Feb 02, 2024

Public workspaceB2- BLOOD PROCESSING

  • 1REDI-NET Consortium
Open access
Protocol CitationREDI-NET Consortium 2024. B2- BLOOD PROCESSING. protocols.io https://dx.doi.org/10.17504/protocols.io.x54v9dqemg3e/v1
License: This is an open access protocol distributed under the terms of the Creative Commons Attribution License,  which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited
Protocol status: Working
We use this protocol and it's working
Created: May 12, 2023
Last Modified: March 15, 2024
Protocol Integer ID: 81794
Keywords: BLOOD PROCESSING, WHOLE BLOOD AND BUFFY COAT LYSIS, CELL-FREE FLUID LYSIS (SERUM/PLASMA), FTA CARD LYSIS
Funders Acknowledgement:
USAMRAA
Grant ID: W81XWH-21-C-0001
USAMRAA
Grant ID: W81XWH-22-C-0093
USAMRAA
Grant ID: HT9425-23-C-0059
Disclaimer
This work is supported by the US Army Medical Research and Development Command under Contract No.W81XWH-21-C-0001, W81XWH-22-C-0093 and HT9425-23-C-0059. The views, opinions and/or findings contained in this report are those of the author(s) and should not be construed as an official Department of the Army or Navy position, policy or decision unless so designated by other documentation.
Abstract
This protocol details blood processing.
Guidelines
OBJECTIVE

To outline procedures for total nucleic acid extraction from blood samples in various formats (whole blood, plasma, serum, buffy coat and dried blood spot on FTA cards).

SUMMARY/SCOPE

The overarching aim of the REDI-NET is to develop a collaborative laboratory network between domestic and international partnering institutions to address disease surveillance needs in order to effectively detect, predict and contain potentially emergent zoonosis. This SOP provides guidance on procedures for total nucleic acid extraction from blood samples to provide materials for downstream library preparation and sequencing for pathogen detection.

MAINTENANCE OF EQUIPMENT

Caution on RNA handling

  1. RNases are very stable and difficult to inactivate, and only minute amounts are sufficient to destroy RNA.
  2. Care should be taken to avoid inadvertently introducing RNases into the samples during or after the purification procedure.
  3. Sample handling and extraction should be performed under an extraction hood and respecting Good Laboratory Practices.
  4. Use filter tips all the time.

Storage of the buffers from IndiMag Pathogen Kit

  1. Proteinase K is stable for at least 1 year after delivery when stored at TemperatureRoom temperature (15-25°C). To store for more than 1 year or if ambient temperature often exceeds 25°C, storage at Temperature2-8 °C is recommended. Do not add Proteinase K directly to the Buffer VXL mixture! This can cause clogs or precipitates.
  2. Precipitation may form after storage at low temperature or prolonged storage. To dissolve precipitate, incubate Buffer VXL or ACB for Duration00:30:00 at Temperature37 °C , with occasional shaking.
  3. Reconstituted Buffer AW1 can be stored at TemperatureRoom temperature (15-25°C) for up to 1 year. Mix well after adding Ethanol.
  4. Buffer AVE is RNase-free upon delivery. It contains sodium azide, an antimicrobial agent that prevents growth of RNase-producing organisms. However, as this buffer does not contain any RNase degrading chemicals, it will not actively inhibit RNases introduced by inappropriate handling. When handling Buffer AVE, take extreme care to avoid contamination with RNases. Follow general precautions for working with RNA, such as frequent change of gloves and keeping tubes closed whenever possible.

QUALITY CONTROL

This SOP is reviewed by the applicable supervisor annually or as required in order to maintain its relevance.

APPENDICES


APPENDIX 1. WORKFLOW OF BLOOD SAMPLE PROCESSING

APPENDIX 2. MEASURING SPOON FOR 0.1 MM BEATING BEADS

The spoon (Next Advance, MSP01-RNA) is used for 0.1 mm beating beads measurement. One scoop equals to Amount100 µL .

APPENDIX 4. EXPECTED OUTCOMES


Expected result
ABCDEF
Sample Amount Sample conditionElution volume DNA conc. (ng/ul) RNA conc. (ng/ul)
Whole Blood 200 uL Frozen/Fresh 75
Buffy coat 200 uL Frozen/Fresh 75
Serum 1.5 mL Frozen/Fresh 75
Plasma 1.5 mL Frozen/Fresh 75
FTA card Three 3 mm disc Frozen/Fresh 75







Materials
EQUIPMENT AND MATERIALS

Note
NOTE: If product number is listed, please ensure use of this or equivalent product.
AB
Equipment Mfg / Product #
KingFisher™ Flex Magnetic Particle Processor with 96 Deep-Well Head or KingFisher™ Duo Prime Magnetic Particle Processor ThermoFisher, 5400630 or ThermoFisher, 5400110
Bullet Blender 24 Gold Next Advance, BB24-AU
Qubit 4 Fluorometer      ThermoFisher, Q33238
DynaMag-2 magnet Invitrogen, 12321D or equivalent
Hula sample mixer ThermoFisher, 15920D
Adjustable micropipettes Locally sourced
Multi-channel micropipettes Locally sourced
Vortex Locally sourced
Tube centrifuge Locally sourced
Plate centrifuge Locally sourced
Digital scale/balance Locally sourced
Thermo Heater Mixer Locally sourced
Equipment
KingFisher™ Flex Purification System, KingFisher with 96 Deep-well Head
NAME
Purification System
TYPE
Thermo Scientific™
BRAND
5400630
SKU
LINK

Equipment
Bullet Blender 24 Gold (1.5 mL snap and screw cap tubes, 4°C cooling)
NAME
Blender
TYPE
Next Advance
BRAND
BB24-AU
SKU
LINK

Equipment
Qubit Fluorometer
NAME
Fluorometer
TYPE
Invitrogen
BRAND
Q33238
SKU
LINK

Equipment
DynaMag-2
NAME
Magnet
TYPE
Invitrogen
BRAND
12321D
SKU
LINK

Equipment
Hula mixer
NAME
Mixer
TYPE
Invitrogen
BRAND
15920D
SKU
Any rotator mixer
SPECIFICATIONS

ABC
Material Description Mfg / Product #
IndiMag Pathogen Kit w/o plastics, 384 reactions Indical Bioscience, SP947257
Buffer ATL 200 mL, Tissue Lysis Buffer Qiagen, 19076
Reagent DX 1 mL, Antifoaming Reagent Qiagen, 19088
QIAcard FTA Wash Buffer 25 mL, FTA card wash buffer Qiagen, WB120112
UniCore Punch Kit 3.0 mm 3.0 mm, FTA card puncher and mat Qiagen, WB100039
Measuring Spoon 100 µL RNase Free, pack of 10. reusable Next Advance, MSP01-RNA
KingFisher™ Deepwell 96 Plate KingFisher ThermoFisher, 95040450
KingFisher™ 96 KF microplate KingFisher Flex ONLY ThermoFisher, 97002540
KingFisher™ 96 tip comb for DW magnets KingFisher Flex ONLY ThermoFisher, 97002534
KingFisher™ Duo Prime 12-tip comb KingFisher Duo Prime ONLY ThermoFisher, 97003500
Elution Strip KingFisher Duo Prime ONLY ThermoFisher, 97003520
KingFisher™ Duo Cap for Elution Strip KingFisher Duo Prime ONLY ThermoFisher, 97003540
MicroAmp™ Clear Adhesive Film KingFisher ThermoFisher, 4306311
RNase-Free Microfuge Tubes Nonstick, 1.5 mL ThermoFisher, AM12450
RNase-Free Microfuge Tubes Nonstick, 2.0 mL ThermoFisher, AM12475
Thermo Scientific Screw Cap Micro Tubes 1.5 mL Screw Cap Tube, NonKnurl, NonSkirted,Natural, E-Beam Sterile tube w/ attached cap Fisher Scientific, 14-755-208
Zirconium oxide beads 0.1 mm, 400 g Fisher Scientific, 50-154-2950
Qubit™ 1X dsDNA HS Assay Kit (consumable) ThermoFisher, Q33230
Qubit™ RNA HS Assay Kit (consumable) ThermoFisher, Q32852
Qubit Assay Tubes For Qubit DNA/RNA measurement consumable) Thermo Fisher, Q32856
RNaseZap™ RNase Decontamination Solution To remove RNase from working area ThermoFisher, AM9780
ZymoBIOMICS Microbial Community Standard Material For positive controls Zymo Research, D6300
Zika virus (ZIKV) positive control For TNA extraction positive control NMRC made
Human gammaherpesvirus (EBV) positive control For TNA extraction positive control NMRC made
Forceps For use with samples Locally sourced
Ethanol 100% (molecular biology grade) Locally sourced
Isopropanol 100% (molecular biology grade) Locally sourced
Nuclease-free Water To elute total nucleic acids Locally sourced
Dry ice To maintain cold chain during sample handling Locally sourced
Ice bucket To contain the dry ice and regular ice Locally sourced
Kimwipes To dry material Locally sourced
Falcon tubes 15 mL and 50 mL Locally sourced
Data sheets REDI-NET DCS SP-1 Sample Processing Form REDI-NET Data Portal
RESPONSIBLE PERSON

Principal Investigator, Study Coordinator, Entomology Component Lead, Managers

Note
NOTE: All study procedures must be conducted in compliance with national and local policies for prevention and control of COVID-19 infection.

ReagentIndiMag Pathogen Kit w/o plastics (384 reactions)INDICAL BIOSCIENCECatalog #SP947257

ReagentBuffer AL, Lysis bufferQiagenCatalog #19076

ReagentReagent DXQiagenCatalog #19088

ReagentQIAcard FTA Wash BufferQiagenCatalog #WB120112

ReagentUniCore Punch Kit 3.0 mmQiagenCatalog # WB100039

ReagentMeasuring Spoon 100 uL RNase Free pack of 10Next AdvanceCatalog #MSP01-RNA

ReagentKingFisher™ Plastics for 96 deep-well formatThermo Fisher ScientificCatalog #95040450

ReagentKingFisher™ Flex™ Systems Consumables, KingFisher 96 KF microplate (200µL)Thermo FisherCatalog #97002540

ReagentKingFisher™ Flex™ Systems Consumables, KingFisher 96 tip comb for DW magnetsThermo FisherCatalog #97002534

ReagentKingFisher™ Duo and KingFisher™ Duo Prime Consumables, 12-tip comb, for Microtiter 96 Deepwell plateThermo FisherCatalog #97003500

ReagentKingFisher™ Duo and KingFisher™ Duo Prime Consumables, Elution stripThermo FisherCatalog #97003520

ReagentKingFisher™ Duo and KingFisher™ Duo Prime Consumables, KingFisher Duo Cap for elution stripThermo FisherCatalog #97003540

ReagentMicroAmp Clear Adhesive FilmApplied Biosystems (ThermoFisher Scientific)Catalog #4306311

ReagentNonstick, RNase-free Microfuge Tubes, 1.5 mLThermo FisherCatalog #AM12450

ReagentNonstick, RNase-free Microfuge Tubes, 2.0 mLThermo FisherCatalog #AM12475

ReagentThermo Scientific™ Screw Cap Micro TubesFisher ScientificCatalog #14-755-208

ReagentBertin Corp 0.1mm Zirconium oxide beads (450g) (qty 500)Fisher ScientificCatalog #50-154-2950

ReagentQubit 1X dsDNA High Sensitivity Assay KitThermo Fisher ScientificCatalog #Q33230

ReagentQubit RNA HS (High Sensitivity) assay Thermo Fisher ScientificCatalog #Q32852

ReagentQubit assay tubesThermo Fisher ScientificCatalog #Q32856

ReagentRNaseZap™ RNase Decontamination SolutionThermo Fisher ScientificCatalog #AM9780

ReagentZymoBIOMICS Microbial Community StandardZymo ResearchCatalog #D6300


APPENDIX 5. SET-UP INSTRUCTIONS FOR BARCODE PRINTING
ABC
Equipment / Material Description Mfg / Product #
Thermal Printer Zebra ZD421T Desktop Dual Barcode Printer - 203 dpi Uline, H-9581
Thermal Transfer Ribbon For use with Zebra thermal printer; Desktop thermal transfer ribbons - wax/resin, 4.33” x 244 (12/case) Uline, S-18466
Cryo-labels 667 1.00" x 0.38" Cap & Wrap CryoLabel® w/0.375" Cap, Blanks, 1" Core

Color bar breakdown:
Grey - 31,24,25,0
Orange - 0,80,95,0
Blue - 85,50,0,0
Brown - 35,60,80,25
Yellow - 0,0,100,0

Electronic Imaging Materials, #335774-COLOR
Handheld scanner To scan barcode Zebra, LS2208-SR20001R-NA
123Scan Software To scan barcodes 123Scan software
Laptop or desktop computer with Google Chrome and access to the REDI-NET data portal To connect with the handheld scanner, the thermal printer and the REDI-NET Data Portal Locally sourced
Cryo-labels

Safety warnings
Attention
RISK AND PERSONAL PROTECTION

  1. Caution should be taken while processing samples as some chemicals may be harmful. Please use a fume-hood when required to avoid inhaling harmful chemicals.
  2. Gloves should be worn all the time when handling samples.
  3. Decontaminants such as DNA/RNaZap could irritate the skin, avoid contact with skin while preparing the workbench for nucleic acid extractions.
Before start
BEFORE START
Note
NOTE: To prevent contamination samples nucleic acid extraction and amplification (PCR) should be performed in separate rooms.

  1. Pre-cool the Bullet Blender by adding dry ice into the cooling compartment and running the cooling program.
  2. Clean the work surfaces with RNaseZap, then wipe the surfaces with 70% molecular biology grade ethanol to remove additional contaminants.
  3. Transfer 0.1 mm zirconium oxide beads (2 spoons, Appendix 2) to Thermo Scientific 1.5 ml Screw Cap Micro Tubes.
  4. Buffer ATL may form precipitates upon storage. If necessary, warm to Temperature56 °C until the precipitates have fully dissolved. Prepare buffer ATL-DX: add 100 μl Reagent DX to 15 ml Buffer ATL. If smaller amounts are needed, transfer Amount1.5 mL of Buffer ATL into a sterile 2 ml vial and add Amount10 µL Reagent DX. Mix well, after addition of Reagent DX. After preparation, the mixture is stable for 6 months at TemperatureRoom temperature (15-25°C).
  5. For the first time use of IndiMag pathogen kit, add 100% ethanol to Buffer AW1 and AW2, and add 100% isopropanol to ACB as indicated on the bottles.
  6. MagAttract Suspension G from IndiMag pathogen kit needs to be vortexed thoroughly for Duration00:03:00 (before first use) or 1 minute (before subsequent uses) to ensure that the magnetic silica particles are fully resuspended.
  7. Aliquot nuclease-free water in big bottle into a few 15 ml tubes for preparing TNA elution in KingFisher Flex or KingFisher Duo Prime to avoid cross-contamination.

Note
NOTE: Check APPENDIX 1 THE WORKFLOW OF BLOOD SAMPLE PROCESSING for the overview of processing blood samples in different formats when using this SOP for the first time. The lysis for different formats of blood samples is described in three sections in this SOP: section 6.2 for processing whole blood and buffy coat; section 6.3 for processing serum and plasma; section 6.4 for processing FTA card.






1. WHOLE BLOOD AND BUFFY COAT LYSIS
1. WHOLE BLOOD AND BUFFY COAT LYSIS

Note
NOTE: Blood samples treated with EDTA, citrate, or heparin as an anticoagulant can be used for nucleic acid purification. Samples can be either fresh or frozen, provided they have not been freeze-thawed more than once. Freeze-thawing more than once can lead to denaturation and precipitation of proteins, resulting in a potential reduction in viral titers, and therefore, reduced yields of viral nucleic acids.

Pipetting
Add Amount200 µL sterile 1x PBS to a Amount200 µL whole blood or buffy coat sample.
Note
If provided whole blood or buffy coat has a total volume less than Amount200 µL , add sterile 1x PBS to make up the Amount200 µL .


Pipetting
Transfer Amount400 µL blood and 1x PBS mixture to the bead tubes prepared in step 3 of Before Start section under the Guidelines & Warnings tab. Add Amount100 µL of ATL-DX buffer.

Include a positive control for each batch of samples: transfer Amount37.5 µL ZymoBIOMICS Microbial Community Standard Material, Amount100 µL EBV, and Amount100 µL ZIKV standard into a tube from step 3 of Before Start section. Add Amount100 µL ATL-DX buffer and Amount162.5 µL sterile 1x PBS.

Pipetting
Include a negative control for each batch of samples: a bead tube from step 3 of Before Start section with Amount100 µL ATL-DX buffer and Amount400 µL sterile 1x PBS.
Load all samples into the Bullet Blender (refill dry ice if necessary).
Set the speed at 12 and the time at 3. Press Start.
Let the samples settle for Duration00:01:00 in the Bullet Blender and then repeat step 7.
Note
STOPPING POINT: lysed samples can be stored at Temperature4 °C DurationOvernight .



1m
Pause
Overnight
2. CELL-FREE FLUID LYSIS (SERUM/PLASMA)
2. CELL-FREE FLUID LYSIS (SERUM/PLASMA)
Add up to Amount1.5 mL fluid sample to a 2 ml microcentrifuge tube (depending on available volume, no less than 0.5 mL) and centrifuge the tube for Duration00:05:00 at maximum speed (12000- 14000 xg).

5m
Centrifigation
Pipetting
Use a pipet to remove the supernatant.
Add Amount500 µL ATL-DX buffer and resuspend the pellet in by vortexing.

Transfer the entire pellet resuspension to the bead tubes prepared in step 3 of Before Start section.
Include a positive control for each batch of samples: transfer Amount37.5 µL ZymoBIOMICS Microbial Community Standard Material, Amount100 µL EBV, and Amount100 µL ZIKV standard into a tube from step 3 of Before Start section. Add Amount250 µL ATL-DX buffer.

Pipetting
Include a negative control for each batch of samples: a bead tube from step 3 of Before Start section with Amount500 µL ATL-DX buffer.

Load all samples into the Bullet Blender (refill dry ice if necessary).
Set the speed at 12 and the time at 3. Press Start.
Let the samples settle for Duration00:01:00 in the Bullet Blender and then repeat step 16.
Note
STOPPING POINT: lysed samples can be stored at Temperature4 °C DurationOvernight .


1m
Pause
Overnight
3. FTA CARD LYSIS
3. FTA CARD LYSIS
Punch FTA card with dried blood spots with a 3.0mm single-hole puncher.
Use a forceps to place three card punches of the same sample into a bead tube prepared in step 3 of Before Start section.
Add Amount20 µL Proteinase K and Amount200 µL QIAcard FTA Wash Buffer and Amount200 µL ATL-DX buffer to the sample. Mix immediately by vortexing for Duration00:00:15 .

15s
Pipetting
Mix
Include a positive control for each batch of samples: transfer Amount37.5 µL ZymoBIOMICS Microbial Community Standard Material, Amount100 µL EBV, and Amount100 µL ZIKV standard into a tube from step 3 of Before Start section. Add Amount125 µL QIAcard FTA Wash Buffer and Amount125 µL ATL-DX buffer and Amount20 µL proteinase K.

Pipetting
Include a negative control for each batch of samples: a bead tube from step 3 of Before Start section with Amount200 µL QIAcard FTA Wash Buffer and Amount200 µL ATL-DX buffer and Amount20 µL proteinase K.

Incubate in a thermomixer at Shaker1400 rpm, 56°C, 01:00:00 .

Incubation
Refill the dry ice compartment of the Bullet Blender if necessary. After incubation, load all samples into the Bullet Blender.
Set the speed at 12 and the time at 3. Press Start.
Let the samples settle for 1 minute in the Bullet Blender and then repeat step 25.
Note
STOPPING POINT: lysed samples can be stored at Temperature4 °C DurationOvernight .


Pause
Overnight
4. INSTRUMENT SET UP
4. INSTRUMENT SET UP

Note
NOTE: KingFisher Flex only, if using KingFisher Duo Prime, go section 8

Confirm 96 deep-well magnetic heads and 96 well deep-well heat blocks are being used.
Ensure the program IndiMag_Pathogen_KF_Flex_4washor the program has been downloaded and loaded onto the KingFisher Flex instrument.
5. SET UP THE PROCESSING PLATES
5. SET UP THE PROCESSING PLATES
Set up the Tip Comb, Wash, and Elution Plates outside the instrument according to the following table.
Note
NOTE: DO NOT use the elution buffer provided by the kit for TNA elution. The ingredients in the elution buffer inhibit the downstream DNA sequencing efficiency.
ABCDE
Plate ID Plate position Plate type Reagent Volume per well
Tip comb 7 Place a 96 Deep-well Tip comb in a deep-well plate
Elution 6 Deep-Well Nuclease-free water 75 µL
Wash 4 5 Deep-Well 100% ethanol 750 µL
Wash 3 4 Deep-Well 80% ethanol 750 µL
Wash 2 3 Deep-Well Buffer AW2 700 µL
Wash 1 2 Deep-Well Buffer AW1 700 µL
Sample 1 Sample Lysate Lysate and lysis buffer 985 µL
6. EXTRACTION
6. EXTRACTION
Centrifuge the bead tubes with lysate from the sample lysis step for Centrifigation12000 x g, 00:05:00 .

5m
Centrifigation
Add Amount20 µL of Proteinase K into wells of a Deep-well plate (based on the number of samples).
Note
NOTE: Skip this step for the samples from the FTA card of section 3.


Pipetting
Transfer Amount270 µL supernatant (for FTA card samples of section 3, transfer Amount290 µL supernatant) without any particle carryover to the wells of the Deep-well plate. This plate becomes the Sample Plate.
Pipetting
Add Amount135 µL Buffer VXL, Amount540 µL Buffer ACB, and Amount20 µL MagAttract Suspension G to each sample in the sample plate. For multiple samples, make a master mix with 10% overage. Invert slowly to mix the master mix; avoid foaming (it can be mixed on a Hula mixer for Duration00:02:00 ). Add Amount695 µL mixture to each sample. Each well including sample lysate should be Amount985 µL .

2m
Pipetting
Select the program IndiMag_Pathogen_KF_Flex_4wash on the instrument.
Start the run, then load the prepared plates into position when prompted by the instrument.
7. QUANTIFICATION AND STORAGE
7. QUANTIFICATION AND STORAGE
After the running protocol is completed (~Duration00:35:00 ), immediately remove the elution plate from the instrument and cover the plate or transfer the eluate to the final tube or plate of choice for final storage.

35m
In 0.6 mL microcentrifuge tubes, use Amount1 µL total nucleic acid from whole blood/buffy coat samples, or Amount3 µL total nucleic acid from FTA card/cell-free fluid samples, for DNA and RNA concentration measurements using Qubit 4 Fluorometer following manufacturer instructions.
Note
Kits needed: Qubit 1X dsDNA HS Assay Kit and Qubit RNA HS Assay Kit. (see Appendix 3 and Appendix 4).

NOTE: If the concentration measurement of the TNA is too high, dilute 2 uL of the sample in a new 1.5 mL tube with Amount18 µL nuclease-free water. Use Amount3 µL of the diluted sample for DNA or RNA quantification.




Proceed with sample testing following the REDI-NET SOP B-4 Blood Testing or store at Temperature-20 °C for less than 2 weeks.
Note
For long-term storage the sample needs to be stored at Temperature-80 °C following the REDI-NET SOP B-3 Blood Storage.

8. INSTRUMENT SET UP
8. INSTRUMENT SET UP

Note
NOTE: KingFisher Duo Prime only, if using KingFisher Flex, go to section 4

Confirm 12-tip magnetic heads and 12 well deep-well heat blocks are being used.
Ensure the program IndiMag_Pathogen_KF_Duo_4wash has been downloaded and loaded onto the KingFisher Duo Prime instrument.
9. SET UP THE SAMPLE PLATE AND ELUTION STRIP
9. SET UP THE SAMPLE PLATE AND ELUTION STRIP
Set up the Sample Plate according to the table below:
ABCD
Row ID Plate Row Reagent Volume per well
Sample row A Lysate and lysis buffer 985 µL
Wash 1 B Buffer AW1 700 µL
Wash 2 C Buffer AW2 700 µL
Wash 3 D 80% ethanol 750 µL
Wash 4 E 100% ethanol 750 µL
Tip Comb F Tip Comb
G Empty
H
Set up the Elution Strip according to the table below:
Note
NOTE: DO NOT use the elution buffer provided by the kit for TNA elution. The ingredients in the elution buffer inhibit the downstream DNA sequencing efficiency.
ABCD
Strip ID Row Reagent Volume per well
Elution A Nuclease-free water 75 µL
10. EXTRACTION
10. EXTRACTION
Centrifuge the bead tubes with lysate from the sample lysis step for Centrifigation12000 x g, 00:05:00 .

5m
Centrifigation
Add Amount20 µL of Proteinase K into wells of a Deep-well plate (based on the number of samples).
Note
NOTE: Skip this step for the samples from the FTA card of section 3.


Pipetting
Transfer Amount270 µL supernatant (for FTA card samples of section 3, transfer Amount290 µL supernatant) without any particle carryover to the wells of the Deep-well Row A. This row becomes the Sample Row.
Add Amount135 µL Buffer VXL, Amount540 µL Buffer ACB, and Amount20 µL MagAttract Suspension G to each sample in the Sample Plate. For multiple samples, make a master mix with 10% overage. Invert slowly to mix the master mix and avoid foaming. Add Amount695 µL mixture to each sample. Each well including sample lysate should be 985 uL.

Pipetting
Select the program IndiMag_Pathogen_KF_Duo_4wash on the instrument.
Start the run, then load the prepared plate and Elution Strip into position when prompted by the instrument.

Note
Keep the door open while extraction is in process. The chamber of the KingFisher Duo Prime is small. Closing the door makes the ethanol vapor restrained inside the chamber and increases the ethanol contamination.

11. QUANTIFICATION AND STORAGE
11. QUANTIFICATION AND STORAGE
After the running protocol is completed (~Duration00:35:00 ), immediately remove the elution plate from the instrument and cover the plate or transfer the eluate to the final tube or plate of choice for final storage.

35m
In 0.6 mL microcentrifuge tubes, use Amount1 µL total nucleic acid from whole blood/buffy coat samples, or Amount3 µL total nucleic acid from FTA card/cell-free fluid samples, for DNA and RNA concentration measurements using Qubit 4 Fluorometer following manufacturer instructions.
Note
Kits needed: Qubit 1X dsDNA HS Assay Kit and Qubit RNA HS Assay Kit. (see Appendix 3 and Appendix 4 in Guidelines & Warnings tab)
NOTE: If the concentration measurement of the TNA is too high, dilute 2 uL of the sample in a new 1.5 mL tube with 18 uL nuclease-free water. Use 3 uL of the diluted sample for DNA or RNA quantification.

Proceed with sample testing following the REDI-NET SOP B-4 Blood Testing or store at Temperature-20 °C for less than 2 weeks.
Note
For long-term storage the sample needs to be stored at Temperature-80 °C following the REDI-NET SOP B-3 Blood Storage.



APPENDIX 3. DNA and RNA Measurement using QUBIT FLUOROMETER 4.0
APPENDIX 3. DNA and RNA Measurement using QUBIT FLUOROMETER 4.0
4m
DNA quantification:
According to the volume of sample used, add the 1xHS dsDNA Qubit Assay for a final volume of Amount200 µL (i.e., if using Amount1 µL of sample, add Amount199 µL of 1x HS dsDNA Qubit Assay). Vortex for 5 - 10 seconds, then incubate for Duration00:02:00 at TemperatureRoom temperature before reading.
2m
Pipetting
RNA Quantification:
In a new microcentrifuge tube/falcon tube (depending on the number of samples processed), prepare a working solution of the Qubit HS RNA Assay:
ABC
Reagents Volume/sample Volume for n+1 sample
Qubit RNA HS Assay buffer 199 µL …. µL
Qubit RNA HS Assay Dye 1 µL …. µL
In a new 0.6 ml tube, mix Amount197 µL of Qubit HS RNA Assay working solution and Amount3 µL of the sample. Incubate for Duration00:02:00 at TemperatureRoom temperature before reading.
2m
Incubation
Protocol references
REFERENCES



1. User Guide: Indical IndiMag Pathogen Kit user’s manual.

2. Indical Sample Pretreatment B1 (HB-2533-EN-001): For Difficult-to-Lyse Bacteria in Whole-Blood or Pretreated Tissue.

3. Indical Sample Pretreatment B2 (HB-2534-EN-001): For Difficult-to-Lyse Bacteria in Cell-Free Fluids.