Preparation of predosed plates v1.2. Procedure. In vitro Module WorldWide Antimalarial Resistance Network (WWARN)

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Preparation of predosed plates v1.2 Procedure In vitro Module WorldWide Antimalarial Resistance Network (WWARN)

Suggested citation: In vitro Module, WWARN. 2011. Preparation of predosed plates. WWARN Procedure. Procedure ID: INV03 This procedure was developed by: In Vitro Module, WWARN Version History Version number Revision(s) & reason for amendment Release Date 1.0 Creation of the document 16/08/2010 1.1 Changes to the template 29/11/2010 1.2 Changes to Sections 6.2 & 6.3 01/04/2011 For more information, contact: invitro@wwarn.org WorldWide Antimalarial Resistance Network (WWARN) www.wwarn.org WWARN Procedure: Preparation of predosed plates v1.2 Page 2/8

Contents 1. Purpose... 4 2. Scope... 4 3. Abbreviations... 4 4. Duties and Responsibilities... 4 5. Materials and Equipment... 4 5.1 Materiels... 4 5.2 Equipment... 5 6. Procedure... 5 6.1 Preparation of stock solution... 5 6.2 Preparation of working solution... 5 6.3 Preparation of plates... 5 6.4. Quality control... 6 7. References... 6 Appendix A: STOCK SOLUTIONS SOLVENTS AND PLATE SHELF LIVES... 8 WWARN Procedure: Preparation of predosed plates v1.2 Page 3/8

1. Purpose This procedure describes the preparation of pre-dosed and freshly made plates for use with culture-adapted P. falciparum clones or fresh samples in drug sensitivity assays. 2. Scope This procedure is designed for use by laboratories testing in vitro drug susceptibility using P. falciparum. This procedure is applicable to well-equipped cell culture laboratories. Considerable training is required to perform the procedure successfully. 3. Abbreviations P. falciparum Plasmodium falciparum RPMI Roswell Park Memorial Institute medium 1640 4. Duties and Responsibilities The preparation of the predosed plates must be carried out by a competent technician. 5. Materials and Equipment 5.1 Materials Sterile graduated pipettes Sterile vials 12 channel multipipette Clear, cell culture-treated 96-well microtiter plates 1mL serological pipettes Sterile micropipette tips Volumetric flask Ethyl alcohol Methanol Sterile pure water Standardized antimalarials pre-weighed in vials: Dihydroartemisinin Piperaquine Lumefantrine WWARN Procedure: Preparation of predosed plates v1.2 Page 4/8

Desethylamodiaquine Chloroquine Mefloquine Quinine Pyronaridine Doxycycline Atovaquone 5.2 Equipment Laminar flow hood. Cryogenic equipment at + 4 C Cryogenic equipment at - 20 C 6. Procedure 6.1 Preparation of stock solution Each test compound is packaged as a powder in a sterile vial. Vials are stored at +4 C. Dissolve drug powder in the volume of solvent according to required drug range to obtain stock solution concentration. Appendix A notes the appropriate solvent and storage instructions for the stock solution NOTE: Stock solutions have a shelf life of up to 1 month when stored at +4 ºC. They can be successfully stored as aliquots at -80 ºC with increased shelf-lives. 6.2 Preparation of working solution Prepare working solutions by further diluting the stock solution in the appropriate solvent. The final dilution should be matched against the highest concentration of drug in the in vitro test plate. 6.3 Preparation of plates 6.3.1. Dry plates A batch of plates can be prepared, dried and stored for later use. I. Prepare the required range of reference drug concentrations by diluting stepwise 1 in 1.5, or 1 in 1.25 (depending on the compound under test) 21 times. II. When the dilutions are finished, use a 12 channel multipipette to dispense one row at a time with either 25µl (200µL final volume culture) or 12.5µL (100µL final volume of culture) of drug dilution into each well of a sterile 96-well microplate. WWARN Procedure: Preparation of predosed plates v1.2 Page 5/8

III. The last row should not contain any drug dilution as it will be used as the control. IV. The test plates must be thoroughly air-dried before use (for several hours to overnight) in a sterile environment. V. Protect pre-dosed plate with a film or a cover. VI. Store plates at +4 C until ready for use. 6.3.2. Fresh plates Plates can be prepared fresh and used within the day. I. In tubes, prepare a twofold serial dilution of the drug final working solution. The dilutions are made in complete medium for malaria culture and mixed thoroughly by aspiration. II. Use a 12 channel multipipette to dispense, one row at a time, 25µl of drug dilution into each well of a sterile 96-well microplate. III. The last row does not contain any drug dilution as it will be used as the control. IV. Protect plates with a film or a cover. V. Store plates at +4 C and use them within the day. 6.4. Quality control Each batch should be validated against reference clone 3D7 to assure that drug quality was maintained over the period of use. Validation criteria should be assessed by each laboratory as they vary depending on the in vitro drug susceptibility testing method used. QC records should be retained and approved. Uniformity of plate batches must be assessed using: Clones Drug susceptibility values. 7. References Basco LK., Field application of in vitro assays for the sensitivity of human malaria parasites to antimalarial drugs. World Health Organization. Available from: http://www.who.int/malaria/publications/atoz/9789241595155/en/index.html (Accessed: 29 November 2010) Houze S. et al., Shelf Life of predosed plates containing mefloquine, artemisinin, dihydroartemisinin and artesunate as used for in vitro P. falciparum susceptibility assessment. Journal of Clinical Microbiology. Aug 2007: 2734-2736 WWARN Procedure: Preparation of predosed plates v1.2 Page 6/8

SOP Centre National de Référence du Paludisme, Paris, France. SOP Institut de médecine tropicale du service de santé des armées, Marseille, France. SOP Institut Pasteur du Cambodge. SOP Institut Pasteur de Guyane. SOP Institut Pasteur de Madagascar. WWARN Procedure: Preparation of predosed plates v1.2 Page 7/8

Appendix A: Stock solutions, solvents and dry plate shelf lives Molecules Solvents for dissolve powder Solvents for dilutions Final concentrations (nm) Plates Shelf lives Dihydroartemisinin methanol Water 0.15 63 1 month Piperaquine 4H 3 PO 4 4H 2 O Lactic acid 0.5% Water 1.9 801 2 months Lumefantrine Absolute ethanol Absolute ethanol 0.74 311 3 months Desethylamodiaquine Methanol Water 4 1912 1 year Chloroquine 2H 3 PO 4 water water 8 3200 1 year Mefloquine HCl methanol water 4 401 2 months Quinine HCl methanol water 30 3209 1 year Pyronaridine 4H 3 PO 4 water water 1.25 80 2 months Doxycycline (µm) methanol Water 1.2 501 1 month Atovaquone methanol Water and methanol 0.9 40000 1 month WWARN Procedure: Preparation of predosed plates v1.2 Page 8/8