Keep the flow-through from steps 18 and 20 in RNA extraction protocol.
The miRNA protocol should be performed during or after completion of RNA purification to ensure consistency with previous samples. Keep flow-through covered until beginning miRNA purification.
Take RNeasy MinElute spin columns out from 4°C and equilibrate to room temperature (25°C) for several minutes.
Prepare the Qiavac 24 Plus Vacuum Manifold with one RNeasy spin column per subject. Use disposable adaptors to prevent contamination.
Attach a 5 mL syringe reservoir to RNeasy spin column to accommodate for the volume of miRNA flow through.
Combine flow-through for each subject into a 15 ml tube.
Add 700 µl of 100% ethanol for each 500 µl of flow through. Mix thoroughly by vortexing.
Pour the entire flow-through into the 5 mL syringe reservoir and turn on vacuum.
When all flow-through has been passed through the spin column, turn off the vacuum.
Add 500 µl of Buffer RPE into the spin column and turn on the vacuum until the buffer has passed.
Remove spin columns from the Quivac and place in a 2 ml processing tube.
Add 500 µl of 80% ethanol to the spin column and centrifuge at 13,000 rpm for 2 min at 25°C.
Place spin column in a new 2ml processing tube and discard old tube. (Remove spin column carefully so that the column does not touch the flow -through.)
Open lid of the spin column and centrifuge at 13,000 rpm for 5 min at 25°C.
Place the spin column in a low-retention 1.5 ml microcentrifuge tube.
Pipette 15 µl of RNase-free water directly on the spin column membrane. Close lid gently and sit for 1 min, then to elute, centrifuge at 13,000 rpm for 1 min at 25°C.
Label miRNA tube (miRNA).
MiRNA is logged and stored the same way as RNA.
Freezers are divided into 4 shelves, with 6 racks per shelf, and 24 boxes that can be held in each shelf. In total, 576 boxes, approximately 2,160 sample sets, can be stored in one -80°C freezer. The first three shelves are designated by visit number: Shelves A1-6 (top shelf) house samples from enrollment visits, shelves B1-6 (2nd shelf) house samples from the 1st year follow-up, and shelves C1-6 (3rd shelf) house samples from the 2nd year follow-up. Shelves D1-6 contain packed red blood cell tubes (PRBC), DNA, and RNA, extracted from blood as described in the protocols above. CSF is designated between two freezers in selected racks. Freezer storage and transactions of samples are recorded in the Freezerworks Inventory software.