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8 protocols using reliance one step multiplex supermix

1

Robust SARS-CoV-2 Detection via RT-PCR

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The NIID method has been regarded as the “gold standard” RT-PCR method for SARS-CoV-2 detection and was used as the reference RT-PCR method in this study. The NIID method was performed with duplicate N and N2 assay analysis, as previous described [8 (link)]. The CFX96 Touch Real-Time PCR Detection System (Bio-Rad Laboratories, Hercules, CA, USA) and Reliance One-Step Multiplex Supermix (Bio-Rad Laboratories) were used for analysis. In the event of discordance between the reference RT-PCR and in-house RT-PCR results, the GeneXpert® system and an Xpert® Xpress SARS-CoV-2 assay (Cepheid Inc., Sunnyvale, CA, USA) [9 (link)] were used for additional evaluation.
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2

COVID-19 Cardiac Fibroblast Activation Markers

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We measured the expression levels of fibroblast activation markers FAP and POSTN, along with housekeeping genes GAPDH and ribosomal protein S13 (RPS13), in total RNA extracted from FFPE COVID-19 ventricular tissue, using the Reliance One-Step Multiplex Supermix (Bio-Rad), customized PrimePCR Probe Assays (FAP-FAM, POSTN-HEX, GAPDH-Cy5.5, RPS13-Cy5; Bio-Rad), and the CFX96 Touch Real Time PCR Detection System (Bio-Rad). All primer/probe sets were initially tested in both single and multiplex PCR reactions; Ct value differences were less than 1 cycle. Only those samples with PMI less than 24 hours were used for analysis of fibroblast activation markers. Quantitative analysis and data visualization were performed using Prism 9.0 for MacOS (GraphPad Software LLC).
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3

SARS-CoV-2 Real-Time RT-PCR Detection

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NP swabs were collected at health care facilities serving the WMAT or in the field during contract tracing investigations. Specimens were submitted in phosphate-buffered saline or viral transport media and tested at the TGen North Clinical Laboratory (TNCL) or ASPHL. RNA was extracted from all NP swab medium samples using the Quick Viral kit (Zymo Research). TNCL samples were run on three rRT-PCR assays to diagnose COVID-19 using Reliance one-step multiplex supermix with 450 nM primer and 150 nM probe on the CFX96 real-time PCR detection system (Bio-Rad). The three rRT-PCR assays target the SARS-CoV-2 nucleocapsid gene (TG-N2_F, TTCAGCGTTCTTCGGAATGTC; TG-N2_R, TGGCACCTGTGTAGGTCAAC; TG-N2_FAMBHQ, 6-carboxyfluorescein [FAM]-CGCATTGGCATGGAAGTCACACC-black hole quencher [BHQ]), spike gene (TG-S4_F, CCAGTTGCTGTAGTTGTCTCAAG; TG-S4_R, CTGGCTCAGAGTCGTCTTCA; TG-S4_FAMBHQ, FAM-TGTTGTTCTTGTGGATCCTGCTGC-BHQ), and human RNase P, as published by the Centers for Disease Control and Prevention (38 (link)).
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4

Pathogen Detection Read Depth Analysis

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To estimate the minimum read depth required to confidently identify pathogens in a given sample, we performed an incremental analysis of reads using 4,000 read increments. Bioinformatic analysis was performed as above using incremental datasets of 4,000, 8,000, 12,000, and 16,000 reads and the taxonomic and pathogen distribution was monitored for each data set to identify read thresholds.
In addition to read-depth analysis, conventional real-time PCR analysis was performed to determine viral presence as described previously with minor modification (11 (link), 14 (link), 17 (link), 22 (link), 23 (link)). Briefly, the real-time PCR assays were slightly modified and optimized to use a commercial master mix Reliance One-Step Multiplex super mix (Bio-Rad Laboratories, Inc) or TaqMan™ Fast Virus 1-Step Master Mix (Thermo Fisher Scientific) as well as additional internal control system on the Biorad CFX96 Real-time PCR (Bio-Rad Laboratories, Inc.) or ABI 7500 FAST Real-time PCR system (Thermo Fisher Scientific). All assays were performed as part of approved protocols under the quality system of the Nebraska Veterinary Diagnostic Center that have been validated for use.
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5

Multiplex qRT-PCR for Pathogen Detection

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For detection of pathogen RNA by qRT-PCR, a Reliance One-step Multiplex Supermix (Bio-Rad, Hercules, CA) was used, with 5μL of kit master mix combined with 4.5μL of either primer combination “A” or “B”, using the sequences listed in Table 1. Ten and a half microliters of extracted tick RNA was used for each test, loaded mechanically from the QIAcube output plates with a Qiagen QIAgility robotic plate loader. Control DNA fragments were synthesized by (Azenta, formerly Genewiz, South Plainfield, NJ, USA) to include the area of the target sequence enclosed by the primers listed, along with an additional flanking region of 20bp on either end. Equal quantities of each of the appropriate primer-specific sequence tested were combined into controls for primer mixtures mixes “A” and “B”. Each plate was run with one positive control and one no template control (NTC). PCR was run using CFX96 Touch Real-time qPCR systems (Bio-Rad, Hercules, CA). The cycle began with 50°C for 10min, followed by 95°C for 10min. Then 45 cycles of 95°C (10sec) and 60°C (30sec) were conducted, with fluorescence measured in the 60°C step using the all the excitation/emission frequencies allowable by the machine’s internal color filters, optimized for FAM, HEX, TEX-615 (Texas Red), CY-5, and CY-5.5.
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6

Digital RT-PCR Workflow Using QuantStudio 3D

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Digital RT-PCR was carried out using the QuantStudio 3D Digital PCR system (ThermoFisher Scientific). The reaction mix containing 1x Reliance One-Step Multiplex Supermix (Bio-Rad), 0.9 μM PCR forward primer, 0.9 μM PCR reverse primer, 0.25 μM PCR probe, and RNA template was prepared and loaded on the QuantStudio 3D Digital PCR Chip v2 using a QuantStudio 3D Digital PCR Chip loader. PCR was carried out on the ProFlex 2x Flat PCR system (ThermoFisher Scientific) as follows; 50°C for 10 min, 96°C for 10 min, 44 cycles of 60°C for 2 min and 98°C for 30 s, 60°C for 2 min, and hold at 10°C. After PCR, the chips were imaged by a QuantStudio 3D Digital PCR instrument. Imaging data were analyzed by QuantStudio 3D AnalysisSuite Cloud Software (ThermoFisher Scientific).
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7

One-Step Multiplex RT-PCR Assay

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The reaction mix contained 1x Reliance One-Step Multiplex Supermix (Bio-Rad), 0.9 μM PCR forward primer, 0.9 μM PCR reverse primer, 0.25 μM PCR probe, and the RNA template. RT-PCR was carried out on a C1000 Touch Thermal Cycler (Bio-Rad) programmed as follows: 50°C for 10 min, 95°C for 10 min, and 45 cycles of 95°C for 10 s and 60°C for 30 s. Real-time readouts were acquired using the CFX96 Touch Real-time PCR System (Bio-Rad).
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8

Quantitative RT-PCR with QuantStudio 3D System

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Digital RT-PCR was carried out using the QuantStudio 3D Digital PCR system (ThermoFisher Scientific). The reaction mix contained 1x Reliance One-Step Multiplex Supermix (Bio-Rad), 0.5 μM PCR forward primer, 0.5 μM PCR reverse primer, 0.2 μM PCR probe, and the RNA template. The reaction mix was loaded on a QuantStudio 3D Digital PCR Chip v2 using a QuantStudio 3D Digital PCR Chip loader. RT-PCR was carried out on a ProFlex 2x Flat PCR system (ThermoFisher Scientific) using the following program: 50°C for 10 min, 96°C for 10 min, 44 cycles of 60°C for 2 min and 98°C for 30 s, 60°C for 2 min, and hold at 10°C. After RT-PCR, the chips were imaged by a QuantStudio ™ 3D Digital PCR instrument and imaging data were analyzed using QuantStudio 3D AnalysisSuite Cloud Software (ThermoFisher Scientific).
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