 50 ul 50 ng/reaction 100 ng RNA/reaction Call Recommended Shipping Conditions Plasmid DNA Liquid = A, W, D; pellet A PCR products Liquid = A, W, D; pellet A Primers Liquid = A, W, D; pellet A cDNA or genomic libraries With DMSO = D; without DMSO = W RNA D Bacterial colonies A, W Stab culture A Cell banks D Glycerol stocks D Tissues D Blood W A = ambient temperature W = wet ice D = dry ice