Methods in Molecular Biology 1940 Ivan Bertoncello Editor Mouse Cell Culture Methods and Protocols METHODS IN MOLECULAR BIOLOGY Series Editor John M. Walker School of Life and Medical Sciences University of Hertfordshire Hatfield, Hertfordshire, AL10 9AB, UK For further volumes: http://www.springer.com/series/7651 Mouse Cell Culture Methods and Protocols Edited by Ivan Bertoncello Lung Health Research Centre, Department of Pharmacology and Therapeutics, University of Melbourne, Melbourne, Victoria, Australia Editor Ivan Bertoncello Lung Health Research Centre Department of Pharmacology and Therapeutics University of Melbourne Melbourne, Victoria, Australia ISSN 1064-3745 ISSN 1940-6029 (electronic) Methods in Molecular Biology ISBN 978-1-4939-9085-6 ISBN 978-1-4939-9086-3 (eBook) https://doi.org/10.1007/978-1-4939-9086-3 Library of Congress Control Number: 2019930653 © Springer Science+Business Media, LLC, part of Springer Nature 2019 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Humana Press imprint is published by the registered company Springer Science+Business Media, LLC, part of Springer Nature. The registered company address is: 233 Spring Street, New York, NY 10013, U.S.A. Preface Mouse models have long underpinned discovery in the biomedical sciences and the development of enabling technologies for the systematic analysis of cellular and molecular mechanisms of organ development, regeneration, and repair. In particular, mouse cell culture systems continue to play an important role in identifying key factors, genes, and pathways regulating cell lineage commitment and differentiation and validating potential cellular and molecular targets which could be exploited to develop novel therapies for intractable diseases. This compendium describes recently devised and refined best-practice cell culture protocols for the maintenance, propagation, manipulation, and analysis of primary explanted cells from various mouse organ systems commonly used in current research applications. Each chapter provides a step-by-step description of cell culture methodologies for specific mouse cell types and lineages, highlighting caveats and commonly encountered pitfalls. These protocols are preceded by two introductory chapters that review the applicability of mouse models as a discovery tool and describe factors and variables that influence cell culture endpoints and need to be considered and controlled in order to achieve optimal results. In conclusion, I would like to acknowledge and thank the many authors who have enthusiastically contributed their protocols to this volume. I also thank John Walker (series editor) for his invitation to edit the volume and for his advice and assistance in developing and preparing the volume for publication. Melbourne, Victoria, Australia Ivan Bertoncello v Contents Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Contributors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PART I PRACTICAL CONSIDERATIONS 1 The Applicability of Mouse Models to the Study of Human Disease. . . . . . . . . . . Kristina Rydell-Törm€ a nen and Jill R. Johnson 2 Optimizing the Cell Culture Microenvironment . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ivan Bertoncello PART II v xi 3 23 METHODS AND PROTOCOLS 3 Propagation and Maintenance of Mouse Embryonic Stem Cells . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Jacob M. Paynter, Joseph Chen, Xiaodong Liu, and Christian M. Nefzger 4 Production of High-Titer Lentiviral Particles for Stable Genetic Modification of Mammalian Cells . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Michael R. Larcombe, Jan Manent, Joseph Chen, Ketan Mishra, Xiaodong Liu, and Christian M. Nefzger 5 Generation of Mouse-Induced Pluripotent Stem Cells by Lentiviral Transduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Xiaodong Liu, Joseph Chen, Jaber Firas, Jacob M. Paynter, Christian M. Nefzger, and Jose M. Polo 6 Gene Editing of Mouse Embryonic and Epiblast Stem Cells. . . . . . . . . . . . . . . . . . Tennille Sibbritt, Pierre Osteil, Xiaochen Fan, Jane Sun, Nazmus Salehin, Hilary Knowles, Joanne Shen, and Patrick P. L. Tam 7 Identification of Circulating Endothelial Colony-Forming Cells from Murine Embryonic Peripheral Blood . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yang Lin, Chang-Hyun Gil, and Mervin C. Yoder 8 Imaging and Analysis of Mouse Embryonic Whole Lung, Isolated Tissue, and Lineage-Labelled Cell Culture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Matthew Jones and Saverio Bellusci 9 Mouse Hematopoietic Stem Cell Modification and Labelling by Transduction and Tracking Posttransplantation . . . . . . . . . . . . . . . . . . . . . . . . . . Benjamin Cao, Songhui Li, Claire Pritchard, Brenda Williams, and Susan K. Nilsson 10 Genetic Manipulation and Selection of Mouse Mesenchymal Stem Cells for Delivery of Therapeutic Factors In Vivo . . . . . . . . . . . . . . . . . . . . . . . . . . . Donald S. Sakaguchi 11 Isolation and Culture of Primary Mouse Middle Ear Epithelial Cells . . . . . . . . . . Apoorva Mulay, Khondoker Akram, Lynne Bingle, and Colin D. Bingle vii 33 47 63 77 97 109 129 143 157 viii 12 13 14 15 16 17 18 19 20 21 Contents Isolation and Propagation of Lacrimal Gland Putative Epithelial Progenitor Cells . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Helen P. Makarenkova and Robyn Meech Organotypic Culture of Adult Mouse Retina . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Brigitte Müller Langendorff-Free Isolation and Propagation of Adult Mouse Cardiomyocytes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Matthew Ackers-Johnson and Roger S. Foo Isolation, Culture, and Characterization of Primary Mouse Epidermal Keratinocytes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ling-Juan Zhang Isolation and Propagation of Mammary Epithelial Stem and Progenitor Cells . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Julie M. Sheridan and Jane E. Visvader An Organoid Assay for Long-Term Maintenance and Propagation of Mouse Prostate Luminal Epithelial Progenitors and Cancer Cells. . . . . . . . . . . Yu Shu and Chee Wai Chua Isolation, Purification, and Culture of Mouse Pancreatic Islets of Langerhans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Youakim Saliba and Nassim Farès Identification and In Vitro Expansion of Adult Hepatocyte Progenitors from Chronically Injured Livers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Naoki Tanimizu The Preparation of Decellularized Mouse Lung Matrix Scaffolds for Analysis of Lung Regenerative Cell Potential . . . . . . . . . . . . . . . . . . . . . . . . . . . . Deniz A. Bölükbas, Martina M. De Santis, Hani N. Alsafadi, Ali Doryab, and Darcy E. Wagner Mouse Lung Tissue Slice Culture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Xinhui Wu, Eline M. van Dijk, I. Sophie T. Bos, Loes E. M. Kistemaker, and Reinoud Gosens Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 169 181 193 205 217 231 255 267 275 297 313 Contributors MATTHEW ACKERS-JOHNSON Cardiovascular Research Institute, Centre for Translational Medicine MD6, National University Health System, Singapore, Singapore; Genome Institute of Singapore, Singapore, Singapore KHONDOKER AKRAM Academic Unit of Respiratory Medicine, Department of Infection, Immunity and Cardiovascular Disease, University of Sheffield, Sheffield, UK HANI N. ALSAFADI Department of Experimental Medical Sciences, Faculty of Medicine, Lund University, Lund, Sweden; Wallenberg Centre for Molecular Medicine, Faculty of Medicine, Lund University, Lund, Sweden; Stem Cell Centre, Lund University, Lund, Sweden SAVERIO BELLUSCI Faculty of Medicine, Excellence Cluster Cardio-Pulmonary System (ECCPS), University of Giessen, Giessen, Germany IVAN BERTONCELLO Lung Health Research Centre, Department of Pharmacology and Therapeutics, University of Melbourne, Melbourne, Victoria, Australia COLIN D. BINGLE Academic Unit of Respiratory Medicine, Department of Infection, Immunity and Cardiovascular Disease, University of Sheffield, Sheffield, UK LYNNE BINGLE Oral and Maxillofacial Pathology, Department of Clinical Dentistry, University of Sheffield, Sheffield, UK DENIZ A. BÖLÜKBAS Department of Experimental Medical Sciences, Faculty of Medicine, Lund University, Lund, Sweden; Wallenberg Centre for Molecular Medicine, Faculty of Medicine, Lund University, Lund, Sweden; Stem Cell Centre, Lund University, Lund, Sweden I. SOPHIE T. BOS Faculty of Science and Engineering, Department of Molecular Pharmacology, University of Groningen, Groningen, The Netherlands; Groningen Research Institute for Asthma and COPD, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands BENJAMIN CAO Biomedical Manufacturing, CSIRO Clayton, Clayton, VIC, Australia; Australian Regenerative Medicine Institute, Monash University, Clayton, VIC, Australia JOSEPH CHEN Department of Anatomy and Developmental Biology, Monash University, Clayton, VIC, Australia; Development and Stem Cells Program, Monash Biomedicine Discovery Institute, Clayton, VIC, Australia; Australian Regenerative Medicine Institute, Monash University, Clayton, VIC, Australia CHEE WAI CHUA State Key Laboratory of Oncogenes and Related Genes, Renji-Med X Clinical Stem Cell Research Center, Department of Urology, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China MARTINA M. DE SANTIS Department of Experimental Medical Sciences, Faculty of Medicine, Lund University, Lund, Sweden; Wallenberg Centre for Molecular Medicine, Faculty of Medicine, Lund University, Lund, Sweden; Stem Cell Centre, Lund University, Lund, Sweden ALI DORYAB Helmholtz Zentrum München, Member of the German Center for Lung Research (DZL), Institute of Lung Biology and Disease, Neuherberg, Germany XIAOCHEN FAN Children’s Medical Research Institute, The University of Sydney, Westmead, NSW, Australia ix x Contributors NASSIM FARÈS Laboratoire de Recherche en Physiologie et Physiopathologie LRPP, Pôle Technologie Santé, Faculté de Médecine, Université Saint Joseph, Beirut, Lebanon JABER FIRAS Department of Anatomy and Developmental Biology, Monash University, Clayton, VIC, Australia; Development and Stem Cells Program, Monash Biomedicine Discovery Institute, Clayton, VIC, Australia; Australian Regenerative Medicine Institute, Monash University, Clayton, VIC, Australia ROGER S. FOO Cardiovascular Research Institute, Centre for Translational Medicine MD6, National University Health System, Singapore, Singapore; Genome Institute of Singapore, Singapore, Singapore CHANG-HYUN GIL Department of Pediatrics, Herman B. Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, IN, USA REINOUD GOSENS Faculty of Science and Engineering, Department of Molecular Pharmacology, University of Groningen, Groningen, The Netherlands; Groningen Research Institute for Asthma and COPD, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands JILL R. JOHNSON School of Life and Health Sciences, Aston University, Birmingham, UK MATTHEW JONES Faculty of Medicine, Excellence Cluster Cardio-Pulmonary System (ECCPS), University of Giessen, Giessen, Germany LOES E. M. KISTEMAKER Faculty of Science and Engineering, Department of Molecular Pharmacology, University of Groningen, Groningen, The Netherlands; Groningen Research Institute for Asthma and COPD, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands HILARY KNOWLES Children’s Medical Research Institute, The University of Sydney, Westmead, NSW, Australia MICHAEL R. LARCOMBE Department of Anatomy and Developmental Biology, Monash University, Clayton, VIC, Australia; Development and Stem Cells Program, Monash Biomedicine Discovery Institute, Clayton, VIC, Australia; Australian Regenerative Medicine Institute, Monash University, Clayton, VIC, Australia SONGHUI LI Biomedical Manufacturing, CSIRO Clayton, Clayton, VIC, Australia; Australian Regenerative Medicine Institute, Monash University, Clayton, VIC, Australia YANG LIN Department of Pediatrics, Herman B. Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, IN, USA; Department of Biochemistry and Molecular Biology, Indiana University School of Medicine, Indianapolis, IN, USA XIAODONG LIU Department of Anatomy and Developmental Biology, Monash University, Clayton, VIC, Australia; Development and Stem Cells Program, Monash Biomedicine Discovery Institute, Clayton, VIC, Australia; Australian Regenerative Medicine Institute, Monash University, Clayton, VIC, Australia HELEN P. MAKARENKOVA Department of Molecular Medicine, The Scripps Research Institute, La Jolla, CA, USA JAN MANENT Department of Anatomy and Developmental Biology, Monash University, Clayton, VIC, Australia; Development and Stem Cells Program, Monash Biomedicine Discovery Institute, Clayton, VIC, Australia; Australian Regenerative Medicine Institute, Monash University, Clayton, VIC, Australia ROBYN MEECH Discipline of Clinical Pharmacology, College of Medicine and Public Health, Flinders University, Bedford Park, SA, Australia KETAN MISHRA Department of Anatomy and Developmental Biology, Monash University, Clayton, VIC, Australia; Development and Stem Cells Program, Monash Biomedicine Contributors xi Discovery Institute, Clayton, VIC, Australia; Australian Regenerative Medicine Institute, Monash University, Clayton, VIC, Australia APOORVA MULAY Academic Unit of Respiratory Medicine, Department of Infection, Immunity and Cardiovascular Disease, University of Sheffield, Sheffield, UK BRIGITTE MÜLLER Department of Ophthalmology, Justus-Liebig-University Gießen, Gießen, Germany CHRISTIAN M. NEFZGER Department of Anatomy and Developmental Biology, Monash University, Clayton, VIC, Australia; Development and Stem Cells Program, Monash Biomedicine Discovery Institute, Clayton, VIC, Australia; Australian Regenerative Medicine Institute, Monash University, Clayton, VIC, Australia; Institute for Molecular Bioscience, The University of Queensland, St Lucia, QLD, Australia SUSAN K. NILSSON Biomedical Manufacturing, CSIRO Clayton, Clayton, VIC, Australia; Australian Regenerative Medicine Institute, Monash University, Clayton, VIC, Australia PIERRE OSTEIL Children’s Medical Research Institute, The University of Sydney, Westmead, NSW, Australia; School of Medical Sciences, The University of Sydney, Camperdown, NSW, Australia JACOB M. PAYNTER Department of Anatomy and Developmental Biology, Monash University, Clayton, VIC, Australia; Development and Stem Cells Program, Monash Biomedicine Discovery Institute, Clayton, VIC, Australia; Australian Regenerative Medicine Institute, Monash University, Clayton, VIC, Australia JOSE M. POLO Department of Anatomy and Developmental Biology, Monash University, Clayton, VIC, Australia; Development and Stem Cells Program, Monash Biomedicine Discovery Institute, Clayton, VIC, Australia; Australian Regenerative Medicine Institute, Monash University, Clayton, VIC, Australia CLAIRE PRITCHARD Biomedical Manufacturing, CSIRO Clayton, Clayton, VIC, Australia; Australian Regenerative Medicine Institute, Monash University, Clayton, VIC, Australia € KRISTINA RYDELL-TÖRMANEN Lung Biology Group, Department of Experimental Medical Science, Lund University, Lund, Sweden DONALD S. SAKAGUCHI Department of Genetics, Development and Cell Biology, Iowa State University, Ames, IA, USA; Neuroscience Program, Iowa State University, Ames, IA, USA NAZMUS SALEHIN Children’s Medical Research Institute, The University of Sydney, Westmead, NSW, Australia YOUAKIM SALIBA Laboratoire de Recherche en Physiologie et Physiopathologie LRPP, Pôle Technologie Santé, Faculté de Médecine, Université Saint Joseph, Beirut, Lebanon JOANNE SHEN Children’s Medical Research Institute, The University of Sydney, Westmead, NSW, Australia JULIE M. SHERIDAN Molecular Genetics of Cancer Division, Walter and Eliza Hall Institute of Medical Research, Parkville, VIC, Australia; Department of Medical Biology, University of Melbourne, Melbourne, VIC, Australia YU SHU State Key Laboratory of Oncogenes and Related Genes, Renji-Med X Clinical Stem Cell Research Center, Department of Urology, Ren Ji Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China TENNILLE SIBBRITT Children’s Medical Research Institute, The University of Sydney, Westmead, NSW, Australia; School of Medical Sciences, The University of Sydney, Camperdown, NSW, Australia JANE SUN Children’s Medical Research Institute, The University of Sydney, Westmead, NSW, Australia xii Contributors PATRICK P. L. TAM Children’s Medical Research Institute, The University of Sydney, Westmead, NSW, Australia; School of Medical Sciences, The University of Sydney, Camperdown, NSW, Australia NAOKI TANIMIZU Department of Tissue Development and Regeneration, Research Institute for Frontier Medicine, Sapporo Medical University School of Medicine, Sapporo, Japan ELINE M. VAN DIJK Faculty of Science and Engineering, Department of Molecular Pharmacology, University of Groningen, Groningen, The Netherlands; Groningen Research Institute for Asthma and COPD, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands JANE E. VISVADER Department of Medical Biology, University of Melbourne, Melbourne, VIC, Australia; Stem Cells and Cancer Division, Walter and Eliza Hall Institute of Medical Research, Parkville, VIC, Australia DARCY E. WAGNER Department of Experimental Medical Sciences, Faculty of Medicine, Lund University, Lund, Sweden; Wallenberg Centre for Molecular Medicine, Faculty of Medicine, Lund University, Lund, Sweden; Stem Cell Centre, Lund University, Lund, Sweden BRENDA WILLIAMS Biomedical Manufacturing, CSIRO Clayton, Clayton, VIC, Australia; Australian Regenerative Medicine Institute, Monash University, Clayton, VIC, Australia XINHUI WU Faculty of Science and Engineering, Department of Molecular Pharmacology, University of Groningen, Groningen, The Netherlands; Groningen Research Institute for Asthma and COPD, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands MERVIN C. YODER Department of Pediatrics, Herman B. Wells Center for Pediatric Research, Indiana University School of Medicine, Indianapolis, IN, USA; Department of Biochemistry and Molecular Biology, Indiana University School of Medicine, Indianapolis, IN, USA LING-JUAN ZHANG School of Pharmaceutical Sciences, Xiamen University, Xiamen, China; Department of Dermatology, School of Medicine, University of California San Diego, La Jolla, CA, USA Part I Practical Considerations Chapter 1 The Applicability of Mouse Models to the Study of Human Disease Kristina Rydell-Törm€anen and Jill R. Johnson Abstract The laboratory mouse Mus musculus has long been used as a model organism to test hypotheses and treatments related to understanding the mechanisms of disease in humans; however, for these experiments to be relevant, it is important to know the complex ways in which mice are similar to humans and, crucially, the ways in which they differ. In this chapter, an in-depth analysis of these similarities and differences is provided to allow researchers to use mouse models of human disease and primary cells derived from these animal models under the most appropriate and meaningful conditions. Although there are considerable differences between mice and humans, particularly regarding genetics, physiology, and immunology, a more thorough understanding of these differences and their effects on the function of the whole organism will provide deeper insights into relevant disease mechanisms and potential drug targets for further clinical investigation. Using specific examples of mouse models of human lung disease, i.e., asthma, chronic obstructive pulmonary disease, and pulmonary fibrosis, this chapter explores the most salient features of mouse models of human disease and provides a full assessment of the advantages and limitations of these models, focusing on the relevance of disease induction and their ability to replicate critical features of human disease pathophysiology and response to treatment. The chapter concludes with a discussion on the future of using mice in medical research with regard to ethical and technological considerations. Key words Mouse, Model, Disease, Genetics, Physiology, Immunology, Ethics 1 The Mouse: From Pest, to Pet, to Predominant Tool in Medical Research Although the genetic lineages of mice and humans diverged around 75 million years ago, these two species have evolved to live together, particularly since the development of agriculture. For millennia, mice (Mus musculus) were considered to be pests due to their propensity to ravenously consume stored foodstuff (mush in ancient Sanskrit means “to steal” [1]) and their ability to adapt to a wide range of environmental conditions. Since the 1700s, domesticated mice have been bred and kept as companion animals, and in Victorian England, “fancy” mice were prized for their variations in coat color and comportment; these mouse strains were the Ivan Bertoncello (ed.), Mouse Cell Culture: Methods and Protocols, Methods in Molecular Biology, vol. 1940, https://doi.org/10.1007/978-1-4939-9086-3_1, © Springer Science+Business Media, LLC, part of Springer Nature 2019 3 4 €nen and Jill R. Johnson Kristina Rydell-Törma forerunners to the strains used in the laboratory today. Robert Hooke performed the first recorded inquiry-driven experiments on mice in 1664, when he investigated the effects of changes in air pressure on respiratory function [2]. More recently, with data from the Human Genome Project and sequencing of the Mus musculus genome showing remarkable genetic homology between these species, as well as the advent of biotechnology and the development of myriad knockout and transgenic mouse strains, it is clear why the mouse has become the most ubiquitous model organism used to study human disease. In addition, their small size, rapid breeding, and ease of handling are all important advantages to scientists for practical and financial reasons. However, keeping in mind that mice are fellow vertebrates and mammals, there are ethical issues inherent to using these animals in medical research. This chapter will provide an overview of the important similarities and differences between Mus musculus and Homo sapiens and their relevance to the use of the mouse as a model organism and provide specific examples of the quality of mouse models used to investigate the mechanisms, pathology, and treatment of human lung diseases. We will then conclude with an assessment of the future of mice in medical research considering ethical and technological advances. As a model organism used to test hypotheses and treatments related to human disease, it is important to understand the complex ways in which mice are similar to humans, and crucially, the ways in which they differ. A clear understanding of these aspects will allow researchers to use mouse models of human disease and primary cells derived from mice under the most appropriate and meaningful conditions. 2 Applicability of Mouse Models to Human Disease 2.1 Genetics In 2014, the Encyclopedia of DNA Elements (ENCODE) program published a comparative analysis of the genomes of Homo sapiens and Mus musculus [3], as well as an in-depth analysis of the differences in the regulatory landscape of the genomes of these species [4]. ENCODE, a follow-up to the Human Genome Project, was implemented by the National Human Genome Research Institute (NHGRI) at the National Institutes of Health in order to develop a comprehensive catalog of protein-encoding and nonproteincoding genes and the regulatory elements that control gene expression in a number of species. This was achieved using a number of genomic approaches (e.g., RNA-seq, DNase-seq, and ChIP-seq) to assess gene expression in over 100 mouse cell types and tissues; the data were then compared with the human genome. Overall, these studies showed that although gene expression is fairly similar between mice and humans, considerable differences were observed in the regulatory networks controlling the activity of Mouse Models of Human Disease 5 the immune system, metabolic functions, and responses to stress, all of which have important implications when using mice to model human disease. In essence, mice and humans demonstrate genetic similarity with regulatory divergence. Specifically, there is a high degree of similarity in transcription factor networks but a great deal of divergence in the cis-regulatory elements that control gene transcription in the mouse and human genomes. Moreover, the chromatin landscape in cell types of similar lineages in mouse and human is both developmentally stable and evolutionarily conserved [3]. Of particular relevance regarding modeling human diseases involving the immune system, in its assessment of transcription factor networks, the Mouse ENCODE Consortium revealed potentially important differences in the activity of ETS1 in the mouse and human genome. Although conserved between the two species, divergence in ETS1 regulation may be responsible for discrepancies in the function of the immune system in mouse and human [4]. Certainly, the biological consequences of these differences in gene expression and regulation between human and mouse invite further investigation. 2.2 Anatomy and Physiology The anatomical and physiological differences between model organisms and humans can have profound impacts on interpreting experimental results. Virtually every biological process under investigation in experimental studies involves at least one anatomical structure. To aid in interpretation, many anatomy compendia have been developed for model organisms; the most useful organize anatomical entities into hierarchies representing the structure of the human body, e.g., the Foundational Model of Anatomy developed by the Structural Informatics Group at the University of Washington [5]. Although an analysis of the myriad differences between mouse and human anatomy is beyond the scope of this chapter, a few of the most critical issues that have an impact on the interpretation of data from mouse experiments should be mentioned. The most obvious difference between mice and humans is size; the human body is about 2500 times larger than that of the mouse. Size influences many aspects of biology, particularly the metabolic rate, which is correlated to body size in placental mammals through the relationship BMR ¼ 70 mass (0.75), where BMR is the basal metabolic rate (in kcal/day). Thus, the mouse BMR is roughly seven times faster than that of an average-sized human [6]. This higher BMR has effects on thermoregulation, nutrient demand, and nutrient supply. As such, mice have greater amounts of metabolically active tissues (e.g., liver and kidney) and more extensive deposits of brown fat [6]. Furthermore, mice more readily produce reactive oxygen species than do humans, which is an important consideration when modeling human diseases involving the 6 €nen and Jill R. Johnson Kristina Rydell-Törma induction of oxidative stress (i.e., aging, inflammation, and neurodegeneration) [6]. The lung provides an excellent example of the similarities and differences between human and mouse anatomy. Similar to the human organ, the mouse lung is subdivided into lobes of lung parenchyma containing a branching bronchial tree and is vascularized by the pulmonary circulation originating from the right ventricle. There are a number of subtle variations in this general structure between species, i.e., the number of lobes on the right and left, the branching pattern, and the distribution of cartilage rings around the large airways, but the most important differences between the mouse and human lung are related to the organism’s size (airway diameter and alveolar size are naturally much smaller in the mouse) and respiratory rate. Moreover, there are important differences in the blood supply of the large airways in humans versus mice [7]. Specifically, the bronchial circulation (a branch of the high-pressure systemic circulation that arises from the aorta and intercostal arteries) supplies a miniscule proportion of the pulmonary tissue in mice (the trachea and bronchi) compared to humans; the majority of the lung parenchyma is supplied by the low-pressure, high-flow pulmonary circulation. In the mouse, these systemic blood vessels do not penetrate into the intraparenchymal airways, as they do in larger species [8]. This difference, although subtle, has important ramifications regarding the vascular supply of lung tumors which, in humans, is primarily derived from the systemic circulation [9]. These differences may also have profound consequences when modeling human diseases involving the lung vasculature. 2.3 Immunology The adaptive immune system evolved in jawed fish about 500 million years ago, well before the evolution of mammals and the divergence of mouse and human ancestral species [10]. Many features of the adaptive immune system, including antigen recognition, clonal selection, antibody production, and immunological tolerance, have been maintained since they first arose in early vertebrates. However, the finer details of the mouse and human immune systems differ considerably, which is not surprising since these species diverged 75 million years ago [6]. While some have claimed that these differences mean that research into immunological phenomena in mice is not transferable to humans, as long as these differences are understood and acknowledged, the study of mouse immune responses can continue to be relevant. Research on mice has been vital to the discovery of key features of both innate and adaptive immune responses; for example, the first descriptions of the major histocompatibility complex, the T cell receptor, and antibody synthesis were derived from experiments performed on mice [6]. The general structure of the immune system is similar in mice and humans, with similar mediators and Mouse Models of Human Disease 7 Table 1 A brief overview of the immunological differences between mice and humans Attribute Mouse Human References Proportion of leukocytes in the blood 75–90% lymphocytes 10–25% neutrophils 50–70% neutrophils 30–50% lymphocytes [13] Antigen presentation Endothelial cells do not express Endothelial cells express MHC Class II and present antigen to MHC Class II, cannot activate CD4+ T cells CD4+ T cells Costimulatory signaling 80% of CD4+ and 50% of CD8+ T cells express CD28 ICOS is not required for B cell maturation B7-H3 inhibits T cell activation [14] 100% of CD4+ and CD8+ T cells [12] express CD28 ICOS is required for B cell [15, 16] maturation and IgM production B7-H3 promotes T cell activation [17] Immunoglobulin IgD, IgM, IgA, IgE, IgG1, isotypes IgG2a/c, IgG2b, IgG3 IgD, IgM, IgA1, IgA2, IgE, IgG1, [12] IgG2, IgG3, IgG4 Immunoglobulin IL-4 induces IgG1 and IgE class switching IL-4 induces IgG4 and IgE [18] Helper T cell differentiation IFN-α does not activate STAT4 IFN-α induces Th1 polarization via [19] STAT4 and does not induce Th1 polarization Clear Th1/Th2 differentiation in Multiple T helper cell subsets occur [20] mice simultaneously Responses to infection Eradication of schistosomiasis requires a Th1 response and IFN-γ Low susceptibility to Mycobacterium tuberculosis; noncaseating granulomas; no latent infection [21] Eradication of schistosomiasis requires a Th2 response and IgE Highly susceptible to Mycobacterium tuberculosis; caseating granulomas; latent infection is common [22] cell types involved in rapid, innate immune responses (complement, macrophages, neutrophils, and natural killer cells) as well as adaptive immune responses informed by antigen-presenting dendritic cells and executed by B and T cells. However, due to the anatomical and physiological differences between these species as described above, divergence in key features of the immune system, such as the maintenance of memory T cells (related to the life span of the organism) and the commensal microbiota (related to the lifestyle of the organism), has arisen [11]. Similar to what has been discovered regarding the genetics of mice and humans, i.e., broad similarities in structure but considerable differences in regulation, there are a number of known discrepancies in the regulation of innate and adaptive immunity in 8 €nen and Jill R. Johnson Kristina Rydell-Törma mice versus humans, including the balance of leukocyte subsets, T cell activation and costimulation, antibody subtypes and cellular responses to antibody, Th1/Th2 differentiation, and responses to pathogens (described in detail in Table 1). In addition to these differences in immune cell functions, the expression of specific genes involved in immune responses also differs, particularly those for Toll-like receptors, defensins, NK inhibitory receptors, Thy-1, and many components of chemokine and cytokine signaling; additionally, differences between mouse strains are known to exist for many of these mediators [12]. Another important consideration when using mice to perform immunological research (with a view to translating these findings to human medicine) is the availability of hundreds of strains of genetically modified mice that have enabled exquisitely detailed studies on immune cell function, regulation, and trafficking. Many of these strains involve the expression of inducible Cre or Cas9 that allow for targeted knockdown or overexpression of key immune function-related genes in specific cell types at specific moments in time. However, it is important to note that drift between mouse colonies has long been known to occur. In fact, a recent report described the fortuitous discovery of a point mutation in the natural cytotoxicity receptor 1 (NCR1) gene in the C57/Bl6 CD45.1 mouse strain, resulting in absent NCR1 expression. This mutation was found to have profound effects on the response of mice to viral infection, i.e., the mice were resistant to cytomegalovirus infection but more susceptible to influenza virus [23]. This cautionary tale highlights the importance of understanding the genetic evolution of laboratory strains of mice, the effect of these genetic and immunological changes on mouse biology, and the impact on the translation of these results to human medicine. In addition to the differences between mouse and human genetics, physiology, and immunology highlighted above, several factors must also be taken into account when performing in vitro assays using isolated mouse cells and applying these findings to our understanding of human disease. Particularly with regard to stem cell research, it should be noted that the telomeres of mouse cells are five- to tenfold longer than human telomeres, resulting in greater replicative capacity [24]. There are also important differences in the regulation of pluripotency and stem cell differentiation pathways in humans and mice [25]. Moreover, there are considerable species differences in the longevity of cultured cells; for example, mouse fibroblasts are capable of spontaneous immortalization in vitro, whereas human fibroblasts become senescent and ultimately fail to thrive in culture [26]. In summary, although there are considerable differences between mice and humans, constant improvement in the analytical techniques used to delineate these differences and their effects on whole organism and cell function have provided vital information Mouse Models of Human Disease 9 and contributed to our understanding of both murine and human biology. Experimentation employing mouse models of human disease will continue to provide key insights into relevant disease mechanisms and potential drug targets for further clinical investigation. However, several important considerations must be taken into account when selecting a mouse model of human disease, as described in the following section, using mouse models of human lung disease to illustrate this point. 3 Mouse Models of Human Disease The two most salient features of a mouse model of human disease are the accuracy of its etiology (it employs a physiologically relevant method of disease induction) and its presentation (its ability to recapitulate the features of human disease). The relevance of any given mouse model can be judged on the basis of these two criteria, and there is considerable variation within mouse models of human disease in this regard. As a full assessment of the advantages and limitations of all currently available mouse models of human disease would be prohibitively long and complex, here we have elected to assess the accuracy of currently available models of human lung diseases, i.e., asthma, chronic obstructive pulmonary disease, and pulmonary fibrosis, focusing on the relevance of disease induction in these models and their ability to replicate critical features of human disease pathophysiology and response to treatment. The first and foremost notion when modeling human disease in mice is to acknowledge the species differences, which are significant [27]. As described above, genetics, anatomy, physiology, and immunology differ between mice and humans, but despite these differences, mouse models of human disease are useful and necessary, as long as data interpretation is performed appropriately. 4 Asthma An elegant example of differences between mice and humans that must be considered when designing a mouse model of human inflammatory lung disease is the key effector cell type in human asthma, i.e., mast cells. These leukocytes differ in granule composition as well as localization in the mouse and human airways [28]. Mice mostly lack mast cells in the peripheral lung [29], whereas humans have numerous mast cells of multiple subpopulations in the alveolar parenchyma [30]. Another example is anatomy: in contrast to humans, mice lack an extensive pulmonary circulation, which may have significant effects on leukocyte adhesion and migration, and subsequently inflammation [31]. Still, as long as these differences are taken into consideration, mouse models can be 10 €nen and Jill R. Johnson Kristina Rydell-Törma powerful tools in the discovery and exploitation of new targets for the treatment of human disease. The World Health Organization (WHO) defines asthma as a chronic disease characterized by recurrent attacks of breathlessness and wheezing, which may vary in severity and frequency from person to person. The disease is characterized by airway hyperresponsiveness, airway smooth muscle thickening, increased mucus secretion and collagen deposition, as well as prominent inflammation affecting both large and small airways [32]. Nowadays, it is recognized that asthma is not a single homogenous disease but rather several different phenotypes united by similar clinical symptoms [32, 33]. Only a few animal species develop asthma naturally, including cats and horses [34, 35], whereas mice do not [31]. However, mice can be manipulated to develop a type of allergic airway inflammation, which is similar in many ways to the human disease, in response to different aeroallergens [36]. Importantly, these models are capable of recapitulating only the allergic type of human asthma and have less relevance for other types of asthma (i.e., endotypes induced by medication, obesity, and air pollution). As with many human diseases, asthma has a complex and multifaceted etiology, where environmental factors, genetic susceptibility, and microbial colonization all contribute; thus, it is important to take strain differences into consideration. Generations of inbreeding have created mouse strains that differ not only in coat color and disposition but also from a physiological, immunological, and genetic perspective. Different strains may be more susceptible to allergic airway inflammation or pulmonary fibrosis, whereas others are more or less resistant. Choosing the right strain to model a specific disease or pathologic event is thus essential. The most widely used strains for models of allergic airway inflammation are BALB/c and C57BL/6. These strains differ regarding the type of immune response mounted to an inhaled allergen: C57BL/6 is generally considered a TH1-skewed strain, whereas BALB/c is regarded as a TH2-skewed strain [36]. Due to their strong TH2response, and subsequent development of robust asthmatic responses, BALB/c has been commonly used to model asthma [37]. However, most humans do not express such a strongly TH2-skewed immune system, suggesting this strain may not be the best model of human disease; instead, C57BL/6 may be more suitable as immune responses in this strain are more similar to those of atopic human subjects [37]. Furthermore, as C57BL/6 is the most commonly used strain for the development of genetically manipulated mice, using these mice allows for very specific investigations into disease pathology; thus, this strain is increasingly used in models of human lung disease. Mouse Models of Human Disease 11 4.1 Ovalbumin Besides the genetic differences in the mouse strains used in these models, the etiology (the method of disease induction) of commonly used models of asthma is highly variable. In humans with allergic asthma, environmental allergen exposure occurs at the airway mucosa; the immune response is coordinated in the bronchopulmonary lymph nodes, and the T cells, macrophages, and eosinophils recruited as part of this response travel to the lung where they mediate the cardinal features of asthma: airway inflammation, structural remodeling of the airway wall, and airway hyperreactivity [38]. Ideally, these features should be found in a physiologically relevant mouse model of asthma. However, for the sake of cost and convenience, early mouse models of asthma used the surrogate protein ovalbumin (OVA) [31] rather than an environmental allergen to induce an immune response, which also requires the use of a powerful TH2-polarizing adjuvant such as alum delivered via the intraperitoneal route, followed by OVA nebulization—a clear divergence from the etiology of human asthma [36]. In terms of disease presentation, mice develop some hallmarks of asthma, including airway eosinophilic inflammation, goblet cell metaplasia, and increased airway smooth muscle density [31]. After the cessation of OVA exposure, most of the remodeling resolves, although some structural alterations remain up to 1 month after the last challenge [39]. Based on these attributes, the OVA model is primarily a model to investigate the initiation of inflammation, rather than the chronic progression and maintenance of inflammation [31]. A clear advantage with the OVA model is the number of studies where it is used; both the pros and cons are familiar. It is easy to find a suitable protocol, and the model is readily accessible and flexible regarding the number of sensitizations and allergen doses. The model is relatively easy to reproduce, as OVA and different adjuvants are easily obtained. However, the resolution of remodeling following the cessation of allergen provocations is a disadvantage, as is the practical problem with the nebulization of an allergen—it ends up in the mouse’s coat and is ingested during grooming, potentially resulting in systemic exposure (this is particularly relevant in models employing systemic, intraperitoneal sensitization). In addition, concerns have been raised against the use of adjuvants to induce the immunological response, as well as the clinical relevance of OVA as an allergen, which have driven the development of more clinically relevant allergens and models [31]. 4.2 House Dust Mite The common environmental aeroallergen house dust mite (HDM) extract is increasingly used to initiate disease in mouse models of allergic airway inflammation, as it is a common human allergen (around 50% of asthmatics are sensitized to HDM [40]) that evokes asthma attacks and other allergic responses in susceptible individuals. In addition, HDM has inherent allergenic properties, likely 12 €nen and Jill R. Johnson Kristina Rydell-Törma due to components with protease activity [40], so there is no need to use an adjuvant, thus improving the etiological similarity of these models with the clinical situation [41]. In contrast to OVA, prolonged exposure of HDM (up to 7 weeks) induces asthma-like severe airway inflammation with prominent eosinophilia, severe hyperreactivity to methacholine, and robust remodeling of the airway wall [41], i.e., the presentation of chronic respiratory HDM exposure in mice effectively recapitulates the key features of human allergic asthma. Importantly, the airway structural changes induced by chronic HDM exposure, such as increased collagen deposition, airway smooth muscle thickening, and microvascular alterations, persist for at least 4 weeks after the cessation of HDM exposure [42], another commonality with human asthma in which airway remodeling is currently considered to be irreversible. Thus, the advantages of using HDM as the allergen in mouse models of asthma are the clinical relevance of the allergen [43] and the route of delivery via the respiratory tract. Moreover, studies have shown that the type of inflammation and characteristics of tissue remodeling are relatively similar to those seen in human asthmatics [35, 41, 43]. One disadvantage is the complexity of HDM extract; as a consequence of this complexity, variations exist in some components between batches, particularly regarding the content of lipopolysaccharide, so reproducibility in these studies may be problematic. 4.3 Cockroach, Aspergillus, and Other Model Allergens With similarity to HDM, these models were developed to be as clinically relevant as possible, as many patients suffer from allergy toward cockroach allergen, molds, and other environmental irritants. A common feature of these allergens is their complex nature, as they commonly consist of a mix of different allergic epitopes and fragments. This complexity is most likely why the immunological reaction in mice is relatively similar to that seen in asthmatics [44]. Cockroach allergen (CRA) is a common allergen, known to induce asthma in susceptible individuals; thus, it shares with HDM the advantage of being highly clinically relevant [45]. CRA induces peribronchial inflammation with significant eosinophilic inflammation and transient airway hyperresponsiveness, both of which can be increased by repeated administrations of the allergen [45]. Colonization of the airways with Aspergillus fumigatus is the cause of allergic bronchopulmonary aspergillosis (ABPA), a disease where the lungs are colonized by the fungus, but allergens from Aspergillus fumigatus can also induce asthma similar to other allergens [46]. The reaction to Aspergillus allergens is robust, and often no adjuvants are needed to elicit inflammation [46]. In addition to Aspergillus, other fungi such as Penicillium and Alternaria can also induce asthma in humans and have been used to model disease in mice [47]. A common difficulty with these allergens is the method of administration, as the physiological route is believed to be the Mouse Models of Human Disease 13 inhalation of dry allergens; mimicking this route with a nebulizer introduces the risk of the animals ingesting the allergen and thus causing systemic responses [47]. 4.4 Modeling Asthma Exacerbations Exacerbations of asthma are defined as the worsening of symptoms, prompting an adjustment in treatment, and are believed to be associated with increased inflammation in the distal airways. Clinically, exacerbations are believed to be induced by infections (most common), allergen exposure, or pollutants, which can be modeled in different ways [48, 49]: 1. Infections with viruses and bacteria or exposure to proteins/ DNA/RNA derived from these microbes. 2. Administration of a high dose of allergen in a previously sensitized animal. 3. Exposure to environmental pollutants, such as diesel exhaust or ozone. Modeling exacerbations adds a layer of complexity, as robust ongoing allergic airway inflammation needs to be established first, before challenge with the exacerbating agent. Both the OVA and HDM models are used in this respect, and in both cases chronic protocols extending for several weeks before triggering an exacerbation have been used [48]. 5 Chronic Obstructive Pulmonary Disease Chronic obstructive pulmonary disease (COPD) is characterized by chronic airway obstruction, in contrast to asthma where the obstruction is reversible (particularly in response to bronchodilator treatment). Clinically, in COPD, chronic bronchitis and emphysema can occur either separately or in combination. COPD is almost always associated with either first- or secondhand tobacco smoking or in rare cases with a deficiency in the production of α1antitrypsin (a serpin that prevents elastin breakdown as a result of neutrophil degranulation) [50]. The etiology of COPD is highly complex and is believed to develop after many years of smoking in combination with other known factors such as genetic susceptibility or environmental factors [51]. In similarity to asthma, inflammation is a major component in COPD, but the leukocyte profile is very different: the most prominent players in COPD-related inflammation are neutrophils and, to some degree, macrophages [51]. Due to the complex etiology of COPD, it is difficult to recapitulate all aspects of this disease in a single model, so in most cases, the aim is to induce COPD-like lesions by exposing mice to tissue-damaging substances (usually cigarette smoke) or to mimic emphysema by the administration of tissue-degrading enzymes [27, 51]. 14 5.1 €nen and Jill R. Johnson Kristina Rydell-Törma Cigarette Smoke 5.2 Protease Instillation 6 Clearly, mice do not smoke cigarettes on their own, so to model COPD by cigarette smoke (CS) inhalation, the mice need to be exposed to unfiltered CS in an induction chamber; moreover, in an attempt to better model the chronic aspects of COPD, this needs to be performed for a prolonged period of time. Mice are very tolerant to CS, but eventually (over a period of several weeks), CS induces pulmonary neutrophilic inflammation that is associated with some degree of tissue degradation and destruction [51]. An important advantage of this model is the fact that CS is the actual irritant responsible for disease in humans, and mice develop several features similar to the clinical disease, making this model highly clinically relevant [27]. A significant drawback is the self-limitation of the model—the pathological changes do not progress after the cessation of CS exposure [51]. Furthermore, the exposure time needed for mice to develop COPD-like pathology is extensive, i.e., studies have shown that an exposure protocol of 5 days per week for a minimum of 3 months is needed to generate robust structural changes to the lung [52]. The pathological image in COPD is complex and varies greatly between patients, commonly encompassing chronic bronchitis and bronchiolitis, emphysema, fibrosis, and airway obstruction. Although mice develop some of these symptoms when exposed to CS, they do not develop all the symptoms of human disease; thus, CS has advantages as a model but fails to mimic the complexity of the clinical situation and disease presentation [27]. Other models of COPD rely on the administration of proteases (protein-degrading enzymes) that are believed to be involved in the pathology of this disease in a subset of patients, such as elastindegrading elastase. This approach mimics the emphysematous changes seen in COPD, but the pathological process underlying tissue destruction is likely very different compared to the clinical situation [51], as very few patients show evidence of elastase dysregulation [27]. However, if the aim of the study is to investigate the general effect of protease-induced tissue destruction and regeneration, then this is a highly relevant method [51]. Some studies on COPD have also used genetically modified animals, such as mice overexpressing collagenase, which results in tissue destruction without inflammation or fibrosis with an end result fairly similar to the type of emphysema observed in COPD [53]. Pulmonary Fibrosis Pulmonary fibrosis, the accumulation of fibrotic tissue within the alveolar parenchyma, is merely a symptom of disease, and the etiology of this pathology in humans varies greatly [54]. The Mouse Models of Human Disease 15 most enigmatic class is perhaps the idiopathic interstitial pneumonias, especially idiopathic pulmonary fibrosis (IPF). IPF is a debilitating and progressive disease with a grave prognosis, characterized by progressive fibrosis believed to reflect aberrant tissue regeneration [55]. As the reason behind this defective repair is unknown, although a combination of immunological, genetic, and environmental factors are suspected, it is very difficult to model disease in a clinically relevant fashion [56]. The most common method used to model pulmonary fibrosis in mice is administration of the chemotherapeutic agent bleomycin; this agent is known to cause pulmonary fibrosis in humans as well, but this may not accurately reflect the true etiology of most cases of human disease. The strain of choice is C57BL/6, as it is prone to developing pulmonary fibrosis, whereas BALB/c is relatively resistant, a feature believed to reflect the cytokine response following cellular stress and damage [57]. Bleomycin administration can be performed locally or systemically, producing very different results. 6.1 Local Bleomycin Administration The most common model of pulmonary fibrosis is a single intranasal or intratracheal administration of bleomycin, with analysis 3 to 4 weeks later. During this time, the drug causes acute tissue damage in a restricted area of the lung (where the solution ends up during administration), followed by intense inflammation in this area and subsequent fibrosis, which gradually resolves within weeks. However, if older mice are used, the fibrosis will persist longer than in younger mice, which is in accordance with clinical IPF, where the majority of the patients are 65 years of age or older [56, 58]. A great advantage of this model is how well-characterized it is. In addition, local administration is labor-effective, as only one administration is required and the result is highly reproducible. The fibrosis is robust, only affects the lungs, and the accumulation of extracellular matrix can be easily measured using standard techniques [58]. Furthermore, as it is used throughout the world, studies performed in different labs and by different groups can be compared relatively easily. Unfortunately, the intense pulmonary inflammation may be lethal, and fatalities are to be expected with this model [59], representing an important ethical limitation. Furthermore, fibrosis is heterogeneous—it develops where the bleomycin solution is deposited. The solution usually deposits within the central lung, a localization that is not in agreement with the clinical situation where fibrosis is located in the more distal regions of the lung parenchyma. In addition, the fibrosis that develops as a result of severe tissue damage is self-limiting and reversible, unlike what is observed clinically [58]. The severe degree of tissue damage induced by bleomycin may in fact be more relevant for modeling acute lung injury (ALI) or acute respiratory distress syndrome (ARDS). 16 €nen and Jill R. Johnson Kristina Rydell-Törma 6.2 Systemic Bleomycin Administration Bleomycin can also be administered systemically, through intravenous or subcutaneous injection. In contrast to local administration, this route requires multiple administrations and is thus more laborintensive [58]. Some studies have described the usage of osmotic mini-pumps, where bleomycin is slowly administered over a short period of time, and then fibrosis continues to develop over subsequent weeks [60]. Irrespective of the route of delivery, systemic administration results in more homogenous fibrosis, affecting the entire lung through the pulmonary endothelium and persisting much longer than following local administration [61]. The main advantages of systemic administration are that inflammation is limited, while the fibrosis is more apparent and displays a more distal pattern, all of which mimics the clinical situation relatively well. The multiple administrations allow for lower doses with each injection; this is less stressful to the animals and results in little to no mortality [61] and is thus more ethically acceptable. A major disadvantage with this model is that it takes time for fibrosis to develop [58], which may be the reason it is used relatively scarcely, and thus the pathological development is less well-understood. In addition, as IPF is a local disease, local administration of the etiologic agent may better mimic the clinical reality [56]. 6.3 Fluorescein Isothiocyanate Administration The administration of fluorescein isothiocyanate (FITC) induces focal inflammation, primarily involving mononuclear cells and neutrophils, and localizes in areas where the FITC solution is deposited [58]. Antibodies against FITC can be detected after 1 week, and the fibrosis persists for up to 5 months after instillation [58]. The benefits of this model are mainly related to the persistent fibrosis that does not appear to be self-limiting, thus reflecting the clinical situation, and it is also very easy to determine which part of the lung has been exposed to FITC, as the molecule is fluorescent [58]. It is also an advantage that both C57BL/6 and BALB/c mice are susceptible and develop fibrosis following FITC administration [56]. The disadvantages of this model include profound variability due to differences between batches of FITC, as well as in the method used to prepare the solution before instillation. Importantly, given the characteristics of the etiologic agent used to induce this model of IPF, this model is considered a very artificial system with limited clinical relevance [56]. 6.4 TGF-β Overexpression Adenovirus vectors have been used to overexpress the pro-fibrotic cytokine transforming growth factor (TGF)-β, which results in pulmonary fibrosis. As TGF-β overexpression in the lungs is known to be crucial in the development of fibrosis in humans [62], this model mimics an important feature of disease etiology. However, the delivery system has some drawbacks, as the virus itself initiates an immune response. Moreover, adenoviruses display Mouse Models of Human Disease 17 significant tropism for epithelial cells and rarely infect other cell types such as fibroblasts [58], which are the cells meant to be targeted in this model. As TGF-β has major effects on fibroblast biology, the main feature of this model is the effect of epitheliumderived TGF-β on fibroblasts and myofibroblasts, resulting in the deposition of ECM proteins and areas of dense fibrosis [63]. An advantage of this model is the relatively low degree of inflammation, as well as what appears to be a direct effect on fibroblasts/ myofibroblasts [63], which is in accordance with the clinical situation (as we understand it today). Silica administration induces a similar pathology in mouse lungs as in humans exposed to silica, and as is also observed in human silicainduced fibrosis, structural remodeling persists when administration is halted [56]. Following the administration of silica particles, fibrotic nodules develop in mouse lungs, with considerable resemblance to the human lesions that develop after exposure to mineral fibers [56]. The fibrotic response is accompanied by a limited inflammatory response, and different pro-fibrotic cytokines such as TGF-β, platelet-derived growth factor, and IL-10 are involved in disease development, which is in accordance with the clinical situation [56]. Another advantage is that nodules develop around silica fibers, and these fibers are easy to identify by light microscopy. The response in this model is strain-dependent, with C57BL/6 mice being the most susceptible. The main drawbacks are the time required to establish disease, i.e., 30–60 days, and the need for special equipment to aerosolize the silica particles. However, since the route of administration, the driving etiologic agent, and the resulting pathobiology are all similar to the characteristics of this subtype of pulmonary fibrosis [56, 58], the silica exposure model can be considered to have very good clinical relevance. 6.5 Silica 7 What Does the Future Hold for Mouse Models of Human Disease? Medical research using experimental animals (not only mice but other animals including rats, guinea pigs, zebrafish, and fruit flies) has greatly contributed to many important scientific and medical advances in the past century and will continue to do so into the near future. These advances have contributed to the development of new medicines and treatments for human disease and have therefore played a vital role in increasing the human life span and improving quality of life. Despite the acknowledged benefits of performing research using experimental animals, a number of considerations must be made before embarking on this type of research. Of course, the financial aspects of conducting this type of work are an important limitation, as the costs of purchasing and housing mice can be prohibitive, especially when genetically modified mice and colony 18 €nen and Jill R. Johnson Kristina Rydell-Törma maintenance are required for the study. The practicalities of working with animals such as mice may also be an issue, as this type of work requires specialized facilities, equipment, and staff to ensure studies are carried out in a manner that is safe for both the researchers and the animals. Moreover, as discussed in detail in this chapter, the relevance of the selected animal model to human disease must be carefully evaluated to ensure that these experiments provide robust results that are translatable to human health and disease. Another important and demanding aspect of biomedical research using animals is the ethics of imposing pain and suffering on live animals. Although there has been a considerable reduction in the numbers of animals used in research in the last 30 years, animal research remains a vital part of biomedical research. However, no responsible scientist wants to cause unnecessary suffering in experimental animals if it can be avoided, so scientists have accepted controls on the use of animals for medical research. In the UK, this ethical framework has been enshrined in law, i.e., the Animals (Scientific Procedures) Act 1986. This legislation requires that applications for a project license to perform research involving the use of “protected” animals (including all vertebrates and cephalopods) must be fully assessed with regard to any harm imposed on the animals. This involves a detailed examination of the proposed procedures and experiments, and the numbers and types of animal used, with robust statistical calculations to support these numbers. The planned studies are then considered in light of the potential benefits of the project. Both within and outside the UK, approval for a study involving protected animals also requires an internal ethical review process, usually conducted by the research institution where the work is taking place, with the aim of promoting animal welfare by ensuring the work will be carried out in an ethical manner and that the use of animals is justified. Additionally, the UK has a national animal use reduction strategy supported by the National Centre for the Replacement, Refinement and Reduction of Animals in Research (NC3Rs; London, UK). This consortium was established in 2004 to promote and develop high-quality research that takes the principles of replacement, refinement, and reduction (the 3Rs) into account. 7.1 Replacement Replacement strategies often involve the use of alternative, non-protected species (e.g., zebrafish, fruit flies, flatworms) and in vitro correlates (two-dimensional cell culture or threedimensional organoids containing multiple cell types) to test hypotheses and assess the effects of therapeutic interventions. The main obstacle with studies on non-protected animals is the difficulty of accurately mimicking the complex physiological systems involved in human health and disease, as described in detail above. For example, the fruit fly Drosophila melanogaster is an excellent Mouse Models of Human Disease 19 model organism for studies on genetic diseases, aging, and pathogen-borne illnesses but may be less relevant for studies on complex lung diseases. Importantly, model organisms such as fruit flies, zebrafish, and flatworms do not possess lungs, which somewhat limits the translatability of research on these animals in the field of respiratory disease. As such, it is likely that rodents will remain the model organism of choice for studies into lung disease for some time to come. There has been considerable progress recently in imitating single organs such as the liver, lung, and brain in vitro using multiple cell types and a physical scaffold. As an important advantage, these in vitro tests have replaced a large number of rodents in initial drug discovery experiments, while also speeding up the process [64]. These studies still require further refinement and validation to establish them as suitable models for an entire organ; importantly, these in vitro organoids cannot take into account interactions between organ systems in complex, multisystem diseases such as COPD. 7.2 Refinement Refinement involves selecting the most clinically relevant model for the disease available, informed by the discussion above on closely recapitulating the etiologic agent and disease pathobiology associated with clinical cases. Another important factor is refining the management of pain. An assessment of the procedures used and the effects of the substance on the animal, as well as the degree of handling, restraint, and analgesia, are other important aspects of refinement. This standard of animal care is achieved through strict regulations and controls on how personnel are trained to carry out experiments on live animals. Adequate training is an important aspect of refinement and should be reviewed and improved on an ongoing basis. Moreover, refinement can be achieved by improving animal housing by environmental enrichment, e.g., providing a place for mice to hide in the cage and housing social animals such as mice in appropriate-sized groups. These simple changes can improve the physiological and behavioral status of research animals; this not only increases animal well-being but also contributes to the quality of the experimental results by reducing stress levels. 7.3 Reduction The 3Rs aspect of reduction focuses on the statistical power of experiments and by following the Animal Research: Reporting of In Vivo Experiments (ARRIVE) guidelines, originally published in PLOS Biology in 2010. These guidelines provide a framework to improve the reporting of research performed on live animals by maximizing the quality of the scientific data and by minimizing unnecessary studies. The ARRIVE guidelines provide a checklist of aspects that must be considered in good quality research using live animals. The guidelines are most appropriate for comparative studies involving two or more groups of experimental animals with at least one control group, but they also apply to studies involving 20 €nen and Jill R. Johnson Kristina Rydell-Törma drug dosing in which a single animal is used as its own control (within-subject experiments). The guidelines provide recommendations on what should be considered when preparing to report on the results of experiments involving live animals, i.e., by providing a concise but thorough background on the scientific theory and why and how animals were used to test a hypothesis, a statement on ethical approvals and study design including power and sample size calculations, a clear description of the methods used to ensure repeatability, objective measurements of outcomes and adverse effects, and interpretation of the results in light of the available literature and the limitations of the study. In addition to the positive impact of the ARRIVE guidelines on reducing the number of animals used in experiments, this checklist provides an easy-tofollow roadmap on what is required for good quality reporting of experimental results. 8 Conclusion In conclusion, the use of animals in research will continue to be an important aspect of medical research, and these procedures can be ethically justified provided the proper controls are in place. The benefits of animal research have been vital to the progress of medical science; abandoning these studies would have severe negative consequences on human health. By considering aspects such as the 3Rs and the ARRIVE guidelines in planning experiments involving live animals, the number of animals used and suffering of these animals for the benefit of human health can be minimized. 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Sime PJ, Xing Z, Graham FL, Csaky KG, Gauldie J (1997) Adenovector-mediated gene transfer of active transforming growth factorbeta1 induces prolonged severe fibrosis in rat lung. J Clin Invest 100:768–776 64. Festing S, Wilkinson R (2007) The ethics of animal research. Talking Point on the use of animals in scientific research. EMBO Rep 8:526–530 Chapter 2 Optimizing the Cell Culture Microenvironment Ivan Bertoncello Abstract The survival, proliferation, and differentiation of cells in culture are determined not only by their intrinsic potential but also by cues provided by the permissive or restrictive microenvironment in which they reside. The robustness and reproducibility of cell culture assays and endpoints relies on the stability of that microenvironment and vigilant attention to the control of variables that affect cell behavior during culture. These often underappreciated variables include, but are not limited to, medium pH and buffering, osmolarity, composition of the gas phase, the timing and periodicity of refeeding and subculture, and the impact of fluctuations in temperature and gas phase composition on frequent opening and closing of incubator doors. This chapter briefly describes the impact of these and other variables on the behavior of cultured cells. Key words Cell culture, Culture medium, Medium pH, Medium buffering, Oxygen tension, Incubation conditions 1 Introduction The niche hypothesis first articulated by Schofield [1] to explain hematopoietic regulation posits that the regenerative potential of a cell population is defined in context: by its intrinsic potential and by its interaction with the microenvironment in which it resides [2, 3]. The dynamic interaction of regenerative cells with soluble and insoluble factors, signaling pathways, accessory cells, and matrix proteins comprising their microenvironment regulates their developmental potential, proliferation, and differentiation (Fig. 1). Conversely, reciprocal signaling mediated by proliferating and differentiating cells is able to modify their niche microenvironment, potentially leading to dysregulated cell growth [4–6]. The degree of difficulty encountered in deconstructing and elucidating these regulatory processes to develop informative and instructive in vitro cell culture models cannot be underestimated. In 1993, Quesenberry [7] estimated that there were at least 2.248 possible combinations of 40 known hemolymphopoietic cytokines with order being important and without allowing for dose- Ivan Bertoncello (ed.), Mouse Cell Culture: Methods and Protocols, Methods in Molecular Biology, vol. 1940, https://doi.org/10.1007/978-1-4939-9086-3_2, © Springer Science+Business Media, LLC, part of Springer Nature 2019 23 24 Ivan Bertoncello Fig. 1 The developmental potential, proliferation, and differentiation of cultured cells are determined by their spatial orientation, their dynamic interaction, and their elaboration of soluble and insoluble stimulatory and inhibitory factors and matrix proteins that comprise their microenvironment dependent differences in activity or target cell heterogeneity. Variables including cell adhesion and cell geometry [8], cell polarity [9], and extracellular matrix stiffness [3, 10] have also been identified as significant factors that influence the developmental fate, proliferation, and differentiation of different cell types. Over the years, reductionist experimentation exploiting powerful biochemical and molecular genetic technologies and cell separative strategies has enabled the progressive refinement of cell culture technologies. However, the optimization of cell culture assays and the identification and elimination of sources of experimental variability remain a work in progress [11]. Historically, the development of protocols for the maintenance and propagation of specific cell types has focused on the formulation and optimization of chemically defined tissue culture media that meet their requirement for unique combinations of nutrients, trace elements, growth factors, and hormones in order to thrive in vitro [11–13]. Often, optimal growth requires the addition of uncharacterized supplements such as fetal calf serum, conditioned media, tissue extracts, extracellular matrices, or hydrogels to chemically defined media. In addition to variable concentrations of known factors, these supplements contain a plethora of ill-defined peptides, proteins, and organic and inorganic molecules potentially capable of stimulating or inhibiting target cells. In one study [14], in-depth proteomic analysis identified a total of 14,060 unique peptides and 1851 unique proteins in different lots of standard and growth factor reduced (GFR) Matrigel preparations obtained from different suppliers, with only 53% batch-to-batch similarity in GFR Matrigel lots based on protein identification. These constituents will potentially affect the developmental potential, The Cell Culture Microenvironment 25 proliferation, and differentiation of cultured cells, by directly stimulating target cells synergistically or additively in a dosedependent fashion, or by indirectly activating or suppressing accessory cells inducing cytokine loops and cascades. Batch variation in these supplements is often a significant source of unexplained qualitative and quantitative differences in cell culture outcomes and assay readouts within laboratories or among different laboratories. Consequently, batch testing of these reagents is critical in order to ensure the stability and reproducibility of cell culture systems over time. Ideally aliquots of reagents with optimal growth supporting properties should be stored long term as a reference standard or as an aid in identifying confounding factors affecting reproducibility or replication of assay readouts. The commercial availability of highly defined cell culture media supplemented with unique combinations of essential nutrients, trace elements, hormones, and growth factors has enabled the development of cell culture systems for the maintenance, propagation, and manipulation of virtually all embryonic and adult cell types and cell lineages. However, cell-dependent variables, colligative properties of cell culture media, and the stability of the cell culture environment (Table 1) merit much greater attention when looking to optimize cell culture systems and improve the stability and reproducibility of cell culture assays. Table 1 Variables affecting the proliferation and differentiation of cultured cells and the reproducibility of cell culture endpoints Heterogeneity of the initial cell inoculum Cell plating density Split ratio, growth phase, and cycling status of cultured cells Timing and frequency of refeeding Composition of the gas phase: pO2 and pCO2 Culture medium pH and buffering Volume and depth of cell culture medium Medium osmolarity Stability of tissue culture reagents Stability of incubation conditions—temperature, gas phase Period of incubation and criteria for culture endpoint (e.g., colony size) 26 2 Ivan Bertoncello Cell-Dependent Variables The defined medium in which cells are propagated is only “defined” at the initiation of culture. From the moment cells are suspended in the defined medium, the properties of the culture system are instantly and progressively altered. The initial cell density and the heterogeneity of the cell inoculum are significant variables affecting the stability and reproducibility of cell culture outcomes. Cells interact in culture to secrete autocrine, juxtacrine, holocrine, and/or endocrine factors that modify their microenvironment to affect their survival, developmental potential, and rate of proliferation and differentiation (Fig. 1). Single cells or cells growing at clonal cell densities have more fastidious requirements than cells propagated at high cell densities [12]. The large volume of medium per cell in clonal cell cultures significantly compromises their ability to quickly generate optimal concentrations of secreted factors required for their survival and growth, potentially compromising their survival, proliferation, and differentiation. The replicative capacity, viability, and dynamic changes in the pattern of growth and differentiation of cells propagated in longterm culture also vary in response to the periodicity of refeeding, the phase of cell growth (exponential or stationary) at the time cultures are split, and the uniformity of split ratio. For example, hematopoietic stem cells secrete a large repertoire of stimulatory and inhibitory factors in the course of their proliferation and differentiation. Therefore, large fluctuations are observed in the repertoire and concentration of these factors each time medium is replenished during periodic refeeding of long-term cultures [15] markedly affecting the dynamics and heterogeneity of cell growth. The optimal performance and stability of cell culture assays, and the reproducibility of cell culture endpoints, relies on precise standardization of culture conditions. This includes number of cells, and the cell density of the cell inoculum, the ratio of the cell number to the volume of medium, and the timing and periodicity of subculture and refeeding. 3 Medium pH and Buffering Early pioneers of cell culture recognized that the behavior of cultured cells is profoundly sensitive to changes in environmental pH, affecting parameters including protein synthesis, metabolism, cell growth rate [12, 16, 17], and cell differentiation and cloning efficiency [18]. Medium acidification as a result of catabolic and anabolic metabolism and the generation of inhibitory metabolites also affects the availability of nutrients due to complex interactions of medium constituents [17, 19] including sequestration of The Cell Culture Microenvironment 27 CO2 CO2 + H2O H2CO3 HCO3- + H+ Fig. 2 The pH in cell culture is stabilized by the bicarbonate buffering system. Equilibrium is maintained by the relationship between the concentration of CO2 in the gas phase and the concentration of HCO3 in the cell culture medium. Acidification of culture medium drives the equation to the left raising CO2 concentration, whereas raising the concentration of CO2 in the gas phase, or in the medium due to the metabolic activity of cultured cells, drives the equation to the right lowering medium pH. For optimal buffering, the concentration of NaHCO3 in culture medium should be adjusted in line with the concentration of CO2 in the gas phase essential nutrients by binding to albumin [20]. Optimal pH differs markedly for different cell types [16, 17] with some cell types exhibiting extreme sensitivity to medium acidification [21, 22] affecting cell cycling, cell growth, and differentiation and also causing DNA damage and genomic instability [23]. The regulation of pH in cell culture is primarily achieved by bicarbonate buffering as described by the Henderson-Hasselbalch equation (Fig. 2). Medium pH is maintained by the equilibrium between the CO2 concentration in the gas phase and the sodium bicarbonate (NaHCO3) concentration in the culture medium [11, 24]. An elevated concentration of CO2 in the gas phase will drive the equation to the right resulting in elaboration of an increased concentration of hydrogen ion (H+) and medium acidification. Conversely, medium acidification will drive the equation to the left increasing the elaboration of CO2. It is not uncommon for tissue culture protocols developed in different laboratories to specify different CO2 concentrations for the incubator gas phase: commonly 5% CO2 or 10% CO2. In my experience the fact that differences in the CO2 concentration of the incubator gas phase affects the buffering capacity of the medium is often overlooked, potentially affecting the optimal growth of cells and cell lines sensitive to medium acidification. Ideally, the CO2 tension in the incubator gas phase and/or the NaHCO3 concentration in different media should be adjusted accordingly [11, 24]. 4 The Gas Phase Cultured cells are most commonly maintained and propagated under normoxic conditions in a gas phase of 5% CO2 or 10% CO2 in air (i.e., 20% O2). However, there has been a growing awareness of the benefits of cell culture at low oxygen tension (5% O2), mimicking the hypoxic environment in which regenerative cells 28 Ivan Bertoncello reside in tissues and organs in vivo [25, 26]. The reader is also referred to a comprehensive bibliography of historical studies in this field provided in supplementary information in the commentary by Wion et al. [26]. The beneficial effect of low O2 tension is less evident when analyzing the behavior of cell lines originally selected and propagated long term under normoxic conditions. Nor when cells or cell lines are grown at high cell density where O2 and CO2 tension in the pericellular microenvironment tends to be adjusted and regulated by cell metabolism. However, it is a different matter for many primary explanted cell types and cells grown at clonal or low cell densities where growth at low O2 tension often results in improved replicative capacity and cloning efficiency and qualitative and quantitative differences in differentiation potential or the elaboration of secreted factors. The expense of purchasing and maintaining triple gas incubators that regulate the delivery of CO2, O2, and nitrogen (N2) is often cited as an impediment to routine culturing of cells at low O2 tension. However, investigators should be aware that O2 toxicity and oxidative stress are detrimental to cells in culture [27–29] and that O2 toxicity can cause spontaneous genetic mutations [30]. A recent study has also demonstrated that low O2 tension is not only important during cell propagation but also during cell processing, noting that the incidence and recovery of hematopoietic stem cells (HSC) are significantly impaired in hematopoietic tissues processed in air [31]. 5 Osmolarity Medium osmolarity is another important variable affecting cell membrane transport and the metabolism, growth, and differentiation of cultured cells [32]. When evaluating the activity of cytokines, supplements, or reagents on cell proliferation and differentiation, cell metabolism, or gene expression, investigators should be aware of the possible contribution of these substances to changes in osmolarity that could affect culture outcome. Osmolarity of culture medium in open culture vessels can also be adversely affected by evaporation due to fluctuations in incubator temperature and humidity during injection of dry gases while purging to re-equilibrate the gas phase following opening and closing of the incubator. Frequent opening and closing of incubator doors to retrieve and examine cell cultures further exacerbate this problem creating a progressively hyperosmotic microenvironment in long-term cultures that will ultimately inhibit their proliferation and clonogenicity. The Cell Culture Microenvironment 6 29 Stability of Incubation Conditions The robustness of cell culture protocols, and the reproducibility of cell culture endpoints, relies on careful attention paid to the stability of incubation conditions during the period of culture: a factor underappreciated by many investigators. The previous section alluded to the impact of frequent opening and closing of incubator doors on the evaporation of medium and medium osmolarity due to loss of humidity. However, fluctuations in incubator temperature, and O2 and CO2 tension during examination of cultures, or following purging and re-equilibration of the incubator gas phase are equally significant, affecting medium pH and medium buffering. Investigators need to be aware that the equilibration of the gas phase in the incubator and gas phase inside a tissue culture vessel can take 30 min [33, 34]. Because equilibration of gas concentration in culture medium relies on diffusion, the rate of equilibration is also affected by the depth of the medium. Allen et al. [33] have shown that equilibration of O2 content in unstirred culture medium can take more than 3 h due to the low solubility and limited diffusion of O2 in aqueous solutions, potentially affecting the precision and reproducibility of cell culture endpoints over time. 7 Conclusion Cell culture protocols for specific cell types will continue to evolve in lockstep with our understanding of the nature and function of the factors and signaling pathways that specify their fate and regulate their replicative capacity, proliferation, and differentiation. The impact of each of the variables discussed in this brief review on individual primary cell cultures or established cell lines will differ. But together, they are a source of experimental variation that if not appreciated and controlled potentially affect the reproducibility of cell culture endpoints within laboratories, as well as the ability of investigators to replicate assays and predictive models in different laboratories. References 1. Schofield R (1978) The relationship between the spleen colony-forming cell and the haemopoietic stem cell. Blood Cells 4:7–25 2. Wagers AJ (2012) The stem cell niche in regenerative medicine. Cell Stem Cell 10:362–369 3. Muncie JM, Weaver VM (2018) The physical and biochemical properties of the extracellular matrix regulate cell fate. Curr Top Dev Biol 130:1–37 4. Nelson CM, Bissell MJ (2006) Of extracellular matrix, scaffolds, and signaling: tissue architecture regulates development, homeostasis, and cancer. Annu Rev Cell Dev Biol 22:287–309 5. Xu R, Boudreau A, Bissell MJ (2009) Tissue architecture and function: dynamic reciprocity via extra- and intra-cellular matrices. Cancer Metastasis Rev 28:167–176 6. Sneddon JB, Werb Z (2007) Location, location, location: the cancer stem cell niche. Cell Stem Cell 1:607–611 7. Quesenberry PJ (1993) Too much of a good thing. Reductionism run amok [editorial]. Exp Hematol 21:193–194 8. Folkman J, Greenspan HP (1975) Influence of geometry on control of cell growth. Biochim Biophys Acta 417:211–236 30 Ivan Bertoncello 9. Kaushik G, Ponnusamy MP, Batra SK (2018) Concise review: current status of threedimensional organoids as preclinical models. Stem Cells 36:1329–1340 10. Tharp KM, Weaver VM (2018) Modeling tissue polarity in context. J Mol Biol 430:3613–3628 11. Yao T, Asayama Y (2017) Animal-cell culture media: history, characteristics, and current issues. Reprod Med Biol 16:99–117 12. Ham RG (1981) Survival and growth requirements of nontransformed cells. In: Baserga R (ed) Handbook of experimental pharmacology, Tissue growth factors, vol 57. Springer-Verlag, Berlin, pp 13–88 13. Ham RG (1984) Formulation of basal nutrient media. In: Barnes DW, Sirbascu DA, Sato GH (eds) Methods for preparation of media, supplements, and substrata for serum-free animal cell culture, Cell culture methods for molecular and cell biology. Alan R. Liss, New York, pp 1–21 14. Hughes CS, Postovit LM, Lajoie GA (2010) Matrigel: a complex protein mixture required for optimal growth of cell culture. Proteomics 10:1886–1890 15. Csaszar E, Kirouac DC, Yu M, Wang W, Qiao W et al (2012) Rapid expansion of human hematopoietic stem cells by automated control of inhibitory feedback signaling. Cell Stem Cell 10:218–229 16. Ceccarini C, Eagle H (1971) pH as a determinant of cellular growth and contact inhibition. Proc Natl Acad Sci U S A 68:229–233 17. Eagle H (1974) Some effects of environmental pH on cellular metabolism and function. In: Clarkson B, Baserga R (eds) Control of proliferation in animal cells, vol 1. Cold Spring Harbor Laboratory, Cold Spring Harbor, pp 1–12 18. McAdams TA, Miller WM, Papoutsakis ET (1997) Variations in culture pH affect the cloning efficiency and differentiation of progenitor cells in ex vivo haemopoiesis. Br J Haematol 97:889–895 19. Waymouth C (1974) “Feeding the baby” – designing the culture milieu to enhance cell stability. J Natl Cancer Inst 53:1443–1448 20. Francis GL (2010) Albumin and mammalian cell culture: implications for biotechnology applications. Cytotechnology 62:1–16 21. Brodsky AN, Zhang J, Visconti RP, Harcum SW (2013) Expansion of mesenchymal stem cells under atmospheric carbon dioxide. Biotechnol Prog 29:1298–1306 22. Liu W, Ren Z, Lu K, Song C, Cheung ECW et al (2018) The suppression of medium acidosis improves the maintenance and differentiation of human pluripotent stem cells at high density in defined cell culture medium. Int J Biol Sci 14:485–496 23. Jacobs K, Zambelli F, Mertzanidou A, Smolders I, Geens M et al (2016) Higherdensity culture in human embryonic stem cells results in DNA damage and genome instability. Stem Cell Reports 6:330–341 24. Freshney RI (2016) Defined media and supplements. In: Culture of animal cells: a manual of basic technique and specialized applications, 7th edn. John Wiley & Sons Inc., Hoboken, pp 125–148 25. Toussaint O, Weemaels G, Debacq-ChainiauxF, Scharffetter-Kochanek K, Wlaschek M (2011) Artefactual effects of oxygen on cell culture models of cellular senescence and stem cell biology. J Cell Physiol 226:315–321 26. Wion D, Christen T, Barbier EL, Coles JA (2009) PO(2) matters in stem cell culture. Cell Stem Cell 5:242–243 27. Halliwell B (2003) Oxidative stress in cell culture: an under-appreciated problem? FEBS Lett 540:3–6 28. Halliwell B (2014) Cell culture, oxidative stress, and antioxidants: avoiding pitfalls. Biomed J 37:99–105 29. Ito K, Ito K (2018) Hematopoietic stem cell fate through metabolic control. Exp Hematol 64:1–11 30. Parshad R, Sanford KK, Jones GM, Price FM, Taylor WG (1977) Oxygen and light effects on chromosomal aberrations in mouse cells in vitro. Exp Cell Res 104:199–205 31. Mantel CR, O’Leary HA, Chitteti BR, Huang X, Cooper S et al (2015) Enhancing hematopoietic stem cell transplantation efficacy by mitigating oxygen shock. Cell 161:1553–1565 32. Waymouth C (1970) Osmolality of mammalian blood and of media for culture of mammalian cells. In Vitro 6:109–127 33. Allen CB, Schneider BK, White CW (2001) Limitations to oxygen diffusion and equilibration in in vitro cell exposure systems in hyperoxia and hypoxia. Am J Physiol Lung Cell Mol Physiol 281:L1021–L1027 34. Place TL, Domann FE, Case AJ (2017) Limitations of oxygen delivery to cells in culture: an underappreciated problem in basic and translational research. Free Radic Biol Med 113:311–322 Part II Methods and Protocols Chapter 3 Propagation and Maintenance of Mouse Embryonic Stem Cells Jacob M. Paynter, Joseph Chen, Xiaodong Liu, and Christian M. Nefzger Abstract Mouse embryonic stem cells (mESCs) are pluripotent cells derived from preimplantation embryos that have the capacity to self-renew indefinitely in vitro. mESCs are an indispensable tool for studying cellular differentiation in vitro, generating disease in a dish models, and have been used extensively for the generation of transgenic animals. Therefore, maintaining their pluripotent state, even after extended culture, is crucial for their utility. Herein, we describe in detail a protocol for the culture of mESCs in the presence of fetal calf serum (FCS), leukemia inhibitory factor (LIF), and a layer of irradiated mouse embryonic fibroblasts (iMEFs). This culture system reliably sustains mESC pluripotency and self-renewal capacity, allowing their use in a wide range of experimental settings. Key words Mouse embryonic stem cells, Cell culture, Pluripotency, Mouse embryonic fibroblasts, Leukemia inhibitory factor 1 Introduction Pluripotency is defined as the capacity of a cell to give rise to all somatic cell lineages and the germline of the embryo [1]. Our ability to maintain pluripotent stem cells in vitro was crucial to establish them as a platform for the study of early development in vitro and for the generation of transgenic animals [2]. Historically, pluripotent stem cell culture emerged from findings by Stevens and Little in 1954, who described a population of undifferentiated cells in mouse testicular teratocarcinomas termed embryonal carcinoma (EC) cells [3]. Most importantly, Kleinsmith and Pierce found that individual EC cells could give rise to bona fide teratocarcinomas when deposited into the peritoneum of secondary mice [4]. These tumors contained cells from each of the three germ layers, indicating that EC cells were pluripotent. In 1970, the groups of Sato and Ephrussi succeeded in maintaining EC cells Jacob M. Paynter and Joseph Chen contributed equally to this work. Ivan Bertoncello (ed.), Mouse Cell Culture: Methods and Protocols, Methods in Molecular Biology, vol. 1940, https://doi.org/10.1007/978-1-4939-9086-3_3, © Springer Science+Business Media, LLC, part of Springer Nature 2019 33 34 Jacob M. Paynter et al. in vitro as monolayer cultures in the presence of fetal calf serum (FCS) and a basal feeder layer of mitotically inactivated mouse fibroblasts [5, 6]. Over the next decade, biochemical and functional analyses showed that EC cells resemble cells of the early embryo [7–14]. The most stringent of these assays was the ability of EC cells to form chimeras upon blastocyst injection [15–17]. However, in the majority of cases, EC cells failed to contribute to the germline due to their excessive chromosomal abnormalities [18] which precluded their use for the generation of transgenic animals. Seminal work in 1981 culminated in two independent publications by Evans and Kaufman [19] and Martin [20] which described the direct in vitro derivation of pluripotent cells from preimplantation mouse embryos. These cells were named “embryonic stem cells (ESCs)” and could be maintained on a feeder layer of mouse embryonic fibroblasts (MEFs) in the presence of FCS. Mouse ESCs (mESCs) were found to readily give rise to germline chimeras [21] and, remarkably, whole mice when injected into a tetraploid blastocyst [22]. As mESCs are amenable to genetic modification in vitro, gene knockouts and knock-ins can be performed, including the insertion of conditional and reporter alleles, multiplexed gene targeting, and genome-wide mutagenesis. Transgenic animals derived via these routes have been instrumental for disease modeling and the study of gene function [23–26]. Subsequent work focused on characterizing the molecular pathways underpinning the maintenance of pluripotency in ESCs. In 1988, leukemia inhibitory factor (LIF) was identified as the principal component produced by feeder cells and can maintain mESCs in their absence [27, 28], albeit less efficiently, as feeder cells provide an additional attachment matrix as well as factors that support the maintenance of pluripotency in ESCs in addition to LIF [29, 30]. LIF activates STAT3 which feeds into the pluripotency network by upregulating the expression of pluripotency factors such as KLF4, Gbx2, and Tfcp2l1 [31–34]. Serum factors, particularly bone morphogenetic proteins, stimulate the SMAD signaling pathway and constrain lineage commitment by inducing expression of inhibitor of differentiation (ID) proteins [35, 36]. Building on these insights, in 2008, Ying et al. [37] established a culture system to maintain ESCs in the absence of LIF, serum, and feeders, with two small molecule inhibitors they termed “2i.” The components of 2i are PD03 (PD0325901) and CHIRON (CHIR99021) which modulate key pathways involved in lineage commitment and pluripotency. PD03 is a MEK inhibitor which blocks the auto-inductive effects of the FGF/ERK1/2 signaling cascade on differentiation [37], while CHIRON inhibits GSK-3 which mimics the effects of canonical Wnt signaling and thereby alleviates the repressive effects of TCF3 on pluripotency genes. Mouse Embryonic Stem Cell Culture 35 Although providing a well-defined milieu, culture in 2i anchors mESCs in a so-called ground state of pluripotency [1], biasing lineage commitment under differentiation-inducing conditions [38]. Hence, most current mESC differentiation protocols still use cells cultured under serum/LIF conditions in the presence of feeder cells as a starting point. Albeit not chemically defined, this system remains the gold standard for mouse pluripotent stem cell culture. In this chapter, we describe the culture of mESCs under serum/LIF conditions on a feeder layer. We provide stepwise protocols for (I) the generation of high-quality growth-inactivated mouse embryonic fibroblast (iMEF) feeders, (II + III) the recovery of and routine culture of mESCs, and (IV) a protocol for their cryopreservation. The protocol described herein has broad applicability and is also compatible with the culture of induced pluripotent stem cells derived from a variety of different cell types [39]. 2 Materials 1. MEF culture medium: Dulbecco’s modified eagle medium (DMEM) containing 10% fetal calf serum (FBS) (v/v); 1% GlutaMAX™ Supplement (100) (v/v); 1% MEM nonessential amino acid solution (100) (v/v); 100 μM sodium pyruvate; 55 μM β-mercaptoethanol. 2. mESC culture medium: KnockOut™ DMEM containing 15% FBS (v/v) (see Note 1); 1% GlutaMAX™ Supplement (100) (v/v); 1% MEM nonessential amino acid solution (100) (v/v); 55 μM β-mercaptoethanol; 1000 units/mL recombinant murine LIF. 3. Cryopreservation medium: FBS containing 10% DMSO (v/v). 4. Dulbecco’s phosphate-buffered saline (DPBS). 5. 0.25% Trypsin-EDTA (1), phenol red (380 mg/L EDTA, 2500 mg/L trypsin). 6. 175 cm2, angled neck, vented cap cell culture flasks. 7. 25 cm2, angled neck, vented cap cell culture flasks. 8. “Mr. Frosty” freezing containers. 9. 0.1% gelatine solution (w/v): Mix 1 g gelatine from porcine skin with 1 L ultrapure water (milli-Q). Autoclave to dissolve. 10. 15 mL centrifuge tubes. 11. 50 mL centrifuge tubes. 12. EmbryoMax® Primary Mouse Embryo Fibroblasts, Strain CF1, passage 1. 13. γ-Radiation source (e.g., Gammacell® 40 Exactor Low DoseRate Research Irradiator). 36 Jacob M. Paynter et al. Fig. 1 Generation of iMEFs. (a) Schematic overview of the process. (b–d) Morphology of MEFs prior splitting at the end of passages 1, 2, and 3, respectively. (e) Morphology of iMEFs 24 h after recovery from cryopreservation on a gelatine-coated surface. Scale bar: 25 μm 3 Methods 3.1 Generation of iMEFs High-quality iMEFs are crucial to propagate mESC in a highly undifferentiated state. To generate feeder cells in large quantities, passage 1 (p1) MEFs are expanded by serial passaging, mitotically inactivated by irradiation, and cryopreserved for future use (Fig. 1a). While this protocol makes use of commercially available p1 MEFs, they can also be isolated de novo via dissection and homogenization of embryonic day 13.5 mouse embryos as described previously [40]. The procedure described in Subheading 3.1 is expected to yield between 2.4 and 3.6 108 iMEFs from the expansion of a single embryo. 3.1.1 Recovery of MEFs from Cryopreservation (Passage 1) 1. Dispense 10 mL MEF medium into a 15 mL conical tube, and place in a water bath heated to 37 C. 2. Retrieve cryovials from liquid nitrogen storage collectively containing the MEFs from one embryo (~5 106) frozen down at the first passaging event (as described in Ref. 35), and place them in a 37 C water bath to thaw (see Note 2). 3. Once the contents of the vials have completely thawed, transfer the contents to the pre-warmed MEF medium prepared in step 1 of this section, and mix by gentle inversion. 4. Pellet the cells by centrifugation at 400 g for 5 min. Mouse Embryonic Stem Cell Culture 37 5. Aspirate the supernatant from the pellet, and resuspend in 5 mL MEF medium by gentle pipetting. 6. Transfer the suspension in equal volumes to 2 175 cm2 culture flasks, and add additional MEF medium to achieve a working culture volume of 20 mL per flask. Mix by gentle pipetting. 7. Incubate the flasks at 37 C under low oxygen conditions (5% O2, 7% CO2) for 24 h (see Note 3). 8. Perform a media change to remove any dead cells and traces of DMSO: Aspirate culture medium and gently overlay the cells with 20 mL fresh MEF medium (see Note 3). 9. Incubate at 37 C under low oxygen conditions for a further 24–48 h. The cells will require passaging upon reaching ~90% confluence (Fig. 1b) (see Note 4). 3.1.2 Passage 2 (Expansion) 1. Aspirate culture media, and gently overlay the cells in each flask with 15 mL DPBS, and aspirate to remove traces of culture medium (see Note 5). 2. Dispense 3 mL Trypsin-EDTA solution into each flask, and rock back and forth to ensure the solution is distributed evenly over the cell layer. 3. Incubate the flasks at room temperature for 3–5 min. 4. Tap the flasks to dislodge the cells. Examine under a microscope to ensure all cells are fully detached (see Note 6). 5. Dispense 3 mL MEF medium into each flask to neutralize the trypsin. Gently pipette up and down several times to homogenize the cell suspension. 6. Pool the contents of each flask into a single 50 mL centrifuge tube. 7. Wash the surface of each flask with an additional 4 mL of MEF medium to recover any remaining cells, and pool into the 50 mL tube. 8. Pellet the cells by centrifugation at 400 g for 5 min. 9. Aspirate the supernatant from the pellet, and resuspend in 16 mL MEF medium by gentle pipetting. 10. Perform a 1:4 split: Transfer the suspension (20–30 106 cells total) in equal volumes into 8 175 cm2 culture flasks (see Note 7), and add additional MEF medium to achieve a working culture volume of 20 mL. Mix by gentle pipetting. 11. Incubate the flasks at 37 C under low oxygen conditions (5% O2, 7% CO2) for 48–72 h until the cells reach ~90% confluence (Fig. 1c). 38 Jacob M. Paynter et al. 3.1.3 Passage 3 (Expansion) 1. Perform a 1:3 split: Passage cells as described previously in Subheading 3.1.2, effectively expanding the 8 p2 flasks into 24 175 cm2 culture flasks. 2. Incubate the flasks at 37 C under low oxygen conditions (5% O2, 7% CO2) for 48–96 h until the cells reach ~100% confluence (Fig. 1d) (see Note 8). 3.1.4 Harvesting, Irradiation, and Cryopreservation of MEFs 1. Trypsinize the cells as per Subheading 3.1.2, steps 2–5, and transfer the contents of each flask into 5 50 mL centrifuge tubes (see Note 9). 2. Wash the surface of each flask with an additional 4 mL of MEF medium to recover any remaining cells, and pool into the 5 50 mL tubes. 3. Pellet the cells by centrifugation at 400 g for 5 min. 4. Aspirate the supernatant from the pellets. Resuspend and pool the pellets in 30 mL MEF medium, and transfer to a single 50 mL tube. Determine cell number using an automated cell counter slide or hemocytometer (see Note 10). 5. Place the tube in a research irradiator, and expose to γ radiation at a dose rate of 1.0 Gy/min for 30 min. 6. Pellet the resulting iMEFs by centrifugation at 500 g for 5 min. 7. Aspirate the supernatant, and resuspend the pellet in cryopreservation medium at 1 107 cells/mL by gentle pipetting (see Note 11). 8. Using a serological pipette, dispense 500 μL aliquots (5 106 cells) into cryovials. 9. Place cryovials in a controlled rate freezer or freezing containers (“Mr. Frosty”) at 80 C for 24 h (see Note 12). After freezing, transfer the vials to liquid N2 cryo-storage (see Note 13). 3.2 mESC Culture In this protocol, mESCs (see Note 14) are maintained as monolayer cultures on gelatine-coated culture vessels that have been seeded with iMEF feeder cells (Fig. 2a). iMEFs can be obtained commercially (e.g., EmbryoMax® Primary Mouse Embryo Fibroblasts, Strain CF1, Irradiated, passage 3 (Merk Millipore)) or generated as described in the previous section. Feeder cells provide an additional attachment matrix as well as factors that support the maintenance of pluripotency in ESCs in addition to serum and LIF [29, 30]. 3.2.1 Gelatine Coating of Culture Vessels and Seeding of MEFs 1. Overlay the surface of a 25 cm2 culture flask with 2 mL 0.1% gelatine solution. Incubate at room temperature for at least 20 min (see Note 15). Mouse Embryonic Stem Cell Culture 39 Fig. 2 mESC culture. (a) Schematic overview depicting recovery of mESC from cryopreservation and their routine maintenance. (b–f) mESC recovery from cryopreservation and expected morphology. (b) iMEFs are seeded 12–24 h before thawing of mESCs. (c) Thawed mESCs are seeded at a density of 2.5 104 cells/cm2 and should reach 70% confluence after 3 days (d–f). Scale bar: 25 μm 2. Retrieve a vial of irradiated MEFs from cryo-storage. Thaw and resuspend as per Subheading 3.1.1, steps 1–5. Determine cell number using an automated cell counter slide or hemocytometer. 3. Aspirate the gelatine solution from the culture flask prepared in step 1 of this section. Transfer a volume of suspension containing 5 105 iMEF cells (2 104 cells/cm2) into the flask, and add additional MEF medium to achieve a working culture volume of 3 mL (see Note 16). 4. Incubate the flask at 37 C for 12–24 h to allow the feeders to attach. The cells should cover 70–100% of the flask (Fig. 2b). 3.2.2 Thawing of mESCs 1. Retrieve a vial containing ~1 106 mESCs from cryo-storage. Thaw and pellet as per Subheading 3.1.1, steps 1–4. 2. Aspirate the supernatant from the pellet, and resuspend in 1 mL mESC medium by gentle pipetting. Determine cell number using an automated cell counter slide or hemocytometer. 3. Aspirate MEF medium from the gelatine-coated flask with feeders prepared in Subheading 3.2.1. Transfer a volume of mESC suspension containing 6.25 105 cells 40 Jacob M. Paynter et al. (2.5 104 cells/cm2) into the flask (Fig. 2c), and add additional mESC medium to achieve a final culture volume of 3 mL. Mix by gentle pipetting. 4. Incubate the flask at 37 C for 24 h under atmospheric oxygen and 5% CO2. 5. Perform a media change to remove any dead cells and traces of DMSO: Aspirate culture medium and gently overlay the cells with 3 mL fresh mESC medium. 6. Incubate at 37 C for a further 48–72 h, changing medium after 48 h. The cells will require passaging upon reaching ~70% confluence (Fig. 2d–f) (see Note 17). 3.2.3 Routine Passaging of mESCs 1. Prepare a fresh gelatine-coated 25 cm2 flask seeded with iMEFs as per Subheading 3.2.1. 2. Aspirate culture media from the mESC culture vessel (25 cm2 flask), gently overlay with 2 mL DPBS, and aspirate to remove traces of culture medium. 3. Dispense 1 mL Trypsin-EDTA solution into each flask, and rock back and forth to ensure the solution is distributed evenly over the cell layer. 4. Incubate the flasks at room temperature for 3–5 min. 5. Tap the flasks to dislodge the cells. Examine under a microscope to ensure all cells are fully detached. 6. Dispense 1 mL mESC medium into each flask to neutralize the trypsin. Gently pipette up and down several times to homogenize the cell suspension. 7. Transfer the contents of the flask into a 15 mL centrifuge tube. 8. Pellet the cells by centrifugation at 400 g for 5 min. 9. Aspirate the supernatant from the pellet, and resuspend in 5 mL mESC medium by gentle pipetting (see Note 18). Determine cell number using an automated cell counter slide or hemocytometer. A 70% confluent 25 cm2 flask should yield between 7 106 and 1 107 cells. 10. Aspirate MEF medium from the gelatine-coated flask with feeders prepared in step 1 of this section. Transfer a volume of mESC suspension containing 1.25–2.5 105 cells (0.5–1 104 cells/cm2) into the flask, and add additional mESC medium to achieve a final culture volume of 3 mL (see Note 19). Mix by gentle pipetting. 11. Incubate at 37 C for 72 h under atmospheric oxygen and 5% CO2 until cultures reach ~70% confluence, changing medium after 48 h. Mouse Embryonic Stem Cell Culture 3.2.4 Cryopreservation of mESCs 41 1. After counting, pellet mESCs obtained in Subheading 3.2.3, step 9 by centrifugation at 500 g for 5 min. 2. Aspirate the supernatant, and resuspend the pellet in cryopreservation medium at 1 106 cells/mL by gentle pipetting. A 70% confluent 25 cm2 should yield 7–10 cryovials. 3. Using a serological pipette, dispense 1 mL aliquots (1 106 cells) into cryovials. 4. Place cryovials in a controlled rate freezer or (“Mr. Frosty”) freezing containers at 80 C for 24 h. After freezing, transfer the vials to liquid N2 cryo-storage. 4 Notes 1. Certain batches of FCS can be detrimental to mESC cultures. Hence, we recommend using embryonic stem cell-qualified FCS which can be purchased from several vendors (e.g., Thermo Fisher, Merck, Applied StemCell). If this is undesirable due to financial constraints, batch testing of sera from other vendors can be performed. For batch testing, we recommend culturing mESCs for several passages (~5) in the alternative sera and to only use batches that are able to maintain the typical dome-shaped morphology and growth rate of mESCs. 2. Cells should be thawed as quickly as possible to maximize recovery. This can be facilitated by using a circulating water bath and periodically agitating the vial. 3. We recommend the use of low oxygen incubators for MEF expansions. MEFs cultured in a low oxygen environment show higher proliferation rates and delayed senescence compared to those cultured under atmospheric oxygen [41], thus giving rise to higher quality feeders. 4. MEF cultures should not be allowed to exceed 90% confluency, as this can induce growth inhibition and result in poor expansion. 5. When changing medium or washing with PBS, never dispense liquid directly onto the cells, as this can compromise the monolayer. Instead, eject gently down the side of the flask. 6. Prolonged trypsin exposure can compromise cell viability. We do not advise exposing cells to trypsin for much longer than 5 min. 7. When passaging MEFs, culture flasks may be reused to reduce financial costs. 8. The growth rate of MEFs slows down at later passages due to the onset of senescence, and cultures may take longer to reach confluence. Senescent MEFs have a flattened, spread out 42 Jacob M. Paynter et al. (“fried egg”) morphology. Cultures dominated by overtly senescent cells give rise to poor-quality feeders; hence we advise not to expand MEFs beyond passage 3. If culturing for longer than 72 h, cells should receive a media change every 48 h. 9. When handling high numbers of flasks, we recommend dividing the labor across subsets to avoid cells drying out during the washing steps. 10. Due to the high cell density of the suspension at this stage, we recommend taking a 20 μL aliquot of the concentrated suspension and diluting it 1:10 in MEF media before counting to determine the cell number more accurately. 11. It is advisable to minimize exposure of cells to DMSO at subfreezing temperatures due to its toxicity. Cell viability can be increased by working quickly and keeping the cells at a low temperature. Feeders should be resuspended in prechilled cryopreservation medium and aliquoted promptly into prechilled cryovials. 12. A controlled cooling rate of 1 C per minute is optimal for maximizing cell viability during freezing. While the use of “Mr. Frosty” freezing containers is acceptable for cryopreserving iMEFs, we recommend the use of a controlled rate freezer, as the freezing process induces a localized spike in temperature. A controlled rate freezer compensates for this and achieves a more uniform cooling rate resulting in superior cell viability after thawing. 13. High-quality feeders should have a high recovery rate after thawing (>70%) and adopt a spindle-shaped morphology (Fig. 1e). 14. The procedures outlined in this Methods chapter were established with R1 mESCs. While this protocol is compatible with mESC lines from other mouse strains, growth rates may vary slightly. Therefore, seeding densities may need to be optimized for other mESC lines. 15. Culture vessels can be scaled up or down as needed, e.g., use 6 mL of 0.1% gelatine solution for a 75 cm2 flask. 16. Although less cost-effective, feeders can also be cultured in mESC medium for convenience. 17. Culturing cells beyond 70% confluence may lead to spontaneous differentiation and poor cell viability. Always ensure that the morphology of the colonies is predominantly dome-shaped before using the cells for experiments. Immunostaining for pluripotency markers such as Oct4, Nanog, Sox2, and SSEA1 can be used to indicate the quality of mESC cultures (Fig. 3). Immunostaining can be performed as described previously [42] using primary antibodies against OCT4 (mouse IgG2b, Mouse Embryonic Stem Cell Culture 43 Fig. 3 Assessment of differentiation status of mESC cultures. mESC colony stained for pluripotency markers (a) SSEA1 and (b) OCT4; (c) the DNA intercalating dye 40 ,6-diamidino-2-phenylindole (DAPI) was used to visualize cell nuclei; Panel d depicts a bright-field image of the mESC colony. Scale bar: 25 μm 1:100 dilution, Clone: C-10, Santa Cruz Biotechnology) and SSEA-1 (mouse IgM, 1:200 dilution, Clone: MC-480, DSHB); secondary conjugated antibodies goat anti-mouse IgG2b-AF 488 (1:400 dilution, Thermo Fisher Scientific) and goat anti-mouse IgM-AF 555 (1:400 dilution, Thermo Fisher Scientific); and nuclear stain 40 ,6-diamidino-2-phenylindole, dihydrochloride (DAPI) (1:1000 dilution, Invitrogen). Cultures with excessive spontaneous differentiation can be rescued by FACS isolation of SSEA-1 and EPCAM doublepositive cells and their use for re-culture [40, 43]. A more stringent assay for pluripotency is the teratoma formation assay entailing subcutaneous injection of mouse pluripotent stem cells into the flanks of immune compromised mice to assess their in vivo differentiation potential into derivates of all three germ layers [44, 45]. 18. 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Chen J, Nefzger CM, Rossello FJ, Sun YBY, Lim SM et al (2018) Fine tuning of canonical Wnt stimulation enhances differentiation of pluripotent stem cells independent of βcatenin-mediated T-Cell factor signaling. Stem Cells 36:822–833 Chapter 4 Production of High-Titer Lentiviral Particles for Stable Genetic Modification of Mammalian Cells Michael R. Larcombe, Jan Manent, Joseph Chen, Ketan Mishra, Xiaodong Liu, and Christian M. Nefzger Abstract Lentiviral gene transfer technologies exploit the natural efficiency of viral transduction to integrate exogenous genes into mammalian cells. This provides a simple research tool for inducing transgene expression or endogenous gene knockdown in both dividing and nondividing cells. This chapter describes an improved protocol for polyethylenimine (PEI)-mediated multi-plasmid transfection and polyethylene glycol (PEG) precipitation to generate and concentrate lentiviral vectors. Key words PEI transfection, PEG precipitation, Titration, Gene transfer 1 Introduction Effective delivery and expression of exogenous genes in mammalian cells is essential for the study of gene function. Viral transfer technologies are routinely used for transient and integrating gene delivery in vitro and, once biosafety concerns are addressed, have a vast potential for clinical applications [1–3]. Unlike the transient expression achieved with adenoviral vehicles, lentiviral and retroviral vectors allow stable transgene integration for sustained and heritable gene expression. This is particularly useful for generating transgenic animals, reprogramming fibroblasts into induced pluripotent stem cells (iPSCs), and creating stable cell lines overexpressing or silencing genes via RNA interference [4]. While both lentiviral and retroviral gene transfer methods integrate transgenes into the genome of targeted cells for continued expression, lentiviruses transduce both replicating and non-replicating cells, integrate away from cellular promoters, allow for a larger genomic payload, and maintain transgene Michael R. Larcombe, Jan Manent, and Joseph Chen contributed equally to this work. Ivan Bertoncello (ed.), Mouse Cell Culture: Methods and Protocols, Methods in Molecular Biology, vol. 1940, https://doi.org/10.1007/978-1-4939-9086-3_4, © Springer Science+Business Media, LLC, part of Springer Nature 2019 47 48 Michael R. Larcombe et al. expression in pluripotent cells [5–9]. Thus, lentiviruses are a particularly widely used and a popular tool for the stable genetic modification of mammalian cells. Furthermore, advances have been made to minimize risk and improve delivery efficiency via the design of new generation lentiviral vectors [10]. These systems prevent the generation of replication competent virus through deletion of nonessential viral genome components and separation of the remaining elements. As such the second-generation system used in this study requires three separate vectors encoding for the transgene (called “transfer vector”), replication genes (including the rev transactivator), and envelope genes. Omission of unnecessary virulence factors and isolation of the remaining components further reduce the risk of homologous recombination that could lead to the generation of unwanted replicating virus [11, 12]. Modern vector designs improve infectivity of the generated particles by substitution of viral coating proteins within the envelope vector for a broader (vesicular stomatitis Indiana virus G protein [VSV-G], as used in this protocol) [13, 14] or more specified tropism (human parainfluenza virus type 3 [HPIV3] for lung epithelial cells) [15, 16]. Numerous methods for producing lentiviral particles have been established, predominantly using transient co-transfection of the desired transfer vector with the accessory plasmids [17, 18]. This can be achieved with a variety of reagents utilizing lipid-based, polymer-based, or naked DNA delivery [19]. Nevertheless, price, efficiency, scalability, and simplicity must be accounted for when selecting transfection technique and reagents. Commercial products such as Lipofectamine and newer versions thereof offer a simple and efficient way to achieve effective plasmid transfection; however, especially for large-scale experiments, they can be cost intensive. Since viral particle production is generally achieved using highly transfectable human embryonic kidney 293T (HEK293T) cells, lipofection-based approaches can be substituted with the more cost-effective calcium phosphate (Ca-phosphate) or polyethylenimine (PEI) transfection systems. Ca-phosphate and PEI methods are also reasonably simple and capable of producing high viral titers from HEK293T cells [15, 20–22]. However transfecting with Ca-phosphate is very sensitive to fluctuations in pH [23], and therefore the resulting titers can differ largely between experiments. Since generation of high viral titers is dependent on efficient transfection, we consider the PEI-based method more reliable for consistent results. PEI transfection operates by condensing DNA into positively charged particles for delivery across the cell membrane. DNA is then released in the cytoplasm and incorporated into the nucleus during cell division for temporary expression [24], followed by the secretion of lentiviral particles into the growth medium. The resulting supernatant can then be collected and used for direct transduction of target cells or concentrated to achieve higher titer viral preparations. Protocols for lentiviral Lentiviral Particle Production and Concentration 49 concentration typically require expensive ultrafiltration units and lengthy periods of ultracentrifugation [15, 25–27]. For laboratories without access to this high-end equipment and due to the ease of use, polyethylene glycol (PEG) precipitation offers a cheap and simple alternative to concentrate large volumes of supernatant and efficiently recover the viral particles [25, 28]. PEG is a highly hydrophilic polymer composed of repeating subunits of ethylene oxide and is commercially available in varying molecular weights. Generally, higher molecular weight PEGs are more efficient for precipitation compared to lower molecular weight PEGS [29]. Therefore we are using PEG (8000 Da) that has a relatively high molecular weight and is therefore very effective as a crowding agent in aqueous solution. PEG separates the viral particles from the aqueous medium and forces them to aggregate through a process called “steric exclusion” [30] which is supported by high levels of salt such as NaCl, through a “salting-out” mechanism [31]. This allows the virus to be pelleted with a simple benchtop centrifuge without the need for ultracentrifugation [32–35]. Therefore, in this chapter, we describe an improved protocol for the production and concentration of replication-deficient hightiter lentiviruses using PEI transfection and concentration by PEG precipitation. In the context of this protocol, we also describe the routine maintenance of the HEK293T producer cell line, a method for determining viral titers (for viral inserts with and without a fluorescent reporter gene) and the use of the viral concentrates to infect a target cell type of interest. 2 Materials 2.1 Lentiviral Production and Titration 1. Lenti-X™ 293T cell line (HEK293T) (Clontech, 632180) or 293T cell line (ATCC® CRL-3216™). 2. Complete growth medium (for 293T cells and MEFs): Dulbecco’s modified eagle medium (DMEM), containing 10% fetal calf serum (FBS) (v/v); 1% GlutaMAX™ Supplement (100) (v/v); 1% MEM nonessential amino acid solution (100) (v/v); 1% penicillin/streptomycin (100) (v/v); 100 μM sodium pyruvate; 55 μM β-mercaptoethanol. 3. Viral production culture medium: Advanced DMEM containing (Gibco®, 12491015) 2% FBS (v/v) (see Note 1); 1% GlutaMAX™ Supplement (100) (v/v); 1% MEM nonessential amino acid solution (100) (v/v); 1% penicillin/streptomycin (100) (v/v). 4. 15 mL centrifuge tubes. 5. Cryopreservation medium: FBS containing 10% DMSO (v/v). 6. Dulbecco’s phosphate-buffered saline (DPBS). 50 Michael R. Larcombe et al. 7. 0.25% trypsin-EDTA (1), phenol red (380 mg/L EDTA, 2500 mg/L trypsin). 8. 175 cm2, angled neck, vented cap cell culture flasks (T175). 9. 50 mL centrifuge tubes. 10. “Mr. Frosty” freezing container. 11. Linear polyethylenimine 25,000. 12. BSA fraction V (7.5%) (BSA). 13. Virkon® disinfectant cleaner. 14. UltraPure distilled water. 15. PAX2 plasmid (psPAX2 was a gift from Didier Trono (Addgene, #12260)). 16. MD2G plasmid (pMD2.G was a gift from Didier Trono (Addgene, #12259)). 17. OKSM plasmid (Merck Millipore, SCR512). 18. rtTA-GFP plasmid (designed and ordered from vector builder [Cyagen Biosciences]; lentiviral plasmid with a EF1A promoter driving the m2rtTA gene, followed by an internal ribosome entry site and an eGFP reporter (LV-EF1A-m2rtTA-IRESeGFP)). 19. 0.45 μm, HV Durapore® membrane filter (Merck Millipore). 20. Polyethylene glycol (PEG) 8000. 21. 5M NaCl in dH2O, filtered with 0.22 μm. 22. Doxycycline hyclate diluted to 2 mg/mL in dH2O (1000 stock). 23. Polybrene infection/transfection reagent 10 mg/mL stock (used at 1:1700 dilution). 2.2 Immunofluorescence and Viral Titration Analysis (See Note 18) 1. Paraformaldehyde (PFA). 2. Triton-X. 3. DAPI: 40 ,6-diamidino-2-phenylindole, dihydrochloride. 4. Mouse anti-Oct4 antibody (Santa Cruz Biotechnology, sc-5279). 5. Goat anti-mouse IgG Alexa Fluor 555 (Life Technologies®, A21422). 3 Methods 3.1 Recovery from Cryopreservation and Routine Culture of HEK293T Cells 1. Collect cryovial containing 4–5 106 HEK293T cells from liquid nitrogen storage, and thaw quickly in a 37 C water bath. 2. Transfer cells to a 15 mL conical tube along with 10 mL of pre-warmed complete growth medium. Lentiviral Particle Production and Concentration 51 3. Centrifuge at 500 g for 5 min, and then aspirate supernatant containing toxic DMSO without disturbing cell pellet. 4. Resuspend cells in 4 mL of growth medium by gentle pipetting, and transfer 3.5 106 cells into a 175 cm2 flask (T175) made to 20 mL with growth medium. 5. Incubate at 37 C in a 5% CO2 incubator. Replace media every 2–3 days (as required) with 20 mL of fresh growth medium during routine culture until cells reach 80% confluence (see Note 1). 6. To harvest cells, firstly remove the spent growth medium, and then wash cells with 10 mL PBS. Apply DPBS to the side of the flask, and gently tilt to spread, trying not to disturb the weakly adherent cells. 7. Aspirate DPBS, and evenly distribute 5 mL trypsin-EDTA over the cells to dissociate. 8. Incubate the cells at room temperature for 3–5 min, using the microscope to verify when >90% of the cells have detached. 9. Neutralize the trypsin by adding 10 mL of growth medium. Pipet up and down several times over the cell culture surface to separate and collect remaining cells. 10. Transfer cells to a 50 mL centrifuge tube and pellet at 500 g for 5 min. 11. Resuspend the cells in 5 mL of complete growth medium, and remove a sample for counting. 12. In general, 80–90% confluent flasks can be passaged at a split ratio of 1:5 up to 1:20. Depending on the split ratio, the new flasks will become confluent in a 2–4-day time frame. 13. Create frozen stocks by resuspending the cells in cryopreservation medium at 2–6 106 cells/mL, and dispense 1 mL aliquots into cryovials. Use a controlled rate freezer or “Mr. Frosty” freezing container at 80 C for 24 h, and transfer frozen cells to liquid nitrogen for long-term storage. 3.2 PEI Transfection (See Note 2) and Collection of Primary Viral Supernatant 1. Thaw an aliquot of 1 mg/mL PEI (see Note 3). 2. The day before transfection, plate HEK293T cells (that have been passaged at least once after recovery from cryopreservation) in complete growth medium at a density of 1.5 107 to 2 107 cells per T175 flask (8.5 104 to 1.15 105 cells/ cm2). Depending on the growth rate of your HEK293T culture, adjust to have healthy, 80% confluent cultures for transfection the following day (Fig. 1) (see Note 4). 3. The next day in the late afternoon, 1 h prior to transfection, change complete growth medium to viral production culture medium (20 mL per T175 flask). 52 Michael R. Larcombe et al. Fig. 1 Schematic overview of viral particle production via PEI transfection Table 1 Transfection mix for second-generation lentivirus production in HEK293T cells T175 T75 T25 Vector Concentration Ratios μg DNA Volume μg DNA Volume Transfer DNA 100 ng/μL 3 15 150 μL 6.3 63 μL 2.1 21 μL psPAX2 100 ng/μL 2 10 100 μL 4.2 42 μL 1.4 14 μL pMD2.G 100 ng/μL 1 5 50 μL 21 μL 0.7 7 μL 120 120 μL 50.4 50.4 μL 16.8 16.8 μL H2O 980 μL 423.6 μL 141.2 μL Total volume 1.4 mL 0.6 mL 0.2 mL PEI (4 μg/μg DNA) 1 mg/mL 2.1 μg DNA Volume DNA concentrations are arbitrarily set at 100 ng/μL for the purpose of this example If transfecting more than one T175 flask, the values in this table can be scaled up accordingly 4. Prepare transfection mix as shown in Table 1: per T175 to transfect, mix 15 μg transfer DNA, 10 μg psPAX2, 5 μg pMD2.G, and 120 μg PEI in water to a final volume of 1.4 mL (see Note 5). Lentiviral Particle Production and Concentration 53 5. Vortex solution for 10 s, and incubate at room temperature for 15 min. 6. Pipet up and down gently 2–3 times, and add the solution to the cells dropwise (Fig. 1). 7. Swirl flask gently to evenly distribute the DNA mix over the cells and return to incubator. 8. Incubate overnight at 37 C, 5% CO2. 9. Early the next morning, discard transfection medium into strong bleach or 1% Virkon® solution, and replace with fresh viral production culture medium (Fig. 1). 10. 24 h later, collect supernatant for the first time, and replace with fresh viral production culture medium. Keep supernatant at 4 C if not processed right away (Fig. 1) (see Note 6). 11. 24 h later (i.e., 48 h after removal of transfection complexes), collect supernatant for a second time. The flasks with any remaining cells can be discarded at this point (Fig. 1). 12. Proceed with concentration. 3.3 Viral Concentration 1. Filter the harvested medium through a 0.45 μm membrane, and take note of total volume (Fig. 2) (see Note 7). 2. Adjust NaCl concentration to 400 mM with a 5 M NaCl stock solution. This is achieved by adding a 1/17 volume of 5M NaCl to viral production culture medium (i.e for 10 mL of viral supernatant, add 588 μL of 5M NaCl). 3. Add 50% PEG solution to a final concentration of 8.5% (see Note 8). 4. Mix well and transfer mixture into 50 mL Falcon tubes. Make sure to have balanced volumes in the tubes for centrifugation in step 6 (Fig. 2). 5. Incubate the tubes at 4 C or on ice for 5 h, with regular agitation (see Note 9). 6. Spin samples for 1.5 h at >4000 g in a centrifuge pre-cooled to 4 C (see Note 10). 7. Gently discard supernatant (without disturbing viral pellet) in bleach or 1% Virkon® solution, and centrifuge empty tube again for 5 min (Fig. 2). 8. Gently remove any remaining supernatant with a P1000 pipette without disturbing pellet (see Fig. 2 for picture of the pellet). 9. We recommend to resuspend the pellet in DPBS containing 1% BSA (v/v) in a volume corresponding to 1/100th of the amount of primary supernatant used for concentration (e.g., resuspend the pellet resulting from the concentration of 30 mL supernatant in a volume of 300 μL; see Note 11). 54 Michael R. Larcombe et al. Fig. 2 Schematic overview of viral particle concentration with PEG 10. Aliquot into 20–30 μL aliquots (see Note 12). 11. Freeze at 80 C. 3.4 Titration 3.4.1 Viral Titration of a Lentiviral Vector Carrying a Fluorescent Reporter 1. Thaw and recover a vial of mouse embryonic fibroblasts (MEFs) from DMSO (see Note 13) into complete growth media. 2. Seed MEFs in 12 wells (9 for rtTA-GFP titering and 5 control wells (3 control wells and 2 wells for counting)) in a 24-well plate format at 1 104 cells/cm2 at least 12–24 h before viral transduction (Fig. 3a, c). 3. Count the cells of two control wells to obtain accurate cell count at the time of transduction. 4. Thaw and aliquot rtTA-GFP viral concentrate (at 1:1000, 1:10000, 1:100000 dilutions; see Note 14) into complete growth media containing polybrene (1:1700 dilution of stock) in 1000 μL volumes. 5. Remove media from the wells previously seeded with MEFs, and add 500 μL media of the respective serial dilutions onto cells (Fig. 3a, c). 6. Spin plates at 750 g for 60 min at room temperature to increase the efficiency of transduction. 7. The following day, replace media containing viral particles with fresh complete growth media. 8. 72 h after transduction, harvest each of the wells by dissociating cells with appropriate dissociation reagent (0.25% Trypsin, EDTA, etc.) for 5 min. Resuspend cells with FACS buffer (PBS w/2% FBS) supplemented with DAPI (1 μg/mL), and transfer cells into a FACS tube to determine the percentage of GFP Lentiviral Particle Production and Concentration 55 Fig. 3 Titration of viral concentrates. (a) Schematic overview of rtTA-GFP viral titration. (b) FACS analysis of rtTA-GFP viral titration. (c) Schematic overview of OKSM viral titration. (d) Immunofluorescence images for GFP (green) and Oct4 (red) in MEFs transduced with OKSM and rtTA-GFP viruses after 48 h and quantification of Oct4þ cells within the GFPþ population. All nuclei were counterstained with DAPI (blue). Scale bar ¼ 25 μm expressing cells by flow cytometry for the m2rtTA-GFP construct (Fig. 3b). 9. Calculate titers of viral concentrate using the following formula: (% of GFP+ cells [between 1% and 25%] number of cells at the time of transduction dilution factor)/volume of media for transduction (in mL). Titers are usually indicated as transducing units per mL (TU/mL) (see Notes 15 and 16 for example calculation). 56 Michael R. Larcombe et al. 3.4.2 Viral Titration of a Lentiviral Vector Without a GFP Fluorescent Marker The titration of the OKSM virus (which does not have a fluorescent reporter) follows a similar pattern as described in steps 3.4.1. steps 1–9 for the m2rtTA-GFP virus. However, there are noteworthy differences. In particular, for calculating OKSM viral titers, an immunofluorescence staining is required to determine the percentage of cells expressing exogenous Oct4, Klf4, Sox2, or C-Myc (Fig. 3c, d). Furthermore as the OKSM constructs is inducible, the titer determination will have to occur in the presence of excess m2rtTA-GFP virus and doxycycline (2 μg/mL) to enable OKSM expression (see Notes 17 and 18 for detailed information as well as Fig. 3c, d). 3.5 Viral Transduction of Target Cell Type 1. MEFs (or any other cell type that has ideally also been used to determine the viral titers) can be used for transduction in an experimental context. 2. For infection seed MEFs at 1 104 cells per cm2 as in Subheading 3.4.1., step 2, (albeit in a 6-well format in 2 mL of media or scale to other well formats) 12–24 h before transduction. 3. Prepare transduction mix as in Subheading 3.4.1., step 4 with outlined modifications: it is important for the experimenter to decide at what multiplicity of infection (MOI; see Note 17) to perform transduction. As a reference if the experimenter decides for an MOI ¼ 1, only ~60% of cells will become transduced as some cells become infected with more than one virus. Conversely infection with an MOI of 10 will result in infection of >85–90% of cells with an average of 10 viral integrants per cell. An example of how to calculate the amount of viral concentrate to add to a 6-well with a set number of cells for a specific target MOI is provided in Note 19. 4. Perform spin inoculation as described in Subheading 3.4.1. steps 5–7, using 2 mL of transduction mix per 6-well. Please note that it will take 48–72 h before gene products introduced with the viral inserts can be detected in the infected cells. 4 Notes 1. HEK293T cells undergo contact inhibition of growth if allowed to become confluent. This must be avoided as a key parameter for efficient viral production is healthy, exponentially growing cells. Gently move the freshly seeded flask back and forth, left and right to evenly distribute the cells throughout the flask. Try to recover low-passage stock (<25), if cells are not growing well. Lentiviral Particle Production and Concentration 57 2. Prior to undertaking any work with lentiviral vectors, ensure all safety specifications provided by your institution or governing body are upheld. All work must be completed by trained personnel inside class 2 or higher biosafety cabinets with all equipment and spills correctly decontaminated. As with all other tissue cultures, it is essential to work in a sterile environment and clean all items within the cabinet with 70% ethanol. 3. Create a stock of PEI at 1 mg/mL following manufacturer’s instruction. Briefly, dissolve PEI powder in endotoxin-free dH2O, adjust pH to 7.0 with HCl, and allow time to completely dissolve. Adjust the total volume to a final concentration of 1 mg/mL, and filter through a 0.22 μm membrane to remove undissolved PEI. Aliquot and store at 20 C. Each thawed aliquot can be stored at 4 C for 2 months before transfection efficiency is affected. If a sample precipitates, heat to 37 C and vortex thoroughly before use. Discard and take a new aliquot if necessary. 4. Cells should be in their exponential growth phase for transfection as indicated in Note 1. If the cells are too confluent, they will not be transfected or produce virus less efficiently. This protocol may be scaled according to your viral production needs. 5. This protocol is compatible with both second- and thirdgeneration lentiviral packaging systems. If using a thirdgeneration system, we recommend a plasmid ratio of transfer vector:VSV:RRE:REV at 3:1:2:2 while maintaining a mass ratio of 4:1 of PEI to total DNA [36]. 6. For transfer vectors carrying a fluorescent marker, transfected HEK293T cells can be visualized under a fluorescent microscope to determine the extent of transfection. But be mindful that strong agitation of the flask at this stage might result in HEK293T cell detaching. Expect >70% of HEK293T cells to express the fluorescent marker. 7. Using filters with a smaller pore size may result in retention of viral particles. 8. Resuspend PEG powder in water, 50% weight/volume, and filter (0.45 μm). The solution will be very viscous, so we recommend resuspending overnight at 37 C with agitation. 9. We recommend constant mixing using a rotating wheel or rolling table at 4 C; if this isn’t available, you can invert tubes on ice at half-hourly intervals. 10. We have successfully been using a Heraeus Multifuge X3R centrifuge (Thermo Fisher) at Vmax of 4700 rpm/4800 g. 58 Michael R. Larcombe et al. 11. The PEG/viral pellet is quite sticky. It helps to resuspend the pellet and aliquot at room temperature but return to ice or freeze down immediately afterward. 12. Depending on your titer and experimental requirements, you may want to adjust the aliquot size in the next viral preparation. Avoid freeze thaw cycles as the amount of infectious particles drops dramatically with each additional freeze thaw cycle (ideally only have one freeze thaw cycle). 13. The transduction efficiency of a lentiviral vector varies between cell types; therefore it is necessary to titrate against the cell type intended for use in the planned experiments. Seed at least duplicate wells for each viral titration (for five concentrations, seed at least ten wells of cells), and include two control wells that are not transduced with virus. MEFs are only used as an example cell type in the context of this manuscript and should be substituted for the experimenters’ cell type of need. 14. You may prepare these solutions in an empty 24-well plate by adding viral concentrate into a 24 well at a 1:100 or 1:1000 dilution and then perform ten-fold serial dilutions into neighboring wells containing growth media supplemented with polybrene. 15. Use the dilutions that give values in the range of 1–20% GFP cells to calculate the MOI to avoid complications arising from cells receiving multiple insertions. 16. Example calculation of viral titer: (% of GFP+ cells [e.g., 5%, express as 0.05] number of cells at the time of transduction [e.g., 2 104] dilution factor [100000])/volume of media for transduction (0.5 mL) ¼ 2 108 transduction units (TU)/mL 17. The multiplicity of infection or mean occurrence of infection (MOI) is defined as the theoretical average number of viral integrants per target cell. 18. To determine the titer of OKSM viruses, seed MEFs in 24-well plates (Fig. 3c) at 1 104 cells/cm2 12–24 h before viral transduction. Aliquot rtTA-GFP virus into complete growth media containing polybrene (1:1700 dilution) at MOI ¼ 10. (The MOI of 10 for rtTA-GFP is chosen to ensure most of the cells are expressing the transactivator that is critical for doxycycline induction of OKSM expression (see Note 19 for example calculation). As an alternative, OKSM lentivirus can be titered using an rtTA-expressing stable cell line.) Separate out the rtTA-GFP containing media into 1000 μL volume aliquots, and establish 1:100, 1:1000, 1:10000, and 1:100000 dilutions of OKSM virus. We recommend using at least four 10 serial dilutions ranging from 1:100 to 1:100000 of OKSM virus to get a more accurate titration of the virus. In our experience, a Lentiviral Particle Production and Concentration 59 dilution factor of up to 1:1000000 can be required to determine the transducing units of high-titer viral preparations. Add 500 μL of media into respective wells (as indicated in Fig. 3c) followed by spin inoculation as per Subheading 4.4.1.6. On the following day, remove media from wells, and replace with fresh media containing doxycycline (2 μg/mL). After 48–72 h, fix cells and perform immunofluorescence on cells to determine infective units of OKSM virus preparation. Further details on performing immunofluorescence can be referred from Nefzger et al. [37] and Chen et al. [38]. We recommend using an Alexa Fluor 555 secondary antibody as it does not interfere with the 488 nm (GFP) channel or the DAPI channel when analyzing expression of viral titration and a primary antibody against Oct4 (see Subheading 2). Calculate the subset of GFPþ cells that are positive for Oct4, Klf4, Sox2, or C-Myc (rtTA-GFP transduced cells) to determine the percentage of transduction (Fig. 3d). We perform cell quantification using the particle analysis option of the ImageJ software (http://rsb. info.nih.gov/ij/). We recommend counting cells from multiple images per replicate well to give a more accurate estimation of the transduction rate of the OKSM virus. It is recommended to take images from at least four fields of view per well for analysis. 19. Example calculation for transduction at MOI ¼ 10: Number of cells to be infected 2 104 MOI ½10 ¼ TU required to transduce cells at MOI ¼ 10 2 105 TU Volume of viral aliquot to use for transduction of 2 104 cells at MOI ¼10 2 105 TU ðTU required to transduce cells at MOI ¼ 10Þ= 2 108 =mL ðTiter of viral concentrateÞ ¼ 0:001 mL or 1 μL Be advised that MOIs that are higher than 50 can lead to varying degrees of cell death due to cytotoxicity. References 1. 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Chen J, Nefzger CM, Rossello FJ, Sun YBY, Lim SM et al (2018) Fine tuning of canonical wnt stimulation enhances differentiation of pluripotent stem cells independent of β-catenin-mediated T-cell factor signaling. Stem Cells. 36:822–833. Chapter 5 Generation of Mouse-Induced Pluripotent Stem Cells by Lentiviral Transduction Xiaodong Liu, Joseph Chen, Jaber Firas, Jacob M. Paynter, Christian M. Nefzger, and Jose M. Polo Abstract Terminally differentiated somatic cells can be reprogrammed into an embryonic stem cell-like state by the forced expression of four transcription factors: Oct4, Klf4, Sox2, and c-Myc (OKSM). These so-called induced pluripotent stem (iPS) cells can give rise to any cell type of the body and thus have tremendous potential for many applications in research and regenerative medicine. Herein, we describe (1) a protocol for the generation of iPS cells from mouse embryonic fibroblasts (MEFs) using a doxycycline (Dox)inducible lentiviral transduction system; (2) the derivation of clonal iPS cell lines; and (3) the characterization of the pluripotent potential of iPS cell lines using alkaline phosphatase staining, flow cytometry, and the teratoma formation assays. Key words Mouse-induced pluripotent stem cells, Fibroblasts, Reprogramming, Lentiviral transduction, OKSM, Teratoma assay 1 Introduction In 2006, Shinya Yamanaka and Kazutoshi Takahashi reported that by overexpressing four transcription factors, namely, Oct4, Klf4, Sox2, and c-Myc (OKSM), mature differentiated cells such as mouse embryonic fibroblasts (MEFs) can be reprogrammed into embryonic stem (ES) cell-like cells, which they termed induced pluripotent stem (iPS) cells [1]. A year later, Yamanaka and colleagues generated human iPS cells using OKSM [2]. This discovery opened up a new research field and gave rise to a number of paradigms for the use of iPS technology in basic research and medicine. For example, iPS cells can be generated from patients with genetic disorders and then differentiated into a cell type of interest to model and study disease processes and progression Xiaodong Liu and Joseph Chen contributed equally to this work. Ivan Bertoncello (ed.), Mouse Cell Culture: Methods and Protocols, Methods in Molecular Biology, vol. 1940, https://doi.org/10.1007/978-1-4939-9086-3_5, © Springer Science+Business Media, LLC, part of Springer Nature 2019 63 64 Xiaodong Liu et al. in vitro [3, 4]. In addition, these cells can be used as screening platforms for the identification and development of novel therapeutic compounds [5]. Furthermore, basic mechanistic studies during the reprogramming process are starting to provide us with a basic framework to understand transcription factor-based reprogramming [6–8]. However, more studies are required to complete this picture. For this purpose, mouse iPS cells remain a suitable and useful model because very stringent functional assays to test their potential such as gestational complementation, germline transmission, tetraploid complementation, and single-cell chimerism can be readily assessed in the mouse system [9]. In addition, cell types like MEFs are relatively easy to maintain and reprogram considerably faster than their human counterparts (~2 weeks vs ~4 weeks, respectively) [7, 10]. A variety of methods have been developed to generate iPS cells since their discovery, and each method has advantages and disadvantages as reviewed by Robinton and Daley [3]. Among these methods, using a lentiviral system is a cost-effective, robust, and efficient approach for transgene delivery since lentiviruses can transduce almost all mammalian cells, including dividing and nondividing cells [11]. Furthermore, using a doxycycline (Dox)inducible polycistronic cassette encoding the four reprogramming factors OKSM, in combination with a Tet-on transactivator (rtTA) [12], allows temporal control of the expression of the Yamanaka factors to obtain transgene-independent bona fide iPS cells. In order to determine if the cells that were reprogrammed are indeed pluripotent, further analyses to verify pluripotency are required. Analyses of iPS cell lines by flow cytometry and through the alkaline phosphatase assay are good and quick screening methods to discard aberrant or differentiated lines. As such pluripotent cell lines should be positive for pluripotent cell surface markers like SSEA1 and EpCAM [6] and express the cytoplasmic enzyme alkaline phosphatase at high levels [13]. A widely accepted and more stringent, albeit time-consuming, assay for a functional demonstration of pluripotency potential is the teratoma formation assay. This assay entails the injection of the iPS cells into flanks of immunocompromised mice to assess their in vivo differentiation potential [14]. The principle of this assay is to test whether the iPS or ES cell lines are capable of generating derivatives of all three germ layers, one of the crucial hallmarks of pluripotency [9]. In the context of this chapter, we describe (1) the generation of iPS cells from MEFs using a Dox-inducible lentiviral transduction system in the serum/LIF condition; (2) the subsequent isolation of clonal iPS cell lines for downstream experiments; and (3) characterization techniques like alkaline phosphatase staining, flow cytometry, and the teratoma formation assay to verify that the resulting iPS cell lines are pluripotent. Mouse Induced Pluripotent Stem Cells 2 65 Materials 2.1 Mouse Embryonic Fibroblasts Mouse embryonic fibroblasts (MEFs), isolated from embryos of any genetic background of interest, can be used for reprogramming experiments. Isolation of MEFs from embryonic day (E) 13.5 mouse embryos is described in great detail in [15]. Alternatively, primary MEFs can be purchased commercially from various companies such as Merck Millipore (PMEF-CFL-P1). 2.2 Reagents for Lentiviral Transduction 1. Generation and titer determination of lentiviral particles harboring the OKSM construct (OKSM plasmid (Millipore, SCR513)) [12] and the m2rtTA (Ef1a-rtTA-GFP plasmid) construct are described in detail in a preceding chapter in this volume [16]. 2. Polybrene infection/transfection reagent 10 mg/mL stock (used at 1:1700 dilution). 2.3 General Cell Culture Reagents 1. MEF culture medium (MEF media): Dulbecco’s modified eagle medium (DMEM), containing 10% fetal bovine serum (FBS) (v/v); 1% GlutaMAX supplement (100) (v/v); 1% MEM nonessential amino acid solution (100) (v/v); 100 μM sodium pyruvate; 55 μM β-mercaptoethanol. 2. mESC/iPSC culture medium (iPSC media): KnockOut DMEM containing 15% FBS (v/v) (see Note 1); 1% GlutaMAX supplement (100) (v/v); 1% MEM nonessential amino acid solution (100x) (v/v); 55 μM β-mercaptoethanol; 1000 unit/ mL recombinant murine LIF. 3. Dulbecco’s phosphate-buffered saline (DPBS) without calcium and magnesium. 4. 0.1% gelatin solution (w/v) is prepared by mixing 1 g of gelatin from porcine skin with 1 L ultrapure water (milli-Q). Autoclave to dissolve and sterilise. 5. Cryopreservation medium: 90% FBS (v/v) and 10% dimethyl sulfoxide (DMSO) (v/v). 6. 0.25% trypsin-EDTA. 7. Doxycycline hyclate diluted to 2 mg/mL in dH2O (1000 stock). 8. Mr. Frosty freezing containers. 2.4 Equipment for iPS Cell Colony Isolation 1. Dissection microscope. 2. Irradiated mouse embryonic fibroblasts (iMEFs) can be generated in house as described in a preceding chapter in this volume [15]. Alternatively, iMEFs can be purchased commercially from Merck Millipore (Merck Millipore, PMEF-CFX). 3. 24-well plates. 66 Xiaodong Liu et al. 2.5 Reagents and Equipment for Flow Cytometry 1. Anti-mouse BUV395 Thy1.2. 2. Anti-mouse BV421 EpCAM. 3. Anti-mouse SSEA1 Biotin. 4. Streptavidin Pe-Cy7. 5. DRAQ7 viability dye. 6. Tubes for flow cytometry analysis (5 mL Polystyrene RoundBottom Tube with Cell-Strainer Cap) and fluorescence-activated cell sorting (FACS) (5 mL Polypropylene RoundBottom Tube). 7. Flowcytometry instruments such as LSR-II analyzer (BD Biosciences) and BD Influx cell sorter. 2.6 Alkaline Phosphatase Assay 1. 100 mM Tris–HCl pH 9.5. 2.7 Teratoma Formation Assay 1. Dulbecco’s phosphate buffered saline (DPBS) with 1% bovine serum albumin (BSA) (1% BSA/DPBS). 2. Vector Black Alkaline Phosphatase Substrate Kit II (Vector Laboratories). 2. BD Luer-Lock Tip Syringe (1 mL). 3. 23G 1 1/4 in. needles. 4. Immunodeficient mice: NOD-SCID IL2Rgammanull (NSG). 5. Anesthesia unit. 6. Surgical station and tools. 7. Iodine solution. 8. 20, 70, 80, 90, and 100% ethanol. 9. Biopsy-processing cassettes and biopsy foam pads (see Note 2). 10. Chloroform. 11. 4% (w/v) paraformaldehyde (PFA) in PBS (4% PFA). 12. Tube rotator. 13. Shandon™ Paraffin (paraffin wax). 14. Paraffin bath. 15. Embedding molds. 16. Microtome (or cryostat). 17. Water bath at 56 C. 18. Superfrost™ Plus slides. 19. Hematoxylin and Eosin Stain Kit. 20. MIRAX scanner (or light microscope with camera). Mouse Induced Pluripotent Stem Cells 3 67 Methods 3.1 Reprogramming of MEFs into iPS Cells 1. Freshly derive MEFs, as described previously [15], or thaw low passage (p0–p2) cryopreserved MEFs for reprogramming experiments. 2. For thawing of cryopreserved MEFs, quickly transfer a cryovial of MEFs (~2–3 million cells) from liquid nitrogen into a 37 C water bath. 3. Once thawed, quickly transfer MEFs with a pipette into a 15 mL centrifuge tube containing 10 mL of pre-warmed MEF media. 4. Pellet the cells by centrifugation at 450 g for 3 min. 5. Remove the supernatant, resuspend the cell pellet (1.5–3 106 cells on average) in 12 mL MEF media, and transfer to a T75 cell culture flask with a vented cap to allow the cells to recover for 1–2 days before starting the reprogramming experiments. 6. One to two days after recovery, cellularize thawed or freshly derived cells as follows: remove MEF media, wash cells once with DPBS to remove traces of serum, and then add 3 mL of 0.25% trypsin-EDTA solution and incubate at 37 C for 3–5 min. Neutralize the enzymatic reaction by the addition of 3 mL MEF media, and pipette medium onto the surface of the flask 3–5 times to dissociate the MEFs. Transfer the cell suspension into a 15 mL tube. 7. Perform cell counting using a hemocytometer or automated cell counter. 8. It is recommended to seed cells at a range of 0.5–2.5 103 cells/cm2 in gelatin-coated 6-well plates (see Note 3) containing MEF media (see Note 4) (Fig. 1). Fig. 1 Schematic depicting MEF to iPSC reprogramming protocol 68 Xiaodong Liu et al. 9. Twenty-four hours later, perform lentiviral transduction as follows: prepare viral mix by adding polybrene (1:1700), lentivirus-m2rtTA (mean occurance of infection [MOI] of 2), and lentivirus-OKSM (MOI of 2) (see Note 5 and Chap.4) in 2 mL iPSC media; following this aspirate culture media from wells to be infected, and replace with the iPSC media containing the viral mix (Fig. 1). 10. Perform spin inoculation by transferring the plate(s) into a centrifuge, and spin for 60 min at 750 g at room temperature. Afterward, transfer the plate(s) into a 37 C incubator with 20% O2 and 5% CO2 (see Note 6). 11. On the next day, remove virus-containing media, and replace with fresh iPSC media supplemented with doxycycline (2 μg/ mL) to initiate the reprogramming process (3 mL of media per well of 6-well plates). 12. Perform media changes every other day using doxycyclinesupplemented iPSC media for the first 6 days of reprogramming. 13. After 6 days, daily media changes are recommended due to increased cell densities. Alternatively, add 6 mL of media into one well of a 6-well plates if media changes can only be performed every other day. 14. Expected changes in cell morphology during reprogramming are shown in Fig. 2. iPS cell colonies should be identifiable after approximately 12 days, and it is recommended to transfer the cells into doxycycline-free iPSC media for another 4 days to remove aberrant iPS cell colonies that are still dependent on forced transgene expression. After this period proceed to isolate clonal lines by colony picking. 3.2 Isolation of Clonal iPS Cell Lines by Colony Picking 1. Six hours to 1 day before colony isolation, prepare recipient plates by seeding iMEFs onto gelatin-coated 24-well plates at a density of 2 104 cells/cm2 in 1 mL of iPSC media per well (see Note 3). Fig. 2 Timeline of reprogramming from MEFs to iPSCs. Representative brightfield images of reprograming cultures on days 0, 3, 6, 12, and 16. Scale bar ¼ 25 μM Mouse Induced Pluripotent Stem Cells 69 Fig. 3 Establishment of clonal iPSC lines. (a) (i) Identify dome-shaped colony in culture (Day 16 of reprogramming). (ii) Isolate colony with a pipette by removing cells surrounding the colony. (iii) Lift colony with pipette, gently nudge side to detach cells from well plate. (iv) Dissociate cells by transferring colony into 1.5 mL tube containing 0.25% trypsin. Gently pipette to dissociate colony further. After 2–4 min, transfer contents of 1.5 mL tube into a 24-well with iMEFs. (v) Bright field image of cells after 3 days in culture after transfer. (b) Bright field image of iPSC colonies at passage 2. (c) FACS analysis of iPSC clonal line at passage 2. (d) Alkaline-phosphatase staining of iPSC colonies at passage 2. Scale bar ¼ 25 μM 2. Rinse the 6-well plate(s) containing the reprogrammed cultures with DPBS, and then add 1 mL of warm DPBS into each well. Colonies can be picked under an inverted light microscope or a dissection microscope (see Notes 7 and 8). 3. Identify a reasonably isolated (i.e., not fused to other colonies) iPS cell colony with characteristically dome-shaped morphology (Fig. 3a(i)). 4. Using a 20 μL pipette, draw a circle around the colony with a sterile tip to detach the colony from surrounding fibroblasts (Fig. 3a(ii)). 5. Nudge the colony with the tip to gently lift it from the underlying tissue culture plastic (Fig. 3a(iii)). 6. Aspirate the free-floating colony with the pipette in a 12.5 μL volume, and transfer into a 1.5 mL tube containing 50 μL of 0.25% trypsin-EDTA (Fig. 3a(iv)). 7. After 2–4 min, gently further dissociate the transferred colony by pipetting the medium within the tube several times. 8. Transfer the cell suspension from the tube directly into a well of the prepared 24-well plate with the iMEFs (Fig. 3a(iv)). 70 Xiaodong Liu et al. 9. Repeat steps 3–8 with other colonies to generate more potential clonal lines (see Note 9). 10. Change media with fresh iPSC media 24 h after colony picking. 11. New, dome-shaped colonies should form in the recipient 24-wells after 2 days (Fig. 3a). 12. Expand new clones through routine passaging to propagate the iPS cells (Fig. 3b) (see Notes 10, 11 and 12) as described for mouse embryonics stem cells in a preceding chapter in this volume [17]. 3.3 Characterization of Clonal iPS Cell Lines 3.3.1 Flow Cytometry iPS cells can be analyzed by flow cytometry or purified through FACS using positive markers associated with pluripotent cells and a MEF marker they are negative for. For example, iPS cells can be FACS depleted from Thy1.2-positive feeder cells and enriched for SSEA1- and EpCAM-positive pluripotent cells (Fig. 3c). Only iPS lines that express SSEA1 and EpCAM should be considered as pluripotent. By extracting the SSEA1/EpCAM double-positive population by FACS, undifferentiated iPS cells can be effectively removed and the purified cells subsequently used for purposes such as differentiation assays. Preparation of single-colour compensation samples, antibody labelling process, and gating strategies were described in great detail previously [15, 18, 19]; setting up the voltages at the cell analyzer or sorter is to be performed by either an experienced user or a dedicated FACS operator as described previously [15, 19]. 3.3.2 Alkaline Phosphatase Staining Established clonal iPS cell lines (passaged 4–5 times to enrich for pluripotent cells) can be submitted to an alkaline phosphatase assay. For this assay, cells can be seeded in a 24-well or 12-well format. When cultures are confluent (roughly 70% confluent colonies), remove iPSC media from the wells, wash once with DPBS, and then stain with alkaline phosphatase assay (Vector Black Alkaline Phosphatase Substrate Kit II, SK-5200) according to manufacturer’s instructions. iPS cell colonies will stain black (Fig. 3d). 3.3.3 Teratoma Formation Assay iPS cells that have been established for at least 4–5 passages are normally subjected to the teratoma assay. Upon injecting iPS cells subcutaneously, they should start proliferating and differentiate into the cell types of all three germ layers and thereby form a growth, the so-called teratoma. If the resulting teratoma indeed contains cells from the three germ layers (ectoderm, mesoderm, and endoderm), the iPS cell line is deemed to be pluripotent. In order to perform a teratoma formation assay, approval has to be obtained from the Animal Welfare Committee or other regulatory bodies before conducting any of these experiments. Mouse Induced Pluripotent Stem Cells 71 1. Expand subcloned iPS cell lines into one T25 flask in the presence of iMEF feeders. 2. When the cells are ready to be passaged, remove iPSC media, then wash once with DPBS, and add 3 mL trypsin-EDTA solution for 3–5 min at 37 C. 3. Neutralize the enzymatic reaction by the addition of 3 mL of MEF media, and pipette up and down three to five times to dissociate the iPS cells, and then transfer the cells to a 15 mL tube. 4. Pellet the cells by centrifugation at 450 g for 3 min, and then resuspend the cell pellet in 12 mL iPSC media. 5. To purify and enrich iPS cells prior to the assay, an iMEF feeder depletion step is performed. Transfer the cells onto a new gelatin-coated T75 flask (see Note 3), and place the flask into a 37 C incubator for 45–50 min. iMEF feeders and differentiated cells attach to the gelatin within 45 min of incubation time, whereas iPS cells require 2–4 h to attach. 6. Transfer the supernatant (containing the nonadherent iPS cells) to a 15 mL tube, pellet the cells by centrifugation at 450 g for 3 min, and then resuspend the cell pellet in 1–3 mL iPSC media to perform cell counting using a hemocytometer or automated cell counter. 7. Transfer ~1 106 cells into an Eppendorf tube, and pellet the cells by centrifugation at 450 g for 3 min. 8. Resuspend the cell pellet in 200 μL prepared injection mix containing 1% BSA/PBS or iPSC media, and keep on ice (see Note 13). 9. Set up the anesthesia apparatus and surgical station in the animal facility according to the instructions provided by the manufacturer (see Note 14). 10. Before anesthetizing the mice, fill the anesthetic apparatus’ induction chamber by setting the oxygen flow rate at 4 L/ min and isoflurane at 4–5% for 1–2 min. 11. Once the induction chamber is filled, decrease the oxygen flow rate and isoflurane to maintenance level (0.4 L/min flow rate and 2–3% isoflurane). 12. Anesthetize the NGS mice using 2–3% isoflurane and 0.4 L/ min oxygen flow rate for anesthesia and its maintenance once they are unconscious (Fig. 4a). 13. Remove one mouse from the induction chamber, and place a nose cone on it to provide consistent anesthetic air flow. 14. Wipe the skin around the dorsal flanks of the mouse with iodine solution and then 70% ethanol. 72 Xiaodong Liu et al. Fig. 4 Overview of teratoma assay. (a) Schematic depicting injection of iPSCs into NGS mouse and resulting teratoma formation and isolation. (b) Hematoxylin and eosin (H&E) staining of teratoma sections and visualization of three representative tissue types per germ layer. Scale bar ¼ 25 μM 15. Using a 1 mL syringe with 23-gauge needle, slowly draw 200 μL of the prepared cell suspension, remove bubbles from the syringe, and proceed immediately to the next step. 16. Slowly inject 200 μL of the cell suspension subcutaneously into the dorsal flanks of the NGS mouse. This can be done by pinching a part of the mouse’s flank using the thumb and the index finger (Fig. 4a) followed by inserting the needle between Mouse Induced Pluripotent Stem Cells 73 the fingers. After ensuring that the needle is positioned subcutaneously, slowly inject the cell suspension. 17. After injection, keep the mouse anesthetized for ~10 min. 18. Monitor injected NGS mice at least once a week for 3–5 weeks to track growth at the injection site. 19. When teratoma formation is evident at a stage when the growth is still smaller than or around 1 cm3, it is recommended (and an ethical requirement) to cull the mouse and excise the teratomas (see Note 15). 20. Transfer the teratoma to a 50 mL tube, and submerge into an ample volume of 4% PFA. 21. Fix tissue overnight at 4 C on a tube rotator. 22. On the following day, wash the teratomas with DPBS, and cut into 2–5 slices using scalpels (the choice of the number of the slices depends on the size of the teratoma and the personal choice of the experimenter). 23. Place the teratoma slices into a labelled biopsy-processing cassettes with biopsy foam pads, and submerge in a container with 70% ethanol for sectioning. 24. Dehydrate tissue using graded alcohols (70, 80, 90, 100%) by successively incubating in each solution (starting with 70%) for at least 20 min, and then submerge in fresh chloroform solution twice for 1 h each. 25. Incubate cassettes twice in paraffin wax (molten at 56 C) for at least 1 h (see Note 16). 26. After the tissue has been infiltrated with paraffin wax (step 25), place cassette in a paraffin bath at 58 C for 15 min to melt away residual wax. 27. Open cassette and pick tissue out of the cassette with a pair of forceps. Transfer tissue onto embedding molds, and position it preferably in the center of the depression of the mold. When tissue is placed in the desired orientation, fill remaining portion of mold with hot paraffin to desired volume. Place mold in 20 C freezer for at least 3 h before separating the tissue block from the mold. 28. Section paraffin-embedded tissue block using a microtome (or cryostat). Cut sections at 2–5 μm according to the manufacturer’s instructions (see Note 17). 29. Using a pair of forceps, transfer sections onto a 20% ethanol bath (20% v/v ethanol in water), and then transfer sections onto a heated water bath of 56 C. Collect sections onto labelled slides, and leave to drain for 10 min (leave upright). Leave slides to dry overnight on a slide rack in an oven at 40 C. 74 Xiaodong Liu et al. 30. Hematoxylin and eosin staining should be performed according to histology facility’s or manufacturer’s instruction. Refer to Nelakanti et al. [20] for a detailed protocol of the staining technique. 31. To obtain high-quality images and identify tissues of all three germ layers, use a MIRAX scanner (or any other comparable slide scanners). 32. Score the images for the presence of derivatives of the three germ layers. Examples of representative tissues of each germ layer are provided in Fig. 4b. 4 Notes 1. It is important to note that the batch and quality of FBS are crucial to support pluripotent stem cell culture and reprogramming. Not all FBS batches are suited for reprogramming. If batch testing is not possible, procure ES-qualified FBS (in general more expensive). 2. Contact local histology platforms in advance for submission of specimens for subsequent processing of teratoma assays. 3. Sterile 0.1% gelatin solution (w/v) is used to coat the plates or flasks to provide attachment support to the MEFs. It is recommended to add adequate 0.1% gelatin to cover the surface of the plates or flasks (e.g., 2 mL for a well of 6-well plate) and incubate for 30 min or more at 37 C to coat. 4. Starting cell density has a dramatic impact on the reprogramming efficiency. We recommend trying a range of cell densities to determine the optimal density for reprogramming experiments for that particular cell line. 5. MOI can be calculated based on the target cell number to be transduced multiplied by the number of infective viral particles per microliter of viral concentrate. When handling viruses, please ensure that transduction is performed in a class II hood and the user is double-gloved for safety and protection. Refer to the previous chapter [16] for further details. 6. This reprogramming protocol is optimized for culture in normoxic conditions. 7. It is recommended to pick iPSC colonies using a dissection microscope to derive clonal lines. Colony picking should be performed in a sterile condition (e.g. inside a hood; and the surface and the hood, and all tools and equipment should be cleaned thoroughly with 80% ethanol before colony picking). It is easiest to pick colonies a minimum format size of a 6-well plate. Mouse Induced Pluripotent Stem Cells 75 8. Before picking colonies, seed iMEFs in 24-well plates 24 h in advance. For better visualization of colonies (and to facilitate dissociation of colonies after picking later), remove iPSC media, and wash cells with PBS. Aspirate and add 2 mL of PBS in each 6-well plate (or 10 mL in a 10 cm dish). When selecting a colony to pick, avoid colonies with a flattened/ differentiated appearance. 9. In order to derive 3–5 clonal lines, we advise picking a minimum of 20 colonies as not all colonies will expand after this process. 10. Three to five days after establishing the clonal lines, cells can be expanded into larger formats (from 24-well into a 6-well plate) with iMEF feeders seeded 24 h prior to expansion. 11. It might be necessary to passage new clonal lines for a few times (at least 2–3 passages) to get rid of cells that are not fully reprogrammed/partially differentiated and enrich for true iPSC colonies with dome-shaped morphology. 12. For cryopreservation and routine passaging of iPSCs, it is recommended to follow the protocol described in a previous chapter in this volume [17]. 13. Matrigel diluted 1:3 in DMEM/F12 can be used to increase teratoma formation as it enhances cell engraftment after injection [21]. Keep thawed Matrigel on ice at all times to prevent solidification. 14. Depending on the equipment, delivery method and time of anesthetic exposure to the animal can vary. 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Nefzger CM, Jarde T, Rossello FJ, Horvay K, Knaupp AS et al (2016) A versatile strategy for isolating a highly enriched population of intestinal stem cells. Stem Cell Reports. 6:321–329. 20. Nelakanti RV, Kooreman NG, Wu JC (2015) Teratoma formation: a tool for monitoring pluripotency in stem cell research. Curr Protoc Stem Cell Biol 32:4A.8.1–4A.817 21. Polanco JC, Ho MS, Wang B, Zhou Q, Wolvetang E et al (2013) Identification of unsafe human induced pluripotent stem cell lines using a robust surrogate assay for pluripotency. Stem Cells 31:1498–1510 Chapter 6 Gene Editing of Mouse Embryonic and Epiblast Stem Cells Tennille Sibbritt, Pierre Osteil, Xiaochen Fan, Jane Sun, Nazmus Salehin, Hilary Knowles, Joanne Shen, and Patrick P. L. Tam Abstract Efficient and reliable methods for gene editing are critical for the generation of loss-of-gene function stem cells and genetically modified mice. Here, we outline the application of CRISPR-Cas9 technology for gene editing in mouse embryonic stem cells (mESCs) to generate knockout ESC chimeras for the fast-tracked analysis of gene function. Furthermore, we describe the application of gene editing directly to mouse epiblast stem cells (mEpiSCs) for modelling germ layer differentiation in vitro. Key words CRISPR-Cas9, Embryonic stem cells, Epiblast stem cells 1 Introduction Conventional methods to perform genome editing in embryonic stem cells (ESCs) such as gene targeting by homologous recombination are inefficient and time-consuming, taking up to months to a year to generate a stock of genetically modified mice for experimental studies of gene function. Recently, advances in genetic manipulation technology have enabled the quick and efficient generation of edited genomes. Nucleases fused to specific DNA-binding domains, such as transcription activator-like effector nucleases (TALENs) and zinc-finger nucleases (ZFNs), have facilitated highly specific gene editing that can be achieved expeditiously, but the utility and the cost-effectiveness of these technologies remain challenging [1, 2]. CRISPR-Cas9 technology has recently arisen to the fore as the most amenable technique to perform genome editing [3]. In addition to producing the desired genetic modification within a shorter time frame, this technology is efficient, is relatively straightforward in design, and can be applied to both cell lines and whole organisms. Here, we describe the use of CRISPR-Cas9 for genome editing in mouse (m) ESCs and EpiSCs. Several resources are available to design the single-guide RNAs (sgRNAs) to target the gene of Ivan Bertoncello (ed.), Mouse Cell Culture: Methods and Protocols, Methods in Molecular Biology, vol. 1940, https://doi.org/10.1007/978-1-4939-9086-3_6, © Springer Science+Business Media, LLC, part of Springer Nature 2019 77 78 Tennille Sibbritt et al. interest, such as the Zhang Lab website (http://crispr.mit.edu/) or the Broad Institute’s Genetic Perturbation Platform (https:// portals.broadinstitute.org/gpp/public/). Commonly, a combination of these resources is used to select the optimal sgRNAs that target within the first 200 bp of the start codon in the coding region and have high specificity with low off-target effects. Furthermore, the sgRNA must be followed on the 30 end by the 3 bp NGG protospacer adjacent motif (PAM). The cloning of the sgRNA for targeting the gene of interest into plasmids containing the Cas9 nuclease, a selection marker (puromycin or GFP), and a sgRNA scaffold (pSpCas9(BB)-2A-Puro or pSpCas9(BB)-2A-GFP) can be ready within a week for use in the electroporation of stem cells [3]. Within another 3 weeks, mESCs or mEpiSCs harboring target mutations can be established, which can be taken further for clone selection by puromycin resistance or GFP expression. The subsequent expansion of positive clones for cryopreservation and genotyping usually takes at most another 4 weeks. We have previously generated chimeric embryos derived predominantly from the targeted genome-edited ESCs by microinjecting the stem cells into eight-cell preimplantation mouse embryos which are transferred to pseudopregnant mice for further intrauterine development [4, 5]. In addition to the capability to generate mid-gestation embryos of the edited genotype for the phenotypic analysis and elucidation of gene function, this approach has also been employed to derive genome-edited mEpiSCs from the chimeric embryos [4]. The generation of ESC-derived chimeras enables the transition of the stem cells through the development of the inner cell mass to an epiblast state from which authentic mEpiSCs can be derived. This approach bypasses the technical barrier that the transition from mESCs to mEpiSCs of a proper epiblast-like state has not been achieved in vitro. However, derivation of mEpiSCs with an edited genotype via chimeric embryo production is timeconsuming and laborious. Moreover, the efficiency of derivation of mEpiSCs is lower than that of mESCs, resulting in increased animal usage. This technically demanding protocol and the low efficiency of mEpiSC derivation could be replaced by a genome editing protocol that applies directly to mEpiSCs. Efforts to perform gene editing directly on mEpiSCs have been hampered by the technical difficulty in maintaining the mEpiSCs (1) without feeders (that interferes with the selection of edited cells) and (2) as single cells for clonal selection of editing events. These hurdles are reputed to be the different requirements for maintaining the mEpiSCs due to their primed pluripotent state and the poising of cell differentiation. We have overcome these issues with the use of conditioned mEpiSC medium obtained from culture with mouse embryonic fibroblasts (MEFs) and chemical reagents that enhance the viability of single mEpiSC cells during clonal selection in vitro. Gene Editing Embryonic and Epiblast Stem Cells 79 Gene editing of mESC and mEpiSCs by these approaches is efficient. In the case of puromycin selection, 80–100% of clones that successfully grow contain a mutation on at least one allele of the gene of interest. The success rate of generating biallelic frameshift mutations varies from 35% to 100%. With GFP selection, we generally find mutations in 60–80% of the sequenced clones, with 10–20% of these containing biallelic frameshift mutations. For several genes that have been edited by CRISPR-Cas9 technology, we were able to confirm the absence of protein for the biallelic frameshift mutations in mESC clones and the reduction of protein in some monoallelic mESC clones. For mEpiSCs, sequencing analysis of a mixed population of clones revealed that desirable editing events have taken place. In this chapter, we describe procedures for generating frameshift mutations in mESCs and directly in mEpiSCs (Fig. 1). 2 Materials Prepare and store all reagents at room temperature unless indicated otherwise in protocol or packaging of reagent. Diligently follow all safety and waste disposal regulations when performing experiments. 2.1 CRISPR Plasmid Components 1. pSpCas9(BB)-2A-Puro (PX459) V2.0 (Addgene plasmid #62988) or pSpCas9(BB)-2A-GFP (PX458) (Addgene plasmid #48138) (gift from Feng Zhang) with the sgRNA ligated into the plasmid according to the protocol described in [3]. 2.2 Cell Culture Components 1. 100 nucleosides: 0.16 g adenosine, 0.146 g cytidine, 0.17 g guanosine, 0.146 g uridine, 0.048 g thymidine in 200 mL H2O. Swirl at 37 C for several hours or overnight. Filter before use and store aliquots at 4 C. Warm to 37 C prior to use. 2. Mouse embryonic stem cell (mESC) culture medium: DMEM, 12.5% heat-inactivated fetal calf serum (FCS), 1000 U/mL leukemia inhibitory factor, 0.1 mM β-mercaptoethanol, 1 nonessential amino acids, 1 nucleosides. Store at 4 C. 3. Mouse embryonic fibroblast (MEF) culture medium: DMEM, 10% FCS, 0.1 mM β-mercaptoethanol. Store at 4 C. 4. Mouse epiblast stem cell (mEpiSC) medium: Knockout Serum Replacement, 1 nonessential amino acids, 1 GlutaMAX™, 0.1 mM β-mercaptoethanol. Store at 4 C. Media is supplemented with 10 ng/mL recombinant human FGF2 and 20 ng/mL recombinant Human/Mouse/Rat Activin A extemporaneously. PX459 V2.0 PX458 2A 2A Pu ro R CRISPR plasmid FP CRISPR plasmid Electroporate mESCs or mEpiSCs U6 EG U6 (add ROCKi to mEpiSCs) 20mer oligo cloning site 20mer oligo cloning site Select GFP positive clones ~3-4 days after transfection Rest for 24 h Puromycin select (48 h mESCs, 24 h mEpiSCs) Select clones (add ROCKi to mEpiSCs for 24 h) mESCs Freeze clones & grow on gelatin to extract genomic DNA for genotyping mEpiSCs (conditioned medium + ROCKi) PCR amplify, Sanger sequence & analyse mutation using TIDE mEpiSCs mESCs * PAM * PAM Clone PCR products into pGEM®-T Easy Vector & Sanger sequence PAM Wild-type e.g. mESCs * PAM * PAM Positive clone Allele 1: 7 bp deletion Allele 2: 2 bp deletion Thaw, expand and freeze positive clones Validate clones Sanger sequence for final validation mRNA expression analysis (e.g. RT-qPCR) Protein expression analysis (e.g. western blot) Fig. 1 Workflow for genome editing in mESCs and mEpiSCs using PX459 V2.0 or PX458. PX459 V2.0 and PX458 contain the S. pyogenes Cas9 nuclease ORF and a cloning backbone for the sgRNA. PX459 V2.0 contains the 2A-Puro ORF directly downstream of the Cas9 ORF, while PX458 contains the 2A-EGFP ORF Gene Editing Embryonic and Epiblast Stem Cells 81 5. Conditioned mEpiSC medium: mEpiSC medium is incubated overnight at 37 C on MEFs at a density of 9 104 cells/cm2. The following day, the medium is filtered. The conditioned medium can be stored at 20 C for up to 1 month. Use only for cell culture without MEFs, and supplement with Activin A and FGF2 as mentioned in step 4. 6. 2 freeze medium: 50% heat-inactivated FCS, 30% culture medium, 20% DMSO. Make up fresh each time and keep at 4 C. 7. TrypLE™ Select. 8. Collagenase IV: Make a stock of 2 mg/mL in mEpiSC medium. 9. ROCK inhibitor (Y-27632, TOCRIS): ROCKi is used only when mEpiSCs are seeded in a single cell suspension to improve cell viability. Add to mEpiSC media to a final concentration of 10 μM only for 24 h following TrypLE™ Select treatment. 10. Dulbecco’s (D)PBS. 11. Puromycin (10 mg/mL). 12. 0.1% gelatin: Mix 1 g gelatin from bovine skin with 1 L H2O. Autoclave and filter before use. 13. MicroTube Rack System™ Tubes. 2.3 Electroporation Components 1. Neon® Transfection System. 2. Neon® Transfection System 100 μL kit. ä Fig. 1 (continued) directly downstream of the Cas9 ORF, allowing for puromycin or EGFP selection, respectively. After electroporation of the plasmids containing the sgRNA of interest, clones are left to grow. In the case of mEpiSCs, clones are grown in mEpiSC medium supplemented with 10 μM ROCKi for 24 h, while mESCs are grown in mESC medium. Once established, clones are selected and grown in a 96-well plate containing MEFs. One-third (mESCs) or one-half (mEpiSCs) of the cells are cryopreserved, while the remainder are grown on 0.1% gelatin for several passages to remove MEFs for genotyping of the mutation. In the case of mEpiSCs grown on gelatin, clones are passaged in conditioned medium with 10 μM ROCKi added after each passage for 24 h. Clones are lysed and subjected to PCR and Sanger sequencing, followed by analysis by TIDE to decompose the mutations on each allele. Examples of the chromatograms indicating gene editing are shown for mESCs and mEpiSCs; overlapping peaks in the sequence of several bases upstream of the PAM indicate mutations in at least one allele. PCR products are then cloned into pGEM®-T Easy Vector for confirmation of the gene editing event. An example of a confirmed biallelic frameshift mutation is shown for mESCs. Final validation of the mutation involves thawing out the cryopreserved clones of interest, expanding them from a 48-well plate to a 6-well plate over several weeks, and repeating the process of lysis, PCR, cloning, and Sanger sequencing. Final validation of the knockout is confirmed by mRNA expression analysis (RT-qPCR) using primers that overlap the indel or protein expression analysis (Western blot). * indicates the indel site 82 Tennille Sibbritt et al. 2.4 Cell Lysis Components 1. Cell lysis buffer: 50 mM Tris–HCl, pH 8.0, 1 mM EDTA, 0.5% Tween-20. Freshly add 200 μg/mL Proteinase K. 2.5 PCR Amplification Components 1. BioMix™ (Bioline). 2.6 Agarose Gel Electrophoresis and PCR Purification Components 2. Forward and reverse primers spanning the mutation site (desired product size ~700 bp, with sufficient sequence flanking the mutation). 1. Agarose. 2. RedSafe™ Nucleic Biotechnology). Acid Staining Solution (iNtRON 3. HyperLadder™ 100 bp (Bioline). 4. 1 TAE buffer: Make up 50 TAE buffer by combining 424 g Tris base, 57.1 mL acetic acid, and 100 mL 0.5 M EDTA (pH 8.0), and make up to 1 L in H2O. To make 1 TAE buffer, combine 40 mL 50 TAE buffer with 1.96 L H2O. 5. Wizard SV Gel and PCR Clean-Up System (Promega). 2.7 Ligation, Bacterial Transformation, and Plasmid Purification Components 1. pGEM®-T Easy Vector System (Promega). 2. α-Select Silver Competent Cells (Bioline). 3. Luria-Broth (LB): Combine 4 g Tryptone (vegetable), 2 g Bacto™ Yeast Extract, and 4 g NaCl, and add 400 mL H2O. Autoclave. 4. LB ampicillin: As for LB, add ampicillin to a final concentration of 100 μg/mL once cooled enough to touch. 5. Combine 4 g Tryptone (vegetable), 2 g Bacto™ Yeast Extract, and 4 g NaCl, and add 400 mL H2O. Autoclave. 6. LB ampicillin agar plates: As for LB, add 6.5 g Bacto™ Agar. Autoclave. Cool to the point that you can touch. Add ampicillin to a final concentration of 100 μg/mL. Under sterile conditions pour ~20 mL into bacterial plates. Store at 4 C for up to 1 month. 7. LB ampicillin agar plates for bacterial transformations using pGEM®-T Easy Vector: As for LB ampicillin agar plates, add fresh 0.5 mM IPTG and 50 μg/mL X-Gal to the plates after the agar has set. Spread across the plate, and hold with the lid off in a 37 C incubator until plates have dried (~20 min). 8. ISOLATE II Plasmid Mini Kit (Bioline). 3 Methods Carry out all procedures at room temperature unless otherwise specified. Warm all cell culture media components to room Gene Editing Embryonic and Epiblast Stem Cells 83 temperature or 37 C before use. Unless otherwise stated, all cell culture is done under sterile conditions in a laminar flow hood. Follow all waste disposal regulations diligently when disposing waste materials. 3.1 Electroporation of mESCs with PX459 v2.0 or PX458 1. 24 h before electroporation, seed a 10 cm plate (two plates for PX458) with 1.5 106 MEFs in MEF medium, and place into the 37 C incubator. 2. On the day of electroporation, set up and save the following parameters on the Neon® Transfection System: Pulse voltage, 1200 V; pulse width, 20 ms; pulse number, 2 3. Set up the electroporation equipment according to the manufacturer’s instructions. 4. Remove 5 μg of PX459 V2.0 or 3 μg PX458 with the specific sgRNA ligated in from the stock tube, and aliquot into a 1.5 mL tube (see Note 1). Put aside. 5. Change the medium on the pre-seeded MEFs to 10 mL mESC medium. Label the plate with all the required details for the electroporation. Place back into the incubator until required. 6. Take the mESCs out of the 37 C incubator, aspirate the medium, and rinse with 4 mL DPBS. 7. Add 3 mL TrypLE™ Select to the mESC plate, and place back into the incubator for 5 min. 8. Take the plate out of the incubator and add 6 mL mESC medium. Inactivate and break into a single cell suspension (see Note 2). 9. Centrifuge cells at 1000 rpm (200 g) for 5 min. 10. Once spinning has completed, remove the medium leaving only the cell pellet, and then resuspend in 10 mL DPBS. Count the cells. 11. For electroporation with pX459 V2.0, remove 5 106 cells, and pipette into a new 15 mL tube. For electroporation with pX458, remove 1 106 cells, and pipette into a new 15 mL tube (see Note 3). 12. Centrifuge at 1000 rpm (200 g) for 5 min. During this time, add 3 mL E2 buffer into a Neon® Tube, and place into the Neon® Pipette Station. 13. When spinning has completed, remove all DPBS leaving only the cell pellet. 14. Resuspend cells in 120 μL R buffer until they are in a single cell suspension. 15. Transfer the cells to the 1.5 mL tube containing the plasmid from step 4. Mix well by gentle pipetting. 84 Tennille Sibbritt et al. 16. Insert a 100 μL Neon® tip into the Neon® Pipette, and collect the cell and DNA mixture. Ensure there are no bubbles (see Note 4). 17. Move the Neon® Pipette containing the cells and DNA to the Neon® Pipette Station. 18. Load the saved parameters on the Neon® Transfection System from step 2. Press “start.” Once completed, the unit will display “complete.” 19. Transfer the electroporated cells onto the pre-seeded MEF plate. Evenly distribute the cells by rocking back and forth and side-to-side (not swirling). 20. If there are still substantial numbers of cells left in the 1.5 mL tube, repeat steps 14–19. 21. Return the plate to the incubator. 3.2 Electroporation of mEpiSCs with PX459 v2.0 1. 24 h before electroporation, seed 2 6 cm plates with 1 106 MEFs in MEF medium, and place into the 37 C incubator. 2. Repeat steps 2–4 from Subheading 3.1. 3. Rinse the plates containing pre-seeded MEFs with 2 mL DPBS, and then add 4 mL of mEpiSC medium supplemented with 10 μM ROCKi. Label the plate with all the required details for the electroporation. Place back into the incubator until required. 4. Add 2 mL of Collagenase IV to the plates containing mEpiSCs, and place back into the 37 C incubator for 10 min. 5. Take the mEpiSC plates out of the incubator, and add 2 mL mEpiSC medium to detach the colonies from the feeder layer. 6. Spin the clumped suspension at 1000 rpm (200 g) for 30 s. 7. Resuspend the cell pellet in 1 mL TrypLE™ Select, and incubate at room temperature for 2 min. 8. Break the cell clumps using a P1000 tip and add 2 mL mEpiSC medium. 9. Centrifuge cells at 1000 rpm (200 g) for 5 min. 10. Remove the medium leaving only the cell pellet, and then resuspend in 2 mL DPBS. Count the cells. 11. Proceed with step 11 from Subheading 3.1 for electroporation of mEpiSCs. 3.3 Puromycin Selection of mESCs and mEpiSCs Transfected with pX459 v2.0 1. 24 h post-electroporation, feed the electroporated mESC or mEpiSC media containing 2 μg/mL or 1 μg/mL puromycin, respectively (see Note 5). Repeat this the following day for mESCs with fresh mESC media (see Note 6). Gene Editing Embryonic and Epiblast Stem Cells 85 2. 72 h post-electroporation of the mESCs (48 h postelectroporation for mEpiSCs), wash the cells twice with DPBS, and feed with mESC or mEpiSC media. 3. For the electroporated mESCs, seed 1.5 106 MEFs in mESC medium onto the plate. For mEpiSCs, seed 1 106 MEFs in mEpiSC medium onto each plate (see Note 7). 4. Continue DPBS wash and feed daily. 3.4 Clone Picking of pX459 v2.0Transfected mESCs and mEpiSCs 1. The day before colonies are ready to be picked, seed 8.42 104 MEFs for mESCs or 6.24 104 MEFs for mEpiSCs into the wells of a 96-well plate (see Note 8). The number of wells to seed depends on the number of clones to be picked. If possible, try to pick 20–30 clones. Place the plate into the 37 C incubator. 2. On the day of picking the mESCs, change the media in the 96-well plate to 80 μL mESC media. For mEpiSCs, rinse once with 100 μL DPBS to remove any trace of FCS before adding 80 μL mEpiSC media with 10 μM ROCKi. Label the wells with the clone number (i.e., 1, 2, 3, etc.) and return to the incubator. 3. In another 96-well plate, add 30 μL TrypLE™ Select to the same series of wells seeded with MEFs on the plate prepared in step 2. Label the wells with the clone number (i.e., 1, 2, 3, etc.). 4. Take the electroporated cells out of the incubator, and examine the clones on the plate. Mark on the plate which clones are suitable for selection based on morphology (see Note 9). 5. Aspirate the medium from the plate, and rinse the mESCs or mEpiSCs with 4 mL or 2 mL DPBS, respectively. 6. Add 7 mL DPBS to the mESCs or 2 mL to the mEpiSCs (see Note 10), and under a microscope, start picking clones, with each being placed in a single well of the 96-well plate containing TrypLE™ Select (see Note 11). This can be done by setting a P20 pipette to 4 μL (see Note 12). 7. After 5 min, inactivate TrypLE™ Select by adding 70 μL mESC medium or mEpiSC medium supplemented with 10 μM ROCKi to each well. 8. Using a multichannel pipette, pipette each well up and down to dissociate into single cells. 9. Transfer the cells to the 96-well plate containing the MEFs, and place back into the incubator. 10. Feed the clones daily with 200 μL mESC medium or mEpiSC medium. 86 Tennille Sibbritt et al. 3.5 Clone Picking of pX458-Transfected mESCs 1. Repeat steps 1–2 from Subheading 3.4. 2. Check growth of cells 3 days after electroporation for size and the presence of fluorescence to decide the best time for clone picking. A balance needs to be made between strong GFP expression and a sufficient number of cells per clone (see Note 13). 3. Under a fluorescence microscope, pick clones uniformly expressing GFP using a mouth pipette, and place directly into the 96-well plate containing pre-seeded MEFs (see Note 14). 4. Feed the clones daily with 200 μL mESC media until most clones are large enough to be passaged. As the clones that were picked were small, they will not grow to fill the entire well. 5. 24 h before passaging the clones, repeat step 1 from Subheading 3.4. On the day of passaging, repeat step 2 from Subheading 3.4. 6. Passage the entire clones onto the 96-well plate that was pre-seeded with MEFs 24 h earlier (see Note 15). 3.6 Passaging and Cryopreservation of mESC Clones Once clones are almost confluent, it is necessary to cryopreserve a proportion of the cells as a stock as well as grow the remaining cells on gelatin to remove MEFs for genomic DNA (gDNA) extraction and genotyping of the mutation. Not all clones grow at the same rate, and some clones may not grow at all, so it is necessary to exercise a compromise between the expansion of cells by enhancing growth and preventing cell differentiation. 1. Remove mESC media from each well. 2. Rinse each well with 100 μL DPBS and add 30 μL TrypLE™ Select. Place in the incubator for 5 min. 3. During the incubation, coat wells of a fresh 96-well plate with 100 μL 0.1% gelatin, aspirate off gelatin after a few minutes, and immediately add 160 μL mESC media. The number of wells to coat is equivalent to the number of clones that has been picked. 4. Inactivate the TrypLE™ Select by adding 90 μL mESC media to each well. 5. Using a multichannel pipette, pipette each well up and down to dissociate into single cells. 6. Transfer 40 μL of the cells onto the plate containing gelatin. Label the plate accordingly and place into the incubator. 7. To the remaining 80 μL cells, slowly add 80 μL 2 freeze media, and gently pipette up and down. 8. Transfer each clone to a separate tube of the MicroTube Rack System™. Attach the lids and label the tubes with the necessary details. Gene Editing Embryonic and Epiblast Stem Cells 87 9. Place the MicroTube Rack System™ Tubes on ice, and transfer to a 80 C freezer. 10. Feed the cells on gelatin daily with 200 μL mESC media and passage when cells are confluent. Generally, three passages on gelatin are sufficient to remove all MEFs (see Note 16). 3.7 Passaging and Cryopreservation of mEpiSC Clones 1. Remove mEpiSC media from each well. 2. Rinse each well with 100 μL DPBS, add 30 μL Collagenase IV, and place back into the 37 C incubator for 10 min. 3. During the incubation, coat the wells of a new 96-well plate with 100 μL 0.1% gelatin for 20 min, then aspirate off gelatin, and immediately add 140 μL conditioned mEpiSC medium supplemented with 10 μM ROCKi. 4. Add 30 μL mEpiSC medium to the dissociated cells, and detach the colonies from the feeder layer. Transfer into 1.5 mL tubes. 5. Spin the clump suspension at 1000 rpm (200 g) for 30 s. 6. Resuspend the cell pellet in 120 μL conditioned mEpiSC medium supplemented with 10 μM ROCKi. Try to dissociate the clumps as much as possible. 7. Transfer 60 μL of the cell suspension to the plate containing gelatin. Label the plate accordingly, and place into the incubator. 8. To the remaining 60 μL cells, add 60 μL 2 freeze media, and gently pipette up and down. 9. Repeat steps 8 and 9 of Subheading 3.6. 10. Feed the cells daily with 200 μL conditioned mEpiSC medium, and, when cells are confluent, passage at a 1:2 ratio onto a new gelatin-coated 96-well plate. Add 10 μM ROCKi after each passage for 24 h. Three passages through gelatin-coated culture are sufficient to remove all MEFs; however, the mEpiSCs may take up to 2 weeks to recover. 3.8 Cell Lysis, PCR Amplification, and Sanger Sequencing for Genotyping 1. Once all MEFs are removed and cells are confluent, aspirate off media, and rinse with 100 μL DPBS. 2. Add 100 μL lysis buffer with Proteinase K to each of the clones, and incubate overnight at 56 C (see Note 17). 3. Transfer the lysates to eight-strip tubes, and inactivate Proteinase K by incubating at 95 C for 10 min in a thermocycler (see Note 18). 4. PCR amplify the region surrounding the mutation for each of the clones using the conditions in Tables 1 and 2. It will be necessary to perform the same PCR reaction on a sample that has not been edited in the same region (see Note 19). 88 Tennille Sibbritt et al. Table 1 PCR master mix for the amplification of gDNA surrounding the mutation site using BioMix™ Reagent Volume for one reaction (μL) BioMix™ 10 Forward primer (10 μM) 1 Reverse primer (10 μM) 1 Template gDNA 2 Sterile deionized water 6 Table 2 PCR cycling conditions for the amplification of gDNA surrounding the mutation site using BioMix™ Stage Temperature ( C) Time Initial denaturation 95 5 min 35 cycles 95 60 72 30 s 30 s 1 min/kb 4 Forever Hold Denaturation Annealing Extension 5. Make a 2% agarose gel in 1 TAE that is enough to fill a large casting tray (~200 mL). 6. Once cool, add 15 μL of RedSafe™ and gently swirl into the solution. Carefully pour the agarose solution into a gel cast tray with combs already inserted without introducing air bubbles to the gel. 7. Load 5 μL of the PCR products into each well. Add 6 μL of the appropriate ladder into a lane next to your samples (see Note 20). Electrophorese gel at 100 V for 2.5 h to allow for sufficient separation of the bands indicating potential biallelic mutations. 8. After imaging, select samples in which the fragment size is relatively close to the expected size, and purify samples from the remaining 15 μL PCR product using Wizard® SV Gel and PCR Clean-Up System according to manufacturer’s instructions (see Note 21). 9. Perform Sanger sequencing of the PCR products, including the unedited control, with the forward primer used for the PCR amplification. 10. Once the sequencing results have returned, use TIDE (https://tide-calculator.nki.nl/) [6] to predict the insertions/ Gene Editing Embryonic and Epiblast Stem Cells 89 deletions (indels) of the samples compared to the unedited control sample (see Note 22). 11. Determine which clones are worth pursuing for further characterization based on the predicted indels, % of sequences with that indel, and total efficiency of the prediction. The desired indels should result in a biallelic frameshift mutation (number of base deletions not divisible by 3), with ~50% sequences with each indel at a high efficiency. 3.9 Decomposition of Mutations: Ligation, Transformation, and Extraction of Plasmid DNA 1. Ligate 2 μL of purified PCR product of the selected clones from Subheading 3.8 into the pGEM®-T Easy Vector according to manufacturer’s instructions (see Note 23). 2. Thaw a vial of the α-Select Silver Competent Cells on ice for ~5 min. Label a 1.5 mL tube for every ligation sample, and aliquot out 2 μL of the sample into the tubes, and pre-chill on ice, while competent cells are thawing. 3. Once completely thawed, gently mix the competent cells by pipetting up and down once before adding 50 μL of cells to each pre-chilled ligation mix. Pipette up and down gently once to mix. 4. Incubate mixture on ice for 30 min. 5. Heat shock the cells at 42 C for 30 s in a water bath. 6. Immediately place on ice for 2 min. 7. Add 350 μL of LB to the transformation mix. 8. Incubate transformation mix at 37 C for 1 h, shaking at 200 rpm. 9. Plate 200–300 μL of the transformation mix carefully onto a pre-warmed LB ampicillin agar plate with IPTG and X-gal (see Note 24). Incubate overnight at 37 C. 10. Seal transformation plates and place at 4 C the following morning (see Note 25). 11. Aliquot 4 mL of freshly made LB ampicillin into 8–12 labelled 14 mL Falcon™ Round-Bottom Polypropylene Tubes. 12. Pick 8–12 pure white colonies from the transformation plate using a yellow 200 μL pipette tip, suspend the colony into the LB ampicillin, and discard the tip within the tube (see Note 26). 13. Culture the picked subclones at 37 C overnight, shaking at 200 rpm. 14. Isolate the plasmid using the ISOLATE II Plasmid Mini Kit as per manufacturer’s instructions. Elute in 30 μL of H2O. 15. Send isolated plasmid samples off for Sanger sequencing using the M13 reverse primer. 90 Tennille Sibbritt et al. 16. Use https://www.ebi.ac.uk/Tools/msa/muscle/ [7, 8] to compare sequenced results to the reference sequence (see Note 27). 3.10 Thawing and Validation of Confirmed mESC and mEpiSC Clones 1. Seed one well of a 48-well plate 1 day prior to thawing confirmed clones with MEFs. 2. On the day of thawing, remove MEF media, and replace with 400 μL mESC medium or mEpiSC medium supplemented with 10 μM ROCKi. 3. Cut the selected clones from the strips of the MicroTube Rack System™, and immediately put tube(s) on ice (see Note 28). 4. Hold the tube in the 37 C water bath until almost thawed. 5. Sterilize the outside of the tube with ethanol, and slowly add 200 μL of pre-warmed mESC or mEpiSC media into the tube. 6. Move the thawed cells to a 15 mL tube. Do not discard the original tube. 7. Add 500 μL of pre-warmed mESC or mEpiSC media into the original tube to clean up the leftover cells, and move all the contents into the 15 mL tube. 8. Add 1.5 mL of pre-warmed mESC or mEpiSC media slowly into the tube with the cells (see Note 29). 9. Centrifuge the cells at 1000 rpm (200 g) for 5 min. 10. Aspirate off the supernatant leaving about 200 μL of media. 11. Carefully resuspend the cells in another 200 μL of pre-warmed mESC or mEpiSC media supplemented with 10 μM ROCKi. 12. Transfer the cells into the single well of the 48-well plate pre-seeded with MEFs. 13. Add another 200 μL of pre-warmed mESC medium or mEpiSC medium supplemented with 10 μM ROCKi into the 15 mL tube to collect the remaining cells, and transfer them into the well of the 48-well plate (see Note 30). 14. Expand the clones, and freeze down vials of cells whenever possible until enough cells can be seeded onto a full 6-well plate (see Note 31). 15. After getting to the 6-well plate stage, also passage cells onto 0.1% gelatin in a 6-well plate for at least three passages. This plate will be used to extract gDNA from for validation of mutations. 16. Cryopreserve the 6-well plate of cells on MEFs once it becomes confluent. Each well is enough to cryopreserve into two vials that can be thawed onto a single well of a 6-well plate. 17. Once the cells on gelatin have been passaged three times and are confluent, rinse each well with 1 mL DPBS. Gene Editing Embryonic and Epiblast Stem Cells 91 18. Add 1 mL of DPBS into each well and scrape cells thoroughly (see Note 32). Resuspend cells and transfer each well to a separate 1.5 mL tube. 19. Rinse each well with another 0.5 mL of DPBS, and collect into the same 1.5 mL tube. 20. Centrifuge samples at 1000 rpm (200 g) for 5 min. 21. Aspirate excess DPBS, removing as much as possible without disrupting the cell pellet (see Note 33). 22. Snap freeze samples in liquid nitrogen, and either proceed to the next step or store at 80 C until required. 23. Extract gDNA from one cell pellet by adding 100 μL of lysis buffer with fresh Proteinase K and incubating overnight at 56 C. 24. Repeat steps 3–8 from Subheading 3.8, and then repeat Subheading 3.9 (see Note 34). 25. Confirm gene knockout by RT-qPCR and Western blotting (see Note 35). 4 Notes 1. It is best if <10 μL plasmid is used. Aim for a plasmid stock concentration of ~1 μg/μL. 2. It is very important that mESCs are in a single cell suspension to reduce the number of chimeric colonies that may originate from two or more edited cells. 3. Less cells are required for electroporation with PX458 as the clones will be selected upon GFP expression, but negative clones will not be eliminated. Too many cells may result in high confluence after a few days of culture. 4. It is important that there are no air bubbles in the Neon® pipette tip as this can cause arcing, possibly resulting in the failure of the transfection. 5. We have determined these concentrations of puromycin to be the best for antibiotic selection; however, it may be necessary to perform a kill curve for different batches of puromycin. 6. mESCs require 48 h puromycin treatment, and mEpiSCs require only 24 h puromycin treatment. 7. After puromycin treatment, many of the MEFs die which may adversely affect mESC clone growth. To rectify this, once puromycin treatment is complete, add additional MEFs to the plate. This step is absolutely critical for mEpiSCs. 8. It is easier to dilute the MEFs to the required number and volume and adding the required amount to each well rather 92 Tennille Sibbritt et al. than adding the cells and topping up the volume with media as this causes uneven distribution of the cells along the bottom of the well. 9. Colonies that have smooth edges and grow in a dome shape are deemed suitable for selection. Colonies that don’t have smooth edges and contain large cells that give a “rocky” appearance are most likely differentiated and not suitable for selection. Try to avoid selecting colonies that are substantially large, as these may be derived from cell clumps that weren’t successfully dissociated into single cells and thus may contain multiple mutations. 10. DPBS causes the cells to dissociate from the surface of the plate over time, so it is important not to hold the cells in DPBS for too long. Selecting colonies is best performed in batches. The number of clones to pick per batch depends on how quick the process takes. Selecting 6–8 clones per batch is a good starting point. Between batches, DPBS is removed and replaced with mESC or mEpiSC media and placed back in the incubator to allow the cells to recover for 5 min. The process can then be repeated. 11. We have selected colonies under non-sterile conditions. This is possible if the room in which this is performed is thoroughly cleaned and free of contamination; otherwise selecting colonies under a microscope in a laminar flow hood would be preferred. If performing this under non-sterile conditions, try and keep the lid of the plates on as much as possible. 12. We normally pick clones under the 4 objective on the microscope. Find the clone you want to pick, and use the P20 pipette to scrape it, being careful not to contaminate it with other clones. The clones stick to the MEFs and can be difficult to aspirate, so quite a bit of scraping may be necessary. 13. On day 3, GFP expression is quite high, but it is possible that there aren’t enough cells to pick. By day 4, GFP expression starts to decline but is still sufficient for visualizing the clones for selection. Day 4 would be the last practical time point for clone picking. 14. A mouth pipette can be generated by placing the boundary between the thin and wide part of a 9 in. glass Pasteur pipette under a hot Bunsen flame until it just begins to melt and pulled such that the diameter of the tip is no larger than 1–2 mm. A diamond cutter can be used to remove the excess thin part of the glass. Cut 5–6 cm from the part that was pulled, and check under a microscope whether the cut is straight. To generate the mouth pipette, attach the tip of a filtered P1000 tip to one end of a clear silicon tube of ~4 mm in diameter and 70 cm long and Gene Editing Embryonic and Epiblast Stem Cells 93 a mouth piece to the opposite end. The pulled pipette can then be attached to the P1000 tip. 15. As the clones that are selected using PX458 are small, these will not grow to fill an entire 96-well plate. Therefore, it is necessary to trypsinize and replate the entire contents of each well onto a new 96-well plate containing MEFs when the clones are large enough to ensure they fill the well and do not differentiate. 16. The morphology of the cells when grown on gelatin is not important as they will be used to genotype the mutation only and will not be used for future experiments. It is important that all MEFs are removed prior to this. The best way to assess this is by checking wells where mESC growth is minimal; if no MEFs are visible in these wells, then most wells containing mESCs should be clear. 17. We have previously used a hybridization oven for the overnight incubation. We placed the 96-well plate in a plastic container containing several wet paper towels on the bottom before closing the lid to humidify and minimize condensation on the top of the plate. 18. There will be condensation on the top of the plate despite the box being humidified. Do not centrifuge the plate as this may cause cross-contamination of samples. 19. To perform the genotyping analysis using TIDE, a PCR must be performed on gDNA from cells that have either not been edited or have been edited in a different region, as a wild-type control. This allows the indels to be decomposed by comparing the edited sequence to the unedited sequence. It is important to ensure that the primers amplify a product that’s ~700 bp in order for TIDE to work well. However, we have successfully used TIDE using primers that amplify a product of ~500 bp. 20. We use HyperLadder 100 bp of which the PCR products are within the range. 21. Sample size on gels can be up to ~50 bp different from intended amplified fragment due to large indels. It is safe to assume amplification is successful based on the presence of a band within 100 bp of your intended fragment. 22. We recommend adjusting indel size range to maximum (2–50 bp) and leaving other parameters as they are. The size range can be adjusted if TIDE shows up an error. 23. For a standard 10 μL ligation reaction, we typically use 25 ng of ~700 bp PCR product. Ligation at room temperature for 2 h will suffice. 24. We found that plating the entire transformation mixture may lead to overcrowding of colonies occasionally and reduction to 94 Tennille Sibbritt et al. ~250 μL reduces the chances of this occurring but also provides more than sufficient colonies to pick. It is important to gently pipette the transformation mix out onto the plate without mixing as it will separate the already formed colonies into small colonies or single cells; this can lead to micro- to small colonies forming on the plate, which are difficult to pick. 25. Blue colonies tend to become more vibrant after sitting at 4 C and therefore are more easily differentiated from the pure white colonies. 26. Select colonies with a white background to select pure white colonies as some colonies with small blue foci may appear white. We find that leaving the used pipette tips in the culture greatly improved yield of bacterial cultures the following day. Start the mini-culture toward the end of the day to avoid prolonged growth, which improves the quality of culture. 27. Sequences are aligned to the PCR amplicon sequence to confirm indels predicted by TIDE and/or validation of the mutation. Some sequences are the reverse complement of the amplicon and need to be reverse-complemented before alignment. 28. Scissors or a razor can be used to excise the required tube from the strip; however caution should be taken as the lids are prone to popping out when isolated. 29. Avoid agitating or moving the cell suspension onto the sides of the tubes to ensure it settles toward to bottom for ease of recovery. 30. It is advised to check the well under a microscope to ensure that there are cells in the well and not in the tubes. 31. Passage from a 48-well plate to a 24-well plate and then to a 12-well plate. The first passage from the 48-well plate to a 24-well plate may not be for a week. During each set of passage, cryopreserve cells as backups. A single confluent well can be separated into two cryovials with each vial capable of being thawed onto a single well of the same size it was frozen from. The mEpiSCs take longer to recover from the thaw than mESCs. 32. Scraping the 6-well plate may cause splatter and loss of cells. Avoid this by gripping lower down the cell scraper and using less force. Make sure to scrape the edges of the wells, which are difficult. Wells can be checked under a microscope following scraping to identify missed areas. This does not have to be performed in a completely sterile environment and can be performed on the lab bench. 33. We find that if we place up to two 1.5 mL tubes into a 50 mL tube before spinning, the cell will pellet at the bottom of the Gene Editing Embryonic and Epiblast Stem Cells 95 tube rather than along the side. This makes it easier when aspirating DPBS and also when extracting gDNA. Tilting the 1.5 mL tube and aspirating allow for the least amount of DPBS remaining while also avoiding disruption of the cell pellet. 34. The agarose gel electrophoresis and TIDE sequencing steps can be skipped as the amplified product and indel are confirmed in the initial stages. If there are inconsistencies between the confirmation and validation, a 2% agarose gel can be run before purification and Sanger sequencing to check fragment size and troubleshoot any changes. 35. A RT-qPCR can be performed to check the level of edited mRNA. Design one of the primers such that they overlap the indel, but the primers themselves are not edited. The qPCR should show a reduction of unedited mRNA in the edited sample. If an antibody is available, perform a Western blot to confirm that the gene of interest is knocked out. Acknowledgments Our work was supported by grants from the Australian Research Council (DP 160103651, DP 160100933), the National Health and Medical Research Council of Australia (1127976), and the late Mr. James Fairfax (Bridgestar Foundation). PPLT is a NHMRC Senior Principal Research Fellow (Grant 1110751). References 1. Urnov FD, Rebar EJ, Holmes MC, Zhang HS, Gregory PD (2010) Genome editing with engineered zinc finger nucleases. Nat Rev Genet 11:636–646 2. Hsu PD, Zhang F (2012) Dissecting neural function using targeted genome engineering technologies. ACS Chem Neurosci 3:603–610 3. Ran FA, Hsu PD, Wright J, Agarwala V, Scott DA, Zhang F (2013) Genome engineering using the CRISPR-Cas9 system. Nat Protoc 8:2281–2308 4. Osteil P, Studdert J, Wilkie E, Fossat N, Tam PP (2016) Generation of genome-edited mouse epiblast stem cells via a detour through ES cellchimeras. Differentiation 91:119–125 5. Fossat N, Ip CK, Jones VJ, Studdert JB, Khoo PL et al (2015) Context-specific function of the LIM homeobox 1 transcription factor in head formation of the mouse embryo. Development 142:2069–2079 6. Brinkman EK, Chen T, Amendola M, van Steensel B (2014) Easy quantitative assessment of genome editing by sequence trace decomposition. Nucleic Acids Res 42:e168 7. Edgar RC (2004) MUSCLE: multiple sequence alignment with high accuracy and high throughput. Nucleic Acids Res 32:1792–1797 8. Edgar RC (2004) MUSCLE: a multiple sequence alignment method with reduced time and space complexity. BMC Bioinformatics 5:113 Chapter 7 Identification of Circulating Endothelial Colony-Forming Cells from Murine Embryonic Peripheral Blood Yang Lin, Chang-Hyun Gil, and Mervin C. Yoder Abstract Human umbilical cord blood contains highly proliferative circulating endothelial colony-forming cells (ECFC). These cells have promising therapeutic potential for various cardiovascular diseases by possessing robust in vitro clonal expansion potential and the ability to form functional blood vessels in vivo upon transplantation into recipient immunodeficient mice. However whether similar cells also exist in murine blood remains unresolved, which impedes the study of circulating ECFC biology using murine models. Here we describe a method to identify and culture murine embryonic peripheral blood-derived circulating ECFC through co-culture with OP9 stromal cells. Using this method, embryonic circulating ECFC can be identified by the formation of sheet-like or network-like endothelial colonies upon OP9 stromal cell monolayers. Key words Endothelial colony-forming cells, OP9 stromal cells, Circulating endothelial cells, Mouse embryo, Peripheral blood, Endothelial progenitor cells 1 Introduction Upon being replated on type 1 rat-tail collagen-coated plates and cultured in complete EGM-2 medium, human circulating endothelial colony-forming cells (ECFC) from umbilical cord blood and peripheral blood can attach to the tissue culture plates and form robust endothelial colonies [1, 2]. Cells from circulating ECFC colonies possess a hierarchy of clonal proliferative potential and can form long-term functional blood vessels in vivo after transplantation into immunodeficient mice [1, 2]. Thus, circulating ECFC hold great promise as a cell therapy for the treatment of cardiovascular diseases. However, whether an equivalent cell type also exists in murine peripheral blood has not been resolved, which hinders the study of circulating ECFC using various transgenic mouse models and thus leaves many questions about the origin, production, and function of circulating ECFC unanswered. Though some earlier studies have reported the identification of circulating cells Ivan Bertoncello (ed.), Mouse Cell Culture: Methods and Protocols, Methods in Molecular Biology, vol. 1940, https://doi.org/10.1007/978-1-4939-9086-3_7, © Springer Science+Business Media, LLC, part of Springer Nature 2019 97 98 Yang Lin et al. that exhibit some endothelial cell (EC) features in vitro and named these cells “endothelial progenitor cells” (EPC) [3, 4], it was soon discovered that essentially all of the bone marrow EPC identified in these studies were in fact a heterogeneous mixture of hematopoietic stem and progenitor cells that may resemble endothelial cell phenotypes upon in vitro culture with growth factors but lack the ability to form functional blood vessels in vivo [5–7]. To our knowledge, there has only been one prior report that used stringent circulating ECFC culture methods to grow murine circulating blood-derived proliferative EC [8]. However this article pointed out that murine circulating ECFC were so rare that only 1 ECFC could be detected from the combined blood volume of over 50 adult mice [8]. By applying an OP9 stromal cell co-culture system that has been widely used to grow murine EC colonies [9–12], we have developed a method to identify circulating ECFC from murine embryonic peripheral blood. Using this method, murine embryonic circulating ECFC can be identified by the formation of EC cell surface marker-expressing, sheet-like, or network-like EC colonies on OP9 stromal cell monolayers after 7–10 days of culture. 2 Materials Prepare all medium and solutions using deionized ultrapure water. All culture medium should be stored at 4 ˚C and replaced by fresh medium every 4 weeks. All reagents should be stored according to the manufacturer’s instructions. 2.1 Equipment 1. 1 L glass beaker. 2. pH meter. 3. 1 L graduated cylinder. 4. Tissue culture hood. 5. Pipettes. 6. 0.22 μm filter membranes. 7. Vacuum pressure system. 8. Humidified 37 ˚C incubator in room air with 5% CO2. 9. Cell culture centrifuge. 10. T25 culture flasks. 11. 14 mL and 50 mL conical tubes. 12. 6-well culture plates. 13. 12-well culture plates. 14. 37 ˚C water bath. 15. Surgical scissors. Culture of Circulating ECFC 99 16. 6 cm petri dish. 17. Dissection microscope. 18. 70 μm nylon filter. 2.2 Reagents 1. Basal Minimum Essential Medium Alpha medium (MEMα): For 1 L basal medium, dissolve 10 g Minimum Essential Medium Alpha medium powder (Gibco) in 950 mL water in a beaker at room temperature. Add 2.2 g sodium bicarbonate to the solution; stir the mixture until all the powders are dissolved. Adjust pH to 7.2–7.4 with 1 N HCL or 1 N NaOH. Adjust the final volume to 1 L with water in a graduated cylinder (see Note 1). Filter the medium through a 0.22 μm filter membrane into a sterile container using a vacuum pressure system. 2. OP9 medium: Mix 79.5% basal MEMα medium with 20% fetal bovine serum (FBS; see Note 2) and 0.5% 10, 000 U/mL penicillin streptomycin (Pen Strep) solution (final concentration: 50 U/mL). Filter the medium through a 0.22 μm filter membrane. 3. 0.1 M 2-mercaptoethanol stock solution: Add 70 μL 2-mercaptoethanol to 10 mL basal MEMα medium. Filter the mixture through a 0.22 μm filter membrane (see Note 3). 4. EC culture medium: Mix 89.5% basal MEMα medium, 10% FBS (see Note 4), 0.5% Pen Strep, and 1: 2000 0.1 M 2-mercaptoethanol stock solution (final concentration: 5 10 5 M). Filter the medium through a 0.22 μm filter membrane. 5. Heparin stock solution: Dissolve heparin sodium salt powder into the water to make a 2000 U/mL stock solution. Filter the solution through a 0.22 μm filter membrane (see Note 5). 6. Blood collection buffer: For every 100 mL buffer, add 0.5 mL Pen Strep solution, 1 mL FBS, and 100 μL 2, 000 U/mL heparin stock solution (final concentration: 2 U/mL) into sterile PBS (see Note 6). 7. Phosphate buffered saline (PBS): PBS can be purchased (e.g., Sigma-Aldrich or Gibco) or can be formulated as follows. Add 900 mL water to a 1 L beaker. Add 8 g sodium chloride (NaCl, final concentration 137 mM). Add 0.2 g potassium chloride (KCl, final concentration 2.7 mM). Add 1.44 g disodium hydrogen phosphate (Na2HPO4, final concentration 10 mM). Add 0.24 g monopotassium phosphate (KH2PO4, final concentration: 1.8 mM). Adjust the pH to 7.4 with HCl, and then transfer the solution in the beaker to a graduated cylinder. Adjust the volume to 1 L with water. Aliquot the PBS into 500 mL bottles and autoclave. 100 Yang Lin et al. 8. 0.25% trypsin-EDTA. 9. 70% ethanol. 10. Red blood cell lysis buffer. 2.3 Cells and Animals 3 1. OP9 stromal cells. 2. Male and female C57/BL6 mice to prepare day 10.5–day 12.5 embryos. Methods OP9 stromal cells and circulating ECFC should be cultured in a humidified 37 ˚C incubator in room air with 5% CO2. Unless otherwise noted, all experimental procedures should be carried out at room temperature. 3.1 OP9 Stromal Cell Maintenance Maintain OP9 stromal cells by culturing on T25 culture plates in OP9 medium (4 mL medium/T25 plate; see Note 7 and Fig. 1). When the cultures reach 80~90% confluence, the cells need to be passaged following these steps in a tissue culture hood: 1. Wash the cultured cell monolayers two times with sterile PBS (see Note 8). 2. Add 1 mL 0.25% trypsin-EDTA to the T25 flasks. Keep the culture in a humidified 37 ˚C incubator in room air with 5% CO2 for 3 min. 3. Take out the culture from the incubator. Add 3 mL OP9 medium to neutralize the trypsin. Pipette 5–10 times to wash Fig. 1 Morphology of OP9 stromal cells. (a) Normal OP9 culture with 80–90% confluency that is ideal for co-culture of endothelial cells. Cells show a polygonal morphology. (b) When OP9 stromal cells are cultured for a longer period of time or cultured in suboptimal conditions, the cell growth rate starts to increase, and cells start to transform into an elongated morphology, and the cells will overgrow and become intensely packed; OP9 cultures should be discarded upon reaching this state. Scale bar, 100 μm Culture of Circulating ECFC 101 off the cells from the bottom of the flasks. Transfer the mixture of cells, medium, and trypsin-EDTA from each T25 flask into a 14 mL conical tube. 4. Centrifuge the cells at 300 g for 5 min. 5. Re-suspend the cells from each 80–90% confluent T25 flask in 12 mL OP9 medium. Plate the cells into three new T25 flasks (4 mL/T25). Shake the flasks well to evenly disperse the cells (see Note 9). Culture the cells in a humidified 37 ˚C incubator in room air with 5% CO2. 3.2 Preparing OP9 Plates for EC Co-culture OP9 plates should be prepared 24 h or 48 h before the co-culture. 1. Collect and centrifuge OP9 stromal cells as previously described. 2. Re-suspend OP9 stromal cells in OP9 medium, and replate the cells in 6-well or 12-well culture plates. If the plates were prepared 24 h before the EC co-culture experiment, OP9 stromal cells from one 80–90% confluent T25 flask should be re-suspended in 6 mL medium and plated in 3 wells of a 6-well plate (2 mL/well) or 6 wells of a 12-well plate (1 mL/well). If the plates were prepared 48 h before the initiation of the co-culture, OP9 stromal cells from one T25 flask should be re-suspended in 12 mL medium and replated in one 6-well culture plate (2 mL/well) or one 12-well culture plate (1 mL/ well). 3. Tap the plates to evenly disperse the cells. Culture the cells in a humidified 37 ˚C incubator in room air with 5% CO2 (see Note 10). 3.3 Collection of Embryonic Blood This procedure can be performed on a lab bench. Surgical tools should be sterilized (autoclaved) before the experiment to reduce the chance of contamination. Euthanized pregnant mice need to be sprayed with 70% ethanol before opening the skin. 1. Pre-warm PBS and blood collection buffer at 37 ˚C in a water bath (see Note 11). Prepare 10 mL buffer for each embryo collected. 2. Euthanize day 10.5–day 12.5 pregnant C57/BL6 female mice through cervical dislocation (see Note 12). 3. Pinch the abdominal skin with a pair of forceps, and make a lateral incision at the midline with surgical scissors. Pull the skin to expose the peritoneum. Open the peritoneum with scissors to expose the peritoneal cavity. 4. Remove the uterus from the peritoneal cavity. Transfer the uterus into warmed PBS in a 6 cm petri dish. 102 Yang Lin et al. Yolk Sac Placenta Umbilical Cord Embryo Proper Vitelline Cord Fig. 2 Illustration of an embryonic day 12.5 embryo. Yolk sac should be opened along the indicated straight line. Dashed line indicates the site to cut umbilical and vitelline vessels 5. Under a dissection microscope, remove the muscle layer of the uterus to collect each embryo (see Note 13). 6. Wash off maternal blood from each embryo by briefly rinsing the embryos in PBS. Place individual embryos in a 6 cm petri dish with 4–6 mL warm blood collection buffer. Make an incision on the yolk sac (cut along the straight line indicated on Fig. 2) to expose the vitelline and umbilical blood vessels. Cut the cord to open vitelline and umbilical vessels (cut at the dashed line in Fig. 2). Embryonic blood will be pumped out from the embryo with each heartbeat (see Note 14) until the embryo is exsanguinated and turns white. 7. Transfer the blood containing petri dishes to a tissue culture hood. Aspirate the blood solution using a 5 mL pipette, and pass through a 70 μm nylon filter into a 14 mL conical tube. 3.4 Circulating ECFC Culture In this step, murine embryonic mononuclear cells will be plated on OP9 stromal cells to culture embryonic circulating ECFC. 1. Centrifuge the blood cells collected from murine embryos (Subheading 3.3) at 300 g for 5 min. Re-suspend the cells from each embryo in 5 mL red blood cell lysis buffer (see Note 15). Incubate the cells for 5 min at room temperature. Add 10 mL EC culture medium to dilute the red blood cell lysis buffer. Centrifuge the cells at 300 g for 5 min. Re-suspend the blood mononuclear cell pellet from each embryo into 2 mL EC culture medium. 2. Carefully remove the medium from OP9 plates prepared in Subheading 3.2. Disperse the suspension of blood mononuclear cells collected from each embryo onto OP9 stromal cells in 1 well of a 6-well plate or 2 wells of a 12-well plate (see Note 16). Gently tap the plates to evenly disperse the cells. Culture of Circulating ECFC 103 Fig. 3 A network-like (left panel) and a sheet-like (right panel) embryonic day 12.5 murine circulating ECFCderived endothelial colony after 10-day co-culture with OP9 stromal cells. The cultures were fixed with 4% paraformaldehyde and stained with rat anti-mouse CD31 primary antibody and Alexa Fluor 488-conjugated anti-rat IgG secondary antibody. Scale bar, 100 μm Incubate the co-cultured cells in a 37 ˚C incubator in room air with 5% CO2. 3. Gently (see Note 16) remove the spent medium, and add fresh medium after 24 h to remove nonadherent cells. Change medium every 24 h afterward. After 7–10 days culture, sheet-like or network-like circulating ECFC-derived colonies can be identified in the cultures (Fig. 3). Cultured murine embryonic circulating ECFC colonies can be maintained for up to 3 weeks (see Note 17). After fixing the cultures with 4% paraformaldehyde at room temperature for 10 min and washing the fixed cultures three times with PBS, these colonies can be visualized by immunohistochemistry/immunofluorescence staining using antibodies against EC surface markers (Fig. 3; see Note 18). 4 Notes 1. If the MEMα powder contains phenol red, the color of freshly made medium should be red. The turning of color into yellow or pink is an indication that the pH of the medium has changed. In that case, new medium should be prepared, and old medium should be discarded. We use MEMα powder from Gibco to prepare MEMα medium, while other forms of MEMα medium from other vendors may also be suitable for this experiment. If you use other suppliers, please follow the suppliers’ instructions while preparing MEMα medium. 2. FBS selection is crucial for culturing OP9 stromal cells. Different lots of FBS from different vendors should be tested by 104 Yang Lin et al. making test OP9 medium and comparing with known optimal FBS for culturing OP9 stromal cells. If a medium contains optimal FBS, OP9 can be passaged for 10 passages in 3–4 weeks while retaining their polygonal shape (Fig. 1a). Currently we are using FBS from Atlanta Biologicals (cat. S11550. Lot. L14148). (OP9 stromal cells were obtained from Dr. Yoshimoto Kobayashi at the University of Texas Health Science Center Houston, Houston, TX). 3. 2-Mercaptoethanol is crucial for the culture of murine EC. Fresh 0.1 M 2-mercaptoethanol stock solution should be made every 3–4 weeks and stored at 4 ˚C. 2-Mercaptoethanol has strong smell and is hazardous in case of inhalation and skin or eye contact. Always open pure 2-mercaptoethanol bottle in a fume hood to make a stock solution. 4. Compared with the FBS for OP9 culture, the choice of FBS for EC co-culture is less stringent. Currently we are using defined FBS from HyClone (cat. SH30070.03. Lot. AWC10533). 5. Heparin is important for preventing the blood from coagulating. Heparin stock solution should be kept at 4 ˚C, and new stock solution should be made every 4 weeks. We make heparin stock solution by dissolving heparin salt powder from SigmaAldrich with water, while commercially available ready-made heparin stock solutions can also be purchased. 6. For every experiment, blood collection medium needs to be freshly made at the same day of the blood collection. 7. The quality of OP9 stromal cells is crucial for the co-culture of murine EC. Normal OP9 stromal cells display a polygonal morphology (Fig. 1a) and a controlled proliferation rate (after being split at 1:3 ratio, the cells in culture reach 90% confluence at day 3). When OP9 stromal cells transform into an elongated spindle shape (Fig. 1b) and start growing at an accelerated rate, the cells need to be discarded, and new stromal cells should be thawed and cultured. Normally, a freshly thawed OP9 culture can be passaged for up to 4 weeks without compromising their quality. If OP9 stromal cells are grown in medium with suboptimal FBS, they can be passaged for a shorter period of time before their morphology starts to change (2–3 weeks). While culturing OP9 stromal cells, the color of medium should be closely monitored. Whenever the medium turns pink instead of red, the medium in the OP9 cultures should be replaced by fresh medium. 8. FBS in the culture medium can neutralize trypsin activity. Thus the cultures need to be washed with PBS to remove residual FBS containing medium prior to effective release of the adherent cells. When washing OP9-cultured cells, add PBS gently against the wall of the tissue culture flasks, briefly rinse the cells, Culture of Circulating ECFC 105 and then carefully aspirate the PBS with glass pipettes connected to a vacuum source to avoid inadvertent aspiration of the cells. 9. While replating OP9 stromal cells, the cell suspension should be evenly distributed to prevent differentiation caused by cell aggregation. The normal growth of OP9 stromal cells requires proper air ventilation. If the caps of the T25 culture flasks are not filtered, loosen the caps during culture to allow air exchange. 10. It is recommended to co-culture EC with 80–90% confluent OP9 stromal cells. OP9 plates that have reached 90% confluency may still be usable for EC co-culture after 1–2 days, but the size of EC colonies might be affected. 11. To avoid blood coagulation, embryonic blood needs to be collected in warm PBS buffer rather than cold buffer. 12. Other than C57/BL6, other mouse strains like SV129, CD1, and FVB can also be used. To prevent embryo death in utero and blood coagulation, it is crucial to perform the blood collection process as quickly as possible. Thus, euthanizing the pregnant dams through cervical dislocation is preferred compared with other slower euthanization methods like using a CO2 chamber. 13. Due to the small size of murine embryos, it is recommended to perform the following steps under a dissection microscope and use two pairs of sharp tip watchmaker’s forceps (one with straight tip, one with bent tip) and a pair of straight sharp tip iris scissors. 14. To collect more blood from the embryos, it is important to perform the previous dissection steps quickly so the embryonic murine hearts can keep beating as the major driver to cause exsanguination. If the umbilical and vitelline vessels are clogged by coagulation during the collection process, a second cut can be made proximal toward the embryonic side of the cord. 15. Red blood cells can affect the growth of OP9 stromal cells and EC. So it is important to remove them from the culture. If red blood cells are successfully lysed, the buffer will turn from transparent to a light red color. After the treatment of red blood lysis buffer, some red blood cells, especially enucleated primitive erythroid, will still remain but will be removed by the repeated medium change steps after establishing the co-cultures. 16. While adding medium to a culture plate with OP9 stromal cells, place the pipette tip against the wall of each well, and add the medium drop by drop to avoid breaking the OP9 106 Yang Lin et al. monolayer. Do not leave the OP9 stromal cell monolayer to dry for more than 30 s, or this will result in loss of support for the EC colonies, and there is a greater chance for release of the entire OP9 monolayer from the plate. 17. Some embryonic hematopoietic progenitor-derived colonies will also grow on the OP9 monolayer. However EC colonies show unique sheetlike or network-like morphology (Fig. 3), express EC-specific markers like CD31 (Pecam1) and CD144 (VE-cadherin), and do not express hematopoietic specific markers like CD45 and CD11b and thus can be distinguished from hematopoietic colonies via immunohistochemistry or immunofluorescent staining (Fig. 3). Normally, 1–3 circulating ECFC colonies can be derived from the blood volume of each embryonic day 10.5–11.5 murine embryo, while 10–20 circulating ECFC colonies are expected to be identified from each embryonic day 12.5 embryo. After prolonged culture, some OP9 stromal cells will differentiate into oval shape adipocytes. However these adipocytes will not affect the growth of EC colonies. 18. Even after fixation, the ECFC-OP9 co-culture should still be handled gently because the cell monolayers are easy to peel off from the bottom of the culture plates. It is recommended to always add buffer or solution drop by drop to the center of the wells while processing the cultures. References 1. Ingram DA, Mead LE, Tanaka H, Meade V, Fenoglio A et al (2004) Identification of a novel hierarchy of endothelial progenitor cells using human peripheral and umbilical cord blood. Blood 104:2752–2760 2. Javed MJ, Mead LE, Prater D, Bessler WK, Foster D et al (2008) Endothelial colony forming cells and mesenchymal stem cells are enriched at different gestational ages in human umbilical cord blood. Pediatr Res 64:68–73 3. Asahara T, Kawamoto A, Masuda H (2011) Concise review: Circulating endothelial progenitor cells for vascular medicine. Stem Cells 29:1650–1655 4. Asahara T, Murohara T, Sullivan A, Silver M, van der Zee R et al (1997) Isolation of putative progenitor endothelial cells for angiogenesis. Science 275:964–967 5. Rehman J, Li J, Orschell CM, March KL (2003) Peripheral blood “endothelial progenitor cells” are derived from monocyte/ macrophages and secrete angiogenic growth factors. Circulation 107:1164–1169 6. Yoder MC (2013) Endothelial progenitor cell: a blood cell by many other names may serve similar functions. J Mol Med 91:285–295 7. Medina RJ, Barber CL, Sabatier F, DignatGeorge F, Melero-Martin JM et al (2017) Endothelial progenitors: a consensus statement on nomenclature. Stem Cells Transl Med 6:1316–1320 8. Somani A, Nguyen J, Milbauer LC, Solovey A, Sajja S, Hebbel RP (2007) The establishment of murine blood outgrowth endothelial cells and observations relevant to gene therapy. Transl Res 150:30–39 9. Hirashima M, Kataoka H, Nishikawa S, Matsuyoshi N, Nishikawa S (1999) Maturation of embryonic stem cells into endothelial cells in an in vitro model of vasculogenesis. Blood 93:1253–1263 10. Hashimoto K, Fujimoto T, Shimoda Y, Huang X, Sakamoto H, Ogawa M (2007) Culture of Circulating ECFC Distinct hemogenic potential of endothelial cells and CD41+ cells in mouse embryos. Develop Growth Differ 49:287–300 11. Naito H, Kidoya H, Sakimoto S, Wakabayashi T, Takakura N (2012) Identification and characterization of a resident vascular 107 stem/progenitor cell population in preexisting blood vessels. EMBO J 31:842–855 12. Naito H, Wakabayashi T, Kidoya H, Muramatsu F, Takara K et al (2016) Endothelial side population cells contribute to tumor angiogenesis and antiangiogenic drug resistance. Cancer Res 76:3200–3210 Chapter 8 Imaging and Analysis of Mouse Embryonic Whole Lung, Isolated Tissue, and Lineage-Labelled Cell Culture Matthew Jones and Saverio Bellusci Abstract Research on lung development and disease frequently utilizes mouse models to conduct in vitro experiments. Such experiments involve multiple methodologically distinct stages, from careful consideration of mouse models used to obtain biological samples, to the culturing and imaging of those samples, and finally, to post-imaging analysis. Here, we detail basic protocols to assist with each of these stages. First, we discuss harvesting and preparing biological samples; second, we focus on culturing embryonic whole lung explants and isolated mesenchyme and epithelium; third, we specify the basics of obtaining still and live images; and finally, we bring these methods together by considering and briefly analyzing a lineage-labelling experiment. Key words Lung explant, Isolated epithelium, Isolated mesenchyme, Organ culture, Tissue culture, Lineage tracing, Still imaging, Live imaging, Image analysis 1 Introduction Research on the molecular mechanisms regulating lung development, homeostasis, and disease often involves using wild-type and genetically modified mouse models and conducting in vitro experiments to test tentative ideas or to compliment in vivo findings. While results obtained in vitro must always be interpreted with care, a well-designed, properly conducted in vitro experiment does permit the researcher to confidently address particular hypotheses that would be prohibitively difficult, or impossible, in vivo. See refs. [1–3] for reviews on the use of in vitro models to study lung development and disease. For instance, questions concerning the local effects of a molecule of interest, such as a pharmacological inhibitor, are routinely tested using mouse-based in vitro models. In vitro pharmacological intervention, often using a reporter-based model to label and trace cells of interest, combined with image analysis to quantify morphological effects, can lead to innovative hypotheses. These hypotheses Ivan Bertoncello (ed.), Mouse Cell Culture: Methods and Protocols, Methods in Molecular Biology, vol. 1940, https://doi.org/10.1007/978-1-4939-9086-3_8, © Springer Science+Business Media, LLC, part of Springer Nature 2019 109 110 Matthew Jones and Saverio Bellusci may eventually transfer to research in vivo and the testing of drugs and other molecules to treat disease. See refs. [4–6] for reviews on the use of in vitro models in the biomedical field and the difficulties in translating in vitro to in vivo studies. In vitro experiments exploring lung development and disease involve multiple methods: obtaining biological samples (such as whole lung explants or primary cells) from embryonic mice of known age; culturing samples, often in chemically defined medium supplemented with molecules (such as growth factors), the biological roles of which are under investigation; acquiring valuable phenotypic data via high-quality imaging of samples, which enables one to capture large-scale phenotypic differences between samples over time (such as changes in morphology); and finally, the postacquisition analysis and quantification of images. Furthermore, fluorescence live imaging is frequently used to identify and quantify the expression of fluorescent proteins in living tissue, providing insight into the activity of cells and proteins in real time. Given that in vitro experiments routinely involve multiple methodological stages, it is critical to have a well-developed, precise, and concise set of protocols to follow. Clearly, errors and poor practice at any stage from obtaining biological samples to analyzing experimental data will negatively impact results and interpretation. In this chapter, we describe the basic steps routinely employed in our lab to conduct in vitro experiments, from obtaining biological samples to analyzing data in the form of images. These steps are organized into four sections: first, obtaining and preparing biological samples from mice; second, the culturing of whole lung explants and isolated mesenchyme and epithelium; third, the essentials of taking good, high-quality images, both still and live; and finally, a brief section applying these steps to an actual experiment: the labelling, live imaging, and analysis of cells in embryonic whole lung explants. 2 Materials Prepare, aliquot, and store all reagents according to manufacturer’s instructions. Prepare fresh culture medium for each experiment, and avoid repeated freeze-thaw cycles for all reagents. 2.1 Mice and Euthanasia 1. Timed-pregnant mice (wild-type or genetically modified) sacrificed at desired postcoitum embryonic stage (E), where E0.5 is assumed to be noon on the day a vaginal copulation plug is found. 2. Narcoren® pentobarbital sodium (16 g/100 mL) dissolved in 0.9% sterile sodium chloride to make a 25% working solution (40 mg/mL). Embryonic Whole Lung and Tissue Culture: Imaging and Analysis 111 3. BD™ 24-26G Microlance™ three needles and Braun™ 0.01–1 mL Injekt™-F syringes. 4. 50 mL Falcon® tubes. 5. Sterile phosphate-buffered saline (PBS) (1), pH 7.2. 2.2 Embryo Harvesting and Lung Dissection 1. Dissecting tools: Student fine scissors, student vannas spring scissors, Dumont® #5 and #5CO stainless steel forceps, and a small Moria® perforated spoon. 2. Culture medium used to cover embryo during lung dissection and to incubate lungs once dissected (see Note 1). Medium contains Dulbecco’s Modified Eagle Medium (DMEM) (1), supplemented with D-glucose, L-glutamine, HEPES, pyruvate, and phenol red, 10% fetal bovine serum, and 1% penicillin (10,000 units/mL)-streptomycin (10 mg/mL). 3. 60 and 92 mm polystyrene Petri dishes. 4. Leica MZ 125 stereoscopic dissecting microscope. 5. Laminar airflow workstation. 6. 40 μL and 100 μL calibrated micropipets with aspirator tube assembly. 2.3 Separation of Mesenchyme and Epithelium 1. Dispase, a neutral metalloprotease derived from Bacillus polymyxa. Aliquot and store at 20 C. 2. Fetal bovine serum (FBS) (ATCC, Wesel, Germany). Sterile, not heat inactivated. Aliquot and store at 20 C. 3. Culture medium used to incubate separated epithelium and mesenchyme (see Note 1). Medium contains Dulbecco’s Modified Eagle Medium (DMEM) (1), supplemented with Dglucose, L-glutamine, HEPES, pyruvate, and phenol red, 10% fetal bovine serum, and 1% penicillin (10,000 units/mL)-streptomycin (10 mg/mL). 4. Sterile polystyrene culture dishes (e.g., 24-well culture plate). 5. Tungsten carbide microdissection needles with a tip diameter of 0.001 mm and length of 1.2 cm. 6. Leica MZ 125 stereoscopic dissecting microscope. 7. Laminar airflow workstation. 8. 40 μL and 100 μL calibrated micropipets with aspirator tube assembly. 2.4 Whole Lung Explant and Isolated Epithelium and Mesenchyme Culture 1. General-purpose culture medium: Medium contains Dulbecco’s Modified Eagle Medium (DMEM) (1), supplemented with D-glucose, L-glutamine, HEPES, and pyruvate, with or without phenol red (see Note 2), 10% fetal bovine serum, and 1% penicillin (10,000 units/mL)-streptomycin (10 mg/mL). 112 Matthew Jones and Saverio Bellusci 2. Serum-free, chemically defined culture medium: Medium contains Dulbecco’s Modified Eagle Medium/Nutrient Mixture F-12 (DMEM/F-12) (1), supplemented with L-glutamine, HEPES-free, with or without phenol red (see Note 2), and 1% penicillin (10,000 units/mL)-streptomycin (10 mg/mL). 3. Stainless steel metallic grids, constructed with 0.75 mm thick, 0.38 mm diameter stainless steel wire mesh (Cat. # FE248710, Goodfellow) (see Note 3 for details on constructing grids). 4. Sterile polystyrene culture dishes (e.g., 24-well culture plate). 5. Sterile phosphate-buffered saline (PBS) (1), pH 7.2. 6. Graefe forceps. 7. Whatman® Track-Etch™ membranes, 13 mm in diameter with an 8.0 μm pore size. 8. Laminar airflow workstation. 9. Leica MZ 125 stereoscopic dissecting microscope. 10. 40 μL calibrated micropipets with aspirator tube assembly. 11. Heracell™ 150 incubator. 12. Matrigel® growth factor reduced basement membrane matrix, phenol red-free. Store at 20 C. 2.5 Still Imaging Using Bright-Field Microscopy 1. Leica MZ 125 stereoscopic dissecting microscope, equipped with a Schott KL 1500 LED light source and a Spot™ Insight™ 2.0 Mp Color Mosaic camera. 2. Spot™ 4.5.9 imaging software for Mac computers. 2.6 Live Imaging Using Fluorescent Microscopy Leica AF6000 Integrated System for Live Cell Imaging and Analysis, which includes a DM6000B fluorescent inverted microscope, CTR6000 electronics box, DFC 305FX camera, heating and CO2 control units, climate control chamber, and a designated computer and software. 2.7 Lineage Labelling and Tracing Using a CreERT2/LoxPSTOP-LoxP Reporter System Only materials that differ from those previously mentioned are included here. 1. Mouse Strains (a) A CreERT2 driver line where Cre is under transcriptional control of a gene of interest. In our example, we use Fgf10CreERT2/+ mice generated in our lab, as described in El Agha et al. [7]. (b) An inducible LoxP-STOP-LoxP reporter line that will express a fluorescent protein after recombination with Cre recombinase. In our example, we use TomatoRFP flox/flox mice obtained from Jackson Laboratories (Stock # 007908, Jackson Laboratory), which expresses a red fluorescent protein (RFP) after recombination [8]. Embryonic Whole Lung and Tissue Culture: Imaging and Analysis 113 2. Induction of System to Label Cells: Tamoxifen stock solution dissolved in corn oil at room temperature to make a 20 mg/mL working solution. Aliquot working solution (approximately 500 μL per aliquot) and store at 20 C. 3. Harvesting, Culturing, and Manipulating Samples: Supplementary molecules added to medium. In our example we add vivo-morpholinos to inhibit the activity of target mRNA. 4. Imaging and Image Analysis: Leica MM AF image analysis software powered by MetaMorph®. ImageJ 1.50i open-source imaging software (to download desired version, see http:// imagej.nih.gov/ij). 3 Methods 3.1 Preparation of Biological Samples All steps involving embryo harvest, lung dissection, and mesenchymal and epithelial isolation should be performed in sterile conditions, in a laminar flow workstation, using a dissecting stereoscope. All steps are carried out at room temperature, unless otherwise noted. 1. Consideration of Mice and Embryonic Stage: Mice should be carefully selected for each experiment, taking into account factors such as genetic background and age, which may have a bearing on the experimental outcome (see Note 4). Furthermore, while the following steps have been described in general terms, we are most experienced using these methods with E12.5-E16.5 embryos with a C57BL/6J genetic background. The steps, therefore, may need to be optimized for other mouse strains and models. 2. Euthanasia and Harvesting Embryos: The established method to euthanize animals may differ from the one detailed here. Make sure to follow all local and national laws concerning the ethical use of animals for scientific purposes. (a) Timed-pregnant females are sacrificed by an overdose of pentobarbital administered intraperitoneally (0.1 mL working solution/10 g mouse weight). Confirm death by ensuring absence of pupil response to light and absence of leg reflexes by pinching between the toes of the foot. (b) To remove the uterus containing the embryos, lay the female on her back, spray her abdomen with 70% ethanol, make an incision at the base of her abdomen, pull the skin upward while holding the hind legs, open the peritoneal cavity, and dissect and remove the uterus. 114 Matthew Jones and Saverio Bellusci (c) Wash the uterus by placing it in a 50 mL Falcon® tube containing sterile PBS and gently rocking it for approximately 2 min. (d) To remove the embryos, place the rinsed uterus in a Petri dish containing sterile PBS. Under a dissecting stereoscope, incise the uterine wall using forceps or fine scissors. Gently remove the embryos from the uterus, and sever their umbilical cords. Using a small perforated spoon, transfer each embryo to a new Petri dish containing culture medium. 3. Whole Lung Dissection: Under a dissecting stereoscope, harvest lungs at room temperature in Petri dishes containing culture medium. (a) To immobilize embryo, lay the embryo on its right flank (for left-handed researchers, reversing the orientation described herein might be helpful). Completely cover the embryo with medium (Fig. 1a) (see Note 5). Working with fine-tipped forceps in the left hand, pin the embryo with one of the forceps tips through its abdomen at the base of its hind limb, and pin its head with the other tip. Avoid piercing any internal organs. Apply gentle pressure against the bottom of the dish, and maintain a steady hand. In this way, the embryo will be immobilized during the dissection (Fig. 1b). (b) To harvest lungs, use fine-tipped forceps in the right hand; remove the fore and hind limbs at their base on the left side of the embryo (Fig. 1c). Using the tips of the forceps like scissors (or spring scissors for late-stage embryos), gently cut through the skin and the ribs of the embryo from the midline of the lower abdomen to the site of the removed hind limb, to the base of the rib cage (where ribs meet the spine), up the spine toward the site of the removed forelimb, through the clavicle, and finally through the top of the trachea (see Note 6). This semicircular incision will allow the separation of the internal organs from the embryonic skeleton and will grant easy access to the lungs, which are located on the dorsal side of this internal mass (Fig. 1d). (c) To separate the internal organs, it is easiest to work with both sets of forceps. With the tips of the forceps, gently peel and pull apart the two halves of the incision (Fig. 1e). Ideally, the lung—often still attached to other organs such as the heart—should be completely removed from the other organs and the rest of the body at this stage (Fig. 1f). Embryonic Whole Lung and Tissue Culture: Imaging and Analysis 115 Fig. 1 Overview of embryonic lung dissection using E16.5 embryo. (a) Embryo placed on its right flank and covered with medium. (b) Placement of forceps to immobilize embryo, making sure to avoid internal organs (white bar). (c) Removal of hind and forelimbs (white arrows). (d) Semicircular incision revealing internal organs (black dashed line). (e) Separation of organs from the body. Note the location of the left lung lobe (white arrow). (f) Removal of internal organs. (g) Removing unwanted organs from lungs, such as the heart (white arrow). (h) Removing excess and unwanted tissue. (i) Cleaned lung with trachea intact, ready for culturing. Scale bars, 2.5 mm (a–h); 2 mm (i) (d) Once isolated from the rest of the body and the majority of the other internal organs, the lung can be cleaned of any unwanted organ tissue (such as the heart) and of any residual connective tissue (Fig. 1g). To remove unwanted tissue, use both sets of forceps to gently remove tissue attached to the lung mesothelium and trachea, making sure not to pierce the lobes. It is easiest to accomplish this step by gently pinning the lung to the bottom of the Petri dish by the trachea and pulling excess tissue away from the lobes (Fig. 1h). Once free from residual tissue, the dissected lungs are ready to be cultured (Fig. 1i) (see Note 7). 4. Separation of Epithelium and Mesenchyme: The following protocol is modified from the protocol described by del Moral and Warburton [9]. 116 Matthew Jones and Saverio Bellusci (a) Take a suitably sized culture dish (we use a 24-well culture plate), and add 500 μL undiluted dispase to each well, which will contain dissected lung samples. (b) Transfer the isolated lungs to the dispase, and incubate on ice for 20–30 min (the time needs to be optimized here as the dispase activity may vary depending on experimental and lab conditions). (c) Prepare empty wells (on the same plate if possible) by adding 500–1000 μL pure FBS to each well. Transfer the dispase-digested samples to the pure FBS, and incubate on ice for 15 min. This blocks the dispase enzymatic activity. (d) Transfer samples to new wells containing culture medium, and keep on ice. (e) To mechanically dissociate epithelium from mesenchyme, take a single lung, and transfer it to a Petri dish containing culture medium. Under a dissecting stereoscope, use tungsten microdissection needles to gently separate the mesenchyme from the epithelium. (f) Use a calibrated micropipet and aspirator tube to mouth pipet the separated epithelium and mesenchyme to respective wells containing culture medium on ice. The tissue explants are now ready for culturing. 3.2 Whole Lung Explant and Isolated Epithelium and Mesenchyme Culture The following steps must be performed under sterile conditions, including properly sterilized tools (i.e., autoclaved), as contamination is the main concern with culturing. 1. Whole Lung Explant Culture (a) Depending on number of samples, the culture dish used will vary. Prepare a suitable culture dish by adding to each sample-containing well a metallic grid with a hole punched in the middle (see Note 8). Then add an amount of culture medium suitable to barely cover the grid. In the other wells, add sterile PBS to maintain proper humidity in the dish once the dish is closed. (b) Using a pair of sterile forceps, place a Track-Etch™ membrane, shiny side down, atop the medium of each sample well. Avoid trapping bubbles under the membrane. (c) Using a calibrated micropipet, transfer dissected lungs to the center of the membrane. Try to avoid transferring excess medium with the lung, and make sure the lung is properly oriented (see Note 9 for suggested technique to orient the lung). See Fig. 2a for an overview of the experimental setup used to culture lung explants. Embryonic Whole Lung and Tissue Culture: Imaging and Analysis 117 Fig. 2 Experimental setup to culture whole embryonic lung explants. (a) Dissected whole lungs are properly positioned on filter membranes placed on wire meshes designed for suitable culture dishes. (b) Example of a cultured E12.5 lung. Note that the wire mesh is not visible. Scale bar, 1000 μm (d) Incubate plate at 37 C and 5% CO2, or, if samples are intended for live imaging, put it directly in the calibrated live imaging chamber (see Subheading 3). Prior to imaging, lungs should be allowed to settle on the membrane for approximately 30 min. See Fig. 2b for an example of a cultured whole lung explant. 2. Isolated Epithelium and Mesenchyme Culture In experiments involving the culture of isolated endoderm and mesenchyme, it is common for investigators to use serum-free, chemically defined media supplemented with predetermined amounts of compounds, such as growth factors. Therefore, the following steps assume additional modifications to the culture medium will be required to meet one’s particular research question. (a) Make a working solution of Matrigel® by diluting it 1:1 with DMEM/F-12 serum-free culture medium, supplemented with the desired compounds. Keep on ice. (b) Prepare a suitably sized culture dish by adding a thin layer of this diluted Matrigel® to the bottom of each samplecontaining well. Allow to harden for 1 min at room temperature. (c) Add enough diluted Matrigel® to each sample-containing well to form a dome. (d) Using a calibrated micropipet, quickly transfer samples to the middle of the dome of Matrigel®. (e) Place culture dish with properly positioned samples in an incubator at 37 C and 5% CO2 for approximately 20–30 mins or until the gel polymerizes. 118 Matthew Jones and Saverio Bellusci Fig. 3 Activity of FGF7 and FGF10 in cultures of isolated E11.5 lung epithelium. (a) Epithelium grown for 48 h in control medium, without supplemental FGFs. Note how most cells have died. (b) Culture with 250 ng/mL FGF7 supports the growth of epithelium and its expansion into a cyst-like structure absent any obvious buds. (c) Culture with 250 ng/mL FGF10 results in epithelium that undergoes significant primary and secondary branching. Scale bar, 250 μm. (Modified, with permission of Company of Biologists, from Bellusci et al. [14]) (f) Gently cover the polymerized Matrigel® with the same medium used to dilute the gel. Place the dish back in the incubator for the duration of the experiment, or, if live imaging, put it directly in the calibrated live imaging chamber. See Fig. 3 for an example of isolated epithelium cultured in Matrigel® and media supplemented with various fibroblast growth factors (FGFs). 3.3 Still and Live Imaging After the lung samples have been properly obtained, prepared, and positioned on filter membranes or in Matrigel® in suitable culture plates provided with medium, one can obtain valuable phenotypic data via imaging of the samples. Images should be taken at the start of the experiment and at the end of the experiment, at a minimum. All samples should be imaged at the same magnifications using comparable brightness and contrast settings. The following section provides a general overview of imaging samples using bright-field microscopy to obtain still pictures and by using fluorescent microscopy during live imaging. For all imaging steps, which involve the transport and manipulation of samples, wear gloves and a lab coat, and ensure that the working area is clean to avoid sources of contamination. Furthermore, ensure the microscope used is properly adjusted to take optimal images (simple adjustments, such as Koehler illumination, may be performed by the researcher; a specialized technician should be consulted for more advanced adjustments). 1. Still Images Using Bright-Field Microscopy (a) Remove culture plate from incubator, and place it under dissecting stereoscope. Embryonic Whole Lung and Tissue Culture: Imaging and Analysis 119 (b) Remove lid of culture dish and keep it top-down on a sterile surface. (c) Set the microscope to the bright-field position, and turn on the light source, adjusting the brightness so that it is optimal while looking through the oculars. Turn on the camera and the imaging software. (d) Focus on a portion of the well so that only culture medium is present in the field of view, along with the overlying filter or Matrigel®. In the software, click on “white balance”. This will adjust any background color (such as phenol red) to white in the images. (e) Find the sample. Adjust its position by rotating the plate, and focus on it at the desired magnification (see Note 10). Often, the focus while looking through the oculars differs from that seen on the computer screen. Keep in mind the picture captured will have the same focus as on the computer. Adjust contrast and brightness by using the software to achieve optimal images (see Note 11). (f) Repeat steps 4 and 5 for each sample, keeping in mind to use the same magnifications for each. (g) Save images in a format compatible with post-processing software, avoiding formats that reduce image quality (e.g., JPEG) (see Note 12). Figure 4 shows an example of still images taken at different magnifications. Fig. 4 Still images of a wild-type E12.5 whole lung explant cultured for 24 h. (a–c) The lung at time 0 h at three different magnifications. (d–f) The same lung taken 24 h later at same magnifications. Scale bars, 1000 μm (a, d); 500 μm (b, e); 250 μm (c, f) 120 Matthew Jones and Saverio Bellusci 2. Live Imaging Using Fluorescent Microscopy Before proceeding with live imaging, make sure to have the live imaging equipment turned on and the climate control chamber calibrated to 37 C and 5% CO2 well beforehand (e.g., the night before imaging begins). Also, ensure there is adequate water in the designated container to guarantee proper humidity throughout the live imaging. (a) Turn on all necessary equipment including the microscope and the designated computer, and open the live imaging software. Make sure to properly set up the microscope to obtain the desired fluorescent channels. (b) Fit the microscope with the proper stage to hold the culture dish, and place samples cultured in phenol red-free medium into the live imaging chamber. Keep the lid of the culture dish on. (c) Start the imaging software, and select the fluorescent channels to be imaged, including the bright-field channel if desired. (d) Working in bright-field, find the sample to be imaged through the oculars, and then switch the view to the camera to see the image on the computer monitor. (e) Focus on the sample at desired magnification, and then switch to each applicable fluorescent channel, and use the gauges in the software to make adjustments to the exposure time, intensity, and gain in each (see Note 13). If quantifying the fluorescence intensity of multiple samples, it is essential to apply the same settings to each sample, so that valid comparisons can be made. (f) Input the duration of the experiment and the time between capturing an image (e.g., 30 min). If imaging multiple samples, it is necessary to find and focus on each sample and then store the coordinates of each sample in the software. In this way, during each image capture, the software will automatically move the microscope stage to the stored coordinates and take an image. (g) Start the live imaging experiment. Make sure microscope room is kept dark for the duration of the experiment. (h) Once the live imaging has been complete, save images in a format compatible with post-processing software, avoiding formats which reduce image quality (e.g., JPEG). Not only can each image be analyzed individually, but also the series of images for each sample can be made into a timelapse movie. Figure 5 shows a series of images taken of an E12.5 lung expressing red fluorescent protein (RFP) in the epithelium. Embryonic Whole Lung and Tissue Culture: Imaging and Analysis 121 Fig. 5 Epithelial expression of red fluorescent protein (RFP) in a mouse E12.5 whole lung explant. Lungs were cultured on a nucleopore membrane in phenol red-free culture medium and live imaged for 24 h. (a) Still image at time 0 h showing the orientation of the lung, with the bright-field and red fluorescent channels overlayed. (b–h) Still images taken at 4-h intervals showing the same lung, but only with the red channel active. Note the extent of branching that occurs (see white arrows for examples). Scale bar, 250 μm 3.4 Lineage Labelling and Tracing Using a CreERT2/LoxPSTOP-LoxP Reporter System A powerful research model often employed to label and trace cells involves creating genetically modified mice that express an inducible CreERT2 recombinase under the transcriptional control of a gene of interest (such as a gene expressed by a specific cell type), as well as a reporter construct downstream of a STOP sequence flanked by two LoxP sites (a LoxP-STOP-LoxP reporter construct). CreERT2 is activated upon administration of tamoxifen and functions to recombine the DNA flanked by target sequences called LoxP sequences. In LoxP-STOP-LoxP reporter constructs, recombination removes the STOP sequence, leading to reporter expression. There are a variety of reporters, including green, red, and yellow fluorescent proteins. The CreERT2/LoxP reporter system is therefore a robust model to label specific cells at precise times (for reviews, see refs. [10, 11]). In this section we draw on the previous three sections to outline an approach to conducting in vitro experiments using a CreERT2/ LoxP-STOP-LoxP-TomatoRFP mouse model to label and trace cells. We supplement the general methods discussed with reference to work conducted in our lab and recently published [12]. 1. Crossing Mice and Induction at Desired Time Point: Set up mating between an inducible CreERT2 driver mouse line and a LoxP-based reporter line to obtain timed-pregnant females (E0.5 at noon on the day a vaginal plug is seen). In our 122 Matthew Jones and Saverio Bellusci example, we crossed Fgf10CreERT2/+ mice with TomatoRFP flox/flox mice to obtain Fgf10CreERT2/+/TomatoRFP flox/+ experimental embryos (hereafter called Fgf10RFP). (a) Inject intraperitoneally an optimal volume of tamoxifen working solution approximately 1 or 2 days before harvesting the embryos (see Note 14). In our example experiments, we administered a single injection of 0.075 mg of tamoxifen per gram body weight 2 days before harvesting. 2. Harvesting, Culturing, and Manipulating Samples: See Subheadings 3.1 and 3.2 above for harvesting and culturing protocols (see Note 15). (a) Add supplementary molecules at optimal concentrations directly to culture medium. Mix by pipetting. It is often necessary to conduct optimization experiments to determine the concentration required to produce a phenotypic change. In our example, vivo-morpholinos, used to inhibit the activity of a target microRNA (miRNA), were added to the culture medium at 1–4 μM. 3. Imaging and Analysis: Pictures are taken as described in Subheading 3.3 (Still and Live Imaging) above. (a) To analyze still images, save images in a format compatible with analyzing software, avoiding formats that reduce image quality (e.g., JPEG). Conduct morphometric analyses using software such as ImageJ. Various morphometric parameters of whole lung explants can be calculated, including mesenchymal and epithelial area, length of branches, and branching complexity. For cultured cells, parameters such as cell number, average cell size, and cell distribution can be quantified (see Note 16). Figure 6 shows an example of a morphometric analysis applied to whole lung explant cultures. (b) Analyze live imaging data using software such as MetaMorph®. Export images in a compatible format. MetaMorph® can calculate a number of parameters, including cell morphometry and number, fluorescence intensity, and motion analysis (see Note 16). Figure 7 shows an example of Fgf10RFP whole lung explants live imaged for 48 h, along with an analysis of cell motility and cell proliferation (see figure for a description of the procedure to conduct the analysis). Embryonic Whole Lung and Tissue Culture: Imaging and Analysis 123 Fig. 6 Morphometric analysis of E11.5 wild-type lungs cultured for 48 h. (a–d) Lungs cultured with vivomorpholino targeting a scrambled sequence (scra) (e–h) or mir-142-3p (mo142). After 48 h, (i) number of buds, branching points and branches, (j) length of each branch order, and (k) epithelial and mesenchymal area were quantified. Scale bars, 250 μm (a, c, e, g); 50 μm (b, d, f, h). Data are means s.d. (Modified, with permission of Company of Biologists, from Carraro et al. [12]) 4 Notes 1. Some experiments might require serum-free, chemically defined culture medium. Other experiments, especially those involving fluorescent imaging, require medium without phenol red (e.g., DMEM/F-12 medium without phenol red). The general-purpose medium we use most frequently in our lab, though chemically incompletely defined, is optimal for the growth and maintenance of tissue explants and cells over a period of a few days. 2. If samples are intended for fluorescent imaging, make sure to use culture medium free of phenol red, as this causes extreme autofluorescence. 3. Cut the wire mesh to dimensions that will fit into the wells of the culture dish used in the experiment. For example, for a 24-well dish with wells of 15 mm in diameter, cut circular pieces of the metal mesh with a diameter of approximately 13–14 mm. When cutting the mesh, make sure to leave four tabs sticking from the circular piece (one large tab approximately 5–6 mm in length and three smaller ones, positioned 124 Matthew Jones and Saverio Bellusci Fig. 7 Cell motility and proliferation analyses of Fgf10RFP whole lung explants and isolated mesenchymal cells. (a, b) E11.5 lungs cultured with scrambled, and (c, d) mo142 vivo-morpholinos. (h–k) Isolated mesenchymal cells electroporated with plasmids containing GFP (control) or APC (experimental) and cultured for 45 h. (e–n) Using MetaMorph® software, cell motility and proliferation were analyzed. LIF files were imported to the software, and random fluorescent cells were marked at 0 h using the “track object” tool. These cells were then automatically tracked over the duration of the live imaging experiment. It was then possible to determine how much each tracked cell moved (e, f and l, m) and, as a measure of proliferation, how many divisions each cell underwent (g and n). Scale bars, 250 μm (a, c); 50 μm (b, d); 75 μm (h–k). Data are means s.d. (Modified, with permission of Company of Biologists, from Carraro et al. [12]). equidistant around the circumference of the circle, approximately 2–3 mm in length). Using a suitable tool, such as a pair of pliers, bend the large tab 90 upward, and bend the smaller tabs 90 in the opposite direction. The large tab now serves as a “handle” to easily insert, position, and remove the metallic grid from the well; the three smaller tabs serve as “feet” to raise the mesh off the bottom of the well. Finally, use a tool such as a hole punch to create a hole in the middle of the grid. Make the hole large enough so that the grid will not be visible as the magnification pictures are taken. Store Embryonic Whole Lung and Tissue Culture: Imaging and Analysis 125 completed metallic grids in 100% ethanol. See Fig. 2a for an example of a metallic grid used for culturing. 4. A common genetic background for experimental and wild-type mice is C57Bl/6J. However, a variety of other backgrounds exist, and might be more useful for one’s experiment. CD1-IGS mice, for example, tend to produce large litters. Thus, if a large number of embryos are required, this background might be a better choice. 5. There is no need to immobilize embryos by pinning them. It is easiest to work on early-stage embryos while they are submerged in medium. However, some researchers might find that pinning later-stage embryos (i.e., E18.5) makes them easier to dissect. We describe the dissection of lungs using unpinned samples. 6. In some experiments it might be necessary to have a completely intact trachea. In those cases, dissecting the larynx along with the trachea is advisable. This can be accomplished by enlarging the semicircular incision to include the pharynx and dissecting through the region above the larynx. 7. Steps 3 and 4 carry a high risk of damaging the lung, especially in early-stage embryos. Utmost care, hand steadiness, and adequate practice can help ensure lungs remain undamaged. 8. The metallic grid ensures the membrane and the sample do not shift too much during the manipulation and movement of the plate necessary to take pictures. The central hole allows one to take clear pictures. The grid is particularly important for live imaging experiments, as manual manipulation of the plate is not possible before pictures are taken. 9. It is essential all lungs have similar orientation on the membrane so that comparable pictures can be taken. Positioning the lungs ventral side up, for example, with the left lobe on the right or bottom edge of the field of view, is an ideal orientation to image branching epithelium in E11.5-E14-5 lungs. Furthermore, the trachea of each sample should be straight, thus ensuring each lung has similar internal partial pressure. Proper orientation can be achieved by the following technique: take a lung from the medium so that the lung occupies only the end of the pipet; ensure the trachea enters the pipet first and the orientation of the lung is known (e.g., dorsal side facing down). Transfer the lung to the filter by gently placing the tip of the micropipet at a 45 angle on the filter. Slowly expel the lung as the tip of the pipet is drawn across the middle of the filter. In this way, the posterior of the lung will stick to the filter, and as the pipet is drawn away, the lung will be properly positioned. It may be necessary to use sterile forceps to make minor adjustments to the lung after it has been placed 126 Matthew Jones and Saverio Bellusci on the filter; however, this carries the risk of damaging the lung. 10. Each image should have the same orientation for comparison purposes. It is advisable to manipulate the culture dish to achieve this, and not to insert anything into the wells to rotate the filters directly. 11. A common problem during imaging is that details of the sample are masked by overly bright backgrounds or extreme contrast. This can be avoided by adjusting the brightness and gain gauges directly on the software. 12. File formats such as JPEG can drastically reduce image quality due to compression processes. When possible, save files in the native format provided by the company of the microscope and software (e.g., Leica “.LIF” files). 13. A common problem with taking fluorescent images is oversaturation, which occurs when the intensity of the signal is above the maximum recognized by the camera. A technique to avoid this problem is to toggle the displayed colors in the software to show minimum and maximum saturations (the toggle is called “QuickLUT” in Leica software). Adjust the gauges to find the saturation point of the signal. Slightly reducing the signal below this point will provide maximum signal intensity without oversaturating the image. 14. The optimal amount may differ between driver lines, tissue, and cell of expression and needs to be determined either from the literature or in the lab. Also, it takes time for tamoxifen to achieve peak efficiency. In our experience, injecting a couple of days before harvesting early-stage embryos provides maximum recombination efficiency (e.g., inject at E10.5 to work with E12.5 embryos). 15. In the example paper, aside from whole lung explant cultures, we also cultured primary mesenchymal cells. This method was not included in Subheading 2. Mesenchymal cells were obtained by a differential adhesion protocol (for details, see [13]). Briefly, whole lungs were dissected and subjected to trypsin digestion. A single-cell suspension was produced and passed through mesh filters. The remaining cells were plated, and mesenchymal cells obtained by differential adhesion to the plate bottom. 16. The particular steps involved in analyzing the images are beyond the scope of this chapter. Consult the user manual of the software for details on how to conduct morphometric calculations. Embryonic Whole Lung and Tissue Culture: Imaging and Analysis 127 Acknowledgments We wish to thank Salma Dilai for her contribution to the manuscript. S.B. was supported by grants from the Deutsche Forschungsgemeinschaft (DFG; BE4443/1-1, BE4443/4-1, BE4443/6-1, KFO309 P7, and SFB1213-projects A02 and A04), Landes-Offensive zur Entwicklung Wissenschaftlich-Ökonomischer Exzellenz (LOEWE), UKGM, Universities of Giessen and Marburg Lung Center (UGMLC), DZL, and COST (BM1201). References 1. Forbes B, Ehrhardt C (2005) Human respiratory epithelial cell culture for drug delivery applications. Eur J Pharm Biopharm 60:193–205 2. Nichols JE, Niles JA, Vega SP et al (2013) Novel in vitro respiratory models to study lung development, physiology, pathology and toxicology. Stem Cell Res Ther 4(Suppl 1):S7 3. El Agha E, Bellusci S (2014) Walking along the fibroblast growth factor 10 route: a key pathway to understand the control and regulation of epithelial and mesenchymal cell-lineage formation during lung development and repair after injury. Scientifica 2014:538379 4. Johnson JI, Decker S, Zaharevitz D, Rubinstein LV, Venditti JM et al (2001) Relationships between drug activity in NCI preclinical in vitro and in vivo models and early clinical trials. Br J Cancer 84:1424–1431 5. Sharpless NE, Depinho RA (2006) Nat Rev Drug Discov 5:741–754 6. Saeidnia S, Manayi A, Abdollahi M (2015) From in vitro experiments to in vivo and clinical studies; pros and cons. Curr Drug Discov Technol 12:218–224 7. El Agha E, Al Alam D, Carraro G, MacKenzie B, Goth K et al (2012) Characterization of a novel fibroblast growth factor 10 (Fgf10) knock-in mouse line to target mesenchymal progenitors during embryonic development. PLoS One 7:e38452 8. Madisen L, Zwingman TA, Sunkin SMOSW, Zariwala HA et al (2010) A robust and highthroughput Cre reporting and characterization system for the whole mouse brain. Nat Neurosci 13:133–140 9. Del Moral PM, Warburton D (2010) Explant culture of mouse embryonic whole lung, isolated epithelium, or mesenchyme under chemically defined conditions as a system to evaluate the molecular mechanism of branching morphogenesis and cellular differentiation. Methods Mol Biol 633:71–79 10. Feil S, Valtcheva N, Feil R (2009) Inducible Cre mice. Methods Mol Biol 530:343–363 11. Abe T, Fujimori T (2013) Reporter mouse lines for fluorescence imaging. Develop Growth Differ 55:390–405 12. Carraro G, Shrestha A, Rostkovius J, Contreras A, Chao CM et al (2014) miR-142-3p balances proliferation and differentiation of mesenchymal cells during lung development. Development 141:1272–1281 13. Lebeche D, Malpel S, Cardoso WV (1999) Fibroblast growth factor interactions in the developing lung. Mech Dev 86:125–136 14. Bellusci S, Grindley J, Emoto H, Itoh N, Hogan BL (1997) Fibroblast growth factor 10 (FGF10) and branching morphogenesis in the embryonic mouse lung. Development 124:4867–4878 Chapter 9 Mouse Hematopoietic Stem Cell Modification and Labelling by Transduction and Tracking Posttransplantation Benjamin Cao, Songhui Li, Claire Pritchard, Brenda Williams, and Susan K. Nilsson Abstract The tracking of the hematopoietic potential of genetically manipulated fluorescent hematopoietic stem cells (HSC) in the bone marrow (BM) allows the assessment of regulatory processes involved in the re-establishment of hematopoiesis posttransplant. Herein, we describe the means to assess the consequence of expressing specific genes in HSC on their engraftment potential posttransplant. Key words Hematopoietic stem cells, Lentiviral transduction, Bone marrow transplantation 1 Introduction As bone marrow (BM) hematopoietic stem cells (HSC) are ultimately responsible for the production of all blood cells, they are routinely used in the clinic to reconstitute hematopoiesis following transplantation. The process of reconstitution requires multiple steps including homing and lodgment in a specialized microenvironment within the BM termed the stem cell “niche” [1–4], followed by proliferation and differentiation to produce the required circulating blood cells. A large body of data has now been accumulated identifying key molecules involved in various aspects of this process (reviewed in [5–7]). However, less than 30% of transplanted HSC actually home to the BM, with the majority of cells being sequestered elsewhere in the body, in organs such as the liver [8], resulting in highly variable engraftment levels. An ability to improve BM engraftment posttransplant would have significant clinical implications. Herein we describe a method to assess the effects of the expression of specific genes in HSC on their engraftment potential posttransplant. We demonstrate that lentiviral transduction of purified murine HSC with a gene of interest as well as a fluorescent protein Ivan Bertoncello (ed.), Mouse Cell Culture: Methods and Protocols, Methods in Molecular Biology, vol. 1940, https://doi.org/10.1007/978-1-4939-9086-3_9, © Springer Science+Business Media, LLC, part of Springer Nature 2019 129 130 Benjamin Cao et al. provides an easy method of tracking long-term multi-lineage engraftment posttransplant using flow cytometry and hence provides an efficient and effective way of assessing the role of exogenously added genes. 2 Materials 2.1 Isolation of Bone Marrow and Preparation of HSC 1. Adult C57Bl/6J (Ly5.2) mice 6–8 weeks old (see Note 1). 2. Sterile #11 surgical blade and #3 handle. 3. Phosphate buffered saline (PBS): pH 7.2, 310 mOsm/L (see Note 2) supplemented with 2% serum (PBS 2% Se): Defined bovine calf serum, iron supplemented. 4. Sterile 50 mL conical tubes for the collection of BM. 5. Sterile porcelain mortar and pestle for grinding bones. 6. Sterile 40 μm nylon cell strainers. 7. 4 mg/mL solution of dispase II and 3 mg/mL solution of collagenase I in phosphate buffered saline (PBS): pH 7.2, 310 mOsm/L. 8. 37 C orbital shaker, for example, Eppendorf Thermomixer C (Eppendorf, Hamburg, Germany). 9. Hemocytometer and microscope equipped with phase contrast or an automated cell counter. We use a CELL-DYN Emerald 18 (Abbott). 10. NycoPrep™ 1.077 Animal (Axis-Shield, Oslo, Norway). 11. Cannulas, for example, Unomedical (Unomedical, Mona Vale, NSW, Australia) attached to 20 mL syringes. 12. Lineage depletion antibody cocktail: Purified rat anti-mouse antibodies recognizing the cell surface antigens: B220 (lymphoid), GR-1 and MAC-1 (myeloid), and TER119 (erythroid); we used antibodies from BD Pharmingen, San Diego, USA (see Note 3). 13. PBS supplemented with 2 mM EDTA and 0.5% (w/v) fraction V bovine serum albumin (BSA, Sigma-Aldrich, St. Louis, MO, USA), pH 7.4 (PBS EDTA 0.5% BSA). 14. Dynabeads for magnetic labelling of the cells: Sheep anti-rat IgG beads 4.5 μm diameter, 4 108 beads/mL (Dynal Biotech ASA, Oslo, Norway). 15. MPC-L magnet for a 1 mL to 8 mL sample (Dynal Biotech). 16. Suspension mixer: Allowing both tilting and rotation at 4–8 C for Dynabead incubation step (we use a MACSmix Tube Rotator in a fridge). 17. Sterile 14 mL polypropylene round-bottom tubes. HSC Tracking Post Transduction 131 18. 5 mL polystyrene round-bottom tube with cell strainer cap. 19. A cocktail of antibodies for HSC isolation: Rat-anti-mouseSca-1-PECy7 (Ly-6A/E, clone E13-161.7), rat-anti-mouse-ckit-BUV395 (CD117, clone 2B8), rat-anti-mouse-CD48FITC (CD48, clone HM48), and rat-anti-mouse-CD150-PE (CD150, clone TC15-12F12.2)-conjugated antibodies. Antibody concentrations are pre-titred and all 1 μg/mL (we use BD Pharmingen or BioLegend; see Note 4). 20. A solution of 0.05 μg/mL propidium iodide (PI) in PBS 2% Se for determining cell viability. 2.2 HSC FluorescenceActivated Cell Sorting 1. Flow cytometer with sorting capability (we use a BD Influx cell sorter equipped with five solid-state lasers (355, 405, 488, 561, and 628 nm). Band-pass filter settings for the detection of fluorescence for FITC, PECy7, BUV395, PE, and PI are 528 19, 750 60, 362 34, 575 15, and 655 20, respectively. HSC are sorted using a 70 μm nozzle at 30 psi, drop delay frequency of 61 kHz. Sorting speed 25,000 cells/s. 2. Sterile 5 mL polypropylene tubes for cell collection postsorting. 3. Hemocytometer. 4. Light microscope fitted with phase contrast. 2.3 Titration of Virus 1. Lentivirus containing the RFP reporter and gene of interest generated using a protocol such as that described in a preceding chapter in this volume [9]. 2. FDC-P1 cell line (ATTC CRL-12103). 3. WEHI-3 conditioned medium (CM) as a source of interleukin3 for FDC-P1 cell maintenance. 4. DMEM media supplemented with 5% Se and 25% WEHI-3 CM to maintain cells. 5. DMEM media supplemented with 5% Se, 2 mM of GlutaMAX, 25% WEHI-3 CM, and 4 μg/mL of Polybrene. 6. Sterile 1.5 mL microtubes. 7. 24-well cell culture plates. 8. 12-well cell culture plates. 9. A solution of 0.125 μg/mL 40 ,6-diamidino-2-phenylindole (DAPI) in PBS 2% Se for determining cell viability. 10. Flow cytometric analyzer (we use a BD LSRII analyzer equipped with five solid-state lasers (355, 405, 488, 561, and 628 nm). Band-pass filter settings for the detection of fluorescence for DAPI and RFP are 450 25 nm and 575 19, respectively. 132 Benjamin Cao et al. 2.4 Transduction of Murine HSC 1. Lentivirus containing the RFP reporter and gene of interest. 2. Non-treated 48-well cell culture plates. 3. 96-well cell culture plates. 4. Recombinant human fibronectin fragment RetroNectin (Takara). 5. PBS 310 mOsm/L 2% BSA. 6. PBS 310 mOsm/L 0.5% BSA. 7. HSC tissue culture media (we use StemSpan SFEM II media, Stemcell Technologies). 8. 10% CO2 tissue culture incubator. 9. L-Glutamine (we use 200 mM GlutaMAX, Thermo Fisher Scientific). 10. Recombinant mouse stem cell factor (rmSCF) and recombinant human Flt3 ligand (rhFlt3L). 11. Low-oxygen triple-mix tissue culture incubator (5% O2, 10% CO2 in N2). 12. Hemocytometer and light microscope fitted with phase contrast. 13. A solution of 0.125 μg/mL DAPI in PBS 2% Se for determining cell viability. 14. Flow cytometric analyzer (we use a BD LSRII analyzer equipped with five solid-state lasers (355, 405, 488, 561, and 628 nm). Band-pass filter settings for the detection of fluorescence for DAPI and RFP are 450 25 nm and 575 19, respectively. 2.5 HSC Transplantation 1. 200,000 total bone marrow cells per recipient irradiated with 15 Gy as fillers. 2. 1 mL syringe with a 27 gauge needle. 3. Heat lamp. 4. 75% ethanol made in distilled water. 5. Kleenex tissue. 6. Apparatus to immobilize mouse during injection. 2.6 HSC Transplant Analysis 1. Heparinized capillary tubes. 2. K2-EDTA microtainer tubes for blood collection. 3. 14 mL polypropylene round-bottom tubes. 4. 5 mL polystyrene round-bottom tubes with cell strainer caps. 5. Hemocytometer and microscope equipped with phase contrast or an automated cell counter. We use a CELL-DYN Emerald 18 (Abbott). HSC Tracking Post Transduction 133 6. Antibodies: Rat-anti-mouse-CD3e-BV510 (clone 17A2), rat-anti-mouse-CD45R-BV510 (B220, clone RA3-6B2), rat-anti-mouse-CD45R-AF647, rat-anti-mouse-Gr-1-AF647 (Ly6G, clone RB6-8C5), and rat-anti-mouse-Mac-1-AF647 (CD11b, clone M1/70) are all BD Pharmingen or BioLegend. Antibodies are optimally pre-titred and used at less than 1 μg/ mL. 7. NH4Cl lysis buffer composed of 150 mM NH4Cl, 10 mM NaHCO3, 1 mM disodium EDTA, and distilled water, pH 7.4. 8. Flow cytometric analyzer (we use a BD LSRII analyzer equipped with five solid-state lasers (355, 405, 488, 561, and 628 nm). Band-pass filter settings for the detection of fluorescence for RFP, BV510, AF647, and DAPI are 575 19, 500 50, 650 20, and 450 25 nm, respectively. 3 Methods 3.1 Sampling Murine Bone Marrow 1. Kill mice by cervical dislocation and dissect iliac crests, femurs, and tibias, and remove the muscle and connective tissue. 2. Store bones in 10 mL PBS 2% Se in a 50 mL Falcon tube. 3. Decant bones into a sterile mortar. 4. Grind bones with the pestle until the marrow cavity is open to expose it to enzymatic digestion. Be careful not to pulverize the bones. 5. Thoroughly mix cell and crushed bone suspension by pipetting the supernatant up and down, then remove the cell supernatant, and filter through a 40 μm nylon cell strainer into a 50 mL conical tube. 6. Rinse with PBS 2% Se and further crush bone fragments until they become white. 7. Collect and filter the supernatant as indicated in step 5. Top up the tube to 50 mL with PBS 2% Se and set aside on ice until step 12. 8. Transfer the crushed bone fragments into a new 50 mL conical tube containing the collagenase I/dispase II enzymatic suspension (1 mL per crushed bones of 1 mouse), and shake at 37 C in an orbital shaker, 750 rpm for 5 min. 9. Add 20 mL neat PBS to the digested bone fragments and shake vigorously for 20 s. 10. Filter the cell suspension through a 40 μm nylon cell strainer into another 50 mL conical tube. 11. Repeat steps 9 and 10 and filter cells into the same 50 mL conical tube. Top up the tube to 50 mL with PBS 2% Se. 134 Benjamin Cao et al. 12. Centrifuge the cell suspension tubes (from step 7–11) at 400 g for 5 min at 4 C. 13. Discard supernatant and resuspend cell pellet in 10 mL PBS 2% Se. Perform a cell count, and store cells on ice for HSC pre-enrichment by density depletion and immunomagnetic separation. 3.2 HSC Pre-enrichment 1. Dilute the cell suspension to approximately 2 108 cells/ 20 mL with PBS 2% Se. 3.2.1 Density Gradient Separation 2. Divide 20 mL aliquots of cell suspension over an even number of 50 mL centrifuge tubes. 3. Underlay each gradient with 10 mL NycoPrep 1.077A using a cannula attached to a 20 mL syringe. 4. Centrifuge the gradients at 600 g for 20 min at room temperature with no de-acceleration. 5. Collect the mononuclear cells from the interface between the PBS layer and the NycoPrep solution into a 50 mL centrifuge tube using a cannula attached to a 10 mL syringe. Collect the mononuclear cells of two gradients into a 50 mL falcon tube, and fill the tube with PBS 2% Se. 6. Centrifuge the tubes at 400 g for 5 min at 4 C. 7. Decant the supernatant, and resuspend the pooled cell pellets in 50 mL PBS 2% Se. 8. Perform a cell count. 3.2.2 Immuno-labelling Cells with a Cocktail of Lineage Antibodies 1. Centrifuge cells at 400 g for 5 min at 4 C. 2. Stain cells at 1 107 cells/mL in the cocktail of antibodies directed against hematopoietic lineage markers on ice for 20 min (see Note 5). 3. Wash cells with PBS 2% Se by centrifuging at 400 g for 5 min at 4 C to remove unbound antibodies. 3.2.3 Immunomagnetic Cell Separation 1. Resuspend cells in 2 mL PBS 2 mM EDTA 0.5% BSA, and transfer into a 5 mL sterile polypropylene tube. Perform a cell count and set aside on ice until step 7. 2. Resuspend Dynabeads. 3. Calculate the volume of Dynabeads needed based on the cell number. We use a Dynabead/cell ratio of 1:3 repeated in two steps (see Note 6). 4. Dispense the volume of Dynabeads required for both steps into individual 1.5 mL microtubes. 5. Wash away the azide in the Dynabeads by adding 1 mL PBS 2 mM EDTA 0.5% BSA to each microtube and mixing well. HSC Tracking Post Transduction 135 Place the tubes in the magnet for 1 min, remove and discard supernatant, and then remove microtubes from the magnet. 6. Repeat step 5. 7. Resuspend each aliquot of washed Dynabeads in 250 μL of PBS 2 mM EDTA 0.5% BSA. 8. Add the first aliquot of Dynabeads to the cells and mix well. 9. Incubate for 5 min at 4 C with gentle tilting and rotation. 10. Place the mixture in the magnet for 2 min. 11. Without removing the tube from the magnet, transfer the supernatant containing the unbound cells to a new 5 mL polypropylene tube. 12. In order to collect any residual unbound cells, rinse the beadbound cells with 1 mL PBS 2 mM EDTA 0.5% BSA, and place in magnet for 1 min. 13. Transfer the supernatant to the tube from step 11. 14. Add the second aliquot of Dynabeads to the collected cells and mix well. 15. Incubate for 10 min at 4 C with gentle tilting and rotation. 16. Repeat steps 10–12. 17. Transfer the supernatant to a new 14 mL polypropylene tube. 18. Make up the volume of the negative cell suspension (unbound cells) to 10 mL with PBS 2% Se, and perform a cell count. 3.3 HSC Isolation 3.3.1 HSC Labelling 1. Pellet cells by centrifuging at 400 g for 5 min at 4 C. 2. Stain cells at 1 108 cells/mL in an optimally pre-titred HSC antibody cocktail, and incubate light protected on ice for 20 min. 3. Wash cells in 3 mL PBS 2% Se by centrifuging at 400 g for 5 min at 4 C to remove unbound antibody. Discard supernatant. 4. Resuspend cells at 30–40 106 cells/mL in solution of PI, and filter the cell suspension through a cell strainer into a new 5 mL polypropylene tube prior to fluorescence-activated cell sorting (see Note 7). Place on ice until sorted. 3.3.2 HSC Sorting 1. To set up the HSC sort, the following samples are required. (a) 0.5–1 106 unstained total marrow cells to set the voltages for forward scatter, side scatter, FITC, BUV395, PECy7, and PE. (b) Individual tubes containing 0.5–1 106 cells stained with appropriate FITC, PECy7, BUV395, and PE antibody conjugate for compensation controls (see Note 8). 136 Benjamin Cao et al. Fig. 1 Representative flow cytometric plot of Lineage-Sca1+ckit+CD150+CD48+ (LSKSLAM) HSC for FACS sorting 2. Run the cell samples stained with HSC antibodies, and sequentially gate through FSC-H versus FSC-A, SSC-A versus FSC-A, FSC-H versus PI, sca-PeCy7 versus c-kit-BUV395, and CD48FITC versus CD150-PE (Fig. 1). 3. Sort cells at predetermined optimal input speed, and collect into 5 mL polypropylene tubes containing 200 μL PBS 2% Se. 4. Perform reanalysis of a 10 μL aliquot of sorted cells. 5. Perform a manual hemocytometer. 3.4 HSC Transduction 3.4.1 Virus Titration viability cell count using the 1. Seed 4 wells of a 12-well plate with 2 105 FDC-P1 cells in 0.5 mL of DMEM 5% Se, 2 mM of GlutaMAX, 25% WEHI CM, and 4 μg/mL of Polybrene. 2. Thaw virus stock from 80 C. 3. Make 1:10 and a 1:100 dilutions of the virus in the media from step 1. 4. Add 10 μL of the undiluted and diluted virus to three wells of FDC-P1 cells. The fourth well of cells is used as control. Incubate the cells at 37 C overnight in a standard tissue culture incubator (10% CO2). 5. Collect 50 μL of cells from each well into a 1.5 mL microtube. 6. Wash three times with 1 mL of PBS 2% Se by centrifuging at 4 C, 400 g for 5 min, and removing the supernatant. 7. Resuspend cells in 2 mL of media from 1 without Polybrene, and culture in a 12-well plate for 3 days. 8. Collect cells from the plate, and wash once with 3 mL of PBS 2% Se by centrifuging at 4 C, 400 g for 5 min, and removing the supernatant. 9. Resuspend cells in 200 μL of PI solution except for the control cells which are resuspended in PBS 2% Se. HSC Tracking Post Transduction 137 10. Analyze the cells by flow cytometry, and determine the percentage of RFP+ cells. 11. Calculate the virus titer using the dilution closest to 10% RFP+ cells using the following formula: Virus titer ¼ 2 105 (percentage of RFP+ cells/100)/(10 dilution factor/1000) transduction units (TU)/mL. 3.4.2 HSC Transduction 1. Coat the required number of wells of a non-treated 48-well culture plate with 200 μL of 50 μg/mL RetroNectin in PBS, and incubate at 4 C overnight or at room temperature for 2 h. 2. Remove RetroNectin from wells, and block each well with 200 μL of PBS 2% BSA at room temperature for 30 min. 3. Remove BSA and wash each well with 300 μL of PBS. 4. Add 200 μL of SFEM II to the first RetroNectin-coated well, then the estimated amount of virus required to give a multiplicity of infection (MOI) equal to or greater than 50 to each subsequent well plus the necessary volume of SFEM II to make the total volume equal 200 μL (see Note 9). Incubate at 37 C, 10% CO2 until HSC (LSKSLAM) are sorted. 5. Place 3000 HSC for the control and up to 500,000 HSC into separate 5 mL polypropylene tubes, centrifuge at 400 g 4 C for 5 min, and dry pellet. 6. Resuspend the 3000 control HSC in the media from the first well, and place them back into the same well. 7. Resuspend up to 500,000 HSC with media containing virus from the second well, and place them back into the same well. 8. Repeat for any remaining wells. 9. Add 2 μL of GlutaMAX to each well to have a final concentration of 2 mM and 10 ng/mL rmSCF and rhFlt3L. Mix well, and incubate at 37 C in a triple-mix incubator (5% O2, 10% CO2 in N2) overnight. 10. Collect transduced cells from each well, and wash twice with 1 mL of PBS 0.5% BSA by centrifuging at 400 g for 5 min at 4 C and removing the supernatant. 11. Resuspend cells with 1 mL of PBS 0.5% BSA, and perform a viability cell count using phase contrast and a hemocytometer. 12. Transfer 3000 HSC from each sample of transduced cells to a new tube for culture. 13. Add 200,000 filler cells per mouse to the residual transduced HSC, and centrifuge at 400 g 4 C for 5 min prior to resuspending each in PBS 0.5% BSA to allow for 200 μL per transplant recipient. 138 Benjamin Cao et al. Fig. 2 Representative flow cytometric plot of FACS-purified LSKSLAM that has been mock-transduced (no lentivirus) or transduced with lentivirus containing a RFP reporter. Cells were cultured in vitro for 3 days to allow identification of transduced RFP+ cells 14. Add 500 μL SFEM II supplemented with 2 mM GlutaMAX to each tube containing 3000 transduced cells for culture, and centrifuge at 400 g 4 C for 5 min. 15. Dry pellet and resuspend cells in 200 μL of SFEM II supplemented with 2 mM GlutaMAX, 10 ng/mL rmSCF, and 10 ng/mL rhFlt3L, and place 100 μl per well in a 96-well plate in a triple-mix incubator (5% O2, 10% CO2 in N2) for 72 h. 16. Collect cells, wash once with 3 mL of PBS 2% Se, and resuspend control cells in 100 μL of PBS 2% Se and transduced cells in 0.125 μg/mL DAPI in PBS 2% Se for flow cytometric analysis. Run the cell samples, and sequentially gate through FSC-H versus FSC-A, SSC-A versus FSC-A, FSC-H versus DAPI, and RFP versus SSC-A to determine the percentage of RFP+ cells as a measure of transduction efficiency (Fig. 2). 3.5 HSC Transplant 1. Prepare recipients using ablation method approved by the institution’s ethics’ committee. We use total body irradiation given in a split dose of 5.5 Gy each, 5 h apart 24 h prior to transplant using two opposing 137Cs sources Gammacell (40, Atomic Energy of Canada) (see Note 10). 2. Place recipient animals under a heat lamp to dilate the tail vein. HSC Tracking Post Transduction 139 3. Fill 1 mL syringe attached to a 27-gauge needle with wellmixed cell suspension. 4. Place recipient into mouse immobilization apparatus, and wipe tail with 70% ethanol. 5. Inject 200 μL of cell suspension (from Subheading 3.4.2, step 13) into recipient via the lateral tail vein (see Note 11). 6. Release mouse and house in appropriate box with chow and water ad libitum. 3.6 Transplant Analysis 1. After the desired time period (we analyze after 6, 12, and 20 weeks), collect 50 μL of peripheral blood using the ethically approved method at your institution (e.g., by tail vein, retroorbital plexus of saphenous vein bleeding). Collect blood in heparinized or EDTA-coated tubes, and perform a cell count. Make sure blood is also collected from control mice. 2. Transfer blood individually into 14 mL tubes containing 5 mL lysis buffer, keep cells for 5 min at room temperature, and check color of buffer solution (see Note 12). If buffer is visually hemoglobinized, add 5 mL PBS 2% Se, and centrifuge at 400 g for 5 min, 4 C. If red blood cells are still visible, increase lysis time or repeat lysis step. 3. Decant supernatants and resuspend in 3 mL PBS 2% Se. Transfer the cell suspension into 5 mL polystyrene tubes, filtering through the cell strainer cap. 4. Wash cells again and store on ice until antibody staining. 5. Prepare antibody cocktail including T-cell, B-cell, and myeloid markers. Allow 50 μL per sample (see Note 13). 6. Centrifuge cell samples at 400 g for 5 min, 4 C, and decant supernatant. 7. Resuspend samples in 50 μL of antibody cocktail or single antibodies for compensation. Ensure cell pellets are completely disrupted and cell suspensions well mixed. 8. Incubate cells for 20 min on ice and light protected. 9. Centrifuge cell samples at 400 g for 5 min, 4 C, decant supernatant, and resuspend cells in PBS 2% Se at a final volume recommended for the flow cytometer used (see Note 14). 10. Run samples on flow cytometer, and sequentially gate through FSC-H versus FSC-A, SSC-A versus FSC-A, FSC-H versus DAPI, RFP versus SSC-A, and B220/Gr1/Mac1 vs CD3/B220 to determine % RFP+ and to assess multi-lineage reconstitution (Fig. 3). 140 Benjamin Cao et al. Fig. 3 Six-week peripheral blood analysis of recipients transplanted with mock-transduced (no lentivirus) or lentiviral-transduced HSC. Progeny arising from transduced HSC is identified as RFP+ cells, and multi-lineage reconstitution is assessed by analyzing CD3+ (T-cells), B220+ (B-cells), or Gr1+Mac1+ (myeloid) cells 4 Notes 1. This method is for 10 donor animals. Volumes can be altered for more or less donors. We use the same method for a range of transgenic mice. 2. This osmolarity is appropriate for murine cells and results in better cell recovery. 3. The use of this limited antibody cocktail results in the removal of approximately 70% of marrow cells. To gain higher purity, additional antibodies directed against T-cell markers like CD3, CD4, CD5, and CD8 can also be added to the cocktail. 4. Other conjugates can be used. 5. Each antibody needs to be individually titred to determine the optimal working concentration for lineage depletion. It is a good practice to centrifuge the antibody cocktail briefly in a microfuge before use; the supernatant is then used, eliminating non-specific background staining by any protein aggregates formed during storage of the antibodies. 6. The Dynabead/cell number ratio of 1:3 was established in-house based on the lowest number of Dynabeads required without significant loss of depletion efficiency. HSC Tracking Post Transduction 141 7. In order to reduce the incidence of nozzle clogs during sorting, sort as soon as possible after labelling, and filter the sample immediately prior to the sort. 8. For compensation tubes, it is valid to use the antibody conjugate used for the analysis of the samples as single antibody controls. If CD45 is used, it is generally expressed at high levels and can result in overcompensation. However, in our experience using CD45 antibodies to compensate for this sample setup is suitable. 9. MOI equals the number of virus particles (TU) divided by the number of cells, so an MOI of 50 is 50 times the number of viral particles compared to cells. 10. When using irradiation as the method of preparative ablation, an irradiation dose response should initially be performed to select the optimal dose that removes the majority of recipient HSC. We do this using a high-proliferative potential colonyforming assay (HPP-CFC) [10]. 11. To avoid back flushing of the cell suspension, wait 20 s before removing the needle after injecting cells. Only blood should be visible at the injection site after removing the needle. 12. It is important to minimize the lysis time to avoid loss of nucleated cells. However, a high number of non-lysed red blood cells can result in turbulences in the flow chamber and a consequential loss of scatter signal and a reduced quality flow profile when samples are analyzed using flow cytometry. If in doubt, optimize lysis time in your system with test blood before lysing the samples. 13. By using the same antibody conjugated to two different fluorochromes (in this case B220-BV510 and B220-AF647) in the same tube, T-cells, B-cells, and myeloid cells can easily be distinguished in one dot plot. Alternate fluorochromes can be used, keeping the reporter color in mind. 14. Depending on the cell number per tube, we generally resuspend blood samples in 120 μL of buffer, and run the samples on a BD LSRII flow cytometer. This results in approximately 1 min running time per tube with a BD LSRII on setting “high.” We would not recommend a flow rate higher than 10,000 events per second to ensure an optimal flow cytometry profile. References 1. Schofield R (1978) The relationship between the spleen colony-forming cell and the haemopoietic stem cell. Blood Cells 4:7–25 2. Gong JK (1978) Endosteal marrow: a rich source of hematopoietic stem cells. Science 199:1443–1445 3. Mason KD, Carpinelli MR, Fletcher JI, Collinge JE, Hilton AA et al (2007) Programmed anuclear cell death delimits platelet life span. Cell 128:1173–1186 4. Nilsson SK, Johnston HM, Coverdale JA (2001) Spatial localization of transplanted 142 Benjamin Cao et al. hemopoietic stem cells: inferences for the localization of stem cell niches. Blood 97:2293–2299 5. Domingues MJ, Cao HM, Heazlewood SY, Cao B, Nilsson SK (2017) Niche extracellular matrix components and their influence on HSC. J Cell Biochem 118:1984–1993 6. Boulais PE, Frenette PS (2015) Making sense of hematopoietic stem cell niches. Blood 125:2621–2629 7. Wilson A, Trumpp A (2006) Bone-marrow haematopoietic-stem-cell niches. Nat Rev Immunol 6:93–106 8. Samlowski WE, Daynes RA (1985) Bonemarrow engraftment efficiency is enhanced by competitive-inhibition of the hepatic asialoglycoprotein receptor. Proc Natl Acad Sci U S A 82:2508–2512 9. Larcombe MR, Manent J, Chen J, Mishra K, Liu X, Nefzger CM (2019) Production of high titer lentiviral particles for stable genetic modification of mammalian cells. Methods Mol Biol 1940:47–61 10. Bertoncello I, Williams B (2001) Analysis of hematopoietic phenotypes in knockout mouse models. Methods Mol Biol 158:181–203 Chapter 10 Genetic Manipulation and Selection of Mouse Mesenchymal Stem Cells for Delivery of Therapeutic Factors In Vivo Donald S. Sakaguchi Abstract Bone marrow-derived mesenchymal stem cells (MSCs) hold great potential as an ex vivo cellular system for delivery of therapeutic proteins to the diseased or damaged central nervous system (CNS). This adult stem cell population has considerable translational potential for autologous transplantation due to lack of ethical concerns, accessibility, multipotent nature, and plasticity. Here we describe a methodology and outline a strategy using lentiviral vectors for producing lines of MSCs hypersecreting neurotrophic growth factors (e.g., brain-derived neurotrophic factor (BDNF) and/or glial cell line-derived neurotrophic factor (GDNF)) together with a reporter protein such as green fluorescent protein (GFP) that may be used for in vitro and in vivo neuroprotection bioassays. This approach provides exciting opportunities for basic research and proof-of-concept studies. Key words Transplantation, Retinal transplant, Mesenchymal stem cells, Adult stem cells, Neurotrophic factors, Neuroprotection 1 Introduction A serious problem with developing useful therapies for treatment of neurodegenerative diseases or injuries to the brain is in implementing effective methods that prevent further degeneration and also facilitate recovery of function. Stem cell transplantation offers a novel and extremely exciting therapeutic approach. In this chapter, a strategy is highlighted employing bone marrow-derived mesenchymal stem cells (MSCs) which hold great potential as an ex vivo system for delivery of therapeutic proteins to the diseased or damaged CNS (Fig. 1). Mesenchymal stem cells are multipotent and have the ability to differentiate into adipocytes, chondrocytes, myoblasts, and osteocytes [1, 2]. They can be routinely isolated from large bones in rodents and are easily maintained in vitro. Significantly, MSCs can be engineered to produce exogenous therapeutic and growth factors targeted for long-term delivery for neuroprotective agents to the injured CNS, including the retina Ivan Bertoncello (ed.), Mouse Cell Culture: Methods and Protocols, Methods in Molecular Biology, vol. 1940, https://doi.org/10.1007/978-1-4939-9086-3_10, © Springer Science+Business Media, LLC, part of Springer Nature 2019 143 144 Donald S. Sakaguchi Fig. 1 Genetic manipulation and selection of mouse bone marrow-derived mesenchymal stem cells (MSCs) for delivery of neurotrophic factors in vivo. (a) Bone marrow MSCs are routinely isolated from the long bones of rodents. (b) The MSCs are isolated based on their selective adherence to plastic tissue culture surfaces. (c) Lentiviral vectors can mediate the efficient delivery, integration, as well as stable expression of transgenes in dividing and nondividing cells, either in vitro or in vivo. (d) An important step in this strategy is to perform a series of in vitro assays for transgene expression including ELISAs to determine quantities of the secreted neurotrophic factors and functional bioassays to determine specific biological activity of the secreted neurotrophic factors. To examine whether biologically active BDNF and GDNF are produced following lentiviral vector-mediated transduction, conditioned medium from lentiviral-transduced MSCs should be used in in vitro bioassay/s [3, 9–12]. In general, neurite outgrowth assays from embryonic or neonatal mouse or rat dorsal root ganglia or neural-like cell lines (RGC-5 or PC-12) can be effective bioassay systems. (e) When generating multiple lines of engineered MSCs, it is important to determine cell health and viability. Implementation of a high-content screening system may be very useful for continued experiments. (f) It is only after the different lines of engineered MSCs have been characterized in vitro and deemed as good candidates for transplant studies, should in vivo experiments be initiated. The mammalian retina possesses several advantages and has served as a unique CNS compartment for transplant studies. Although located in a peripheral location, embryologically the retina is a part of the CNS and as such has become an important site for studies of cellular transplantation. (g) After cell transplantation, animals can be submitted for noninvasive assays to determine visual function (e.g., electroretinography (ERG) recordings, computerized pupillometry. (h) To assess transplanted cell survival, eye tissue should be collected at the termination of the experiments and presented for immunohistological analysis. Abbreviations: MSCs mesenchymal stem cells; LV lentiviral; GFP green fluorescent protein; BDNF brain-derived neurotrophic factor; GDNF glial cell line-derived neurotrophic factor; ELISA enzyme-linked immunosorbent assay; ERG electroretinogram Genetic Manipulation and Selection of MSCs 145 [3–5]. From a clinical standpoint, MSCs can be isolated from the patient and thus serve as an autologous cellular therapy. In addition, because MSCs express intermediate to low levels of MHC Class I or II antigens, they are suitable for use in allogeneic transplantation procedures [6, 7]. Also, unlike pluripotent stem cells (e.g., embryonic stem cells or induced pluripotent stem cells), MSCs do not form teratomas following transplantation. Furthermore, since the MSCs would be isolated from adults, they evoke little to no moral and ethical objections. Taken together, these advantages support the notion that MSCs are excellent candidates for genetic engineering and cellular transplants into damaged CNS environments [8]. Here it is demonstrated that, as a strategy for stem cell-based therapy, MSCs can be engineered using lentiviral vectors to overexpress neurotrophic factors (e.g., brain-derived neurotrophic factor (BDNF) and/or glial cell line-derived neurotrophic factor (GDNF)) together with a reporter protein such as green fluorescent protein (GFP) [3, 9–12]. Lentiviral vectors can mediate the efficient delivery, integration, as well as stable expression of transgenes in dividing and nondividing cells, either in vitro or in vivo. Replication-deficient recombinant lentiviruses are widely used in research laboratories and have become important tools for gene delivery into a broad range of mammalian cells including MSCs, neural stem cells, neurons, lymphocytes, and macrophages. Although the modified lentivirus is still capable of infecting cells, the required genes for producing new viral particles are lacking. As such, this approach provides exciting opportunities for basic research and proof-of-concept studies and the possible genetic treatment of human diseases. These findings show MSCs, infected with lentiviral vectors encoding BDNF or GDNF, noticeably increase the release of neurotrophic factors in vitro. Furthermore, these factors are bioactive and capable of stimulating neurite outgrowth and have provided neuroprotection using in vitro and in vivo bioassays [3, 9–12]. 2 Materials All cell culture reagents should be prepared using aseptic technique to ensure sterility. Prepare and store all cell culture reagents at 4 C (unless indicated otherwise by the vendor). Follow all waste disposal regulations mandated at your institution by the Environmental Health and Safety office and your Institutional Biosafety Committee (or comparable units) when disposing of waste materials. 146 Donald S. Sakaguchi 2.1 Mouse MSC Culturing 1. Mouse bone marrow-derived MSCs can be purchased from a number of vendors or isolated from the bone marrow of adult mice as per standard protocols for MSC isolation from rodents (see Note 1). 2. MSC media: Iscove’s Modified Dulbecco’s Medium (IMDM) containing 10% hybridoma-qualified fetal bovine serum (FBS) 10% equine serum 2 mM L-glutamine 10,000 U/mL penicillin and 10,000 μg/mL streptomycin. Stored at 4 C and warmed to 37 C in a water bath prior to use, 3. Cell detachment solution: 0.05% trypsin and 0.1% EDTA solution (e.g., from Invitrogen/Gibco). 4. Phosphate-buffered saline (PBS): 1 (e.g., from Invitrogen/ Gibco). 5. 0.4% trypan blue: in solution of 0.85% NaCl in tissue culture water. 6. Ethanol: 70%. 7. Cell freezing medium (1): 65% MSC cell culture medium, 30% mixture of 50:50 mixture of FBS and equine serum, 5% DMSO (tissue culture grade). 8. Earle’s balanced salt solution (EBSS): 1 (e.g., from Invitrogen/Gibco). 2.2 Engineering Mouse MSCs Ex Vivo Using Lentiviral Vectors 1. MSC media for lentiviral transductions: IMDM, supplemented with 2% FBS and 12 μg/mL Sequa-brene. 2. Lentiviral constructs are produced by packaging a gene of interest in a non-replicative retroviral skeleton [13, 14]. Lentiviral vectors may be purchased or designed by a vector core facility for one’s specific needs. 3. Standard enzyme-linked immunosorbent assay (ELISA) kits can be purchased and should be used to quantify the amount of neurotrophic factor/s released from the engineered MSCs. Follow the vendor protocols accompanying each ELISA kit for specific neurotrophic factors. 3 Methods 3.1 Culturing of Mesenchymal Stem Cells from Frozen Vials 1. Using aseptic techniques in a biosafety cabinet, prepare a T-75 cm2 tissue culture flask by adding 25 mL of MSC media. Place the flask into an incubator (high humidity, 5% CO2 at 37 C) for 20 min in order to equilibrate culture media. 2. Remove cryovial of frozen MSCs from dry ice or liquid nitrogen storage, and spray with 70% ethanol. Place the vial into a holder and rapidly thaw in a 37 C water bath, until about 95% thawed. Gently swirl during thawing procedure. Genetic Manipulation and Selection of MSCs 147 3. Remove the vial from water bath holder, wipe down with 70% ethanol, and transfer the vial to the biosafety cabinet. Remove the T-75 flask with MSC media from the incubator, spray with 70% ethanol, and place into the biosafety cabinet. 4. Transfer the contents of the cryovial into the T-75 flask containing the equilibrated MSC media. Rinse the vial several times with MSC media from the flask to ensure removal of all MSCs from the cryovial (see Note 2). Gently rock the flask back and forth to disperse the cells (do not swirl in a circular motion). Using a permanent fine-tip marker, label the flask with all pertinent information obtained from the cryovial, and place into the incubator (high humidity, 5% CO2 at 37 C), and culture overnight. 5. On the following morning, aspirate the medium containing nonadherent dead cells, and discard. Rinse the flask with 10 mL of pre-warmed (37 C) PBS. Aspirate and discard the PBS rinse. Pipet 3 mL of pre-warmed (room temperature) trypsin/EDTA cell detachment solution into the flask, gently rock back and forth to cover the bottom of the flask, and incubate for 2–3 min at 37 C (see Note 3). 6. Monitor MSC detachment on an inverted microscope. As soon as the majority of MSCs have detached, add 7 mL of pre-warmed MSC media to deactivate the trypsin/EDTA solution. Gently pipet the MSC media across the bottom of the flask 3–4 times to detach remaining MSCs. 7. Transfer the MSC suspension to a 15 mL conical centrifuge tube. Wash the bottom of the flask with an additional 3 mL of pre-warmed MSC media, and transfer to the 15 mL conical tube. Pellet the MSC suspension by centrifuging at 450 g for 10 min (centrifugation at room temperature). 8. Carefully pipet off the supernatant and discard. Using a 5 mL pipette, add 1 mL of pre-warmed MSC media to the pellet, and gently triturate to break up and disperse the pellet to a single cell suspension. 9. Perform a trypan blue viable cell count using a hemocytometer. 10. Plate the MSCs into a T-75 flask containing 12 mL of pre-warmed and equilibrated MSC media at an initial density of about 60 cells/cm2, and place into the incubator (high humidity, 5% CO2 at 37 C). 11. Every 3–4 days, pipet or aspirate off one-half the volume of media, and add back an equal volume of fresh pre-warmed MSC media. Monitor the MSCs on an inverted microscope. Cells should maintain a spindle-shape and not become too cuboidal and/or flat (Fig. 2). 148 Donald S. Sakaguchi Fig. 2 Mouse mesenchymal stem cells (MSCs) growing in a tissue culture flask. Cells should maintain a spindle morphology. Scale bar ¼ 100 μm 12. Once the MSCs have reached about 70% confluence (approximately 10–14 days), they should be passaged or frozen down (see Subheading 3.2 below). For passaging, repeat steps 5–11. 3.2 Freezing MSCs for Storage 1. Once the MSCs have reached about 70% confluence (approximately 10–14 days), they can be frozen down for long-term storage. Harvest and collect cells as described in Subheading 3.1, steps 5–7. 2. Carefully pipet off the supernatant and discard. Using a 5 mL pipette, add 3 mL of cell freezing medium to the pellet, and gently triturate to break up and disperse the pellet to a single cell suspension. 3. Aliquot 1 mL of MSC cell suspension in cell freezing medium to each of three, pre-labeled cryovials (see Note 4). The cryovials containing the MSCs should be placed into a cryofreezing container, and placed into a 80 C freezer overnight to achieve optimal freezing rate of about 1 C/min. 4. The following day, the cryovials of frozen MSCs should be transferred from the 80 C freezer to the vapor phase of a liquid nitrogen freezing unit for long-term storage. 3.3 Lentiviral Transductions of MSCs: Determining and Optimizing the Multiplicity of Infection (MOI) (See Notes 5–11) 1. Harvest MSCs as described in Subheadings 3.1, steps 5–9, and plate into seven wells of a 24-well tissue culture plate (e.g., 1000 cells per well). 2. After 24 h of growth, replace the culture media in the seven wells (of the 24-well plate) with 500 μL per well of MSC media for lentiviral transductions (IMDM, containing 2% FBS and 12 μg/mL Sequa-brene—prepare about 10 mL of this media). 3. On ice, thaw the aliquot of lentiviral particles that only harbor GFP (green fluorescent protein—LV-GFP vector), as they can be easily identified and quantified based on fluorescence. Add Genetic Manipulation and Selection of MSCs 149 1:1 volume of the MSC media for lentiviral transductions to the lentiviral aliquot (typically the aliquots of lentivirus are 10–20 μL, based on MOI numbers). For easier handling, the virus can be diluted with medium and pipetted in higher quantities into the wells. The quantity of the required diluted lentivirus will depend on the level of dilution. MOI dilutions of 1, 2, 5, 10, 15, and 30 are recommended (typically, the MOI for lentiviral particles ranges from 1 to 30). The seventh well of MSCs serves as a non-transduced control. 4. After 8 h of exposure of the MSCs to the lentiviral particles, the media should be changed to fresh MSC growth media. Engineered MSCs should be maintained as previously described for 72 h. 5. Acquire images of the cells using an inverted fluorescence microscope after 24, 48, and 72 h. The rate of GFP-lentiviraltransduced MSCs for each MOI and at each time point should be determined. The lowest MOI at which all MSCs show the GFP transgene expression should be used for further experiments (see Note 11). 3.4 Lentiviral Transductions of MSCs for Production of Neurotrophic Factors 1. Harvest MSCs as described in Subheading 3.1, steps 5–9, and plate into six-well tissue culture plates at a density of approximately 1500 cells per well, and let MSCs attach for 24 h in the incubator. 2. After cell attachment period, growth medium is replaced with MSC media for lentiviral transductions (IMDM, containing 2% FBS and 12 μg/mL Sequa-brene; ~1.5 mL/well). 3. Prepare lentiviral vectors encoding neurotrophic factors (see Subheading 3.3, step 3): (1) BDNF (LV-BDNF), (2) GDNF (LV-GDNF), and (3) GFP (LV-GFP) are added individually or simultaneously to MSCs at a multiplicity of infection (MOI) based upon prescreening test (Subheading 3.3, steps 1–5). A population of control MSCs should be engineered with only the LV-GFP vector at an MOI to match the viral titer of the BDNF/GFP (and GDNF/GFP) engineered MSCs. 4. Viral particles are removed by rinsing each well after 8 h of exposure, and media should be changed to fresh MSC growth media. Engineered MSCs are subsequently maintained as previously described (see Subheading 3.1, steps 11 and 12). Verification of GFP expression should be determined by imaging culture wells on an inverted fluorescence microscope. 5. As control and engineered MSCs approach 70–80% confluence, they are expanded to a larger vessel (T-25 cm2 tissue culture flask) for continued optimal growth and determination of MSC-derived neurotrophic factor production, secretion, and bioactivity. Media should be collected and replaced with 150 Donald S. Sakaguchi fresh growth media and cells grown for an additional 24 h. After the 24 h of additional growth, the MSC conditioned growth media should be collected and used for ELISA for determination of neurotrophic factor secretion and/or bioassays or frozen at 20 C for subsequent ELISA/bioassays (see Notes 12 and 13). 6. When generating multiple lines of engineered MSCs, it is important to determine cell health and viability. Implementation of a high-content screening system may be very useful for continued experiments (see Note 14). 7. With continued propagation, engineered MSCs should be frozen down to maintain frozen stocks of the MSCs for future experiments (see Subheading 3.2). 3.5 Transplantation of Engineered Mesenchymal Stem Cells for Intraocular Delivery of Neurotrophic Factors In Vivo All animal studies should be conducted in accordance with the Association for Research in Vision and Ophthalmology (ARVO) Statement for the Use of Animals in Ophthalmic and Vision Research, and procedures must be approved by your Institutional Animal Care and Use Committee (IACUC) (see Note 15). 1. Prepare the cell microinjection apparatus in advance of harvesting cells (see Note 16). The cell injection apparatus consists of a 10 or 20 μL Hamilton syringe held in a microsyringe driver connected via a fluid-filled (Earle’s balanced salt solution) polyethylene tube to a beveled glass microinjection pipette (see Note 17). 2. Harvest MSCs as described in Subheading 3.1, steps 5–7. Following centrifugation, carefully pipet off the supernatant, and discard. Using a P-1000 pipette, add 200 μL of Earle’s balanced salt solution (EBSS) to the pellet, and gently triturate to break up and disperse the pellet to a single cell suspension. 3. Perform a trypan blue viable cell count using a hemocytometer. Dilute the cell suspension with EBSS to a density of approximately 50,000 cells/μL, and place on wet ice. 4. Mice (4–6 months of age) are anesthetized with isoflurane inhalation: 3% at 500 mL/min. Gas flow for induction and then 1.5–2% isoflurane for maintenance of anesthesia. The animals are determined to be anesthetized when they no longer perform the righting reflex (when overturned in the anesthesia induction chamber, they do not attempt to right themselves) and are nonresponsive to pain (gentle pinch with forceps on their hindlimb). 5. While anesthetized and in preparation for the intraocular cell transplants, the animals are placed on their side on a warm heating pad. Genetic Manipulation and Selection of MSCs 151 6. Using a P 20 or P 100 micropipetter, pipette 10–15 μL droplet of cell suspension onto the center of the open lid of a 35 mm tissue culture plate. The beveled microinjection needle is held in the droplet of cell suspension and ~5–10 μL of the suspension drawn up into the microinjection needle by applying negative pressure through the microsyringe driver. 7. Animals receive intraocular injections of stem cells through the dorsolateral aspect of their right eye while avoiding the lens during the penetration. 2–4 μL of cell suspension in Earle’s balanced salt solution (~50,000 cells/μL) is slowly injected into the vitreal chamber of the eyes (volume of cell suspension to be injected depends on the age of the animal). The microinjection needle should be held within the eye for approximately 20 s before carefully withdrawing the needle. 8. To prevent potential infection, a small amount of antibiotic ointment (neomycin and polymyxin B and bacitracin (e.g., from Bausch & Lomb Pharmaceuticals) may be applied topically to the eye injection site after the procedure. 9. Animals should be allowed to recover from the anesthesia before returning to their cage. 10. Animals should be removed from the study if they display abnormal or unusual behaviors (see Note 18). 11. After cell transplantation, animals can be submitted for computerized pupillometry and/or electroretinography recording or other noninvasive assays to determine visual function. To assess transplanted cell survival eye tissue should be collected at the termination of the experiments and presented for immunohistological analysis. 12. Transplant recipient eyes and control, fellow eye tissues should be collected after the animals are euthanized in an induction chamber using CO2 (see Note 19). Once the animals have been euthanized, the eyes should be quickly collected, cleared of excess tissues, rinsed, and fixed for histological analysis. A scalpel should be used to pierce the cornea to permit fixative penetration into the eyeball. 4 Notes 1. Bone marrow-derived MSCs from different strains (as well as different genera and species) may differ in their media requirements for optimal growth [15]. As such, it may be necessary to identify and define optimal growth conditions. The aim of this protocol is to provide a framework methodology to conduct experiments using MSCs with goals of genetic modification and cell transplantation for a cell-based delivery system for neurotrophic factors. 152 Donald S. Sakaguchi 2. Thawed MSCs are very fragile at this stage and should be transferred directly into the culturing vessel without trying to wash out the DMSO contained within the freezing media. Using an excess volume of MSC media at this stage helps to dilute out the DMSO. 3. Trypsin/EDTA step should be closely monitored since the MSCs are still quite fragile. Use an inverted microscope to monitor cell detachment. 4. It is important that the MSCs do not sit at room temperature in the cell freezing medium for more than about 20 min. Cryovials of MSCs should be transferred to 80 C using a cryofreezing unit. 5. All cell culture work and lentiviral transductions should follow the guidelines put forth in the National Institutes of Health (NIH) Guidelines for Research Involving Recombinant DNA Molecules. Handling the instrumentation and conducting laboratory procedures should adhere to the BSL-2 of the Biosafety in Microbiological and Biomedical Laboratories (BMBL) 5th edition (https://www.cdc.gov/biosafety/publications/ bmbl5/index.htm) guidelines. 6. The aim of this approach is to engineer MSCs to express GFP (green fluorescent protein) and also to overexpress BDNF (brain-derived neurotrophic factor) or GDNF (glial cell linederived neurotrophic factor) using lentiviral vectors. The engineered MSCs would be a potent candidate for stem cell-based therapies of neurodegenerative diseases. The lentiviral vectors used are replication incompetent. These viruses have key elements of their genome supplied in trans during the viral production process in order to eliminate recombination events that would lead to an active virus. In addition, this virus lacks the cellular machinery needed to package the virus, as well as an envelope protein to package the virus within. In general, lentiviral vectors display high transduction efficiency and offer maximal biosafety, without sacrificing transduction efficiency. 7. When using lentiviral vectors, be sure to avoid repeated thawing and freezing cycles, as this can lead to a decrease in viral titer. Additionally, when thawing, perform on ice, and try and use vectors immediately. Long-term storage and freezing should occur either on dry ice or at a temperature of 80 C. To maintain the quality of the virus, vial contents should be aliquoted on first use. 8. All culturing work of engineered cells and the engineering of these cells should be performed in a BSL-2 certified biosafety cabinet. All culture supplies and materials should be autoclaved prior to disposal. Culturing surfaces should be cleaned with bleach. Handling of cultures and cells should be performed Genetic Manipulation and Selection of MSCs 153 under BSL-2 level. All supplies and instruments should be autoclaved after procedures and/or prior disposal. Bench tops and other potentially contaminated areas should be cleaned with bleach. 9. Waste disposal procedures: (a) Non-sharp waste: All cultures, stocks, and cell culture materials must be disinfected with 10% bleach and autoclaved prior to being disposed. (b) Sharps waste: All needles, syringes, razors, scalpels, Pasteur pipettes, and pipette tips must be disposed of in a puncture-resistant sharps container. Sharps containers should not be filled beyond 2/3 of their capacity. (c) Decontamination procedures: All materials that have come into contact with lentiviral vectors should be disinfected using a freshly prepared 10% bleach solution before disposal. Additionally, all work surfaces must be disinfected with 10% bleach once work is completed. (Note: A 15 min contact time is required for decontamination.) 10. When a cell type is being transduced with a lentivirus for the first time, it is recommended to set up an initial experiment with different MOIs using a lentivirus encoding a fluorescent reporter protein such as green fluorescent protein (GFP). The MOI is used to describe the number of viral particles needed to infect a cell. The MOI can differ considerably for different cell types, and therefore it is recommended to initially determine the optimal MOI for each cell type under study. Due to the random nature of integration of lentiviral vectors into the host genome, varying levels of expression may be observed within different infected colonies. Testing of multiple colonies and conditions provides a reasonably straightforward and simple method to determine optimal degree of expression. 11. High quantities of the virus (higher MOIs) may compromise cell health and as such, consider selecting a lower MOI, so as to avoid cytotoxic artifacts. 12. Analysis of transgene expression and secretion of neurotrophic factors: Standard enzyme-linked immunosorbent assay (ELISA) kits should be used to quantify the amount of neurotrophic factor/s released from the engineered MSCs. Follow the vendor protocols accompanying each ELISA kit for specific neurotrophic factors and compare to known amounts of authentic BDNF and GDNF, respectively. Long-term secretion of BDNF and GDNF from the lentiviral-transduced MSCs should be monitored by collecting and concentrating media from cultures at 1–3 days and at multiple weeks post-viral transduction (e.g., 1, 2, and 4 weeks post-viral transduction). Medium from non-transduced MSCs and control MSCs transduced with the LV-GFP only vector should also be tested. 154 Donald S. Sakaguchi 13. In vitro analysis of transgene expression: An important step is to determine if the secreted neurotrophic factors possess specific biological activity. To examine whether biologically active BDNF and GDNF are produced following lentiviral vectormediated transduction, conditioned medium (CM) from LV-transduced MSCs (for 6 days) should be used in in vitro bioassay/s [3, 9–12]. In general, neurite outgrowth assays from embryonic or neonatal mouse or rat dorsal root ganglia or neural-like cell lines (RGC-5 or PC-12) can be effective bioassay systems [3, 9–12]. 14. An essential step in developing cell-based therapeutic trophic factor delivery systems is to determine the normal health of the engineered MSCs. As such, implementation of image-based high-content screening may be very useful when generating multiple lines of engineered MSCs. This technology permits automated image acquisition and analysis and is well-suited for stem cell research applications but is beyond the scope of this chapter, and the reader is referred to the literature [10]. 15. All animals should be handled in accordance with the Guide for the Care and Use of Laboratory Animals (referred to as the Guide) [16] and follow all guidelines appropriate to your institution and any other applicable regulations. Furthermore, the Guide recommends that the number of animals should be the minimum number required to obtain statistically valid results. A power analysis is strongly encouraged to justify group sizes when appropriate. 16. When assembling the cell microinjection system, try and maintain sterility by wiping all parts with Kimwipes moistened with 70% ethanol. Clean tubing by flushing with sterile EBSS. 17. A conventional horizontal or vertical pipette puller is generally used to make the microinjection pipettes using glass microinjection pipettes. Though sterile forceps may be used to break the tip of the injection micropipette so the opening is about ~10 μm wide, beveling the tip is the recommended and preferred method so as to create a microinjection needle with a sharp tip yet has an opening of ~10 μm wide. A larger opening is required to draw up and to inject the cells into the eyes. 18. Following transplants, animals should be assessed and monitored for normal behavior. Parameters to be monitored should include normal activity, overall responsiveness, appearance, skin color, and eating and drinking habits. Animals should be removed from the project if they do not eat or drink and display excessive weight loss and dehydration, display labored breathing, or have impaired movements. In general, based on prior studies, the recipients have tolerated cell transplants very well Genetic Manipulation and Selection of MSCs 155 and have not displayed excessive weight loss or other behavioral anomalies. 19. All Euthanasia Guidelines for Research and Teaching should be followed. The National Research Council Guide for the Care and Use of Laboratory Animals states that methods of euthanasia must “induce rapid unconsciousness and death without pain or distress.” Institutions should observe the above-stated method definition and adhere to the euthanasia guidelines specified in the American Veterinary Medical Association Guidelines on Euthanasia (AVMA). References 1. Prockop DJ (1997) Marrow stromal cells as stem cells for nonhematopoietic tissues. Science 276:71–74 2. Ohishi M, Schipani E (2010) Bone marrow mesenchymal stem cells. J Cell Biochem 109:277–282 3. Harper MM, Grozdanic SD, Blits B, Kuehn MH, Zamzow D et al (2011) Transplantation of BDNF- secreting mesenchymal stem cells provides neuroprotection in chronically hypertensive rat eyes. Invest Ophthalmol Vis Sci 52:4506–4515 4. Levkovitch-Verbin H, Sadan O, Vander S, Rosner M, Barhum Y et al (2010) Intravitreal injections of neurotrophic factors secreting mesenchymal stem cells are neuroprotective in rat eyes following optic nerve transection. Invest Ophthalmol Vis Sci 51:6394–6400 5. Sasaki M, Radtke C, Tan AM, Zhao P, Hamada H et al (2009) BDNF-hypersecreting human mesenchymal stem cells promote functional recovery, axonal sprouting, and protection of corticospinal neurons after spinal cord injury. J Neurosci 29:14932–14941 6. Aggarwal S, Pittenger MF (2005) Human mesenchymal stem cells modulate allogeneic immune cell responses. Blood 105:1815–1822 7. Le Blanc K, Tammik C, Rosendahl K, Zetterberg E, Ringden O (2003) HLA expression and immunologic properties of differentiated and undifferentiated mesenchymal stem cells. Exp Hematol 31:890–896 8. Sandquist EJ, Uz M, Sharma AD, Patel BB, Mallapragada SK, Sakaguchi DS (2016) Stem cells, bioengineering and 3-D scaffolds for nervous system repair and regeneration. In: Zhang LG, Kaplan D (eds) Neural engineering: from advanced biomaterials to 3D fabrication techniques. Springer, New York, pp 25–82 9. Harper MM, Adamson L, Blits B, Bunge MB, Grozdanic SD, Sakaguchi DS (2009) Brainderived neurotrophic factor released from engineered mesenchymal stem cells attenuates glutamate - and hydrogen peroxide-mediated death of staurosporine-differentiated RGC-5 cells. Exp Eye Res 89:538–548 10. Sharma AD, Brodskiy PA, Petersen EM, Dagdeviren M, Ye EA et al (2015) High throughput characterization of adult stem cells engineered for delivery of therapeutic factors for neuroprotective strategies. J Vis Exp (95): e52242. 11. Ye E-A, Chawla SS, Khan MZ, Sakaguchi DS (2016) Bone marrow-derived mesenchymal stem cells (MSCs) stimulate neurite outgrowth from differentiating adult hippocampal progenitor cells. Stem Cell Biol Res 3:3 12. Bierlein del la Rosa M, Sharma AD, Mallapragada SK, Sakaguchi DS (2017) Transdifferentiation of BDNF-hypersecreting MSCs significantly enhances BDNF secretion and Schwann cell marker proteins. J Biosci Bioeng 124:572–582 13. Delenda C (2004) Lentiviral vectors: optimization of packaging, transduction and gene expression. J Gene Med 6:S125–S138 14. Chang LG, Gay EE (2001) The molecular genetics of lentiviral vectors - current and future perspectives. Curr Gene Ther 1:237–251 15. Peister A, Mellad JA, Larson BL, Hall BM, Gibson LF, Prockop DJ (2004) Adult stem cells from bone marrow (SCs) isolated from different strains of inbred mice vary in surface epitopes, rates of proliferation, and differentiation potential. Blood 103:1662–1668 16. National Research Council (2011) Guide for the care and use of laboratory animals, 8th edn. The National Academies Press, Washington DC Chapter 11 Isolation and Culture of Primary Mouse Middle Ear Epithelial Cells Apoorva Mulay, Khondoker Akram, Lynne Bingle, and Colin D. Bingle Abstract Epithelial abnormalities underpin the development of the middle ear disease, otitis media (OM). Until now, a well-characterized in vitro model of the middle ear (ME) epithelium that replicates the complex cellular composition of the middle ear has not been available. This chapter describes the development of a novel in vitro model of mouse middle ear epithelial cells (mMECs), cultured at the air-liquid interface (ALI). This system enables recapitulation of the characteristics of the native murine ME epithelium. We demonstrate that mMECs undergo differentiation into the varied cell populations seen within the native middle ear. Overall, our mMEC culture system can help better understand the cell biology of the middle ear and improve our understanding of the pathophysiology of OM. The model also has the potential to serve as a platform for validation of treatments designed to reverse aspects of epithelial remodeling underpinning OM development. Key words Middle ear epithelial cells (mMECs), Air-liquid interface (ALI), In vitro, Otitis media, Middle ear 1 Introduction The upper airways consist of the trachea, nasopharynx (NP), Eustachian tube (ET), middle ear, and mastoid cells surrounding the middle ear. The middle ear epithelium is a continuation of the upper airways through the ET [1]. Therefore, the physiology and immune defenses of the upper respiratory tract (URT) are very similar to that of the middle ear. The middle ear epithelium provides the first line of defense against invading pathogens and acts as a physical barrier. It is composed of ciliated cells, secretory cells, nonsecretory cells, and basal cells. Secretory cells are responsible for the production of high molecular glycoproteins called mucins which increase the viscosity of epithelial secretions and are important in trapping pathogens, various antimicrobial proteins such as lactotransferrin, lysozyme, defensins and surfactants [2, 3], and other putative multifunctional host defense proteins such as Ivan Bertoncello (ed.), Mouse Cell Culture: Methods and Protocols, Methods in Molecular Biology, vol. 1940, https://doi.org/10.1007/978-1-4939-9086-3_11, © Springer Science+Business Media, LLC, part of Springer Nature 2019 157 158 Apoorva Mulay et al. BPIFA1 [4]. Epithelial cells also express receptors, known as pattern recognition receptors (PRRs) such as Toll-like receptors (TLRs), retinoic acid-inducible gene I-like receptors (RLRs), and nucleotide-binding oligomerization domain (NODs) [5], which recognize the invariant features of microbes known as pathogenassociated molecular markers (PAMPs) characteristics such as flagella, lipopolysaccharide (LPS) of Gram-negative bacteria, and lipoteichoic acid of Gram-positive organisms [6]. Upon PAMP recognition, most PRRs trigger the release of chemokines and pro-inflammatory cytokines in order to mount an inflammatory response and clear the pathogens [7, 8]. Thus the epithelium, along with its secretions, is involved in maintaining homeostasis and sterility within the middle ear cavity and epithelial remodelling characterised by mucociliary metaplasia and infiltration of the middle ear space with inflammatory cells, is a common feature of inflammatory middle ear diseases such as OM [9]. In most animals, the middle ear is a relatively inaccessible organ lined by a thin mucociliary epithelium, and sampling of the mucosa is a terminal procedure. Human middle ear tissue can be acquired only during surgical procedures, and this limits the amount of sample available for study of OM. Therefore, in vitro culture of middle ear epithelial cells is vital for studying the basic cell biology of the middle ear during homeostatic conditions and during disease and for developing therapeutic interventions to treat middle ear diseases. Culturing of middle ear cells in vitro enables maximization of the available material and allows the effect of modifying culture conditions to be studied more easily. It also enables studies of hostpathogen interactions. Previously, attempts have been made to culture middle ear epithelial cells from a number of organisms including rats [10–12], mice [13], chinchillas [14, 15], gerbils [16–18], rabbits [19], and humans [20–22]. These studies have included organ and explant cultures, primary cell cultures, and development of middle ear cell lines. However, there remains a lack of a robust in vitro middle ear epithelial model that differentiates into the different epithelial cell types of the middle ear and is free of fibroblast contamination. This has greatly restricted the ability to identify the function of different cell types and their products within the middle ear and limits our understanding of the pathophysiology of OM development. In recent years, pulmonary research has been revolutionized by use of an air-liquid interface (ALI) culture system for the propagation of tracheobronchial epithelial (TBE cells). The exposure of apical cell surfaces to air and the supply of nutrients from the basal compartment mimic the in situ arrangement and promote maximal differentiation. ALI cultures of TBE cells have been generated from several species [23–26]. More recently, this system has been applied to the culture of murine nasal epithelial cells, recapitulating the characteristics of the respiratory epithelium of the nasal passages Isolation and Culture of Middle Ear Epithelium 159 [27]. Studies employing ALI cultures of TBE and nasal epithelial cells have enhanced our knowledge of airway epithelial biology tremendously, by shedding light on various aspects such as cellular differentiation and secretion, [28, 29], cell-cell communication [30] inflammatory signaling [31], pathogenesis of infections [32–34], drug transport [35, 36], effects of environmental and occupational pollutants [37, 38], and genetic disorders such as cystic fibrosis [39] and primary ciliary dyskinesia [40]. The mouse is an excellent model of OM owing to significant functional and anatomical similarity between the ears of humans and mice [41] and the high percentage of genetic conservation between humans and mice [42]. Several disease-susceptibility genes, thought to be involved in OM, have been disrupted in mice, in an attempt to study their role in the pathogenesis of the disease giving rise to the development of a number of mouse models of OM [43]. We report here the development of a novel in vitro primary model of the mouse middle ear epithelium using ALI culture to systematically characterize the different cell types present in the middle ear. This culture system can be utilized to study host-pathogen interactions within the middle ear and thus has the potential to allow investigation of the mechanisms of OM pathogenesis. 2 Materials 2.1 Mice All animal procedures in this study are carried out in accordance to the procedures enlisted under the Home Office project and personal licenses. Mice are housed in individually ventilated cages in specific pathogen-free (SPF) conditions, fed on an irradiated diet and water containing 25 ppm chlorine, maintained in a 12-h light/ dark cycle at 21 C (2 C) and 55% (10%) humidity and inspected daily. We typically use C57Bl/6 mice between 8 and 12 weeks and pool cells from six mice (12 middle ears) for a single batch of cultured cells. 2.2 Media Two closely related media are used for culturing mMECs: the mMEC plus medium is used for proliferation of cells, and mMEC-SF (serum-free) medium is used for differentiation of cells. The base media and all stock additives can be purchased commercially. 2.2.1 Stock Additives for Media Preparation First all the stock solutions can be prepared as follows: 1. Bovine serum albumin (BSA; 100 mg/mL): Dissolve 2.5 g of BSA in 25 mL sterile HBSS to form a stock solution of 100 mg/mL. Filter through a 0.2 μm filter, and store in 5 mL aliquots at 20 C. 160 Apoorva Mulay et al. 2. Hank’s balanced salt solution (HBSS)/BSA: Dissolve BSA (Fraction V) in HBSS at 1 mg/mL concentration. Filter and store at 4 C. 3. Retinoic acid: First, prepare retinoic acid solution A (RA-A; 5 mM) by dissolving one vial of 100 mg retinoic acid in 66.6 mL 100% ethanol under dim light. Retinoic acid is light sensitive. Filter the solution, and store in 1 mL aliquots at 80 C for up to 12 months. Prepare retinoic acid stock solution B (RA-B; 50 mM) by adding 1 mL of RA-A to 9 mL of 100% ethanol. Store 1 mL aliquots at 80 C, protected from light. RA-B can be stored up to 1 week at 20 C while using to supplement media. 4. Insulin: Dissolve 100 mg insulin in 50 mL of 4 mM HCl to form a stock solution of concentration 2 mg/mL. Filter and store in 1250 μL aliquots at 20 C. 5. Transferrin: Dissolve 100 mg transferrin in 20 mL of HBSS/BSA solution to form a stock solution of concentration 5 mg/mL. Filter and store in 250 μL aliquots at 20 C. 6. Mouse epidermal growth factor (EGF): Prepare a 5 μg/mL stock solution by dissolving 100 μg EGF in 20 mL of HBSS/ BSA solution. Filter and store in 1250 μL and 250 μL aliquots at 20 C. 7. Cholera toxin (CT): Prepare a 100 μg/mL stock solution by dissolving 0.5 mg cholera toxin in 5 mL of HBSS/BSA solution. Filter and store in 250 μL and 62.5 μL aliquots at 20 C. 8. Bovine pituitary extract (BPE): Store in aliquots containing 7.5 mg total protein at 80 C. 2.2.2 Preparation of mMEC Plus Media First prepare 500 mL of mMEC basic media by adding 10 mL solution of penicillin (100 μg/mL) and streptomycin (100 μg/ mL) in the total volume of DMEM/F-12 HAMs media (Life Technology). To prepare 50 mL mMEC plus media, add 250 μL of the insulin stock, 50 μL of transferrin stock, 50 μL of the CT stock, 250 μL of the EGF stock, 1.5 mg of the BPE stock, 2.5 mL of FBS to 46.7 mL of mMEC basic media. mMEC basic media can be stored at 4 C for up to 1 week. Add 5 μL of RA-B just before using the media. 2.2.3 Preparation of mMEC-SF Media To prepare 50 mL mMEC-SF media, add 125 μL of the insulin stock, 50 μL of transferrin stock, 12.5 μL of the CT stock, 50 μL of the EGF stock, 1.5 mg of the BPE stock, 500 μL of BSA to 49.1 mL of mMEC basic media. mMEC-SF can be stored at 4 C for up to 1 week. Add 5 μL of RA-B just before using the media. 2.3 Other Equipment and Reagents 1. Anesthetic: pentobarbital (50 mg/mL). 2. Dissection instruments including blunt and fine dissection scissors, fine forceps, and storkbill forceps from Surgipath, Leica Biosystems. Isolation and Culture of Middle Ear Epithelium 161 3. Dissecting microscope. 4. 15 mL and 50 mL falcon tubes. 5. 60 mm surface treated tissue culture dishes. 6. 24-well format tissue culture dishes. 7. Transwell inserts: 0.4 μm pore sized transparent PET (polyethylene terephthalate) in a 24-well supported transwell format. 8. DNase solution: 0.5 mg/mL pancreatic DNase I and 1 mg/ mL BSA in mMEC basic media. First add 2 mL of BSA stock (100 mg/mL) with 198 mL of mMEC basic media, and then dissolve 100 mg of DNase in it to prepare 200 mL of solution. Sterile filter and aliquot 5 mL/vial, and store at 20 C. 9. Pronase solution: Make fresh 0.15% (w/v) pronase solution each time just before use by dissolving 0.015 g of pronase in 10 mL of mMEC basic media, and mix gently by rocking the tube. Aliquot required amount in two 15 mL centrifuge tubes before use. 5 mL of pronase solution is sufficient for middle ears from six mice. 10. Collagen 1 solution for coating: Make 10 mL of 50 μg/mL collagen 1 solution for coating the transwell membranes by reconstituting 148 μL of stock rat tail collagen 1 solution (3.37 mg/mL) in total 10 mL of HBSS, and store at 4 C. 11. mMEC basic 10% FBS media: Add 5 mL of FBS to 50 mL of mMEC basic media. 12. Rho kinase inhibitor Y-27632 dihydrochloride (ROCKi). 3 Methods 3.1 Collagen Coating of Transwell Membranes 1. Add 150 μL of the prepared collagen solution on each upper chamber of transwell, and incubate for 4 h in the incubator at 37 C, 5% CO2. 2. Aspirate the collagen solution, and allow the transwell air dry (at least for 5 min). Then wash them with PBS three times to remove extra collagen. 3. Allow the transwell to air dry, and then transwells are ready to use. Collagen coated transwells are stable for 2 weeks. 3.2 Harvesting Mouse Middle Ear Cavities Figure 1 gives a step-by-step illustration of the dissection protocol to harvest mouse middle ear cavities or bullae. 1. Euthanize mice by terminal intraperitoneal injection of 100 μL of anesthetic and exsanguinate them by cutting the inferior vena cava. 162 Apoorva Mulay et al. Fig. 1 Dissection and harvesting of the mouse middle ear cavity. Wild-type C57Bl/6J or C3HeH mice (a) were decapitated (b). The head was skinned (c) and skull cap removed (d). Dorsal (e) and ventral (f) view of the head after removing the brain, showing the bullae or middle ear cavities, MECs. Bisected head showing the outer ear, OE (g). Under dissecting microscope, the bullae were separated from surrounding tissue (h). The MEC is attached to the outer ear cavity (OEC) at the tympanic membrane (Tm) and tapers toward the opening of the Eustachian tube (ET) near its posterior end (i). Removal of the OEC and the Tm reveals the cochlea of the inner ear on the ventral side of the MEC (j). The cup-shaped MEC was detached from the inner ear (k). Tissue was dissected along the dotted lines. Figure reproduced with permission from Disease Models and Mechanisms [45] 2. Under direct visualization, decapitate mice, incise the skin at the nape of the neck, cut the skin anteriorly, and peel it to expose the bony surface of the skull and the nose. 3. Detach the mandible with a pair of blunt scissors. 4. Under a dissecting microscope, with the nares facing away, gently open the skullcap with a pair of fine forceps, and remove the brain. Removal of the brain exposes the anterior most part of the skull base, which is attached to the posterior most part of the nasal cavity. 5. Bisect the skull at the midline, and orient each half with the opening of the ear facing upward. Any muscle, soft tissue, and remnant hair surrounding the ear should be removed using fine Isolation and Culture of Middle Ear Epithelium 163 dissecting scissors and forceps, leaving the middle ear cavity (bulla), still attached to the outer ear canal and the inner ear. 6. Further clean the bony shell of the bulla of any attached extraneous tissue. 7. The outer ear canal appears a shade lighter than the middle ear cavity. Gently break it away from the bulla using storkbill forceps. The tympanic membrane (Tm) and the ossicles usually detach from the bulla along with the outer ear canal. Alternatively, physically remove them using fine storkbill forceps. 8. Lastly, lift the cup-shaped bulla away from the inner ear, and add it to a tube containing the pronase solution (see Note 1). For each batch of cells, we harvest middle ear cavities from approximately six mice, and pool them in a single tube. 3.3 Isolation of Middle Ear Epithelial Cells from the Harvested Tissue The protocol for isolation, culture and differentiation of mouse middle ear epithelial cells (mMECs) was adapted from a method for isolation of mouse tracheal epithelial cells (mTECs) [25, 44]. 1. After harvesting the middle ear cavities, subject them to overnight proteolysis at 4 C in the pronase solution (see Note 2). 2. The next day, neutralize the pronase by the addition of 10% FBS, and gently agitate the samples by inverting the tube approximately 25 times. 3. Transfer the samples to 2 mL of fresh mMEC basic 10% FBS media, invert the tube again 25 times, and repeat this process a third time. The combined proteolytic and mechanical actions lead to dissociation of the epithelial cells from the tissue. 4. Combine the media from the three tubes in a fresh 15 mL falcon tube, and centrifuge at 500 g for 10 min at 10 C. Resuspend the cell pellet in 1 mL of media containing 1 mg/ mL bovine serum albumin (BSA) and 0.5 mg/mL DNase I (Sigma-Aldrich). 5. Assess the cell viability and number using trypan blue staining and a hemocytometer. This will give an indication of the total number of live cells harvested. 6. Centrifuge the cells were centrifuged at 500 g for 5 min at 10 C, and resuspended the pellet in 5 mL of mMEC basic 10% FBS media. 7. In order to remove contaminating fibroblasts from epithelial cells, perform a differential adherence step by plating the cells on 60 mm tissue culture dishes at 37 C in a 5% CO2 incubator for 3–4 h. Fibroblasts attach to the plastic faster and the non-adherent epithelial cells after 4 h can be collected, 164 Apoorva Mulay et al. centrifuged at 500 g for 5 min at 10 C, and resuspended in 1 mL of mMEC plus media: mMEC basic media (see Note 3). 8. Perform a second cell count to determine the total number of live epithelial cells/mL of media. The average number of mMECs isolated is 74,667 10,621/bulla (n ¼ 12 Wt batches). 9. Seed the cells at a density of 1 104 cells/collagen-coated transwell membrane in the presence of 10 μM of Rho kinase inhibitor Y-27632 dihydrochloride. We have found that addition of ROCKi enables the use of a seeding density that is 5 times lower than that required when ROCKi is not used. Usually, 30–35 transwells can be seeded from each batch of six mice (see Note 4). 3.4 Culture of Mouse Middle Ear Epithelial Cells 1. Culture the cells initially in submerged conditions in mMEC plus (proliferation media) with 300 μL of media in the top chamber and 700 μL in the bottom chamber. 2. Perform media changes every 48 h, until the cells become completely confluent (see Note 5); whereafter media from the top chamber should be removed, and media in the bottom chamber should be replaced with 700 μL mMEC-SF differentiation media. This system of culture, with media in the bottom culture and apical surfaces of cells exposed to air, is known as ALI (air-liquid interface) culture, and it promotes maximal differentiation of cells by mimicking the in vivo physiology (see Note 6). We routinely culture cells at ALI for 14 days to enable complete differentiation. 3. Change mMEC-SF media every 48 h. On weekends, media can be changed on Friday afternoon and first thing on Monday mornings (see Note 7). 4. Wash the apical surfaces of cells with 200 μL of sterile, warm HBSS to clear any cellular secretions and mucous deposition (see Note 8). 5. There are a number of ways to evaluate successful differentiation of mMECs using the ALI system. At the required time points, cells can be lysed in 250 μL of TRIzol reagent (SigmaAldrich) for RNA extraction and transcriptional analysis. Transwell membranes can be fixed by incubating in 10% paraformaldehyde for 30–45 min for studying the localization of proteins by immunofluorescent staining. Secreted proteins can be assessed by collection of 48-h apical washes from the cells. Routine methods for scanning and electron microscopy can also be used to examine the morphology of the differentiated cells. Typically, we collect samples for transcriptional or proteomic analysis at ALI Day 0 (submerged Day 10), Day 3, Day 7 and Day 14. Figure 2 gives a brief summary of the cell culture system. Isolation and Culture of Middle Ear Epithelium 165 Fig. 2 Primary culture of mouse middle ear epithelial cells (mMECS). Timeline for culture of mMECs is shown above (a). Bullae were dissected and treated with pronase for dissociation of the middle ear epithelial cells, and fibroblasts were excluded from culture by differential adherence to plastic. Epithelial cells were grown in submerged culture till confluence, before ALI was induced. Samples for transcriptional and proteomic analysis were collected at regular time points. Phase contrast images showing cells in culture under 10 magnification (b–i). In the proliferative submerged conditions, a small number of cells attached to form epithelial islands 3 days after seeding (b). The cells proliferated faster from day 5 (c) through day 7 (d) and formed a confluent monolayer at day 9. This was termed as ALI Day 0 (e). Morphology of cells changed from ALI Day 3 (f), and clusters of compactly arranged cells started forming at ALI Day 7 (g). ALI Day 14 cultures were composed of flat polygonal and compactly clustered pseudostratified cells with active cilia. White arrowheads mark elevated ciliated cells, and asterisk marks flatter polygonal cells (h). Fibroblasts cultured on plastic plates through differential adhesion method. (i) Figure reproduced with permission from Disease Models and Mechanisms [45] Our recently published report [45] describes the assessment of differentiation of mMECs using the ALI system and their use as a model system to study infection by otopathogen, nontypeable Haemophilus influenzae. 166 4 Apoorva Mulay et al. Notes 1. Care should be taken to clean the bulla cavity of any extraneous attached tissue, and complete removal of the tympanic membrane should be ensured to avoid contamination of mMECs by unwanted cell types and to reduce the number of contaminating fibroblasts. 2. We have observed that it is best to prepare the pronase solution fresh each time. 3. Fibroblasts attached to the petri dish during the differential adherence step can be expanded using mMEC basic+10% FBS media. We passage the fibroblasts at least twice in T25 flasks to obtain a pure line. These fibroblasts can be used as a negative control for epithelial markers. 4. Primary middle ear epithelial cells are mortal, and the seeding density greatly influences their growth characteristics. Moreover, attachment and growth of cells from different batches of mice may vary. Therefore typically, generous seeding densities of mMECS on transwell membranes are required to obtain confluent and consistent cultures that successfully differentiate. For determination of optimal seeding densities, we plated cells on both tissue culture plastic (2.5 104 cells/well) and collagen coated 0.4 μm pore sized transwell membranes at various initial densities. We found that a minimum seeding density of 5 104 without ROCKi and/or 1 104 cells with ROCKi is required to establish a confluent monolayer. 5. We have observed that the rate of cell growth is slower just after seeding and the cells grow more rapidly after day 5 in submerged culture. Normally cells take 9–10 days to reach complete confluence. 6. Formation of a confluent monolayer during the initial submerged culture is a prerequisite for establishing an ALI. If the cells are not completely confluent, media from the basal chamber can seep into the apical chamber and disrupt the formation of an air-liquid interface. This leads to poor differentiation of cells. It is advisable to measure transepithelial resistance (TER) to verify the formation of a tight monolayer. 7. mMEC plus and MMEC-SF media can be stored for up to 1 week at 4 C. 8. Care should be taken to warm media during media changes and HBSS before washing apical washes to 37 C. Isolation and Culture of Middle Ear Epithelium 167 Acknowledgments This work was supported by a University of Sheffield PhD Studentship (supervised by LB and CDB) and funds from MRC Harwell. References 1. Fireman P (1997) Otitis media and eustachian tube dysfunction: connection to allergic rhinitis. J Allergy Clin Immunol 99:S787–S797 2. Lim DJ, Chun YM, Lee HY, Moon SK, Chang KH et al (2000) Cell biology of tubotympanum in relation to pathogenesis of otitis media - a review. Vaccine 19:S17–S25 3. McGuire JF (2002) Surfactant in the middle ear and eustachian tube: a review. Int J Pediatr Otorhinolaryngol 66:1–15 4. Bartlett JA, Gakhar L, Penterman J, Singh PK, Mallampalli RK et al (2011) PLUNC: a multifunctional surfactant of the airways. Biochem Soc Trans 39:1012–1016. Erratum Biochem Soc Trans 39:1549–1549 5. Mittal R, Kodiyan J, Gerring R, Mathee K, Li J-D et al (2014) Role of innate immunity in the pathogenesis of otitis media. Int J Infect Dis 29:259–267 6. 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Dis Model Mech 9:1405–1417 Chapter 12 Isolation and Propagation of Lacrimal Gland Putative Epithelial Progenitor Cells Helen P. Makarenkova and Robyn Meech Abstract We present a protocol for isolation of putative epithelial progenitor cells from mouse lacrimal gland (LG) by fluorescence-activated cell sorting (FACS). Isolated LG epithelial progenitor cells can be cultured as 3D reaggregates within extracellular matrix gel or plated as a monolayer. 3D cultures could be maintained for several days and then dissociated with trypsin and plated as monolayer cultures, processed for analysis (e.g., mRNA/protein expression) and/or used for transplantations. Our goal is to provide researchers with a method that can be used as is or modified if isolation of other LG epithelial cell types is required. Key words Lacrimal gland, Epithelial progenitor cells, FACS, Isolation, 3D cultures 1 Introduction Aqueous deficiency dry eye (ADDE) is characterized by a lack of tear secretion from the lacrimal glands (LGs). ADDE affects millions of Americans causing a debilitating loss of visual acuity, ocular surface irritation, and adverse lifestyle changes. Currently there is no cure and no satisfactory treatment for ADDE. One of the new arising treatments for different pathologies, including ocular diseases, is LG stem/progenitor cell transplantation [1–8]. Our recent research shows that among c-kit-positive epithelial cell populations sorted from mouse LGs, the c-kit+dim/ EpCAM+/Sca1/CD34/CD45- cells are a putative epithelial (acinar and ductal) cell progenitor (EPCP) population [4]. Isolated EPCPs express pluripotency factors and markers of the epithelial cell lineage Runx1 and EpCAM and form branches when grown in reaggregated 3D cultures. When transplanted into injured or diseased LG (e.g., in the thrombospondin-1 null (TSP-1/) mouse model of Sjogren’s syndrome), they have been shown to restore the functional epithelial components of the LG [4]. Isolation and further analysis of LG stem/progenitor cell function would open new therapeutic possibilities to treat ADDE. Ivan Bertoncello (ed.), Mouse Cell Culture: Methods and Protocols, Methods in Molecular Biology, vol. 1940, https://doi.org/10.1007/978-1-4939-9086-3_12, © Springer Science+Business Media, LLC, part of Springer Nature 2019 169 170 2 Helen P. Makarenkova and Robyn Meech Materials 1. Laboratory mice (four mice per sample), C57BL/6 strain, 4–6 weeks of age. From 4 mice (8 LGs), around 700,000–1,000,000 cells can be isolated. If more cells are required, then the number of mice should be increased; however do not pool LG from more than four mice without adjusting the reagent volumes proportionally or cell yield/purity will be compromised (see Note 1). 2. Isoflurane inhalation anesthetic. 3. Ethanol. 4. Eagle’s minimum glutamine. essential medium (MEM), without 5. EpiLife™ Medium, with 60 μM calcium. 6. Fitton-Jackson Modification (BGJb) Medium. 7. AlbuMAX™ I Lipid-Rich BSA. 8. Human Corneal Growth Supplement (HCGS). 9. Transferrin human. 10. Insulin-Transferrin-Selenium (ITS-G) (100X). 11. Recombinant human EGF protein, carrier-free (CF). 12. GlutaMAX™ Supplement. 13. Antibiotic-antimycotic. 14. Collagenase type I. 15. HyClone™ Fetal Bovine Serum. 16. Trypsin from porcine pancreas, lyophilized powder. 17. Pancreatin. 18. Trypsin inhibitor. 19. MgCl2 1 M in H2O. 20. DNase I recombinant, RNase-free. 21. HBSS—Hank’s Balanced Salt Solution—with calcium, magnesium, no phenol red. 22. Red blood cell lysis buffer. 23. Dispase II. 24. Phosphate-buffered saline (PBS) (pH 7.4). 25. Ethylenediaminetetraacetic acid (EDTA). 26. Goat serum. 27. Accutase. 28. Glycerol 99%. 29. Hepes (1 M sterile). Isolation of Lacrimal Gland Epithelial Progenitors 171 30. NaCl powder. 31. Trizma base. 32. Hydrochloric acid (to adjust Tris buffer pH). 33. CaCl2 (1 M sterile). 34. Corning® Matrigel® Basement Membrane Matrix. 2.1 Antibodies 1. PE Rat Anti-Mouse Ly-6A/E (Sca1), clone E13-161.7. 2. FITC Rat anti-Mouse CD34, clone RAM34. 3. APC-eFluor 780 CD117 (c-kit) Monoclonal Antibody (2B8). 4. APC Anti-Mouse CD326 (EpCAM) Monoclonal Antibody (G8.8). 5. Alexa Fluor 700 CD45 Rat Anti-Mouse Antibody clone 30-F11. 6. FxCycle Violet stain (40 ,6-Diamidine-20 -phenylindole dihydrochloride (DAPI), 0.5 mg/mL). 2.2 Media and Stock Solutions 1. Trypsin/pancreatin solution: To prepare 10 mL of pancreatintrypsin in Tyrode’s solution, add trypsin, 0.225 g (final cc is 2.25%), and pancreatin, 0.075 g (final concentration will be 0.75%). Sterile filter (0.22 μm) (change filter if it becomes blocked), and dispense into 2 mL aliquots stored at 20 C (see Note 2). 2. Tyrode solution (Ca, Mg free), pH 7.2: NaCl 8 g/L. KCl 0.2 g/L. NaH2PO4 + H2O 0.05 g/L (MW 137,99). Glucose 1 g/L (D(+) glucose, MW 180.16, H2O free). NaHCO3 1 g/ L. Sterile filter Tyrode’s solution and store at 4 C. 3. Stock collagenase type I solution: Weigh out 60 mg collagenase powder, and dissolve in 10 mL HBSS 1 buffer with Ca and Mg for a stock concentration of 6 mg/mL, 750 units/mL (see Note 3). Prepare 500 μL aliquots and store at 70 C for up to 6 months or 4 C for 1 day (see Note 4). 4. Stock dispase type II solution. Weigh out 240 mg dispase powder, and dissolve in 1 mL of 50 mM Hepes/150 mM NaCl for a 50 stock solution at final concentration of 120 units/mL (see Note 3). Prepare 80 μL aliquots and store at 70 C for up to 6 months or 4 C for 1 day (see Note 4). 5. Stock DNase type I solution: Weigh out 5 mg DNase I powder, and dissolve it in 5 mL solution containing 50% glycerol, 20 mM Tris buffer (pH 7.5), and 1 mM MgCl2 for a stock concentration of 1 mg/mL, 2000 units/mL (see Note 3). Prepare by 25–50 μL aliquots and store at 70 C for up to 6 months or 4 C for 1 day (see Note 4). 6. Media I: MEM low glucose supplemented with GlutaMAX (1) and stored at 4 C. 172 Helen P. Makarenkova and Robyn Meech 7. Blocking media: HBSS supplemented with 10% FBS and 1 mM EDTA 8. FACS buffer: 1 PBS supplemented with 2.5% goat serum and 1 mM EDTA and 25 mM Hepes. (486.5 mL 1 PBS 12.5 mL goat serum (2.5% final) and 1 mL 0.5 M EDTA (1 mM final)) 0.2 μm sterile filtered and stored at 4 C up to 3 weeks. 9. EpiLife or BGJb (Fitton-Jackson Modification), supplemented with Human Corneal Growth Supplement (HCGS), 5 ng/mL bFGF (FGF2), 10 ng/mL EGF (see Note 5), and 10% FBS (for better results use low-endotoxin embryonic stem cell tested). If serum-free medium is preferable, use AlbuMAX I (Lipid-Rich Bovine Serum Albumin, Invitrogen, Cat. No.: 11020) (0.1% final concentration) instead of serum (see Note 6). 2.3 Equipment and Consumables 1. Isoflurane vaporizer, supply gas (oxygen), flowmeter and induction chamber. 2. Stereo microscope for animal surgery, dissection. 3. TC-treated culture dish (10 cm). 4. Polypropylene centrifuge tubes, sterile (50 mL). 5. Polypropylene centrifuge tubes, sterile (15 mL). 6. Cell strainers (70 μm). 7. Syringes with 20G 100 needles. 8. Sterile 5 mL FACS round-bottom tubes. 9. Tools for lacrimal gland dissection and mincing: Razor blades and/or small scissors with bended ends, forceps. 10. Tissue culture laminar flow hood. 11. Shaking water bath. 12. Standard temperature-controlled centrifuge. table-top low-speed 13. Flow cytometer (FACS cell sorter equipped with appropriate for cell separation lasers) (see Note 7). 14. Hausser™ Bright-Line™ Phase Hemacytometer. 15. VWR® and VWR Signature™ Non-Bevel Pipet Tips (Low-Binding Tips, Ultrafine Point). 16. Corning® cell strainer size 70 μm. 17. Sterile Eppendorf 2 mL round-bottom safe-lock microcentrifuge tubes. 2.4 Software 1. FlowJo flow cytometry software (Tree Star) or equivalent. Isolation of Lacrimal Gland Epithelial Progenitors 173 Fig. 1 Isolation of mouse LG. (a) Sterilize mouse skin between the eye and ear with 70% ethanol; remove skin covering lacrimal gland. (b) In adult mice the LG is located close to the ear and partially overlays the parotid gland. (c) To dissect, pull LG anterior part gently using tweezers, and simultaneously use scissor tip to dislodge the LG from the parotid gland and surrounding connective tissue. (d) When LG has been freed from surrounding tissues, cut the posterior end with small curved scissors, and place into the Petri dish with HBSS or other dissecting medium 3 Methods 3.1 Cell Isolation Procedure (See Fig. 1) 1. Warm media in 37 C water bath. 2. Anesthetize mouse by isoflurane inhalation and sacrifice by cervical dislocation. 3. Wash mouse skin between the eye and ear with 70% ethanol and dry with clean cloth. 4. Carefully remove skin between the eye and ear covering lacrimal gland (Fig. 1A, B). 5. On a surgical bench or using the stereo microscope, harvest the lacrimal glands; place glands in a 3.5 cm dish with 2 mL cold PBS on ice (one mouse at a time). Note: To dissect a LG, pull gently by the LG anterior part using tweezers, and at the same time, use the sharp tip of small scissors to dislodge the LG from the parotid gland and surrounding connective tissue (blunt dissection) (Fig. 1C, D). Avoid cutting the LG free with scissors as the LG and parotid salivary glands are located very close to each other and need to be separated by blunt dissection before LG dissection. 174 Helen P. Makarenkova and Robyn Meech 6. The LG is covered by a connective tissue capsule/envelope. Remove LG capsule with two fine forceps under the microscope. 7. Optional step: Place whole LGs in trypsin-pancreatin solution for 10–20 min on wet ice (see Note 8). After this treatment wash away trypsin-pancreatin solution with the dissection medium (MEM, supplemented with GlutaMAX, FBS or trypsin inhibitor). 8. Important: In order to prevent the cells from sticking to the bottom of the dish or incubation tubes, pretreat dishes and tubes with a 1–4% BSA solution (see Note 9). 9. Transfer all LG into a 3.5 cm dish with 0.5 mL pre-warmed media I, and mince into very small pieces using scissors (see Notes 10 and 11). 10. Once all LG are minced, transfer all pieces and media from Petri dish into a 2 mL centrifuge tube. 11. Add 500 μL collagenase stock solution and 12 μL of 1 M calcium chloride (final concentration 6 mM), DNase I 2.5 μg/mL (5 units/mL), and 80 μL of dispase II stock solution, and adjust volume with medium I to 2 mL (see Note 12). 12. Mix and place tube on a shaking water bath, warmed to 37 C, at 100–120 rpm for 90 min. Alternatively, if a shaking water bath is not available, place tube in a 37 C incubator, and mix contents manually by inverting the tube every 15–20 min. However, the latter is likely to reduce cell yield due to suboptimal digestion. 13. Each 30 min triturate by slowly pipetting gland pieces up and down 10–20 times using 1000 μL pipette tips with decreasing bore size (cutting a 1000 μL pipette tip with sterile blades to make the bore size larger). 14. After each 30 min incubation/trituration, take a 10 μL aliquot and examine under the microscope. If the majority of cells are still in clusters or attached to LG pieces, continue digestion/ trituration until a mainly single cell suspension is obtained (see Note 13). 15. Optional: At the end of 90-min digestion, pass sample 5–10 times through a 10 mL syringe with 20 G needle to further release cells into suspension and disrupt clumps. No visible lacrimal gland pieces should remain in solution once digestion is completed (see Note 10). 16. Transfer cell suspension into a 15 mL tube, and add up to 5 mL of blocking medium, containing 100 μg/mL (or 200 units/ mL) DNase I, 5 mM MgCl2, and 10% FBS in HBSS. Slowly invert the tube up and down 2–3 times to mix. Isolation of Lacrimal Gland Epithelial Progenitors 175 17. Incubate cells for 15–30 min in the blocking media at room temperature. 18. Pass cell suspension through a 70-μm cell strainer atop a sterile 50 mL centrifuge tube; wash the strainer with 1 mL of blocking media. Repeat this filtration step at least one more time to remove any cell clumps. 19. Centrifuge samples at 1200–1500 rpm (300–400 g) for 5 min at RT. 20. Aspirate supernatant and resuspend the cells in 2 mL of cold HBSS containing 5 mM MgCl2. Transfer cell suspension into a 2 mL microcentrifuge tube. 21. Centrifuge the sample at 1000–1500 rpm for 3 min at RT. Optional: Repeat the steps 20 and 21 to wash cells prior to the next step (see Note 14). 22. Aspirate supernatant and resuspend cells in 1 mL of Accutase solution (see Note 15). 23. Incubate the sample at 37 C, at 100–120 rpm in shaking water bath for 2–3 min. 24. Resuspend cells in 1 mL of blocking medium. 25. Transfer cell suspension into 50 mL tube and add 20–25 mL of blocking medium (HBSS containing 10% FBS, 1 mM EDTA). 26. Centrifuge sample at 1000–1500 rpm for 5 min. Optional: Wash cells with blocking medium one more time to remove any residual Accutase. 27. Discard the supernatant and resuspend cells in 2 mL of FACS buffer containing DNAse I (at 8U/ml final concentration, should be added prior to use) and transfer cells into 2 mL Eppendorf tubes. Incubate cells at RT for 15–20 min. 28. Meanwhile, check number of cells under the microscope. Count cells using hemacytometer, calculate number of cells per 1 mL solution. 29. Adjust cell concentration to 250,000–500,000 cells/mL in FACS buffer; if necessary concentrate by centrifuging the sample at 1500 rpm for 3 min at RT and resuspending cells in a smaller volume of FACS buffer to achieve the minimum cell concentration. 30. Aliquot cells into 400 μL volumes (100,000–200,000 cells/ 400 μL) in 2 mL Eppendorf tubes, and stain with appropriate antibodies (see step 31) for 20–40 min at 4 C in the dark. Do not vortex the samples as it can damage your cells, mix by pipetting. 176 Helen P. Makarenkova and Robyn Meech 31. Single color controls: For each sample use 100,000–200,000 cells/400 μL FACS buffer with the following antibodies/dyes. (a) No antibody (unstained control). (b) 0.5 μL FxCycle Violet stain (DAPI). (c) 4 μL FITC Rat anti-Mouse CD34. (d) 1 μL Alexa Fluor 700 CD45 Rat Anti-Mouse Antibody. (e) 2 μL APC-eFluor 780 CD117 (c-kit). (f) 1 μL PE Rat Anti-Mouse Ly-6A/E (Sca1). (g) 5 μL APC Rat Anti-Mouse CD326 (EpCAM). 32. Add all of the desired antibodies together to the samples that will be FACS-sorted (called here ‘after sort samples’). If more than 200,000 cells are used, a proportional adjustment of antibody concentration is required (see Note 16). 33. Dilute sixfold with chilled FACS buffer (i.e., add 2 mL buffer to 400 μL single color controls and 2–10 mL buffer to sort samples depending on their volume). 34. Centrifuge samples at 1200 rpm for 5 min at 4 C. 35. Optional: Wash cells with FACS buffer one more time. 36. Aspirate supernatant, resuspend sort samples in 1–2 mL FACS buffer or single color controls in 500 μL FACS buffer containing DNAse I (8U/mL), transfer to 5 mL FACS tubes, and add 2 μL FxCycle Violet stain (DAPI) to each sample (see Note 17). 37. The main population of live cells is determined by forward and side scatter area gating, as well as dead cell exclusion via DAPI, propidium iodide (PI), or 7-aminoactinomycin (7AAD), and should be low on side scatter and low to medium on forward scatter. Doublet exclusion is done via determining forward scatter area vs. width and also side scatter area vs. width. Positive staining for fluorescent markers in stained samples is compared to unstained controls. The appropriate cell population for sorting is gated based on the CD34, CD45, CD117, Ly-6A/E, and CD326 marker profile (see Notes 18 and 19). 3.2 Reaggregated Progenitor Cell Cultures Using FACSIsolated EPCP 1. Prepare the culture media and warm it in a 37 C water bath. 2. Place 3–5 mL of medium per well in 6-well plate and fill the empty wells and the inter-well space with sterile PBS. Keep plates in the tissue culture incubator. 3. Centrifuge isolated EPCP in 1.5 mL Eppendorf tubes at 1200–1500 rpm (300–400 g) for 5 min at 4 C. 4. Carefully remove the supernatant, make sure that pellet is not disturbed. Isolation of Lacrimal Gland Epithelial Progenitors 177 Fig. 2 Preparation of progenitor cell reaggregated 3D cultures. FACS-isolated EPCP is counted, and approximately 1 105–2 105 cells are centrifuged and then resuspended in 20–50 μL of growth medium and drawn into a 100–200 μL pipette tip. Pipette tip is carefully sealed with sterilized parafilm. Cells are centrifuged at 1500 g for 10 min to form a plug or reaggregate which is inoculated (using tungsten needle to help push cells into gel) into a 15 μL drop of Laminin I gel or Matrigel sitting on a polycarbonate filter. The filters are then placed, gel-side up, on top of culture medium. These floating cultures could be maintained for several days and later used for analysis or preparation of monolayer cultures 5. Gently resuspend pellet in the growth medium (use 20–50 μL of medium per pellet) (Fig. 2). 6. Pipet cell suspension into each sterile 200 μL non-beveled tip and seal tip with ethanol-sterilized parafilm (make sure the tip is well embedded into the parafilm to avoid leaks). 7. Transfer tip into 15 mL tube and seal the tube. 8. Centrifuge at 1500 rpm (400 G), 5 min, at RT. 9. When reaggregates are ready for inoculation, place the Sterlitech hydrophilic polycarbonate membrane filter (Sterlitech Corporation; catalog number, PCT00513100) into the empty 3.5 mm culture dish. 10. Place a 15 μL drop of 3D Culture Matrix Laminin I gel diluted 1:1 with culture desired media (3 mg/mL final concentration) or Corning® Matrigel® Basement Membrane Matrix, diluted with desired culture medium 1:2–1:3 in the middle of the filter (see Note 20). 11. Take tip out or tube and carefully remove parafilm. 178 Helen P. Makarenkova and Robyn Meech 12. Inoculate reaggregate into a 15 μL drop of matrix gel, and then place culture into a tissue culture incubator (37 C, 5%CO2) to polymerize the gel. 13. Carefully place the Sterlitech filter with the gel-embedded reaggregate on the top of the culture medium gel-side up. 14. Remove any bubbles underneath the filter carefully making sure that the upper part of membrane is not immersed in medium. 15. Culture for 3–7 days or until ready for analysis (Fig. 2). 4 Notes 1. All protocols were approved by the Scripps Research Animal Care and Use Committee. 2. Pancreatin does not dissolve very well. All undissolved material should be removed by filtering. 3. Units per milligram vary by lot and calculations need to be adjusted accordingly. 4. Do not freeze/thaw more than one time. 5. Corneal supplement also contains a small amount of hydrocortisone. Additional EGF (corneal supplement contains only 1 ng/mL of EGF) and bFGF improve cell survival and proliferation. 6. Lipid-Rich AlbuMAX I helps to stabilize cellular membrane (especially important for epithelial cells). 7. Color combinations can be adjusted to match the laser combinations available. 8. The treatment with trypsin-pancreatin assists the penetration of collagenase at the next step but is not essential. For LGs isolated from 3 to 6 mice (6–12 glands), 2 mL trypsin/pancreatin solution is enough. 9. BSA solution could be reused several times. 10. During the dissection and mincing steps, look for and discard large pieces of white fat surrounding the LG, these will not be efficiently digested and may clog the syringe and needle at step 15. 11. Scissors or razor-based mincing into small pieces prior to enzymatic digestion is a critical step in the protocol; mincing into large pieces will result in an incomplete digestion of the tissue. 12. DNAse is included to digest DNA that has leaked into the dissociation medium as a result of cell damage and will cause the medium to become viscous and trap released cells. Isolation of Lacrimal Gland Epithelial Progenitors 179 13. Cell suspensions following tissue digestion should be kept on ice or at 4 C and labeled and sorted as quickly as possible following sample preparation. 14. Washing will prevent any inhibition of Accutase by residual serum. 15. Accutase is a marine-origin enzyme with proteolytic and collagenolytic activity that performs exceptionally well in detaching/dissociating cells for later analysis of cell surface markers. 16. It is not recommended to stain more than 1,000,000 cells/ 400 μL. If a larger number of cells will be sorted, perform staining in 15 mL tubes, and calculate the volume of antibodies required based on volume of sample and number of cells. 17. FxCycle Violet stain (DAPI) can be used at 300–900 μg/mL before increased autofluorescence is observed. Alternatively, propidium iodide can be used to discriminate between live and dead cells, but fluorescence compensation is more difficult with this color scheme. 18. Cellular yield from one adult mouse, C57BL/6 strain, 1–2 months of age should be approximately 150,000–200,000 events (live cells) by FACS analysis. 19. The FACS gating and analysis for putative epithelial cell progenitors isolation has been described in detail in Gromova et al., 2017 [4]. Briefly, we have used CD34 (hematopoietic and mesenchymal progenitor cell antigen, vascular endothelial cells) and CD45 (hematopoietic cells and various lymphocytes) to exclude mesenchymal, hematopoietic, and endothelial cells. Sca-1 and c-kit are expressed in multiple stem cell types, whereas EpCAM labels epithelial cells. In the LG, two c-kitpositive cell populations could be detected: c-kitbright (i.e., high level of expression) and c-kitdim (i.e., low level of expression) [4]. All cells in the c-kitbright populations are EpCAMneg but CD45pos. Thus c-kitbright cells most likely represent hematopoietic progenitors, lymphocytic and mast cells (note: granular mast cells could be detected by immunostaining with c-kit antibody). c-kitdim cells can be further parsed into three cell populations: c-kitdim/EpCAMpos/CD45neg (22%, or 2.5–3.0% of total cells), c-kitdim/EpCAMneg/CD45pos (70% or 8% of total cells), and very small c-kitdim/EpCAMneg/CD45neg (<1% of total cells) [4]. Sca-1 and CD34 were not detected in the epithelial c-kitdim/EpCAMpos/CD45neg cell population. Thus, the c-kitdim/EpCAMpos/CD45neg/Sca-1neg/CD34neg cells are the putative epithelial progenitor cell (EPCP) population. Once isolated, EPCP could be maintained in monolayer cultures or in reaggregated cultures or used for transplantation. 180 Helen P. Makarenkova and Robyn Meech 20. It is important to keep Laminin I and/or Matrigel on ice to avoid gelation. Gel dilutions also need to be tested for their ability to support cell growth prior to use for EPCP. Acknowledgments This protocol was adapted and modified from previous work published by both Helen Makarenkova and Robyn Meech and their respective research groups [4]. This work was supported by National Institutes of Health/National Eye Institute (NIH/NEI; Bethesda, MD, USA) Grants 1R01EY026202 (to HPM). References 1. Joe AW, Gregory-Evans K (2010) Mesenchymal stem cells and potential applications in treating ocular disease. Curr Eye Res 35:941–952 2. Sivan PP, Syed S, Mok PL, Higuchi A, Murugan K et al (2016) Stem cell therapy for treatment of ocular disorders. Stem Cells Int 2016:8304879 3. Aluri HS, Samizadeh M, Edman MC, Hawley DR, Armaos HL et al (2017) Delivery of bone marrow-derived mesenchymal stem cells improves tear production in a mouse model of Sjogren’s syndrome. Stem Cells Int 2017:3134543 4. Gromova A, Voronov DA, Yoshida M, Thotakura S, Meech R et al (2017) Lacrimal gland repair using progenitor cells. Stem Cells Transl Med 6:88–98 5. Tiwari S, Ali MJ, Vemuganti GK (2014) Human lacrimal gland regeneration: perspectives and review of literature. Saudi J Ophthalmol 28:12–18 6. Bittencourt MK, Barros MA, Martins JF, Vasconcellos JP, Morais BP et al (2016) Allogeneic mesenchymal stem cell transplantation in dogs with keratoconjunctivitis sicca. Cell Med 8:63–77 7. Villatoro AJ, Fernandez V, Claros S, Rico-Llanos GA, Becerra J et al (2015) Use of adiposederived mesenchymal stem cells in keratoconjunctivitis sicca in a canine model. Biomed Res Int 2015:527926 8. Ackermann P, Hetz S, Dieckow J, Schicht M, Richter A et al (2015) Isolation and investigation of presumptive murine lacrimal gland stem cells. Invest Ophthalmol Vis Sci 56:4350–4363 Chapter 13 Organotypic Culture of Adult Mouse Retina Brigitte Müller Abstract Retinal explant culture systems have the potential to mimic the functional dynamics of the organ beyond those of the dissociated cells, thus making this technique a very powerful intermediate model system between in vitro cell cultures and in vivo animal models. The different retinal layers made of highly specialized cell types remain intact, while glia cell reactions and/or intercellular interactions can be evaluated under well-defined conditions in the lab. In retinal disorders neurodegeneration of mature retinal cells takes place. Therefore, we investigated the adult murine neuroretina in organ culture to test its suitability for use in preclinical therapeutic applications. Here we describe a method for the organ culture of adult murine retina (>12 weeks) used to establish survival, cellular changes and early degeneration patterns of neuronal and glial cells. After enucleation of the eyeball and careful dissection of the retina from the sclera and retinal pigment epithelium, the detached retina is cultured with photoreceptor facing down on a supporting track-etched polycarbonate membrane in a 6-well culture plate maintained in a humidified atmosphere of 5% CO2 and 95% air at 37 C. After 1, 2, 3, 4, 6, 8, or 10 days retinal explants can be harvested and immediately processed for RNA isolation or fixed in paraformaldehyde for histological analysis. Key words Retinal explant, Organotypic culture, Animal models, Photoreceptors, Apoptosis, Gliosis, Retinal detachment, Retinal degeneration 1 Introduction Retinal explant culture systems have the potential to mimic the functional dynamics of the organ beyond those of the dissociated cells, thus making this technique a very powerful intermediate model system between in vitro cell cultures and in vivo animal models. The different retinal layers made of highly specialized cell types remain intact, while glia cell reactions and/or intercellular interactions can be evaluated under well-defined conditions in the laboratory. The organotypic culture of the neonatal mouse retina has been very useful for improving the knowledge of both normal retinal development and retinal degeneration and especially to define the role of various factors in photoreceptor degeneration and retinal Ivan Bertoncello (ed.), Mouse Cell Culture: Methods and Protocols, Methods in Molecular Biology, vol. 1940, https://doi.org/10.1007/978-1-4939-9086-3_13, © Springer Science+Business Media, LLC, part of Springer Nature 2019 181 182 Brigitte Müller cell fate determination and development [1–4]. It is now a widely used tool, with broad applications in the field of ophthalmology. Many alterations observed during in vitro retina culturing [1, 3–6] resemble some characteristics of experimental retinal detachment and diabetic retinopathy in vivo, respectively [7, 8]. Others studied the relationship between retinal development, maturation, degeneration, and gene transfer in culture [9–12]. Furthermore, many studies evaluated the therapeutic effect and potential toxicity of substances [13, 14]. Several methods have been described for culturing retinal explants from different species [3, 5, 15–17]. The method of Caffé and colleagues [3], in which the neonatal mouse retina is placed with the photoreceptor layer facing downward on rafts made of nitrocellulose filters and polyamide gauze grids, has been used in variations in several studies [9, 18]. Neonatal retinal organotypic cultures differ from adult ones since the immature retinal neurons go through phases of differentiation and pruning, under the control of various growth factors during the first 3 weeks postnatally [1, 19–24]. Additionally, neonatal organotypic retinal cultures have the fundamental problem that outer and inner segments of photoreceptors do not develop correctly [1]. The first study of adult rat and murine retinal explants in culture reported reasonable viability of mouse retinas for at least 4 days in culture [25]. In this study, murine retinal explant cultures were investigated after particle-mediated acute gene transfer. In a more recent murine study, it was verified that organotypic cultures from developing retinas show a higher rate of cell viability and better preservation of the normal cytoarchitecture in comparison to those obtained from adult retinas [26]. Since in retinal disorders neurodegeneration takes place in mature retinal cells, our current interest was to keep the adult murine neuroretina in organ culture as long as possible to assess its viability and rate its possible use in preclinical therapeutic applications [27]. For that we isolated the retina from the sclera and retinal pigment epithelium (RPE) and transferred it on the culture insert the photoreceptor layer facing the supporting membrane. Even with different approaches for isolating the retina, it was not possible to keep the RPE attached to the retina. We assume that an intact RPE would have helped to reduce the loss of photoreceptors and therefore have kept the retinal explants in culture viable for longer than 10 days [27–29]. Nevertheless, even without RPE the adult retinal explant showed GFP signaling in some photoreceptors as well as in Müller cells after 6 days in culture due to transduction with AAV vectors at the day of retinal dissection (Fig. 7 in [30]). In conclusion, the adult murine organotypic retina culture can be used for gene transfer and gene editing as an intermediate step between cell culture and animal experiments even though the viability of the retina decreases continuously during culture. Organotypic Retina Culture 183 Fig. 1 (a) from left to right: micro scissors, spring type, for cutting open the eyecup; fine straight tweezers (DUMONT No. 5, extra fine tip); glass transfer pipette with a pipette sucker at the wide end. (b) from left to right: Curved forceps (Jeweler #7) for grabbing the eyeball underneath before enucleation; Petri dish (30 mm diameter) for retina dissection; curved scissors (iris scissors, 11 cm) for cutting the optic nerve during enucleation. (c) Inserts with track-etched polycarbonate membrane (TEPC), pore size 0.4 μm and 30 mm in diameter, in a six-well plate used for cultivation of retinal explants. (d) Mouse eyeball in a Petri dish held by fine tweezers from the left and pierced with an injection needle (30 Gauge, yellow). (e) Magnified setup of (d). Injection needle piercing the eyeball (coming from the top). (f) Eyeball held down at the connecting tissue. Micro scissor (coming from the top) is cutting open the eyeball at the level of the ora serrata. (g) Eyecup consisting of the retina and sclera with the anterior part (lens and cornea) removed. (h) The sclera and retina after placing four cuts through the complete eyecup at 3, 6, 9, and 12 o’clock position to get the shamrock shape. The retina is halfway peeled off the sclera. (i) The sclera (left) and retina (right) after complete separation. (j) Isolated retina after transfer onto the TEPC membrane of the insert. Ganglion cell side is facing 184 Brigitte Müller Further work needs to be done to inhibit apoptosis and promote the survival of photoreceptor cells by varying and supplementing culture conditions with various neurotrophic factors [31]. Additionally, efforts can be made to co-culture murine RPE cells obtained by primary cell culture. 2 Materials 2.1 Dissecting Instruments, Containers, and Culture Inserts 1. Fine straight forceps (DUMONT No. 5, extra fine tip) and micro scissors, spring type, for cutting open the eyecup (Fig. 1a). 2. Curved forceps (Jeweler #7) and curved scissors (iris scissors, 11 cm) for enucleation (Fig. 1b, see Note 1). 3. Injection needle: 30 gauge (yellow 0.3 13 mm). 4. Transfer pipette: Cut off the narrow part of a glass Pasteur pipette and melt the edges in the flame of a Bunsen burner to get rid of any sharp edges. Use a pipette sucker at the wide end (Fig. 1a). 5. 200 μL and 1000 μL laboratory pipettes with their respective sterile filter tips. 6. Petri dishes 30 mm in diameter were used for dissection of the retina (Fig. 1b). 7. Inserts with track-etched polycarbonate membrane (TEPC), pore size 0.4 μm and 30 mm in diameter, were used for cultivation of retinal explants (Fig. 1c, k). 8. Six-well plates (see Note 2). 9. Petri dish (100 mm in diameter) for swaps soaked with ethanol. 10. 70% ethanol in a lab spray bottle. 11. Plenty of sterile swaps. 12. pH test strips. 13. Surgical scalpel (blade no 10). 2.2 Buffers and Culture Media 1. 10 Hanks’ Balanced Saline Solution (HBSS) without Phenol Red (commercial): Add 5 mL HBSS (10) to 45 mL double distilled water (deionized water) treated by autoclave to get 1 HBSS. Adjust pH with NaOH (see Notes 3 and 4). ä Fig. 1 (continued) up. Blunt ends of the tweezers flatten the curled retinal parts. (k) Culture insert with retinal explant (arrow) sitting in a well of the six-well plate. Basic culture medium (of pink color) was added to the well. (l) Retinal explant after 6 days in culture, ready to be harvested. Dark spots represent pigment granules attaching to the vitreous body on top of the ganglion cell layer Organotypic Retina Culture 185 2. To formulate basic culture medium, use plain DMEM (Dulbecco’s Modified Eagle Medium): Add 0.5 mL penicillin/ streptomycin (100 μg/mL streptomycin and 100 units/mL penicillin) and 0.5 mL 200 mM L-glutamine to 49 mL DMEM (plain). Saturate with 5% CO2 and 95% air in the incubator overnight (see Note 5). 3. Complete culture medium: Add 50% of basic DMEM, 25% fetal bovine serum (FBS), and 25% 1 HBSS, pH 7.4. 2.3 Specialist Equipment 1. Dissection microscope 2. Incubator with humidified atmosphere of 5% CO2 and 95% air at 37 C 3. Laminar flow 3 Methods It is not necessary to do the retina dissection under a laminar flow if all work space is disinfected and a surgical mask is worn while handling retinal explants. Disinfect hands and arms. Wear gloves and change gloves after animal handling. Use a different part of the work bench for enucleation and retina dissection to minimize contamination via animal hair, fur, etc. 3.1 Post Enucleation 1. Disinfect both eyeballs by quickly rolling them over a swab soaked with 70% ethanol, which lies in a Petri dish (100 mm diameter). 2. Transfer into a small Petri dish (30 mm diameter) filled with warm 1 HBSS (see Note 6). Change once to wash off tissue debris, fur, etc. 3. Transfer into a fresh Petri dish filled with warm basic CO2saturated basic culture medium (see Note 7). If you want to keep left and right eye separately, use individual dishes per eye. 3.2 Retina Dissection Use new injection needle with every animal. Clean all dissection tools after dissecting both the eyes of an animal using a sterile swab with 70% ethanol. 1. Transfer the eyeball into the top of a sterile Petri dish filled with a large drop (1000 μL) of warm basic CO2-saturated culture medium (see Notes 8 and 9). 2. Grab the eyeball with the fine tweezers (Fig. 1a) at the connecting tissue at the back of the eyeball to hold it down. Use an injection needle (30 gauge, yellow) to pierce a small hole into the eyeball at the ora serrata (Fig. 1d, e). 186 Brigitte Müller 3. Keep holding down the eyeball at the connecting tissue (see Note 10), insert one bracket of the micro scissors (Fig. 1a) into the little hole, and cut open the eyeball at the level of the ora serrata (Fig. 1f) (see Notes 11 and 12). 4. Carefully remove anterior part of the eye. 5. Grab the remaining eyecup (Fig. 1g) at the back with fine tweezers at the connecting tissue or optic nerve, and place four cuts through the complete eyecup, i.e., cut the sclera and retina at 3, 6, 9, and 12 o’clock position to get the shamrock shape (Fig. 1h, i) (see Note 13). 6. Separate the retina from the pigment epithelium and the sclera by clipping two corners of the sclera with the fine tweezers (Fig. 1a) and tearing them carefully apart toward the optic nerve head. The retina will peel off the back of the eyecup. The remaining connection with the sclera is at the optic verve head (Fig. 1h). 7. Use the micro scissors to carefully cut the optic nerve head. 8. After that, tear scleral corners to isolate the retina from the sclera completely (Fig. 1i). 3.3 Transfer of Retinal Explants onto the TEPC Membrane 1. Use 200 μL pipette to add a 200 μL drop of warm basic culture medium onto the TEPC membrane insert sitting in a six-well plate (Fig. 1c, k) (see Note 14). 2. Use glass transfer pipette (Fig. 1a) to transfer isolated retina onto the membrane photoreceptor side down (see Note 15). 3. Carefully remove all basic culture medium around the retinal explant with the 200 μL pipette to allow flattening of the retinal tissue. Avoid touching the membrane. 4. Carefully flatten the retina on the membrane by using the blunt ends of the tweezers in a flat angle. Eventually, the retina lies flat on the membrane (Fig. 1j) (see Note 16). 5. Add 1000 μL warm basic culture medium into the six well and transfer the six-well plate into the incubator (humidified atmosphere of 5% CO2 and 95% air at 37 C) (Figs. 1k and 2). Culture medium is only applied into the space between the six well and the culture insert (see Fig. 2). 6. Repeat all steps in Subheadings 3.1 and 3.2 for the remaining eyecups. 7. Exchange basic culture medium to complete culture medium after the retinal explants on the TEPC membrane have been 2–3 h in the incubator. Organotypic Retina Culture 187 Fig. 2 Schematic of shamrock shaped retinal explant laying flat on the TEPC membrane of the insert. The insert is sitting in a well which is filled with 1000 μL culture medium 3.4 Culturing and Harvesting of Retinal Explants 1. Cultivate retinal explants for 1, 2, 3, 4, 6, 8, or 10 days in the incubator (humidified atmosphere of 5% CO2 and 95% air at 37 C). 2. Exchange complete culture medium every second day by removing the used medium with the 1000 μL pipette and replacing it with 1100 μL fresh warm complete medium (see Note 17). 3. For harvesting retinal explants have warm 1 HBSS, transfer pipette and forceps ready. 4. Transfer insert with retinal explant into an empty well of the six-well plate. Add 1000 μL warm 1 HBSS into the well. 5. Carefully add 1000 μL warm 1 HBSS into the insert to separate the explant from the membrane (see Note 18) (Fig. 1l). 6. Retinal explants intended for histological analysis should be immersed immediately in 4% paraformaldehyde in phosphatebuffered saline (PBS) at room temperature for 45–70 min. 7. Retinal explants intended for isolation of total mRNA should be transferred into RLT buffer including 2-mercaptoethanol (10 μL/1 mL RLT buffer), homogenized, and quickly frozen in liquid nitrogen (see Notes 19 and 20). 4 Notes 1. All dissecting instruments must be clean and disinfected by the autoclave. 2. All used plastic ware should be sterile. 3. All media should be prepared under the laminar flow to keep them sterile. Hence, they can be used at several occasions after opening them once. Dividing the culture media in 15 mL Falcon tubes prevents pH changes due to oxygen. Store all media in the fridge. 188 Brigitte Müller 4. After diluting the 10 HBSS to 1 HBSS with sterile deionized water, the pH should be checked and adjusted to 7.4 by adding 1 M NaOH dropwise. Mix by agitating the Falcon tube. Use pH test strips. 5. Basic medium containing DMEM supplemented with 2 mM Lglutamine, 5.75 mg/mL glucose, and antibiotics (100 μg/mL streptomycin and 100 units/mL penicillin) should be put in the incubator for at least 12 h (overnight) to saturate with 5% CO2 and 95% air. During retina dissection basic medium should be exchanged regularly as soon as the color turns pink. 6. Keep all 1 HBSS and basic DMEM at 37 C during retina dissection. 7. Basic culture medium is lacking fetal bovine serum. It should be used for dissection of the retina and placing the retinal explant on the membrane of the insert. This is important to allow the retina to attach to the membrane. Complete medium prevents proper attachment of the retina onto the membrane. Therefore, complete medium containing 25% fetal bovine serum should be added to retinal explants on the TEPC membrane the first time after they have been 2–3 h in the incubator. 8. Use the top part of the 30 mm Petri dish to open the eyeball and to dissect the retina from the eyecup. 9. Use a dissection microscope for retina dissection. 10. After punctuation of the eyeball, keep holding the eyeball at the connecting tissue and change instruments with the other hand. 11. While cutting open the eyeball, keep turning it accordingly to allow the micro scissors to cut easily without denting or squeezing the eyeball. 12. Make sure to cut the eyeball open at the level posterior the ora serrata (toward the posterior part of the eye) to separate the retinal tissue easily from the pigment epithelium afterward. 13. For a shamrock-like shape of the retina and sclera, perform four cuts halfway between ora serrata and optic nerve head in length. This is important to flatten the retina on the membrane later. 14. Cultivation of retinal explants on hydrophobic polycarbonate membranes gave the best result. Avoid polyethylene membranes, since the retinal tissue is hard to remove from the membrane after the cultivation period. In our experience, the polyethylene has negative consequences for the viability and tissue preservation. Organotypic Retina Culture 189 15. The photoreceptor layer of the retinal explants should be facing the supporting track-etched polycarbonate membrane (TEPC). The membrane has a pore size of 0.4 μm and is 30 mm in diameter to fit six-well plates. If the ganglion cell layer is facing the membrane after the initial transfer suck the retinal explant back into the transfer pipette and try again by putting it back onto the membrane. 16. Carefully uncurl the retina by using the blunt ends of the tweezers in a flat angle stroking the retinal surface. Avoid piercing or squeezing the retinal tissue. 17. Medium change during culture period of retinal explants should be performed under sterile conditions under a laminar flow. Culture medium should be brought to 37 C before use. Culture medium is only applied into the space between the six well and the culture insert (see Fig. 2). Avoid putting complete medium directly on top of the retinal explant. Avoid filling the six well with more than 1100 μL medium. Otherwise, the retinal explant will detach from the membrane and float, which has negative consequences on the viability and tissue preservation. 18. While harvesting the retinal explants, it might not be possible to separate the tissue from the TEPC membrane by gently washing with warm 1 HBSS. If so, cut the TEPC membrane off the plastic insert part using a scalpel. Transfer membrane with retinal explant on top to a Petri dish (100 mm in diameter) filled with warm 1 HBSS. Hold on to the edge of the membrane with forceps and carefully slide the scalpel between the tissue and the membrane. If the retinal explant tissue is used for histological purposes, transfer the membrane with retinal explant on top into the fixative directly, before separating the tissue. The physical separation can be done after the fixation. 19. Three retinal explants (10–15 mg) of one culture period were pooled per mRNA isolation. 20. RNeasy® Micro Kit (#74004, QIAGEN, Hilden, Germany) was used to isolate mRNA according to manufacturer’s instructions from freshly harvested retinal explants. Acknowledgments Funded by ERC starting grant 311244. I thank Franziska Wagner and Wilhelm Reihnhard for excellent assistance with taking the photographs during retinal explant dissection. 190 Brigitte Müller References 1. Ogilvie JM, Speck JD, Lett JM et al (1999) A reliable method for organ culture of neonatal mouse retina with long-term survival. J Neurosci Methods 87:57–65 2. 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Fisher SK, Lewis GP, Linberg KA et al (2005) Cellular remodeling in mammalian retina induced by retinal detachment. In: Kolb H, Fernandez E, Nelson R (editors), The organization of the retina and visual system. [Webvision, Internet]. University of Utah Health Sciences Center, Salt Lake City (UT); 1995 [updated 2007 Jul 03] 8. Valdés J, Trachsel-Moncho L, Sahaboglu A et al (2016) Organotypic retinal explant cultures as in vitro alternative for diabetic retinopathy studies. ALTEX 33:459–464 9. Hatakeyama J, Kageyama R (2002) Retrovirusmediated gene transfer to retinal explants. Methods 28:387–395 10. Pang JJ, Cheng M, Stevenson D et al (2004) Adenoviral-mediated gene transfer to retinal explants during development and degeneration. Exp Eye Res 79:189–201 11. Pang JJ, Lauramore A, Deng WT et al (2008) Comparative analysis of in vivo and in vitro AAV vector transduction in the neonatal mouse retina: effects of serotype and site of administration. Vis Res 48:377–385 12. 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Wang SW, Mu X, Bowers WJ et al (2002) Retinal ganglion cell differentiation in cultured mouse retinal explants. Methods 28:448–456 23. Karlstetter M, Scholz R, Rutar M et al (2015) Retinal microglia: just bystander or target for therapy? Prog Retin Eye Res 45:30–57 24. Osakada F, Ooto S, Akagi T et al (2007) Wnt signaling promotes regeneration in the retina of adult mammals. J Neurosci 27:4210–4219 25. Moritoh S, Tanaka KF, Jouhou H et al (2010) Organotypic tissue culture of adult rodent Organotypic Retina Culture retina followed by particle-mediated acute gene transfer in vitro. PLoS One 5(9):e12917 26. Ferrer-Martı́n RM, Martı́n-Oliva D, Sierra A et al (2014) Microglial cells in organotypic cultures of developing and adult mouse retina and their relationship with cell death. Exp Eye Res 121:42–57 27. Müller B, Wagner F, Lorenz B et al (2017) Organotypic cultures of adult mouse retina: morphologic changes and gene expression. Invest Ophthalmol Vis Sci 58:1930–1940 28. Strauss O (2005) The retinal pigment epithelium in visual function. Physiol Rev 85:845–881 191 29. Bakondi B, Lv W, Lu B et al (2016) In vivo CRISPR/Cas9 gene editing corrects retinal dystrophy in the S334ter-3 rat model of autosomal dominant retinitis pigmentosa. Mol Ther 24:556–563 30. Yanik M, Müller B, Song F, Gall J, Wagner F, Wende W, Lorenz B, Stieger K (2016) In vivo genome editing as a potential treatment strategy for inherited retinal dystrophies. Prog Retin Eye Res 56:1–18 31. Bringmann A, Pannicke T, Grosche J et al (2006) Müller cells in the healthy and diseased retina. Prog Retin Eye Res 25:397–424 Chapter 14 Langendorff-Free Isolation and Propagation of Adult Mouse Cardiomyocytes Matthew Ackers-Johnson and Roger S. Foo Abstract Isolation of healthy, intact cardiomyocytes from the adult mouse heart for cardiac research is challenging. Traditional protocols depend upon specialized Langendorff apparatus, which requires extensive training and presents significant technical and logistical barriers. Described here is a much simplified technique, introducing optimized dissociation buffers to the heart by direct needle injection into the left ventricle, allowing deep myocardial perfusion and the isolation of high yields of viable, rod-shaped cardiomyocytes, using only standard surgical and laboratory equipment. This method also permits the concurrent isolation of cardiac non-myocyte cellular populations. Key words Cardiomyocyte, Cardiac myocyte, Cardiac fibroblast, Cell isolation, Langendorff, Cell culture, Mouse heart 1 Introduction The isolation of high-quality, viable myocytes from myocardial tissue is an essential prerequisite for molecular and cellular investigation of cardiac function and pathology. Cardiomyocytes in the intact adult myocardium exist in close association with neighboring cells and extracellular matrix and are highly sensitive to mechanical perturbations, enzymatic damage, hypoxia, nutrient bioavailability, pH, and ionic fluctuations. Simple cutting or mincing of heart tissue with subsequent enzymatic digestion produces poor yields of healthy adult myocytes, particularly in rodents, wherein physiologically high intracellular sodium predisposes cardiomyocytes to calcium overload [1]. Traditional protocols for isolation of cardiomyocytes from adult rodent hearts rely on retrograde aortic perfusion using specialized Langendorff apparatus, which enables deep myocardial infiltration of enzymatic dissociation buffers via the coronary vasculature [2, 3]. However, this poses considerable logistical and technical barriers to researchers and demands extensive training investment. Ivan Bertoncello (ed.), Mouse Cell Culture: Methods and Protocols, Methods in Molecular Biology, vol. 1940, https://doi.org/10.1007/978-1-4939-9086-3_14, © Springer Science+Business Media, LLC, part of Springer Nature 2019 193 194 Matthew Ackers-Johnson and Roger S. Foo Fig. 1 Schematic overview of injection method. The emerging aorta is clamped, and dissociation buffers are injected into the base of the left ventricle. Buffers are forced through the coronary circulation (arrows), enabling deep perfusion of myocardial tissue. RA right atrium; LA left atrium; RV right ventricle; LV left ventricle Detailed here is a simplified alternative technique for the isolation of high yields of healthy, calcium-tolerant cardiomyocytes from the adult mouse heart, using only standard surgical tools and equipment [4, 5]. The procedure utilizes a series of optimized dissociation buffers, which are introduced ex vivo by direct intraventricular injection. Deep myocardial perfusion via the coronary vasculature is induced by clamping of the emerging aorta (Fig. 1). Isolated cardiomyocytes are then purified by sequential gravity settling steps, with the option of gradual calcium reintroduction to produce calcium-tolerant cells for functional studies or culture. Isolated cardiomyocytes can be harvested immediately; applied directly to functional calcium, electrophysiological, or imaging studies; or cultured for extended periods to allow in vitro manipulations such as adenoviral gene transfer. Furthermore, this technique permits the concurrent isolation, culture, and co-culture of non-myocyte resident cardiac populations, from the same regions, in the same adult mouse heart. 2 Materials Surgical instruments, skin forceps (RS-5248), blunt-end scissors (RS-5965), curved-end forceps (RS-5137), sharp-end scissors (RS-5840), Reynolds full-curved hemostatic forceps (RS-7211), and straight-end forceps (RS-5070), were purchased from Roboz, USA. Simplified Isolation of Adult Mouse Cardiomyocytes 2.1 Cardiomyocyte Isolation 195 1. EDTA buffer: 130 mM NaCl, 5 mM KCl, 0.5 mM NaH2PO4, 10 mM HEPES, 10 mM glucose, 10 mM 2,3-butanedione monoxime (BDM), 10 mM taurine, 5 mM EDTA. Dissolve directly in 1 L ultrapure 18.2 MΩ.cm H2O and adjust to pH 7.8 using NaOH. Sterile filter, store at 4 C for up to 2 weeks, and keep sterile. 2. Perfusion buffer: 130 mM NaCl, 5 mM KCl, 0.5 mM NaH2PO4, 10 mM HEPES, 10 mM glucose, 10 mM BDM, 10 mM taurine, 1 mM MgCl2. Dissolve directly in 1 L ultrapure 18.2 MΩ cm H2O and adjust to pH 7.8 using NaOH. Sterile filter, store at 4 C for up to 2 weeks, and keep sterile. 3. Collagenase buffer: 0.5 mg/mL collagenase 2, 0.5 mg/mL collagenase 4, 0.05 mg/mL protease XIV (Sigma P5147). Dissolve in perfusion buffer; make fresh immediately before isolation (see Note 1). 4. Stop buffer: Stop buffer is made with perfusion buffer containing 5% sterile fetal bovine serum (FBS). Make fresh on day of isolation. 5. Tyrode’s solution: 137 mM NaCl, 4 mM KCl, 10 mM HEPES, 1 mM MgCl2, 0.33 mM NaH2PO4, 1.2 mM CaCl2, 5.5 mM glucose. Dissolve directly in 1 L ultrapure 18.2 MΩ cm H2O and adjust to pH 7.4 using NaOH. Sterile filter, store at 4 C for up to 2 weeks, and keep sterile. 2.2 Cardiomyocyte Culture 1. Laminin solution: Dilute murine laminin (Thermo Scientific, 23017-15) in sterile phosphate-buffered saline (PBS) to final concentration 5 μg/mL; mix well. Keep sterile; use immediately. 2. Plating media: M199 medium with Earle’s salts and l-glutamine, supplemented with 5% FBS, 10 mM BDM (see Note 2), and 100 units/mL penicillin with 100 μg/mL streptomycin (P/S; optional). Keep sterile; store at 4 C for up to 2 weeks. 3. Culture media: M199 medium with Earle’s salts and l-glutamine, supplemented with 10 mM BDM (see Note 2), P/S (optional), 0.1% w/v bovine serum albumin (BSA) (see Note 3), 1 insulin-transferrin-selenium (ITS) supplement, 1 chemically defined (CD) lipid supplement (Thermo Scientific 11905-031) (see Note 4). Keep sterile, protect from light, and store at 4 C for up to 2 weeks. 4. Calcium reintroduction buffers: These are three buffers with increasing calcium concentrations, made by mixing culture media and perfusion buffer in increasing proportions: buffer 1 (1:3), buffer 2 (1:1), and buffer 3 (3:1). If performing immediate calcium or electrophysiological experiments rather 196 Matthew Ackers-Johnson and Roger S. Foo than culturing cells, use Tyrode’s solution instead of culture media. 5. Fibroblast growth media: DMEM/F12 1:1 media (l-glutamine included) supplemented with 10% FBS and P/S. 3 Methods Important: National and institutional guidelines and regulations must be consulted and adhered to before commencement of all animal work. All buffers and procedures are at room temperature unless otherwise specified. See Table 1 for troubleshooting. 3.1 Pre-coating of Culture Surfaces Only if cardiomyocytes are to be subsequently plated and/or cultured. Tissue culture surfaces are pre-coated with laminin solution for at least 1 h at 37 C or overnight at 4 C (see Note 5). 3.2 Preparation of Buffers and Media Media and buffers are prepared as detailed in Subheading 2. Enzymatic digestion can be carried out at room temperature but is more efficient at 37 C, in which case collagenase buffer is warmed immediately before use in a clean water bath or equivalent. Isolation of one heart requires roughly 30 mL EDTA buffer, 20 mL perfusion buffer, up to 60 mL collagenase buffer (or less if recycling; see Note 6), and 10 mL stop buffer. 3.3 Preparation of Equipment and Surgical Area 1. Surgical area and instruments (1 skin forceps, 1 blunt-end scissors, 1 round-end forceps, 1 sharp-end scissors, 1 Reynolds forceps (hemostatic clamp) or equivalent, 1 sharpend forceps) are sterilized with 70% ethanol. 2. EDTA, perfusion, and collagenase buffers are aliquoted into 2, 1, and 5 10 mL sterile syringes, respectively, and sterile 27 G hypodermic needles are attached. 10 mL syringes are selected largely due to ease of handling; other sizes may be used if preferred. For 37 C digestion, collagenase syringes are kept warm in a clean water bath or equivalent. 3. 60 mm sterile petri dishes are prepared containing 1 10 mL EDTA buffer, 1 10 mL perfusion buffer, 1 10 mL collagenase buffer, and 1 3 mL collagenase buffers. Isoflurane anesthetic system apparatus is set up, with connections to a ventilation chamber and a nose-cone ventilator, which is positioned centrally on the surgery area (see Note 7). 4. Mice are anesthetized in the chamber with 100% O2 at 0.5 L/ min flow rate, containing isoflurane (atomizer dial at 4%, scale 1–5%). Once unconscious, mice are transferred to the surgery area, with anesthesia maintained using the nose cone. Simplified Isolation of Adult Mouse Cardiomyocytes 3.4 Surgical Procedure 197 1. Full anesthesia is confirmed by reduced breathing rate and lack of toe-pinch reflex response. 2. EDTA buffer and perfusion buffer syringes are prepared by removal of needle caps. Ensure that no bubbles exist in the syringes or needles. 3. The mouse chest is wiped generously with 70% ethanol and opened using skin forceps and blunt-end scissors just below the diaphragm, which is then opened to expose the heart (Fig. 2a). 4. Using the round-end forceps, the left lung may be moved aside to reveal the descending aorta and inferior vena cava. Both are cut using the sharp-end scissors, at which point 7 mL EDTA buffer is injected steadily within around 1 minute into the right ventricle (RV), which can be identified by its darker color. To flush out as much blood as possible, the needle should enter at Table 1 Troubleshooting Problem Possible cause Poor digestion, heart does not soften Choice of euthanasia other than oxygen-isoflurane anesthesia technique Use oxygen-isoflurane. If this is unavailable, heparin pre-administration may be necessary. Try to reduce time between animal death and flushing of the heart with EDTA buffer Old/degraded enzymes Purchase/prepare new enzymes New enzyme batch with low Optimize enzyme concentration activity Bubbles in syringe Ensure removal of bubbles before injection. Bring buffers to correct temperature before filling syringes Incomplete clearance of Increase volume and time for EDTA blood from heart buffer injection to RV if necessary Old/fibrotic heart Increase digestion time, use 37 C if not already, increase enzyme concentration Complete digestion, heart softens, but low yield of viable rod-shaped cells Old/contaminated buffers/ reagents Impure water Incorrect buffer preparation Overdigestion Good yield, but cells die while in stop buffer Old/contaminated FBS Impure water Solution Prepare new buffers, filter sterilize. Purchase new reagents, particularly BDM or taurine Use only ultrapure > ¼ 18.2 MΩ cm H2O Check preparation, remake buffers. Calibrate pH meter and check pH Reduce digestion time/enzyme concentration Use new FBS. Try new batch if still unsuccessful Use only ultrapure 18.2 MΩ cm H2O 198 Matthew Ackers-Johnson and Roger S. Foo Fig. 2 Schematic illustrations of in situ heart flushing, removal, and ex vivo injection. (a) Chest cavity of anesthetized mouse is opened to below the diaphragm, which is then cut through to expose the heart. The descending aorta and inferior vena cava are cut (1), and the heart is immediately flushed with EDTA buffer by injection into the right ventricle (2). Reynolds hemostatic forceps then reach around the heart to clamp the emerging aorta (3), and hold the heart while it is removed by cutting around the forceps (4). (b) The excised heart, still held by the clamp, is transferred to 60 mm dishes for subsequent injection and digestion steps the base of the RV, penetrating no more than a few mm, and the angle of entry may be carefully varied during injection. 3.5 Removal of Heart 1. The emerging aorta is then clamped. Any hemostatic clamp will suffice, but full-curved-ended Reynolds forceps are preferred. These can easily reach around the heart and clamp the emerging aorta in situ, which does not require high precision, and inclusion of additional emerging vessels does not matter, although clamping of atrial appendages should be avoided. 2. The heart is removed by simply cutting around the outside of the forceps and transferred, still held by the clamped forceps, to the 60 mm dish containing EDTA buffer, where it should be almost completely submerged (Fig. 2b). 3.6 Heart Digestion 1. Locate the left ventricle (LV), which is the larger of the ventricles and forms a pointed apex at the base of the heart. Using the second EDTA syringe, insert the needle into the base of the LV wall, 2 or 3 mm above the apex, penetrating no more than a few mm into the LV chamber, and inject the EDTA buffer Simplified Isolation of Adult Mouse Cardiomyocytes 199 starting at a flow rate of around 1 mL per 2 or 3 min (see Note 8). 2. After 6 min or application of all 10 mL EDTA buffer, whichever is first, the needle is removed, and the heart is transferred, still held by the clamped forceps, to the dish of perfusion buffer. 3 mL perfusion buffer is then similarly injected into the LV, if possible via the same perforation left by the previous injection. Inexperienced users may find a magnification lens beneficial for identification of the original injection point. 3. After 2 min or application of all 3 mL perfusion buffer, whichever is first, the heart is transferred to the dish containing 10 mL collagenase buffer, and the LV is injected sequentially with the five syringes of collagenase buffer (see Notes 6 and 9). 4. The clamp is removed, and scissors may be used to separate the heart into its constituent chambers, or other specific regions, as desired. The selected region is then transferred to the final 3 mL dish of collagenase buffer (multiple dishes can be used here in order to isolate cells from multiple regions). 5. Tissue is gently teased apart into roughly 1 mm 1 mm sized pieces using the round and sharp-end forceps, which requires very little force following a successful digestion. 6. Dissociation is completed by gentle trituration for 2 min using a 1 mL pipette, with a wide-bore tip (purchased or homemade using sterile scissors) to reduce shear stress. 7. To stop the enzymatic digestion, 5 mL of stop solution is added to the cell-tissue suspension, which may be gently pipetted for a further 2 min, and inspected under a microscope (see Note 10). 8. Cell suspension is then transferred to a 50 mL centrifuge tube, which should be stored on its side at room temperature to reduce clumping and hypoxic damage. Cells may be stored with little loss of viability for up to 2 h, in which time further isolations may be performed. However, such delays may not be suitable for sensitive applications. 3.7 Collection of Cardiomyocytes by Gravity Settling If cells are to be cultured, subsequent steps are best undertaken in a laminar flow cabinet, to maintain sterility. 1. Cell suspension is passed through a 100 μm pore-size strainer, in order to remove undigested tissue debris. The filter is washed through with a further 5 mL stop buffer. 2. Total volume of cell suspension is now typically around 15 mL. This can be divided into two 15 mL centrifuge tubes, and cells are then allowed to settle by gravity for 20 min. Most myocytes will settle to a pellet, while most non-myocytes and cellular/ extracellular debris remain in suspension (see Note 11). 200 Matthew Ackers-Johnson and Roger S. Foo 3. Supernatant is removed. If cells are to be harvested immediately without further in vitro experiments, myocyte fractions are purified simply by three further rounds of sequential gravity settling for 10 min in 4 mL fresh perfusion buffer, retaining the myocyte-containing pellet each time. 3.8 Calcium Reintroduction and Culture of Cells Where myocytes are to be returned to physiological extracellular calcium levels and/or plated, it is important to do so in gradual increments, in order to avoid spontaneous contraction and achieve healthy populations of calcium-tolerant cells, which may then be subjected to a wide range of experimental applications [4]. This can be easily incorporated into the gravity settling steps. 1. Similar to Subheading 3.7, step 3, myocyte pellets are instead resuspended sequentially in three calcium reintroduction buffers, containing increasing proportions of either Tyrode’s solution (for immediate calcium handling or electrophysiology experiments) or culture media (for plating and/or culturing of cells); see Subheading 2.2, item 3. 2. If required, the supernatant fractions, which contain non-myocyte cell populations as well as rounded myocytes and some viable myocytes, may be collected and combined from each round of gravity settling. Plating and fibroblast media can be warmed and equilibrated in a 37 C, 5% CO2, humidified tissue culture incubator during this process. 3. For plating of cardiomyocytes, laminin solution is aspirated from the prepared culture surfaces (see Subheading 3.1), which are then washed once with PBS. 4. The final cardiomyocyte pellet is resuspended in pre-equilibrated plating medium, and cells are plated at application-specific densities: Typically around 25,000 cells/ mL, or 5000 cells/cm2, but this may be substantially lowered for imaging studies. 5. Cardiomyocytes are transferred to the tissue culture incubator and shaken gently in a side-to-side (not swirling) motion to ensure even distribution. Adhesion of rod-shaped myocytes occurs rapidly, within 20 min for most cells. Culture medium may be pre-equilibrated in the incubator during this time. 6. Cells in the combined supernatant fraction may be collected by centrifugation at 300 g for 5 min, resuspended in pre-equilibrated fibroblast growth media, plated on tissue culture surfaces (area ~20 cm2 per LV), and transferred to the culture incubator (see Note 12). 7. After 1 h, plated cardiomyocytes are gently washed once with pre-equilibrated culture media and then incubated in culture media, for the required experimental duration. Rounded Simplified Isolation of Adult Mouse Cardiomyocytes 201 Fig. 3 Representative example of adult mouse cardiomyocytes after poor isolation procedure (a), containing many rounded, hypercontracted, and dying cells, and good quality procedure (b), showing a majority of healthy, rod-shaped cells. Healthy cardiomyocytes were plated and visualized at 40 (c) and 400 (d) magnification, whereby characteristic angular morphology and sarcomeric striations are clearly visible. Scale bars are 100 μm myocytes do not adhere strongly and are removed by this process (see Note 13). 8. Culture and fibroblast media are changed after 24 h and every 48 h in culture thereafter. A successful isolation procedure yields up to one million cardiomyocytes per left ventricle, with 80% viable, healthy, rod-shaped cells [4]. Poor isolations yield high numbers of dying, round, hypercontracted cells, and troubleshooting is required; see Table 1 and Fig. 3a–d. 4 Notes 1. 100 collagenase and 1000 protease XIV (¼50 mg/mL) stocks may alternatively be prepared in ultrapure 18.2 MΩ cm H2O, filter-sterilized, and stored in aliquots at 80 C for at least 4 months. These can be added to perfusion buffer to produce collagenase buffer immediately before the 202 Matthew Ackers-Johnson and Roger S. Foo isolation. We use collagenases 2 (LS004176) and 4 (LS004188) from Worthington Biochemical, Lakewood, USA, which exhibit high batch-to-batch reproducibility (collagenase 2, ~210 units/mg; collagenase 4, ~260 units/mg). Collagenase 2 is a less pure extract with more basal clostripain activity than collagenase 4, which can sometimes be advantageous, and in many cases, 2.5 mg/mL collagenase 2 alone is sufficient at 37 C to attain good yields of myocytes. However, using the described mixture as standard performs consistently. 2. 100 BDM (¼1 M) stocks can be prepared by dissolving 1.01 g BDM in 10 mL ultrapure 18.2 MΩ cm H2O, filtersterilized, and stored in aliquots at 20 C. Stock may require incubation at 37 C to redissolve BDM before adding to media as required. BDM is a myosin II ATPase inhibitor, used to reduce myocyte contractions and improve the yield of isolated cardiac myocytes. BDM must be removed from cultures before conducting contractility, calcium handling, or electrophysiology experiments. It is normal to see a number of cardiomyocytes becoming hypercontracted and dying 1–2 h after BDM removal. In culture media, blebbistatin can be used in place of BDM, which may have fewer off-target effects, and improve long-term survival and adenoviral transduction efficiency [6]. We find that 5 μM blebbistatin is optimal for this purpose. 3. 50 BSA (¼5% w/v) stocks can be prepared by dissolving 1 g BSA in 20 mL PBS, filter-sterilized, and stored at 4 C for at least 8 weeks, if kept sterile. 4. CD lipid mix is included to improve myocyte survival in longterm culture [4]. It is not typically required for short term culture. The lipid mix is susceptible to oxidation and to light damage and is therefore best stored in small aliquots containing minimal air space, at 4 C, in the dark. 5. Laminin-coated surfaces are best prepared fresh but may be sealed and stored at 4 C for up to 4 days. When using glass surfaces, extra volume may be required for complete coverage. Note that cells adhere less strongly to glass than plastic. 6. Following application of each syringe of collagenase buffer to the heart, 10 mL will need to be removed from the dish, to prevent overflow. To reduce consumption of enzyme, this buffer may be collected and recycled for subsequent injection. Care must be taken to prevent needle-prick injuries. However, to prevent cellular cross-contamination, fresh collagenase buffer is generally prepared for each heart. 7. Feedback from users suggests that the choice of euthanasia technique is one of the most common causes of problems encountered. Induction of rapid-onset anesthesia using oxygen-isoflurane ventilation is strongly recommended. This Simplified Isolation of Adult Mouse Cardiomyocytes 203 involves no injections and causes the mouse minimal stress. Furthermore, circulation is intact, and blood is well oxygenated up to the point of chest opening and introduction of EDTA buffer. Injected anesthetics such as pentobarbital and ketamine have a longer onset and significantly reduce respiration, increasing the risk of ischemia and subsequent cardiomyocyte calcium overload [1, 7]. Cervical dislocation carries the same risk, in addition to likely blood coagulation and thus blockage of coronary circulation in the time taken to open the chest and inject EDTA buffer, particularly for inexperienced users, leading to poor myocardial perfusion of dissociation buffers and low yields of healthy cardiomyocytes. If these techniques are necessary, heparin administration is recommended 30 min prior to euthanasia. It should be emphasized that euthanasia by CO2 inhalation causes ischemia and is not appropriate for myocyte isolation techniques. 8. The ideal flow rate when injecting buffers into the LV will vary between hearts, but the best measure of adequate perfusion is simply the minimum required to maintain full inflation of the heart. Initially, very little force is required for the heart to inflate, and flow rate may be only 1 mL per 2 or 3 min. As digestion progresses and the heart softens, flow rate typically reaches around 2 mL/min. A temptation is to over-apply, which can cause buffer to force into and perforate the left atrial appendage. This alone does not cause poor isolation results, and the researcher may proceed as normal, although such pressure is unnecessary. If desired, this protocol is compatible with automated infusion pump setups [4]. 9. The volume of collagenase buffer required for complete digestion varies between hearts. Small, young, healthy hearts can digest in as little as 25 mL, while larger, older, or fibrotic hearts may pass beyond 50 mL, necessitating the recycling of buffer (see Note 6). Signs of complete digestion include a noticeable reduction in resistance to injection pressure, loss of shape and rigidity, holes and/or extensive pale and fluffy appearance at the heart surface, and ejection of myocytes into the effluent buffer, which are just visible to the naked eye. The point of injection will often widen until significant buffer appears to be flowing directly backwards, but the researcher may proceed as necessary. 10. Myocytes may display contraction immediately after isolation due to mechanical stimulation but should quickly acquiesce. The presence of large numbers of rounded, hypercontracted myocytes (Fig. 3a) indicates a poor isolation and requires troubleshooting (see Table 1). 204 Matthew Ackers-Johnson and Roger S. Foo 11. Sequential gravity settling is a method to obtain a highly pure myocyte population and avoids damage caused by centrifugation. Viable rod-shaped myocytes tend also to settle faster than round hypercontracted and dying myocytes, so enriching the pellet for viable rod-shaped cells. Division of cell suspension into two 15 mL centrifuge tubes rather than one 50 mL tube aids the formation of a pellet due to the more steeply angled base. Sterile polystyrene round-bottom tubes are also good alternatives for this purpose. 12. Cardiac fibroblasts, and some other non-myocytes [4], adhere to untreated tissue culture plastic surfaces within 1–2 h. Remaining cardiomyocytes do not and can be washed off at this stage to effectively purify the (mostly) cardiac fibroblast population. 13. Cultured myocytes must be handled with great care. Avoid shocks, vibrations, and rapid aspiration/introduction of media. Always wash gently using warm culture media to reduce ionic fluctuations, and change media one well at a time to avoid prolonged exposure to air, particularly if culturing on glass surfaces. When fixing cells with formaldehyde for imaging, best results are obtained by adding 8% formaldehyde dissolved in culture medium slowly to an equal volume of culture medium already in the well and incubating for 15 min. Do not swirl or shake. References 1. Bers DM (2002) Cardiac Na/Ca exchange function in rabbit, mouse and man: what’s the difference? J Mol Cell Cardiol 34:369–373 2. Berry MN, Friend DS, Scheuer J (1970) Morphology and metabolism of intact muscle cells isolated from adult rat heart. Circ Res 26:679–687 3. Powell T, Twist VW (1976) A rapid technique for the isolation and purification of adult cardiac muscle cells having respiratory control and a tolerance to calcium. Biochem Biophys Res Commun 72:327–333 4. Ackers-Johnson M, Li PY, Holmes AP, O’Brien S-M, Pavlovic D, Foo RS (2016) A simplified, Langendorff-free method for concomitant isolation of viable cardiac myocytes and nonmyocytes from the adult mouse heart. Circ Res 119:909–920 5. Chen X, O’Connell TD, Xiang YK (2016) With or without Langendorff: a new method for adult myocyte isolation to be tested with time. Circ Res 119:888–890 6. Kabaeva Z, Zhao M, Michele DE (2008) Blebbistatin extends culture life of adult mouse cardiac myocytes and allows efficient and stable transgene expression. Am J Physiol Heart Circ Physiol 294:H1667–H1674 7. O’Connell TD, Rodrigo MC, Simpson PC (2007) Isolation and culture of adult mouse cardiac myocytes. Methods Mol Biol 357:271–296 Chapter 15 Isolation, Culture, and Characterization of Primary Mouse Epidermal Keratinocytes Ling-Juan Zhang Abstract Epidermis, the outermost layer of the skin, plays a critical role as both a physical and immunological barrier protecting the internal tissues from external environmental insults, such as pathogenic bacteria, fungi, viruses, UV irradiation, and water loss. Epidermal keratinocytes (KC), the predominant cell type in the skin epidermis, are in the front line of skin defense. Here we describe methods to isolate and culture primary epidermal KC from neonatal and adult mouse skin and describe in vitro assays to study and characterize KC proliferation and differentiation and pro-inflammatory responses to viral products and UVB irradiation. These methods will be useful for researchers in the field of epidermal biology to set up in vitro assays to study the barrier and pro-inflammatory function of epidermal keratinocytes. Key words Skin epidermis, Keratinocyte, Skin barrier, Keratinocyte proliferation, Keratinocyte differentiation, Pro-inflammatory response, dsRNA, UVB irradiation, TNF release 1 Introduction Skin is the largest organ of the body, and epidermis is the outermost layer of the skin. At the front line of defense, epidermis plays a critical role in forming an intact barrier to protect the body from dehydration and external insults, such as pathogenic bacteria, virus, allergens, and UVB irradiation [1, 2]. This barrier function is mainly provided by keratinocytes (KC), the predominant cell type in the epidermis, and it is maintained by a tightly controlled balance between proliferation and differentiation of KC [3, 4]. KC located on the basal layer of the epidermis, including both epidermal stem cells and transit-amplifying cells, are proliferative. As these basal cells exit cell cycle, KC commit to terminal differentiation and gradually move upward toward the surface of the skin [5, 6]. During the differentiation process, KC undergo a series of biochemical and morphological changes that result in the formation of distinct layers of the epidermis. At the spinous layer, directly above the basal layer, KC express early differentiation markers, such as keratin 10 (K10). Ivan Bertoncello (ed.), Mouse Cell Culture: Methods and Protocols, Methods in Molecular Biology, vol. 1940, https://doi.org/10.1007/978-1-4939-9086-3_15, © Springer Science+Business Media, LLC, part of Springer Nature 2019 205 206 Ling-Juan Zhang As KC migrate to the granular layer, these cells become interconnected by tight junctions and express late differentiation markers, such as filaggrin (FLG), loricrin (LOR), and involucrin (INV). Eventually, when these cells reach the outer surface of the epidermis, KC become terminally differentiated corneocytes, which are enucleated and flattened and eventually sloughed into the environment as new cells replace them [1, 5, 6]. At the front line of host defense, epidermal KC are also an important component of the skin’s innate immune system. In response to PAMPs (pathogen-associated molecular patterns) released by invading pathogens or DAMPs (damage-associated molecular patterns) released by host cells during UVB irradiation or wounding, KC produce a variety of pro-inflammatory cytokines or chemokines, such as TNFα, IL6, IL8, CXCL10, and IFNβ [2, 7, 8]. These pro-inflammatory signals released from KC recruit or activate myeloid and resident immune cells, mounting a rapid host defense immune response leading to efficient pathogen clearance. However, uncontrolled inflammatory response may trigger the development of auto-inflammatory skin diseases, such as psoriasis and rosacea [9, 10]. Here we describe methods to isolate epidermal KC from neonatal or adult mouse skin. This is an extended protocol modified from our previous published protocol in Journal of Visualized Experiments [10]. While neonatal KC are collected from both whole body skin from neonates, adult KC are isolated from tail skin, which has thicker epidermis and lower hair follicle density compared to body skin in adult mice. Skin is first digested overnight with dispase, an enzyme to dissociate the epidermis from dermis. The separated epidermal sheet is then digested with a trypsin-like enzyme to release epidermal KC. Isolated KC are seeded on culture dishes coated with extracellular matrix and cultured in low calcium medium supplemented with defined growth supplements. Between days 2 and 5 after the initial seeding, dead cells or differentiated cells are washed away by daily medium changes; the remaining cells are proliferating and have cobblestone morphology, a characteristic morphology of basal KC. We also describe methods to characterize and study proliferation, growth factor starvation, and/or high calcium-induced differentiation as well as pro-inflammatory response of these primary KC triggered upon exposure to viral product or UVB irradiation. 2 Materials 2.1 Animals C57B/6 wild-type mice are bred and maintained in a specific pathogen-free (SPF) environment according to animal facility regulations. Neonates are used within 2 days of birth (postnatal days 0~2), and adult mice are used between 6 and 15 weeks of age and either female or male mice can be used. Isolation and in Vitro Culture of Primary Mouse Keratinocytes 2.2 KC Isolation and Culture 207 1. Sterile PBS, pH 7.4. 2. 10 cm Petri dish. 3. KC basal medium with 0.06 mM CaCl2. 4. Defined growth supplements include epidermal growth factor (EGF), bovine transferrin, insulin-like growth factor1 (IGF1), prostaglandin E2 (PGE2), bovine serum albumin (BSA), and hydrocortisone (Life Technologies, Carlsbad, CA, Catalog S0125). 5. Dispase. 6. Complete KC growth medium: Basal KC medium (0.06 mM CaCl2) supplemented with defined KC growth supplement and 1 antibiotic-antimycotic. 7. Dispase digestion buffer: 4 mg/mL dispase in complete KC growth medium. 8. Gelatin coating material. 9. Type 1 collagen coating material (either from bovine or rat tail or recombinant human protein). 10. Trypsin-like enzyme/TrypLE (Life Technologies, Carlsbad, CA, Catalog 12604-013). 11. 100 μm cell strainer. 2.3 Functional Cell Assay 1. Culture dishes: 24-well clear flat bottom TC-treated cell culture plates are used for phase contrast imaging and/or RTqPCR analyses. 96-well clear flat bottom TC-treated microplate is used for colorimetric cell counting assay. 8-well chamber slide is used for immunocytochemistry analysis. 2. Colorimetric cell counting kit: Colorimetric assays to measure metabolic activity of living cells, such as Cell Counting Kit-8 (CCK-8) or MTS assay or MTT assay, can be used for mouse KC. 3. 5-bromo-20 -deoxyuridine (BrdU) is dissolved as 20 mM stock in DMSO in aliquots. 4. Rat anti-BrdU antibody. 5. High molecular weight (HMW) poly(I:C). 6. Corded handheld UV lamps. 7. 8-watt UV tubes. 8. Mouse TNF ELISA kit. 9. Light inverted microscope for cell culture. 10. Fluorescent microscope for cover slides. 208 3 Ling-Juan Zhang Methods 3.1 Overnight Dispase Digestion of Neonatal or Adult Skin 1. Euthanize the postnatal day 0–day 2-old C57BL/6 wild-type neonatal pups by decapitation using scissors, and follow steps 2 and 3 to set up dispase digestion. For adult mice, euthanize adult mice according to animal facility regulations. Cut off the tail from the base, and follow steps 4 and5 to set up dispase digestion. 2. To peel neonatal skin off the body, first cut off limbs just above the wrist and joints, and cut off the tail from the base leaving a small hole. Insert sharp scissors through the hole from the tail and cut the skin along the dorsal midline through the neck. Next, use one forceps to gently lift a corner of skin off the neck and the other forceps to grasp the exposed neck and body, and then carefully peel the whole skin off the body and over the leg stumps in one continuous motion (see Note 1). 3. Rinse the peeled neonatal skin in a 10 cm Petri dish with 15 mL of sterile PBS, and then transfer the skin to a 2 mL tube prefilled with 2 mL ice cold dispase digestion buffer (see Note 2). Digest the skin overnight at 4 C on a rotator in a refrigerator. Next day, proceed to Subheading 3.2. 4. To peel adult tail skin off the bone, first use a sharp blade to cut through the tail base from the tail tip. Next, use one forceps to gently lift a corner of the skin off the tail bone at the base and the other forceps to grasp the exposed tail bone, and then carefully peel tail skin off the bone with one continuous motion. Cut each of the peeled skin into 2~3 pieces, each of which is ~2 cm in length. 5. Rinse the peeled adult tail skin in a 10 cm Petri dish with 15 mL of sterile PBS, and then transfer skin pieces from each tail to a 2 mL tube prefilled with 2 mL ice cold dispase digestion buffer (see Note 3). Digest the skin overnight at 4 refrigerator on a rotator. Next day, proceed to Subheading 3.2. 3.2 Isolation of Keratinocytes from Skin Epidermis 1. On the second day (within 12~18 h post dispase digestion), carefully transfer the skins together with the dispase solution to a Petri dish and then to a new Petri dish with 15 mL sterile PBS to wash away excess dispase. Using two pairs of forceps, carefully transfer each skin piece to a dry Petri dish with epidermis side down and dermis side up. Stretch the skin folds so that the skin is fully extended on the Petri dish. 2. Before separating the epidermal sheet from the dermis, place a drop of 500 μL TrypLE, a trypsin-like digestion solution (room temperature) in a new Petri dish (see Note 4). To remove the dermis, use one forceps to hold down a corner of the epidermis, and use the other forceps to gently lift the Isolation and in Vitro Culture of Primary Mouse Keratinocytes 209 dermis (pink, opaque, gooey) away from the epidermal sheet (whitish, semitransparent; see Note 5). Dispose of the dermis as biohazardous material. 3. Use two pairs of forceps to grasp the cross corner of the separated epidermal sheet, and slowly transfer it onto the surface of the TrypLE digestion solution with the basal layer downward (see Note 6). 4. Cover skin on Petri dish with lid, and incubate for 20 min at room temperature on a horizontal shaker with gentle agitation. Basal KC become loosely attached to the epidermal sheet or are released from the epidermal sheet during this digestion process. 5. To stop digestion, add 2 mL ice cold complete KC growth medium per epidermis to the Petri dish. Using forceps vigorously rub the epidermal sheet, and the medium will become turbid as KC are released into solution from the epidermal sheet. Tilt the Petri dish to collect and transfer the cell suspension to a 50 mL centrifuge tube leaving the remaining epidermal sheet on the dish. Keep the collection tube on ice during the procedure. 6. Repeat step 5 two more times, and combine the cell suspensions into the same 50 mL tube. 7. Pipet the cell suspension up and down gently a few times to disperse cell clumps using a serological pipette, and then pass it through a 100 μm filter to a new 50 mL centrifuge tube. 8. Centrifuge the filtered cells at 180 g for 5 min. Aspirate the supernatant, and resuspend the cell pellet in 1 mL cold KC growth medium, and determine the cell number using a hematocytometer (see Note 7). 3.3 Primary Mouse KC Culture 1. Prior to cell seeding (see Note 8), culture dishes should be coated with appropriate ECM materials (see Note 9) according to the manufacturer’s instruction at 37 C for 30 min. Remove the coating material completely immediately before adding the cell suspension. 2. Seed the isolated neonatal KC at a density of 5 104/cm2, or adult KC at a density of 10 104/cm2, in KC growth medium in culture dishes coated with ECM material as described above. 3. Change the medium 24 h after the initial plating, and then change medium daily to remove unattached cells or cells that spontaneously differentiate and detach from culture dish. Between day 2 and day 5 of initial plating, cells should reach >70% confluency. Cells can then be used for experimentation. Representative phase contrast images for adult mouse KC from 8 h to 4 days after the initial plating are shown in Fig. 1a. 210 Ling-Juan Zhang Fig. 1 In vitro assays to measure KC growth and proliferation. (a) Phase contrast images at 10 magnification of primary adult mouse KC at 8 h, day 1, day 2, day 3, and day 4 post the initial seeding. Scale bar ¼ 100 μm. (b) The relative cell number of primary adult mouse KC at indicated day after the initial seeding was measured by the CCK-8 cell viability assay. All error bars indicate mean s.e.m. *P < 0.05, **P < 0.01, ***P < 0.001 (ANOVA). (c) Subconfluent neonatal KC were pulse-labeled with BrdU prior to immunocytochemistry analyses using anti-BrdU antibody (red), and nuclei were counterstained with DAPI in blue. Scale bar ¼ 100 μm 3.4 In Vitro Assays to Study KC Proliferation (See Note 10) 1. Measurement of cell proliferation by colorimetric cell counting assay: Primary KC are seeded in 96-well flat bottom clear plate, and KC growth medium is changed daily during the assay (100 μL medium /well). To measure relative cell number, 10 μL of CCK-8 solution is added to each well and incubated for 1 h in a cell culture incubator (5% CO2 at 37 C), and then O.D. at 450 nm is measured by a spectrometer. Measurement of relative cell number over a time course of 4 days by CCK-8 assay is shown in Fig. 1b. 2. Labeling of S-phase cells by BrdU incorporation: Primary KC are grown on coverslips and incubated for 30 min with 10 μM BrdU, followed by fixation in 4% PFA/PBS. Fixed cells are treated with 0.2 M HCl for 30 min at room temperature followed by neutralization with a borate buffer. Cells are then permeabilized with 0.1% Triton X-100 and subjected to standard immunocytochemistry procedures using a rat anti-BrdU antibody and a Cy3-conjugated anti-rat secondary antibody. Nuclei are counterstained with DAPI. Representative image for BrdU labeling of primary neonatal KC in the S-phase of cell cycle is shown in Fig. 1c using fluorescence microscope. Isolation and in Vitro Culture of Primary Mouse Keratinocytes 211 Fig. 2 Growth factor starvation and/or High calcium triggered KC differentiation. (a) Primary neonatal KC were cultured in growth medium (first lane), KC basal medium without growth factors (lanes 2 and 3), or growth medium with high calcium for 24 or 48 h as indicated. The expression of early differentiation marker K10 was measured by RTqPCR analysis. Fold induction of K10 compared to control cells (lane 1) was shown, and Hprt was used as housekeeping gene in the analysis. All error bars indicate mean s.e.m. ***P < 0.001, ****P < 0.0001 (ANOVA). (b) Phase contrast images at 10 magnification of primary adult mouse KC treated with 0.2 mM CaCl2 at indicated time. Scale bar ¼ 100 μm 3.5 In Vitro Assays to Study KC Differentiation (See Note 11) 1. Early differentiation by growth factor starvation: Growth factor depletion alone is more efficient than high calcium to induce the expression of KC early differentiation markers, such as K10 (see Note 12). To starve the cells, remove growth medium and replace with basal medium without added growth supplements. K10 is induced (15-fold) as early as 24 h of GF removal, and this induction further increases by 48 h (~ 300-fold), whereas high calcium only leads to ~ten-fold of K10 induction by 48 h (Fig. 2a). 2. To trigger terminal differentiation by high calcium, proliferating KC are first starved overnight in basal medium without added growth supplements as described above (see Note 13). Next day, add CaCl2 to 0.2 mM in culture medium. As shown in Fig. 1a, b, within 8~12 h after high calcium switch, cells become flattened, and the distinct intercellular space becomes 212 Ling-Juan Zhang less apparent; by 24 h the cell-cell adhesion with tight junction becomes apparent, and the formation of corneocytes/cornified envelop and vertical cell stratification is observed around 48~72 h post high calcium switch. 3. In vitro assays to study KC differentiation: Cells can be harvested at desired time points for RTqPCR and/or western blot analyses to determine the mRNA or protein expression of KC differentiation markers, such as early differentiation marker K10 or late differentiation markers such as FLG, INV, and/or LOR [3]. 3.6 In Vitro Assays to Study Pro-inflammatory Response of KC to Viral Products 3.7 UVB IrradiationMediated Cell Death and Secretion of TNFa from KC 1. Culture the mouse KC in KC growth medium until cells reach ~80% confluency. Starve the cells for 6~16 h in basal medium without added growth supplement (see Note 14). 2. Add 1 μg/mL poly(I:C), the synthetic viral dsRNA, directly to the culture medium of the cells (see Note 15). Cells can be harvested 4~24 h posttreatment for RTqPCR analysis of the expression of pro-inflammatory cytokines, such as Ifnb1 as shown in Fig. 3a, or ELISA to measure cytokine secretion to conditioned medium. 1. Culture the mouse KC in KC growth medium until cells reach desired confluency. Immediately prior to UVB irradiation, remove growth medium and replace with sterile PBS warmed to 37 C. 2. Treat cells with 25 mJ/cm2 UVB using handheld UVB lamps. After UVB irradiation, change cells back to fresh growth medium. Representative images of cells treated with UVB for 12 h and 24 h are shown in Fig. 3b. 3. To measure and quantify cell viability, cells grown in 96-well flat bottom plate are first treated with UVB as described above, and then treated cells are subjected to CCK-8 cell assay at 12 and 24 h post-UVB treatment as described in Subheading 3.4, step 2. 4. To measure TNFα secretion (see Note 16), cells grown in 24-well flat bottom plate are first treated with UVB as described above; conditioned medium is then collected from UVB-treated cells at desired time point. The amount of TNFα in the conditioned medium is measured by the mouse TNFα ELISA kit following the manufacturer’s instructions. As shown in Fig. 3c, TNFα was abundantly secreted from UVB-treated adult KC compared to untreated control cells. Isolation and in Vitro Culture of Primary Mouse Keratinocytes 213 Fig. 3 Pro-inflammatory response of primary mouse KC to viral dsRNA or UVB irradiation. (a) Primary adult KC were treated with 1 μg/mL poly(I:C) or vehicle control for 4 h, and cells were subjected to RTqPCR analysis. Fold induction of Ifnb1 in poly(I:C)-treated cells compared to control cells was shown, and Hprt was used as housekeeping gene in the analysis. (b, c) Primary adult mouse KC were grown to confluency and then exposed to 25 mJ/cm2 UVB irradiation. (b) Phase contrast images at 10 magnification 12 h or 24 h after UVB irradiation compared to untreated control cells. Scale bar, 200 μm. (c) Secretion of TNFα was measured by ELISA in conditioned medium from control cells or cells treated with UVB for 24 h. All error bars indicate mean s.e.m. ***P < 0.001 (ANOVA) 4 Notes 1. Peel the skin off the whole body slowly as one piece, and be careful not to break skin into pieces as this will result in cell loss during the dispase digestion step. 2. Make sure the skin is extended and not folded in the tube to allow efficient digestion of the whole skin. 3. Tail skin pieces from mice with the same genetic background can be combined and incubated in one 15 mL tube (up to five tails per tube) filled with 15 mL dispase solution. 4. Compared to trypsin, the TrypLE digestion solution is gentler on cells and can be inactivated by dilution alone without the need for trypsin inhibitors, such as FBS. Each 10 cm Petri dish should fit up to five drops of the TrypLE solution. 214 Ling-Juan Zhang 5. Because the epidermal sheet is very fragile, the dermis should be lifted away from the epidermis slowly to prevent tearing of the epidermal sheet. 6. Use forceps to carefully stretch and unfold the epidermal sheet so that it is fully extended and floats on the digestion solution. 7. KC spontaneously differentiate in suspension, so prior to cell seeding, the cell suspension should be kept on ice and plated onto ECM-coated culture dishes as soon as possible (preferably within 1 h). 8. Coating of culture dishes with the appropriate extracellular matrix (ECM) should be done immediately after the cell count and as soon as possible prior to cell seeding. 9. A gelatin-based coating matrix works well for neonatal KC, whereas a collagen-based coating matrix is preferable for adult KC due to the decreased ability of adult cells to adhere compared to their neonatal counterparts. Either rat tail, bovine, or recombinant human type 1 collagen can be used here. 10. Cell proliferation can be measured by either a colorimetric cell counting assay using a dye that measures the metabolic activity from living cells or 5-bromo-20 -deoxyuridine (BrdU) incorporation assay to measure BrdU incorporated into the newly synthesized DNA during cell proliferation. 11. Calcium is considered the most physiological agent to trigger epidermal KC differentiation in vitro and in vivo in a similar manner. In vitro, low calcium (0.02 mM~0.1 mM) maintains the proliferation of basal KC as a monolayer, whereas high calcium (>0.2 mM) rapidly triggers a terminal differentiation process converting KC from basal cell morphology to stratified corneocyte morphology. 12. We show there that growth factor starvation is more efficient than high calcium to induce genes that are associated with KC early differentiation, such as K10 (Fig. 2a). While high calcium weakly induces the expression of early differentiation genes, it strongly induces the expression of KC late differentiation process, such as FLG, INV, and LOR [3]. These observations are in line with the in vivo observation that calcium concentration is actually low in both basal and the spinous layer (in which K10 is expressed) but rises in the granular layer (where late differentiation markers express) [11–13]. Together these evidences suggest that calcium is unlikely the key factor that drives basal cells to commit to early differentiation process. Instead cell cycle arrest (which can be triggered by growth factor starvation in vitro) is likely the key factor that drives basal cells to commit to early differentiation stage. Isolation and in Vitro Culture of Primary Mouse Keratinocytes 215 13. The growth factor removal step may enhance but is not required for the high calcium triggered cellular changes associated with the late differentiation processes, including tight junction formation and vertical cell stratification. 14. We always include a growth factor starvation step so that cells are synchronized and more consistent results can be obtained. Starvation can also lower basal inflammatory signal. Medium change should be done at least 6 h prior to treatment as medium change alone induces stress and inflammatory response from the cells. 15. Poly (I:C) is diluted and added in a small volume (10 μL) directly to culture well to minimize disturbance to the cells. 16. TNFα is an important pro-inflammatory cytokine that is induced by UVB irradiation, and it drives KC apoptosis following UVB irradiation [14]. References 1. Fuchs E, Raghavan S (2002) Getting under the skin of epidermal morphogenesis. Nat Rev Genet 3:199–209 2. Bernard JJ, Cowing-Zitron C, Nakatsuji T, Muehleisen B, Muto J et al (2012) Ultraviolet radiation damages self noncoding RNA and is detected by TLR3. Nat Med 18:1286–1290 3. Zhang LJ, Bhattacharya S, Leid M, GanguliIndra G, Indra AK (2012) Ctip2 is a dynamic regulator of epidermal proliferation and differentiation by integrating EGFR and Notch signaling. J Cell Sci 125:5733–5744 4. Sambandam SAT, Kasetti RB, Xue L, Dean DC, Lu Q, Li Q (2015) 14-3-3sigma regulates keratinocyte proliferation and differentiation by modulating Yap1 cellular localization. J Invest Dermatol 135(6):1621–1628 5. Yuspa SH, Hennings H, Tucker RW, Jaken S, Kilkenny AE, Roop DR (1988) Signal transduction for proliferation and differentiation in keratinocytes. Ann N Y Acad Sci 548:191–196 6. Mack JA, Anand S, Maytin EV (2005) Proliferation and cornification during development of the mammalian epidermis. Birth Defects Res C Embryo Today 75:314–329 7. Borkowski AW, Kuo IH, Bernard JJ, Yoshida T, Williams MR et al (2015) Toll-like receptor 3 activation is required for normal skin barrier repair following UV damage. J Invest Dermatol 135:569–578 8. Zhang LJ, Sen GL, Ward NL, Johnston A, Chun K et al (2016) Antimicrobial peptide LL37 and MAVS signaling drive interferonbeta production by epidermal keratinocytes during skin injury. Immunity 45:119–130 9. Yamasaki K, Di Nardo A, Bardan A, Murakami M, Ohtake T et al (2007) Increased serine protease activity and cathelicidin promotes skin inflammation in rosacea. Nat Med 13:975–980 10. Li FW, Adase CA, Zhang LJ (2017) Isolation and culture of primary mouse keratinocytes from neonatal and adult mouse skin. J Vis Exp (125):56027 11. Menon GK, Grayson S, Elias PM (1985) Ionic calcium reservoirs in mammalian epidermis: ultrastructural localization by ion-capture cytochemistry. J Invest Dermatol 84:508–512 12. Elias PM, Nau P, Hanley K, Cullander C, Crumrine D et al (1998) Formation of the epidermal calcium gradient coincides with key milestones of barrier ontogenesis in the rodent. J Invest Dermatol 110:399–404 13. Mauro T, Bench G, Sidderas-Haddad E, Feingold K, Elias P, Cullander C (1998) Acute barrier perturbation abolishes the Ca2+ and K+ gradients in murine epidermis: quantitative measurement using PIXE. J Invest Dermatol 111:1198–1201 14. Zhuang L, Wang B, Shinder GA, Shivji GM, Mak TW, Sauder DN (1999) TNF receptor p55 plays a pivotal role in murine keratinocyte apoptosis induced by ultraviolet B irradiation. J Immunol 162:1440–1447 Chapter 16 Isolation and Propagation of Mammary Epithelial Stem and Progenitor Cells Julie M. Sheridan and Jane E. Visvader Abstract Several methods of mammary gland dissociation have been described that utilize a combined strategy of mechanical and enzymatic dissociation to isolate mammary epithelial cells (MECs) from intact tissue (Smalley et al., J Mammary Gland Biol Neoplasia 17:91–97, 2012). Here we detail a robust method that enables the isolation of all major stem and progenitor MEC populations, which has been successfully used to study stem cell behavior when coupled with transplantation and in vitro assays (Shackleton et al., Nature 439:84–88, 2006; Bouras et al., Cell Stem Cell 3:429–441, 2008; Sheridan et al., BMC Cancer 15:221, 2015; Jamieson et al., Development 144:1065–1071, 2017). Furthermore, we outline two prominent methods for culturing MECs for the purposes of ex vivo manipulation or study: 2D feeder layer cultures and 3D Matrigel colony assays. Importantly, all outlined methods retain stem and progenitor cell behaviors and can be used in combination with downstream in vivo, in vitro, or in silico analyses. Key words Mammary gland, Epithelial stem cell, Progenitor cell, Single cell suspension, Stem cell culture 1 Introduction A large body of evidence suggests that a stem cell-based mammary epithelial differentiation hierarchy establishes the mammary gland and maintains function through rounds of differentiation and regression that accompany pregnancy and weaning [1]. Several mammary epithelial stem cell (MaSC) and progenitor cell populations have been isolated including transplantable bipotent MaSCs that demonstrate luminal and basal/myoepithelial differentiation capacity as well as a range of more restricted cell types that contribute to limited luminal or basal cell subtypes [2–6]. The characterization of these populations has provided significant insights into the processes that guide normal mammary development and homeostasis and tumorigenesis [12]. Beyond phenotyping, the isolation of MaSC and progenitor cell populations provides a valuable tool with which to study or manipulate mammary epithelial Ivan Bertoncello (ed.), Mouse Cell Culture: Methods and Protocols, Methods in Molecular Biology, vol. 1940, https://doi.org/10.1007/978-1-4939-9086-3_16, © Springer Science+Business Media, LLC, part of Springer Nature 2019 217 218 Julie M. Sheridan and Jane E. Visvader cell behavior ex vivo, and robust purification and culture protocols are key to these endeavors [7–10]. Herein we describe a MEC isolation protocol that reliably isolates and maintains the viability of MaSC and progenitor cell populations [2, 11]. Additionally, we outline two methods of MaSC and progenitor cell culture: (1) a tractable 2D feeder layer system that readily expands MaSC and progenitor cells ex vivo, providing a means to chemically or genetically manipulate cells prior to downstream analyses [2], and (2) a Matrigel-based assay that is permissive for the differentiation of different stem/progenitor cells into morphologically distinguishable colony types, a feature that makes this system suitable for studies of cell behavior or function [2]. 2 Materials Where possible, materials are prepared using aseptic technique and solutions are filter sterilized with 0.2 μm filters. 2.1 Materials for the Dissociation of Mammary Gland Tissue to a Single Cell Suspension 1. Sterile Dulbecco’s phosphate buffered saline solution, without calcium and magnesium (DPBS). 2. Sterile wash buffer: DPBS with 2% fetal calf serum (FCS). 3. Sterile MEC medium supplemented with 1% FCS (1% MEC medium): DMEM/Ham’s F12 containing GlutaMAX, 5 μg/ mL insulin, 500 ng/mL hydrocortisone, 10 ng/mL epidermal growth factor, 20 ng/mL cholera toxin plus 1% FCS (Table 1). 4. 10 concentrated digestion buffer I: 150,000 U collagenase, 50,000 U hyaluronidase, 50 mL DPBS. Mix, filter sterilize, and use immediately or freeze in single use aliquots at 20 C. 5. Digestion buffer II: Dissolve 40 mg EGTA and 10 mg polyvinyl alcohol in 90 mL DPBS on a low heat with stirring, allow to cool, and then add 10 mL 2.5% trypsin. pH to 7.4, filter sterilize, and freeze in single use aliquots at 20 C. Table 1 Recommended volumes of dissociation reagents for virgin mammary glands Number of virgin mice (BL6) 1–2 3–5 6–8 Number of virgin mice (FVB/N) 1 2–4 5–7 Digestion buffer I 5 mL 10 mL 20 mL Digestion buffer II 0.5–1 mL 2 mL 3 mL Digestion buffer III 1 mL 2 mL 5 mL DNase I volume 100 200 400 Mammary Stem Cell Isolation and Culture 219 6. Digestion buffer II: Dissolve 250 mg dispase in 50 mL DPBS. Filter sterilize, and use within 1 week of storage at 4 C or freeze in single use aliquots at 20 C. 7. 1 mg/mL DNase I solution: Dissolve 10 mg DNase I in 10 mL medium, filter sterilize, and use within 1 week of storage at 4 C or freeze in single use aliquots at 20 C. 8. Optional, 1.25 concentrated red blood cell lysis solution; 8 g NH4Cl in 1 L deionized water, filter sterilize, and store at 4 C. 9. Orbital shaking incubator. 10. McIlwain tissue chopper with standard table fitted with razor blade as per manufacturer’s instructions. 2.2 Materials for the Purification of MaSC and Progenitor Cells by Flow Cytometric Sorting 1. Single cell suspension of mammary gland cells (as obtained from Subheading 3.2). 2. Sterile DPBS. 3. Sterile wash buffer. 4. Sterile collection buffer: DPBS with 10% FCS. 5. Fluorescently conjugated antibodies, refer to Table 2. 6. Viability dye such as propidium iodide (PI) or 7-actinomycin D (7-AAD). 2.3 Materials for the Culture and Expansion of Primary MECs on a Feeder Layer 1. MEC as obtained from Subheadings 3.2 or 3.3 2. Sterile MEC medium supplemented with 1% FCS. 3. Sterile MEC medium supplemented with 5% FCS (5% MEC medium, modified version of 1% MEC medium made in Subheading 2.1). 4. Sterile collagen coated 6-well tissue culture plates (see Note 1). 5. NIH/3T3 cells, irradiated (i3T3) (see Note 2). 6. 37 C incubator maintained with 5% CO2 and 5% O2. 2.4 Materials for the Culture of MEC in a Matrigel Colony Assay 1. MECs as obtained from Subheadings 3.2 or 3.3. 2. Growth factor reduced Matrigel, thawed on ice. 3. 1% MEC medium 4. Glass chamber slides (Ibidi). 5. 37 C incubator maintained with a low O2 gas phase (5% CO2, 5% O2, and 90% N2) 6. Pipette tips, precooled to 4 C. 7. Harvest only: Cell recovery solution (BD Bioscience) and wash buffer. 220 Julie M. Sheridan and Jane E. Visvader Table 2 Anti-mouse antibody clones that facilitate the identification and isolation of indicated mammary epithelial stem and progenitor cell populations Cell population and marker criteria Antibody clone (conjugate) References Blocks non-specific (FcγIII and FcγII) staining CD16/CD32 (2.4G2) Lineage cocktail (to deplete hematopoietic cells, red blood cells, and endothelial cells) CD45 TER-199 CD31 Lin CD29lo CD24+ CD14+ luminal progenitor-enriched Lin CD29lo CD24+ CD14 mature luminal cell-enriched (pregnant/lactating) CD14 [13] Lin CD29hi CD24+ basal cells incl. MaSC; Lin CD29lo CD24+ luminal cells incl. Luminal progenitor CD29 [2] Lin CD29hi CD24+ basal cells incl. MaSC; Lin CD29lo CD24+ luminal cells incl. Luminal progenitor CD24 [2] Lin CD24+ CD29lo CD49b+ Sca-1 hormone-receptor luminal progenitor; Lin CD24+ CD29lo CD49b+ Sca-1+ hormonereceptor+ luminal progenitor CD49b [14] Lin CD29lo CD24+ CD61+ LP-enriched; Lin CD29lo CD24+ CD61 mature luminal cell-enriched (virgin) CD61 [6] Lin CD24+ CD29lo CD49b+ Sca-1 hormone-receptor luminal progenitor; Lin CD24+ CD29lo CD49b+ Sca-1+ hormonereceptor+ luminal progenitor SCA-1 [14] Lin CD29hi CD24+ TSPAN8hi/lo MaSC subsets TSPAN8 [9] 3 Methods Where possible, manipulations are performed using aseptic technique and/or in a sterile environment such as a tissue culture hood. 3.1 Harvesting Mouse Mammary Gland Tissue 1. Wipe the ventral midline of the euthanased mouse with 70% ethanol. 2. Make an incision along the ventral midline through the skin from the pubis to the neck taking care to avoid damage to the peritoneal membrane (Fig. 1). 3. At the base of the midline incision, make further oblique cuts toward and half of the way along the hind legs (Fig. 1). 4. Using forceps to hold the skin to one side of the junction of the midline and oblique cuts, gently peel it outward to separate the skin from the internal membrane to reveal the fourth and fifth Mammary Stem Cell Isolation and Culture 221 3 4 LN 5 Fig. 1 Diagram of mammary gland dissection. Incisions (dashed lines) are made through the skin along the midline and hind legs. The skin is peeled away from the body and pinned in position to reveal the third, fourth, and fifth mammary glands (3, 4, and 5, respectively). The inguinal lymph node (LN) can be removed prior to excision of the fourth gland to minimize hematopoietic cell contamination of the harvested tissue mammary glands. This is best achieved using a second pair of forceps to apply counter-pressure to the internal membrane to prevent it from being pulled in the same direction as the skin. 5. Repeat this motion on the opposite side and pin the flayed skin to the dissection board (Fig. 1). 6. Grasp the skin to one side of the midline cut at the level of the forelegs and peel the skin outward from the body to reveal the second and third mammary glands on the underside of the skin. 7. Repeat this motion on the opposite side and pin the flayed skin to the dissection board (Fig. 1). 8. Remove and discard the inguinal lymph node that is located at the intersection of the three prominent vessels on the surface of the fourth mammary gland. This is best achieved by pushing the skin upward from the outside, thus raising the area of the vessel junction. In this position, the relative firmness of the lymph node and its characteristically gray-white, circular appearance facilitate its identification and excision using forceps or scissors. 222 Julie M. Sheridan and Jane E. Visvader 9. Remove the mammary gland tissue by grasping and raising the outer edge of the attached gland away from the skin and membrane. Cut and peel the outer edges of the gland away from the serous membrane and repeat this process while moving toward the dorsal midline of the animal, releasing the whole gland in one piece. 10. Place the mammary glands into MEC medium on ice. 3.2 Dissociation of Mammary Gland Tissue to a Single Cell Suspension 1. Prepare the materials outlined in Subheading 2.1. 3.2.1 Preparation 3. Thaw a suitable amount of digestion buffers II and III and DNase I at room temperature (Table 1). 2. Thaw and then dilute a suitable volume (Table 1) of 10 stock of digestion buffer I in MEC medium to yield a 1 solution and warm to 37 C. 4. Pre-warm a shaking incubator to 37 C. 3.2.2 Mechanical Disruption 1. Prepare the McIlwain tissue chopper as per manufacturer’s instructions. Briefly, with the machine turned off, affix a clean plastic disc to the cutting table using the spring-loaded clips and position the blade so that it touches the plastic disc. Once ready, position the blade in the starting position at the righthand side of the plastic circle (see Notes 3 and 4). 2. Drain the mammary glands of excess buffer/medium and place on the plastic disc. Multiple runs may be necessary to chop all of the tissue depending upon the number of glands collected and the mass of tissue obtained (see Note 4). 3. Turn the chopper on and allow to run across the tissue until it stops. Raise the blade, return it to the starting position, and rotate the plastic disc one quarter turn to crosscut the sample. This process should be repeated for a total of four cutting runs or until the gland no longer presents as lumps when lifted with forceps (see Notes 4 and 5). 4. Place chopped tissue into a 50 mL conical tube for further processing. 3.2.3 Enzymatic Digestion to a Single Cell Suspension 1. With reference to Table 1, add an appropriate volume of pre-warmed 1 digestion buffer I, seal the tube, and place in a shaking incubator at 37 C for 30 min (see Note 5). 2. Triturate the sample ten times using a pipette and incubate for a further 20 min at 37 C. 3. Triturate the sample a further ten times and check for the absence of large fragments. If any remain, incubate for a further 10 min and then re-triturate until a relatively homogeneous organoid solution has been achieved. Mammary Stem Cell Isolation and Culture 223 4. Add 20–40 mL wash buffer to the sample and centrifuge for 5 min at 1200 rpm (200 RCF) to collect the organoids. 5. Pre-warm digestion buffers II and III and DNase I to 37 C. 6. Using a vacuum pump or pipette, remove the supernatant. Care must be taken to remove the concentrated band of adipose flocculate that overlays the supernatant (see Note 6). 7. Add DNase I to the organoid pellet, tap to partially resuspend, and leave at room temperature for 2 min. 8. Add a suitable volume (Table 1) (see Note 5) of pre-warmed digestion buffer II to the organoids, pipette gently to fully suspend, and incubate in a water bath at 37 C for 2–3 min. 9. Inactivate and dilute the trypsin by adding 30 mL wash buffer. Centrifuge for 5 min at 1200 rpm and discard the supernatant (see Note 6). 10. Add DNase I to the organoid pellet, tap to partially resuspend, and wait for 2 min. 11. Add a suitable volume (Table 1) (see Note 5) of pre-warmed digestion buffer III to the organoids, pipette gently to resuspend the organoids, and incubate in a water bath at 37 C for 5 min. 12. Gently triturate the suspension to check for the presence of a single cell suspension; no clumps should remain, and the “grainy” appearance of the cell/organoid suspension that was evident before digestion buffer III should now be gone. 13. Add 30 mL wash buffer and centrifuge for 5 min at 1200 rpm (200 RCF) to collect the cells. Remove the supernatant to yield a pellet of single cells and proceed with assays or further purification. 3.3 Purification of Mammary Epithelial Stem and Progenitor Cell Populations 1. Prepare the materials outlined in Subheading 2.2. 2. Isolate mammary cells using the protocol outlined in Subheading 3.2. 3.3.1 Preparation 3.3.2 Red Blood Cell Lysis 1. Resuspend cells in 100 μL DNase I and 900 μL wash buffer. 2. Slowly add 4 mL of room temperature red blood cell lysis buffer while swirling tube to facilitate gentle mixing. 3. Incubate at room temperature for 3 min. 4. Add 20 mL wash buffer and pass through a 40, 70, or 100 μm cell strainer to remove any clumps. 5. Pass another 20 mL wash buffer through the cell strainer to ensure maximal cell recovery. 224 Julie M. Sheridan and Jane E. Visvader 6. Take a small aliquot to determine the cell concentration using a hemocytometer or similar. Together with the known volume, use the cell concentration to calculate the total cell count. 7. Centrifuge for 5 min at 1200 rpm to collect the cells. Discard the supernatant and place the tube of cells on ice. Form this point on, use chilled solutions and keep the cells on ice. 3.3.3 Staining a Single Cell Suspension for the Purpose of Mammary Stem and Progenitor Cell Identification What follows is a brief overview of a basic staining protocol. It is by no means exhaustive, and other considerations not covered in this protocol include the type of sorter to be used, the aim of the sort (yield or purity), and antibody-fluorochrome panel design. 1. Prepare the materials outlined in Subheading 2.2. 2. Resuspend the cells in cold wash buffer at a concentration of 2.5 107 cells per mL. 3. [Optional] Incubate the cells with an appropriate volume of unconjugated anti-mouse CD16/CD32 antibody (Table 2) to minimize non-antigen-specific binding of fluorescently conjugated antibodies to Fc receptors. 4. Distribute the cells to staining vessels as required. Where necessary, include cells for single color and fluorescence-minusone controls. 5. Add primary antibodies to the cell suspensions (Table 2). Incubate on ice for 25 min. 6. Add wash buffer and centrifuge for 5 min at 1200 rpm (200 RCF) to collect the cells. Discard the supernatant. 7. [Optional] When necessary, steps 5 and 6 may be repeated with secondary antibodies. 8. Prepare collection tubes for cells post-sort containing a small amount of collection buffer. Vessel choice and volume depend on several factors including expected cell yield and sort nozzle (and thus droplet) size. For example, a small number of cells (10,000) might be sorted through a 100 μm nozzle into an Eppendorf tube. However, a larger number of cells will require a 5 mL FACS tube or multiple Eppendorf tubes. 9. Resuspend the cell pellet in a suitable volume of wash buffer containing a viability dye such as 2 μg/mL propidium iodide (PI) or 5 μg/mL 7-actinomycin D (7-AAD) in preparation for sorting. 10. Fluorescence-minus-one controls and population contours should be used to inform appropriate gate placement. Gates may be configured to exclude doublets and debris on the basis of light scatter properties, and viable cells can be selected on the basis of viability dye exclusion. Several mammary epithelial stem and progenitor cell populations lie within the Lineage (Lin ) CD29hi CD24+ fraction and suggested sort criteria for Singlets Cells Viable FSC-A Luminal FSC-A Basal/ MaSC Mature Luminal Modal CD24 CD45/TER-119/CD31 FSC-A 225 7-AAD SSC-A SSC-W Mammary Stem Cell Isolation and Culture Luminal Progenitor Lineageneg CD29 CD29 CD61 Fig. 2 Representative plots showing a flow cytometric gating strategy designed to distinguish single, viable CD29hi CD24+ basal cells, Lin CD29lo CD24+ CD61+ luminal progenitors, and Lin CD29lo CD24+ CD61 mature luminal cells specific mammary stem or progenitor cell populations are outlined in Table 2 and Fig. 2. 11. Cells may be sorted on any flow cytometer and each requires optimization. Consideration should be given to both nozzle size and sort pressures since the factors can greatly affect viability of large fragile cells such as MECs (see Note 7). 12. [Optional] Reanalysis may be performed on a small aliquot of collected cells to confirm the identity and establish the purity of sorted cells. 3.4 Ex Vivo Propagation of MEC on a Feeder Layer 1. Prepare materials as per Subheading 2.3 under aseptic conditions. 3.4.1 Preparation 3.4.2 Plating Cells for Expansion 1. All cell manipulations are performed using aseptic technique in a sterile TC hood. 2. For each well of a 6-well plate to be plated, mix 2.5 mL 5% MEC medium with 100,000 i3T3 (100 μL of thawed stock, final density approximately 14,000/cm2) and purified MEC. 226 Julie M. Sheridan and Jane E. Visvader Fig. 3 Representative bright-field images of colonies generated from plating purified mammary epithelial stem and progenitor cell-enriched populations. (Top panel) 300 Lin CD29hi CD24+ basal/MaSCs or Lin CD29lo CD24+ CD61+ luminal cells were plated in 2D feeder layer-based cultures. After 6 days, cultures were briefly fixed and stained with Giemsa to visualize colony morphology. Scale bars, 250 μm. (Bottom panel) 1000 Lin CD29hi CD24+ basal cells or 1500 Lin CD29lo CD24+ luminal cells were grown for 14 days in the 3D Matrigel assay. Scale bars, 500 μm. Inset, magnified region showing typical solid (basal) or acinar (luminal) colony types. Scale bars, 250 μm As a guide, 10,000–20,000 basal/MaSC or luminal cells from FVB/N or 20,000–50,000 basal/MaSC or luminal cells from C57BL/6 will give a MEC-dominated plated after 6 days in culture. 3. Place in a 37 C incubator maintained at 5% CO2 and 5% O2. 4. Once situated, to ensure that cells are evenly distributed across the plate, gently slide the plate forward and backward five times and then repeat using a side-to-side motion. 5. 24 h later, viable cells will have attached. Discard the medium in the well and immediately replace with fresh 1% MEC. 6. Maintain the culture by changing the MEC medium every 3 days. Cells may be manipulated at any time during culture using transduction, transfection, or application of medium additives as described elsewhere. Mammary Stem Cell Isolation and Culture 227 7. Culture until the colonies of epithelial cells have expanded and dominate the plate (typically less than 1 week with purified basal or luminal cells). Several different colony morphologies will contribute to epithelial outgrowth. These are most obvious when cells are plated at lower densities as shown in Fig. 3. 3.4.3 Harvesting Expanded MECs 1. Remove medium and wash cells gently with DPBS. 2. Add 0.5 mL pre-warmed trypsin-EDTA to each well and incubate at 37 C for 10–15 min. 3. Using a microscope, check to see that cells are detaching from the plate. Luminal cells will detach more easily. 4. Using a P1000 pipette, gently triturate cells to aid detachment from the plate and re-incubate if necessary. 5. Repeat steps 3 and 4 until cells are in a single cell suspension. 6. Collect cells into a falcon tube and add several times the volume of cold wash buffer (containing FCS) to quench the trypsin activity. 7. Centrifuge for 5 min at 1200 rpm to collect the cells for downstream analyses. 3.5 Culture of MECs as Colonies in Matrigel 3.5.1 Preparation 3.5.2 Organoid Culture Initiation and Maintenance 1. Prepare materials as in Subheading 2.4. Due to the small volumes involved with Matrigel culture initiation, manipulations should be done in bulk with master mixes, where possible. Always prepare extra to accommodate unavoidable losses, and keep plates, tubes, and pipette tips cold to facilitate the handling of Matrigel, which polymerizes quickly when warmed. 1. Calculate the cell number and Matrigel volume to be plated. As a starting point, 1000 single cells can be plated in one 20 μL drop of Matrigel with 1 drop per well of an 8-chamber slide. 2. Prepare materials as per Subheading 2.4, taking into account the quantity of material to be plated. 3. Cells to be plated are centrifuged in an Eppendorf tube and medium aspirated to leave a minimum volume (not greater than 10–15 μL). 4. Resuspend cell pellet in Matrigel by gentle trituration with a pre-chilled pipette tip, taking care not to introduce any bubbles (see Note 8). 5. Pipette 20 μL drop into each chamber of the slide (see Note 8). 6. Transfer to 37 C incubator for 10–15 min to allow Matrigel to polymerize. 7. Gently pipette 400 μL of pre-warmed 1% MEC medium into each well. 228 Julie M. Sheridan and Jane E. Visvader 8. Return to incubator and maintain with medium changes every 3–4 days intervals. 9. After a total of 12–14 days, mature colonies may be imaged or harvested for further analysis. Characteristic colony morphologies will be identifiable following culture (Fig. 3). 10. Cell recovery solution used as per manufacturer’s instructions can be used to isolate colonies for downstream analyses (see Note 9). 4 Notes 1. The use of plates pre-coated with collagen is not necessary but shortens the time to confluency. 2. For production: Grow sufficient numbers of NIH3T3, e.g., 1–5 T225 flasks, and harvest when actively growing but nearing confluence (~85% confluent). Harvest cells using trypsin, quench with NIH3T3 growth medium containing 10% FCS, centrifuge and resuspend cells in NIH3T3 growth medium containing 10% FCS, and place on ice. Irradiate the cells with 50 Gy and count the cell suspension using an automated cell counter or hemocytometer to determine the total cell number. Spin and resuspend the cells at a density of 1 106 cells/mL in cold freezing medium such as 50% DMEM + 40% FCS + 10% DMSO. Aliquots of 1 mL (1 106 i3T3) can be frozen using a typical cell freezing protocol for long-term storage. 3. When cells will be cultured, ensure that the cutting station is clean and the plastic discs are clean and sterilized prior to use. 4. Slice thickness and strike force for the McIlwain tissue chopper should be determined empirically. The chopped gland should have only small lumps and have a thick slurry-like consistency. 5. This protocol generalizes the requirements to dissociate glands from virgin mice into single cells. Due to the increased mass of pregnant or lactating glands, volumes in Table 1 should be adjusted commensurate with size. 6. Large flocculates may be observed that consist of viable cells held together by DNA released from damaged cells. Although these will disperse when DNase I is added, care must be taken to retain them since they can be easily lost during supernatant aspiration. 7. We routinely use 70 or 100 μm nozzles and sort at low-tomedium sort pressures to achieve consistent viability and yields 8. Avoid the introduction of bubbles into the Matrigel by careful pipetting. If bubbles are introduced, they will be difficult to remove but, by preparing a little extra Matrigel/cell suspension, they may be excluded during future pipetting strokes. Mammary Stem Cell Isolation and Culture 229 A single bubble that has been introduced while pipetting 20 μL drops into the chambers can be occasionally removed by simply drawing the Matrigel back up into the tip and re-pipetting it. 9. To mitigate the sticky nature of 3D colonies during harvesting, care should be taken to avoid unnecessary manipulations and minimize the surfaces that they contact. Additional safeguards include using pipette tips pre-wet with FCS to resuspend the organoids, since tapping can distribute organoids across the Eppendorf tube walls, which will result in cell losses. References 1. Visvader JE, Stingl J (2014) Mammary stem cells and the differentiation hierarchy: current status and perspectives. Genes & Dev 28:1143–1158. 2. Shackleton M, Vaillant F, Simpson KJ et al (2006) Generation of a functional mammary gland from a single stem cell. Nature 439:84–88. 3. Stingl J, Eirew P, Ricketson I et al (2006) Purification and unique properties of mammary epithelial stem cells. Nature 439:993–997. 4. Sleeman KE, Kendrick H, Robertson D et al (2007) Dissociation of estrogen receptor expression and in vivo stem cell activity in the mammary gland. J Cell Biol 176:19–26. 5. Fu NY, Rios AC, Pal B et al (2017) Identification of quiescent and spatially restricted mammary stem cells that are hormone responsive. Nat Cell Biol 19:164–176. 6. Asselin-Labat M-L, Sutherland KD, Barker H et al (2007) Gata-3 is an essential regulator of mammary-gland morphogenesis and luminalcell differentiation. Nat Cell Biol 9:201–209. 7. Bouras T, Pal B, Vaillant F et al (2008) Notch Signaling Regulates Mammary Stem Cell Function and Luminal Cell-Fate Commitment. Cell Stem Cell 3:429–441. 8. Sheridan JM, Ritchie ME, Best SA et al (2015) A pooled shRNA screen for regulators of primary mammary stem and progenitor cells identifies roles for Asap1 and Prox1. BMC Cancer 15, 221. 9. Jamieson PR, Dekkers JF, Rios AC et al (2017) Derivation of a robust mouse mammary organoid system for studying tissue dynamics. Development 144:1065–1071. 10. Smalley MJ, Kendrick H, Sheridan JM et al (2012) Isolation of Mouse Mammary Epithelial Subpopulations: A Comparison of Leading Methods. J Mammary Gland Biol Neoplasia 17:91–97. 11. Pal B, Bouras T, Shi W et al (2013) Global changes in the mammary epigenome are induced by hormonal cues and coordinated by Ezh2. Cell Rep 3:411–426. 12. Asselin-Labat M-L, Sutherland KD, Vaillant F et al (2011) Gata-3 negatively regulates the tumor-initiating capacity of mammary luminal progenitor cells and targets the putative tumor suppressor caspase-14. Mol Cell Biol 31:4609–4622. 13. Li W, Ferguson BJ, Khaled WT et al (2009) PML depletion disrupts normal mammary gland development and skews the composition of the mammary luminal cell progenitor pool. Proc Natl Acad Sci USA 106:4725–4730. 14. Barcellos-Hoff MH, Aggeler J, Ram TG, Bissell MJ (1989) Functional differentiation and alveolar morphogenesis of primary mammary cultures on reconstituted basement membrane. Development 105:223–235 Chapter 17 An Organoid Assay for Long-Term Maintenance and Propagation of Mouse Prostate Luminal Epithelial Progenitors and Cancer Cells Yu Shu and Chee Wai Chua Abstract Historically, prostate luminal epithelial progenitors and cancer cells have been difficult to culture, thus hampering the generation of representative models for the study of prostate homeostasis, epithelial lineage hierarchy relationship and cancer drug efficacy assessment. Here, we describe a newly developed culture methodology that can efficiently grow prostate luminal epithelial progenitors and cancer cells as organoids. Notably, the organoid assay favors prostate luminal cell growth, thus minimizing basal cell dominance upon the establishment and continuous propagation of prostate epithelial cells. Importantly, organoids cultured under this condition have demonstrated preservation of androgen responsiveness and intact androgen receptor signaling, providing a representative system to study castration resistance and androgen receptor independence. Key words Organoid culture, Prostate luminal progenitors, Prostate cancer, Androgen receptor, Genetically engineered mouse, Castration resistance 1 Introduction Recent advances in the three-dimensional culture system have enabled the maintenance and propagation of various cell lineages from different organ systems under defined in vitro conditions [1–3]. In normal prostate, the epithelium consists of three major cell lineages, including luminal cells, basal cells as well as an extremely rare neuroendocrine cell population [4]. The majority of prostate cancers in comparison are adenocarcinomas, which are characterized by an exclusively luminal phenotype [4]. In the past decades, there have been many attempts to establish culture conditions for prostate luminal and cancer cells, but most of these studies have yielded very little promising results [5]. However, these culture conditions are neither optimized for prostate luminal and/or cancer cell survival nor favor long-term propagation of the luminal Ivan Bertoncello (ed.), Mouse Cell Culture: Methods and Protocols, Methods in Molecular Biology, vol. 1940, https://doi.org/10.1007/978-1-4939-9086-3_17, © Springer Science+Business Media, LLC, part of Springer Nature 2019 231 232 Yu Shu and Chee Wai Chua population. With prolonged culture, basal cells will eventually outcompete luminal cells and become the dominant cell population in culture. When using primary mouse or human prostate specimens to isolate different prostate epithelial cell lineages, introduction of tissue dissociation procedures may lead to changes in lineage marker expression (unpublished observation). Consequently, it is extremely difficult to ascertain the lineage origin of sorted cell populations to be used for subsequent optimization of culture conditions. The use of genetically engineered mouse (GEM) models has provided excellent opportunities to study prostate homeostasis, regeneration, tumor initiation, and progression [6]. In particular, lineage tracing using GEM models has identified the first prostate luminal epithelial progenitor population, termed castrationresistant Nkx3.1-expressing cells (CARNs) that can generate basal and luminal cell populations and are capable of serving as a cell of origin for prostate cancer [7]. Using CARNs as a starting population, we have developed and optimized a novel organoid assay that can maintain and propagate the prostate luminal progenitor population as well as other prostate epithelial cells in the long term (Figs. 1, 2 and 3) [8, 9]. Notably, using lineage-marked prostate luminal and basal cells derived from GEM models, we have convincingly demonstrated that the culture method favors luminal cell growth. Moreover, under this culture condition, prostate luminal progenitors can generate basal progeny, implying a model that recapitulates in vivo condition. While organoids derived from basal cells are generally much smaller in size, co-culture of basal and luminal cells can promote organoid growth (Fig. 4). These results have indicated that our organoid methodology minimizes the basal cell dominance issue in prostate epithelial culture and can serve as a representative model for the study of prostate homeostasis. More importantly, the organoid assay has facilitated the establishment of various tumor organoid lines from GEM models of prostate cancer (Fig. 5). Notably, derived organoids demonstrate preservation of androgen responsiveness and intact androgen receptor signaling, which are highly crucial and relevant for the study of prostate homeostasis as well as cancer initiation and progression (Fig. 6). Lastly, it is worth noting that another study has also established an ENR (EGF, Noggin, R-spondin)-based organoid culture condition, which enables the growth of both prostate basal and luminal epithelial cells [10]. Because this assay favors the growth of basal over luminal cells [10], it remains unclear whether basal and luminal cells in the derived organoids can be maintained equally after serial passaging. Here, we describe a comprehensive protocol, which involves the use of hepatocyte-based medium that is cost-effective and easy to prepare for the isolation, maintenence and propagation of mouse prostate luminal progenitors and cancer cells as organoids. We also Organoid Culture for Prostate Luminal progenitors and Cancer Cells 233 present detailed protocols for the characterization of various organoid types as well as growth and gene expression assessment of prostate epithelial organoids in response to androgen withdrawal. 2 Materials We have included suppliers and catalogue numbers for certain reagents because in our hands, we have found that similar reagents from other suppliers do not perform as well. 2.1 Mouse Models See Table 1 for primers used to genotype major GEM models listed below. 1. To lineage-mark the prostate luminal progenitor population, CARNs, castrate 8–12 weeks old Nkx3.1CreERT2/+; R26R-YFP/ + mice and treat the mice with tamoxifen (Sigma #T5648) (9 mg per 40 g body weight in corn oil) by daily oral gavage for 4 consecutive days after a month of castration. Dissect and analyze the mice after a month of tamoxifen induction (see Note 1). 2. Use the following Cre- or inducible Cre-expressing mouse models to isolate different prostate epithelial and cancer cells (see Note 2): (a) Nkx3.1Cre/+; R26R-YFP/+: Lineage-marks all prostate epithelial cells during embryonic stage (b) Nkx3.1CreERT2/+; R26R-YFP/+: Lineage-marks mainly prostate luminal cells as well as a small prostate epithelial population that co-expresses basal and luminal markers upon tamoxifen induction at adult stage (c) CK8-CreERT2; R26R-YFP/+ or CK18-CreERT2; R26RYFP/+: Lineage-marks prostate luminal cells upon tamoxifen induction at adult stage (d) Various types of GEM model of prostate cancer that carry R26R-YFP allele, such as Nkx3.1CreERT2/+; Pten flox/flox; R26R-YFP/+ (NP), Nkx3.1CreERT2/+; Pten flox/flox; R26R-YFP/+ (NPK), and KrasLSL-G12D/+; Nkx3.1CreERT2/+; Pten flox/flox; p53 flox/flox; R26R-YFP/+ (NPP53): Lineage-marks and oncogenic transforms prostate epithelial cells upon tamoxifen induction at adult stage 3. Prepare the following mice for isolation of unlabeled prostate epithelial and cancer cells: (a) Wild-type C56BL/6 mice—for isolation of prostate epithelial cells 234 Yu Shu and Chee Wai Chua Table 1 Primers used for mouse genotyping Allele Amplicon size Forward 0 Reverse Nkx3.1CreERT2 500 bp 5 -CAG ATG GCG CGG CAA CAC C-30 50 -GCG CGG TCT GGC AGT AAA AAC-30 Nkx3.1 wildtype 500 bp 50 -CTC CGC TAC CCT AAG CAT CC-30 50 -GAC ACT GTC ATA TTA CTT GGA CC-30 Nkx3.1 null 232 bp 50 -TTC CAC ATA CAC TTC ATT CTC AGT-30 50 -GCC AAC CTG CCT CAA TCA CTA AGG-30 Nkx3.1 wildtype 707 bp 50 -GTC TTG GAG AAG AAC TCA CCA TTG-30 50 -GCC AAC CTG CCT CAA TCA CTA AGG-30 CreERT2 500 bp 50 -CAG ATG GCG CGG CAA CAC C-30 50 -GCG CGG TCT GGC AGT AAA AAC-30 R26R-YFP 320 bp 50 -AAA GTC GCT CTG AGT TGT TAT-30 50 -AAG ACC GCG AAG AGT TTG TC-30 R26R wild-type 600 bp 50 -AAA GTC GCT CTG AGT TGT TAT-30 50 -GGA GCG GGA GAA ATG GAT ATG-30 R26R-Tomato 196 bp 50 -CTG TTC CTG TAC GGC ATG G-30 50 -GGC ATT AAA GCA GCG TAT CC-30 R26R-CAGYFP 212 bp 50 -ACA TGG TCC TGC TGG AGT TC-30 50 -GGC ATT AAA GCA GCG TAT CC-30 R26R wild-type 297 bp 50 -AAG GGA GCT GCA GTG GAG TA-30 50 -CCG AAA ATC TGT GGG AAG TC-30 Pten flox 320 bp 50 -CAA GCA CTC TGC GAA CTG AG-30 50 -AAG TTT TTG AAG GCA AGA TGC-30 Pten wild-type 156 bp 50 -CAA GCA CTC TGC GAA CTG AG-30 50 -AAG TTT TTG AAG GCA AGA TGC-30 Pten null 320 bp 50 -TTG CAC AGT ATC CTT TTG AAG-30 50 -ACG AGA CTA GTG AGA CGT GC-30 Pten wild-type 240 bp 50 -TTG CAC AGT ATC CTT TTG AAG-30 50 -GTC TCT GGT CCT TAC TTC C-30 KrasLSL-G12D 550 bp 50 -AGC TAG CCA CCA TGG CTT GAG TAA GTC TGC A-30 50 -CCT TTA CAA GCG CAC GCA GAC TGT AGA-30 Kras wild-type 500 bp 50 -GTC GAC AAG CTC ATG CGG GTG-30 50 -CCT TTA CAA GCG CAC GCA GAC TGT AGA-30 TRAMP 650 bp 50 -GCG CTG CTG ACT TTC TAA ACA TAA G-30 50 -GAG CTC ACG TTA AGT TTT GAT GTG T-30 p53 flox 370 bp 50 -CAC AAA AAC AGG TTA AAC CCA G-30 50 -AGC ACA TAG GAG GCA GAG AC-30 (continued) Organoid Culture for Prostate Luminal progenitors and Cancer Cells 235 Table 1 (continued) Allele Amplicon size Forward p53 wild-type 288 bp 50 -CAC AAA AAC AGG TTA AAC CCA G-30 50 -AGC ACA TAG GAG GCA GAG AC-30 Hi-Myc 177 bp 50 -AAA CAT GAT GAC TAC CAA GCT TGG C-30 50 -ATG ATA GCA TCT TGT TCT TAG TCT TTT TCT TAA TAG GG-30 Reverse (b) Various types of GEM model of prostate cancer that are not lineage-marked, such as TRAMP, Nkx3.1/, Hi-Myc and Nkx3.1+/; Pten+/ mice (see Note 3). 2.2 General Equipment and Consumables 1. CO2 euthanasia chamber. 2. Laminar flow hood or biological safety cabinet. 3. Dissecting microscope. 4. Micro-dissecting instruments. 5. P20, P200, and P1000 pipettes and pipette tips. 6. Water baths set at 37 C and 55 C. 7. CO2 incubator. 8. Centrifuges (for Eppendorf and Falcon tubes). 9. Orbital shaker. 10. Hemocytometer/automated cell counter. 11. BD FACSAria cell sorter (or similar). 12. Olympus IX51 inverted microscope with fluorescent lamp, camera, and computer (or similar). 13. Tissue processor and embedder. 14. Leica microtomes, histology water bath, and slide warmer (or similar). 15. Leica cryostats (or similar). 16. Histology microscope. 17. Leica SP5 confocal microscope (or similar). 18. Eppendorf Mastercycler Realplex2 (or similar). 19. Luminometer plate reader. 20. Food steamer. 21. DAKO pen. 22. Humidified chamber. 23. Insulated cryofreezing container. 236 Yu Shu and Chee Wai Chua 24. Sterile petri dishes. 25. 96-well low attachment plates (Corning #3474). 26. 1.5 mL Eppendorf tubes. 27. 15 and 50 mL Falcon tubes. 28. Cell strainer 40 and 70 μm. 29. 1.8 mL cryotubes. 30. Parafilm. 31. Cryomold for biopsy specimen 10 10 5 mm, 100/pcs. 32. Greiner 96-well CELLSTAR plate (or similar opaque-walled 96-well plate). 2.3 Prostate Dissection and Dissociation, and Preparation of Single Cell Suspension 1. Phosphate-buffered saline (PBS) for dissection. 2. 10 collagenase/hyaluronidase solution (STEMCELL Technologies #07912). 3. Dulbecco’s Modified Eagle Medium: Nutrient Mixture F12 supplemented with 5% fetal bovine serum (FBS). 4. 0.25% trypsin-EDTA (STEMCELL Technologies #07901). 5. Hanks’ balanced salt solution modified (HBSS) (STEMCELL Technologies #37150) supplemented with 2% FBS. 6. Dispase 5 U/mL (STEMCELL Technologies #07913). 7. DNase I solution 1 mg/mL (STEMCELL Technologies #07900). 8. 0.4% trypan blue solution. 9. Reconstitute ROCK inhibitor Y-27632 (STEMCELL Technologies #72302) in PBS to make 5 mM stock solution (see Note 4). 2.4 FluorescenceActivated Cell Sorting (FACS) 1. APC anti-mouse EpCAM antibody (BioLegend #118214). 2. PerCP-Efluor710 anti-mouse/human E-cadherin antibody (eBiosciences #46-3249-82). 3. Prepare 0.5 mg/mL DAPI solution by dissolving DAPI powder in Milli-Q water (see Note 5). 4. Prepare collecting medium consisting of HBSS supplemented with 2% FBS and 10 μM ROCK inhibitor Y-27632. 2.5 Prostate Epithelial Organoid Culture 1. Hepatocyte Culture Media Kit (Corning #355056) (see Note 6). 2. Prepare heat-inactivated charcoal-stripped FBS by heating the reagent in 55 C water bath for 60 min (see Note 7). 3. 100 Glutamax. 4. Matrigel (Corning #354234) (see Note 8). Organoid Culture for Prostate Luminal progenitors and Cancer Cells 237 5. 5 mM stock solution of ROCK inhibitor Y-27632. 6. 105 M dihydrotestosterone (DHT, Sigma #A-8380) in absolute ethanol (see Note 9). 7. 100 antibiotic-antimycotic. 2.6 Organoid Passage and Preparation of Frozen Organoid Stocks 1. Cold PBS. 2. 0.25% trypsin-EDTA. 3. HBSS supplemented with 2% FBS. 4. Organoid media with complete supplements (see Subheading 3.3). 5. Dispase 5 U/mL. 6. DNase I solution 1 mg/mL. 7. FBS. 8. Dimethyl sulfoxide (DMSO). 2.7 Histology and Immunostaining of Organoids 1. 10% neutral buffered formalin. 2. 4% paraformaldehyde (PFA) solution in PBS. 3. 30% sucrose in PBS. 4. Tissue-Tek OCT compound. 5. Collagen I, high concentration, rat tail, 100 mg (Corning #354249). 6. Prepare setting solution for collagen I by combining 100 mL 10 RPMI (with phenol red), 7.5 mL 1 M NaOH, and 42.5 mL Milli-Q water (see Note 10). 7. Citrus Clearing Solvent (or xylene). 8. 70%, 95%, and 100% ethanol. Prepare 70% and 95% ethanol by diluting 100% ethanol with Milli-Q water. 9. Hematoxylin and eosin stains. 10. 0.5% acid alcohol. 11. Scott water. 12. ClearMount mounting medium. 13. Prepare 3% hydrogen peroxide solution by diluting 30% hydrogen peroxide solution with Milli-Q water. 14. Antigen unmasking solution, citrate acid based. 15. Normal goat serum. 16. Prepare 1 PBS from 10 PBS solution. 17. Prepare 0.1% and 0.5% PBST by adding 1 and 5 mL of Triton X-100 to 999 and 995 mL 1 PBS, respectively. Mix well the solution prior to use. 18. Primary antibodies (refer to Table 2). 238 Yu Shu and Chee Wai Chua Table 2 Antibodies used for immunofluorescent staining Antigen Supplier Species Dilution Remarks AR Sigma #A9853 Rabbit CK5 BioLegend #905901 Chicken 1:500 Basal marker (formerly Covance #SIG-3475) CK5 BioLegend #905501 Rabbit 1:500 Basal marker (formerly Covance #PRB-160P) CK8 Abcam #ab14053 Chicken 1:500 Luminal marker (discontinued) CK8 Abcam #ab53280 Rabbit 1:200 Luminal marker CK8/18 Developmental Studies Hybridoma Rat Bank #TROMA-1 1:100 Luminal marker CK18 Abcam #ab668 Mouse 1:100 Luminal marker FoxA1 Abcam #ab55178 Mouse 1:100 Epithelial lineage marker GFP Abcam #ab13970 Chicken 1:1000 GFP Abcam #ab290 Rabbit 1:1000 GFP Roche #11814460001 Mouse 1:100 p63 Santa Cruz #sc-8343 Rabbit 1:50 phospho- Cell Signaling #3787 Akt Rabbit 1:100 phospho- Cell Signaling #4370 Erk Rabbit 1:200 Ki67 Rat 1:1000 Proliferation marker eBiosciences #14–5698 1:1000 With tyramide amplification (less background staining) Use 1:500 with tyramide amplification 19. Alexa-fluor-conjugated secondary antibodies. 20. Tyramide signal amplification kit. 21. 0.5 mg/mL DAPI solution. 22. Antifade mounting medium. 2.8 Growth and Gene Expression Assessment of Organoids 1. CellTiter-Glo 3D Cell Viability Assay (Promega #G9681). 2. TRIzol reagent. 3. MagMAX 96 for Microarray Total RNA Isolation Kit (Ambion, Life Technologies #AM1839). 4. Superscript First-Strand Synthesis System for RT-PCR (Invitrogen #11904-018). 5. SYBR green master mix reagent. 6. Primers (refer to Table 3 for primer sequences). Organoid Culture for Prostate Luminal progenitors and Cancer Cells 239 Table 3 Primers used for quantitative real-time PCR Amplicon Allele size Forward Reverse Fkbp5 172 bp 5 -TGA GGG CAC CAG TAA CAA 50 -CAA CAT CCC TTT GTA GTG GAC TGG-30 AT-30 Mme 198 bp 50 -CTC TCT GTG CTT GTC TTG 50 -GAC GTT GCG TTT CAA CCA GC-30 CTC-30 Psca 103 bp 50 -GGA CCA GCA CAG TTG CTT 50 -GTA GTT CTC CGA GTC ATC CTC TAC-30 A-30 Igfbp3 101 bp 50 -CCA GGA AAC ATC AGT GAG 50 -GGA TGG AAC TTG GAA TCG GTC TCC-30 A-30 3 0 Methods The volume of reagents detailed below is for dissociation of an intact prostate from an 8- to 12-week-old C57BL/6 wild-type mouse. For larger prostate specimens, such as those from GEM models of prostate cancer, adjust the volume of reagents proportionally (see Note 11). 3.1 Prostate Dissection, Dissociation, and Preparation of Single Cell Suspension 1. In tissue culture hood, prepare 1 collagenase/hyaluronidase solution by combining 200 μL 10 solution and 1.8 mL DMEM/F12 supplemented with 5% FBS. Warm solution in 37 C water batch for at least 30 min prior to use. 2. Harvest whole urogenital system and transfer to sterile petri dish containing cold PBS for prostate dissection. Using a dissecting microscope, fine forceps, and tweezers, remove residual fats, connective tissues, and unrelated organs such as the bladder, ureters, seminal vesicles, and urethra (see Note 12). 3. Fill 1.5 mL Eppendorf tube with 0.75 mL pre-warmed 1 collagenase/hyaluronidase solution and transfer prostate tissue into the tube. Using small and sharp sterile scissors, lacerate prostate tissue by rapidly opening and closing scissors inside the tube until no visible tissue chunks are seen. Fill up the tube by adding 0.75 mL pre-warmed 1 collagenase/hyaluronidase. Incubate in 37 C CO2 incubator for 3 h with periodic shaking of tube once every hour (see Note 13). 4. Spin down digested tissue at 350 g for 5 min in pre-cooled centrifuge and discard supernatant. Resuspend pellet in 1.5 mL cold 0.25% trypsin-EDTA and incubate in 4 C refrigerator for 1 h (see Note 14). 240 Yu Shu and Chee Wai Chua 5. During trypsin-EDTA incubation, warm 900 μL dispase in 37 C water bath for at least 10–15 min prior to use. At the same time, thaw DNase I solution by leaving the tube carrying the solution on ice. Immediately before use, warm 100 μL DNase I solution briefly prior to combining with dispase solution. 6. After trypsinization step, transfer digested tissue in trypsinEDTA into 15 mL Falcon tube containing 3 mL cold HBSS supplemented with 2% FBS (equal to 2 volume of trypsinEDTA) to quench trypsin reaction. Centrifuge at 350 g for 5 min and discard supernatant. 7. Resuspend pellet with 1 mL pre-warmed dispase/DNase I solution. Pipette vigorously for 1–2 min using P1000 pipette to dissociate cells from extracellular matrices (see Note 15). 8. Add 5 mL cold HBSS supplemented with 2% FBS (equal to 5 volume of dispase 5 U/mL) to dilute dispase to <1 U/mL. Using a 40 μm cell strainer, filter cell suspension into a sterile 50 mL Falcon tube. 9. Spin down at 350 g for 5 min and discard supernatant. Resuspend pellet in 500 μL cold HBSS supplemented with 2% FBS and transfer to 1.5 mL Eppendorf tube. Perform viable cells counting using a hemocytometer or automated cell counter and trypan blue (see Note 16). 3.2 Isolation of Lineage-Marked Populations and Unlabeled Epithelial or Cancer Cells through FACS 1. (A) To isolate lineage-marked CARNs or prostate cancer cells derived from various GEM models of prostate cancer, resuspend cells in cold HBSS supplemented with 2% FBS and 0.05 μg/mL DAPI at 0.2–0.4 million cells/100 μL solution (see Note 17). (B) Prepare the following tubes for isolation of lineage-marked population (using CARNs as an example): (a) No stain control—105 cells isolated from regressed prostates of C57BL/6 mice or castrated and tamoxifen-induced Nkx3.1CreERT2/+ mice in 100 μL HBSS supplemented with 2% FBS (b) DAPI control—105 cells isolated from regressed prostates of C57BL/6 mice or castrated and tamoxifeninduced Nkx3.1CreERT2/+ mice in 100 μL HBSS supplemented with 2% FBS and 0.05 μg/mL DAPI (c) Endogenous YFP control—105 cells isolated from castrated and tamoxifen-induced Nkx3.1CreERT2/+; R26R-YFP/+ mice in 100 μL HBSS supplemented with 2% FBS (d) Actual sample—one million cells isolated from castrated and tamoxifen-induced Nkx3.1CreERT2/+; R26R- Organoid Culture for Prostate Luminal progenitors and Cancer Cells 241 YFP/+ mice in 100 μL HBSS supplemented with 2% FBS and 0.05 μg/mL DAPI Use tubes 1–3 to determine true YFP-positive cells. In particular, use FACS plot of tube 1 to determine background staining; use FACS plot of tube 2 to exclude DAPI positive cells, which are the dying cells; and then compare FACS plots of tubes 2 and 3 to estimate YFP-positive cells that are not DAPI positive. 2. (A) For isolation of unlabeled mouse prostate epithelial or cancer cells, divide cell suspension into four 1.5 mL Eppendorf tubes and perform antibody staining as follows: (a) Unstained control—105 cells in 100 μL HBSS supplemented with 2% FBS (b) APC single stain control—add 0.5 μL APC antimouse EpCAM antibody to 105 cells in 100 μL HBSS supplemented with 2% FBS (c) PerCP-Efluor710 single stain control—add 0.5 μL PerCP-Efluor710 anti-mouse/human E-cadherin antibody to 105 cells in 100 μL HBSS supplemented with 2% FBS (d) Actual sample—resuspend cells at one million cells per 100 μL HBSS supplemented with 2% FBS. For every million cells, add 2 μL APC anti-mouse EpCAM antibody (1:50) and 0.5 μL PerCPEfluor710 anti-mouse/human E-cadherin antibody (1:200) to the cell suspension (B) Incubate tubes on ice and in dark for 25 min. Subsequently, centrifuge at 350 g at 4 C for 5 min, discard supernatant, and wash cell pellet with PBS. Repeat centrifugation again to spin down the cells. Lastly, resuspend cells in control tubes and tube carrying the actual sample with 250 and 800 μL cold HBSS supplemented with 2% FBS and 0.05 μg/mL DAPI, respectively. 3. Perform cell sorting through a sterile FACS facility and collect lineage-marked cells, EpCAM+ and/or E-Cad+ prostate epithelial or cancer cells with sterile 1.5 mL Eppendorf tubes containing 500 μL cold HBSS supplemented with 2% FBS and 10 μM ROCK inhibitor Y-27632. Keep the collected cells on ice until ready to plate (see Note 18). Refer to Fig. 1 for representative FACS plots and sort gates for isolation of lineage-marked CARNs and EpCAM+ and/or E-Cad+ prostate epithelial cells. 3.3 Establishment of Organoid Culture 1. Prepare 50 mL basal organoid culture media by combining the following components (see Note 19): 242 Yu Shu and Chee Wai Chua Fig. 1 Isolation of CARNs and prostate epithelial cells by flow cytometry. (a) Representative FACS plot for isolation of lineage-marked YFP-positive CARNs. (b) Representative FACS plot for isolation of EpCAM+ and/or E-Cad+ prostate epithelial cells. Figure is adapted from Figs. 1b and 2a in ref. 8 (a) Hepatocyte medium (47 mL). (b) 10 ng/mL EGF (100 μL of 5 μg/mL stock prepared in PBS) (c) 5% heat-inactivated charcoal-stripped FBS (2.5 mL) (d) 1 Glutamax (500 μL 100 stock solution) 2. On the day of plating, prepare 10 mL (or desired amount) complete organoid culture medium by combining the following components: (a) Basal organoid medium (10 mL). (b) 5% Matrigel (500 μL) (c) 10 μM ROCK inhibitor Y-27632 (20 μL of 5 mM stock) (d) 100 nM DHT (100 μL of 105 M stock) (e) 1 antibiotic-antimycotic (100 μL 100 stock solution; optional) Warm prepared organoid culture media at 37 C for 30 min prior to use (see Note 20). 3. Spin down sorted cells at 350 g for 5 min and then resuspend in complete organoid culture media at a density of 250–1000 lineage-marked CARNs, 5000–10,000 prostate epithelial cells or 1000–5000 prostate cancer cells per 100 μL media. For example, if prostate epithelial cells are collected at 100,000 cells per Eppendorf tube, resuspend the cells in 1–2 mL media. Transfer resuspended cells to 96-well low attachment plate at 100 μL per well for desired final plating density. 4. Add 100 μL fresh medium every 4 days. When wells are almost full after addition of new media for twice, transfer the media from each well to a 1.5 mL Eppendorf tube. Centrifuge tubes Organoid Culture for Prostate Luminal progenitors and Cancer Cells 243 at 250 g for 5 min, remove 250 μL supernatant, and add 100 μL fresh media (total volume will be approximately 150 μL) before transferring organoids back to a new 96-well low attachment plate (see Note 21). 5. At day 7 of plating, calculate efficiency of organoid formation by averaging numbers of visible organoids in each well under a 10 objective (see Note 22). Refer to Figs. 2a, b, 3a, b, 4a, c, and 5a, f–j for morphology of organoids derived from lineage-marked CARNs, EpCAM+ and/or E-Cad+ prostate epithelial cells, lineage-marked basal and luminal cells as well as various GEM model-derived prostate cancer cells. 3.4 Organoid Propagation and Preparation of Frozen Stocks 1. After 3–5 weeks of plating, organoids can grow up to >200 μm in diameter. To passage the organoids, transfer them into 1.5 mL Eppendorf tube, centrifuge at 350 g for 5 min, and discard supernatant. Wash cell pellet in cold PBS and then perform another round of centrifugation at 350 g for 5 min to spin down the cells. Repeat washing step until Matrigel is no longer seen on top of pelleted cells (see Note 23). 2. After removal of supernatant, add 1 mL warm 0.25% trypsinEDTA to tube and incubate in a 37 C water bath for 5–10 min. During the incubation period, pipette up and down for 30 s occasionally with P200 pipette tip to facilitate cell dissociation. In the case of very large organoids or organoids that are difficult to dissociate, separate dissociated cells from large organoids by filtering cell suspension with a 70 μm cell strainer. Quench trypsin reaction on dissociated cells with addition of HBSS supplemented with 2% FBS (2 volume of trypsin-EDTA) while continuing trypsinization on large organoids (see Note 24). 3. For single cell dissociation, add dispase/DNase I, pipette up and down vigorously for 2 min, and filter cell suspension with 40 μm cell strainer. 4. Upon the completion of trypsinization step (with or without dispase/DNase I step), transfer cell suspension into a 15 mL Falcon tube prefilled with 2 mL cold HBSS supplemented with 2% FBS. Spin down the cells by centrifugation at 350 g for 5 min and discard supernatant. Resuspend cell pellet in fresh media and plate onto a new 96-well low attachment plate (see Note 25). 5. Freeze organoids at any point during a passage cycle by pooling 4–6 wells of organoids, centrifuging at 350 g for 5 min, and resuspending in 1 mL freezing media containing 80% FBS, 10% basal hepatocyte culture media, and 10% DMSO in 1.8 mL cryotubes. Use an insulated cryofreezing container to gradually 244 Yu Shu and Chee Wai Chua freeze the cells to 80 C. Transfer frozen stocks to liquid nitrogen tank for long-term storage. 6. To thaw frozen organoid stock, warm the cryotube rapidly in a 37 C water bath until only a small piece of ice is seen in the tube. Immediately transfer 1 mL of organoids containing freezing media to a 15 mL Falcon tube prefilled with 10 mL cold HBSS supplemented with 2% FBS to dilute DMSO. Spin down thawed organoids at 350 g for 5 min, resuspend in organoid culture media, and plate onto a new 96-well low attachment plate (see Note 26). 3.5 Characterization and Analysis of Organoids 3.5.1 Histology and Immunostaining Organoid Specimens Processing and Sectioning 1. To perform histopathological evaluation and molecular characterization, fix organoids with either 10% neutral buffered formalin (for paraffin embedding) or cold 4% PFA (for OCT embedding) at room temperature (RT) for 1–4 h depending on organoid size. Wash the fixed organoids with three changes of cold PBS by repeatedly centrifuging at 250 g for 5 min, discarding supernatant, and resuspending in fresh PBS. 2. For paraffin embedding, after last washing step, mix spun down organoids with 20–50 μL cold 9:1 collagen I/setting solution mixture. Prepare the collagen/setting solution mixture on ice at all time. When resuspending organoids with collagen solution, use a P200 pipette tip that is cut at the tip region for wider opening to allow homogeneous mixing of collagen and organoids. Avoid generation of bubbles during pipetting and place the organoid and collagen solution mixture on parafilm as a button and leave on a petri dish. Allow the collagen button to solidify in 37 C incubator for 30 min (see Note 27). 3. Slowly transfer the solidified collagen button into 1.5 mL Eppendorf tube prefilled with 10% neutral buffered formalin and fix overnight at RT. On the following day, wash the fixed button with three changes of PBS and then leave the sample in a tissue processor for dehydration, clearing, and infiltration of paraffin. Embed the processed collagen button by pressing and leaving the wider surface of the button on a stainless steel base mold before filling up with paraffin and placing on a cold platform. 4. For OCT embedding, after washing and spinning down the fixed organoids, resuspend them in cold 30% sucrose solution. Incubate at 4 C for overnight or until all organoids sink to the bottom of tube. Remove sucrose solution and transfer organoids in residual sucrose solution to cryomold for biopsy specimen prefilled with a thin layer of OCT compound. Use forceps to mix organoid with OCT compound and then place them close to the center base of cryomold using a dissecting microscope. Once organoids are positioned correctly, fill up Organoid Culture for Prostate Luminal progenitors and Cancer Cells 245 cryomold with additional OCT compound and place on dry ice to flash freeze the sample (see Note 28). 5. Cut paraffin- or OCT-embedded organoids at a thickness of 4 μm per section. Use freshly cut paraffin sections for best immunostaining result. When cutting OCT blocks, perform serial sectioning until organoids are no longer seen on the sections by checking through a histology microscope. Leave OCT sections at RT for 30 min before storing at 20 or 80 C freezer or proceeding with immunostaining (see Note 29). Hematoxylin and Eosin (H&E) and Immunofluorescent (IF) Stainings 1. Use paraffin sections for H&E staining. Perform paraffin clearing and rehydration of slides by going through two changes of Citrus Clearing Solvent step (9 min each), two changes of 100% ethanol (7 min each), two changes of 95% ethanol (3 min each), and one change of 70% ethanol (1 min) before transferring to Milli-Q water for 5 min. From this point onward, avoid drying out sections at all time. 2. Immerse the slides in hematoxylin solution for 2 min and 30 s, transfer to running tap water for 1 min to wash out excessive hematoxylin, and then immerse into 0.5% acid alcohol for 30 s for differentiation. Put the slide in running tap water again for 1 min prior to a bluing step using Scott water for 1 min. Immerse the slides again in tap water for 2 min before putting into 95% alcohol for 1 min and then eosin solution for 3 min. Prior to mounting, dehydrate the slide by going through four changes of absolute alcohol for 30 s, 1 min, 2 min, and 3 min, respectively (see Note 30). Refer to Figs. 2c, d, 3c, d, and 5b, k–o for representative H&E-stained images for organoids derived from lineagemarked CARNs, EpCAM+, and/or E-Cad+ prostate epithelial cells and GEM model-derived prostate cancer cells. 3. Use paraffin or OCT section for IF staining. When using paraffin sections, perform clearing and rehydration steps as described in step 1. For OCT sections, bring out the sections from freezer, leave at RT for 30 min to 1 h, and then wash with two changes of Milli-Q water for 5 min each. From this point onward, avoid drying out sections at all time. Block endogenous peroxidase activity of organoids with 3% hydrogen peroxide solution for 20 min and then wash in Milli-Q water for 5 min (see Note 31). 4. Perform antigen retrieval by immersing slides into citrate acidbased antigen unmasking solution and leave in a food steamer for 45 min. Upon the completion of antigen retrieval step, cool down slides by leaving in refrigerator or cold room for 15 min and then wash with PBS for 5 min. Subsequently, perform permeabilization step by incubating paraffin sections with 0.5% PBST for 15 min or OCT sections with 0.1% PBST for 246 Yu Shu and Chee Wai Chua 10 min and followed by another washing step with PBS for 5 min. 5. Circle sections with DAKO pen to confine reagents used in the following steps. Incubate in 10% normal goat serum in PBS (or serum of species, in which secondary antibody is raised) at RT for 1 h. Prepare primary antibody of choice (up to three primary antibodies of different species) in 5% normal goat serum in PBS. Apply antibody (or mixture of antibodies) to sections and incubate at 4 C for overnight in a humidified chamber (refer to Table 2 for information of primary antibodies). 6. Wash sections with one change of 0.1% PBST and two changes of PBS for 5 min in each change. Prepare fluoresceinconjugated secondary antibody that recognizes primary antibody used (up to three secondary antibodies conjugated with different fluorochromes) in 5% normal goat serum in PBS with addition of 1:500 0.5 mg/mL DAPI solution. Apply antibody (or mixture of antibodies) to sections and incubate at RT for 1 h (see Note 32). 7. In the case of tyramide signal amplification, prepare HRP-conjugated secondary antibody alone or together with other fluorochrome-conjugated secondary antibodies in 5% normal goat serum in PBS with addition of 1:500 0.5 mg/ mL DAPI solution. Apply antibody (or mixture of antibodies) to sections and incubate at RT for 1 h. 8. Wash sections with one change of 0.1% PBST and two changes of PBS for 5 min in each change (in the case of tyramide signal amplification, refer to step 9). Mount sections with antifade mounting medium and then cover with coverslip. Press on the coverslip to remove excessive mounting medium and bubbles, and seal coverslip with nail polish. 9. Prepare tyramide amplification solution as suggested by the manufacturer’s protocol. Apply tyramide amplification solution at RT for 6 min (see Note 33). Wash sections with 0.1% PBST/ PBS (5 min, 0.1% PBST—one change and followed by PBS— two changes). Repeat step 8. 10. Store slides in dark at 4 C. For consistent result, visualize stainings and take images within 1–2 weeks using a confocal microscope. Refer to Figs. 2e–h, 3e–h, 4b, d, f, 5c–e, and 6c, d for IF stainings of various markers in organoids derived from lineagemarked CARNs, EpCAM+, and/or E-Cad+ prostate epithelial cells, lineage-marked basal and luminal cells, GEM model-derived prostate cancer cells, as well as prostate epithelial organoids grown in the presence or absence of DHT. Fig. 2 Assessment of organoids derived from CARNs. (a, b) Bright-field (a) and epifluorescent (b) views of CARN-derived organoids that are either partially filled or with hollow lumen (arrow). (c, d) Representative H&Estained CARN-derived organoids at low (c) and high (d) magnification views. (e–h) Organoid derived from lineage-marked CARNs demonstrates uniformed YFP expression and high cellular proliferation as shown by Ki67 immunostaining (arrows, e) and correct localization of basal cells at the outer region as marked by CK5 (arrowheads) and the luminal cells at the internal region as marked by CK8 (f). The organoid also expresses AR (arrows, g) and epithelial lineage marker, FoxA1 (h). Scale bars in a–c corresponding to 100 μm and in d–h to 50 μm. Figure is adapted from Fig. 1c–j in ref. 8 Fig. 3 Characterization of organoids derived from EpCAM+ and/or E-Cad+ prostate epithelium. (a, b) Low (a) and high (b) magnification views of organoids derived from EpCAM+ and/or E-Cad+ sorted prostate epithelial cells at 20 days of plating that demonstrate heterogeneous phenotype. (c, d) Representative H&E-stained EpCAM+ and/or E-Cad+ sorted prostate epithelial cell-derived organoids. (e–h) Organoid derived from prostate epithelial cells expresses proliferation marker, Ki67 (arrows, e), demonstrates localization of basal cells at the outer layer as marked by p63 (arrowheads) and the luminal cells at the internal layers as marked by CK18 (f). The organoid also contains cells that co-expresses AR and CK8 (arrows, g) as well as epithelial lineage marker, FoxA1 (arrows, h). Scale bars in a–c corresponding to 100 μm and in d–h to 50 μm. Figure is adapted from Fig. 2b–f and h–j in ref. 8 248 Yu Shu and Chee Wai Chua Fig. 4 Assessment of organoid-forming ability of lineage-marked basal or luminal prostate epithelial cells. (a) Organoid derived from YFP-labeled prostate basal epithelial cells. (b) CK5-trace organoid contains mostly CK5-positive cells, including internal cells (arrowheads). (c) Organoid derived from YFP-labeled prostate luminal epithelial cells. (d) CK8-trace organoid contains some CK5-positive cells at the outer layer (arrowheads). (e) Comparison of organoid formation efficiency between CK5-trace (n ¼ 4 experiments), CK8-trace (n ¼ 3 experiments), and CK18-trace (n ¼ 2 experiments) prostate epithelial cells. (f) Organoid derived from mixing of red CK18-trace luminal cells and green CK5-trace basal cells demonstrates green cells at the outer layer (arrowheads), consistent with the localization of basal cells. Scale bars in a–d and f corresponding to 50 μm. Figure is adapted from Fig. 3c–e, g, h, and n in ref. 8 Organoid Culture for Prostate Luminal progenitors and Cancer Cells 249 Fig. 5 Generation of tumor organoids from GEM models of prostate cancer. (a–e) Organoids derived from transformed CARNs isolated from castrated and tamoxifen-induced Nkx3.1CreERT2/+; Pten flox/flox; KrasLSL-G12D/ + ; R26R-YFP/+ (NPK) mice. NPK-CARN tumor organoid is YFP positive with extensive budding (a) and mostly filled morphology as evidenced by H&E staining (b), highly proliferative as marked by Ki67 (c) and expresses pAKT (d) and patchy pERK (arrows, e), consistent with the Pten deletion and Kras-G12D activation phenotype. (f–o) Bright-field (f–j) and H&E-stained sections of tumor organoids derived from various GEM models of prostate cancer through FACS sorting of EpCAM+ and/or E-Cad+ population. Showings are organoids generated from 22-week-old TRAMP mice (f, k), tamoxifen-induced Nkx3.1CreERT2/+; Pten flox/flox; p53 flox/flox (NPP53) mice at 2 months old and assayed after 8 months (g, l), 14-month-old Nkx3.1/ mice (h, m), 9-month-old Hi-Myc transgenic mice (i, n) and 10-month-old Nkx3.1+/; Pten+/ mice (j, o). Scale bars in a, b, and f–o corresponding to 100 μm and in c–e to 50 μm. Figure is adapted from Figs. 4b–f and 5a–j in ref. 8 3.5.2 Growth and Gene Expression Assessment (See Note 34) CellTiter-Glo Assay for Growth Assessment 1. To assess cell growth in response to androgen withdrawal, passage prostate epithelial cell-derived organoids and plate equal amount of organoids onto 96-well low attachment plate in the presence or absence of 100 nM DHT (see Note 35). 2. Assay cell viability at days 1, 3, and 5 after plating using CellTiter-Glo 3D (Promega) with five technical replicates for each time point. Briefly, thaw CellTiter-Glo 3D reagent at 4 C and leave at RT for at least 15 min prior to use. Add 100 μL of the reagent into each well, which contains approximately 100 μL culture medium. 3. Shake the 96-well low attachment plate vigorously at RT for 10 min and then transfer the mixture to an opaque-walled 96-well plate. Incubate at RT for 10 min prior to measurement using a luminometer plate reader. 250 Yu Shu and Chee Wai Chua Quantitative Real-Time PCR Analysis 1. For RNA extraction, transfer four to six wells of organoids to a 1.5 mL Eppendorf tube, centrifuge at 350 g for 5 min, and discard supernatant. Dissolve pelleted organoids in TRIzol reagent followed by processing using the MagMAX 96 for Microarray Total RNA Isolation Kit as suggested by manufacturer’s recommendation. 2. Use 100–200 ng of RNA as template for cDNA synthesis using the Superscript First-Strand Synthesis System according to manufacturer’s recommendation. Perform quantitative realtime PCR by mixing cDNA, primers (refer to Table 3 for primer sequences used) and SYBR green master mix reagent in the Eppendorf Realplex2 instrument in a triplicate manner for each culture condition. Use the ΔΔCT method to obtain expression values and normalize values to GAPDH expression. Repeat the experiment with additional biological replicates (see Note 36). Refer to Fig. 6e for difference of various androgen-responsive genes between prostate epithelial organoids grown in the presence or absence of DHT. Fig. 6 Androgen responsiveness of organoid derived from EpCAM+ and/or E-Cad+ prostate epithelial cells. (a, b) Organoids were passaged and plated in the presence (a) or absence of (b) DHT. (c, d) In the presence of DHT, organoids demonstrate strong nuclear AR expression, (c) whereas in the absence of DHT, AR expression of the organoids is weak and localized at the cytoplasm (d). (e) Quantitative real-time PCR analysis of androgen-responsive genes, Fkbp5, Mme, Psca, and lgfbp3, in organoids cultured in the presence or absence of DHT. Scale bars in a and b corresponding to 100 μm and in c and d to 50 μm. Figure is adapted from Fig. 2l–p in ref. 8 Organoid Culture for Prostate Luminal progenitors and Cancer Cells 4 251 Notes 1. Make sure tamoxifen is fully dissolved in corn oil before filtration by repeatedly warming mixture of tamoxifen powder and corn oil in 37 C water bath for 10 min and then vortexing vigorously for 15 min. Filtered tamoxifen solution should be stored at 4 C and used within a month of preparation. 2. We use identical tamoxifen treatment schedule, route, and dose for different inducible Cre mice. 3. Different GEM models of prostate cancer require different durations and genetic backgrounds to progress into hyperplasia and/or cancer. 4. Aliquot and keep the 5 mM stock solution at 20 C until use. Avoid repeated freeze and thaw cycles for optimal results. We recommend using ROCK inhibitor Y-27632 from STEMCELL Technologies for consistent organoid formation. 5. After DAPI is fully dissolved in Milli-Q water, filter, aliquot, and keep the stock solution at 20 C. Once thawed, the working stock solution should be in good condition for at least 3 months if it is kept at 4 C and without extensive light exposure. 6. This reagent has been regularly on back order. Make sure sufficient reagent is available prior to the start of a new experiment. 7. The use of heat-inactivated charcoal-stripped FBS is crucial for efficient organoid formation from prostate luminal cells. After the completion of heat inactivation, aliquot and keep the reagent at 80 C prior to use. 8. Thaw Matrigel by placing the reagent on ice in a 4 C refrigerator or cold room for overnight. Once thawed, Matrigel must remain on ice at all time to prevent polymerization. For consistent results, we avoid using Matrigel that has undergone more than two freeze-thaw cycles. 9. Keep DHT solution at 20 C at all time. Avoid leaving working solution outside the freezer for prolonged period when preparing culture medium. 10. Make sure there is no precipitation when using setting solution to ensure proper collagen I neutralization and solidification. 11. For regressed prostate, we use identical volume of reagents that are used for intact mouse prostate dissociation because prostate epithelium in castrated mice is high in cell density and more collagenous. 12. For detailed description of urogenital system harvest and prostate dissection procedure, refer to Lukacs et al. [11]. 252 Yu Shu and Chee Wai Chua 13. For optimal dissociation, place Eppendorf tube on its side on a sterile petri dish during incubation to maximize surface area of prostate tissue exposed to collagenase/hyaluronidase solution. In addition, periodic shaking of tube helps redistributing tissues. 14. Place a petri dish on ice and leave tube on the petri dish. Subsequently, place the whole ice bucket into the refrigerator or cold room. Avoid use of warm trypsin-EDTA as this will cause over-trypsinization, consequently leading to extensive cell death. 15. Vigorous pipetting is crucial for optimal cell dissociation. Pipette sample until the solution is translucent without visible tissue fragments. Do not exceed 2 min for this step as this will cause extensive cell death. 16. Using this protocol, we should expect 1.5–4 million of cells isolated from intact prostate of an 8- to 12-week-old C57BL/6 mouse. 17. We use DAPI to exclude dead cells because they can be mistakenly identified as YFP-positive cells during flow sorting. However, high concentration of DAPI staining is lethal to cells. Avoid adding >0.1 μg/mL DAPI in resuspension media. 18. Use sheath pressure not exceeding 12 psi for cell sorting as higher sheath pressure will cause luminal cell death. It is also important to include media supplemented with ROCK inhibitor Y-27632 in the collecting tube to prevent cell loss and death. 19. Basal organoid culture media should be finished within a month of preparation to ensure consistent results. 20. Avoid extensive warming in 37 C water bath because this may cause Matrigel to solidify on top of the media. 21. Use P1000 pipette tip to transfer organoids as smaller tips may damage structure of organoids. If there are too many wells for media change, pool multiple wells prior to centrifugation and redistribute evenly when plating. 22. Organoid growth should be evidenced as early as days 2–3 (CARNs or prostate cancer cells) or days 4–5 (prostate epithelial cells) of plating. Larger size organoids will occasionally fuse together. Therefore, quantification of organoid formation should be done by days 7 of plating for accurate estimation of organoid-forming efficiency. 23. Trypsinization step will not be optimal with residual Matrigel, consequently leading to incomplete cell dissociation. 24. Prostate epithelial cell-derived organoids that are solid and do not have obvious lumen are harder to dissociate. These Organoid Culture for Prostate Luminal progenitors and Cancer Cells 253 organoids contain more basal cells and require longer trypsinization duration during dissociation. In addition, prolonged trypsin-EDTA incubation of more easily dissociated cells will cause extensive death in this population. Therefore, adoption of different trypsinization time for different cell lineages can ensure continuous propagation of different lineage populations in organoid culture. 25. Passage organoids in a ratio of 1:4–1:6, i.e., dissociated cells from 1 well can be passaged into 4–6 wells. 26. During thawing, do not over-warm the freezing media as warm DMSO is lethal to the cells. 27. After neutralization by setting solution, collagen solution will change color from yellow to pink or red once it is solidified. 28. Make sure organoids are mixed well with OCT compound and embedded into it to provide proper support during tissue sectioning. 29. Avoid over-trimming when sectioning and always check sections with a histology microscope to confirm the presence of organoids on sections. Serial sectioning of OCT blocks can minimize tissue loss as each block may only carry 20–30 4 μm sections with intact organoid structure. 30. Check quickly the slides using a histology microscope after bluing step to see whether hematoxylin staining provides great nuclear details as well as after eosin step to see whether the counterstaining gives good nuclear/cytoplasmic contrast. Avoid using aged hematoxylin and eosin stains for optimal staining results. 31. Exclude this step if HRP-enzymatic reaction is not involved in the subsequent staining procedures. 32. When using two to three fluorochrome-conjugated secondary antibodies, avoid selecting combination of fluorochromes that have overlapped emission spectrums. Use Alexa-fluor 488 and 555 for combination of two antibodies and Alexa-fluor 488, 555, and 647 for combination of three antibodies. 33. Do not exceed 6-min incubation time as longer incubation will lead to high staining background. 34. The protocols are also applicable for drug assessment on prostate luminal progenitors and cancer cells. 35. Instead of supplementing 5% Matrigel in culture medium, use hepatocyte medium supplemented with 2% Matrigel for this assay. With prolonged culture period, higher concentration of Matrigel can affect accuracy of luminescence reading. 36. Dilute cDNA samples 1:5–1:10 when necessary. 254 Yu Shu and Chee Wai Chua Acknowledgments We thank M. Shibata, S. Irshad, H.H. Zhu, M. Shen, W.Q. Gao, and members of the Chua lab (M.Y. Liu, Y. Zhang, X. Cai, and C.P. Liang) for insightful comments on the manuscript. This work was supported by grants from the National Natural Science Foundation of China (81672548 and 81874098 to C.W. Chua), the Program for Professor of Special Appointment (Eastern Scholar), the Shanghai Institutions of Higher Learning (2016012 to C.W. Chua), the State Key Laboratory of Oncogenes and Related Genes (90-17-01 to C.W. Chua), and the Shanghai Municipal Education Commission-Gaofeng Clinical Medicine Grant Support (20171917 to C.W. Chua). Author Contributions: Together with M. Lei, C.W. Chua developed and optimized the organoid culture protocol in M. Shen’s lab at the Columbia University. C.W. Chua and Y. Shu wrote the book chapter manuscript, and prepared the tables as well as the figures that were adapted from original figures in Chua et al. [8]. References 1. Debnath J, Brugge JS (2005) Modelling glandular epithelial cancers in three-dimensional cultures. Nat Rev Cancer 5:675–688 2. Clevers H (2016) Modeling development and disease with organoids. Cell 165:1586–1597 3. Fatehullah A, Tan SH, Barker N (2016) Organoids as an in vitro model of human development and disease. Nat Cell Biol 18:246–254 4. Shen MM, Abate-Shen C (2010) Molecular genetics of prostate cancer: new prospects for old challenges. Genes Dev 24:1967–2000 5. Peehl DM (2005) Primary cell cultures as models of prostate cancer development. Endocr Relat Cancer 12:19–47 6. Irshad S, Abate-Shen C (2013) Modeling prostate cancer in mice: something old, something new, something premalignant, something metastatic. Cancer Metastasis Rev 32:109–122 7. Wang X, Kruithof-de Julio M, Economides KD, Walker D, Yu H et al (2009) A luminal epithelial stem cell that is a cell of origin for prostate cancer. Nature 461:495–500 8. Chua CW, Shibata M, Lei M, Toivanen R, Barlow LJ et al (2014) Single luminal epithelial progenitors can generate prostate organoids in culture. Nat Cell Biol 16:951–961 9. Chua CW, Shibata M, Lei M, Toivanen R, Barlow LJ, Shen MM (2014) Culture of mouse prostate organoids. Protoc Exch. https://doi. org/10.1038/protex.2014.037 10. Karthaus WR, Iaquinta PJ, Drost J, Gracanin A, van Boxtel R et al (2014) Identification of multipotent luminal progenitor cells in human prostate organoid cultures. Cell 159:163–175 11. Lukacs RU, Goldstein AS, Lawson DA, Cheng D, Witte ON (2010) Isolation, cultivation and characterization of adult murine prostate stem cells. Nat Protoc 5:702–713 Chapter 18 Isolation, Purification, and Culture of Mouse Pancreatic Islets of Langerhans Youakim Saliba and Nassim Farès Abstract Pancreatic islets constitute an important tool for research and clinical applications in the field of diabetes. They are used for transplantation, unraveling new mechanisms in insulin secretion, studying pathophysiological pathways in diseased cells, and pharmacological research aimed at developing improved therapeutic strategies. Therefore, fine-tuning islet isolation protocols remains an important objective for reliable investigations. Here we describe a relatively simple mouse islet isolation protocol that relies on enzymatic digestion using low-activity collagenase and several sedimentation and Percoll gradient steps. Key words Islets of Langerhans, Pancreas, Isolation protocol, Mouse 1 Introduction Islets of Langerhans constitute an important experimental tool in the field of diabetic research, and achieving successful cell isolation and culture is the most important requisite for reliable studies. Since Lacy’s group described a new enzyme-based method for islet isolation in 1967 [1], different protocols from rodents to humans have been proposed and fuelled the advances in islet research [2–16]. The main difference between all these procedures resides in the enzyme blends and their delivery route, with the common bile duct as the most commonly used [10, 13, 17, 18]. Islet separation and purification are then performed by Percoll [19, 20] or Ficoll gradient separation [15], filtration [21], or magnetic retraction [4, 22] and handpicking under a microscope [8, 10, 12, 15, 18, 23–25]. However, many hurdles still persist in these isolation procedures rendering it difficult to achieve reproducible maximum yield of viable islets that retain their in vivo characteristics. Besides, the fine details to perform the isolation that usually requires delicate microsurgery maneuvers are often lacking, leading to sometimes conflicting data when it comes to yield and function [26, 27]. Therefore, refining and revisiting islet Ivan Bertoncello (ed.), Mouse Cell Culture: Methods and Protocols, Methods in Molecular Biology, vol. 1940, https://doi.org/10.1007/978-1-4939-9086-3_18, © Springer Science+Business Media, LLC, part of Springer Nature 2019 255 256 Youakim Saliba and Nassim Farès isolation protocols remain important for more and more reliable research. In the protocol described here, mouse pancreas was excised and digested with a low-activity collagenase eliminating the need for microsurgery expertise. Since Percoll is chemically inert with minimum cellular toxic effects as compared to other cell separation gradient media [9, 21, 28], it was used here to purify the islets from the isolated pancreatic tissue. This purification step was preceded by several sedimentations and repeated to further purify the islets without time-consuming handpicking [5, 10, 13]. Islets were cultured in RPMI 1640 medium that has been shown to be optimal for keeping islets into culture [2]. Finally, variations in the islet numbers have been shown to exist between inbred mice [29], and age differences have been also noted [30–34]. In the current protocol, we isolated islets from male and female mice of different ages and species and obtained similar yields ranging from 750 to 1200 healthy islets per pancreas. 2 Materials All chemicals used in the protocol are of reagent grade (>99%). Deionized water with a resistivity of 18.2 mΩ cm at 25 C was used. 2.1 Modified Tyrode Solution 1. Add approximately 500 mL water in 1 L autoclaved glass beaker. Weigh each of the following and add consecutively to the beaker while stirring with a magnetic stir bar: 8.18 g NaCl, 0.425 g KCl, 0.346 g MgCl2·6H2O, 0.37 g NaHCO3, 0.204 g KH2PO4, 2.383 g HEPES, 1.492 g creatine monohydrate, 2.5 g taurine, and 2.11 g D-glucose. Adjust the pH to 7.2 with 1 M NaOH, and then make up the solution to 1 L. This solution will have the following composition: 140 mM NaCl, 5.7 mM KCl, 1.7 mM MgCl2, 4.4 mM NaHCO3, 1.5 mM KH2PO4, 10 mM HEPES, 10 mM creatine monohydrate, 20 mM taurine, and 11.7 mM D-glucose. 2. Filter the Tyrode solution on a sterile glass filter beaker using 0.22 μm membrane filter (Millipore, Merck, Massachusetts, USA) under a laminar flow hood and store it at 4 C (see Note 1). 2.2 Collagenase Solution 1. Prepare 10 mL of collagenase solution per mouse pancreas. Weigh in a 15 mL conical tube using the following: 10 mg collagenase A (activity >0.15 U/mg) (Roche Diagnostics, Basel, Switzerland) kept at 20 C and 10 mg bovine serum albumin (BSA) kept at 4 C (see Note 2). Mouse Islet Isolation 257 2. Under a laminar flow hood, filter the enzyme solution using 0.22 μm membrane syringe filter, transfer it in a new sterile 15 mL conical tube, and keep it on ice until used (see Note 3). 2.3 Percoll Solution 1. Percoll is a colloidal PVP-coated silica for cell separation with a density of 1.13 0.005 g/mL. 2. Prepare 500 mL of a 10 concentrated NaCl solution (1.5 M) by diluting 43.83 g NaCl in water. Prepare 500 mL of a 1 concentrated NaCl solution (0.15 M) by either diluting the 10 concentrated NaCl or by formulating 1 concentrated NaCl solution directly from powder. 3. Prepare a stock isotonic Percoll (SIP) solution by adding 9 parts of Percoll to 1 part of 1.5 M NaCl (10 concentrated) (see Note 4). In the following calculations, we will use an example of 10 mL SIP solution, that is, 9 mL Percoll and 1 mL 1.5 M NaCl. 4. Calculate the density of the SIP solution from the following formula: V X ¼ V 0 ðρ0 ρi Þ=ðρi ρ10 Þ so ρi ¼ ½ðV 0 ρ0 Þ þ ðV X ρ10 Þ=ðV X þ V 0 Þ where VX is the volume of diluting medium (mL) V0 is the volume of undiluted Percoll (mL) ρ0 is the density of Percoll (1.13 0.005 g/mL) ρ10 is the density of 1.5 M NaCl (1.058 g/mL) ρi is the density of the SIP solution (g/mL) The density of SIP obtained is 1.123 g/mL 5. Dilute the SIP solution to a final density of 1.045 g/mL (see Note 5) by adding 0.15 M NaCl using the following formula: V y ¼ V i ðρi ρÞ= ρ ρy where Vy is the volume of diluting 0.15 M NaCl (mL) Vi is the volume of SIP (mL) ρi is the density of SIP (g/mL) ρy is the density of 0.15 M NaCl (1.0046 g/mL) ρ is the density of final diluted Percoll solution (g/mL) In order to dilute all the SIP solution (10 mL) to a final density of 1.045 g/mL, proceed by adding the following: Vy ¼ 10 (1.123–1.045)/(1.045–1.0046) ¼ 19.3 mL of 0.15 M NaCl (see Note 6). 258 2.4 Youakim Saliba and Nassim Farès Mouse Sacrifice Male and female adult and aged C57BL/6 mice (3 and 10 months old) as well as male adult BALB/C mice (3 months old) are used in the protocol (Janvier Labs, Le Genest-Saint Isle, France). The animals are kept at a stable temperature (25 C) and humidity (50 5%) and are exposed to a 12:12-h light-dark cycle. They are fed ordinary rodent chow, have free access to tap water, and are acclimatized for at least 1 week under these conditions before the start of the experiments (see Note 7). 1. Anesthetics: Ketamine hydrochloride 50 mg/mL (RotexMedica, Trittau, Germany) and Xyla, xylazine 2% injection (Interchemie, Waalre, Holland) kept at 4 C 2. Sterile syringe for injections (1 mL) 3. Ethanol 100% 4. Betadine solution, 10% povidone iodine 5. Sterilized surgical scissors 2.5 Pancreas Removal and Islet Isolation 1. Three sterile petri dishes (60 mm) kept on ice 2. Serological pipettes (2 mL) 3. Water bath incubator (37 C) 4. One sterilized Erlenmeyer flask (50 mL) 5. Eight sterile conical tubes (4 of 15 mL and 4 of 50 mL) 6. Pure oxygen canister 2.6 Cell Viability Tests 1. Trypan blue stock solution (0.4%), prepared in 0.81% sodium chloride and 0.06% potassium phosphate, dibasic 2. Propidium iodide stock solution (1 mg/mL in water) 2.7 Islet Culture 1. RPMI 1640 medium (Lonza, Basel, Switzerland) supplemented with 2 mM L-glutamine. 2. Fetal bovine serum. 3. Prepare a penicillin/streptomycin stock solution (100 concentrated). This solution contains 10,000 penicillin units and 10,000 μg streptomycin per mL. For a 50 mL stock volume, weigh 33.33 mg of penicillin G sodium salt (1500 U/mg) and 50 mg of streptomycin sulfate and complete with water to the final volume. The solution is aliquoted and kept at 20 C (see Note 8). 4. Cell culture plates (6, 24, or 96 wells). 5. 5% CO2 incubator at 37 C. Mouse Islet Isolation 3 259 Methods 3.1 Mouse Sacrifice and Pancreas Removal 1. Anesthetize the animals by an intraperitoneal injection of a mixture of ketamine (75 mg/kg) and xylazine (10 mg/kg). To make sure of adequate depth of anesthesia, pedal withdrawal reflex (footpad pinch, on two feet) is performed (see Note 9). 2. When animals are completely nonresponsive to toe pinching, apply betadine and ethanol on the abdomen in order to keep the conditions as sterile as possible and to reduce the chance of hair contamination in the peritoneal cavity during subsequent steps. 3. Perform a V-shaped abdominal incision starting from the lower abdomen and extending to the lateral parts of the diaphragm in order to expose all organs in the peritoneal cavity. 4. Locate the spleen (dark red) which is about 1 cm below the diaphragm (Fig. 1). The pancreas is surrounded by the stomach, the duodenum and proximal jejunum, and the spleen. In the mouse, the duodenum wraps around the head of the pancreas that is a soft and diffuse organ as compared with the human pancreas. 5. Remove the pancreas from the mouse and place it into a petri dish containing ice cold Tyrode solution. Removal begins by snipping the common bile duct by scissors and gently detaching the pancreas from the intestines. Continue removing the pancreas from the stomach and finally the spleen (see Note 10). Fig. 1 Mouse pancreas anatomical location. The pancreas is surrounded by the stomach, the duodenum and proximal jejunum, and the spleen. The duodenum wraps around the head of the pancreas that is a soft and diffuse organ as compared with the human pancreas. (1) Pancreas, (2) duodenum, (3) stomach, (4) spleen, (5) liver 260 Youakim Saliba and Nassim Farès The usual number of islets obtained per pancreas is around 1000; however, if a large number of islets are required for the assays, use three or four mice and repeat the above steps for each animal. 6. Gently cut the pancreas into small pieces (2 mm) in ice cold Tyrode solution. Wash the tissue pieces three times in the same solution by transferring them in consecutive 60 mm petri dishes containing 5 mL Tyrode solution. Repeat this three times or until all blood and fat tissue is removed (fat floats easily in solution). 3.2 Pancreas Digestion and Islet Purification 1. Transfer the pieces into the Erlenmeyer flask and discard the remaining Tyrode solution. Add the collagenase A solution to the Erlenmeyer flask (see Note 11) and incubate in a shaking water bath at 37 C for 1 h at 100 rpm (see Note 12). Supply the solution by pure oxygen (see Note 13). 2. Stop digestion by transferring the cell suspension into a 50 mL tube containing an equal volume of ice cold Tyrode solution to stop the activity of collagenase. Shake the tube vigorously by hand to mechanically dissociate the digested pancreas and liberate the islets (see Note 14). 3. Leave the cell suspension on ice for 3 min in order to sediment the islets. Discard the supernatant and add on another 20 mL ice cold Tyrode solution. Repeat this sedimentation step for three times (see Note 15). 4. Remove as much liquid as possible from the final pellet and then purify the cells on the Percoll solution (see Note 16). Aspirate the pellet with a 1 mL tip and carefully place it on top of the Percoll solution in a 15 mL tube (see Note 17). 5. Allow the islets to sediment for 5 min (see Note 18). Meanwhile, prepare another two 15 mL tubes with Percoll solution. 6. Collect the pellet from the bottom with a 2 mL pipette and place it on top of the second Percoll solution. Repeat this again with the final pellet. 7. Collect the final pellet with a 2 mL pipette and transfer it into a new 15 mL tube. 8. Add 10 mL RPMI 1640 supplemented with 10% fetal bovine serum and 2 mM L-glutamine and let islets sediment for 5 min. 9. Discard the supernatant and add another 10 mL RPMI 1640 medium (as above) on the pellet. 10. Gently resuspend the islets. 3.3 Islet Viability Assessment Trypan blue exclusion test and propidium iodide are used to assess islet cell viability. Following the pancreas digestion, perform the following: Mouse Islet Isolation 261 1. Transfer 500 μL of islet suspension into a well of a 24-well plate to perform trypan blue labeling. 2. Add 500 μL trypan blue stock solution to the previous suspension, and incubate for 2 min at room temperature. 3. Count trypan blue-positive and trypan blue-negative islets under a microscope. Trypan blue-negative islets are regarded as viable ones. Calculate the percentage of viable islets according to the following formula: total viable cells (unstained)/ total cells (stained and unstained) 100. 4. Transfer another 500 μL of islet suspension into a new well to perform propidium iodide labeling. 5. Add appropriate volume of propidium iodide stock solution to reach a final 3 μM concentration in the well, and incubate for 15 min at room temperature. 6. Count fluorescent cells in three view fields under an epifluorescence microscope at 620 nm. Propidium iodide-negative islets are regarded as viable ones. Calculate the percentage of viable islets as previously described for trypan blue (see Note 19). 3.4 Islet Culture 1. Homogenize the cell suspension. 2. Remove 500 μL of the suspension and place in a petri dish to count the islets under a microscope (see Note 20). The total number of islets is then obtained by a simple rule of three calculator. 3. Distribute islets in equal number in 6-, 24-, or 96-well plates as required, in 2 mL, 500 μL, or 100 μL, respectively 4. Incubate in ambient air with 5% CO2 incubator at 37 C till the time of experiment (see Note 21). 4 Notes 1. It is important to check the Tyrode solution for any bacterial or fungi contamination prior to each use. Therefore, it is better to store sterile solutions in smaller volumes and for short-term use. Alternatively, add phenol red to the Tyrode solution prior to filtration, and discard the solution when its color turns yellow at ph <6.8 for this is a marker for loss of sterility. 2. BSA is added to the collagenase solution in order to protect the cells from over-digestion. Coating the tissue and vessels with BSA will prevent the islets from sticking to surfaces they come into contact with and improve their viability. Adding albumin increases yield of healthy islets. 262 Youakim Saliba and Nassim Farès 3. It is better to prepare fresh collagenase solution on the day of isolation, and keep it on ice till the time of tissue removal. 4. In order to make Percoll isotonic and suitable for cell separation, the osmolality of undiluted Percoll must first be adjusted with saline or cell culture medium. Adding 9 parts of Percoll to 1 part of 1.5 M NaCl or 10 concentrated cell culture medium is a simple way of preparing an SIP solution. 5. It has been shown that rodent pancreatic exocrine tissue possesses a density lower than 1.045 g/mL, whereas islets typically have a higher density (1.065–1.07 g/mL) [19, 20]. 6. Phenol red can be added to the final Percoll solution in order to differentiate between the Percoll solution and the pancreatic tissue mixture that will be layered over it, more easily observing the interface between the cell suspension and the Percoll density medium. 7. The present study was approved by the ethical committee of Saint Joseph University. The protocols were designed according to the Guiding Principles in the Care and Use of Animals approved by the Council of the American Physiological Society and were in adherence to the Guide for the Care and Use of Laboratory Animals published by the US National Institutes of Health (NIH Publication no. 85-23, revised 1996) and according to the European Parliament Directive 2010/63 EU. 8. Penicillin and streptomycin are both light sensitive and should be kept in dark wrapped in aluminum foil. 9. Monitoring the depth of anesthesia can also be done by pinching the base of the tail. However, the latter is less reliable since responses can be sometimes noticed with toe-pinching even with the absence of a tail response. 10. It is important to avoid intestinal rupture in order to reduce the risk of contamination of the cell culture by intestinal bacteria. If the mouse is aged, it becomes easy to confuse between abdominal fat and pancreatic tissue. However, when the pancreas is removed and put in Tyrode solution, fat tissue easily floats and is discarded. 11. 10 mL volume is ideal for a 50 mL Erlenmeyer flask. This results in optimal shaking and tissue dispersion during the incubation. If more volume is added, the solution will not shake well, and tissue will remain placid resulting in overdigestion of the outer layers of cells and so lower yield. 12. There are significant differences in the specific activity of different lots of collagenase A. Therefore it is important to do pilot studies with each lot of collagenase A to determine the optimal incubation time for tissue digestion. Since collagenase Mouse Islet Isolation 263 A possesses low activity, tissue digestion typically takes more than 50 min and can differ significantly with different batches. 13. Gassing with pure oxygen increases yield by attenuating anaerobic metabolism. 14. The resulting solution has a viscous consistency and is free of large pieces of pancreatic tissue. If, for a reason, a significant amount of large tissue remains, pellet the tissue suspension, add on ice cold Tyrode solution, and leave onto ice till another collagenase solution is prepared. Re-incubate the pellet with the enzyme while shaking at 37 C as previously described for an additional 10–15 min. 15. Islets are significantly larger and heavier than exocrine tissue and will sediment after just 1 min. Leaving the cell suspension for 3 min will maximize the islet number obtained. If sedimentation is left for a longer time, islets yield will be higher, but more and more exocrine tissue will be present with the islets pellet. Sedimentation time depends on the required assays and thus on the necessary number of islets. If high purity is not an issue, the damaging effect of exocrine tissue-secreted enzymes on islet cells has, however, to be taken into consideration. 16. Removing as much as possible of the supernatant ensures that the Percoll solution is not diluted when the pellet is poured onto it. 17. When more than three pancreases are digested, attention is required not to overload the Percoll solution and thus assure a proper separation of islets from exocrine tissue. In this case, use another tube with a Percoll solution for the additional pancreases. 18. Sedimentation time is a compromise between yield and purity of islets. Shorter sedimentation times result in lower yield but higher purity, while longer times result in the opposite outcome. 19. For long-term cultures, 3-(4,5-dimethylthiazol-2-yl)-2,5diphenyltetrazolium bromide (MTT) assay is also useful. 20. When viewed under a light microscope, islets appear spherical with a typical golden brown color as compared to the relatively transparent exocrine tissue. They are 50–250 μm in diameter. Cells protruding from the surface of the islets are a sign of decreased overall health (Fig. 2). A dark center is sometimes visible in larger islets due to hypoxia. 21. Trypsin inhibitors from soybean can be added to the cell culture medium in order to block the remnant protease activity of contaminating exocrine cells’ secretions. 264 Youakim Saliba and Nassim Farès Fig. 2 Healthy versus over-digested mouse islets microphotographies. (a) Healthy well-rounded islets. (b) Over-digested islets with cells protruding from the surface. Magnification, 400. Scale bar, 40 μm References 1. Lacy PE, Kostianovsky M (1967) Method for the isolation of intact islets of Langerhans from the rat pancreas. Diabetes 16:35–39 2. Andersson A (1978) Isolated mouse pancreatic islets in culture: effects of serum and different culture media on the insulin production of the islets. Diabetologia 14:397–404 3. Andrades P, Asiedu C, Ray P, Rodriguez C, Goodwin J, McCarn J, Thomas JM (2007) Islet yield after different methods of pancreatic Liberase delivery. Transplant Proc 39:183–184 4. Banerjee M, Otonkoski T (2009) A simple two-step protocol for the purification of human pancreatic beta cells. Diabetologia 52:621–625 5. Carter JD, Dula SB, Corbin KL, Wu R, Nunemaker CS (2009) A practical guide to rodent islet isolation and assessment. Biol Proced Online 11:3–31 6. 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O’Dowd JF (2009) The isolation and purification of rodent pancreatic islets of Langerhans. Methods Mol Biol 560:37–42 14. O’Neil JJ, Tchipashvili V, Parent RJ, Ugochukwu O, Chandra G et al (2003) A simple and cost-effective method for the isolation of islets from nonhuman primates. Cell Transplant 12:883–890 15. Szot GL, Koudria P, Bluestone JA (2007) Murine pancreatic islet isolation. J Vis Exp (7):255. 16. Woolcott OO, Bergman RN, Richey JM, Kirkman EL, Harrison LN et al (2012) Simplified method to isolate highly pure canine pancreatic islets. Pancreas 41:31–38 17. Shapiro AM, Hao E, Rajotte RV, Kneteman NM (1996) High yield of rodent islets with intraductal collagenase and stationary digestion – a comparison with standard technique. Cell Transplant 5:631–638 18. Shewade YM, Umrani M, Bhonde RR (1999) Large-scale isolation of islets by tissue culture of adult mouse pancreas. Transplant Proc 31:1721–1723 19. Brunstedt J (1980) Rapid isolation of functionally intact pancreatic islets from mice and rats by percollTM gradient centrifugation. Diabete Metab 6:87–89 Mouse Islet Isolation 20. Buitrago A, Gylfe E, Henriksson C, Pertoft H (1977) Rapid isolation of pancreatic islets from collagenase digested pancreas by sedimentation through Percol at unit gravity. Biochem Biophys Res Commun 79:823–828 21. Salvalaggio PR, Deng S, Ariyan CE, Millet I, Zawalich WS et al (2002) Islet filtration: a simple and rapid new purification procedure that avoids ficoll and improves islet mass and function. Transplantation 74:877–879 22. Tons HA, Baranski AG, Terpstra OT, Bouwman E (2008) Isolation of the islets of Langerhans from the human pancreas with magnetic retraction. Transplant Proc 40:413–414 23. Neuman JC, Truchan NA, Joseph JW, Kimple ME (2014) A method for mouse pancreatic islet isolation and intracellular cAMP determination. J Vis Exp (88):e50374. 24. de Groot M, de Haan BJ, Keizer PP, Schuurs TA, van Schilfgaarde R, Leuvenink HG (2004) Rat islet isolation yield and function are donor strain dependent. Lab Anim 38:200–206 25. Gotoh M, Maki T, Satomi S, Porter J, BonnerWeir S, O’Hara CJ, Monaco AP (1987) Reproducible high yield of rat islets by stationary in vitro digestion following pancreatic ductal or portal venous collagenase injection. Transplantation 43:725–730 26. Kayton NS, Poffenberger G, Henske J, Dai C, Thompson C et al (2015) Human islet preparations distributed for research exhibit a variety of insulin-secretory profiles. Am J Physiol Endocrinol Metab 308:E592–E602 27. Kitzmann JP, Karatzas T, Mueller KR, Avgoustiniatos ES, Gruessner AC et al (2014) Islet preparation purity is overestimated, and less 265 pure fractions have lower post-culture viability before clinical allotransplantation. Transplant Proc 46:1953–1955 28. McCall MD, Maciver AH, Pawlick R, Edgar R, Shapiro AM (2011) Histopaque provides optimal mouse islet purification kinetics: comparison study with Ficoll, iodixanol and dextran. Islets 3:144–149 29. Bock T, Pakkenberg B, Buschard K (2005) Genetic background determines the size and structure of the endocrine pancreas. Diabetes 54:133–137 30. Inuwa IM, El Mardi AS (2005) Correlation between volume fraction and volume-weighted mean volume, and between total number and total mass of islets in post-weaning and young Wistar rats. J Anat 206:185–192 31. Lamb M, Laugenour K, Liang O, Alexander M, Foster CE, Lakey JR (2014) In vitro maturation of viable islets from partially digested young pig pancreas. Cell Transplant 23:263–272 32. Maedler K, Schumann DM, Schulthess F, Oberholzer J, Bosco D et al (2006) Aging correlates with decreased beta-cell proliferative capacity and enhanced sensitivity to apoptosis: a potential role for Fas and pancreatic duodenal homeobox-1. Diabetes 55:2455–2462 33. Nagaraju S, Bottino R, Wijkstrom M, Trucco M, Cooper DK (2015) Islet xenotransplantation: what is the optimal age of the isletsource pig? Xenotransplantation 22:7–19 34. Perfetti R, Rafizadeh CM, Liotta AS, Egan JM (1995) Age-dependent reduction in insulin secretion and insulin mRNA in isolated islets from rats. Am J Phys 269:E983–E990 Chapter 19 Identification and In Vitro Expansion of Adult Hepatocyte Progenitors from Chronically Injured Livers Naoki Tanimizu Abstract The liver performs a number of physiologically important functions. Hepatocytes are the liver parenchymal cells performing most of those functions. Therefore, it is important to recover functional hepatocytes after hepatic injury and prepare a mass of hepatocytes for regenerative medicine. We have found that mature hepatocytes dedifferentiate to hepatocyte progenitors in chronically injured mouse liver. Those hepatocyte progenitors can be isolated as CD24+EpCAM cells from the CD31CD45 fraction, which clonally proliferate and efficiently re-differentiate to functional hepatocytes both in vitro and in vivo. Here, I describe the methods to isolate hepatocyte progenitors from chronically injured liver, to expand them in vitro, and to induce differentiation into functional hepatocytes. Key words Liver, Chronic liver injury, Hepatocyte, Hepatocyte progenitors, Liver stem/progenitor cells, Fluorescence-activated cell sorting 1 Introduction Healthy epithelial tissues and organs contain tissue-specific stem/ progenitor cells, which continuously supply multiple types of functionally differentiated cells throughout life. Liver stem/progenitor cells (LPCs) are defined as bipotential cells differentiating into two types of liver epithelial cells, hepatocytes and cholangiocytes, whereas hepatocyte progenitors are committed, hepatocyte lineage restricted progenitors. LPCs have been isolated from normal and injured livers based on the expression of surface antigens including epithelial cell adhesion molecule (EpCAM), CD13, and CD133 [1]. On the other hand, recent results demonstrated that mature hepatocytes (MHs) near the portal vein are dedifferentiate into hepatocyte progenitors when the liver suffer chronic injuries induced by 3,5-diethoxycarbonyl-1,4-dihydro-collidine (DDC) diet or after bile duct ligation (BDL) [2]. Those dedifferentiated hepatocytes are referred as biphenotypic hepatocytes since they express some cholangiocyte markers including osteopontin and a Ivan Bertoncello (ed.), Mouse Cell Culture: Methods and Protocols, Methods in Molecular Biology, vol. 1940, https://doi.org/10.1007/978-1-4939-9086-3_19, © Springer Science+Business Media, LLC, part of Springer Nature 2019 267 268 Naoki Tanimizu transcription factor Sry HMG box protein 9 (SOX9) [3]. Biphenotypic hepatocytes emerged in chronically injured liver can be isolated as SOX9+EpCAM cells from SOX9-EGFP mice fed with DDC diet or after BDL. SOX9+EpCAM hepatocytes are further fractionated into CD24 and CD24+ cells, and the latter have the higher capability [4]. Furthermore, CD24+EpCAM cells isolated from the CD31CD45 liver cell fraction of the wild-type mice fed with DDC diet are mostly identical to SOX9+CD24+EpCAM cells. CD24+EpCAM hepatocytes can expand and re-differentiate to functional hepatocytes both in vitro and in vivo. Therefore, they can be a good source for producing a large quantity of hepatocytes for basic research and for regenerative medicine. 2 Materials 2.1 Mouse Injury Model and Cell Isolation 1. 3,5-Diethoxycarbonyl-1,4-dihydro-collidine (DDC) diet: Mix DDC and MF powder (w:w ¼ 1:100) and mold them into pellets (12 mm diameter) by Oriental Yeast Co. Ltd. (Tokyo, Japan). 2. Isoflurane. 3. Calcium, magnesium-free Hanks’ balanced salt solution (HBSS). 4. Pre-perfusion solution: 0.5 mM EGTA in HBSS. 5. Butterfly needle of 23 gauge. 6. Collagenase: Dissolve in HBSS at 1 mg/mL for perfusion and 2 mg/mL for digesting the remaining tissue after collagenase perfusion. 7. Peristaltic pump. 8. Autoclaved 250 μm nylon mesh. 9. 70 μm cell strainer. 10. L-15 medium. 11. DNase I: Make 1 mg/mL solution and store at 4 C or at 30 C for a long term. 12. Hyaluronidase: Make 75,000 units/50 μL solution and store at 30 C. 2.2 Cell Sorting 1. Antibodies: PE-conjugated anti-mouse CD24, APC-conjugated anti-mouse EpCAM, APC-Cy7-conjugated anti-mouse CD45, and PE-Cy7-conjugated anti-CD31. 2. Wash buffer: Add 2% FBS to PBS. Store at 4 C. 3. Propidium iodide (PI) (1 mg/mL). Mouse Adult Hepatocyte Progenitors 269 4. Fluorescence-activated cell sorter (FACS): FACS Aria equipped (BD biosciences) with three lasers (UV, 488 nm, and 633 nm) or an equivalent system. 2.3 Cell Culture 1. Growth factor-reduced Matrigel® (MG): Thaw the bottle of MG on ice and make aliquots in 1.5 mL tubes. Freeze those tubes in liquid nitrogen and store them at 30 C. Thaw MG in a tube on ice before use (see Note 1). 2. Laminin solution: Thaw laminin-111 in a glass bottle at 4 C. Transfer it to a 1.5 mL tube and store at 4 C. Dilute it in PBS at 10 μg/mL. Add 1 mL diluted solution to 35 mm plate. Wait about 1 h and remove the solution before plating cells (see Note 2). 3. Gelatin solution: Autoclave PBS containing 0.1% gelatin. Add 300 μL of gelatin solution to each well of 24-well plate. Aspirate the gelatin solution and wash wells with PBS once. 4. Basal medium: Prepare Dulbecco’s Modified Eagle’s Medium and Ham’s F-12 Nutrient Mixture (DMEM/F-12) medium supplemented with 10% fetal bovine serum, 10 mM nicotinamide, and 10 μg/mL gentamicin. 5. Growth medium: Add 1 insulin/transferrin/selenium (ITS), 1 107 M dexamethasone (Dex), 10 ng/mL epidermal growth factor (EGF), and 10 ng/mL hepatocyte growth factor (HGF) (R&D systems) to the basal medium. 6. Differentiation medium: Add 1 ITS, 1 107 M Dex, and 1% dimethyl sulfoxide (DMSO) to the basal medium. Add 10 ng/mL oncostatin M (OSM) or 5% MG before use. 7. Rho-associated coiled-coil forming kinase (ROCK) inhibitor: 50 mM Y27632 in autoclaved distilled water. 3 Methods 3.1 Cell Isolation 1. Feed C57BL6 mice with DDC diet for 2 weeks. Anesthetize a mouse by isoflurane. Open the abdomen and expose the portal vein. Insert a butterfly needle into the portal vein and fix it by a vascular clump. Inject 25 mL of pre-perfusion solution by using a peristaltic pump at 6 mL/min. At the end of pre-perfusion, dissolve 50 mg collagenase in 50 mL perfusion solution. Inject the perfusion solution containing collagenase by using a peristaltic pump at 3 mL/min (see Note 3). 2. Isolate the liver and place it on a 10 cm dish. Add 20 mL of HBSS. Tear off the liver capsule with forceps. Hold the liver with forceps, and scrape off hepatocytes from undigested liver tissue with another forceps until the biliary tissue is thoroughly exposed. (Use undigested tissue for further enzymatic 270 Naoki Tanimizu digestion in step 4.) Pass the cell suspension through a 250 μm nylon mesh and then a 70 μm cell strainer. Centrifuge the cell suspension at 50 g for 1 min. Transfer the supernatant to a new 50 mL tube and centrifuge at 350 g for 4 min. Resuspend cells in 1 mL of basal medium (“non-parenchymal fraction”). 3. Mince the undigested tissue into small pieces (<1 mm cubic) after collagenase perfusion. Suspend tissue pieces in 15 mL of L-15 medium and transfer them into a 30 mL beaker. Add 30 mg collagenase, 50 μL of DNase I solution, and 25 μL of hyaluronidase. Stir the solution vigorously at 37 C for 40 min. Add 10 mL of basal medium to the cell suspension to stop enzymatic digestion. 4. Pass the cell suspension through a 250 μm nylon mesh and then a 70 μm cell strainer. Centrifugation at 50 g for 1 min. Then, centrifuge the supernatant at 350 g for 4 min to collect dissociated cells. Resuspend cells in 1 mL of basal medium (“cholangiocyte fraction”). 5. Combine the “non-parenchymal” and “cholangiocyte” fraction into a new 15 mL tube (see Note 4). 3.2 Cell Sorting 1. Centrifuge the cell suspension at 350 g for 4 min. Resuspend cells (no more than 1 107 cells) in 100 μL of basal medium (see Note 5). Add 1 μL of anti-CD16/CD32 antibody and incubate at 4 C for 20 min to avoid non-specific binding of antibodies by masking Fcγ receptors. Add ice-cold wash buffer and centrifuge at 350 g for 4 min. 2. Resuspend cells in 100 μL of basal medium. Add 1 μL of PE-conjugated anti-CD24, 1 μL of APC-conjugated antiEpCAM, 1 μL of APC-Cy7-conjugated anti-CD45, and 1 μL of PE-Cy7-conjugated anti-CD31. For the isotype control, add PE-conjugated rat IgG, APC-conjugated rat IgG, APC-Cy7-conjugated rat IgG, and PE-Cy7-conjugated rat IgG. Incubate cells with antibodies at 4 C for 20 min. Add 2 mL of ice-cold wash buffer and centrifuge at 350 g for 4 min (see Note 6). 3. Resuspend cells in 300 μL of basal medium containing 1 μg/ mL PI. Pass through 40 μm cell strainer before analysis on FACS. 4. Select CD31CD45 cells in PI singlet cells by gating on a FACS density plot. Identify and collect EpCAMCD24+ cells in the CD31CD45 fraction into a 5 mL tube (Fig. 1) (see Note 7). 5. Transfer the cell suspension into a 15 mL tube. Centrifuge at 350 g for 8 min. Resuspend cells and add 7 mL of basal medium. Centrifuge at 350 g for 8 min. Resuspend cells in 1 mL of basal medium and count the number of cells. Mouse Adult Hepatocyte Progenitors 271 Fig. 1 Isolation of EpCAMCD24+ hepatocyte progenitors. CD31+ endothelial cells and CD45+ hematopoietic cells are eliminated from PI singlet live cells by gating. EpCAMCD24+ hepatocyte progenitors are identified in the CD31CD45 fraction 3.3 Cell Culture 1. Resuspend cells in growth medium containing 20 μM Y27632. Plate 5000 cells in 35 mm dish coated with laminin 111 (see Notes 8 and 9). For examining clonal proliferation and differentiation potential, fix cells at day 7 in 4% PFA at 4 C for 15 min and use for immunofluorescence analysis. 2. For inducing hepatocyte differentiation, plate 5000 EpCAMCD24+ cells in a well of 24-well plate coated with gelatin. After cells become confluent, incubate cells in the differentiation medium containing OSM for 2 days. 3. Replace the medium with one containing 5% MG in order to induce hepatic maturation. Keep the culture for additional 3 days for analyzing gene and protein expressions and hepatic functions to examine hepatocyte differentiation (Fig. 2) (see Notes 10 and 11). 4 Notes 1. If an aliquot contains 500 μL MG, incubate the tube on ice for more than 2 h ahead of the experiment to thaw the solution. 2. The diluted laminin solution can be reused up to three times to coat tissue culture dishes. We usually recover the laminin solution and store it in a 15 mL tube at 4 C. 272 Naoki Tanimizu Fig. 2 Morphological changes during hepatocyte differentiation. EpCAMCD24+ cells proliferate and form a monolayer, though the cell-cell boundaries are not clearly recognized and atypical nuclear shapes are observed (a). After sequential treatment of OSM and MG, EpCAMCD24+ cells show polygonal cellular shapes, round nuclei, and dark cytoplasm under a phase-contrast microscope (b). Binucleated cells, a feature of mature hepatocytes, are evident (arrowheads in panel b) 3. All animal experiments were approved by the Sapporo Medical University Institutional Animal Care and Use Committee and were carried out under the institutional guidelines for ethical animal use. 4. If the color of pellet is reddish, resuspend the pellet in 5 mL of hemolysis buffer (15 mM Tris(hydroxymethyl)aminomethane, 100 mM NH4Cl), and incubate it on ice for 5 min. Add 5-7 mL of basal medium and pass through 70 μm cell strainer. Collect cells by centrifugation at 350 g for 4 min. 5. If the number of cells is more than 1 107 cells, cells are resuspended at 1 108 cells/mL and added with antibodies at 10 μL/mL. 6. CD31CD45EpCAMCD24+ cells are less than 1% of the total cells. We usually prepare a tube added with PE-conjugated rat IgG, APC-conjugated rat IgG, APC-Cy7-anti-CD45, and PE-Cy7-anti-CD31. By comparing this, EpCAMCD24+ cells can be clearly recognized in bivariate FACS dot plots of the sample as shown in Fig. 1. 7. If SOX9-EGFP mice are available, CD31CD45GFP+ are further divided into four fractions based on expression of CD24 and EpCAM. GFP+EpCAM fraction contains hepatocyte progenitors, whereas GFP+EpCAM+ fraction contains cholangiocytes and expanded ductular cells. Among GFP+EpCAM cells, proliferative hepatocyte progenitors are enriched in CD24+ cells, which are identical to EpCAMCD24+ cells isolated from the wild-type mice fed with DDC diet. Mouse Adult Hepatocyte Progenitors 273 8. For cell transplantation, EpCAMCD24+ cells are clonally maintained for a month and then infected with lentivirus containing GFP expression cassette. GFP+ cells are isolated by FACS and expanded for 4 weeks before transplantation. 9. For isolation of progenitor clones, clonal culture is kept about a month. Each colony is surrounded with a cloning ring, treated with trypsin, and replated onto a laminin-coated dish. 10. The morphological features of hepatocytes are the roundshaped nucleus and the sharp contrast between the nucleus and the cytosol: under a phase-contrast microscope, the dark cytosol is evident because of enriched granules and organelles (Fig. 2). Usually, hepatocyte progenitors show such hepatocyte-like morphology by incubation with MG for 2-3 days. If not, replace medium with the fresh basal medium containing ITS, Dex, and DMSO, and keep the culture for additional 2-3 days to induce further differentiation. 11. Cultured biphenotypic hepatocytes differentiate to functional hepatocytes secreting albumin and possessing CYP3A4 activity in the presence of OSM and MG. On the other hand, they inefficiently form cysts (spheroids with a central lumen) in three-dimensional culture, which indicates that they do not have potential to differentiate to cholangiocytes. Acknowledgments I thank Dr. Toshihiro Mitaka and Dr. Norihisa Ichinohe for their helpful discussion. I also thank Ms. Yumiko Tsukamoto and Ms. Minako Kuwano for their technical assistances. This work is supported by the Ministry of Education, Culture, Sports, Science and Technology, Japan, Grants-in-Aid for Scientific Research (C) (25460271, 16 K08716), and Grants-in-Aid for Scientific Research on Innovative Areas “Stem Cell Aging and Disease” (17H05653). References 1. Miyajima A, Tanaka M, Itoh T (2014) Stem Progenitor cells in liver development, homeostasis, regeneration, and reprogramming. Cell Stem Cell 14:261–274 2. Yanger K, Zong Y, Maggs LR et al (2013) Robust cellular reprogramming occurs spontaneously during liver regeneration. Genes Dev 27:719–724 3. Tanimizu N, Nishikawa Y, Ichinohe N et al (2014) Sry HMG box protein 9-positive (Sox9+) epithelial cell adhesion moleculenegative (EpCAM) biphenotypic cells derived from hepatocytes are involved in mouse liver regeneration. J Biol Chem 289:7589–7598 4. Tanimizu N, Ichihohe N, Yamamoto M et al (2017) Progressive induction of hepatocyte progenitor cells in chronically injured liver. Sci Rep 7:39990 Chapter 20 The Preparation of Decellularized Mouse Lung Matrix Scaffolds for Analysis of Lung Regenerative Cell Potential Deniz A. Bölükbas, Martina M. De Santis, Hani N. Alsafadi, Ali Doryab, and Darcy E. Wagner Abstract Lung transplantation is the only option for patients with end-stage lung disease, but there is a shortage of available lung donors. Furthermore, efficiency of lung transplantation has been limited due to primary graft dysfunction. Recent mouse models mimicking lung disease in humans have allowed for deepening our understanding of disease pathomechanisms. Moreover, new techniques such as decellularization and recellularization have opened up new possibilities to contribute to our understanding of the regenerative mechanisms involved in the lung. Stripping the lung of its native cells allows for unprecedented analyses of extracellular matrix and sets a physiologic platform to study the regenerative potential of seeded cells. A comprehensive understanding of the molecular pathways involved for lung development and regeneration in mouse models can be translated to regeneration strategies in higher organisms, including humans. Here we describe and discuss several techniques used for murine lung de- and recellularization, methods for evaluation of efficacy including histology, protein/RNA isolation at the whole lung, as well as lung slices level. Key words Biomaterial, Decellularization, Recellularization, Lung, Precision cut lung slices, Scaffold, Tissue engineering 1 Introduction The global prevalence of chronic lung diseases is increasing, posing serious threats to human health [1, 2]. Despite recent advancements, curative therapies for end-stage lung diseases are still missing [3]. Lung transplantation remains the only option at end-stage disease, but the current clinical demand exceeds the number of available lungs [4]. 5-year survival rates after lung transplantation have remained around 50% due to severe primary graft dysfunction and are low when compared to other solid organ transplantations [5, 6]. Therefore, novel solutions are urgently needed to address these issues for patients with chronic lung disease. Ivan Bertoncello (ed.), Mouse Cell Culture: Methods and Protocols, Methods in Molecular Biology, vol. 1940, https://doi.org/10.1007/978-1-4939-9086-3_20, © Springer Science+Business Media, LLC, part of Springer Nature 2019 275 276 Deniz A. Bölükbas et al. Different experimental animal models, including those utilizing lineage tracing of candidate stem and progenitor cell populations, have been developed to better understand disease pathomechanisms and to evaluate the regenerative potential of the lung in diseases such as chronic obstructive pulmonary disease [7], pulmonary fibrosis [8], and bronchiolitis obliterans syndrome [9]. However, the ability to study cell-matrix interactions in these models is challenging. Ex vivo models derived from rodent tissue have been more recently utilized to study lung repair and regeneration and cell-matrix interactions [3]. Such models are primarily based on cultivation of stem or progenitor cells on biologically or synthetically derived scaffolds. While three-dimensional culture of cells in biologically derived materials such as Matrigel and rat-tail type I collagen has helped to elucidate lung stem and progenitor cell behavior, including cell-matrix interactions [10–16], Matrigel is derived from a sarcoma cell line and is known to contain a variety of growth factors also known to be involved in cancer. Further, rat-tail type I collagen incompletely mimics the in vivo microenvironment and is also known to contain a variety of other factors [17]. Thus, alternative models which more closely mimic the in vivo lung microenvironment are useful for validating the regenerative potential of different cell populations. One way to generate more physiologic lung microenvironments is through the use of acellular biologic lung scaffolds which can be derived through a process termed as decellularization. This can be achieved by perfusion of select solutions through the airways or the vasculature of the lungs from a variety of species, such as murine, rat, porcine, nonhuman primate, and human, to remove the native cells while retaining the general architecture of the lung and the majority of extracellular matrix components [3, 18, 19]. Repopulation and maturation of autologous cells in these scaffolds, termed as recellularization, can aid in understanding the mechanisms involved in lung regeneration and ultimately be used to obtain functional lung tissue that would minimize the need for immunosuppressant therapies posttransplantation [20]. Previous studies have used a variety of different cell types and culturing media for recellularizing acellular murine lung scaffolds. Examples of cell types inoculated to date include mesenchymal stromal cells (MSCs) derived from mouse bone marrow or C10 murine lung epithelial cells [21–25], embryonic stem cells derived from cKIT+/CXCR4+ endodermal cells [26] and A9 murine transformed subcutaneous fibroblasts [27], and fetal mouse lung cells derived from E17 lung tissue homogenates [28], E14tg2a, or Nkx2-1+ versus undifferentiated embryonic stem cells (ESCs) [29, 30]. However, functional lung tissue has yet to be obtained and will likely require multiple cell types and careful control of growth factors (or small molecule mimics) using advanced bioreactors. Acellular Lung Scaffolds for Regenerative Potential 277 Alternatively, the use of decellularized lungs offers the possibility to better understand cell-cell and cell-matrix interactions and their role in pathomechanisms in a more controlled manner. It has been previously shown that acellular scaffolds derived from diseased or aged murine, rodent, and human lungs retain their pathological composition and architecture to a large degree after decellularization [18, 21, 31–37]. In particular, acellular scaffolds derived from diseased lungs provide an opportunity to study cell-extracellular matrix interactions in a more in vivo-like setting compared to traditional cell culture on tissue plastic or on extracellular-matrixcoated tissue culture dishes. Interestingly, cells seeded onto acellular scaffolds derived from pathological or aged lungs adopted disease or aging phenotypes compared to cells seeded onto control lung scaffolds [21, 35, 38, 39]. Acellular scaffolds also set the stage for recellularization analyses and more physiologic assessment of regenerative potential, which are difficult to achieve using other methods or require specialized microscope settings (e.g., intravital microscopy) to achieve in vivo. For instance, lineage-tracing technology and live imaging of select cell types and/or select cell combinations could be employed in murine lung recellularization models to identify key players in disease remodeling or regeneration. In this chapter, we describe the preparation and use of acellular murine lungs to study the regenerative potential of the lung (cells) ex vivo (see Fig. 1). Additionally, protocols for monitoring recellularization of the bioengineered scaffolds are described. 2 Materials All procedures below should be carried out in a sterile environment (e.g., cell culture hood) with sterile tools (sterilized, i.e., autoclaved or rinsed with 70% ethanol, forceps, scissors, silk sutures, petri dishes, beakers, waste containers, syringes, 19-gauge needles, and cannulas). 2.1 Solutions and Materials for Murine Lung Extraction All of the solutions used in Subheadings 2.1–2.3 should be prepared with deionized or ultrapure water and be sterilized before use. 1. Mice (see Note 1). 2. 70% (v/v) ethanol 3. Loupe microscope with light (Leica M80 8:1 manual zoom coupled with KL200 LED). 4. Ventilator (Harvard Apparatus, MiniVent 845). 5. 19-gauge needles with blunt ends and polyurethane cannulas with 0.9 mm diameter (Instech, C20PU-MJV1451; see Note 2). 278 Deniz A. Bölükbas et al. Fig. 1 Murine lung de- and recellularization approaches. De- and recellularization of the lung can be accomplished by different strategies: (a, b) at the whole lung level through the airways or vascular system by perfusion of respective cells in bioreactor systems or (c–g) by seeding individual precision cut lung slices (depicted as rings in a, b) of acellular lung scaffolds with cell preparations in tissue culture plates 6. 2:1 (v/v) mix of ketamine (100 mg/mL) and xylazine hydrochloride (20 mg/mL) (see Note 3). 7. Phosphate-buffered saline (PBS). 2.2 Solutions and Materials for Decellularization 1. 100 U/mL penicillin and 100 μg/mL streptomycin in distilled water (henceforth called DI solution). 2. 0.1% Triton X-100 solution supplemented with 100 U/mL penicillin and 100 μg/mL streptomycin. 3. 2% (w/v) sodium deoxycholate solution (SDC). 4. 1 M NaCl solution supplemented with 100 U/mL penicillin and 100 μg/mL streptomycin. 5. DNase solution (i.e., 30 μg/mL porcine pancreatic DNase, 1.3 mM MgSO4, 2 mM CaCl2, 100 U/mL penicillin, and 100 μg/mL streptomycin) freshly prepared or taken from aliquots stored at 20 C. 6. PBS storage solution (i.e., 100 U/mL penicillin and 100 μg/ mL streptomycin, 50 mg/L gentamicin, and 2.5 μg/mL amphotericin B in PBS without Ca2+ and Mg2+). Acellular Lung Scaffolds for Regenerative Potential 2.3 Cells and Materials for Recellularization 2.3.1 Whole Lung Recellularization 279 1. An ex vivo perfusion/ventilation system built from the elements below. 2. Peristaltic pump capable of a flow rate of 1 mL/min (Cole Parmer #EW-73160-20). 3. Screw caps with two hose connections (Aldrich, Duran® GL 45 #Z680419). 4. 100 mL graduated laboratory bottles (Aldrich, Duran® #Z232076). 5. Silicone tubing with 8 mm inner diameter (Witeg #9316012). 6. Four-way stopcocks with Luer connections (Cole Parmer #EW-30600-04). 7. Water bath filled with water kept at 37 C. 8. Ventilator (Harvard Apparatus, MiniVent 845). 2.3.2 Physiologic or Direct PCLS Recellularization 1. Low gelling temperature agarose (Sigma-Aldrich A2576; see Note 4). 2. Vibratome (Hyrax V55, Zeiss, Germany; see Note 5). 3. Cyanoacrylate glue. 4. 24-well plates for cell culture 5. Incubator at 37 C with 5% CO2 in humidified air. 6. Biopsy punch (optional; see Note 6). 2.4 Lung Histology 1. 4% paraformaldehyde (PFA). 2. Paraffin. 3. Microtome. 4. Xylene. 5. 70%, 90%, and 100% ethanol series. 6. Water bath filled with water kept around 45 C. 7. Hot plate kept around 65 C. 8. Adhesive glass microscopic slides. 9. Histological stain as needed (for common examples; see Table 1). 10. Cover slips and mounting medium (e.g., Entellan for brightfield staining, DAKO fluorescent mounting medium for fluorescent staining). 2.5 Materials for Tissue Homogenization 1. Liquid nitrogen. 2. Tissue homogenizer (see Note 7). 280 Deniz A. Bölükbas et al. Table 1 Common staining examples for histological validation of de- or recellularized lungs Name Stains Type Hematoxylin and eosin (H&E) Hematoxylin stains the nuclei violet, while eosin stains the other structures in pink/red Bright-field Verhoeff-van Gieson Nuclei are stained in blue, elastic fibers in black, collagen in red, stain (EVG) and the other tissue elements in yellow Bright-field Masson’s trichrome stain Nuclei are stained in black/blue, collagen in blue, and the muscle Bright-field fibers in red Alcian blue Nuclei are stained in red, mucin in blue, and the background in pink Bright-field DAPI, Hoechst Cell nuclei (excitation/emission 350/470 nm) Fluorescence Phalloidin Actin (various absorption) Fluorescence 2.6 Solutions for Protein Analysis 1. RIPA lysis buffer (Thermo Scientific #89900). 2. cOmplete™, Mini Protease Inhibitor Cocktail (Sigma #11836153001). 3. PhosSTOP™ phosphatase inhibitor cocktail tablets (Sigma #4906837001). 2.7 Solutions and Materials for RNA Analysis 3 1. peqGold Total RNA Kit (VWR International #732-2868). 2. Proteinase K (Thermo Scientific #11501515). 3. tris(2-carboxyethyl)phosphine (TCEP; Merck #580561). Methods 3.1 Murine Lung Extraction and Preparation of the Heart-Lung Block 1. Anesthetize the mice by injecting ~100 μL of 2:1 (v/v) ketamine/xylazine hydrochloride mixture intraperitoneally. 2. Wait for circa 5 min until the mouse becomes unconscious. Validate proper anesthetization by checking toe pinch reflex before starting the surgery. 3. Place the mouse on the operating table; fix in supine position with tape or needles holding the arms, legs, and tail in an outstretched position; and spray with 70% ethanol for sterilization (see Fig. 2a). 4. Using surgical blunt scissors, enter peritoneal cavity by a midline incision. 5. Continue the incision cranially until the trachea is exposed. Make sure the thoracic cavity is not ruptured. 6. Dissect posterior to the trachea and place the suture posterior to the trachea. Acellular Lung Scaffolds for Regenerative Potential 281 Fig. 2 Murine lung extraction. (a) Incising cranially through the rib cage to expose the thoracic cavity and lungs of the mouse. Representation of a heart-lung block ready to be processed for decellularization from (b) dorsal and (c) ventral view 7. Make a small anterior incision between the cartilaginous rings of the trachea, making sure not to cut through the entire trachea, and cannulate the trachea by inserting the 19 gauge needle with blunt ends (described in Subheading 2.1, item 5) and securing it with the suture (see Note 8). 8. Enter the thoracic cavity by dissecting the diaphragm and incising through the sternum cranially. Make sure the lungs are not ruptured (Fig. 2a). 9. Retract the ribs to two sides to expose the thoracic cavity. 10. Dissect the thymus. Make sure the large vessels of the heart are not damaged. 11. Move the abdominal organs to one side and make an incision at the inferior vena cava for euthanasia. 12. Slide a suture posterior to the pulmonary artery (PA) in preparation for securing the polyurethane PA cannula. 13. Slide a suture posterior to the aorta in preparation for securing the polyurethane aorta cannula. 14. Perfuse the lungs by injecting the right ventricle with 10–20 mL of PBS to wash away blood and blood clots from the lung microvasculature and take care not to overinflate the lungs (i.e., stop injecting when you feel pressure on the syringe). Observe the color change in the lung from pink to white (Fig. 2b, c). 15. Cannulate the PA and the aorta. Secure each with silk sutures. 16. Dissect the heart-lung block from the thoracic cavity carefully using blunt scissors. 282 Deniz A. Bölükbas et al. 3.2 Murine Lung Decellularization 1. After removing the heart-lung block from the thoracic cavity, incubate the lungs in the DI solution on ice. 2. Perfuse the lungs with 15 mL DI solution through the trachea and 15 mL DI solution through the right ventricle using a 19-gauge needle. Do the first rinse very carefully by pausing when injecting to allow solution to come out as lung recoils. 3. Perfuse the lungs with 3 mL 0.1% Triton X-100 solution through the trachea and 3 mL 0.1% Triton X-100 solution through the right ventricle using a 19-gauge needle (Fig. 3a, b). 4. Incubate submerged in 0.1% Triton X-100 solution for 24 h at 4 C (Fig. 3c). Fig. 3 Murine lung decellularization. Administration of respective decellularization and washing solutions into the lungs via the (a) trachea and (b) the heart and (c) incubating the heart-lung block for 24 h at 4 C. See Subheading 3.2 for sequences and volumes of solutions to be instilled on each day of the protocol and incubation periods. (d) Following each decellularization step, administration of DI solution into the murine lungs through both the trachea and the heart is described. In the final step, PBS storage solution should be instilled through both the trachea and the heart. The final scaffold should be stored submerged in PBS storage solution at 4 C Acellular Lung Scaffolds for Regenerative Potential 283 5. Remove the lungs from 0.1% Triton X-100 solution and perfuse with the DI solution as in step 2 (Fig. 3d). 6. Perfuse the lungs with 3 mL 2% SDC through the trachea and 3 mL 2% SDC through the right ventricle using a 19-gauge needle. 7. Incubate in 2% SDC for 24 h at 4 C. 8. Remove the lungs from 2% SDC solution and perfuse the lungs with the DI solution as in step 2. 9. Perfuse the lungs with 3 mL NaCl solution through the trachea and 3 mL NaCl solution through the right ventricle using a 19-gauge needle. 10. Incubate in NaCl solution for 1 h at room temperature. 11. Remove the lungs from NaCl solution and perfuse the lungs with the DI solution as in step 2. 12. Perfuse the lungs with 3 mL DNase solution through the trachea and 3 mL DNase solution through the right ventricle using a 19-gauge needle. 13. Incubate in DNase solution for 1 h at room temperature. 14. Remove the lungs from DNase solution and perfuse the lungs as in step 2, but this time using PBS storage solution instead of the DI solution. 15. Store the acellular lungs in PBS storage solution at 4 C (or remove and fix lobes immediately for residual DNA or histological assessment, respectively; see Note 9). 3.3 Generation of Acellular PCLS Alternatively, PCLS can also be prepared from decellularized murine lungs and be utilized as scaffolds for recellularization studies. The following steps are to be followed for generating acellular PCLS: 1. Pre-warm a water bath to 41 C. 2. Prepare a 3% low gelling temperature agarose solution in PBS by warming up the mixture in a microwave for a few minutes until it boils. 3. In parallel, place PBS in 20 C to prepare ice-cold PBS and ensure that it does not freeze. 4. Place the 3% agarose solution in the 41 C water bath and allow to equilibrate for at least 20 min. 5. Remove the ice-cold PBS and pour into a sterile 50 mL beaker in a tissue culture hood. 6. Use forceps to suspend the acellular lung by the tracheal cannula and submerge in the ice-cold PBS. 7. Slowly administer the agarose solution into the lung scaffold by injecting through the trachea cannula. 284 Deniz A. Bölükbas et al. 8. Ligate the trachea with sutures to prevent the agarose from escaping through the trachea cannula. 9. Place the acellular lung scaffold filled with agarose in a petri dish and place on ice (or at 4 C) for solidification of the agarose. 10. Separate the individual mouse lobes and mount them using cyanoacrylate glue onto the cutting surface. Cut with the vibratome system to a thickness of 300 μm using a speed of ~1.2 mm/s, a frequency of 100 Hz, and an amplitude of 1 mm [21]. 3.4 Confirmation of Decellularization and Scaffold Cytocompatibility In order to confirm the efficacy of the decellularization protocol prior to recellularization, scaffolds should be evaluated to ensure that they meet the generally agreed upon criteria set forth by Crapo et al. [40] with our suggested addition of confirmation of detergent removal for cytocompatibility assessment [41]. Lung histology protocols are described in Subheading 3.5. We have previously published a detailed protocol for assessment of residual DNA and detergents and direct the reader there for further details [18]. 3.5 1. Fix acellular or recellularized mouse lungs in 4% PFA for 24 h at 4 C. Lung Histology 2. Place the specimens inside histological cassettes with filter paper for further tissue processing (see Note 10). 3. Dehydrate the specimens in 70%, 90%, and 100% ethanol for 15 min each, respectively. 4. Continue the dehydration with 100% ethanol changes for another 15, 30, and 45 min. 5. Clear the dehydrated specimen with 20-, 20-, and 45-min consecutive xylene incubations. 6. Infiltrate the specimen with wax by 30-, 30-, and 45-min incubations. 7. Embed the specimen in paraffin and cool the blocks down. 8. Cut 3-μm-thick sections and enlarge the sections by floating them in a water bath at ~45 C before replacing them on adhesive glass microscopic slides. 9. Let the slides dry on a hot plate before continuing with the staining. 10. Deparaffinize and stain sections with any standard histological stain (see Fig. 4 and Notes 11 and 12). 11. Mount cover slips onto the microscopic slides and let the mounting medium dry before microscopic observation of the staining. Acellular Lung Scaffolds for Regenerative Potential 285 Fig. 4 Histological characterization of the decellularized murine lungs. (a, b) Hematoxylin and eosin (H&E), (c, d) Verhoeff-van Gieson (EVG), (e, f) Alcian blue, (g, h) Masson’s trichrome staining of native (left panel) versus decellularized (right panel), and murine lungs showing efficacy of the decellularization process (Reprinted with permission from ref. 25) 286 Deniz A. Bölükbas et al. 3.6 Murine Lung Recellularization Recellularization of the lung can be accomplished by the following different strategies depending on the experimental questions or desired endpoint analyses: (1) at the whole lung level through the airways or vascular system (Fig. 1a, b) or (2) on individual slices of acellular lung scaffolds. In the instance of recellularization of entire lobes or entire lungs, the cultivation could either continue as a whole organ or as lung slices made from the recellularized lungs. In the second method, recellularization occurs by directly seeding or incubating cells with lung slices (Fig. 1). Lung slices have previously been generated by hand or through methods similar to those used for precision-cut lung slices (PCLS). Materials for each strategy are described in separate sections below. 3.6.1 Whole Lung Recellularization Cells can be seeded into the acellular lung scaffold IT and/or IV depending on the cultivation procedure selected. Cell numbers, amounts, and incubation time needed for attachment will likely need to be adapted and confirmed for each cell type and combination. Below, the steps to be taken for recellularization at the whole lung level in an ex vivo perfused/ventilated bioreactor system are listed (see Note 13). 1. Construct the ex vivo perfusion/ventilation system according to the setup shown in Fig. 5 (see Note 14). 2. Load the external and the internal lung incubation chamber (E and I, respectively) with PBS. 3. Place the I chamber in a water bath (w) kept at 37 C. 4. Start the perfusion system by turning on the peristaltic pump (p). Make sure the stopcock (sc) switch is in proper position (henceforth called position 1) for the PBS to flow from the E to the I chamber (a-d line). 5. If air bubbles are observed in the pipeline, remove them by using the air purge (ap) stopcock, closing the I chamber input line (d). 6. Once the a-d line is fully filled with PBS, switch the stopcock (henceforth called position 2) to allow for perfusate to loop within the I chamber (b-e loop) until it is completely filled as well. 7. Run PBS through the lung scaffold for 10–15 min in the b-e loop. 8. Turn off the pump and discard the PBS from the E and I chambers. 9. Switch the stopcock into position 1 to allow for perfusate to flow through a-d line again. 10. Load the E chamber with the corresponding cell suspension for recellularization of the lung vascular tract. Acellular Lung Scaffolds for Regenerative Potential 287 Fig. 5 Schematic representation of the ex vivo lung perfusion/ventilation system. System consists of two chambers, i.e., the external chamber (E), the internal lung incubation chamber (I) connected via tubing, two stopcocks, one (sc) to control for the external line versus the internal loop, second (ap) to remove the air bubbles in the tubing before entering the lung incubation chamber, a peristaltic pump (p) at 0.5 mL/min rate, a water bath (w) at 37 C, as well as a ventilator (v) for murine lungs with 100 strokes/min and 100 μL stroke volume 11. In parallel, load the I chamber with fresh cell culture medium (e.g., DMEM/F12 supplemented with 10% FBS and 1% penicillin/streptomycin). 12. Connect the tracheal cannula attached to the heart-lung block with the ventilation system of the bioreactor and the d line output to the PA cannula versus the e line input to the aorta cannula. 13. Instill the corresponding cells selected for recellularization of the airway tract via the trachea cannula in the heart-lung block. 14. After a certain time of incubation under static conditions for cell attachment in the airway tract, start running the peristaltic pump at 0.5 mL/min flow rate to load the lung scaffold with the vascular tract cell suspension (see Note 15). 15. Once the predetermined amount of perfusate which you want to instill is loaded into the scaffold (i.e., amount of time to instill can be determined by dividing the total volume you wish to instill by the flow rate), turn off the pump, and switch the stopcock to allow for the perfusate to recirculate through the internal circuit (b-e loop). 16. Incubate the scaffold again with the cells loaded for cell attachment in the vascular tract. 288 Deniz A. Bölükbas et al. 17. After incubation, turn on the pump again at 0.5 mL/min flow rate and start ventilating the scaffold at around 100 strokes/ min with a stroke volume of 100 μL of humidified air (see Note 16). 18. Continue culturing for cellular proliferation and differentiation for predetermined time-points and exchange the cell culture media in the I chamber daily. 3.6.2 Airway Route Recellularization for Slice Generation The majority of the reports have exploited the slice technology for recellularization studies where lung slices are prepared from acellular lungs following IT inoculation of the corresponding cells suspended in low gelling temperature agarose (see Note 17). We have recently optimized this setup to be compatible with PCLS generation to allow for controlled slice thickness (Fig. 6). The steps to be followed for such an approach are listed below. 1. Prepare a 3% low gelling temperature agarose solution in cell culture medium by warming up the mixture (see Note 18). 2. Resuspend 2 mL of the cell suspension in cell culture medium with 1 mL agarose solution until the cells appear uniformly dispersed. 3. Administer the cells into the lung scaffold by injecting through the trachea cannula (see Note 19). 4. Ligate the trachea to prevent the escape of the cell-agarose solution, and let the recellularized scaffold stay on ice (or at 4 C) for solidification of the agarose (approximately 30 min). 5. Set up the vibratome system and start making lung slices as described in Subheading 3.3. 6. Place the PCLS samples into cell culture plates submerged in culture medium. 7. Place the plate in an incubator at 37 C with 5% CO2, and exchange the culture medium in the wells four times in the first 2–3 h of culturing (see Note 20). 3.6.3 Recellularization Directly on the PCLS 1. Prepare acellular lung slices as described in Subheading 3.3 and allow them to float in 24-well plates loaded with fresh media. 2. Place the plates into an incubator at 37 C with 5% CO2 and exchange the culture medium as stated in Subheading 3.6.2. 3. Before seeding the cells, gently move the PCLS into a new well and slowly pipette a low-volume cell suspension onto the PCLS (see Note 21). 4. Let the seeded cells attach within the acellular PCLS by incubating the plate for circa 1 h. 5. Load the wells with fresh medium and continue with the treatment until the predetermined endpoints. Acellular Lung Scaffolds for Regenerative Potential 289 Fig. 6 Histological characterization of the murine PCLS recellularization. H&E staining of the PCLS recellularized via the airway route following precision cut lung slice generation and culture for 24 h at (a) low and (b) high magnifications (nuclei shown in violet, proteins shown in pink) 3.7 Tissue Homogenization Homogenization of acellular or native tissue must be done under freezing conditions in order to produce a tissue powder that can be split into fractions or be fully used for RNA or protein isolation depending on the availability of tissue. 1. Use approximately one lobe if using a full murine lung, at least two to three PCLS. Blot tissue to remove extra moisture. Snap freeze tissue in liquid nitrogen. If homogenization is not performed immediately, store at 80 C in a safe-lock tube with a small hole in the tube cap for pressure release. 2. Homogenize using one of the devices in Table 2. 290 Deniz A. Bölükbas et al. Table 2 Homogenization of snap-frozen lung tissue in Mikro-Dismembrator S versus TissueLyser II Mikro-Dismembrator S TissueLyser II (a) Adaptor blocks are stored at 80 C (a) Place 9 mm steel balls in dismembrator tubes and cool them down in liquid nitrogen or on dry (b) Pre-cool 2 mL safe-lock round-bottom tubes ice and beads in liquid nitrogen before starting. (b) Place lung tissue slices in the cooled tubes Place adaptor blocks on dry ice during (c) Cool down sample holder by placing in liquid preparation nitrogen (c) Place sample in cooled 2 mL safe-lock tubes (d) Place samples in sample holder and quickly (d) Place 7 mm steel bead on top of sample. Lock mount the device lid and place on cold adaptor block (e) Homogenize the samples for 00:30 s at the (e) Place adaptor block in TissueLyser II and run at maximum shaking frequency of 3000/min frequency of 25/s for 1 min. Quickly return the (f) Repeat (c–e) three times for each set of samples. samples to dry ice Place samples in liquid nitrogen after each cycle (f) Check samples for complete homogenization, to avoid warming and softening of the tissue and if samples are not in a powder form, repeat (d) 3. The produced powder can be divided into several fractions as needed. Keep sample in liquid nitrogen or on dry ice until further processing. 3.8 Protein Isolation from Deand Recellularized Murine Lung Tissue 1. Homogenize samples as described in Subheading 3.7, and add 200 μL RIPA lysis buffer supplemented with protease and phosphatase inhibitor cocktails. 2. Vortex sample until it thaws and place on ice for 30 min. 3. Centrifuge samples at 15,000 rpm (16,000 g) for 20 min. 4. Collect the soluble fraction. Save the pellet at further analysis. 3.9 RNA Isolation from Deand Recellularized Murine Lung Tissue 80 C for 1. Homogenize samples as described in Subheading 3.7 and lyse the frozen samples with 600 μL RNA lysis buffer T containing 6 μL TCEP; mix thoroughly until the sample is liquid and place it on ice for 1 h. Use smaller volumes of lysis buffer for smaller samples (e.g., 400 μL for 2 homogenized PCLS). 2. Transfer the lysate into a 1.5 mL tube and add 15 μL proteinase K to the samples. Vortex thoroughly and incubate at 55 C for 10 min on a thermoblock with a shaking frequency of 700/min. 3. Transfer the lysate into a DNA removing column. Centrifuge at 12,000 g for 1 min. 4. Transfer the flow-through into a new 1.5 mL tube and add one volume equivalent (600 μL) 70% ethanol. 5. Perform RNA binding and purification according to manufacturer protocol using PerfectBind RNA columns. Acellular Lung Scaffolds for Regenerative Potential 291 6. Elute with 40 μL sterile RNase-free-dH2O on the membrane. Centrifuge at 5000 g for 1 min. 7. Re-elute using flow-through and determine concentration using a NanoDrop or an equivalent device. 4 Notes 1. Various types of mouse models, including those derived from murine models of disease, have previously been used for lung de- and/or recellularization. However, each mouse model must be characterized in depth for the applicability of the techniques discussed in this chapter. 2. Depending on the instrumentation available, different products can be used for the heart-lung block cannulation. The most common ones used in the market are available from Harvard Apparatus [42]. 3. Anesthesia should be applied as recommended and approved by your local guidelines. 4. Several low gelling temperature agarose formulations exist on the market. The optimal formulation should be chosen according to the physical requirements of the experiment. In particular, variations in the melting temperature of different formulations can result in alterations in the experiment, as these would have direct effects on the removal kinetics of the agarose from the lungs during incubation at 37 C. For instance, SeaPrep® agarose by Cambrex (used in ref. 25) is particularly “soft” which results in faster dissociation of the agarose from the slices under culturing conditions. 5. A number of approaches has been developed to create PCLS models with the most common ones utilizing Zeiss Hyrax V55 [43] or Krumdieck tissue slicer [44]. Though both methods are capable of creating PCLS within the same tissue thickness levels, their cutting strategies are different and may result in experimental differences. 6. For higher-throughput and paired analysis, punches can be taken at identical sizes from the PCLS samples. 7. Though any tissue homogenizer can be used, we have found that a homogenizer with larger beads is sufficient. In this chapter, we discuss the use of two different homogenizers: (1) Mikro-Dismembrator S (Sartorius Stedim Biotech 8531609) and (2) TissueLyser II (Qiagen 85300). 8. The cannula may be connected to the ventilation unit once the mouse is intubated to start external ventilation of the lungs at rates around 100 strokes of 100 μL air per min. 292 Deniz A. Bölükbas et al. 9. For histological evaluation of the acellular lungs, the lungs should be fixed in PFA immediately after the completion of the decellularization protocol. Otherwise, the lung structure appears collapsed in histological assessments [25]). 10. Depending on the protocol used for tissue processing, care should be taken during these steps to ensure that the PCLS samples do not fold on themselves. In particular, if samples will be processed in a rotating tissue processor, we have observed that placing the PCLS in between two biopsy foam pieces in the cassette helps limit distortion. Alternatively, if your processor has a static chamber, we have found that histological filter papers are compatible with this processing. 11. The presence of visible red cellular material or “ghost cells” in H&E or in Masson’s trichrome staining indicates incomplete cell removal. 12. Retention or loss of elastin and proteoglycans in the lung after processing can be observed by Verhoeff-van Gieson and Alcian blue staining. 13. In another model used by Crabbe et al. [24] where the lungs were cultivated in a rotating wall vessel (RWV) bioreactor, the lungs were first cultured in static conditions after the seeding of the cells for 3 days to allow for cell attachment prior to the dynamic culture conditions in the RWV bioreactors. 14. The bioreactor system discussed in this chapter (Fig. 5) is a modification of the system previously designed and validated by Doryab et al. [45]. 15. Incubation period of the murine lung scaffold under static conditions for cell attachment is dependent on the cells used for the experiment [46]. 16. Humidified air is tolerable for short periods of recellularization studies. However, having humidified air with 5% CO2 is recommended for long-term cultivation studies. 17. Although the reports to date have utilized recellularization of lung slices strategy via the airway route, we envision the same approach can be applied for vascular tract recellularization too. 18. Cool down the agarose solution in a water bath at around 37 C, before resuspending the cells with it. 19. Acellular scaffolds can be ligated at the right bronchus to direct the cells only to the left lung lobe. In this manner, one can have paired controls for each individual lung. 20. It is recommended to exchange the media in the wells every 30 min four times at the start of culturing to get rid of the dissociated agarose and the immediate cytokines released due to cutting of the lung tissue accumulating in the wells. Acellular Lung Scaffolds for Regenerative Potential 293 21. In a recent study [26], the PCLS were placed on floating membranes in culture medium to achieve air-liquid interface (ALI) conditions. Acknowledgment The authors wish to thank all previous lab members who contributed to establishing the methods described here, in particular to Nicholas Bonenfant, Zack Borg, Dino Sokocevic, Noor Christiaens, Carmela Morrone, and Amelia Payne. Portions of this work were funded by an ATS Unrestricted Grant (awarded to D. E.W.) and a Wallenberg Molecular Medicine Fellowship awarded to D.E.W. References 1. 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The major advantage of this technique is that the presence, differentiation state, and localization of the more than 40 cell types that make up the lung are in accordance with the physiological situation found in lung tissue, including the right localization and patterning of extracellular matrix elements. Here we describe the methodology involved in preparing and culturing PCLS followed by detailed practical information about their possible applications. Key words Precision-cut lung slices (PCLS), Ex vivo, Lung tissue functions 1 Introduction The lung slice represents a lung tissue preparation suitable for a great variety of studies ranging from airway pharmacology to toxicology [1]. Lung slices are prepared from whole lung by filling the lung lobes with a low-melting point agarose to be made suitable for slicing. After slicing, the slices can either be used directly or are cultured before experimental end-points are determined. Whereas this paper will focus on the preparation and applications of mouse lung slices (Fig. 1), lung slices can be prepared from all mammalian species. We will first briefly review the main strengths, weaknesses, and applications of the lung slices, followed by a detailed practical information into the methodologies used. 1.1 Main Methodological Strengths and Weaknesses of Lung Slices Probably the main strength of working with lung slices is that the presence, differentiation state, and localization of the more than 40 cell types that make up the lung are in accordance with the physiological situation found in the lung, including the right localization and patterning of extracellular matrix elements. Despite considerable efforts and progress in the area of 3D cell culture and 3D printing, recapitulation of the complexity of lung tissue in Ivan Bertoncello (ed.), Mouse Cell Culture: Methods and Protocols, Methods in Molecular Biology, vol. 1940, https://doi.org/10.1007/978-1-4939-9086-3_21, © Springer Science+Business Media, LLC, part of Springer Nature 2019 297 298 Xinhui Wu et al. Fig. 1 Procedure of precision-cut lung slices (PCLS). This flowchart briefly shows the whole procedure of precision-cut lung slices such models is currently not possible. This makes the slice extremely suitable for studies into the relationships among the lung, airway or pulmonary vascular structure, and function [2]. Moreover, it has proven extremely difficult to maintain the mature contractile phenotype of smooth muscle cells in culture [3], and our understanding of smooth muscle physiology (either airway or pulmonary vascular) is already restricted in cell culture studies for that reason alone. Not surprisingly, the first studies conducted with lung slices were smooth muscle physiology studies [4]. In laboratories working in that area, the slices have taken center stage, mostly due to the pioneering work of the groups of Christian Martin [4] and Michael Sanderson [2]. Finally, a significant advantage of the lung slice model is that multiple slices (up to around 50 in mouse) can be taken from a single animal for both controls and treatments study, thereby reducing the use of animals. However, the lung slice model has weaknesses that should be taken into account when designing studies and utilizing PCLS. One of the most significant weaknesses is that it has proven extremely difficult to culture slices for prolonged periods of time. This may be due to the diversity of cell types in one lung slice, each requiring specific culturing media, making it difficult to find one medium composition that fits all. Research groups working with cultured slices report their use for several days, with increases in ATP and LDH release, and the presence of dead cells appearing around day 3–7 [5, 6]. Application of microfluidics or specific cell culture ingredients may help to prolong this longevity, although virtually no in-depth studies in this area have been reported. PCLS Applications in Mice 299 Another significant disadvantage of the lung slice model is that the tissue is taken out of its context, removing blood supply and neural network connections to the central nervous system. Accordingly, studies into inflammatory cell recruitment to the lung or studies into neural reflex control of lung physiology are not possible in the slice. Having said that, lung slices do contain structural cells and tissue-embedded inflammatory cells such as macrophages and mast cells whose function can be studied [6, 7]. 1.2 Applications As discussed above, one of the first applications for the lung slices was the study of small airway physiology in its natural context of parenchymal connections. Until lung slices became available, studies into airway physiology were mostly done in tracheal or large bronchial preparations in traditional organ bath settings. The lung slices made it possible to study small airway and pulmonary vascular physiology in response to agonists or electrical field stimulation (to release endogenous neurotransmitters) [8–10], which is of great importance as these anatomical regions play a major role in asthma, COPD, and PAH. Thus, understanding of the receptor populations and excitation contraction coupling mechanisms in the distal airways and vessels has provided new insights with important therapeutic implications. These include the findings that the distal airways have significant neuronal innervation and functional control and the finding that distal airways have completely different pharmacology, with large differences in the sensitivity and maximal response to bronchoconstrictor agents such as methacholine ([8, 9, 11] and own unpublished observations). The connectivity to the parenchymal structure has additional benefits as it allows studies into the impact of changes in parenchymal mechanics (e.g., in COPD) on airway mechanics. Such studies have revealed that the elastin/collagen network in the parenchyma significantly impacts on airway reactivity and airway reopening, which is distorted in COPD and in lung slices exposed to elastase [12–14]. The elastin and collagen fibers can be visualized in the slices using two-photon confocal microscopy as outlined below. Strain mapping during bronchoconstriction [15] provides further insight into these airway-parenchymal interactions and can be used to map how deep strain penetrates into the lung tissue following bronchoconstriction. Moreover, additional applications for the lung slices have been considered. These include studies into bronchoconstrictioninduced or growth factor-induced airway and lung remodeling. We have shown that prolonged exposure to bronchoconstrictors leads to changes in smooth muscle content in the airways [5, 16], although an important side note here is that this was more readily measurable in the guinea pig and less so in the mouse. This is possibly the result of differences in bronchoconstriction to methacholine between these species, as methacholine challenge leads to 300 Xinhui Wu et al. complete airway closure in the guinea pig but only partial closure in the mouse [13, 16]. Exposure to TGF-β or a mix of growth factors and mediators involved in lung fibrosis does induce changes in gene and protein expression of matrix elements and contractile protein in the mouse and the guinea pig, showing the suitability of the lung slices for early studies of remodeling and fibrosis as well [17]. The slices may also offer opportunities to study the regenerative capacities of the lung. Alveolar epithelial type II cells (AT II cells) are difficult to culture in vitro but abundantly expressed in the lung slices. We have shown that disruption of elastin fibers reduces the expression of the AT II cell marker pro-SPC in the lung slices [13], demonstrating the possibility to study the relationships among ECM structure and airway functions in lung slices. Progenitor cell populations and their response to treatment can also be studied in the lung slices, as has been done by Uhl et al., who mapped WNT-active cells in TCF/LEF-H2B:GFP mice, showing their response to GSK-3 inhibition [6]. Another intriguing application of the lung slices in this area is to decellularize the slices for subsequent repopulation with progenitor cells to study the impact of local matrix-derived cues on cell fate decision and differentiation [18]. This is an active area of research that will likely be expanded more in the future. Studies into the immunomodulatory properties of structural cells can also be done in the lung slices [19], although this method does not offer the possibility to pinpoint the cellular source of secreted factors such as cytokines in the medium. The lack of inflammatory cell recruitment into the lung as would be seen in vivo also limits the use of the slice for such studies. Studies of drug metabolism and toxicology can also be done in the lung slices given the presence of metabolic enzymes such as P450 in the lung tissue [20–22]. 2 Materials 2.1 PCLS Preparation Prepare all surgery tools (including scissors, tweezers, suture line), cannula, syringes, cotton pad, ethanol 70%, ice, a 10-cm-diameter dish, and anesthesia (ketamine and Dexdomitor) and agarose medium before going to the animal facility. Slicing medium, incubation, and washing medium should be prepared in advance. A tissue slicer machine (Leica VT 1000 S vibrating blade microtome, Leica Biosystems B.V., Amsterdam, the Netherlands) is used in this protocol. 1. Anesthetics: Ketamine (40 mg/kg) and (0.5 mg/kg) are used in the experiments. Dexdomitor 2. Agarose medium: Agarose powder was dissolved in a solution composed of CaCl2 (0.9 mM), MgSO4 (0.4 mM), KCl PCLS Applications in Mice 301 (2.7 mM), NaCl (58.2 mM), NaH2PO4 (0.6 mM), glucose (8.4 mM), NaHCO3 (13 mM), HEPES (12.6 mM), sodium pyruvate (0.5 mM), glutamine (1 mM), MEM-amino acid mixture (1:50), and MEM-vitamins mixture (1:100, pH ¼ 7.2) within ultrapure water (UP). A final concentration of 1.5% agarose is n used to fill in the mouse lung (see Note 1). 3. Slicing medium: Medium composed of CaCl2 (1.8 mM), MgSO4 (0.8 mM), KCl (5.4 mM), NaCl (116.4 mM), NaH2PO4 (1.2 mM), glucose (16.7 mM), NaHCO3 (26.1 mM), HEPES (25.2 mM), and pH ¼ 7.2 within ultrapure water (UP). 4. Incubation medium: Medium composed of CaCl2 (1.8 mM), MgSO4 (0.8 mM), KCl (5.4 mM), NaCl (116.4 mM), NaH2PO4 (1.2 mM), glucose (16.7 mM), NaHCO3 (26.1 mM), HEPES (25.2 mM), pH ¼ 7.2 within ultrapure water (UP). Add 1% Na-pyruvate (100 mM), 2% nonessential amino acids (100), 1% MEM-vitamin solution (100), 1% L-glutamine (100), and 1% Penicillin-Streptomycin (Pen-Strep, 5000 units/mL penicillin and 5000 μg/mL streptomycin, Gibco® by Life Technologies) to the medium before use. 5. Culture medium: DMEM supplemented with sodium pyruvate (1 mM), MEM nonessential amino acid mixture, gentamycin, Penicillin-Streptomycin (Pen-Strep, 5000 units/mL penicillin and 5000 μg/mL streptomycin, Gibco® by Life Technologies), and amphotericin B (1.5 μg/mL; Gibco® by Life Technologies). 2.2 PCLS Decellularization 1. Washing solution: Solution composed of sterile ultrapure water (UP) with 5% Penicillin-Streptomycin (Pen-Strep, 5000 units/ mL penicillin and 5000 μg/mL streptomycin, Gibco® by Life Technologies). 2. Triton solution: 0.1% Triton X-100 in 5% PenicillinStreptomycin in UP. 3. SDC solution: 2% sodium deoxycholate in 5% PenicillinStreptomycin in UP. 4. NaCl solution: 1 M NaCl solution with 5% PenicillinStreptomycin in UP. 5. Dnase I solution: Solution composed of 30 μg/mL Dnase I, 2 mM CaCl2, 1.3 mM MgSO4. 6. Peracetic acid solution: 0.1% peracetic acid in 40% ethanol. 7. Storage solution: PBS supplemented with 5% PenicillinStreptomycin, 0.1 mg/mL gentamycin (Gibco® by Life Technologies), 25 mg/mL Fungizone. 8. Cytoskeleton Buffer: CB buffer, MES (10 mM), NaCl (150 mM), EGTA (5 mM), and glucose (5 mM), pH ¼ 6.1. 302 Xinhui Wu et al. 9. Cyto-TBS: Tris-base (20 mM), NaCl (154 mM), EGTA (2.0 mM), and MgCl2 (2.0 mM), pH ¼ 7.2. 10. Cyto-TBST: cyto-TBS containing 0.1% Tween-20. 3 Methods 3.1 Isolation of Murine Lung 1. Weigh the animal first by using a scale. 2. Euthanize the mouse following subcutaneous injection of ketamine and Dexdomitor (see Subheading 2). Observe the mouse and check the depth of anesthesia by pressing the feet and eye reflexes (blink eyes can be checked by approaching a cotton stick to the eyes). Once the mouse did not show feet and eye reflexes anymore, pin the animal to a base. Open the abdominal cavity with scissors by cutting the skin and peritoneum from the middle of the abdomen up to the jaw. Pull the intestines aside with forceps and cut the inferior vena cava and aorta abdominalis to exsanguinate the animal. Puncture the thoracic diaphragm with the sharp tip of the scissors to allow expansion of the rib cage, being careful not to cut the lung [23, 24] to open the thoracic cavity. 3. Clear the muscle tissue away from the trachea by grabbing the tissue and manually pulling it away from the underlying trachea with forceps. Make a small incision in the trachea on the anterior side of the thickest band of cartilage using fine forceps or scissors, being careful not to cut off the trachea. Insert the cannula into the trachea through the incision and use the suture line to tie the cannula firmly in place. 4. Inflate the lung by injecting approximately 1.5 mL of low-melting point agarose solution through the cannula making sure that the distal tips of the lung are also filled with agarose medium (see Note 2). 5. After agarose injection, tie off the cannulated trachea with the suture line to prevent the agarose medium from flowing out of the lung (see Note 3). 6. Keep the cannula inserted in the trachea. Cover the lung with ice after agarose injection, and place it in the fridge (4 C), for 20 min to let the agarose solidify within the lung (see Note 4). 7. Once the agarose has solidified, remove the cannula from the trachea, carefully excising the agarose-inflated lung. Cut off the trachea and remove the front ribs around the heart, and then remove the connective tissue in the back and take out the lung. Put the lung in a dish and keep it on ice. PCLS Applications in Mice 3.2 Preparation of PCLS 303 1. Separate the lung into individual lobes, and remove the connective tissue between each lobe. Then use each lobe as a resource to obtain lung slices. 2. A tissue slicer, Leica VT 1000 S vibrating blade microtome (Leica Biosystems B.V., Amsterdam, the Netherlands) is used to cut lung slices in this protocol (Fig. 1). Follow the instruction of this slicer machine to cut lung slices (see Note 5). 3. Before cutting, a higher-dose of agarose medium (2–5%) is recommended to make a gel column around the lung lobe to facilitate slicing. 4. 250 μm-thick lung slices are cut in slicing medium at 4 C and collected in incubation medium at 37 C. 5. The lung slices are incubated in a humidified incubator in atmosphere of 5% CO2/95% air at 37 C. Lung slices are washed in every 30 min, four times in total, using the incubation medium. 6. Lung slices are placed in incubation medium and cultured at 37 C in 12-well culture plates, using three to four slices per well. Lung slices prepared using this procedure can be used in a number of experimental applications. Previous work from our lab (unpublished) demonstrates that murine lung slices viability is preserved for 72 h of culturing, as mitochondrial activity did not change during this time window. This indicates that the lung slices are viable for at least 3 days. 3.3 Airway Narrowing Studies Airway narrowing can be studied by fixating the lung slices into a 3-well cluster (Fig. 2). These slices are then exposed to a contractile stimulus following which airway contraction is recorded using a microscope. 1. 12-well cell culture plates can be cut into small 3-well clusters which will fit under a microscope. These 3-well clusters can be used for the airway contraction studies. Fig. 2 Representative images of airway narrowing studies. (a) Device used in the study of airway narrowing. (b) Two adjacent airways before treatment, 40. (c) Airway narrowing in response to methacholine (MCh), 40. (d) Airway reopening in response to chloroquine (Cq), 40 304 Xinhui Wu et al. 2. Select slices with airways of the desired size. To do so, fill the wells of the custom-made 3-well clusters with 1 mL of warm (37 C) incubation medium per well. Put one lung slice to each well, and inspect these slices using a microscope (we used Eclipse, TS100; Nikon). It is recommended to inspect a few slices as not every slice will contain the desired airway size. Only use slices in which the airways are cut in cross-sectional manner. Determine the airway size by using the image acquisition software (NIS-elements; Nikon, (see Note 6)). 3. Following medium removal, use a nylon mesh and metal washer to fix the lung slice, as described previously [25]. The nylon mesh (which is also washer shaped) should be slightly bigger than the metal washer to make sure the PCLS tissue does not come in direct contact with the metal washer. First place the nylon mesh on top of the slice, then place the metal washer. The slice is now fixated, while the airway of interest is still visible through the hole in the middle of the nylon mesh and metal washer. For ease of preparation, one could carefully remove the medium from the well using a pipette, leaving the slice in the well. Following fixation, 1 mL of warm (37 C) incubation medium has to be added again. Put the plate back under the microscope, on top of the heating pad, and fix the plate. Choose the desired magnification and focus the microscope (see Fig. 2). 4. Capture the airway contraction in time-lapse (one frame per 2 s) via the microscope using image acquisition software (NIS-elements; Nikon). Start the time-lapse and wait for 2 min to record the baseline airway luminal area. Following 2 min, add methacholine in increasing concentration (109 M–103 M final concentrations) to the well using a pipette. Be careful not to touch the slice or chamber with the tip of the pipette. Use an interval of 7.5 min between each dose (see Note 7). Following the dose response curve for methacholine, it is also possible to dilate the airways again, e.g., using the bitter taste receptor agonist chloroquine (103 M) (see Note 8). One could also use other approaches including β-agonists, but might be less successful. 5. Quantification airway luminal area: Image acquisition software (NIS-elements; Nikon) could be used to quantify the airway luminal area. 3.4 Collagen and Elastin Imaging by Two-Photon and Multiphoton Microscopy 1. Wash the lung slices twice with PBS (500 μL/slice), and leave the PBS in the well after the second wash. Using a small spatula with a flat end, scoop one slice out of the well and carefully place it onto a microscope slide. Make sure the slice does not fold. Using a piece of paper towel, carefully remove any excessive PBS surrounding the slice. Place a coverslip on top of the PCLS Applications in Mice 305 Fig. 3 Representative images from two-photon imaging and multiphoton imaging. (a) two-photon and multiphoton excitation fluorescence imaging are used to visualize α-sm-actin(green) and collagen(red); (b) two-photon and multiphoton excitation fluorescence imaging are used to visualize collagen (green) and elastin (red) polymers in lung slices [13] slice. Seal the edges of the coverslip using transparent nail polish (see Note 9). As the protocol mentioned above, the imaging has to be performed straight away if use fresh tissue. 2. Two-photon and multiphoton excitation fluorescence (MPEF) imaging can be used to visualize collagen and elastin polymers, respectively, as described previously [26]. Under excitation at 820 nm, the collagen bundles will naturally emit a second harmonic generation signal which can be collected around 410 nm. Elastin can be visualized by using its endogenous fluorescence. Elastin images can be generated by using an infrared laser (excitation wavelength 880 nm). The broadband emission spectrum ranges from 455 to 650 nm with a peak at ~500 nm (Fig. 3). 3.5 Mean Linear Intercept (Lmi) Measurement The mean linear intercept (Lmi) can be determined as a measurement of alveolar airspace size. This can be measured either by confocal microscopy or by light microscopy. 1. Lung slices used for contraction experiments or non-used slices are washed four times with incubation medium. Then they are transferred to an embedding cassette filled with a biopsy pad (see Note 10). The slice is placed on the pad, and a second pad is placed on top of the slice before closing the cassette and placing it in a formalin solution (10%) for 24 h. The slices are processed for paraffin embedding and embedded into paraffin blocks. Sections of 4 μm are cut with a microtome and stained by H&E staining. Twenty random photomicrographs of the parenchyma of lung (magnification 200) tissue rather than 306 Xinhui Wu et al. airways or blood vessels are made, as airways or blood will interfere with the measurement of alveolar airspaces. 2. This method is previously described by van der Strate [27]. In short, a sheet with vertical lines in three horizontal rows (21 in total) is placed on the top of the photograph. Whenever an intercept crosses the parenchymal walls, two points will be given. When the intercept touches the parenchymal cells, one point will be given. Importantly, intercepts that cross or touch blood vessels or airways are not taken into account to prevent misjudgments. When more than three intercepts are crossing or touching blood vessels or airways, the picture should not be taken into account and a different field should be chosen. With the total scores, the Lmi is calculated as: (n l 2)/m in which “n” represents the number of intercepts, “l” represents the length of the individual lines (as calculated with the scale of microscopic photo), and “m” refers to the amount of points given. 3. Proteins could be visualized by immunofluorescence (described below). Fluorescence can be determined with a confocal laser scanning microscope (CLSM) equipped with true confocal scanner (TCS; SP8 Leica, Heidelberg, Germany), using a 200 lens. To avoid bleed-through, sequential scans need to be performed. Alexa Fluor 488 can be excited using the 488 nm blue laser line, and Cy™3 can be excited using the 552 nm green laser line. Record all images in the linear range, at an image resolution of 1024 1024 pixels and with a pinhole size of 1 Airy unit, while avoiding local saturation [28]. 4. Single Z-stack images can be used to quantify the Lmi with the analysis method described above (see Note 11). 3.6 Decellularization 1. Decellularization with detergents (Acellular scaffolds) maintains the architecture and proteins of extracellular matrix for use as scaffolds in the field of lung tissue engineering or progenitor cell biology. We decellularized the lung slices for subsequent repopulation with progenitor cells to study the impact of local matrix-derived cues on cell fate decision and differentiation (Fig. 4). Place 1–4 slices in each well of a 24-well plate, and incubate the slices overnight in 1% Triton X-100 medium with 5% Penicillin-Streptomycin (1 mL medium per well), at 4 C . 2. Wash the slices twice in washing solution for decellularization (see Subheading 2). 3. Incubate the slices in a 2% sodium deoxycholate (SDC) solution for 3 h at room temperature. 4. Wash the slices twice in washing solution for decellularization. PCLS Applications in Mice 307 Fig. 4 Representative images of naive and decellularized lung slices. (a) Naive lung slice, 40. (b) Decellularized lung slice, 40. (c) Masson’s trichrome stain (see Note 14) on naive lung slice, 40; (d) Masson’s trichrome stain on decellularized lung slice, 40 5. Incubate the slices in 1 M NaCl solution for 1 h at room temperature. 6. Wash the slices twice in washing solution for decellularization. 7. Incubate the slices in Dnase I solution for 1 h at room temperature. 8. Wash the slices twice in washing solution for decellularization. 9. Wash the slices in 0.1% peracetic acid for 1 h at room temperature. 10. Store the slices in storage solution. Slices can be stored in the storage solution for short periods at 4 C; place the slices at 20 C in storage solution for long term. 11. Slices are now ready to be repopulated with progenitor cells. 3.7 mRNA Isolation and Real-Time PCR Total RNA is extracted from PCLS by using the Maxwell 16 instrument and corresponding Maxwell 16 LEV simply RNA tissue kit (Promega, Madison, USA) for automated purification according to manufacturer’s instructions. This is an optional method to extract RNA from PCLS, as the quality of RNA obtained with other methods including TRIzol and kit extraction is too low to be 308 Xinhui Wu et al. used for experiments. The reverse transcription system (Promega, Madison, USA) is used to reverse transcribe total RNA (1 μg) into cDNA. 1 μL diluted cDNA (1:20) is subjected to the Illumina Eco Personal QPCR System (Westburg, Leusden, the Netherlands) using FastStart Universal SYBR Green Master (Rox) from Roche Applied Science (Mannheim, Germany). The cycle parameters used in real-time PCR system are denaturation at 95 C for 30 s, annealing at 59 C for 30 s, and extension at 72 C for 30 s for 40 cycles followed by 5 min at 72 C. The amount of target genes could be normalized to the housekeeping genes such as β-2 microglobulin (B2M) and ribosomal protein L13A (RPL13). LinRegPCR analysis software was used to analyze data. 3.8 Immunofluorescence Imaging Immunofluorescence was performed as described below (Fig. 5). Primary antibodies and secondary antibodies could be obtained from various companies according to the research interests. Rabbit anti-Prosurfactant Protein C (proSP-C, EMD Millipore Corporation, CA,USA) and mouse anti E-cadherin (BD Biosciences, Bedford, MA, USA) were used in our study by this method. 1. Fixation (a) Wash lung slices twice with cold (4 C) cytoskeleton buffer (CB buffer). (b) Incubate the slices for 15 min with 3% paraformaldehyde (PFA) at room temperature (400 μL/slice). (c) Incubate the slices for 5 min with 3% PFA + 0.3% Triton X-100 at room temperature (400 μL/slice). (d) Wash the slices twice with cold (4 C) CB buffer (see Note 12). Fig. 5 Representative immunofluorescence images of mouse PCLS. (a) Blue signals are DAPI, which stained the nuclei, 63; (b) green signals represent the expression of surfactant protein c (SPC), which is an alveolar epithelial type 2 cell marker, 63 (c) a merge picture of a and b 63 PCLS Applications in Mice 309 2. Blocking (a) Prepare blocking buffer (1 cyto-TBS with 1% BSA and 2% normal donkey serum). (b) Incubate the lung slices with blocking buffer (250 μL/ slice) for 1 h on the shaker at room temperature. 3. Incubation (a) Dilute primary antibody in cyto-TBST solution. (b) Incubate the lung slices with primary antibody (use 200 μL/slice) for 1.5 h at room temperature or overnight at 4 C. (c) Wash the lung slices with cyto-TBST (500 μL/slice), for 15 min, repeat three times (see Note 13). (d) Dilute the secondary antibody (1:50) in cyto-TBST (250 μL/slide) and incubate for 2–3 h at room temperature. (e) Wash the lung slices with cyto-TBST (500 μL/slide), for 15 min, repeat three times. (f) Wash the lung slices with UP water twice quickly. (g) Wash the lung slices with UP water for 2 min, repeat four times. 4. Anti-fade staining (a) Transfer the slices to glass slides. (b) Add 10 μL/slide anti-fade reagent (Invitrogen, Breda, the Netherlands) on the glass slide (cover the whole slice) and cover them with clean microscopic glass plate. (c) Seal coverslips using the transparent nail polish. 5. Use fluorescence microscope to make images (Fig. 5). 4 Notes 1. The agarose medium must be kept warm in thermal bottle (around 37 C) so that it will not solidify prior to injection. 2. The volume of agarose is dependent on the size of lung and should not exceed lung capacity. Since lung tissue is highly compliant and easily damaged, injection pressure should also be minimized. 3. If this PCLS model is used to study the arteriole physiology, 6% gelatin should be used to perfuse the pulmonary arteries [2]. 4. This step aims to use the agarose to maintain the shape of the lung, which makes it easier to cut lung slices. 5. The cutting frequency of 90 Hz, the amplitude of 1.0 mm, and the sectioning speed of 2.25 mm/s are chosen in this protocol. 310 Xinhui Wu et al. 6. The microscope should have a see-through heating pad that can be kept at 37 C on which the plate with slices can be placed. This is especially important during the contraction experiments as these can last up to 1 h. 7. In the described system, medium is not washed away, and methacholine accumulates in the well with each new dose. 8. In mouse lung slices, β-agonists are less effective in inducing airway relaxation than chloroquine. 9. This will prevent the coverslip and slice from moving during the microscopy. 10. The pads are needed to keep the slices flat without wrinkles. Because the slice is only 250 μm thick, when put in a paraffin block, it should be very straight; otherwise it is impossible to make sections. 11. Z-stacks imaging is optional, making it possible to access structures throughout the slice. Image J 1.48d can be used to further process images. 12. Optional: store in 1 cyto-TBS buffer (200 μL) in sealed chamber up to maximum 2 weeks. 13. Since the second antibody is labeled by fluorophore, the experiments should be performed in dark room. 14. Masson’s trichrome stain is a three-color staining protocol used in histology. Trichrome stain (Masson) kit (SigmaAldrich) is used to stain the lung slices in this study by using three dyes: hematoxylin (for nucleus), aniline blue (connective tissue), and Biebrich scarlet (cytoplasm). Cytoplasm and muscle fibers stain red, whereas collagen displays blue coloration. Acknowledgment This work is supported by a ZonMW-Vidi grant from the Netherlands Organization for Scientific Research (016.126.307), a grant for the Dutch Lung Foundation (3.2.08.014) and the China Scholarship Council (File No. 201707720065). References 1. Konigshoff M, Uhl F, Gosens R (2011) From molecule to man: integrating molecular biology with whole organ physiology in studying respiratory disease. Pulm Pharmacol Ther 24:466–470 2. Sanderson MJ (2011) Exploring lung physiology in health and disease with lung slices. Pulm Pharmacol Ther 24:452–465 3. 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Nat Methods 9:676–682 INDEX A Adult stem cells ............................................................... 33 Air-liquid interface (ALI) culture................................158, 159, 164–166, 293 Alkaline phosphatase assay................................. 64, 66, 69 Allergens ........................................................... 10–13, 205 Animal ethics .................................... 16, 18, 20, 113, 272 B Bleomycin ..................................................................15, 16 Bone marrow transplantation.............................. 129, 132 Brightfield microscopy......................................... 112, 117 Bromodeoxyuridine incorporation .............................. 214 Epidermal keratinocytes isolation and culture ............................................... 207 proliferation and differentiation assay.................... 205 Extracellular matrix ................................15, 24, 193, 206, 240, 276, 297, 306 F Fluorescence activated cell sorting (FACS) ........... 43, 54, 55, 66, 69, 131, 135, 136, 138, 172, 174–177, 179, 224, 235, 236, 240–242, 249, 269, 270, 272, 273 Fluorescent microscopy ............... 57, 112, 117, 120, 207 Fluorescent reporter constructs ................................... 119 G C Cardiomyocyte isolation ...................................... 193–204 Cell culture gas phase ...............................................25, 27–29, 219 incubation conditions .........................................25, 29 Chronic liver injury .............................................. 267–273 Collagen coating ................. 97, 161, 164, 166, 207, 219 Colony picking ..........................................................68–70 Colorimetric assay ....................................... 207, 210, 214 CreERT2/LoxP-STOP-LoxP reporter system .................................112, 113, 119–122 CRISPR-Cas9............................................................77, 79 Gene editing ..................................................... 77–95, 182 Gene transfer ..................................................47, 182, 194 Green fluorescent protein (GFP) .....................50, 54, 55, 58, 59, 78, 79, 86, 91, 92, 124, 145, 147, 149, 152, 153, 182, 238, 272, 273, 300 H HEK293T cells.............................................48–52, 55, 57 Hematopoietic stem cells (HSC) .....................26, 28, 98, 129–141 Hepatocyte progenitor cells ................................ 267–273 D I Decellularised lung scaffold................................. 275–292 Density gradient separation .......................................... 134 Imaging and analysis image analysis ................................................. 109, 113 immunofluorescent imaging.......................... 123, 126 live imaging ..................................110, 112, 117–122, 124, 277 still imaging ................................... 110, 112, 117–122 Immuno-labelling ......................................................... 134 Immunomagnetic cell separation ........................ 134, 135 Induced pluripotent stem cells (iPSCs) ................. 47, 63, 65, 67–75, 145 Intraocular transplantation .................................. 150, 151 E Electroporation ..................................... 78, 81, 83–86, 91 Embryonic lung ................................................... 115, 117 Embryonic peripheral blood ..................................97–106 Embryonic stem cells cryopreservation ..................................................86, 87 passaging....................................................... 40, 86, 87 thawing and recovery............................ 39, 40, 90, 91 Endothelial colony forming cells (ECFC).............97–106 Epiblast stem cells cryopreservation ........................................................ 87 passaging.................................................................... 87 L Lacrimal gland epithelial cells.............................. 169–180 Lentiviral transduction embryonic stem cells...........................................63, 64 Ivan Bertoncello (ed.), Mouse Cell Culture: Methods and Protocols, Methods in Molecular Biology, vol. 1940, https://doi.org/10.1007/978-1-4939-9086-3, © Springer Science+Business Media, LLC, part of Springer Nature 2019 313 MOUSE CELL CULTURE: METHODS AND PROTOCOLS 314 Index Lentiviral transduction (cont.) hematopoietic stem cells....................... 129, 132, 140 mesenchymal stem cells ........................144–147, 149, 150, 153, 154 Lentiviral vectors concentration ......................................................48, 49 production and titration .............................. 49, 50, 52 titration .................................................. 49, 50, 54, 55 Leukemia inhibitory factor (LIF).....................34, 35, 38, 64, 65, 79, 124, 126 Lineage-tracing ........................................... 232, 276, 277 Liver stem/progenitor cells (LPCs)............................. 267 Lung dissection ........................................... 111, 113, 114 Lung epithelium............................................................ 118 Lung explants ............................ 110–112, 114, 117–119, 121, 122, 124, 126 Lung mean linear intercept measurement .......... 305, 306 Lung mesenchyme ..............................110–114, 117, 118 Lung recellularisation .........................277, 279, 286, 287 M Mammary epithelial progenitor cells .................. 217–229 Matrigel colony assay .................................................... 219 Medium buffering.............................................. 25–27, 29 Medium pH........................................................ 25–27, 29 Mesenchymal stem cells cryopreservation ..................................................39, 41 lentiviral transduction .......................... 146, 147, 149, 150, 153 thawing and passaging ................................... 146, 148 Microenvironment .................................. 23–29, 129, 276 Middle ear epithelial cells .................................... 157–166 Mouse embryonic fibroblasts cryopreservation .................................................. 35–38 harvesting .................................................................. 38 irradiation ............................................................36, 38 thawing and recovery............... 36, 37, 39, 42, 67, 90 Mouse models chronic liver injury ......................................... 267–273 genetically engineered mice (GEM) ............ 232, 233, 235, 239, 240, 243, 245, 246, 249, 251 mouse strain differences ........................................... 10 respiratory disease models asthma .............................................................. 7–13 chronic obstructive pulmonary disease (COPD) ........................................ 7, 13–14, 19 pulmonary fibrosis.............................. 7, 10, 14–17 Mouse retina......................................................... 181–189 O OP9 stromal cells ...........................................98, 100–106 Organ culture ....................................................... 158, 182 Organoid culture....................... 226, 232, 236, 241–244, 250, 252, 253 Organotypic culture ............................................. 181–189 Osmolarity ................................................. 25, 28, 29, 140 Otitis media (OM) ............................................... 158, 159 Oxygen tension .........................................................27–29 P Pancreatic islets of Langerhans culture ............................................................. 255–263 isolation .......................................................... 255–263 PCR amplification .............................................. 82, 87–89 Photoreceptors ...........................181, 182, 184, 186, 189 Plasmids ...................................................... 48, 50, 57, 65, 78, 79, 81–83, 88, 90, 91, 124 Pluripotency ...................... 8, 33, 34, 38, 42, 43, 64, 169 Pluripotency factors c-Myc ......................................................................... 63 Gbx2 .......................................................................... 34 Klf4 ......................................................................34, 63 Oct4 .............................................................. 42, 43, 63 Sox2 .....................................................................42, 63 Tfcp2l1 ...................................................................... 34 Polyethylene glycol (PEG) ............ 49, 50, 52, 54, 57, 58 Precision-cut lung slices (PCLS) ............... 278, 279, 283, 284, 286, 287, 289–293, 298, 300–304, 307–309 Prostate cancer cells ........................... 231–233, 240–243, 245, 246, 252 Prostate luminal epithelial progenitor cells ........ 231, 248 Puromycin selection..............................78, 79, 81, 84, 91 Q Quantitative PCR................................................. 239, 250 R Reaggregated 3D cultures ............................................ 169 Real-time PCR ............................................ 239, 250, 307 Reprogramming ....................... 47, 63–65, 67–69, 71, 75 Retinal explant...................................................... 181–189 Retinal transplant ........................................ 143, 144, 151 S Smoking mouse model ................................................... 14 N Neuroprotection .................................................. 143, 145 Neuroretinal cells .......................................................... 182 Neurotrophic factors.......................... 144–146, 149–151, 153, 154, 184 T Teratoma formation assay..................... 43, 64, 66, 69–74 Tissue dissociation heart ...............................................193, 194, 196, 203 liver ................................................................. 268, 269 lung ...........................................................15, 115, 290 mammary gland.............................218, 219, 221, 223 pancreas .......................................................... 256, 260 prostate gland ................................232, 236, 239, 251 skin epidermis.......................................................... 208 Tissue engineering ........................................................ 306 Tracheobronchial epithelial (TBE) cells ...................... 158 Two-photon and multiphoton microscopy ................. 304 MOUSE CELL CULTURE: METHODS AND PROTOCOLS Index 315 U UVB irradiation..........................205, 206, 212, 213, 215 V Viral transduction...................................... 54, 55, 58, 153