BEI RESOURCE DEPOSIT FORM FOR - BEI Resources
BEI RESOURCE DEPOSIT FORM FOR - BEI Resources
BEI RESOURCE DEPOSIT FORM FOR - BEI Resources
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
<strong>DEPOSIT</strong> <strong><strong>FOR</strong>M</strong> – Part 2 of 2<br />
ANTIBODIES, HYBRIDOMAS & ANTISERA<br />
IN<strong><strong>FOR</strong>M</strong>ATION REQUIRED <strong>FOR</strong> <strong>DEPOSIT</strong><br />
INSTRUCTIONS TO <strong>DEPOSIT</strong>OR: Please fill in the relevant and available information about each deposit, and return<br />
electronically to the collection scientist, or fax to 703-365-2725, prior to shipping the Material. Two printed and<br />
signed originals of part 1 of 2 must also be sent prior to the shipment. Additional information, references or pages<br />
may be attached as needed. This information helps us better characterize and preserve the Materials.<br />
The “MATERIAL” subject to this Deposit Form is:<br />
Name of Antibody/antiserum/hybridoma:________________________________________________________<br />
1. BACKGROUND IN<strong><strong>FOR</strong>M</strong>ATION:<br />
a. Name of investigator who developed the material & name of investigator’s institution:<br />
_____________________________________________________________________________________<br />
b. Reason you feel this antibody is important: ____________________________________________________<br />
_____________________________________________________________________________________<br />
c. References: Original description or other appropriate publications. Please enclose a copy of relevant<br />
references. ___________________________________________________________________________<br />
_____________________________________________________________________________________<br />
d. Antigen: _______________________________________________________________________________<br />
1. Was the antigen derived from a human Yes □ No □<br />
If yes, were the IRB approved consent form(s) obtained<br />
Yes □ No □<br />
If yes again, please provide RPN Number:_________________________<br />
e. Antigen characteristics: intact cell □ crude extract □ purified protein □ cell lysate □<br />
purified recombinant preparation □ synthetically prepared □<br />
conjugated to:<br />
______________________________________________________________________<br />
Adjuvant: ____________________________________________________________________________<br />
f. Source of antibody/antiserum/hybridoma: ______________________________________________________<br />
Biodefense and Emerging Infections Research <strong>Resources</strong> Repository 800-359-7370<br />
P.O. Box 4137 Fax: 703-365-2898<br />
Manassas, VA 20108-4137 USA<br />
E-mail: contact@beiresources.org<br />
www.beiresources.org Effective Date: 09/04/2007<br />
Revision: 1<br />
© 2004 American Type Culture Collection (ATCC). All rights reserved. Document ID: 4388<br />
Page 5 of 10
<strong>DEPOSIT</strong> <strong><strong>FOR</strong>M</strong> – Part 2 of 2<br />
ANTIBODIES, HYBRIDOMAS & ANTISERA<br />
Age of immunized subject:______________________________________________________________<br />
Route of immunization ( footpad, intrascapular, intrperitoneal, etc.): ______________________________<br />
Adjuvant: ____________________________________________________________________________<br />
Was antigen conjugated<br />
Yes □ No □<br />
If yes, name conjugate (e.g., BSA, ovlabumin, etc.): ________________________________________<br />
g. Screening Assay_________________________________________________________________________<br />
______________________________________________________________________________________<br />
2. ANTIBODIES (monoclonal):<br />
a. Was the antibody obtained from a human Yes □ No □<br />
If yes, were the IRB approved consent form(s) obtained Yes □ No □<br />
If yes again, please provide RPN Number: __________________________________________________<br />
b. Has the antibody been purified: Yes □ No □ Unknown □<br />
If yes, state method: ___________________________________________________________________<br />
c. Is antibody conjugated Yes □ No □<br />
If yes, name conjugate (e.g., fluorescein, rhodamine, alkaline phosphatase, etc.):<br />
____________________________________________________________________________________<br />
d. Antibody:<br />
Specificity: ___________________________________________________________________________<br />
Cross-reactivity (if any):_________________________________________________________________<br />
Ig Class: __________________________________ Subclass: _________________________________<br />
Light chain: lambda □ kappa □ Unknown □<br />
e. Special properties, characteristics, or use:<br />
Can it be used for:<br />
Western blots Yes □ No □ Unknown □<br />
Immunoprecipitation Yes □ No □ Unknown □<br />
Flow cytometry Yes □ No □ Unknown □<br />
Biodefense and Emerging Infections Research <strong>Resources</strong> Repository 800-359-7370<br />
P.O. Box 4137 Fax: 703-365-2898<br />
Manassas, VA 20108-4137 USA<br />
E-mail: contact@beiresources.org<br />
www.beiresources.org Effective Date: 09/04/2007<br />
Revision: 1<br />
© 2004 American Type Culture Collection (ATCC). All rights reserved. Document ID: 4388<br />
Page 6 of 10
<strong>DEPOSIT</strong> <strong><strong>FOR</strong>M</strong> – Part 2 of 2<br />
ANTIBODIES, HYBRIDOMAS & ANTISERA<br />
Immunocytochemistry Yes □ No □ Unknown □<br />
Is it neutralizing Yes □ No □ Unknown □<br />
Can it bind to both denatured and native protein Yes □ No □ Unknown □<br />
Can it be labeled or radio-labeled without loosing specificity Yes □ No □ Unknown □<br />
f. Recommended titers for use in:<br />
Western blots: __________________________<br />
Radioimmunoassays: _________________________<br />
Immunoprecipitation: _____________________<br />
Elisa: _____________________________________<br />
Flow cytometry: _________________________<br />
Neutralization assays: ________________________<br />
Immunohistochemistry: _______________<br />
3. HYBRIDOMAS:<br />
a. Brief history since origin (important changes in culture conditions or methods, clonal method, if any, whether<br />
antibiotics have been used, current passage number, population doublings (PDLs), etc.):<br />
_____________________________________________________________________________________<br />
_____________________________________________________________________________________<br />
b. Was the hybridoma obtained from a human Yes □ No □<br />
If yes, were the IRB approved consent form(s) obtained Yes □ No □<br />
If yes again, please provide RPN Number: __________________________________________________<br />
c. Hybridoma origin<br />
Species of antibody producing cell: _______________________________________________________<br />
Was immunization conducted in vivo or in vitro _____________________________________________<br />
Fusion partner (designation/strain/species): _________________________________________________<br />
d. Antibody:<br />
Specificity: ___________________________________________________________________________<br />
Cross-reactivity (if any):_________________________________________________________________<br />
Ig Class: _______________________________________ Subclass: ____________________________<br />
Light chain: lambda □ kappa □ Unknown □<br />
Biodefense and Emerging Infections Research <strong>Resources</strong> Repository 800-359-7370<br />
P.O. Box 4137 Fax: 703-365-2898<br />
Manassas, VA 20108-4137 USA<br />
E-mail: contact@beiresources.org<br />
www.beiresources.org Effective Date: 09/04/2007<br />
Revision: 1<br />
© 2004 American Type Culture Collection (ATCC). All rights reserved. Document ID: 4388<br />
Page 7 of 10
<strong>DEPOSIT</strong> <strong><strong>FOR</strong>M</strong> – Part 2 of 2<br />
ANTIBODIES, HYBRIDOMAS & ANTISERA<br />
e. Medium, antibiotics, etc. used in stock transferred to <strong>BEI</strong> <strong>Resources</strong>:________________________________<br />
________________________________________________________________________________________<br />
f. Recommended culture medium and subculture procedure: ________________________________________<br />
______________________________________________________________________________________<br />
g. Recommendations for freezing cells, if any: ____________________________________________________<br />
4. ANTISERUM:<br />
a. Dates of immunization protocol (was antibody from a primary response, secondary, etc.):<br />
_____________________________________________________________________________________<br />
b. Was antisera pooled Yes □ No □ Unknown □<br />
If yes, how many subjects contributed to pool ______________________________________________<br />
c. Has the antibody been purified: Yes □ No □ Unknown □<br />
If yes, state method: ___________________________________________________________________<br />
d. Is antibody in serum conjugated Yes □ No □<br />
If yes, name conjugate (e.g., fluorescein, rhodamine, alkaline phosphatase, etc.):<br />
____________________________________________________________________________________<br />
e. Antibody:<br />
Specificity: ___________________________________________________________________________<br />
Cross-reactivity (if any):_________________________________________________________________<br />
Ig Class: __________________________________ Subclass: _________________________________<br />
Light chain: lambda □ kappa □ Unknown □<br />
f. Special properties, characteristics, or use:<br />
Can it be used for:<br />
Western blots Yes □ No □ Unknown □<br />
Immunoprecipitation Yes □ No □ Unknown □<br />
Flow cytometry Yes □ No □ Unknown □<br />
Immunocytochemistry Yes □ No □ Unknown □<br />
Is it neutralizing Yes □ No □ Unknown □<br />
Can it bind denatured as well as native protein Yes □ No □ Unknown □<br />
Can it be labeled or radiolabeled without loosing specificity Yes □ No □ Unknown □<br />
Biodefense and Emerging Infections Research <strong>Resources</strong> Repository 800-359-7370<br />
P.O. Box 4137 Fax: 703-365-2898<br />
Manassas, VA 20108-4137 USA<br />
E-mail: contact@beiresources.org<br />
www.beiresources.org Effective Date: 09/04/2007<br />
Revision: 1<br />
© 2004 American Type Culture Collection (ATCC). All rights reserved. Document ID: 4388<br />
Page 8 of 10
<strong>DEPOSIT</strong> <strong><strong>FOR</strong>M</strong> – Part 2 of 2<br />
ANTIBODIES, HYBRIDOMAS & ANTISERA<br />
g. Recommended titers for use in:<br />
Western blots: _____________________________ Neutralization assays: _________________________<br />
Immunoprecipitation: ________________________ Radioimmuassays: ___________________________<br />
Flow cytometry: ____________________________ Elisa: _____________________________________<br />
Immunohistochemistry: ______________________<br />
5. FINAL PREPARATION OF MATERIAL AS SUBMITTED TO <strong>BEI</strong>/ATCC<br />
a. Has the Material been tested for mycoplasma contamination: Yes □ No □<br />
If yes, indicate methods and results: ______________________________________________________<br />
___________________________________________________________________________________<br />
b. Identify any reagents of plant/animal origin used in production of this Material (i.e., serum growth factors,<br />
trypsin, etc.) and the manufacturer and country of origin: ______________________________________<br />
____________________________________________________________________________________<br />
____________________________________________________________________________________<br />
c. Describe any other Quality Control tests (biochemical or molecular) and results: ____________________<br />
____________________________________________________________________________________<br />
d. Number of vials being transferred to <strong>BEI</strong> <strong>Resources</strong>: __________________________________________<br />
e. Titer/concentration per vial: _____________________________________________________________<br />
f. Type of vial in which antibody will be provided:<br />
____________________________________________________________________________________<br />
g. Label designation on vials being transferred to <strong>BEI</strong> <strong>Resources</strong>:<br />
________________________________________________<br />
6. PRESERVATION/SHIPPING CONDITIONS<br />
a. Recommended storage conditions (temp., etc.) __________________________________________________<br />
Biodefense and Emerging Infections Research <strong>Resources</strong> Repository 800-359-7370<br />
P.O. Box 4137 Fax: 703-365-2898<br />
Manassas, VA 20108-4137 USA<br />
E-mail: contact@beiresources.org<br />
www.beiresources.org Effective Date: 09/04/2007<br />
Revision: 1<br />
© 2004 American Type Culture Collection (ATCC). All rights reserved. Document ID: 4388<br />
Page 9 of 10
<strong>DEPOSIT</strong> <strong><strong>FOR</strong>M</strong> – Part 2 of 2<br />
ANTIBODIES, HYBRIDOMAS & ANTISERA<br />
b. Recommended shipping conditions: ________________________________________________________<br />
____________________________________________________________________________________<br />
c. Special handling conditions required: ________________________________________________________<br />
_____________________________________________________________________________________<br />
7. SAFETY AND REGULATORY IN<strong><strong>FOR</strong>M</strong>ATION<br />
a. Does this antibody preparation contain material hazardous to: Humans______ Animals ______ Plants<br />
If so, what is the Biosafety Level (BSL) required to handle it (refer to Biosafety in Microbiological and Biomedical<br />
Laboratories, 4 th ed. HHS Publications No. (CDC) 93-8395 U.S. Department of Health and Human Services. The complete text is available<br />
atww.cdc.gov/od/ohs/biosfty/bmbl4toc.htm):<br />
__________________________________________________________________________________<br />
b. Has the Material been screened for the presence of contaminating pathogens If<br />
Yes, please specify test and results: ________________________________________<br />
c. Is the Material in solution Yes □ No □<br />
d. Does the Material require special permits Yes □ No □<br />
If yes, please specify: _________________________________________________________________<br />
e. Is this antibody specific for a material listed on the U.S. Government’s Select Agent list Yes □ No □<br />
f. List any routine vaccines or surveillance provided to investigators handling this Agent.<br />
________________________________________________________________________________________<br />
g. Is the Material radioactive Yes □ No □<br />
If yes, specify isotope, chemical composition, total radioactivity per vial and date radioactivity was measured.<br />
_________________________________________________________________________________________<br />
_________________________________________________________________________________________<br />
Biodefense and Emerging Infections Research <strong>Resources</strong> Repository 800-359-7370<br />
P.O. Box 4137 Fax: 703-365-2898<br />
Manassas, VA 20108-4137 USA<br />
E-mail: contact@beiresources.org<br />
www.beiresources.org Effective Date: 09/04/2007<br />
Revision: 1<br />
© 2004 American Type Culture Collection (ATCC). All rights reserved. Document ID: 4388<br />
Page 10 of 10