USDA Avian Influenza Virus Diagnostic Workshop Iowa State University, Ames, Iowa Molecular Diagnostics Laboratory Real-time RT-PCR Introduction The goal of this laboratory is to provide an overview of real-time RT-PCR (RRT-PCR) as a diagnostic tool for avian influenza and Newcastle disease virus. RNA isolation, the RRT-PCR reaction and results interpretation will be demonstrated. USDA AVPRO1510 and AVPRO1505 further describe the RRT-PCR procedures for the detection of avian influenza and Newcastle disease virus. RT-PCR is a rapid method for the detection of RNA, the viral genetic material of avian influenza virus (AIV) and Newcastle disease virus (NDV). Like most nucleic acid based detection methods it is very sensitive and highly specific. Some of the advantages of RRT-PCR over virus isolation for AIV are a relatively low cost per sample, results available in as little as three hours, reduced handling of potentially infectious material and scalability. Real-time RT-PCR will be the focus of this lab as it has been more widely used than standard RTPCR for influenza detection. RRT-PCR is set-up almost identically to standard RT-PCR, except for the specialized tubes and the addition of a dye labeled probe (more detail on the last page of this lab handout). The technique utilizes a one step protocol with specific primers designed to amplify a portion of the genome that contains a target PCR sequence. Non-extendible fluorogenic hydrolysis/Taqman probes monitor the target PCR product formation at each cycle during the PCR reaction. The probes are labeled at the 5’ end with a reporter dye (e.g. FAM) and a quencher dye (e.g. blackhole quencher (BHQ-1)) at the 3’ end. The proximally located quencher dye absorbs the emission of the reporter dye as long as the probe is intact and not hybridized to the target. When the probe is hybridized to the target, the 5’ nuclease activity of Taq-polymerase will cause hydrolysis of the probe, separating the quencher from the reporter dye. This separation results in an increase in fluorescence emission of the reporter dye, which is detected spectrophomectrically and recorded. The amount of fluorescence recorded is proportional to the amount of target template in the samples. Real-time RT-PCR Advantages • Fast- results in as little as 3 hours • Sensitive • Specific • Scalable • Cost • Reduces handling of potentially infectious material • Viable virus not needed • Can test many sample types Real-time RT-PCR disadvantages • Expensive initial investment (equipment) • Probes must be stored and handled correctly • False positives Cross contamination Cross reactions/non-specific detection • False negatives Inhibitory substances in the sample Template modification/ degradation: RNA fragile During this laboratory we will extract RNA with a silicon-nucleic acid binding column (Qiagen RNeasy kit) and will be performing the RRT-PCR test for the avian influenza virus Matrix gene. The procedures for the avian influenza and Newcastle disease virus are similar, except for the primers and probes used and the temperature cycling conditions used. Specifics of each test are provided in the detailed protocols in your note book. For laboratories interested in standard RT-PCR, it is recommended that the primers used with realtime RT-PCR test not be used due to the small product size. A procedure for a standard RT-PCR for avian influenza has been reported by Fouchier, et al. (Fouchier, R. A., T. M. Bestebroer, S. Herfst, L. Van Der Kemp, G. F. Rimmelzwaan and A. D. Osterhaus. Detection of influenza A viruses from different species by PCR amplification of conserved sequences in the matrix gene. J Clin Microbiol 38:4096-101. 2000.) A copy of which is provided in your notebook. RNA Extraction • Isolates RNA from other materials in the sample • Concentrates the RNA (5-10 times) • Removes inhibitory substances • Removes substances that will degrade the RNA Each student will extract RNA from 2 samples and will with the other members of their group set-up and run RRT-PCR reactions for AIV matrix or H5. Materials needed • 2 test samples for each person (4-5 lab members per group) • 1.5ml microfuge tubes • Pipets and tips • 2 RNeasy columns per person • Vacuum manifold and tubing • RNeasy Kit components – RLT – RPE buffer with ethanol added – RW1 buffer – Nuclease free water (elution buffer) Notes: • All Procedures should be carried out in a biological safety cabinet or other primary containment device. • Kit supplied buffers should be prepared as specified in the kit instructions (i.e. 10μl per 1ml of 2-mercapto-ethanol should be added to the RLT buffer immediately prior to use). • Wear gloves at all times during this procedure. RNA Extraction with Qiagen RNeasy Kit- QiaVac 24 Vacuum Manifold Method Procedure: 1. Each participant will start with two 1.5 ml centrifuge tube which will contain 500 µl of swab specimen. 2. Add to each microfuge tube from step 1 500μl RLT buffer Steps 1 - 5 in a 1.5ml tube 3. Vortex 15 sec. and pulse centrifuge. 4. Add 500μl 70% ethanol to the lysed swab specimen. Vortex for 15 sec. Centrifuge for 5 minutes at 5000 Xg at RT. 5. Set-up the vacuum manifold: place the appropriate number of RNeasy columns in the luer locks of the vacuum manifold, cover any empty positions with the luer caps supplied with the vacuum manifold. 6. Apply vacuum and add the entire sample/RLT/ethanol mixture to an RNeasy column for each sample. Press down on the top of the manifold once the vacuum is on to seal the manifold, then open the lids of all the columns and keep them open at all times. The vacuum should not be turned off until after the final wash. Step 6 -8 - turn on vacuum and add sample to column and wash Steps 9-10 put column in tube and centrifuge to dry 7. Wash by applying 700μl RW1 buffer to each column. 8. Wash again by applying 500μl RPE buffer to the column and repeat for a total of 2 washes with buffer RPE. 9. Shut off the vacuum and place each RNeasy column in a 2ml collection tube. 10. Centrifuge the column and collection tube for 2 minutes at ~14 KXg and discard the collection tube. 11. Place the column in an elution tube (or 1.5ml microfuge tube) Steps 11-13 place in elution tube, add water and elute RNA by centrifugation 12. Add 50μl nuclease free water to the column and incubate at room temperature 1 minute. 13. Elute RNA by centrifuging for 1 minute at ~14KXg. Store at -70°C long term. Real-time RT-PCR • RT- reverse transcription o cDNA is made from the viral RNA Adds time to test • PCR- polymerase chain reaction o cDNA is amplified o DNA is more stable and more easily amplified than RNA • Real-time o Increases in the amount of DNA produced are detected as they occur Each lab-group will need: – Smart Cycler tube cooling block – Smart Cycler tubes – A set of RT-PCR reagents • Enzyme and RNase inhibitor in a bench top cooler • 5X buffer • dNTPS • Positive control (AIV M or H5 transcribed RNA positive control) • Nuclease free water • Forward primer (Matrix or H5) • Reverse primer (Matrix or H5) • Probe (Matrix or H5) – RNA samples – Pipets and aerosol resistant pipet tips – 1.5ml tubes Real-time RT-PCR for type A Influenza (MA gene) Procedure: • Wear gloves at all times during this procedure. • This should be performed in a biological safety cabinet or similar device The Smart Cycler has already been programmed to run the sample with the conditions given in tables 1 and 2. RT Step Table 1. RT step thermocycling for Qiagen one-step RT-PCR Kit. 1 cycle 30 min. 50 C 15 min. 95 C Table 2. Thermocycling conditions for gene specific probe and primer sets. Probe/Primer set Step Time Temp Type A influenza 45 cycles denaturation 1 sec. 94 C (MA gene) Annealing* 20 sec. 60 C Subtype H5 (HA gene) 40 cycles Denaturation 1 sec. Annealing* 20 sec. Extension 5 sec. *Note: The fluorescence is acquired at the annealing step. 94 C 57 C 72 C 1. In a new, clean 1.5 ml tube prepare the reaction master mix (everything but the template) as shown in table. 3. Add the enzyme and probe last. Step 1 Notes: • The probe is light sensitive and when working in a biological safely cabinet the light should be turned off when the probe is added to the master mix and should remain off until the samples are placed in the Smart Cycler instrument. • The quantity of reagents needed for master mix is described below for 4 and 5 person group. Be sure to prepare master mix using the protocol designed for your group size. As a rule, make one extra reactions worth of master mix for every 10 reactions to ensure you will have enough. For example: for 5 reactions, prepare master mix for 6, for 15 reactions prepare master mix .2for 17, for 25 reactions prepare master mix for 28, and so on. Table3. Real-time RT-PCR reaction mix volumes and conditions for type A influenza (MA gene). Master mix for 5 person group 97.3 70.0 17.5 14.0 7.0 7.0 11.2 Volume Per Reaction H2O 5X 25mM MgCl2 Enzyme Mix Forward Primer Reverse Primer dNTP’s Master mix for 4 person group 83.4 μl 60.0 15.0 12.0 6.0 6.0 9.6 Probe Rnase Inhibitor MM per rxn Template Total 6.0 6.0 17 8 25 7.0 7.0 17 8 25 0.5 0.5 Component 6.95μl 5 1.25 1 0.5 0.5 0.8 Final Concentration 1X 3.75 mM 10 pmol 10 pmol 320 μM ea. dNTP 0.15 μM 13 units 2. Mix by vortexing for 3-5 seconds and centrifuge briefly. 3. Add 17μl of the master mix to each of your Smart Cycler tubes (add the mix to the bottom of the cup at the top of the reaction tube). 4. Add 8μl of template to the Smart Cycler tubes, close and label each tube. Step 4 notes: • The template for the positive controls is in vitro transcribed RNA from the target gene • The template for the negative controls is nuclease free water. 5. Centrifuge the reaction tubes briefly in the Smart Cycler centrifuge. 6. Place the reaction tubes into the Smart Cycler and run with assay specific program. III. ANALYSIS OF RESULTS On the Smart Cycler the default minimum increase in fluorescence for a sample to be classified as positive by the software is 30 units. Because this is an arbitrary threshold, any samples which have an increase in fluorescence between 20 and 40 should be considered suspect and should be retested. Any questionable samples should be re-tested. If results of the second test are unsatisfactory additional sampling from the flock or premises should be considered if possible. Determining the results • Check the controls • Check each sample • Record the cycle threshold (Ct) values – If a sample has no cycle threshold values (0.00) it is negative • Determine if there are any suspect samples – Weak positives- Ct values >35 Suspect samples • For AIV or NDV a farm or premise is never considered positive based on one positive RTPCR result – Epidemiology- dangerous contact – Clinical condition – Other positive diagnostic test • Directigen (AIV) • Virus isolation • A second RT-PCR test for a different target – AIV subtype specific – NDV- vNDV or vaccine virus specific • Are other samples from the same farm positive? • Are there enough samples from the farm? • Were the controls valid? Real-time PCR Basics The general principle of real-time PCR is the same as standard PCR; however the reaction product can be monitored in real-time with a fluorogenic probe. There are several types of detection systems for real-time PCR: hydrolysis probes, hybridization probes, molecular beacons and double stranded DNA binding dyes, among others. This assay utilizes hydrolysis probes. In the hydrolysis probe system, a DNA probe which binds the PCR product is added to the PCR reaction. The DNA probe has a fluorogenic reporter dye on one end and a quencher dye on the other end (figure 1). As the target PCR product increases the probe binds the amplicons and reporter dye is cleaved from the 5’ end of the probe by taq polymerase (due to 5’ exonuclease activity). As the reporter is cleaved from more and more probe molecules the fluorescence signal from the reaction increases. The fluorescence signal is monitored every cycle, revealing increases in the PCR product as it occurs. Additional information about Real-time PCR, primers and probes can be found at www.operon.com and www.idtdna.com. Figure 1. Hydrolysis probe mechanism. a. The probe ( ) binds the PCR product ( ) during amplification. b. The polymerase ( ) runs into the probe during synthesis of the PCR product. c. Taq polymerase cleaves the reporter dye from the probe, increasing the detectable JOURNAL OF CLINICAL MICROBIOLOGY, Nov. 2000, p. 4096–4101 0095-1137/00/$04.00⫹0 Copyright © 2000, American Society for Microbiology. All Rights Reserved. Vol. 38, No. 11 Detection of Influenza A Viruses from Different Species by PCR Amplification of Conserved Sequences in the Matrix Gene RON A. M. FOUCHIER,* THEO M. BESTEBROER, SANDER HERFST, LIANE VAN DER KEMP, GUUS F. RIMMELZWAAN, AND ALBERT D. M. E. OSTERHAUS National Influenza Center and Department of Virology, Erasmus University, Rotterdam, The Netherlands Received 11 May 2000/Returned for modification 27 July 2000/Accepted 5 September 2000 The recently raised awareness of the threat of a new influenza pandemic has stimulated interest in the detection of influenza A viruses in human as well as animal secretions. Virus isolation alone is unsatisfactory for this purpose because of its inherent limited sensitivity and the lack of host cells that are universally permissive to all influenza A viruses. Previously described PCR methods are more sensitive but are targeted predominantly at virus strains currently circulating in humans, since the sequences of the primer sets display considerable numbers of mismatches to the sequences of animal influenza A viruses. Therefore, a new set of primers, based on highly conserved regions of the matrix gene, was designed for single-tube reverse transcription-PCR for the detection of influenza A viruses from multiple species. This PCR proved to be fully reactive with a panel of 25 genetically diverse virus isolates that were obtained from birds, humans, pigs, horses, and seals and that included all known subtypes of influenza A virus. It was not reactive with the 11 other RNA viruses tested. Comparative tests with throat swab samples from humans and fecal and cloacal swab samples from birds confirmed that the new PCR is faster and up to 100-fold more sensitive than classical virus isolation procedures. of phenotypically and genotypically diverse influenza A viruses. To this end, we have designed a primer set for PCR-based detection of influenza A viruses that was validated with clinical specimens and a panel of influenza A virus strains representing all known HA and NA subtypes obtained from a variety of host species and from different geographical locations. The efficacy of this PCR-based screening of samples from avian and human origin was compared with classical isolation of influenza A virus in embryonated chicken eggs or mammalian cell culture. We conclude that this PCR, based on the detection of gene segment 7 of influenza A virus, is fast, sensitive, and specific and is suitable for all genetic variants of influenza A virus known to date. Migratory birds and waterfowl are thought to serve as the reservoir for influenza A viruses in nature (24). To date, influenza A viruses representing 15 hemagglutinin (HA) and nine neuraminidase (NA) subtypes have been detected in wild birds and poultry throughout the world (19, 24). Since the general human population is serologically naive with respect to most avian HA and NA antigens, influenza A viruses of avian origin pose a threat that is at the basis of new pandemics in humans (4, 24). For some time it was thought that avian influenza viruses could be transmitted to humans only through coinfection and genetic reassortment of avian and swine or human influenza viruses in pigs (4, 13, 22, 24, 25). However, the recent zoonotic events in Hong Kong and mainland China caused by H5N1 and H9N2 influenza viruses suggest that avian influenza viruses can be transmitted directly to humans as well (5, 8–10, 15). The link between human influenza and the avian influenza virus reservoir has boosted the public health-related and scientific interest in the prevalence, variability, and zoonotic potential of avian influenza viruses. Although the routine procedures for the detection of human influenza A viruses described to date, including in vitro virus isolation, immunofluorescence (IF), and PCR-based assays, are powerful tools, they may be less effective for the detection of influenza viruses of avian and porcine origin. The phenotypic and genetic heterogeneities of the latter viruses may result in a false-negative diagnosis of influenza A virus infection by in vitro cell culture or current protocols for PCR analysis. Importantly, sporadic zoonotic events of influenza A virus infection may remain undetected as a result of such falsenegative diagnoses. The aim of this study was to set up a rapid and sensitive PCR method for the screening of clinical specimens for the presence MATERIALS AND METHODS Design of oligonucleotides. PCR primers were designed on the basis of sequence information obtained from the Influenza Sequence Database at Los Alamos National Laboratories, Los Alamos, N.M. (http://www.flu.lanl.gov). To identify conserved sequences in the influenza virus gene segments, entropy plots were created with the Bioedit software package (available through http: //www.mbio.ncsu.edu/RNaseP/info/programs/BIOEDIT/bioedit.html). Because the HA and NA genes are genetically diverse and sequence information on the PA, PB1, and PB2 polymerase genes is limited (less than 100 sequence entries are available from the database, including partial sequences) only (partial) sequences representing gene segments 5, 7, and 8 encoding nucleoprotein, matrix, and nonstructural proteins, respectively, were analyzed. The degree of heterogeneity was expressed as entropy as defined by Shannon: H (1) ⫽ ⫺⌺f(b, 1) ln [f(b, 1)], where H (1) is the uncertainty at position 1, b represents a residue out of the allowed choices for the sequence in question (A, C, G, T, ⫺), and f(b, 1) is the frequency at which residue b is found at position 1 (16, 21). Oligonucleotides M52C (5⬘-CTT CTA ACC GAG GTC GAA ACG-3⬘) and M253R (5⬘-AGG GCA TTT TGG ACA AAG/T CGT CTA-3⬘) were designed for PCR amplification of influenza A virus matrix gene sequences, and the biotinylated oligonucleotide Bio-M93C (5⬘-CCG TCA GGC CCC CTC AAA GCC GA-3⬘) was synthesized for hybridization purposes (Eurogentec, Seraing, Belgium). Specimens. Cloacal swab specimens were collected from ducks (widgeon [Mareca penelope], gadwall [Mareca strepera], and mallard [Anas plathyrhynchos]) at a marshaling lake in Lekkerkerk, The Netherlands, and droppings as well as cloacal swab specimens were collected from geese (greylag goose [Anser anser], white-fronted goose [Anser albifrons albifrons], barnacle goose [Branta leucopsis], and brent goose [Branta bernicla]) in Groningen and Eemdijk, The Netherlands, between 1997 and 1999. Cloacal swab specimens and droppings were collected from shorebirds at Öland, Sweden, in the spring of 1999. Cotton swabs were used * Corresponding author. Mailing address: Department of Virology, Erasmus University Rotterdam, P.O. Box 1738, 3000 DR Rotterdam, The Netherlands. Phone: 31 10 4088066. Fax: 31 10 4089485. E-mail: fouchier@viro.fgg.eur.nl. 4096 VOL. 38, 2000 PCR-BASED DETECTION OF INFLUENZA A VIRUSES for sampling and were subsequently stored in transport medium (23). Throat swab specimens collected from humans were also stored in transport medium. The samples were stored at 4°C for a few days, at ⫺20°C for less than a week, or at ⫺70°C for extended periods of time. Transport medium consisted of Hanks balanced salt solution supplemented with 10% glycerol, 200 U of penicillin per ml, 200 g of streptomycin per ml, 100 U of polymyxin B sulfate per ml, 250 g of gentamicin per ml, and 50 U of nystatin per ml (all from ICN, Zoetermeer, The Netherlands). RNA isolation. RNA was isolated with a high pure RNA isolation kit (Roche Molecular Biochemicals) according to the instructions from the manufacturer, with minor modifications. A 0.2-ml sample was homogenized by vortexing and was subsequently lysed with 0.4 ml of lysis-binding buffer to which poly(A) (Roche Molecular Biochemicals) was added as a carrier to 1 g/ml. After binding to the column, DNase I digestion, and washing, the RNA was eluted in 50 l of nuclease-free double-distilled water preheated to 80°C. PCR. The reverse transcription (RT) and PCRs were optimized with respect to enzymes, primer sets, and concentrations of reagents as well as cycling parameters. Samples were amplified in a one-step RT-PCR in a final volume of 25 l containing 50 mM Tris 䡠 HCl (pH 8.5), 50 mM NaCl, 7 mM MgCl2, 2 mM dithiothreitol, 1 mM each deoxynucleoside triphosphate at a concentration of 1 mM, each oligonucleotide at a concentration of 0.4 M, 2.5 U of recombinant RNAsin, 10 U of avian myeloblastosis virus reverse transcriptase, 2.5 U of Ampli-Taq DNA polymerase (all enzymes were from Promega Benelux B.V., Leiden, The Netherlands), and 5 l of RNA. Thermocycling was performed in an MJ PTC-200 apparatus with the following cycling conditions: 30 min at 42°C and 4 min at 95°C once and then 1 min at 95°C, 1 min at 45°C, 3 min at 72°C 40 times. Each reaction was analyzed by agarose gel electrophoresis and ethidium bromide staining (10 l/sample), followed by Southern blot hybridization (2) or dot blot hybridization (5 l/sample). Dot blot hybridization. Five microliters of each of the PCR products was incubated for 5 min at room temperature with 45 l of 10 mM Tris 䡠 HCl (pH 8.0), 1 mM EDTA, and 50 l of 1 M NaOH for denaturation. The samples were transferred to prewetted Hybond N⫹ membranes (Amersham Pharmacia Biotech Benelux, Roosendaal, The Netherlands) with a dot blot apparatus while applying vacuum. The samples were then treated for 3 min with 0.1 ml of 1 M Tris 䡠 HCl (pH 8.0), after which vacuum was again applied for 10 s and the membrane was removed from the apparatus. The blots were washed three times for 10 min each time with 0.3 M NaCl–30 mM sodium citrate (pH 7), dried, and stored at 4°C. The blots were prehybridized for 5 min at 55°C in 2⫻ SSPE (0.3 M NaCl, 20 mM NaH2PO4, 2 mM EDTA [pH 7.4]) and 0.1% sodium dodecyl sulfate (SDS), after which biotinylated oligonucleotide probe Bio-M93C was added to 2 pmol/ml and hybridization was continued for 45 min at 55°C. The blots were washed twice for 10 min each time at 55°C with hybridization buffer and transferred to 2⫻ SSPE with 0.5% SDS, after which streptavidin-peroxidase (Roche Molecular Biochemicals) was added to 0.125 U/ml and the mixture was incubated for 45 min at 42°C. The blots were washed for 10 min at 42°C in 2⫻ SSPE–0.5% SDS, 10 min at 42°C in 2⫻ SSPE–0.1% SDS, and 10 min at room temperature in 2⫻ SSPE, after which the samples were visualized with enhanced chemiluminescence detection reagents and by exposure to hyperfilm (Amersham Pharmacia Biotech Benelux) for 5 to 60 s. Virus isolation and propagation. The influenza A viruses listed in Table 1 have been described earlier and were kindly provided by R. G. Webster (14, 19). All of these viruses had been isolated and propagated in the allantoic cavities of 11-day-old embryonated chicken eggs (12). Influenza virus A/Netherlands/18/94 has been described previously (18). Influenza A virus strains not listed in Table 1 were isolated and propagated in Madin-Darby canine kidney (MDCK) cells or tertiary monkey kidney (tMK) cells derived from cynomolgus macaques (Macaca fascicularis) (7, 17). Virus stocks were titrated by end point dilution in MDCK or tMK cells, and the 50% tissue culture infective doses (TCID50s) were calculated as described previously (17). The HA titers in the virus stocks were determined with turkey erythrocytes by standard procedures (17). Virus isolates were characterized by hemagglutination inhibition assays with subtype-specific hyperimmune rabbit antisera raised against HA and NA preparations of the virus isolates listed in Table 1 (20). Human respiratory syncytial virus (HRSV) was grown in HEp-2 cells, mumps and measles viruses were grown in Vero cells, human parainfluenza virus (PIV) types 1 through 4 (PIV-1 through PIV-4) and influenza B virus were grown in tMK cells, and Sendai virus, simian parainfluenza virus type 5 (SV5), and Newcastle disease virus (NDV) were grown in embryonated chicken eggs. The virus titers of these stocks typically ranged from 104 to 106 TCID50s/ml. RESULTS Design of oligonucleotides for PCR detection of influenza A viruses. Avian and mammalian influenza A virus nucleotide sequences available from the influenza sequence database (http://www.flu.lanl.gov) were compared to the sequences of previously described primer sets Mx1 and Mx2 (3), Fam1 and Fam2 (1), and NS486C and NS637R (6, 7) to analyze their potential for the detection of genetically diverse influenza A 4097 TABLE 1. Virus isolates used for the validation of PCR-based detection of influenza A virus Influenza A virus strain A/Puerto Rico/8/34 A/Fort Monmouth/1/47 A/Swine/Shope/56 A/Duck/Alberta/35/76 A/Singapore/1/57 A/Hong Kong/1/68 A/Equine/Miami/1/63 A/Duck/Ukraine/1/63 A/Duck/Czechoslovakia/1/56 A/Tern/South Africa/61 A/Duck/Hong Kong/205/77 A/Turkey/Massachusetts/65 A/Shearwater/Australia/1/72 A/Equine/Prague/1/56 A/Seal/Massachusetts/1/80 A/Turkey/Ontario/6118/68 A/Turkey/Wisconsin/1/66 A/Chicken/Germany/49 A/Duck/England/1/56 A/Duck/Memphis/546/76 A/Duck/Alberta/60/76 A/Gull/Maryland/704/77 A/Mallard/Gurjev/263/82 A/Duck/Australia/341/83 A/Shearwater/West Australia/2576/79 a HA NA HA Lane no. subtype subtype titer (Fig. 2) 1 1 1 1 2 3 4 5 6 5 5 6 6 7 7 8 9 10 11 11 12 13 14 15 15 1 384 1 384 1 512 1 768 2 256 2 512 8 256 8 512 6 256 3 256 3 128 a — 512 5 192 7 1024 7 128 4 128 2 384 7 384 6 256 9 768 5 128 6 256 — 768 8 256 9 512 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 —, NA subtype unknown. viruses. The variability between the influenza A virus nucleotide sequences and each position in the potential PCR primers was calculated by using the entropy algorithm available from the Bioedit software package (16, 21). Although each of the primer sequences was based on a relatively conserved domain of gene segments 7 and 8 of influenza A virus, considerable heterogeneity was observed for each of the oligonucleotide sets (Fig. 1). The 3⬘ ends of oligonucleotides are of the greatest importance for the successful amplification by PCR. Of all three published primer sets (Fig. 1A to F), at least one of the oligonucleotides displayed considerable numbers of mismatches with the sequences in the database. Since such mismatches may lead to false-negative PCR results, we designed new primer sets based on segment 7 of influenza A virus, which is relatively conserved compared to the other segments. Within the M1 coding sequence of gene segment 7, several regions (positions 32 to 93, 149 to 204, and 218 to 276) were identified that are relatively conserved among influenza A virus strains obtained from a variety of host species and from different geographical regions. Oligonucleotides M52C (nucleotide positions 32 to 52), M93C (positions 71 to 93), and M253R (positions 253 to 276) (Fig. 1) were designed on the basis of these conserved regions of the influenza A virus genome. Although other conserved regions were identified in the NS2 coding sequence of gene segment 8 and the M1 coding sequence of segment 7, we found primers based on these sequences to be less suitable for PCR amplification of selected influenza A virus strains (data not shown). Sensitivity and specificity of influenza A virus PCR. RNA was isolated from 0.2 ml of allantoic fluid containing the influenza A viruses shown in Table 1, and the equivalent of 4 l of allantoic fluid was used for amplification by PCR with primer set M52C-M253R. For each of the virus strains tested, a band of 244 bp was amplified and was easily visualized on a 1% agarose gel stained with ethidium bromide (Fig. 2). Hy- 4098 FOUCHIER ET AL. J. CLIN. MICROBIOL. FIG. 1. Entropy plots of oligonucleotide-annealing sites in human and animal influenza A virus sequences available from the influenza virus sequence database. The sequences recognized by oligonucleotides Mx1, Fam1, NS486C, Mx2, Fam2, NS637R, M52C, M253R, and M93C were compared to all available influenza A virus sequences (n ⫽ 189, 189, 234, 203, 204, 249, 175, 215, and 189, respectively), and their heterogeneities are displayed in panels A through I, respectively. Oligonucleotide positions are given in the 5⬘ to 3⬘ direction, with position 1 being the extreme 5⬘ nucleotide. Asterisks indicate primer positions with degeneracy in the designed oligonucleotides. Oligonucleotides M52C, M253R, and M93C were designed in the present study. bridization of dot blots with the internal biotinylated oligonucleotide probe M93C also resulted in clear signals for each of the influenza A virus strains tested. We next compared the sensitivity of this PCR with virus propagation in cell cultures. A stock of influenza virus A/Netherlands/18/94 (H3N2) was generated in tMK cells. This virus stock contained 107 TCID50s of influenza A virus per ml of culture supernatant, as determined with tMK and MDCK cells (17). Serial 10-fold dilutions of virus were made in transport medium, and RNA was isolated for use in PCR analysis, agarose gel electrophoresis, or dot blot hybridization. The expected DNA fragment of 244 bp was visible on an agarose gel stained with ethidium bromide when the RNA equivalent of 0.2 TCID50 of influenza A virus was used as input in the PCR (Fig. 3, lane 8). By using dot blots and hybridization, 0.02 TCID50 of influenza A virus was found to be the detection limit of the assay (Fig. 3, lane 9, and data not shown). Similar results were obtained with a second influenza A virus isolate, and such FIG. 2. PCR analysis of the influenza A viruses, listed in Table 1, which originated from different hosts and geographical locations. RNA was isolated from influenza A viruses grown in embryonated chicken eggs, followed by PCR analysis and agarose gel electrophoresis (top panels) or dot blot analysis (bottom panels). Lanes 1 to 25, see Table 1; lane 26, negative control. results were found to be reproducible (data not shown). These data indicate that our PCR procedure is up to 100-fold more sensitive than virus propagation in MDCK and tMK cells. To test the specificities of our PCR primers, RNA was isolated from stocks of a number of RNA viruses, followed by PCR amplification and gel electrophoresis or dot blot hybridization. RNA was isolated from 0.2 ml of virus stocks containing either influenza B virus, HRSV, PIV-1 through PIV-4, simian parainfluenza virus type 5 (SV5), NDV, mumps virus, measles virus, or Sendai virus. One-tenth of the RNA, representing the equivalent of 20 l of virus stock ranging in titer from 104 to 106 TCID50s/ml, was used for PCR. Upon agarose gel electrophoresis, weak bands and smears of bands ranging from 150 to 400 bp in length were observed after PCR amplification of some of the virus samples (PIV-1, -2, and -3, NDV, mumps virus, and influenza B virus), presumably as a result of nonspecific amplification of the high levels of viral RNA present in these samples. However, upon hybridization of dot blots with the biotinylated oligonucleotide M93C, all RNA FIG. 3. Sensitivity of detection of influenza A virus RNA by PCR. RNA was isolated from 0.2 ml of 10-fold serial dilutions of influenza virus A/Netherlands/ 18/94 (107 TCID50s/ml) and was used for PCR analysis followed by agarose gel electrophoresis and ethidium bromide staining (top panel) or dot blot analysis (bottom panel). Lane 1, negative control; lanes 2 to 9, dilution series representing the equivalent of 2 ⫻ 105 to 0.02 TCID50s per sample. Samples containing less than 0.02 TCID50 were negative by PCR and dot blot analysis (data not shown). VOL. 38, 2000 PCR-BASED DETECTION OF INFLUENZA A VIRUSES 4099 FIG. 4. Specificity of detection of influenza A virus RNA by PCR. RNA was isolated from virus stocks and was used for PCR analysis and subsequent agarose gel electrophoresis (top panel) or dot blot hybridization (bottom panel). Lanes: 1, HRSV; 2, PIV-1; 3, PIV-2; 4, PIV-3; 5, PIV-4; 6, Sendai virus; 7, SV5; 8, NDV; 9, mumps virus; 10, measles virus; 11, influenza B virus; 12, influenza A virus. virus samples except for that with influenza A virus were negative (Fig. 4). Detection of influenza A virus in human throat swab samples. Throat swab samples sent to the virus diagnostic laboratory at Erasmus University Medical Center are routinely tested for the presence of influenza A virus by direct IF (DIF) and inoculation in MDCK or tMK cell cultures in combination with IF (7). For a selection of influenza A virus-positive throat swab samples obtained in the 1994-1995 influenza season, influenza A virus titers were determined by end point dilution and inoculation of tMK cells. A selection of influenza A virus-positive (n ⫽ 13) and influenza A virus-negative (n ⫽ 26) samples was coded and tested blindly by PCR and dot blot hybridization. All influenza A virus-positive samples, with titers ranging from 0 to 105.75 TCID50s per ml of throat swab sample, were positive upon agarose gel electrophoresis and dot blot hybridization (Fig. 5). One of the influenza A virus PCR-positive samples (lane 6) tested negative upon inoculation of mammalian cell cultures (hence, 0 TCID50). This sample had been found to be influenza A virus positive by DIF with the cells present in the throat swab sample (7), but no virus could be isolated. Of 26 negative control samples (13 were influenza B FIG. 5. PCR-based detection of influenza A virus in 39 human throat swab samples. Throat swab samples that were tested previously for the presence of influenza A virus by classical screening methods (7) were randomized and tested blindly by PCR. RNA was isolated from 0.2 ml of a throat swab sample and was used for PCR and dot blot analysis. Lanes 1, 4, 7, 8, 13, 16, 18, 23, 24, 30, 34, 35, and 38, influenza virus-negative samples; lanes 2, 5, 9, 10, 12, 14, 15, 20, 21, 22, 25, 29, and 31, influenza B virus-positive samples; lane 40, 10 TCID50s of influenza virus A/Netherlands/18/94 as a positive control; lanes 3, 6, 11, 17, 19, 26, 27, 28, 32, 33, 36, 37, and 39, influenza A virus-positive samples in which virus titers determined in MDCK cells were 105.75, 0, 103.5, 102.25, 100.75, 104.25, 100.75, 103.75, 104.25, 105.25, 104.5, 105.75, and 103.5 TCID50s/ml respectively. FIG. 6. PCR-based detection of influenza A virus in a representative set of avian cloacal swab and dropping samples. RNA was isolated from 0.2 ml of 38 pooled samples, each consisting of five individual bird samples, and was used for PCR and Southern blot analysis. Lanes 1, 11, 21, 31, and 41, positive controls representing 10 TCID50s of influenza virus A/Netherlands/18/94; lanes 7, 14, 20, 27, 34, 40, and 47, negative controls; lanes 2 to 5, duck cloacal swab samples; lanes 6, 8 to 10, 12, 13, 15 to 19, 22 to 26, and 28 to 30, goose dropping samples; lanes 32, 33, 35 to 39, 42 to 46, and 48 to 50, goose cloacal swab samples. Each of the pools represented in lanes 13, 15, 23, 30, 36, 39, 43, and 44 was found to contain a single positive individual bird sample. Virus was isolated in embryonated chicken eggs from samples represented in lanes 13, 15, 23, 30, 39, and 43 but not from those represented in lanes 35, 36, and 44. virus positive and 13 were influenza A and B virus negative in mammalian cell cultures), 24 were negative upon PCR and dot blot analyses. Two of the swabs were negative for influenza A virus in mammalian cell culture and by IF but yielded very weak signals after PCR and dot blot hybridization (lanes 9 and 30). These weak dot blot signals may be due to background hybridization or the presence of very small amounts of influenza A virus RNA in the throat swabs. Detection of influenza A virus in bird samples. We next tested the suitability of the PCR for avian influenza A virus screening of cloacal swab and dropping samples from ducks, geese, and shorebirds collected in The Netherlands and Sweden. Because PCR screening appeared to be up to 100-fold more sensitive than virus isolation (see above) and to reduce cost and workload, the numbers of RNA isolations and PCR analyses were reduced by making pools of five samples each (40 l per sample). Between each five pooled samples, a negative control consisting of transport medium was inserted to check for contamination during processing of the samples. Among the 235 pools of samples representing 1,175 individual specimens, RNA isolation, PCR, and Southern or dot blot hybridization revealed the presence of influenza A virus in 19 of them (the results of the analysis of 38 of these pools is shown in Fig. 6). RNA was then isolated from each of the individual samples present in these 19 pools, revealing that all except 1 pool contained a single positive bird sample; the one exception contained two positive samples. Each of the 20 positive individual samples was used to in- 4100 FOUCHIER ET AL. oculate two to four embryonated chicken eggs from which the allantoic fluids were collected, pooled, and inoculated a second time in duplicate in embryonated chicken eggs (blind passage). For 15 of 20 PCR-positive samples we were able to isolate influenza A virus in eggs. For the other five samples, which appeared to contain less virus, as judged by the intensity of the signals on dot blots (e.g., lanes 35, 36, and 44 in Fig. 6), no influenza A virus could be isolated even upon blind passage in embryonated chicken eggs. To test the possibility that the PCR analysis would give false-negative results compared to virus isolation in eggs, 243 individual PCR-negative cloacal swab and dropping samples were inoculated into two to four embryonated chicken eggs each, followed by a blind passage of the pooled allantoic fluids in duplicate. We were unable to isolate influenza A virus from these PCR-negative samples, indicating that no false-negative results were obtained by PCR analysis. Inoculation of tMK and MDCK cell cultures with 212 random PCR-negative individual bird samples also did not reveal additional influenza A viruspositive samples. In fact, these cell lines were found to be less susceptible to avian influenza A virus than embryonated chicken eggs were (data not shown). DISCUSSION PCR-based methods for virus detection have been described for many clinically relevant viruses. The sensitivities and specificities of PCR-based methods are most critically determined by the choice of primer sequences. The sequences of the primer sets described earlier for PCR-based detection of influenza A virus may be appropriate for the detection of virus strains currently circulating in humans (1, 3, 6, 7) but display considerable numbers of mismatches when they are compared with the sequences of animal influenza A viruses. We have used an extensive amount of the sequence information available for influenza A virus to design a new PCR primer set for diagnostic purposes. Primers M52C and M253R and probe M93C span conserved sequences in gene segment 7 of influenza A virus and have no homology to nucleotide sequences from other species available from GenBank (http://www .ncbi.nlm.nih.gov). Our experimental data confirmed that PCR amplification and dot blot analyses with this set of primers does not pick up cross-reacting host-derived sequences or other RNA viruses and is suitable for detection of a wide variety of influenza A virus strains. The limited variability in influenza A virus sequences spanning the primer sequences is mostly confined to the 5⬘ ends of the oligonucleotides and therefore is unlikely to obscure PCR amplification. Indeed, we successfully amplified the genomes of virus isolates with mismatches in these primer sequences that were included in the viruses shown in Table 1 and Fig. 2. On the basis of the results of titration experiments as well as on analyses of clinical specimens, we conclude that the PCRbased method is more sensitive (up to 100-fold) than virus isolation in eggs or mammalian cell cultures. This is not surprising in view of the sensitivity of PCR-based assays in general and the low ratio of infectious units to physical particles for RNA viruses such as influenza A virus. Perhaps as a result of the high sensitivity, we detected influenza A virus in a human throat swab sample from which no virus could be isolated. Individual cells isolated from this throat swab sample were positive upon DIF analysis, confirming influenza A virus infection. An additional advantage of the PCR-based method is its value in the identification of influenza A viruses from different species. Because of differences in cellular tropism between J. CLIN. MICROBIOL. avian, human, and swine influenza A viruses, a single cell type for virus isolation for diagnostic purposes is not available. Continuous and primary cell lines obtained from a variety of animal species and embryonated chicken eggs are routinely used for isolation of influenza A viruses. Using the PCR-based method, we have detected many influenza A viruses in bird samples that could not be isolated in mammalian cell cultures and some that could not be isolated in embryonated chicken eggs. Presumably, this failure was due to a combination of low virus titers in the original specimens and the limited susceptibilities of the target cells to certain influenza A virus strains. As a national influenza center, we occasionally receive specimens from humans from which no virus can be isolated in mammalian cell cultures but that are readily found to be influenza A virus positive by this PCR approach (data not shown). One disadvantage of PCR-based assays is that it is difficult to assess if weak positive PCR results (e.g., Fig. 5, lanes 9 and 30, and Fig. 6, lanes 35, 36, and 44) are the result of background hybridization or low virus titers in the original samples because of the lack of confirmation assays that are as sensitive as PCRbased methods. Therefore, it is of great importance that sufficient negative controls be included to determine a cutoff value for background hybridization. In addition, we routinely use 10-fold serial dilutions of a titrated influenza A virus stock as input material in our PCR-based assays to provide a semiquantitative estimate of variability between independent assays. Both sets of controls will aid in the determination of a cutoff value for background hybridization and weak positive samples. By PCR-based assays, diagnosis of influenza A virus infection can be achieved within a single working day, which is significantly faster than the time to diagnosis of infection by classical methods. By virus culture approaches, positive results may be obtained in 24 h or more after inoculation, but a definite negative diagnosis may require culture for up to 2 weeks. The availability of NA inhibitors for the treatment of influenza virus infection may demand more rapid diagnosis of virus infection in the future. The benefit of these new drugs appears to depend heavily on the early start of treatment, i.e., within 2 days after the onset of disease (11). Taken together, our data indicate that the newly designed PCR offers a more sensitive and faster tool for the diagnosis of human influenza A virus infection than virus isolation. Because of the better matching primers, it can be expected that for the detection of animal influenza A viruses this PCR is also more suitable than previous PCR protocols (1, 3, 7). ACKNOWLEDGMENTS We thank John de Boer, Hans Zantinge, Dick Jonkers, Björn Olsen, and their colleagues for collection of bird samples, Rob Webster for providing influenza A virus isolates, Jan Groen and Bernadette van den Hoogen for samples from RNA viruses, and Jan de Jong for critically reading the manuscript. R.A.M.F. is a fellow of the Royal Dutch Academy of Arts and Sciences. This work was made possible in part through a grant from the Dutch Ministry of Agriculture and from the Foundation for Respiratory Virus Infections (SRVI). REFERENCES 1. Atmar, R. L., B. D. Baxter, E. A. Dominguez, and L. H. Taber. 1996. Comparison of reverse transcription-PCR with tissue culture and other rapid diagnostic assays for detection of type A influenza virus. J. Clin. Microbiol. 34:2604–2606. 2. Brown, T. 2000. 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Real-Time RT-PCR Detection of Avian Paramyxovirus-1 and Avian Influenza Virus Real-Time RT-PCR Sample: i.e. Swab material RNA Extraction RRT-PCR Results analysis Jan Pedersen Avian Section Diagnostic Virology Laboratory National Veterinary Services Laboratory Ames, Iowa 50010 Janice.c.pedersen@aphis.usda.gov Advantages of rRT-PCR for the Detection of AIV and ND Advantages of rRT-PCR for the Detection of AIV and ND Speed –results in as little as 3 hrs. Scalable - large numbers of samples can be processed Sensitive in-vitro surveillance assay that can test many samples Cost (~$8 sample) Viable virus not necessary Reduced handling of potentially infectious material Sensitivity similar to virus isolation Specific Can differentiate virulent NDV (vNDV) strains from vaccine strains or lentogenic APMV-1 strains Can detect H5 and H7 AIV, but can not differentiate HPAIV from LPAIV Reduced chance for cross-contamination vs. standard RTPCR Disadvantages of rRT-PCR Disadvantages of rRT-PCR False Positives Very sensitive: Cross-contamination Non-specific detection AIV and APMV-1 assays have been validated to error on the side of false positive rather than false negatives results Initial equipment investment is expensive Will detect live or inactivated virus Not appropriate for environmental specimens False negatives Inhibitory substances in sample ¾ Internal controls to identify false negative ¾ Overloading silica-gel columns with organic material Template modification/degradation ¾ RNA fragile Real-time RT-PCR Isolation vs. Detection Isolation of the etiological agent PCR product is detected in real-time Sequence specific probe ¾ ¾ ¾ ¾ Taqman/ Hydrolysis FRET/ Hybridization Molecular beacons Lux Primers Non-sequence specific DNA binding dyes ¾ SYBR green ¾ ¾ Matrix Primers/probe Will detect all 16 H subtypes (H116) of AIV Detects both HPAI and LPAI Detects Asian H5N1 H5 Primers/probe Detects most North American strains of H5 AIV Detects Asian H5N1 Detects both HPAI & LPAI H7 Primers/probe Detects most North Americans strains of H7 AIV Detects both HPAI & LPAI APMV-1 RRT-PCR Assay APMV-1 primer/probe Target: Matrix gene Conducted in chicken embryos Will detect most APMV-1 isolates Virulent NDV Avirulent vaccine strains PPMV Cree/CalMex-VFP-1 primer/probe Target: fusion gene cleavage site Designed to detect the CA 2002/03 strain of vNDV Will detect most velogens and mesogens. Will not detect vaccine strains Will detect some PPMV Isolation of RNA from swab or tissue specimens Necessary for characterization and pathogenicity studies Time needed - 3 to 14 days Virus may be infectious or non-infectious Time needed – 3 hrs. Less expensive assay system Not pathogen specific Amplification and identification of RNA and not live virus Evaluation of H5 Subtype RRT-PCR Test for Asian H5N1 RRT-PCR for AIV Detection of Nucleic Acid H5 test was originally designed primarily for North American isolates Could identify Asian H5N1 viruses with lower sensitivity Sequence analysis of Asian isolates showed good conservation with reverse primer and probe, but 4 mismatches with forward primer Redesigned H5 test to include forward primers optimized for both Asian and North American viruses NA H5F TGACTATCCACAATACTCA EA H5F TGACTACCCGCAGTATTCA Hydrolysis/Taqman probes Reporter Primer 1 Quencher Taq Primer 2 Reporter Quencher Taq Hydrolysis or Taqman Probes R Q Primer 1 Primer 1 Taq R R Q 5’ to 3’ nuclease activity of Taq DNA polymerase Q Specimens Swabs – Can be pooled Specimen processing and RNA extraction ¾ BSC II Less sensitive than tracheal/oralpharyngeal Tissue pools – small pieces of tissue in viral transport media Isolates RNA from other materials in the sample Removes inhibitory substances – may not eliminate all Strong detergents inactivate RNases that will degrade RNA Reagent preparation and RNA transfer ¾ Lung, spleen, kidney RNA Extraction Preferred specimen Tissues All Procedures should be carried out in a biological safety cabinet or other primary containment device Cloacal – 5/tube ¾ Tracheal or oralpharyngeal – 5/tube ¾ Specimen Processing in Lab BSC or PCR workstation Wear gloves at all times during this procedure Powder-free Extraction Obtaining high quality RNA is the 1st and most important step Handling of specimen Storage of isolated RNA Store in RNase – free solution 24 hr. - Store at 4 C >24 hr. - Store at -70 C RNA Extraction- Materials 2 test samples for each person 1.5ml microfuge tubes Extraction pipets and tips- dedicated equipment Vacuum manifold and tubing RNA Extraction- Materials RNeasy Kit components RLT with BME RPE buffer with ethanol added RW1 buffer Nuclease free water 2ml collection tubes 2 RNeasy columns Elution tubes RNA Extraction- RNeasy Kit RNA Extraction- RNeasy Kit 1. Add 500μl swab supernatant to a 1.5 ml micro centrifuge tube 2. Add 500μl RLT buffer 3. Vortex for 15 sec. 4. Pulse centrifuge 5. Add 500 μl 70% ethanol and vortex 15 sec. 6. Centrifuge lysed specimen @ 5,000 xg for 5 min. RNA Extraction- RNeasy Kit RNA Extraction- RNeasy Kit 9. Wash by applying 700μl RW1 buffer to each column. 12. Centrifuge the column and collection tube for 2 minutes at ~14 K xg and discard the collection tube. 10. Wash again by applying 500μl RPE buffer to the column and repeat for a total of 2 washes with buffer RPE. 11. Shut off the vacuum and place each RNeasy column in a 2ml collection tube. 7. Set-up the vacuum manifold: Place the appropriate number of RNeasy columns in the luer locks of the vacuum manifold Cover any empty positions with the luer caps supplied with the vacuum manifold. 8. Apply vacuum and add the entire sample/RLT/ethanol mixture to an RNeasy column for each sample. 13. Place the column in an elution tube (or 1.5ml microfuge tube) 14. Add 50μl nuclease free water to the column membrane and incubate at room temperature 1 minute. 15. Elute RNA by centrifuging for 1 minute at ~14K xg. Store at -70°C long term. Real-time RT-PCR RT- reverse transcription – 50 C° cDNA is produced from RNA template For each lab group PCR- polymerase chain reaction Real-time RT-PCR Materials cDNA is amplified DNA is more stable and more easily amplified than RNA Real-time PCR amplification is monitored in real-time and the amplicon is detected with a fluorogenic probe Smart Cycler tube cooling block Smart Cycler tubes RNA samples Dedicated pipets and aerosol resistant pipet tips 1.5ml tubes Prepare the reaction master mix in a 1.5ml tube Real-time RT-PCR Materials A set of RT-PCR reagents Enzyme and RNase inhibitor in a bench top cooler 5X buffer dNTPS Positive control (AIV M or H5 RNA) Nuclease free water Forward primer (AIV M+25 or H5+1456) Reverse primer (AIV M-124 or H5-1685) Probe (AIV M+64 or H5+1637) RNA Transfer Mix reagents by vortexing for 3-5 seconds and centrifuge briefly. Add 17μl of the master mix to each of your Smart Cycler tubes (add the mix to the bottom of the cup at the top of the reaction tube). Add 8μl of template to the Smart Cycler tubes, close and label each tube as follows: 1. 2. 3. 4. Positive control: in vitro transcribed RNA from the target gene Negative control: nuclease free water. test sample 1 test sample 2 4 people/group 5 people/group Volume in μl Component H2O 5X 25mM MgCl2 Enzyme Mix Forward Primer 83.4 60 15.0 12 6.0 Reverse Primer dNTP’s Probe Rnase Inhibitor 6.0 9.6 6.0 6.0 Component Volume in μl H2O 97.3 5X 25mM MgCl2 Enzyme Mix Forward Primer Reverse Primer 70 17.5 14.0 7.0 7.0 dNTP’s Probe Rnase Inhibitor 11.2 7.0 7.0 Setting up rRT-PCR Centrifuge the reaction tubes briefly in the Smart Cycler centrifuge. Place the reaction tubes into the Smart Cycler and run with the “AIV Matrix” or “H5” program. The program has already been programmed into the smart cycler Primary Growth Curve Results Interpretation Plateau Log-linear Log-linear baseline Baseline Evaluation of Growth Curve Results interpretation Threshold set too low Log-linear baseline Results interpretation Positive Threshold set appropriately 25 Curve entering Log-linear baseline Negative Results Table Results interpretation Check the controls Check background fluorescence Check each sample individually The computer is not always correct Look for software artifacts Software Artifacts Results interpretation Record the cycle threshold (Ct) values Software Artifacts Suspect samples If a sample has no cycle threshold values (0.00) it is negative Determine if there are any suspect samples For AIV or NDV a farm or premise is never considered positive based on one positive RT-PCR result Epidemiology- dangerous contact Clinical condition Other positive diagnostic test Weak positives- Ct values >35 Directigen (AIV) Virus isolation A second RT-PCR test for a different target Internal Control for Detection of False Positive Results Competitive IC Uses the same primer sites as viral target AI matrix reagent beads - Cepheid Non-competitive Multiplex – completely different target and PCR in the same tube Spiked positive control – duplicate well with diagnostic specimen and spiked + AIV subtype specific NDV- vNDV or vaccine virus specific Are other samples from the same farm positive? Are there enough samples from the farm? Were the controls valid? Background Fluorescence Is a normal property of Real Time PCR Fluorescence derived from unbound probe, free dye, non-specific cleavage of probe or sample auto-fluorescence Represents the baseline phase Log-linear phase represents background + fluorescence from amplified DNA Total FU – background FU = specific FU Background Fluorescence Represents the Baseline of a Real Time PCR Growth Curve Background Subtraction Corrects for any positive or negative drift Calculates the average background signal and subtracts this from each data point Between Bkgnd Min and Max Cycle After a cycle threshold is detected there is no further background subtraction All calculations are performed and applied individually for each site Background Fluorescence Off Raw fluorescence data provides essential information about the magnitude of the background signal and the shape of the growth curve without drift correction. Background Subtraction Background Fluorescence On Background fluorescence is derived from unbound probe •Free dye •Non-specific cleavage of probe •Sample auto-fluorescence Lab Equipment Logistics Bio-safety cabinet space Lab Equipment Logistics 3 Dedicated cabinets ¾ ¾ ¾ 1. RNA extraction (full exhaust for Trizol® & Qiagen®) 2. RNA transfer to reaction tubes (BSC or PCR cabinet) 3. Clean reagents, master mix preparation (Cell culture hood, BSC, or PCR cabinet) Preparation of clean reagents, extraction and RNA transfer should not be conducted in the same laboratory space as electrophoresis of amplified RNA Pipets Ideally 3 sets ¾ ¾ If a 2 cabinet system is used RNA transfer and master mix preparation can be conducted in the same hood if the hood is cleaned routinely with 10% bleach solution or Vircon-S ¾ 1. RNA extraction 2. RNA transfer 3. clean reagents 2 sets – increases possibility of false + ONLY USE AEROSOL RESISTANT TIPS ¾ ¾ 1. RNA extraction and transfer 2. clean reagents Sample APMV-1 RRT-PCR Sample Storage RNA extraction Swab materials Tissue samples 4 C for 3-4 days, more than 4 days (-70 C) Sample RNA Control RNA APMV-1 Matrix RRT-PCR -20 C short term storage, Long term -70 C 4 C less than 24 hrs., more than 24 hrs. -70 C Cree/CalMex RRT-PCR 4 C up to 2 weeks, Long term -70 C (aliquot) 4 C up to 2 weeks, Long term -20 or -70 C (aliquot) Avoid multiple freeze thaw cycles for everything Sample No further testing Positive Probe Negative Positive Negative Report to NVSL for Confirmation with VI and B1 RRT-PCR (vaccine) Report to NVSL for Confirmation with VI and RRT-PCR AIV RRT-PCR Assay Validation RNA extraction AIV Matrix RRT-PCR Negative No further testing RNA extraction Positive H5 & H7 RRT-PCR RRT-PCR Negative Report to NVSL for Confirmation with VI Positive Report to NVSL for Confirmation with VI and RRT-PCR Calculation of Background Subtraction Bkgnd Min (5) and Max (28) cycle define the range that can be used to calculate the average background fluorescence The 4 most recent cycles of data are not included in the calculations to avoid using specific fluorescence data Methods and sample types compared Primer targets Compared primers sets Compared with VI as “gold standard” Calculation of Background Subtraction Continued At least 5 data points are used to calculate background Cycles 5,6,7,8,9 when the Bkgnd Min is 5 The bkgnd sub is not applied till cycle 13 1st cycle for detection of positive specimen Cycles 10,11,12,13 are not included 4 most recent cycle This occurs until a threshold crossing occurs APMV-1 RRT-PCR Assay APMV-1 primer/probe Target: Matrix gene Will detect most APMV-1 isolates Virulent NDV Avirulent vaccine strains PPMV Cree/CalMex-VFP-1 primer/probe Target: fusion gene cleavage site Designed to detect the CA 2002/03 strain of vNDV Will detect most velogens and mesogens. Will not detect vaccine strains Will detect some PPMV 1. Real-Time RT-PCR using Applied Biosystems® Sequence Detection Systems The following procedures should be used with the Applied Biosystems Sequence Detection instruments (ABI). The following methods were validated with the 7900HT system, and other systems (7000, 7300, 7500) should operate similarly when the 9600 emulation mode is selected. The ABI Sequence Detection System uses an internal passive reference molecule (ROX™), which acts as a normalization factor for fluorescent emissions detected in the samples. The master mix formulas have been adjusted to include a ROX™ reference dye (Catalog # 12223-012, Invitrogen, Carlsbad, CA). THESE MASTER MIX FORMULAS SHOULD ONLY BE USED WITH THE ABI SYSTEMS. THE ROX DYE WILL INTERFERE WITH SMART CYCLER DATA COLLECTION. Table 4. Real-time RT-PCR reaction mix volumes and conditions for type A influenza (MA gene), H5 and H7 primer/probe sets using the ABI Sequence Detection System H2O 5X buffer 25mM MgCl2 dNTP’s (10 mM each) Forward Primer (20 pmol/ul) Reverse Primer (20 pmol/ul) Rnase Inhibitor 13.3 units/µl Enzyme Mix Probe (6 pmol/ul) ROX reference dye MM per rxn Template Total Volume Per Reaction 6.45 μl 5 1.25 0.8 0.5 1X 3.75 mM* 320 μM ea. dNTP 10 pmol/25μl 0.5 10 pmol/25μl 0.5 0.266 units/µl 1.0 0.5 0.5 17 8 25μl Final Concentration Volume for ___ Reactions 0.12 μM The ABI Sequence Detection systems use a 96-well plate format. Before setting up reactions, the PCR plate should be placed into a Splash-free Support Base (P/N 4312063, ABI, Foster City, CA). The base is used to protect the bottom of the plate from picking up particles that may interfere with the optical system. Any residual dust, disinfectant materials, etc. on the bottom of the plate may alter the background fluorescence in that well position. The arrangement of the reactions on the plate must match the configuration of information on the corresponding plate document. Add 17 µl of master mix to the PCR plate in the Support Base. Touch the tip to the side of the well to draw all of the liquid out of the pipet tip. Add 8 µl of the test sample RNA to the appropriate well using a pipettor designated for RNA transfer. After all of the sample RNA have been added, add 8 µl of positive control to the designated positive control well (using a pipettor designated for transcribed RNA), and 8 µl of RNase free water to the designated negative control well. After all of the RNA have been added to the PCR plate, place an optical adhesive cover (ABI catalog #4311971) over the top of the plate. Be sure to press the adhesive cover firmly against the top of the plate using the MicroAmp Adhesive Seal Applicator (as supplied with Optical Adhesive Cover Starter Kit) so that each well is sealed air-tight. If the adhesive cover is not sealed against the plate, there may be evaporation from the wells and results may be jeopardized. Visually verify that each reaction is positioned at the bottom of its well. If the sample is lying against the side wall of the well, or if there is an air bubble at the bottom of the well, the plate may be centrifuged briefly to position all contents at the bottom. Apply the compression pad that is specific to your particular instrument to the sealed optical plate, and place into the ABI machine. Thermal cycling Conditions for AIV wet reagent PCR for Cepheid Smart Cycler and Applied Biosystems Inc. (ABI) instrumentation Probe/Primer set AIV matrix (Smart Cycler) 45 cycles Step denaturation Time 1 sec. Temp 94° C Annealing* 20 sec. 60° C AIV matrix (ABI) 45 cycles denaturation Annealing* 15 sec. 1 min. 94° C 60° C H7 (Smart Cycler) 40 cylces denaturation Annealing* 1 sec. 20 sec. 94°C 58°C H7 (ABI) 40 cycles denaturation Annealing* 15 sec. 1 min. 94°C 58°C H5 (Smart Cycler) 40 cycles denaturation Annealing* extension 1 sec. 20 sec. 5 sec. 94°C 57°C 72°C H5 (ABI) 41 cycles extension denaturation Annealing* 5 sec. 1 sec. 20 sec. 72°C 94°C 57°C The order of programming is different for ABI and Smart Cycler when using a 3 step PCR procedure. For the ABI, it is necessary to program the 5 sec. extension step first, 1 sec. denaturation step second, and the 20 sec. annealing step third. The fluorescence is acquired during the annealing stage which is the third step. ABI instrumentation can not collect fluorescence during the second step of a 3 step PCR. * The fluorescence is acquired at the annealing step. 2. Setting up Applied Biosystems Sequence Detection System reactions Setting up the reactions Create a new document. Select Assay: Absolute Quantification (Standard Curve); Container: 96 Wells Clear Plate from the drop down menus. Select the appropriate protocol under the Template drop down. The matrix protocols are used for screening specimens. The AIV H5 and AIV H7 primers/probes are used to detect these specific subtypes of AIV. The thermal cycling parameters for each protocol are described in appendix D. Click on Add Detector to create a marker for the absolute quantification probe being used. Click New to create a new detector and assign a name, identify the correct reporter dye and quencher dye, and assign a color for the detector. Click OK. Highlight the Detector and click Copy to Plate Document. Click Done. Using the Ctrl and Shift keys, select individual wells or groups of wells on the plate grid that contain reaction mix. In the well inspector, click the Use check box of the marker you want to add to the selected wells. NOTE: The detectors associated with the marker are automatically applied to the selected wells when the marker is placed in Use. Click on each well position and apply the sample ID to the appropriate well (this may also be done after the instrument completes the run). Note the Passive Reference box defaults to ROX. This refers to the passive reference dye that is added to the master mix. Select the Instrument tab of the plate document. If necessary, check the 9600 Emulation box. (When the 9600 Emulation box is checked, the SDS Software reduces the ramp rate of the 7900HT instrument to match that of the ABI PRISM® 7700 Sequence Detection System instrument.) Change the sample volume to 25 µl. Check to ensure the thermal profile is set to the appropriate thermal cycling parameters for the selected assay. Select File/Save As and enter a unique run name. Connect to the instrument. Open the tray and place the PCR plate in the instrument. Check to be sure that position A1 on the instrument matches position A1 on the PCR plate. Close the instrument tray. Start the run. 3. Interpretation of Results from ABI Sequence Detection Systems After the run has completed successfully, select Analysis>Analysis Settings from the menu. Select Manual Ct and Automatic Baseline. Then select Analysis>Analyze. The results are displayed in the Results tab. Use the Automatic Baseline option to automatically calculate the placement of the threshold. Visually inspect the placement of the threshold value. The threshold should lie in approximately the center of the linear phase of amplification (refer to Figure 1). The amplification plot of each specimen should also be analyzed individually. Aberrant curves should be viewed in the Multicomponent Pane. The multicomponent illustrates absolute change in emission intensity and the SDS software displays cycle-by-cycle changes in normalized reporter signal (Rn). There are up to five curves in the Multicomponent Pane: the reporter component (FAM), the quencher component (TAMRA), the reference component (ROX), the background component, and the mean squared error (mse). The quencher component may not be present if a Black Hole Quencher (BHQ) is used. Check to be sure that the quencher or reference components do not increase as the FAM component increases. If these dyes increase in fluorescence as the FAM increases, these Ct values should be disregarded and the reaction should be repeated. Procedure for the Roche LightCycler® 1.2 Real-Time Reverse Transcriptase PCR Instrument for the Detection of Avian Influenza and Avian Paramyxovirus-1 with Official USDA rRT-PCR Protocol The following procedure should be used with the Roche LightCycler® 2.0 real-time instrumentation for the detection of avian influenza and avian paramyxovirus-1. The procedure describes the modifications that are required for the implementation of NVSL AVPRO1510 and AVPRO1505. Equivalency validation studies were conducted by NVSL to support the necessary changes in the standard protocols for the use of the LightCycler® 2.0 real-time instrumentation. Equipment and Reagents Non-acetylated Bovine Serum Albumin (BSA). It is essential the BSA be non-acetylated as acetylated BSA is inhibitory to PCR. Recommended sources and preparation of 5 mg/ml concentration for a final concentration of 250 µg/ml in 20 μl reaction. New England Biolabs (Ipswich, MA) Catalog # B9001S - 10 mg/ml. Dilute 1 in 2 for 5 mg/ml concentration in RNase free water Ambion (Austin, TX) Catalog # 2616 or 2618 – 50 mg/ml. Dilute 1 in 10 in RNase free water for 5 mg/ml concentration. LightCycler® 20 μl Capillaries (Roche Catalog Number: 11 909 339 001) LightCycler® Centrifuge Adaptors (in a block) (Roche Catalog Number: 11 909 312 001) Table 1. Real-time RT-PCR reaction mix volumes using Qiagen One-Step RT-PCR Kit: Component Water 5x reaction buffer* 25 mM MgCl2 Enzyme mix* Forward primer Reverse primer dNTPs* Probe RNase Inhibitor BSA (5.0 mg/ml) MM per reaction RNA Template Total volume Volume Per Reaction (μl) 2.4 4 1 0.8 0.5 0.5 0.8 0.5 0.5 1 12 8 20 Final Concentration 1x 3.75 mM 10 pmol 10 pmol 400 mM each 0.3 μM 0.33 units/µl 250 μg/ml * Qiagen (catalog # 210210) buffer already contains 2.5 mM MgCl2 at 1X concentration RT Step Thermocycling conditions for Qiagen® one-step RT-PCR kit. RT Step 1 cycle 30 min 15 min 50°C 95°C Thermocycling conditions for gene specific probe and primer sets: Probe/Primer set AIV Matrix Cycles 45 cycles Step Denaturation Annealing* Time 10 sec 20 sec Temp 94°C 60°C H5 40 cycles Denaturation Annealing* Extension 10 sec 20 sec 5 sec 94°C 57°C 72°C NDV 40 cycles Denaturation Annealing* Extension 10 sec 30 sec 10 sec 94°C 56°C 72°C *Fluorescence is collected during the annealing stage. Programming the LightCycler® Instrument LightCycler® 4.0 Software: 1. Start the LightCycler® 4.0 Software by double-clicking on the LightCycler® 4.0 Software icon on the desktop. 2. In the Login dialog box, type your user name and password. 3. To connect to the database on the local computer, select My Computer in the Log on to box. 4. Click Login. 5. To program a new protocol, access New Experiment in one of the following ways. If the Front Screen is displayed, click on New Experiment to start a run. Otherwise, click the New button, or select New from the File menu and then New Experiment from the New window, or click on the Run button. 6. In the Setup section of the Programs tab, specify general instrument settings: a. Default Channel: select the 530 Channel. b. Seek Temperature: 30°C. c. Max. Seek Pos.: enter the number of sample positions the instrument should look for. d. Instrument Type: choose the 6 Ch. Instrument type for your LightCycler® 2.0 Instrument (this is default). For LightCycler® 1.2 Instrument, select the 3 Ch. Instrument type. e. Capillary Size: for the 6 Ch. Instrument type, select the capillary size (20 or 100 μl). 5. In the Programs section of the Programs tab, click (+) to add a new program. 6. Edit the default values for the program parameters, clicking the tab button on your keyboard to move from one column to the next. Parameter Program Name Cycle Analysis Mode Description/Instructions The name for the program. Click in the Program Name box, then enter a new name. The number of times the program should be repeated. Enter a value or select it by clicking on the up and down arrows. The type of analysis expected for this program (if any). Select an analysis mode from the pull-down list. Valid Values Any alphanumeric string 1-99 cycles None: no analysis Melting Curves: a melting curve analysis is expected. Quantification: a quantification analysis is expected. Color Compensation: a color compensation analysis is expected. 7. In the Temperature Targets section, edit the default values for the temperature parameters. Parameter Description/Instructions Valid Values Value of Value for AI Matrix AI Matrix RT PCR assay The target temperature. Enter a 37°C-98°C 50 step 1 94°C Target Hold Slope Sec. Target Step Size Step Delay Acquisition Mode temperature. The length of time to hold the target temperature in hours:minutes:seconds. Enter a hold time. The speed with which the temperature must be reached, specified in degrees per second. Enter a slope. A second target temperature to be reached by the last cycle of the program. Useful for Touchdown PCR. Enter a temperature. The number of degrees to change the temperature with each cycle to reach the secondary target. Enter a step size. The cycle number at which the temperature step up or step down begins. Enter a cycle number. The frequency with which fluorescence data is acquired. Select an acquisition mode from the pulldown list. 94 step 2 30:00 step 1 15:00 step 2 1.0 0.05°C - 20°C per second. 20.0 20.0 37°C-98°C 0.00 0.0 0°C - 20°C 0.00 0.0 0-99 cycles 0.00 0.0 None: no fluorescence data is acquired. Single: acquires fluorescence data once at the end of this temperature segment in each cycle. Continuous: acquires fluorescence data continuously. Step: acquires fluorescence data at each temperature transition. None Single 00:00:00-12:00:00 8. Click (+) to add another temperature target to the current program, then enter parameter values. Repeat to define as many temperature targets, as you need for the current program. 9. Repeat steps 7 – 10 to create additional programs and their temperature targets. Programs or temperature targets can be reordered by selecting the item you want to move, then clicking the up or down arrow. To delete an item, select the item, then click (-). 10. Look at the Overview section to see a graphical representation of all the programs you have defined. 11. Click Save in the global toolbar to save the protocol. Navigate to a location to save the protocol, enter a protocol name, then click OK. LightCycler® 3.5.3 Software: 1. Start the LightCycler® 3.5.3 Software by double-clicking on the LightCycler® 3 Front Screen icon on the desktop. Alternatively, in the Windows Start Menu bar, click on the LightCycler® Front Screen under the LightCycler® 3 folder. 2. In the LightCycler® Front Screen, click the Run button to enter the Programming Screen. If you have not switched on the LightCycler® instrument, the software will prompt you to do so. 3. A dialog box will appear which offers the execution of an optional 1-2 minutes self test. The performance of one self test a day is recommended. 4. In the programming screen, click on the New Experiment button to create a new Experimental Protocol. To open and modify an existing file, select the Open Experiment File button. 5. Use the buttons in the Cycle Program Field to define the Cycle Programs for your Experimental Protocol: Button Function Add Creates a new Cycle Program. Remove Removes a selected program. Import Imports a cycle program from other experiment protocols. Move Up Changes the order in which cycle programs will be executed. 6. To alter the name of a Cycle Program, double click on the name in the Cycle Program field. A window will pop up which allows change of the name. 7. Upon addition of a Cycle Program, the Cycle Program Data field in the middle of the screen is activated. 8. Use the Temperature Targets Segment to define the temperature profiles for each individual program: Click on the green Ins button to enter a new temperature segment. Click on the red Del button to delete a temperature target. 9. Enter the appropriate target temperatures and times: Field Purpose Target Temperature (°C) Defines the temperature of the segment in °C. Defines the holding time of a temperature segment. Incubation Time (h:min:secs) Temperature Transition Defines rates at which the instrument changes temperature between temperature targets. The slowest rate is 0.1°C/sec and the fastest rate is Rate (°C/sec) Secondary Target Temperature (°C) Step Size (°C) Step Delay (cycles) 20°C/sec. Defines a second target temperature within a segment beginning at a defined cycle number. This is for Touchdown PCR. Defines the degree of change per cycle used to step up/step down from the Target Temperature to the Secondary Target Temperature. Defines the cycle number at which the step up/step down from the Target Temperature to the Secondary Target Temperature begins. 10. Specify the fluorescence acquisition mode: Type Description No fluorescence measurement. None Fluorescence is measured once per sample at the end of the temperature Single Cont. (Continuous) Step (Stepwise) segment selected. Fluorescence of all samples is measured continuously from the first sample to the last one. Fluorescence of all samples is measured after each temperature transition. 11. Select the correct Analysis Mode for the Cycle Program: a. Default setting is None (no data analysis is intended for this cycle program) b. Choose Quantification for later quantification analysis of the data. c. Choose Melting Curve Analysis for later analysis of melting curve data. 12. Type in the number of cycles to be run with the selected Temperature Targets. The resulting Cycle Program profile can be monitored in the Cycle Simulation field. 13. Add all Cycle Programs needed for the Experimental Protocol. The resulting Experimental Protocol profile can be monitored in the Experiment Simulation field. 14. Select the Fluorescence Display Mode according to the detection system you have chosen. 15. Click the Save Experiment File button to save a newly defined or modified Experimental Protocol. The file is automatically saved as *.exp in the User directory. Setting Up Roche LightCycler® Reactions 1. In a 1.5 ml tube, prepare reagent mastermix according to table 1(everything except RNA template) as described above. To prepare the mastermix for more than one reaction, multiply the amount in the “Volume per reaction” column by z, where z = the number of reactions to be run plus 1-2 additional reactions (compensates for pipetting errors). To eliminate laboratory contamination it is necessary to prepare the reagent mix in a dedicated clean reagent hood with pipettes and filtered pipette tips that are dedicated to the preparation of clean reagents. 2. Place the number of LightCycler® capillaries required in the pre-cooled LightCycler® Centrifuge Adaptor Block. 3. Pipette 12 microliters of mastermix into each capillary. 4. Pipette 8 microliters of RNA (controls or unknown samples) into each capillary. The transfer of RNA should be conducted in a PCR workstation or biosafety cabinet that is not used for the extraction of RNA from diagnostic specimens or the preparation or clean reagents. 5. Cap each capillary with the supplied caps using the LightCycler® Capping Tool. When capping make sure to press straight down on capillary, not from an angle. Lift capped capillary out of adaptor and release cap from Capping Tool. 6. If you have a LightCycler® Carousel Centrifuge, place capillaries into the LightCycler® Carousel and centrifuge according to the manufacturer’s instructions, prior to placing the LightCycler® Carousel in the LightCycler® instrument. If you do not have a LightCycler® Carousel Centrifuge, centrifuge LightCycler® capillary adaptors with capped capillaries in a microcentrifuge. Only a short pulse is required. Then place centrifuged capillaries in the LightCycler® Carousel, prior to placing the loaded carousel in the LightCycler® instrument. 7. Set up the cycling parameters as described above and start the RT-PCR by clicking on the “Start Run” button. Interpretation of Results from Roche LightCycler® Detection Systems using the Automated Method LightCycler® 4.0 Software: The automated absolute quantification method uses a different algorithm method of calculating the crossing point (CP) than the Fit Points method. Equivalency testing has not been conducted on the Fits Points method. The Fits Points method should not be used to interpret and analyze results for NVSL AVPRO1510 and AVPRO1505. 1. Click Analysis on the main toolbar. 2. Select Absolute Quantification, then click OK 3. In the Sample Editor, enter specimen identification information on the Capillary View tab, and select the channel (FAM) to be used in the experiment. 4. On the Abs Quant tab of the Sample Editor, enter sample information as follows: Column Name Valid Values Description Target Name Any name Name of the target for this channel Type Unknown Standard Type of sample in this capillary Concentration Any concentration value Concentration of a standard sample 5. Click Abs Quant in the module bar to open the analysis module. 6. From the Channel menu select the channel (FAM) for the targets you want to analyze. 7. To see the crossing points and concentrations, drag or click on the slide bar. LightCycler® 3.5.3 Software: 1. In the LightCycler® Front Screen, click on the Analysis button. 2. Select your experiment and click the Open button. Alternatively double-click your experiment. 3. Select the appropriate part of the run to be analyzed in the Select a Program drop down menu: Select Cycles. 4. Adjust the y-axis for the Fluorescence graph: Choose F1 axis setting for TaqMan Probes. 5. Select the type of analysis you want to perform: a. Click on Quantification to proceed to the Quantification Screen. 6. Highlight the samples to be analyzed. 7. Select Second Derivative Maximum in the Analysis field (top left corner). 8. Click Proportional in the Baseline Adjustment box (to the right of the Analysis box). 9. Then select Step 2: Analysis to see the standard curve. 10. Crossing points and concentrations will be displayed next to the sample names. 11. If sample names and concentrations of standards need to be edited after the run: a. From the LightCycler® Front Screen, click on Options and select LC Data File Editor. b. Click the Open button and find and select your experiment. Click the Open button, or double-click the experiment to open it. c. Click on the Change Samples button to enter the Sample Editor. d. Edit the names and/or concentrations and click on the Done button. e. Click the Save button to save the changes. f. Click the Exit button to exit the data editor. Tips for preventing breakage of capillaries: 1. Handle the capillaries with care; prevent breakages by not “bending” capillaries. 2. When capping make sure to press straight down on capillary, not from an angle. Lift capped capillary out of adaptor and release cap from Capping Tool. 3. Before loading capillaries in the LightCycler® Carousel, clean out the carousel with the dental floss cleaner. 4. If a capillary breaks in the carousel, make sure that there is no glass shards left in the hole by cleaning with the dental floss cleaner. 5. Replace the rubber ring in the carousel before the rubber starts to break down and become hard. Blank Page Prepare the reaction master mix in a 1.5ml tube 4 people/group Component H2 O 5X 25mM MgCl2 Enzyme Mix Forward Primer Reverse Primer dNTP’s Probe Rnase Inhibitor Volume in μl 83.4 60 15.0 12 6.0 6.0 9.6 6.0 6.0 5 people/group Component Volume in μl H2O 97.3 5X 70 25mM MgCl2 17.5 Enzyme Mix 14.0 Forward Primer 7.0 Reverse Primer 7.0 dNTP’s 11.2 Probe 7.0 Rnase Inhibitor 7.0 Blank Page