Mammalian Cell Bank Characterization (Form YY) Please print and complete this form and forward/fax to MDS. We will contact you for a detailed quotation. Institution: Email: Billing Address: Submitted by: Shipping Address: Zip: Fax: Investigator: Date Submitted / / PO #: State: Tel: Type of Cells: Primary City: Ext: Human Animal Immortal Transformed/Transgenic Master Cell Bank (MCB) Working Cell Bank (WCB) End of Product Cell Bank EPCB) ID as it appears on the submitted sample: Culture medium to be used: Culture Reagent Type Manufacturer Cat. # Final Concentration in Culture Medium Medium Serum Additional Supplements Environmental conditions: Temperature: Humidity: %CO2: Adherent Non-adherent ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ Identity Testing Karyotyping Genetic profiling (STR) Total viable cells/vial Cell viability (post-bank thaw) Isoenzyme electrophoresis Glucose-6-phosphate dehydrogenase (G6PD) Lactate dehydrogenase (LD) Malate dehydrogenase (MD) Nucleoside phosphorylase (NP) Form YY MCB WCB EPCB MCB WCB EPCB MCB WCB EPCB MCB WCB EPCB MCB WCB EPCB Aspartate aminotransferase (AST) Peptidase B (PepB) G-Protein coupled receptors (GPCR) cAMP phosphodiesterase (cAMP) Protein kinase (PK) Form YY Page 2 Purity In vitro adventitious virus testing MCB WCB EPCB In vivo adventitious virus testing MCB WCB EPCB In vitro Assay, Detection of porcine Viral Contaminants using PPK cells According to 9CFR MCB WCB EPCB F-PERT Assay MCB WCB EPCB Retrovirus 293 Co-cult (5 Passages, FPERT End-point) MCB WCB EPCB PCR testing for human viruses and Mycoplasma for EBV (HHV 4, Human Herpes Virus, Epstein-Barr) Hepatitis A Virus (HAV) Hepatitis B Virus (HBC) Hepatitis C Virus (HCV) Human Cytomegalovirus (CMV) Human Herpes Virus 1 (HHV1) Human Herpes Virus 6 (HHV6) Human Herpes Virus 7 (HHV7) Human Herpes Virus 8 (HHV8) Human Immunodeficiency Virus-1 (HIV1) DNA Human Immunodeficiency Virus-1 (HIV1) RNA Human Immunodeficiency Virus-2 (HIV2) DNA Human Immunodeficiency Virus-2 (HIV2) RNA MCB WCB EPCB Human Papilloma virus -16 (HPV-16) Human Papilloma virus -18 (HPV-18) Human Rotavirus (HRV) Human T-Cell Leukemia Virus Type 1 (HTLV1) DNA Human T-Cell Leukemia Virus Type 1 (HTLV1) RNA Human T-Cell Leukemia Virus Type 2 (HTLV2) DNA Human T-Cell Leukemia Virus Type 2 (HTLV2) RNA Influenza Measles Norwalk Virus (NW) Parvovirus B19 (Parvo-B19) Rubella Enterovirus (polio) PCR testing for bovine viruses Bovine viral diarrhea virus (BVDV) Bovine parvovirus (BPV) Bovine adenovirus (BAV) Bluetongue virus (BTV) Bovine respiratory syncytial virus (BRSV) MCB WCB EPCB Reovirus (RV) Rabies virus Bovine Herpes Virus I (BHV I) Bovine Herpes Virus IV (BHV IV) PCR testing for porcine viruses Simian viruses (SV40 and SV-5) African swine fever virus (ASFV) Classical swine fever virus (CSFV) Foot and mouth disease virus (FMDV) Japanese encephalitis virus MCB WCB EPCB Swine vesicular disease (SVD) Vesicular exanthema (VE) Vesicular stomatitis Porcine Circovirus-1 and 2 (B/PCV1) Swine hepatitis E Virus (HEV) Testing for animal viruses according to 9 CFR 113.46, 113.47 and 113.53, using cell culture monolayers MCB WCB EPCB Testing serum alone for bovine diarrhea virus (BVDV1) and bovine rotavirus (BRV) Testing trypsin alone for Porcine Parvovirus (PPV) Testing product for both porcine and bovine viruses Basic Microbiology MCB WCB Bacteriostasis/Fungistasis (B & F) Sterility (Direct Inoculation Method (EP, USP, JP and 21 CFR) Endotoxin (LAL) Mycoplasma PCR Direct Culture and DNA Staining Test for the Detection of Mycoplasmas TEM Examination of Cell Cultures (200 Cell profiles) MCB WCB In vivo tumorigenicity MCB WCB In vivo Oncogenicity MCB WCB Additional Testing: EPCB EPCB EPCB EPCB