AdnaTest EMT-1/StemCellSelect

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AdnaTest EMT-1/StemCellSelect Enrichment of tumor cells from blood for gene expression analysis For research use only Manual T-1-533

Contents Order Information... 3 Purpose... 3 Abbreviations and Symbols... 4 Patents and Registered Trademarks... 4 Product Description... 5 Kit Components... 6 Additional Materials Needed... 7 Storage... 8 Application Information... 8 Protocol... 10 A. Preparation of the Select Beads... 10 B. Selection of Tumor Cells... 11 References... 13 Short Manual... 14 2

Order Information On the website www.adnagen.com the addresses of distributors and information about our products can be found. Our distributors will provide you also with technical support. Furthermore, the QIAGEN Hannover support team will answer you any questions regarding the AdnaTests (support@adnagen.com). Purpose was developed for the enrichment of circulating tumor cells from peripheral blood and is intended for research use only. AdnaTest EMT-1/StemCellDetect is required for the subsequent analysis of the EMT-1/StemCell associated genes expression. The specificity of the detection is 90%. In spiking experiments 10 tumor cells in 5 ml of whole blood are detected at a recovery rate of at least 70%. 3

Abbreviations and Symbols AdnaMag-L AdnaMag-S bp cdna DNA mrna PCR RNase rpm RT Magnetic particle concentrator (-large) Magnetic particle concentrator (-small) Base pairs Complementary deoxyribonucleic acid Deoxyribonucleic acid Messenger ribonucleic acid Polymerase chain reaction Ribonuclease Revolutions per minute Reverse transcription Expiry date Storage temperature Catalogue number Consider instructions for use Manufactured by Patents and Registered Trademarks Dynabeads is a registered trademark of Invitrogen and Life Technologies Corporation. 4

Product Description enables the immunomagnetic enrichment of tumor cells via epithelial and tumor associated antigens. Antibodies against epithelial and tumor associated antigens are conjugated to magnetic beads (Dynabeads ) for labeling of tumor cells in peripheral blood. Labeled cells are extracted by a magnetic particle concentrator (AdnaMag-L and AdnaMag-S) and are subsequently lysed (Figure 1). The cell lysate is used for further gene expression analysis with AdnaTest EMT-1/StemCellDetect. Select Beads Incubation Separation Cell lysis RNA Purification of mrna with Oligo(dT) 25-coated magnetic beads Reverse transcription Blood cells Tumor cells RNA RNA cdna Antibody- or Oligo(dT) 25- coated magnetic beads AdnaTest EMT-1/StemCellDetect Fig. 1: Schematic overview of the sample preparation 5

Kit Components includes the following components: Table 1: Kit components Component Symbol T-1-533 (12 tests) Select Beads 1 1 Lysis/Binding Buffer 2 1 AdnaWash 1 5 2 6

Additional Materials Needed Equipment: Tube rotator for 15 ml and 1.5 ml tubes Magnetic particle concentrators AdnaMag-L (QIAGEN Hannover GmbH, cat. no. T-1-700) AdnaMag-S (QIAGEN Hannover GmbH, cat. no. T-1-800) Material: Sterile, RNase-free 10 ml glass or plastic pipets and pipettor Sterile, RNase-free 1.5 ml reaction tubes (e. g. Sarstedt, cat. no. 72.690) 15 ml tubes (use sterile, RNase-free polypropylene tubes e. g. Sarstedt, cat. no. 65.554.502) Pipets and RNase-free pipet tips with aerosol barrier, suitable for pipetting volumes from 100 µl to 1000 µl Protective gloves, safety goggles Reagents: Phosphate buffered saline (PBS), ph 7.0-7.3 (e. g. Fisher, cat no. VX14190169, D-PBS) 7

Storage has to be stored at +4 C. However, in order to prevent possible contaminations and repeated temperature changes, aliquot the AdnaWash 1 5 and keep frozen at -20 C for long-term storage. All components must not be used beyond the expiry date. Application Information The test must be performed by personnel skilled in molecular biological techniques. Sample preparation: Blood samples must be taken before the application of therapeutic substances. Do not use the AdnaTest earlier than 5 days after the last therapeutic intervention! Blood withdrawal: Use AdnaCollect blood collection tubes (prod. no. T-1-600, QIAGEN Hannover GmbH) or tubes containing EDTA as anticoagulant for blood withdrawal (e. g. S Monovette Kalium EDTA, Sarstedt; BD Vacutainer K3EDTA, Becton Dickinson) to draw at least 5 ml of whole blood. Blood has to be stored at 4 C immediately. Samples should be processed as soon as possible, but not later than 4 hours after blood withdrawal when using standard EDTA tubes or within 24 hours when using AdnaCollect. The blood sample must not be hemolyzed. 8

Handling: Select Beads 1 contain sodium azide as preservative. Sodium azide is cytotoxic and must, therefore, be removed before using the beads. All components and additional reagents provided by other suppliers have to be stored according to their instructions. Safety advices of the respective manufacturers are valid. Wear protective gloves to avoid contamination with DNA, RNA and RNases. Aliquot the Select Beads to avoid contamination. The test has to be performed in the denoted sequence and has to comply with all specifications stated in respect of incubation times and incubation temperatures. Discard samples if the selection beads agglutinate during cell enrichment. Perform sample processing incl. reverse transcription and subsequent analysis of amplified PCR products in different rooms, if possible, to avoid cross-contamination. The use of products from other suppliers than suggested may cause inferior results. The safety and hygiene regulations of the laboratory must be respected (e. g. wear lab coats, protective goggles, gloves). 9

Protocol A. Preparation of the Select Beads It is necessary to remove sodium azide by washing the Select Beads prior use: 1. Resuspend the Select Beads 1 thoroughly by pipetting; do not vortex! 2. Calculate the volume of Select Beads 1 required for all samples to be processed (100 µl per sample) and transfer the calculated volume into a 1.5 ml reaction tube. If more than 10 samples are processed use additional 1.5 ml reaction tubes. 3. Place the tube into the AdnaMag-S. 4. After 1 min remove the supernatant with a pipet. Important for each procedure: Do not touch the beads when removing the supernatants! 5. Washing a. Remove the magnet slider from the AdnaMag-S. b. Add 1 ml PBS and resuspend the beads by repeated pipetting. c. Place the magnet slider into the AdnaMag-S. d. After 1 min remove the supernatant completely with a pipet. Repeat twice (three washings in total). 6. Remove the tube from the AdnaMag-S and resuspend the beads in PBS to the original volume (100 µl per sample). 10

B. Selection of Tumor Cells 1. Pipet 5 ml of a blood sample into a 15 ml tube. (Use approved blood collection tubes only, see page 8) 2. Resuspend the Select Beads thoroughly (prepared in step A6) by pipetting and add 100 µl of these beads to each blood sample. 3. Rotate tubes slowly (approx. 5 rpm) for 30 min at room temperature on a device allowing both tilting and rotation. 4. Place tubes into the AdnaMag-L without magnet slider. Swing the AdnaMag-L downwards to release blood drops captured in the cap. 5. Insert magnet slider and incubate the tubes in the AdnaMag-L for 3 min at room temperature. 6. In the meantime equilibrate AdnaWash 15 and Lysis/Binding Buffer 2 to room temperature. Note: Check that the Lysis/Binding Buffer and the AdnaWash contain no precipitate. If any precipitate is observed, equilibrate the buffer to room temperature and mix until it is completely dissolved. 7. Remove blood supernatant completely with a 10 ml pipet without touching the beads. 8. Washing a. Remove magnet slider from the AdnaMag-L. b. Add 5 ml AdnaWash, close the tubes and shake the AdnaMag-L gently back and forth 5 times to resuspend the magnetic bead/cell complexes c. Swing the AdnaMag-L with the tubes downwards twice to release drops captured in the cap. 11

d. Place magnet slider into the AdnaMag-L and incubate for 3 min at room temperature. e. Remove supernatant completely with a pipet. Repeat twice (three washings in total). 9. Remove magnet slider from the AdnaMag-L. 10. Resuspend magnetic bead/cell complexes in 1 ml AdnaWash and transfer each sample into a 1.5 ml reaction tube. 11. Place reaction tubes into the AdnaMag-S with an inserted magnet slider. Note: The magnet slider of the AdnaMag-S can be inserted in two positions. Always insert the slider with forward-facing white plastic film to make sure that the magnets are close to the reaction tubes. 12. After 3 min remove supernatants with a pipet. 13. Remove magnet slider from the AdnaMag-S. 14. Resuspend the magnetic bead/cell complexes in 1 ml PBS. 15. Place the magnet into AdnaMag-S. 16. After 1 min remove the supernatants completely with a pipet to optimize the following cell lysis! 17. Remove the magnet from the AdnaMag-S. 18. Add 200 µl Lysis/Binding Buffer 2 (equilibrated to room temperature) to each reaction tube. Resuspend by pipetting at least five times. 19. Insert magnet slider into the AdnaMag-S and incubate for 1 min. 20. Transfer supernatants (cell lysates) into new 1.5 ml reaction tubes. 21. Discard the tubes with the beads. 12

22. Continue with mrna-isolation immediately (AdnaTest EMT-1/ StemCellDetect) or store the cell lysates at -20 C no longer than 2 weeks. References For references please refer to our website http://www.adnagen.com 13

Short Manual Components Select Beads 1 Lysis/Binding Buffer 2 AdnaWash 1 5 For each sample you need 5 ml whole blood (see page 8 for details) 1x 15 ml tube 2x 1.5 ml reaction tube 10 ml glass or plastic pipets (RNase-free) and pipettor 100-1000 µl pipets and tips (RNase free) Protocol Resuspend Select Beads 1 thoroughly and transfer 100 µl for each blood sample into a 1.5 ml reaction tube. Wash Select Beads with 3x 1 ml PBS. Resuspend Select Beads in 100 µl PBS per blood sample. Transfer 5 ml whole blood into a 15 ml tube. Add 100 µl of washed Select Beads to each blood sample. Incubate for 30 min at room temperature under tilting and rotation at approx. 5 rpm. Place tube for 3 min in AdnaMag-L to separate the beads. Release any blood drops captured in the cap by swinging the AdnaMag-L downwards. Remove blood supernatant. 14

Wash beads with 3 x 5 ml AdnaWash. Resuspend beads in 1 ml AdnaWash and transfer into a new 1.5 ml reaction tube. Separate beads for 3 min in the AdnaMag-S and remove supernatant. Wash beads with 1 ml PBS. Separate beads for 1 min in the AdnaMag-S and remove supernatant. Resuspend beads in 200 µl Lysis/Binding Buffer 2 by pipetting at least five times. Place reaction tubes into the AdnaMag-S for 1 min and transfer supernatant into a new reaction tube. Continue immediately with the AdnaTest EMT-1/StemCellDetect or store at -20 C for max. 2 weeks. 15

QIAGEN GmbH QIAGEN Strasse 1 D-40724 Hilden Germany For support call Phone: +49 (0) 511 72 59 50-50 Fax: +49 (0) 511 72 59 50-40 Email: support@adnagen.com Internet: www.adnagen.com