SEATTLE CHILDREN’S RESEARCH INSTITUTE ETIOLOGICAL MEMORANDUM OF UNDERSTANDING AND AGREEMENT (EMUA) APPENDIX D TRANSGENIC ANIMALS PLEASE TYPE. Return to ibc2@seattlechilrens.org or CW8-5A (attn: Jean Troxel, IBC Administrator) when completed. If you have any questions, please email ibc2@seattlechildrens.org or call (206) 884-4894. DATE SUBMITTED: EMUA #: ______________________________________________________________________ 1) TITLE OF THE GRANT(S) / PROJECT(S) INVOLVING THE TRANSGENICS ______________________________________________________________________ 2) PRINCIPAL INVESTIGATOR NAME OF PL: OFFICE ROOM NUMBER: OFFICE PHONE NUMBER: Purpose of project: Animal type: Housing building & room #s: IACUC approval #: Use of Purchased transgenic rodents or use of transgenic rodents made/obtained elsewhere if used at BL1 containment does not require registration. Creation of new transgenic lines through breeding, in producing a new strain, will require registration with the IBC (e.g., Cre mice obtained from Jackson Laboratories crossed to a floxed mice from Researcher Y will result in a new line aka Cre-floxed). For more information, see NIH OBA FAQs on transgenic animals and the use of recombinant DNA. Making your transgenics: A) What method will be used to make the transgenics? Microinjection of gene construct into pronuclear fertilized oocytes Insertion of gene construct into embryonic stem cells that are microinjected into oocytes B) We will make our transgenic animals within our own research group What method will be used to make the transgenics? Page 1 of 3 Microinjection of gene construct into pronuclear fertilized oocytes Insertion of gene construct into embryonic stem cells that are microinjected into oocytes Vector-mediated transfer of construct to embryonic stem cells for microinjection into oocytes What vector? What titer (particles/ml) of vector used? Other method (explain) C) We will construct transgenic animals but none of the above categories are applicable Explain About your transgenics: Knock-outs Yes No Name(s) of KO gene Function(s) of KO’d gene(s) “Knock-ins” (gene inserted) Yes No Gene name(s) Gene(s) function(s) Gene(s) source(s) (i.e. human, mouse, etc) Is/are the gene(s) an oncogene? Yes Does/do the gene(s) encode a toxin? No Yes No Does/do the gene(s) encode any other hazardous agent? Yes (What ? ) No Tell us about the gene construct(s): In what building & room #s will the rDNA/gene construct(s) be made? Vector(s) used to create gene construct(s) Cell type(s) used to create and/or package gene construct(s) Discuss the safety precautions that will be used when handling the vector(s), cells, and constructs: Page 2 of 3 What hazards exist in terms of an accidental injection of the construct(s)to one of your staff members? Discuss both vector and gene hazards. Please attach a map of the construct(s) showing (as applicable) promoter, enhancer, gene to be expressed, splice donor and acceptor, intron sequences, and termination/polyadenylation sequences. The undersigned individual(s) will be involved in the experimentation described above. They are familiar with and agree to abide by the current NIH Guidelines. Name (Please Type or Print) Signatures Date I attest to the fact that these individuals are properly trained in the area of recombinant DNA experimentation. Furthermore, I agree to comply with the NIH requirements pertaining to shipment and transfer of recombinant DNA materials. I am familiar with and agree to abide by the provisions of the current NIH Guidelines and other specific NIH instructions pertaining to the proposed project. The information above is accurate and complete. Principal Investigator Page 3 of 3 Date