TUBING FOR GENETIC ANALYSIS AFTER EMBRYO BIOPSY

TUBING FOR GENETIC ANALYSIS AFTER EMBRYO BIOPSY E. Velilla García, Phd Center for Embryo Medicine Director CEM · Capità Arenas, 3-5, local 2 · 08034 ...
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TUBING FOR GENETIC ANALYSIS AFTER EMBRYO BIOPSY E. Velilla García, Phd Center for Embryo Medicine Director

CEM · Capità Arenas, 3-5, local 2 · 08034 Barcelona · Spain · +34 93 280 40 28 · [email protected] · www.pgdcem.com

KEY FACTORS

Good starting material  Tubing protocol  Monogenic diseases  aCGH  Avoiding contamination

CEM · Capità Arenas, 3-5, local 2 · 08034 Barcelona · Spain · +34 93 280 40 28 · [email protected] · www.pgdcem.com

STARTING MATERIAL 

Blastomere (D+3)  A clear nucleus observed  One biopsied cell per embryo − If cell lysis, biopsy of a second one

 Trophectoderm (D+5)  Around 5 cells sample

CEM · Capità Arenas, 3-5, local 2 · 08034 Barcelona · Spain · +34 93 280 40 28 · [email protected] · www.pgdcem.com

TUBING PROTOCOL (I) Necessary material

Cold block

PCR plate & tubes

Pipette

Filtered tips

Specific for monogenic diseases

Washing Buffer (PBS 0,1 % PVA)

Lysis buffer

Mineral oil

Marker

80-140 μm pipettes

Petri dishes

Specific for aCGH

PBS 1% PVP

CEM · Capità Arenas, 3-5, local 2 · 08034 Barcelona · Spain · +34 93 280 40 28 · [email protected] · www.pgdcem.com

TUBING PROTOCOL (I) Necessary material

CEM · Capità Arenas, 3-5, local 2 · 08034 Barcelona · Spain · +34 93 280 40 28 · [email protected] · www.pgdcem.com

TUBING PROTOCOL (II) MONOGENIC DISEASES: Washing dish Washing Buffer drops for blastomere washing (20l)

Washing Buffer drops for pipette washing between blastomere washing steps (40 μl) CEM · Capità Arenas, 3-5, local 2 · 08034 Barcelona · Spain · +34 93 280 40 28 · [email protected] · www.pgdcem.com

TUBING PROTOCOL (II) MONOGENIC DISEASES: Tubing protocol 1

2

5

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4

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CEM · Capità Arenas, 3-5, local 2 · 08034 Barcelona · Spain · +34 93 280 40 28 · [email protected] · www.pgdcem.com

TUBING PROTOCOL (II) MONOGENIC DISEASES: Tubing protocol

7

8 BLASTOMERE + 5 µl lysis buffer + one drop mineral oil Label tube with the corresponding #

CEM · Capità Arenas, 3-5, local 2 · 08034 Barcelona · Spain · +34 93 280 40 28 · [email protected] · www.pgdcem.com

TUBING PROTOCOL (II) MONOGENIC DISEASES: Tubing protocol

9

NEGATIVE CONTROL Medium from the last washing drop + 5 µl lysis buffer + one drop mineral oil Label tube with the corresponding #

CEM · Capità Arenas, 3-5, local 2 · 08034 Barcelona · Spain · +34 93 280 40 28 · [email protected] · www.pgdcem.com

TUBING PROTOCOL (III) aCGH: Washing dish

PBS-1%PVP drops for blastomere washing (20l)

PBS-1%PVP drops for pipette washing between blastomere washing steps (20 μl)

CEM · Capità Arenas, 3-5, local 2 · 08034 Barcelona · Spain · +34 93 280 40 28 · [email protected] · www.pgdcem.com

TUBING PROTOCOL (III)

aCGH: Tubing protocol  Similar procedure of washing steps as in monogenic diseases  Cell tubing in 2 µl of PBS-1%PVP Total volume 2.5 µl

 No adding of mineral oil  A negative control for each sample, taken from the last washing drop

CEM · Capità Arenas, 3-5, local 2 · 08034 Barcelona · Spain · +34 93 280 40 28 · [email protected] · www.pgdcem.com

TUBING PROTOCOL (III) aCGH: Tubing protocol

1.Washing dish preparation

CEM · Capità Arenas, 3-5, local 2 · 08034 Barcelona · Spain · +34 93 280 40 28 · [email protected] · www.pgdcem.com

TUBING PROTOCOL (III) aCGH: Tubing protocol

2.PCR tubes preparation CEM · Capità Arenas, 3-5, local 2 · 08034 Barcelona · Spain · +34 93 280 40 28 · [email protected] · www.pgdcem.com

TUBING PROTOCOL (III) aCGH: Tubing protocol

3.Aspirating system preparation CEM · Capità Arenas, 3-5, local 2 · 08034 Barcelona · Spain · +34 93 280 40 28 · [email protected] · www.pgdcem.com

TUBING PROTOCOL (III) aCGH: Tubing protocol 1

2

3

4

5

4.Washing of the blastomere

CEM · Capità Arenas, 3-5, local 2 · 08034 Barcelona · Spain · +34 93 280 40 28 · [email protected] · www.pgdcem.com

TUBING PROTOCOL (III) aCGH: Tubing protocol

5A.Tubing of the blastomere in a stereoscopic microscope

CEM · Capità Arenas, 3-5, local 2 · 08034 Barcelona · Spain · +34 93 280 40 28 · [email protected] · www.pgdcem.com

TUBING PROTOCOL (III) aCGH: Tubing protocol

5B.Tubing of the blastomere in a stereoscopic microscope

CEM · Capità Arenas, 3-5, local 2 · 08034 Barcelona · Spain · +34 93 280 40 28 · [email protected] · www.pgdcem.com

AVOIDING CONTAMINATION Sources of contamination:  Maternal

Exhaustive decumulation

 Paternal

ICSI

 External -Always use head cover, mask and gloves

-If possible, reserve a work place in IVF lab and clean it before work -Reserve a place in incubator -Maximum precaution along the tubing process CEM · Capità Arenas, 3-5, local 2 · 08034 Barcelona · Spain · +34 93 280 40 28 · [email protected] · www.pgdcem.com

TUBING PROTOCOL (IV) General considerations: what to avoid

TOUCHING THE SKIN WITH CLEAN GLOBES CEM · Capità Arenas, 3-5, local 2 · 08034 Barcelona · Spain · +34 93 280 40 28 · [email protected] · www.pgdcem.com

TUBING PROTOCOL (IV) General considerations: what to avoid

TALKING WITHOUT SURGICAL MASK CEM · Capità Arenas, 3-5, local 2 · 08034 Barcelona · Spain · +34 93 280 40 28 · [email protected] · www.pgdcem.com

TUBING PROTOCOL (IV) General considerations: what to avoid

TOUCHING THE “DIRTY” END OF THE MOUTHPIPETTE CEM · Capità Arenas, 3-5, local 2 · 08034 Barcelona · Spain · +34 93 280 40 28 · [email protected] · www.pgdcem.com

TUBING PROTOCOL (IV) General considerations: what to avoid

KEEPING THE TUBES OPENED CEM · Capità Arenas, 3-5, local 2 · 08034 Barcelona · Spain · +34 93 280 40 28 · [email protected] · www.pgdcem.com

TUBING PROTOCOL (IV) General considerations:  IVF lab, in laminar flow hood  Wear appropriate lab suit  Use of head cover and sterile clean gloves

Change gloves whenever necessary!  Use of filtered pippete tips  Handle PCR tubes carefully

Touch only the outside Keep closed as much as possible  Avoid touching the “dirty” end of the mouthpipette

CEM · Capità Arenas, 3-5, local 2 · 08034 Barcelona · Spain · +34 93 280 40 28 · [email protected] · www.pgdcem.com

THANK YOU VERY MUCH FOR YOUR ATTENTION

CEM · Capità Arenas, 3-5, local 2 · 08034 Barcelona · Spain · +34 93 280 40 28 · [email protected] · www.pgdcem.com

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