Summary
of Procedure
Key technical considerations
The reagents and instructions supplied
in the ImmunoCyt™/uCyt+™ kit have been designed for optimal performance.
By following the correct protocol for ImmunoCyt™/uCyt+™ use, you are able
to achieve standardized, reproducible results.
Each kit allows for 50 immunoreactions,
including the control slides.
Materials required but not provided
Prior to beginning the ImmunoCyt™/uCyt+™ procedure,
ensure that you have all the materials required to run the test.
Sample collection:
- 50%
ethanol or isopropyl alcohol to add to an equal volume of urine at the
collection site.
Control
preparation:
- Micropipette
(20µl)
- Tips
- Cytoprep™
fixative (or isopropyl alcohol solution in a spray bottle)
Filtration:
- Syringe
and plunger (60ml size)
- Filter
holder (for 25mm filter)
- Polycarbonate
membrane filters (25mm, 8µm porosity)
Immunocytofluorescence
procedure:
- Silanized
slides and cover slips
- Staining
dishes (9 baths and slide rack)
- 80%,
70% and 50% ethanol
- Deionized
water
- Harris
hematoxylin without acetic acid
- Glacial
acetic acid
- 1X
PBS solution with and without polyoxyethylene sorbitan monolaurate (Tween
20™) at 0.05%
- Humid
chamber
- Wash
bottle
- Permafluor™
mounting medium or Mowiol®
- Trays
for fluorescence slides
Interpretation:
- Well
adjusted fluorescence microscope with:
- Mercury
lamp (100W)
- 20X
and 40X objectives (specific for fluorescence recommended)
- Dual
filter (fluorescein & Texas Red™)
- Dark
room
- Digital
counter
- Table
lamp
Miscellaneous:
- Gloves
- Kimwipes®
- Forceps
- Whatman™
filters grade no.1 and funnel to filter hematoxylin
- Graduated
cylinder
- Pipette
to measure acetic acid
- Pen
with diamond tip
- Parafilm®
Important note: if you have any difficulties obtaining any of these items,
please contact Scimedx's Customer
Service.
Summary
of procedure
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At
the collection site
- Mix
an equal volume of 50% ethanol or isopropyl alcohol with the
urine sample.
At
the laboratory
- Upon
reception of the sample at the laboratory, add the ImmunoCyt™
/uCyt+™ fixative solution.
- Urine
samples are kept between 2ºC and 8 ºC for a maximum period of
7 days from the collect date.
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Control
slides preparation
- Apply
positive and negative controls cell suspension (included in
the kit) on slides and fix with spray.
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Filtration
of sample
- Filter
urine using a syringe through a polycarbonate filter mounted
on a filter holder.
- The
monolayer liquid-based preparation methods have not been validated
by Scimedx. It is the responsibility of the laboratory to validate
any method other than that which is suggested in the product
package insert.
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Cell
transfer
- Remove
the filter and place it on a slide. This transfers the cells
on the slide; fix with a spray.
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Pretreatment
of slides
- Immerse
slides in eight baths (ethanol 80%, 70%, 50%, deionized water
and hematoxylin + 4% acetic acid).
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Immunoreaction
Incubate
slides in humid chamber with:
- blocking
solution for 15 minutes;
- antibody
solution for 60 minutes.
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Mounting
- Rinse
slides in the phosphate buffer solutions.
- Put
one drop of mounting medium on slide and place a cover slip
on it.
- Keep
the slides protected from light between 2ºC and 8ºC for maximum
period of 7 days until microscope reading.
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Interpretation
of results / Fluorescence microscopy
Positive
control
Reference
for quality of slides preparation and microscope adjustment (20X)
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Negative
control
Color
of background (20X) |
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Patient
slide / Summary
Reading
of the slide is done with the 20X objective and confirmation with the 40X
objective. Each fluorescent element must be checked on brightfield to confirm
the presence of a nucleus (cell).
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| 20X
/ Reading |
40X
/ Confirmation |
Brightfield
/ Nature of the element |
Patient
slide / Test results
 |
Positive
Presence
of one confirmed red or green positive cell. If less than
5 positive cells are counted, it is recommended to evaluate a
second sample.
Negative
Absence
of fluorescence on a slide with >500 epithelial cells.
Must obtain an average of one cell per microscopic field with
the 20X objective on brightfield
Inadequate
Absence
of fluorescence on a slide with <500 epithelial cells |
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