Simplified and More Accurate Surface + Intracellular Staining Experiments by Flow Cytometry. (And application to frozen activated PBMC) Fabrice Malergue, Christine Castelli, Michel Herbert, Cellular Analysis, Beckman Coulter, Inc. Results Introduction Intracellular staining of cells with antibodies requires a fixation step followed by permeabilization that are known to be deleterious for surface epitopes. This becomes a problem when the discrimination of cell subsets by surface marker expression is necessary. Most procedures therefore recommend that the surface staining be performed before fixation, leading to protocols that are more labour-intensive and time consuming. Moreover, when multiple monoclonal antibody (mAb) combinations are used to analyse the same sample, each test must be prepared separately, thus increasing the likelihood of variations between tubes introduced during the fixation, washing, or permeabilization steps, and thus decreasing the accuracy of the results. All these difficulties have hampered the benefit of flow cytometry for the analysis of “the intracellular domain.” The dogma that surface epitopes are destroyed by fixation in most cases is being challenged by the last decade’s advances in flow cytometry: more powerful lasers, more sensitive detectors, better mAbs, and brighter fluorochromes. Nowadays, the vast majority of surface molecules can be detected even after the fixation/permeabilization steps provided that an appropriate mAb clone and/or fluorochrome are used (preliminary internal data). As expected, the staining intensity of surface markers on pre-fixed cells is often reduced compared to the non-fixed cells, however, it remains acceptable in most cases when surface markers are used to gate the cell subsets for intracellular antigen analysis. To address this issue and help the users in simplifying their procedure, most BeckmanCoulter conjugated antibodies have been tested after fixation and permeabilization with the broadly used IntraPrepTM intracellular staining kit. The reagents have been tested on normal blood and then classified as either “possible use” (sufficient discrimination between negative and positive cells) or “not recommended”. Materials and Methods Reagents: Conjugated monoclonal antibodies (mAbs): The reagents tested in this study were obtained from Beckman Coulter, Inc. (BCI), including all the offered anti-human specificities that are currently conjugated with fluorochromes in BCI catalog. Some markers, however, were excluded, because of their restricted expression to platelets and erythrocytes (namely CD41, CD42a, CD42b, CD61, CD62P and CD235a). For a comprehensive list of tested mAbs see Tables 1 and 2. These conjugated mAbs were from the IOTest®, Cyto-Stat® / COULTER CLONE® lines of reagents. Preparation reagents: IntraPrep Permeabilization Reagent kit (Part Number IM2388 or IM2389). VersaLyse Lysing Solution (PN IM3648), IOTest 3 Fixative Solution (PN IM3515). Flow Cytometers: Beckman Coulter Cytomics™ FC 500 with RXP software, BD Biosciences FacsCalibur™ with CellQuest™ software. Design of the study: •The standard procedure for intracellular staining using IntraPrep™ Permeabilization Reagent kit includes a fixation step (Reagent 1), a wash, a permeabilization step (Reagent 2), directly followed by the addition of intracellularspecific mAbs. •The standard procedure for “combined membrane and intracytoplasmic staining”, as described in IntraPrep insert, states that cell surface-specific mAbs must be incubated prior to the fixation step. • Here we investigate the possibility of incubating the cell surface-specific mAbs after the fixation/wash/permeabilization steps, i.e. simultaneously with intracellular-specific mAbs. •We have taken advantage of this inversion in the sequence of steps to scale up the fixation / permeabilization procedure in order to reduce the workload and increase the reproducibility. We choose to treat 500 µL (instead of recommended 50 µL) whole blood sample at a time in 50 mL conical tubes. “Fix\Perm-then-Stain” sample preparation: 1. 2. 3. 4. 5. 6. Put 0.5 mL whole blood sample in a 50 mL conical tube. Add 1 mL (2 times the blood volume) IntraPrep Reagent 1. Vigorously vortex. Incubate 15 minutes, RT. Add 40 mL PBS. Centrifugate 300 x g, 10 minutes. Discard supernatant. Briefly vortex to resuspend the pellet. Add 1 mL (2 times the initial blood volume) IntraPrep Reagent 2. Do NOT vortex. Let mixing occur for 5 minutes. 7. In parallel, prepare 10 test tubes by putting the desired volume of surface AND intracellular specific conjugated mAbs. 8. Mix manually the permeabilized cell suspension and dispatch 100 µL to each test tube. 9. Vortex gently. Incubate 15 minutes, RT, in the dark. 10. Add 4 mL PBS. Centrifugate 300 x g, 5 minutes. 11. Discard supernatant. Resuspend the pellet with 0.5 mL or 1 mL of IOTest®3 Fixative Solution at its working concentration (1X), or use PBS containing 0.5 - 0.8% formaldehyde. The same commercial vials of mAbs are tested in parallel, on the same fresh normal whole blood sample with the above method and the standard “Stain-then-Lyse” procedure, where VersaLyse is used as lysing reagent. Data acquisition is performed within 2 hours of preparation. PMTs are set in order to place isotypic control-stained leucocytes within the first decade of fluorescence. No compensations are applied when single color reagents are tested individually. Figure 1: Examples: “Stain-then-Lyse” “Fix\Perm-then-Stain” Isotypic Control FL1 MFI: 19,4 26% of total MFI: 17,2 26% of total CD3 equivalent staining MFI: 15,9 15% of total CD4 MFI: 33 15% of total decreased staining but clear valley Number(s) FITC; PE; ECD; RMFI: RMFI: Std Procedure (Cell Line) Fix\Permthen-Stain Clone The “Fix\Perm-then-Stain” procedure does NOT modify the intracellular staining: CD1a BL6 IM1942 CD2 39C1.5 IM0442; IM0443*; IM2634; IM3625* 31 Figure 2: CD79a expression in normal B cells and control cells: CD2 SFCI3Pt2H9 (T11) 6603863;6603849 40 6 CD3 UCHT1 IM1281; IM1282*; IM2705*; IM2635*; IM2467*; 6607100* 65 55 CD4 13B8.2 IM0448; IM0449*; IM2636; IM2468* 53 11 CD4 SFCI12T4D11 (T4) 6603862;6603850;6604727*;6607101* 27 5 CD5 BL1a IM0468; IM0469*; IM2637*; IM3627* 57 48 CD7 8H8.1 IM0585; IM1429*; IM3613* 34 58 CD7 3A1E-12H7 6603824;6603822 26 7 CD8 B9.11 IM0451; IM0452; IM2638*; IM2469 115 58 CD8 SFCI21Thy2D3 (T8) 6603861;6603848;6604728*;6607011*;6607102* 70 17 CD9 ALB6 IM1755 CD10 ALB1 IM1915; IM3608*; IM2721; IM3633* CD10 J5 CD11a CD11b CD8-APC « Stain-then-Lyse » (No permeabilization) Gated on: CD8+ T cells: No perm. New/Normal protocol CD19+ B cells: No perm. New/Normal protocol « Fix\Permthen-Stain » (New protocol) CD79a PE Other non-B cells: No perm. New/Normal protocol « Stain-Fix\PermStain » (Normal protocol) CD79a PE Identical staining Identical background. CD79a PE CD19 FITC Data Interpretation: The common leucocyte sub-populations (lymphocytes, monocytes, granulocytes) are discriminated according to their scatter characteristics. Their percentage of positivity and fluorescence intensity are analyzed. The standard “Stain-then-Lyse” procedure is considered as a reference. The specificity of the staining in the “Fix\Perm-then-Stain” procedure is verified by checking the staining pattern of each sub-population (correct percentage of negative / positive events). The main criteria to include the conjugated-mAb in Table 2 (“possible use” with the “Fix\Perm-then-Stain” procedure) is to provide a visible valley between positive and negative events. The markers are otherwise listed in Table 1 (“not recommended with the “Fix\Perm-then-Stain” procedure). Then, the relative mean fluorescence intensity (RMFI; obtained by dividing the MFI of the positive fraction by the MFI of the negative fraction or provided by the isotypic control) is indicated to give an objective measurement of the impact of the procedure on the staining. Table 1: mAbs classified as “not recommended” with the “Fix\Perm-then-Stain” procedure Specificity Clone CD8beta 2ST8.5H7 CD16b 1D3 CD23 9P25 CD25 B1.49.9 & 33B3.1 & 1T44H3 CD48 J4.57 CD49b Gi9 CD54 84H10 CD57 NC1 CD62L DREG56 & TQ1 CD79b CB3-1 CD85k ZM3.8 CD90 F15-42-1-5 CD95 UB2 & 7C11 CD111 R1.302.12 CD112 R2.477.1 CD122 CF1 CD124 S456C9 CD126 M91 CD138 BB4 CD158a EB6 CD158b GL183 CD158e Z27.3.7 CD158i FES172 CD160 BY55 CD179a 4G7 CD243 UIC2 NKP46 BAB281 CRTH2 BM16 TCR-Va24 C15 TCR-Vb3 CH92 TCR-Vb11 C21 TCR-Vb13.1 IMMU 222 TCR-Vb16 TAMAYA1.2 TCR-Vd2 IMMU 389 TCR-Vg9 IMMU 360 Note that the adverse effect of formaldehyde fixation is essentially epitope-specific (NH2 moieties affected), and not antigen-specific. Other mAbs may give positive results for the specificities listed in Table 1. Conversely, be aware that other mAbs than listed in Table 2 may give negative results for the corresponding specificities. Table 2: clones classified “possible use” with the “Fix\Perm-then-Stain” procedure The different clones tested are indicated as well as the part number(s) of conjugatedmAbs, that are color-coded according to the fluorochrome (FITC, PE, …). FITCconjugates have been tested first, considering that all other conjugates are brighter. If the FITC-conjugated form is positive, all other fluorochrome conjugates of the same clone are listed in the table by extrapolation (* marked). If not positive for FITC (or FITC-conjugate not available), all other available fluorochrome-conjugates have been tested. SSC Part Specificity For the rare specificities for which the staining shows a continuum between negative and positive events the percentage of positive cells is decreased; in some cases like CD25, the negative impact is such that the specificity is removed from the “possible use” Table 2. For other cases, like CD38 and CD69, we decided to keep them, since they can be highly over-expressed in specific situations (e.g. in vitro activation). The RMFI is then replaced by an indication of the percent MFI reduction. Some other specificities are not expressed in normal blood, thus cell lines were used as target, they are named nearby the RMFI value. PC5; PC7; APC 1 0 4(MOLT4) 29 13 40 60 159 92 6604120 58 13 25.3 IM0860; IM1433* 30 21 Bear1 IM0530; IM2581*; IM3611 10 37 CD11b 94 (Mo1) 6602573 27 34 CD11c BU15 IM1760 106 32 CD13 SJ1D1 IM0778; IM1427 16 7 CD13 Immu103.44 IM2639 83 65 CD13 366 (MY7) 6602989 197 97 CD14 RMO52 IM0645; IM0650; IM2707*; IM2640; IM2580* 193 73 CD14 322A-1 (MY4) 6604110;6603262* 165 CD15 80H5 IM1423; IM1954*; IM2641* 637 CD16 3G8 IM0814; IM1238*; IM2642*; 6607118* 148 12 CD18 7E4 IM1568; IM1570* 29 30 CD19 J4.119 IM1284; IM1285*; IM2708*; IM2643*; IM2470*; IM3628* 45 15 CD19 89B (B4) 6603859;6603846 25 6 CD19 HD237 (B4 lytic) 6604551 252 8 CD20 B9E9 IM1455; IM1451; IM3607*; IM2644; IM3634*; IM3629* 130 6 CD21 BL13 IM0473 15 6 CD22 SJ10.1H11 IM0779; IM1835*; IM3704* 11 7 CD22 HD239 (B3) 6604428 136 8 CD24 ALB9 IM1428 91 67 CD26 BA5 IM1470 61 21 CD27 1A4CD27 IM2578 82 18 CD28 CD28.2 IM2071 118 18 CD29 K20 IM0791 15 10 CD29 4B4 6604105;6604159 CD30 HRS4 IM2033 CD31 1F11 IM2409 60 21 CD32 2E1 IM1935 232 27 CD33 D3HL60.251 IM1135; IM1179*; IM2647*; IM2471* 16 15 CD33 906 (MY9) 6604121 64 15 CD34 581 IM1870; IM1871*; IM2709*; IM2648*; IM2472* 62(KG1A) CD35 J3D3 IM1836 14 13 CD36 FA6.152 IM0766 141 83 CD37 BL14 IM0457; IM0458 100 CD38 LS198-4-3 IM2371; IM2651 continuum CD40 MAB89 IM1936 333 CD43 DFT1 IM3264 16 7 CD44 J.173 IM1219 193 86 CD45 J33 IM0782; IM2078; IM2710; IM2653*; IM3548*; IM2473* 404 210 15 1004 16 406 (NK3.3) 70 11 21 7 CD45RO UCHL1 IM1307 191 33 CD49d HP2/1 IM1404 8 CD49e SAM1 IM1854 13 CD50 HP2/19 IM1601 470 CD51 AMF7 IM1855 CD55 JS11KSC2.3 IM2726 161 60 CD56 N901 IM2073; IM2654 105 19 CD58 AICD58 IM1218; IM1430; IM3702*; IM3701* 14 6 CD59 P282E IM3457 13 CD63 CLBGran/12 IM1165; IM1914* 38 CD64 22 IM1604; IM3601*; IM3606* CD65 88H7 IM1654 IL-2 IL-4 TNF α Lymphocytes CD3 CD3 CD3 CD3 Example 2: 5 Colors (3 gating, 2 cytokines) application on PBMC activated/fixed/frozen: CD66b 80H3 IM0531 CD69 TP1.55.3 IM1943; IM2656 CD71 YDJ1.2.2 IM0483; IM2001* 62(K562) CD80 MAB104 IM1976 12 5 CD81 JS64 IM2579 48 33 CD83 HB15a IM2218; IM3240* CD86 HA5.2B7 IM2729 36 69 CD89 A3 IM1614 102 21 CD94 HP-3B1 IM2276 50 21 CD100 BD16 IM2730 62 10 CD101 BB27 IM3658 27 12 CD103 2G5 IM1856 27 17 CD116 SCO6 IM1977 51 30 CD117 104D2D1 IM2732; IM2733 CD127 R34.34 IM1980 CD135 SF1.340 IM2234 CD159a Z199 IM3291 177 15 CD161 191B8 IM3450 49 23 CD203c 97A6 IM3575 15 63 CD244 C1.7 IM1608 94 8 TCR Pan a-b BMA031 IM1467; IM2661 238 12 TCR Pan g-d IMMU 510 IM1571; IM1418; 6607122*;IM2662* 18 8 TCR g-d IMMU 515 IM1465 33 8 TCR-Vb1 BL37.2 IM2406; IM2355* 38 15 TCR-Vb2 MPB2D5 IM2407; IM2213* 35 7 TCR-Vb5.1 IMMU 157 IM2285 26 7 TCR-Vb5.2 36213 IM1482; IM2286* 33 6 TCR-Vb7.1 ZOE IM2287 84 8 TCR-Vb8 56C5.2 IM2289 117 13 TCR-Vb12 VER2.32.1 IM2291 136 13 TCR-Vb13.6 JU74.3 IM2293 147 13 TCR-Vb14 CAS1.1.3 IM2047 45 6 TCR-Vb17 E17.5F3.15.13 IM2048 113 12 TCR-Vb20 ELL1.4 IM2295 70 9 TCR-Vb21.3 IG125 IM2050 49 9 TCR-Vb22 IMMU 546 IM2051 80 6 TCR-Vd3 P11.5B IM2005 267 33 HLA-ABC B9.12.1 IM1838 231 33 HLA-DR, -DP, -DQ 9-49 (I3) 6603424;6604366 201 98 HLA-DR B8.12.2 IM0463; IM0464* HLA-DR Immu-357 IM1638; IM1639*; IM3636*; IM2659*; IM3635* All cells 7 7 123 0.0 3 0.0 1.5 39.9 monocytes 100.0 0.0 34.4 24.2 Activated lymphocytes 7 163 45 14 165 320 12(JEA2) Interferon γ 67 IM0584; IM1834 37 Activated/Fixed/Frozen PBMC 5 6604104;6603839 463 (MO7E) Example 1: Standard 2 colors (1 gating, 1 cytokine) applications: MFI -80% ALB11 7 9 4(K562) Following activation, these cells are fragile and a freezing step strongly impairs their structure. Nevertheless, fixating these cells immediately after activation allows a perfect conservation when they are further frozen (wash once, resuspend pellet in 1 volume serum, apply 2 volumes IntraPrep Reagent 1, incubate 15 min, wash, resuspend in freezing medium containing DMSO, freeze). Then, thawed cells are simply washed once, resuspended in IntraPrep Reagent 2, and distributed in tubes containing the mAbs mixtures. 8 KC56 (T200) 65 Application to the broadly used PMA-ionomycin-activated PBMC: 7 CD45RA continuum As expected, most specificities show a decreased RMFI when analyzed according to this procedure. Nevertheless, the resolution remains acceptable for a large majority of conjugates. We believe that most intracellular applications are designed to investigate accurately the intracellular compartment, and include surface markers only for gating purposes. In these conditions the « Fix\Perm-then-Stain » procedure does not impact the results, provided the user has verified that the gating is still adequate. On the contrary, the opportunity to batch the sample preparation limits the risk of error and the variability of the handlings within an assay and between experiments, when numerous combinations of markers are to be tested. The intended use of these tables is solely to provide a starting point for the researcher interested in simplifying some intracellular analyses. 223 CD45 6 (A375N) Interpretation 364 MFI -50% 55 Non-T 0.0 0.0 77.5 22.5 T8 0.2 1.3 62.9 35.6 T4 1.8 0.4 86.2 11.6 742 89 8 7 22 7 105 41 Conclusion We show a comprehensive list demonstrating that approximately 75% of surface epitopes can still be detected after fixation / permeabilization with at least one mAb conjugate. Researchers should in any case confirm that the eventual decreased surface staining will not affect the analysis in their particular system (e.g. sample type, culture conditions, preparation method, pathological state, etc.). Obviously, the intracellular epitopes (not listed) are not affected because they are treated in the same conditions as the standard IntraPrep protocol. The list allows a “pre-check” on a particular marker, to determine if the simplified “Fix\Perm-then-Stain” procedure can be used. Otherwise, the same list allows a researcher to easily create another gating strategy in order to use the simplified method. The overwhelming benefits of this simplified procedure are that it allows batching of cells during the fixation / washing / permeabilization steps, and pre-mixing of cocktails of surface + intracellular markers. Combined, these benefits make experiments easier and more accurate.
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