(Dsi) Ds-Eia-Anti-Toxo-G 014 19 05 2014
(Dsi) Ds-Eia-Anti-Toxo-G 014 19 05 2014
(Dsi) Ds-Eia-Anti-Toxo-G 014 19 05 2014
T-151 96
Code: 2.1.GB
0483
ATTENTION!
1. Chapter VI has been changed.
Table of contents
I. INTENDED USE.......................................................................................................................... 3
II. INTRODUCTION........................................................................................................................ 3
V. PRECAUTIONS.......................................................................................................................... 4
X. TEST PROCEDURE................................................................................................................... 7
XI. RESULTS................................................................................................................................... 8
XIV. REFERENCES........................................................................................................................ 10
ANNEX……………………………………………………………………………………….…... 12
This Package Insert provides information for Professional Use of the kit.
The kit contains sufficient reagents for 96 (one breakable plate) assays including controls; partial
use of the kit is possible.
I. INTENDED USE
The “DS-EIA-ANTI-TOXO-G” kit is intended for the detection of IgG antibodies specific to
Toxoplasma gondii in human serum (plasma).
For In Vitro Diagnostic Use.
II. INTRODUCTION
T. gondii is an obligate intracellular protozoan parasite with a worldwide distribution (1, 2).
Serological data indicate that approximately 30% of the population of most industrialized nations is
chronically infected with the organism (3). When a seronegative woman become infected T. gondii
during pregnancy, the organism is often transmitted across the placenta to the fetus (1, 4). The severity
of infection in the fetus varies with the trimester during which the infection was acquired. Infection
during the trimester may lead to spontaneous abortion, stillbirth or overt disease in the neonate.
Approximately 75% of congenitally infected newborns are symptomatic. However, nearly all children
born with subclinical toxoplasmosis will develop adverse ocular or neurologic sequelae later in
life (4, 7). Approximately 80-85% develops chorioretinitis and some may also experience blindness or
mental retardation.
III. PRINCIPLE OF THE TEST
The “DS-EIA-ANTI-TOXO-G” plates are coated with Toxoplasma gondii specific proteins.
Serum to be tested is diluted and incubated with the precoated plate. In this step Toxoplasma gondii
specific antibodies are bound to the immobilized Toxoplasma gondii specific proteins. Non specific
antibodies are removed by washing. Anti-human IgG conjugated to horseradish peroxidase (HRP)
is added and incubated. In this step the HRP-conjugate is bound to the prebound
antigen-antibody complex. Unbound conjugate is removed by washing. The presence of bound enzyme
indicating the presence in the specimen of specific antibodies is revealed by a color change in
substrate/chromogen (TMB) mixture.
IV. CONTENT OF THE KIT “DS-EIA-ANTI-TOXO-G”
Table 1
LABEL NATURE OF THE REAGENTS PRESENTATION
Polystyrene stripped plate with colorless transparent wells
T. gondii-Ag
coated with mix of recombinant antigens of T. gondii. 1 plate
Coated Strips
Store at 2-8 °C until expiration date.
Concentrate of the monoclonal antibodies against human IgG,
Conjugate produced in mice, conjugated with HRP enzyme. Colorless or
1 vial
(concentrated light yellow transparent or slightly opalescent liquid. Preserving
1.25 ml
11-fold) agent: 0.04% gentamycin sulfate, 0.04% ProClin 300. Store
at 2-8 °C until expiration date in a tightly sealed vial.
Inactivated human serum, containing species specific IgG
antibodies against T. gondii. The serum does not contain HBsAg,
Positive
HIV-1,2 & HCV antibodies. Transparent or slightly opalescent 1 vial
Control,
liquid, red colored. Preserving agent: 0.04% ProClin 300, 1.2 ml
Inactivated
< 0.1% sodium azide. Store at 2-8 °C until expiration date in a
tightly sealed vial.
Inactivated human serum, not containing species specific
antibodies against T. gondii. The serum does not contain
Negative
HBsAg, HIV-1,2 & HCV antibodies. Green transparent or 1 vial
Control,
slightly opalescent liquid. Preserving agent: 0.01% thimerosal, 2.5 ml
Inactivated
< 0.1% sodium azide. Store at 2-8 °C until expiration date
in a tightly sealed vial.
V. PRECAUTIONS
The reliability of the results depends on correct implementation of the following Good
Laboratory Practices:
The temperature in the lab should be 18-24 °C.
Do not use expired reagents.
Do not mix reagents from different lots within a given test run.
Before use, it is necessary to wait 30 minutes for the reagents to stabilize to room
temperature (18-24 °C).
Carefully reconstitute the reagents avoiding any contamination.
Do not carry out the test in the presence of reactive vapors (acid, alkaline, aldehyde vapors) or
dust that could alter the enzyme activity of the conjugates.
Use glassware thoroughly washed and rinsed with deionized water or preferably, disposable
material.
Do not allow the microplate to dry between the end of the washing operation and the reagent
distribution.
The enzyme reaction is very sensitive to metal ions. Consequently, do not allow any metal
element to come into contact with the various conjugate or substrate solutions.
VII. MATERIALS AND EQUIPMENT REQUIRED BUT NOT PROVIDED WITH THE KIT:
Distilled or deionized water.
Pipettes, single-channel and multi-channel, adjustable or preset, to measure and dispense
10 µl, 50 µl, 90 µl, 100 µl.
Disposable pipette tips.
Microplate incubator at (37.0 ± 1.0) °C.
Automatic microplate washer.
Microplate reader equipped with 450 nm or with 450 nm and 620-680 nm filters.
Disposable gloves.
2. Reagents to prepare:
Working Washing Solution. Thoroughly shake Washing Solution concentrate. To make
Working Washing Solution take required amount of concentrate and mix with distilled or
deionized water (1:25 ratio) in a separate vial (See Table 2). Thoroughly mix the solution. The
prepared Working Washing Solution is stable at least for 14 days at 18-24 °C or for 28 days
at 2-8 °C when used in GLP condition.
Working Solution of Conjugate must be prepared before usage. Thoroughly shake conjugate
concentrate. To make Working Solution of Conjugate, take required amount of concentrate and
mix with Conjugate diluent (1:11 ratio) in a separate vial (See Table 2). Thoroughly mix.
Do not apply intensive mixing. Working Solution of Conjugate may be stored for not more
than 12 hours at room (18-24 °C) temperature in a dark place.
Substrate Mixture must be prepared before usage. Take required amount of TMB
(concentrated 11-fold) to a separate vial and add required amount of Substrate Buffer
(1:11 ratio) (See Table 2). Mix thoroughly. Substrate Mixture may be stored for not more than
10 hours at room (18-24 °C) temperature in a dark place.
Substrate Mixture must be colorless!
X. TEST PROCEDURE
The required volumes of reagents for the certain number of strips or a plate are represented
in Table 2.
Table 2
Consumption of reagents for the manual test-procedure
Working Washing Working Solution of
Substrate Mixture
The Solution Conjugate
number Washing Solution Distilled or Conjugate TMB
of used Conjugate Substrate
(concentrated deionized (concentrated (concentrated
strips diluent Buffer
25-fold) water 11-fold) 11-fold)
(ml) (ml)
(ml) (ml) (ml) (ml)
1 4.0 96.0 0.1 1.0 0.1 1.0
2 8.0 192.0 0.2 2.0 0.2 2.0
3 12.0 288.0 0.3 3.0 0.3 3.0
4 16.0 384.0 0.4 4.0 0.4 4.0
5 20.0 480.0 0.5 5.0 0.5 5.0
6 24.0 576.0 0.6 6.0 0.6 6.0
7 28.0 672.0 0.7 7.0 0.7 7.0
8 32.0 768.0 0.8 8.0 0.8 8.0
9 36.0 864.0 0.9 9.0 0.9 9.0
10 40.0 960.0 1.0 10.0 1.0 10.0
11 44.0 1056.0 1.1 11.0 1.1 11.0
12 50.0 1200.0 1.2 12.0 1.2 12.0
Note: Before use, allow reagents to reach room temperature (18-24 °C) for 30 min.
1. Bring all components and clinical specimens to be tested to room temperature. Mix well
the Positive Control, Negative Control and the clinical specimens before use.
2. Determine the total number of specimens to be tested. In addition to the specimens, the
following must be included in each test: two wells of Negative Control, one well of Positive Control
and two wells of Calibrator.
3. Open package and take out frame and required number of strips (according to the number
of specimens to be tested). Leave unused strips in a package and do not remove silica gel drier, and
then reseal the package with a plastic clip or place the package in a self-sealing plastic bag, seal.
Resealed coated plate may be stored at 2-8 °C for 6 months.
4. Add 100 µl of the Calibrator and 100 µl of the Negative Control in duplicates.
Add 100 µl of Positive Control.
5. Pipette 90 µl of Sample diluent and 10 µl of the tested sera samples to the rest of the wells
(serum dilution ratio is 1:10). Carefully mix fluid in wells by gentle pipetting. Violet-blue color should
change to blue-green. If you don’t observe change of the color then test results may be false, or there is
no serum added to the well.
6. Cover the strips with a plate lid or a protective film and incubate for 30 min at (37.0 ± 1.0) °C.
7. Remove fluid from wells by multichannel pipette or washer, discard fluid according to
rules of work with potentially infectious material. Wash the plate with Working Washing Solution
4 times: сarefully fill all wells with at least 380 µl of Working Washing Solution with multichannel
pipette or automatic washer, wait for 40 seconds and remove Working Washing Solution from the
wells. Do not leave any fluid in the wells.
8. Pipette 100 µl of Working Solution of Conjugate into wells.
9. Cover the plate with a lid or a protective film and incubate for 30 min at (37.0 ± 1.0) °C.
10. Remove fluid from wells by multichannel pipette or automatic microplate washer. Wash
the plate with Working Washing Solution 4 times, (see procedure 7).
XI. RESULTS
Test Validation
For the test to be valid the following criteria must be met. If these criteria are not met the test
should be considered invalid and should be repeated.
1. Positive Control: The absorbance value should not be less than 0.600 at 450/620 nm.
2. Negative Control: The absorbance value should not be more than 0.200 at 450/620 nm.
3. Calibrator: The absorbance value should not be less than 0.700 at 450/620 nm.
1. Qualitative results
The presence or absence of antibodies against T. gondii is determined by the ratio of the OD of
each sample to the calculated cut-off value.
Calculate Cut-Off value as:
where 5 – is a coefficient defined by manufacturer during statistical processing for each lot.
Interpretation of Results
Sample is positive, if the OD value is ≥ 1.2×Cut-Off.
Sample is negative, if the OD value is ≤ 0.8×Cut-Off.
Sample is equivocal if the OD value exceeds 0.8×Cut-Off, but less than 1.2×Cut-Off.
2. Quantitative results
The concentration of ANTI-TOXO-IgG calculate only for positive samples.
If the sample OD doesn’t exceed 2.000, calculate anti-toxo IgG concentration as:
where 125 is the concentration of anti-Toxo IgG antibody of the calibrator (IU/ml).
where OD sample is the value of optical density with 405/620-680 nm of the investigated sera;
average OD value of Calibrator is average optical density of Calibrator
at 450 and 620-680 nm;
125 is Toxo IgG antibody concentration of the calibrator (IU/ml);
3.2 is the conversion coefficient.
If the OD measured at 405/620-680 nm exceeds 1.200, or if the filter 405 is not available, the
analysis should be repeated with the sample diluted with the Working Washing Solution 1:4.
Calculating the concentration of anti-Toxo-IgG take into account the dilution factor.
Example calculation
OD at 450/620 nm OD at 405/620 nm
Sample № 1 1.865 0.583
Sample № 2 > 2.0 1.006
Sample № 3 > 2.0 1.246
Sample № 2 diluted 1:4 0.852 -
Sample № 3 diluted 1:4 1.164 -
Calibrator 0.850 -
These results are brought only as an example, they cannot be considered as a working option.
Sample number 1 – is calculated using formula (2):
The concentration also can be calculated using the OD 450 of diluted sample 1:4 = 0.852 and
the formula (2):
Concentration in diluted sample (1:4) [IU/ml] =0.852 x 125 / 0.850 = 125 IU/ml,
It can be calculated using the OD 450 of diluted sample 1:4 = 1.164 and the formula (2):
Concentration in diluted sample (1:4) [IU/ml] = 1.164 x 125 / 0.850 = 171 ME/ml,
DSI S.r.l.
Saronno (VA), Via A.Volonterio, 36а, 21047, Italy
Tel:+39 02 967 09111, Fax: +39 02 962 0185
E-mail: info@dsitaly.com, www.dsitaly.com
XIV. REFERENCES
1. Krick J.A. and Remington J.S.: Toxoplasmosis in the adult: An overview.
New Eng. J. Med. 298:550-553, 1978.
2. Anderson S.E. and Remington J.S.: The diagnosis of Toxoplasmosis. So. Med. J.
68:1433-1443, 1975.
3. Feldman H.A.: Toxoplasmosis: An overview. Bull. N.Y. Acad. Med. 50:110-127, 1974.
4. Wilson C.B., Remington J.S., Stagno S. and Retnolds D.W.: Development of
adverse sequelae in children born with subclinical congenital Toxoplasma infection.
Pediatrics 66:767-774, 1980.
5. Hugties H.P.A.: Toxoplasmosis: The need for improved diagnositc techniques and accurate
risk assessment. Contem. Topics Micro. Immunol. 120:105-139, 1985.
6. Chernesky M.A., Ray C.G. and Smith T.F.: Laboratory diagnosis of viral infections.
Cumitech 15 American Society for Microbiology, Washington, D.C., 1982.
7. Berrebi A.; Kobuch W.E.; Bessieres M.H.; Bloom M.C.; Rolland M.; Sarramon M.F.;
Roques C.; Fournie A.: Termination of pregnancy for maternal toxoplasmasis.
344 (8914) p36-9 Lancet (England), July 2 1994.
Manufacturer
Catalog number
Sufficient for
Batch code
Annex
Scheme of the assay
1 Add 100 µl of Positive Control, Negative Control, Calibrator
5 Wash the plate Working Washing Solution, not less than 380 µl, 4 times
Revision 014
8 Wash the plate Working Washing Solution, not less than 380 µl, 4 times
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