raptor analysis guide - storyblok · 2020-01-20 · 2. ccd inhibition 3. spot morphology 1.dirt,...
TRANSCRIPT
Raptor Analysis GuideFor tricky results
For Raptor version 1.3.0.34 and higher
Guide Version 1.1
Authors: Martina Gunacker & Peter Forstenlechner
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Content
1. Grid Alignment
2. CCD Inhibition
3. Spot Morphology1.Dirt, Dust, Hair & Scratches
2.Spot diameter
3.Spot bleeding
4. Components & Extracts
5. High Background
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1. Grid Alignment
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In almost all cases Raptor is able to position the grid correctly, as shown below.
In those cases move ahead according to the manual
1. Grid Alignment
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In rare cases the grid can become misaligned, see below
The QC will be registered as failed (see right)
You will still be able to approve the
misaligned results, but you will be warned
(see below).
1. Grid Alignment
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If you choose to approve and export misaligned results, your patient
will get completely false results, which could lead to incorrect and
possibly dangerous treatment. As a further hurdle to exporting faulty
results the report will contain a warning in the header (see below).
To remedy the situation, press CTRL+R, adjust the grid manually and press F5
1. Grid Alignment
• Circle overlap – misalignment
• Can happen to circles where the result is negative and the neighbour is positive or where very few results are positive
• In almost all cases this does not affect the result enough to lead to falsely elevated results.
• To correct the misalignment press F, click on the circle and move it to its position, then press Q
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1. Grid Alignment
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TAKE HOME MESSAGE
1. If you are not sure about the grid alignment press CTRL+R, adjust the
grid manually and press F5
2. If you are still not sure of the grid alignment, or if many grids are
misaligned, rerun the TEST ARRAY
3. Do not approve misaligned & QC failed ALEX
2. CCD Inhibition
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1. The automatic blocking of CCD specific antibodies is one of the key
advantages of ALEX above all other IgE in vitro test systems
2. Incomplete CCD inhibition occurs rarely: in 6 out of 263 samples Hom s LF
was positive (done according to standard assay protocol, internal data).
An incomplete
CCD inhibition will
display a positive
result for Hom s LF
and many other
allergens.
To increase the
CCD blocking
efficiency please
consult ALEX
instruction for use
page 10-11:
sample
incubations/CCD
inhibiton
Press N to annotate allergen features
2. CCD Inhibition
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1. Incomplete CCD blocking will lead to a lot of positive allergen extracts
(plant- and venom allergens, some seafood and mite allergens) and also
naturally purified components.
a. This leads to a very high interpretative burden for clinically irrelevant
IgE results
2. Incomplete CCD blocking is a very rare occurrence
3. Rerun the samples according to the optional CCD Inhibition protocol (ALEX IFU)
TAKE HOME MESSAGE
3. Spot Morphology
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To check the spot morphology is of vital
importance to get a correct result
Dust, hairs, scratches and dirt can affect
results i.e. lead to falsely elevated
results (in very rare cases)
Acceptable
morphology
unacceptable
morphology
3. Spot morphology
• If a spot is smaller than 70% of its designated size set signal to negative (press F, click spot, press B, press Q)
• Dust or dirt on the array. Set affected spots negative (press F, click spot, press B, press Q)
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acceptable
spot
unacceptable
spot
3. Spot morphology
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• Scratch or hair on the array
can lead to falsely elevated
results
• Set spots negative, see
manual or previous slide on
how to
Hairy artefact
Scratchy
artefactBoth kind of artefacts will in most
cases not push the result above the
cut off of 0.3
3. Spot morphology
• Spot bleeding: in rare cases a highly positive spot can bleed over to its neighbour and simulate a falsely elevated signal – check spot morphology (clear circle yes or no).
For better spot visibility press CTRL + G
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Doubtful positive result for Cyp c 1
Spot morphology bad! – not a
clear circle, spot bleeding from
neighbouring spot likely reason for
pos. result
Correct setting for Cyp c 1
(in this case)
CTRL + F, click spot, press
B, press Q
Spot morphology – Allergen family
• An alternative way to judge the validity of results is the analysis of signals according to their allergen family. Within allergen families there can be a high or a limited form of cross reactivity.
• E.g. Cyp c 1 (Parvalbumin from Carp) shows a low positive and Gad m 1 (Parvalbumin from Cod) a negative result.
• the result for Cyp c 1 is most likely falsely elevated (provided the spot morphology of Cypc 1 is bad)
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Gad m and Gad m 1 spot
negative
Doubtful positive result for Cyp
c 1
Spot morphology bad! – not a
clear circle, spot bleeding from
neighbouring spot likely
reason for pos. result
3. Protein families• Highly cross reactive protein(allergen) families are
• Profilin• PR-10• nsLTP• Serumalbumin• Parvalbumin • Tropomyosins• NPC2
• Protein families with limited cross-reactivity are• 2S Albumins• 7&11S Globulins• Ole e 1 family• Pectate Lyase• Lipocalin
• Judging results according to protein families requires experience and literature knowledge, if you are not sure contact [email protected]
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3. Spot Morphology
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• Check spots carefully
• In most cases artefacts don’t push results above cut off
• Correct falsely elevated results, if they are near or above the cut off (0.3)
• Knowledge on protein (allergen) families useful to judge validity of pos./neg. signals
• If you are not sure about a signal, contact [email protected]
TAKE HOME MESSAGE
4. Components & Extracts
• It can happen that components are positive i.e. Ara h 9 positive and Ara h Extract negative.
• This occurs mostly when components are slightly positive
• Reason: in a component spot the whole surface is dedicated to one component, in an extract the surface has to be shared with many allergens
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Surface of component
spot: 100% of surface
dedicated to one molecule
Surface of extract spot:
x% of surface dedicated
to one molecule
Ara h 9
Ara h 6
Ara h 1
Ara h 2
Ara h 3/4Ara h 7
Ara h 8
Ara h 9
Ara h 5
4. Components & Extracts
• When analysing messy results (bad spot morphology, possible influence of artefacts) the constellation of extract and component can give a clue to the right result
• Component result is low positive and the corresponding extract is negative
• Points to a falsely elevated component result
• If spot morphology is clear than approve positive result for component
• See slide 13
• Extract positive and component negative• The component that is causing the positive extract result could not be spotted on
ALEX
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4. Components & Extracts
• Wheat component Tri a Gliadin positive, Tri a Extract negative• Tri a Gliadin not well represented in Tri a Extract (extract is watery, Gliadin is
insoluble in water)• Tri a Gliadin result valid!
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4. Components & Extracts
• Look at component and corresponding extract results if spot morphology is bad
• Check for possible artefacts
• Negative extract and positive component result ok, if spot morphology is ok
• Positive extract and negative component result ok, if spot morphology is ok
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TAKE HOME MESSAGE
5. Background: Edge effect
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• Edges gives high
background (precipitated
substrate)
• Check spots close to the
edge carefully
• Repeat the assay and pay
careful attention to
knocking out the washing
solution after the substrate
and before drying.
• For optimal knocking out
technique visit:
https://www.macroarraydx.co
m/downloads-and-clips
→Videos
5. Background
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• Guide Dots and Standards are too low
• QC fail
• Repeat the assay procedure and follow the instructions of the manual verycarefully, especially during the washing steps (forcefully knock out).
Array with very
high
background
TAKE HOME MESSAGE