Instructions for Use. RealStar Influenza Screen & Type RT-PCR Kit /2017 EN

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Instructions for Use RealStar Influenza Screen & Type RT-PCR Kit 4.0 05/2017 EN

RealStar Influenza Screen & Type RT-PCR Kit 4.0 For research use only! (RUO) 164003 INS-164000-EN-S01 96 05 2017 altona Diagnostics GmbH Mörkenstr. 12 D-22767 Hamburg

Content 1. Application... 5 2. Kit Components... 5 3. Storage... 5 4. Product Description... 6 4.1 Real-Time PCR Instruments... 7 5. Procedure... 8 5.1 Sample Preparation... 8 5.2 Master Mix Setup... 9 5.3 Reaction Setup... 11 6. Programming the Real-Time PCR Instrument... 11 6.1 Settings... 12 6.2 Fluorescence Detectors (Dyes)... 12 6.3 Temperature Profile and Dye Acquisition... 13 7. Data Analysis... 13 7.1 Interpretation of Results... 14 7.1.1 Qualitative Analysis... 14 8. Technical Assistance... 15 9. Trademarks and Disclaimers... 15 10. Explanation of Symbols... 16 4

1. Application The RealStar Influenza Screen & Type RT-PCR Kit 4.0 is a reagent system, based on real-time PCR technology, for the qualitative detection and differentiation of influenza A virus, influenza B virus and influenza A virus H1N1 nv specific RNA. For research use only (RUO)! Not for use in diagnostic procedures. 2. Kit Components Lid Color Component Number of Vials Volume [µl/vial] Blue Master A 8 60 Purple Master B 8 180 Green Internal Control 1 1000 Red Positive Control 1 250 White Water (PCR grade) 1 500 3. Storage The RealStar Influenza Screen & Type RT-PCR Kit 4.0 is shipped on dry ice. The components of the kit should arrive frozen. If one or more components are not frozen upon receipt, or if tubes have been compromised during shipment, contact altona Diagnostics GmbH for assistance. All components should be stored between -25 C and -15 C upon arrival. Repeated thawing and freezing of Master reagents (more than twice) should be avoided, as this might affect the performance of the assay. The reagents should be frozen in aliquots, if they are to be used intermittently. Storage between +2 C and +8 C should not exceed a period of two hours. Protect Master A and Master B from light. 5

4. Product Description The RealStar Influenza Screen & Type RT-PCR Kit 4.0 is a reagent system, based on real-time PCR technology, for the qualitative detection and differentiation of influenza A virus, influenza B virus and influenza A virus H1N1 nv specific RNA. The assay includes a heterologous amplification system (Internal Control) to identify possible RT-PCR inhibition and to confirm the integrity of the reagents of the kit. Real-time RT-PCR technology utilizes reverse-transcriptase (RT) reaction to convert RNA into complementary DNA (cdna), polymerase chain reaction (PCR) for the amplification of specific target sequences and target specific probes for the detection of the amplified DNA. The probes are labelled with fluorescent reporter and quencher dyes. Probes specific for influenza A virus RNA are labelled with the fluorophore FAM, probes specific for influenza B virus RNA are labelled with a fluorophore showing similar characteristics to Cy 5 and probes specific for influenza A virus H1N1 nv RNA are labelled with the fluorophore ROX. The probe specific for the Internal Control (IC) is labelled with the fluorophore JOE. H1N1 nv strains belong to the influenza A virus virus group. Therefore H1N1 nv positive samples generate a positive signal in the FAM and in the ROX channel. Using probes linked to distinguishable dyes enables the parallel detection of influenza A virus, influenza B virus and influenza A virus H1N1 nv specific RNA, as well as the detection of the Internal Control in corresponding detector channels of the real-time PCR instrument. The test consists of three processes in a single tube assay: Reverse transcription of target and Internal Control RNA to cdna PCR amplification of target and Internal Control cdna Simultaneous detection of PCR amplicons by fluorescent dye labelled probes 6

The RealStar Influenza Screen & Type RT-PCR Kit 4.0 consists of: Two Master reagents (Master A and Master B) Internal Control (IC) Positive Control [influenza A virus, influenza A virus H1N1 nv and influenza B virus] PCR grade water Master A and Master B contain all components (PCR buffer, reverse transcriptase, DNA polymerase, magnesium salt, primers and probes) to allow reverse transcription, PCR mediated amplification and target detection of influenza A virus specific RNA, influenza B virus specific RNA, influenza A virus H1N1 nv specific RNA and Internal Control in one reaction setup. 4.1 Real-Time PCR Instruments The RealStar Influenza Screen & Type RT-PCR Kit 4.0 can be used with the following real-time PCR instruments: Mx 3005P QPCR System (Stratagene) VERSANT kpcr Molecular System AD (Siemens Healthcare) ABI Prism 7500 SDS (Applied Biosystems) ABI Prism 7500 Fast SDS (Applied Biosystems) Rotor-Gene 6000 (Corbett Research) Rotor-Gene Q5/6 plex Platform (QIAGEN) CFX96 Real-Time PCR Detection System (Bio-Rad) CFX96 Deep Well Real-Time PCR Detection System (Bio-Rad) LightCycler 480 Instrument II (Roche) 7

NOTE Please ensure that all instruments used have been installed, calibrated, checked and maintained according to the manufacturer s instructions and recommendations. 5. Procedure 5.1 Sample Preparation Extracted RNA is the starting material for the RealStar Influenza Screen & Type RT-PCR Kit 4.0. The quality of the extracted RNA has a profound impact on the performance of the entire test system. It has to be ensured that the system used for nucleic acid extraction is compatible with real-time PCR technology. The following kits and systems are suitable for nucleic acid extraction: QIAamp Viral RNA Mini Kit (QIAGEN) QIAsymphony (QIAGEN) NucliSENS easymag (biomérieux) MagNA Pure 96 System (Roche) m2000sp (Abbott) Maxwell 16 IVD Instrument (Promega) VERSANT kpcr Molecular System SP (Siemens Healthcare) Alternative nucleic acid extraction systems and kits might also be appropriate. If using a spin column based sample preparation procedure including washing buffers containing ethanol, it is highly recommended to perform an additional centrifugation step for 10 min at approximately 17000 x g (~ 13000 rpm), using a new collection tube, prior to the elution of the nucleic acid. 8

CAUTION If your sample preparation system is using washing buffers containing ethanol, make sure to eliminate any traces of ethanol prior to elution of the nucleic acid. Ethanol is a strong inhibitor of real-time PCR. The use of carrier RNA is crucial for extraction efficiency and stability of the extracted nucleic acid. For additional information and technical support regarding pre-treatment and sample preparation please contact our Technical Support (see chapter 8. Technical Assistance). 5.2 Master Mix Setup All reagents and samples should be thawed completely, mixed (by pipetting or gentle vortexing) and centrifuged briefl y before use. The RealStar Infl uenza Screen & Type RT-PCR Kit 4.0 contains a heterologous Internal Control (IC), which can either be used as a RT-PCR inhibition control or as a control of the sample preparation procedure (nucleic acid extraction) and as a RT-PCR inhibition control. If the IC is used as a RT-PCR inhibition control, but not as a control for the sample preparation procedure, set up the Master Mix according to the following pipetting scheme: Number of Reactions (rxns) 1 1 2 Master A 5 µl 60 µl Master B 15 µl 180 µl Internal Control 1 µl 12 µl Volume Master Mix 21 µl 252 µl 9

If the IC is used as a control for the sample preparation procedure and as a RT-PCR inhibition control, add the IC during the nucleic acid extraction procedure. No matter which method/system is used for nucleic acid extraction, the IC must not be added directly to the sample. The IC should always be added to the sample/lysis buffer mixture. The volume of the IC which has to be added, always and only depends on the elution volume. It represents 10% of the elution volume. For instance, if the nucleic acid is going to be eluted in 60 µl of elution buffer or water, 6 µl of IC per sample must be added into the sample/ lysis buffer mixture. If the IC was added during the sample preparation procedure, set up the Master Mix according to the following pipetting scheme: Number of Reactions (rxns) 1 1 2 Master A 5 µl 60 µl Master B 15 µl 180 µl Volume Master Mix 20 µl 240 µl CAUTION If the IC (Internal Control) was added during the sample preparation procedure, at least the negative control must include the IC. Never add the IC directly to the sample. 10

5.3 Reaction Setup Pipette 20 µl of the Master Mix into each required well of an appropriate optical 96-well reaction plate or an appropriate optical reaction tube. Add 10 µl of the sample (eluate from the nucleic acid extraction) or 10 µl of the control (Positive or Negative Control). Reaction Setup Master Mix 20 µl Sample or Control 10 µl Total Volume 30 µl Make sure that each Positive Control and at least one Negative Control is used per run. Thoroughly mix the samples and controls with the Master Mix by pipetting up and down. Close the 96-well reaction plate with appropriate lids or optical adhesive film and the reaction tubes with appropriate lids. Centrifuge the 96-well reaction plate in a centrifuge with a microtiter plate rotor for 30 seconds at approximately 1000 x g (~ 3000 rpm). 6. Programming the Real-Time PCR Instrument For basic information regarding the setup and programming of the different realtime PCR instruments, please refer to the user manual of the respective instrument. For detailed programming instructions regarding the use of the RealStar Influenza Screen & Type RT-PCR Kit 4.0 on specific real-time PCR instruments please contact our Technical Support (see chapter 8. Technical Assistance). 11

6.1 Settings Define the following settings: Settings Reaction Volume 30 µl Ramp Rate Passive Reference Default None 6.2 Fluorescence Detectors (Dyes) Define the fluorescence detectors (dyes): Target Detector Name Reporter Quencher Influenza A virus specific RNA Influenza A virus FAM (None) Influenza B virus specific RNA Influenza B virus Cy 5 (None) Influenza A virus H1N1 nv specific RNA Influenza A virus H1N1 nv ROX (None) Internal Control (IC) IC JOE (None) 12

6.3 Temperature Profile and Dye Acquisition Define the temperature profile and dye acquisition: Stage Cycle Repeats Acquisition Temperature [ C] Time [min:sec] Reverse Transcription Hold 1-55 20:00 Denaturation Hold 1-95 02:00-95 00:15 Amplification Cycling 45 yes 55 00:45-72 00:15 7. Data Analysis For basic information regarding data analysis on specific real-time PCR instruments, please refer to the user manual of the respective instrument. For detailed instructions regarding the analysis of the data generated with the RealStar Influenza Screen & Type RT-PCR Kit 4.0 on different real-time PCR instruments please contact our Technical Support (see chapter 8. Technical Assistance). 13

7.1 Interpretation of Results 7.1.1 Qualitative Analysis Detection Channel FAM Cy 5 ROX JOE + - - +* - + - +* + - + +* Result Interpretation Influenza A virus specific RNA detected. Influenza B virus specific RNA detected. Influenza A virus H1N1 nv specific RNA detected. 1, 2 Neither influenza A virus, nor influenza B virus nor influenza A virus H1N1 nv specific RNA - - - + detected. The sample does not contain detectable amounts of influenza A virus, influenza A virus H1N1 nv and influenza B virus specific RNAs. RT-PCR Inhibition or reagent - - - - failure. Repeat testing from original sample or collect and test a new sample. * Detection of the Internal Control in the JOE detection channel is not required for positive results either in the FAM detection channel, Cy 5 detection channel or in the ROX detection channel. A high target RNA load in the sample can lead to reduced or absent Internal Control signal. 1 H1N1 nv strains belong to the influenza A virus virus group. Therefore H1N1 nv positive samples generate a positive signal in the FAM and in the ROX channel. 2 The strain influenza A virus/parana/720/2015 (H1N2v) will be typed as influenza A virus H1N1 nv, since it contains the same matrix gene target sequence. 14

For further details regarding the interpretation of the results, please contact our Technical Support (see chapter 8. Technical Assistance). 8. Technical Assistance For technical advice, please contact our Technical Support: e-mail: support@altona-diagnostics.com phone: +49-(0)40-5480676-0 9. Trademarks and Disclaimers RealStar (altona Diagnostics); ABI Prism (Applied Biosystems); ATCC (American Type Culture Collection); CFX96 (Bio-Rad); Cy (GE Healthcare); FAM, JOE, ROX (Life Technologies); LightCycler (Roche); Maxwell (Promega); Mx 3005P (Stratagene); NucliSENS, easymag (biomérieux); Rotor-Gene, QIAamp, QIAsymphony (QIAGEN); VERSANT (Siemens Healthcare). Registered names, trademarks, etc. used in this document, even if not specifically marked as such, are not to be considered unprotected by law. For research use only! Not for use in diagnostic procedures. 2017 altona Diagnostics GmbH; all rights reserved. 15

10. Explanation of Symbols 16

Notes: 17

Notes: 18