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NI Assays: Troubleshooting & Analysis of Curve Fitting Graph 1: Standard clinical isolate Good NA activity S shaped curve (observed points) IC50 in expected range for susceptible B Good fit of calculated curve to observed points Conclusion: VALID sensitive isolate

NI Assays: Troubleshooting & Analysis of Curve Fitting Graph 1: Standard clinical isolate Good NA activity S shaped curve (observed points) IC50 in expected

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Page 1: NI Assays: Troubleshooting & Analysis of Curve Fitting Graph 1: Standard clinical isolate Good NA activity S shaped curve (observed points) IC50 in expected

NI Assays: Troubleshooting & Analysis of Curve Fitting

Graph 1: Standard clinical isolate• Good NA activity• S shaped curve (observed points)• IC50 in expected range for susceptible B • Good fit of calculated curve to observed pointsConclusion: VALID sensitive isolate

Page 2: NI Assays: Troubleshooting & Analysis of Curve Fitting Graph 1: Standard clinical isolate Good NA activity S shaped curve (observed points) IC50 in expected

NI Assays: Troubleshooting & Analysis of Curve Fitting

Graph 2: Known resistant mutant• Low NA activity• Known resistant virus• High IC50• S shaped curve, but displaced right because of drug inhibition• Good fit curve to observed pointsConclusion: VALID resistant isolate

Page 3: NI Assays: Troubleshooting & Analysis of Curve Fitting Graph 1: Standard clinical isolate Good NA activity S shaped curve (observed points) IC50 in expected

NI Assays: Troubleshooting & Analysis of Curve Fitting

Graph 3: Clinical isolate with low IC50• Low NA activity• Poor fit observed points to calculated curve• IC50 value lowConclusion: Probably isolate with normal IC50 → REPEAT

Page 4: NI Assays: Troubleshooting & Analysis of Curve Fitting Graph 1: Standard clinical isolate Good NA activity S shaped curve (observed points) IC50 in expected

NI Assays: Troubleshooting & Analysis of Curve Fitting

Graph 4: Clinical isolate with high IC50• Low NA activity• Poor fit observed points to curve• IC50 displaced to right• High IC50Conclusion: Probably resistant isolate REPEAT to check

Page 5: NI Assays: Troubleshooting & Analysis of Curve Fitting Graph 1: Standard clinical isolate Good NA activity S shaped curve (observed points) IC50 in expected

NI Assays: Troubleshooting & Analysis of Curve Fitting

Graph 5: Clinical isolate with low IC50• Good NA activity• Poor fit observed values to curve especially at high drug concentrations• Non sigmoidal shape of observed curve• Low IC50Conclusion: Probable error drug dilution for normal iC50 invalid →

REPEAT

Page 6: NI Assays: Troubleshooting & Analysis of Curve Fitting Graph 1: Standard clinical isolate Good NA activity S shaped curve (observed points) IC50 in expected

NI Assays: Troubleshooting & Analysis of Curve Fitting

Graph 6: Clinical isolate with high IC50• Low NA activity• Non sigmoidal observed points• High IC50• Bimodal distribution observed points• Poor fit between observed points and curveConclusion: Possible resistant but technical errors → REPEAT

Page 7: NI Assays: Troubleshooting & Analysis of Curve Fitting Graph 1: Standard clinical isolate Good NA activity S shaped curve (observed points) IC50 in expected

NI Assays: Troubleshooting & Analysis of Curve Fitting

Graph 7: Clinical isolate with normal IC50• Good NA activity• Increase in drug concentration associated with increase NA activity

(Biologically implausible)• Non sigmoidal observed points• Poor fit observed points and curveConclusion: Invalid analysis but probably normal IC50. Technical

errors → REPEAT

Page 8: NI Assays: Troubleshooting & Analysis of Curve Fitting Graph 1: Standard clinical isolate Good NA activity S shaped curve (observed points) IC50 in expected

NI Assays: Troubleshooting & Analysis of Curve Fitting

Graph 8: Clinical isolate with low IC50• Low NA activity• Increase NA activity with drug concentration (Biologically implausible)• Bimodal distribution observed points• Poor fit observed points to curve• Low IC50Conclusion: INVALID analysis → REPEAT as probably normal IC50

Page 9: NI Assays: Troubleshooting & Analysis of Curve Fitting Graph 1: Standard clinical isolate Good NA activity S shaped curve (observed points) IC50 in expected

NI Assays: Troubleshooting & Analysis of Curve Fitting

Graph 9: Clinical isolate with low IC50• Good NA activity • NA activity increases with drug concentration• Bimodal distribution observed points• Poor fit curves and observed points• Low IC50Conclusion: Invalid analysis → REPEAT as probably normal IC50