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(ORSP: Mar 2010) Page 1 of 5 University of Texas at El Paso Synopsis for Research Involving the Use of Infectious Agents or recombinant DNA (rDNA) The following should be provided for use by the Institutional rDNA/Biosafety Committee (IBC) in reviewing any research proposal or activity involving recombinant DNA, infectious agents or toxins. All protocol information must be typed. The NIH Guidelines can be found at: http://oba.od.nih.gov/rdna/nih_guidelines_oba.html. The Synopsis is submitted to the Office of Research and Sponsored Projects (ORSP), IBC Coordinator, where it is administratively checked and forwarded to the IBC Chairman for classification into exempt and non-exempt protocols. Exempt Protocols: After review and classification of exempt from NIH Guidelines by the IBC Chair, the protocol will be returned to the IBC Coordinator. The synopsis will then be forwarded electronically or by hard copy to the Biological Safety Officer (BSO) or a second IBC committee member. If both Chair and second committee member reviewer concur that the protocol is exempt from NIH Guidelines the protocol is administratively approved for a three year term, and read into the meeting minutes at the next IBC meeting. Non-exempt Protocols: The IBC Chair and a second IBC committee member will provide the other committee members with a detailed review at the next full committee meeting of the IBC. All IBC Members are required to review all protocols brought to the committee. IBC members will vote to table, approve or approve with modifications, non-exempt protocols. All approved protocols will be active for three year terms and subject to the NIH Guidelines for Research Involving Recombinant DNA Molecules (see http://oba.od.nih.gov/rdna/nih_guidelines_oba.html). Compliance with the NIH Guidelines is a requirement for all research performed at the University as long as the University receives NIH funding. Progress reports will be required annually from PIs who wish to keep their IBC protocols active. ORSP will notify the PIs in writing of the IBC’s decision on their projects. Any adverse events or injuries that occur while conducting research covered by IBC protocols must be reported to the UTEP Biosafety Manager (747-7179) and the IBC Coordinator (747-7007) immediately. (ORSP: Mar 2010) I. Page 2 of 5 General Information: Principal Investigator: Dept: Funding Agency: Funding Period: Protocol Title: Attach a brief summary in non-technical lay terms of the overall aim and scope of the research protocol. The summary should be no more than 6 sentences long. Anticipated Start Date: II. Specific Information: (Check 'yes' or 'no' to the following questions. The relevant section of the NIH Guidelines (see http://oba.od.nih.gov/rdna/nih_guidelines_oba.html) is referenced for each question. 1. Does your project include deliberate transfer of a drug resistance trait to pathogenic microorganisms that are not known to acquire the trait naturally (Section III-A)? Yes No 2. Does your project include cloning toxin molecules with an LD50 of less than 100 nanograms per kilogram body weight (Section III-B)? Yes No 3. Does your project include experiments involving the deliberate transfer of recombinant DNA, or DNA or RNA derived from recombinant DNA, into one or more human research participants (Section III-C)? Yes No 4. Does your project include experiments using Risk Group 2, Risk Group 3, Risk Group 4, or Restricted Agents as host-vector systems (Section III-D-1) that would require BSL-2 or BSL-3 containment? Yes No 5. Does your project include experiments in which DNA from Risk Group 2, Risk Group 3, Risk Group 4, or Restricted Agents is cloned into nonpathogenic prokaryotic or lower eukaryotic host-vector systems (Section III-D-2)? Yes No If Yes, is the cloning into an E. coli K-12 strain or K-12 derivative? Yes No 6. Does your project include experiments involving the use of infectious DNA or RNA viruses or defective DNA or RNA viruses in the presence of helper virus in tissue culture systems (Section III-D3)? Yes No 7. Does your project include experiments involving whole animals in which the animal’s genome has been altered by introduction of DNA into the germ line or experiments involving rDNA modified microorganisms tested on whole animals (Section III-D-4, III-E-3)? Yes No (ORSP: Mar 2010) Page 3 of 5 8. Does your project include experiments involving whole plants (Section III-D-5, III-E-2)? Yes No 9. Does your project include experiments involving more than 6 liters of culture (Section III-D-6)? Yes No 10. Does your project include experiments involving the formation of recombinant DNA molecules containing two-thirds or more of the genome of any eukaryotic virus (Section III-E-1)? Yes No 11. What is the biological safety level (BSL) for this project: BSL1 BSL2 BSL3 See Biosafety in Microbiological and Biomedical Laboratories (BMBL) 5th Edition at: http://www.cdc.gov/od/ohs/biosfty/bmbl5/bmbl5toc.htm III. Description of Experiments: If you answered NO to all questions in Section II your protocol is exempt from the NIH Guidelines and you can skip Section III. For all “YES” answers in Section II please ATTACH a description of the specific experiments that will be performed under the protocol and include: Description of organism(s), host(s) and or strain(s) to be used; Agent or microorganism characteristics (e.g. virulence, pathogenicity, environmental stability); Source of rDNA, DNA, RNA to be inserted or cloned – include species of organism from which it is derived; Nature of rDNA, DNA, RNA to be inserted or cloned – i.e. structural gene, oncogene; Vector(s) information (product literature or vector map describing construction of vector); Helper virus or packaging cells if used; IACUC or IBC protocol number as reference where applicable; Provide literature references if appropriate; Include experiments or processes which will generate hazardous aerosols such as sonicating or cell sorting. IV. Location of Research: Please list all locations where work will be conducted. Include building and room numbers: V. Biological Safety Practices and Procedures: ATTACH the appropriate containment conditions and biosafety practices that will be implemented for the proposed project based on risk assessment and biosafety level. Certain experiments have special considerations that must be taken into account such as the use of cell sorters for infectious agents or the use of viral vectors. See, CDC/NIH Publication, Biosafety in Microbiological and Biomedical Laboratories (BMBL) 5th Edition: http://www.cdc.gov/od/ohs/biosfty/bmbl5/bmbl5toc.htm; (ORSP: Mar 2010) Page 4 of 5 VI. Protocols Involving Lentiviral Vectors must address the following: Risks of lentivirus vectors: The major risks to be considered for research with HIV-1 based lentivirus vectors are • potential for generation of replication-competent lentivirus (RCL), and • potential for oncogenesis. These risks can be mitigated by the nature of the vector system (and its safety features) or exacerbated by the nature of the transgene insert encoded by the vector. General criteria for risk assessment of lentivirus vectors: Decisions about containment should take into account a range of parameters/considerations including: • the nature of the vector system and the potential for regeneration of replication competent virus from the vector components, • the nature of the transgene insert (e.g., known oncogenes or genes with high oncogenic potential may merit special care) • the vector titer and the total amount of vector, • the inherent biological containment of the animal host, if relevant. See also, the NIH guidance document, Biosafety Considerations for Research with Lentiviral Vectors, http://oba.od.nih.gov/rdna_rac/rac_guidance_lentivirus.html VII. Personnel: List all lab personnel (faculty/staff/students) that will conduct research under this protocol and training dates for each. Name Title UTEP ID Experience Safety Class Basic Laboratory Safety Date Taken Bloodborne Pathogens Basic Laboratory Safety Bloodborne Pathogens Basic Laboratory Safety Bloodborne Pathogens Basic Laboratory Safety Bloodborne Pathogens Basic Laboratory Safety Bloodborne Pathogens Basic Laboratory Safety Bloodborne Pathogens Basic Laboratory Safety Bloodborne Pathogens Basic Laboratory Safety Bloodborne Pathogens VIII. Investigator Agreement: I attest that the information provided or attached is accurate and complete. I am familiar with and agree to abide by provisions of the current NIH Guidelines for Research Involving Recombinant DNA Molecules and accept the responsibilities listed in Section IV-B-7. (ORSP: Mar 2010) Page 5 of 5 As the Principal Investigator, I accept responsibility for making sure all laboratory personnel involved in the project have been appropriately trained. All research personnel are familiar with and understand the potential biohazards and relevant biosafety practices, techniques, and emergency procedures associated with this research protocol as dictated by the CDC and NIH document Biosafety in Microbiological and Biomedical Laboratories, 5thd Edition (http://www.cdc.gov/od/ohs/biosfty/bmbl5/bmbl5toc.htm). Signature: Date: Department Chair: __________________________________________ Date: IBC REVIEW RESULTS Date of Full Committee Meeting: IBC Committee Determined Containment Level: Protocol Status: Tabled Needs Modification (not approved) Approved Exempt Approved Non-exempt from NIH Guidelines Conditionally Approved Non-exempt from NIH Guidelines with Modifications Remarks: IBC Chairman: Date: 2nd Reviewer: Date: