[CANCER RESEARCH 42. 72-78, 0008-5472/82/0042-OOOOS02.00 January 1982] Isolation of Quiescent Cells from Multicellular Tumor Spheroids Using Centrifugal Elutriation1 Kenneth D. Bauer,2 Peter C. Keng, and Robert M. Sutherland Department of Radiation Biology and Biophysics [P. C. K., R. M. S.J and Cancer Center. Experimental University of Rochester. Rochester. New York 14642 ABSTRACT A quiescent (nonproliferating) subpopulation was identified by flow cytometric analysis using two-step acridine orange staining in the EMT6/Rochester, N. Y. subline multicellular tumor spheroid, an in vitro culture system which provides a cellular microenvironment which mimics that of many in vivo tumors. To isolate a viable quiescent cell subpopulation, cen trifugal elutriation which allows for cell separation mainly on the basis of size was used. This technique provided single cells of relatively homogeneous cell volume which varied over a wide range (approximately 100 to 5000 cu jum). Though the relatively small cell volume fractions were the most enriched (82%) in quiescent cells, such cells were also observed in significant numbers (=20%) even in the largest cell fractions. The cell clonogenicity of the various elutriation fractions was also as sessed and shown to be lowest (plating efficiency =20%) in the small spheroid cells but relatively constant in fractions containing intermediate and large cells (plating efficiency = 50%). Continuous [3H]thymidine labeling indicated a slower rate of accumulation of labeled cells in the small spheroid cells, which may result from the transition of proliferating spheroid cells to the quiescent compartment during the course of label ing. These findings indicate the utility of centrifugal elutriation for quiescent cell characterization in in vitro tumor systems. INTRODUCTION Q3-cells, i.e., nonproliferating cells, have been shown previ ously to be of relevance in cancer therapy. A preferential sparing of Q-tumor cells and thus a relatively increased sensi tivity of P-cells to many chemotherapeutic agents have been documented (6). In addition, recent studies (12, 19) suggest a relative radioresistance of Q-tumor cells and indicate that they may play an important role in tumor regrowth after radiation therapy (18). Due to the documented inherent resistance of Q-tumor cells to current therapeutic modalities, their biochemical and bio physical characterization appears to be an important precedent to the development of more effective treatment regimens. To date, most characterization of Q-cells has come about from 1This research was supported by NIH grants CA 11198, CAO9363, and CA 11051 and Contract DE-ACO2-76EV03490, United States Department of En ergy. Part of the research was supported by the Cell Separation Facility of the University of Rochester Cancer Center. Flow cytometry was performed at the University of Rochester Cell Sorting Facility under NIH Grant GM-23088. Pre sented in part at the Eighth Conference on Analytical Cytology and Cytometry, Wentworth-by-the-Sea. N. H., May 1981. 2 To whom requests for reprints should be addressed. 3 The abbreviations used are: Q, quiescent; P. proliferating; dThd, thymidine; Li, labeling index; FCM. flow cytometry; AO, acridine orange; BME, Eagle's basal medium; PBS, phosphate-buffered saline [NaCI (8.0 g/liter):Na2HPC>4 (1.15 g/ liter):KCI (0.2 g/liter):KH2PO4 (0.2 g/liter)]. Received April 24, 1981 ; accepted October 5, 1981. 72 Therapeutics Division [K. D. B., P. C. K., R. M. S.], cultures which were starved by serum or amino acid deprivation and, thereby, highly enriched in Q-cells (2). This approach may suffer from the limitation that such observations on Q-cells simply reflect extreme cell starvation, a condition which may be distinct from that of most naturally occurring Q-tumor cells, which occur together with P-cells in complex microenvironments in which additional factors such as hypoxia, pH, and osmolarity may be important. One in vitro tumor model system which appears useful for Qcell characterization is the multicellular tumor spheroid. Al though spheroid cultures are fed daily to provide nutrient renewal, they nevertheless contain a mixture of P- and Q-cells (10, 26). In addition, spheroids exhibit cellular subpopulations which are resistant to chemotherapeutic agents (25, 32) and radiation (24); in these and other ways, they show a striking resemblance to small nodular carcinomas (24, 26). Characterization of Q-cells from spheroid cultures (and from in vivo tumors) until recently has been unsuccessful due to difficulties both in the identification and isolation of the Q-cell population previous to further investigation. Recently, centrifugal elutriation has been utilized to separate and synchronize in vitro (13) and in vivo (15, 16) tumor cell suspensions. This technique allows for the separation of cells primarily on the basis of cell size and has the advantage of providing cells of high viability. Previous investigations (9, 20) have presented evidence that centrifugal elutriation or sedi mentation velocity methods might be useful in separating Pand Q-tumor cells on the basis of cell size. However, these investigations suffered from the inability to clearly distinguish these cell subpopulations, and the conclusions were based on differences in the [3H]dThd LI of various fractions. Such mea surements are complicated by the known wide range of cell cycle transit times in many tumor systems (23) and therefore are difficult to interpret in the absence of a "marker" for the Qcells. Darzynkiewicz et al. (7) and Tráganos étal.(27) have devel oped an FCM method which appears to discriminate the Qand P-cell subpopulations. The method utilizes AO staining and allows the simultaneous assessment of cellular DNA (green fluorescence) and RNA (red fluorescence) contents on a percell basis, thereby identifying a discrete Q-cell subpopulation by a relatively lower RNA and DNA content (27). This method appears useful for Q-cell identification in lymphocytes (27) and leukemias (28), although it was unsuccessful in identifying a discrete Q-cell population in plateau-phase HeLa-S3 (human cervical carcinoma);'« vitro suspension culture (4). In a previous report (30), evidence was provided that suggested that this method appeared useful in the identification of Q-cells in EMT6 monolayer cultures, and this has been confirmed in the EMT6/ Rochester, N. Y. subline (EMT6/Ro) multicellular spheroid (5). In this report, centrifugal elutriation has been utilized to purify CANCER RESEARCH Downloaded from cancerres.aacrjournals.org on June 14, 2017. © 1982 American Association for Cancer Research. VOL. 42 Isolation of Quiescent Spheroid Cells the Q-cell population as identified by AO staining and FCM analysis using EMT6/Ro multicellular spheroids in an effort to better characterize these therapeutically refractory cells. MATERIALS AND METHODS Spheroid Culture. EMT6/RO murine mammary tumor cells were grown in monolayer cultures in antibiotic-free BME supplemented with 50 15% fetal bovine serum, as reported earlier (11). Multicellular sphe roids were initiated from asynchronously growing monolayer cultures (doubling time, approximately 12 to 13 hr) by inoculating 5X10" cells ISO 250 RED FLUORESCENCE (Channel Number) in 5 ml of medium into microbiological Retri dishes. After maintaining these cells for 4 days in a 37° humidified incubator equilibrated with 3% CO2, small spheroids were removed from the Retri dishes and added to suspension flasks containing 75 ml of growth medium. Two days later, the spheroids of homogeneous size were sorted out and placed in suspension flasks at a final concentration of approximately 500 spheroids/200 ml of medium. The old medium was removed by suction and replaced by fresh medium plus serum daily thereafter as described previously in detail (11 ). The spheroids utilized in the present investigation were approximately 850 /¿min diameter (15 to 17 days of growth), the diameter representing the geometric mean of 2 orthogonal diameter measurements of spheroids in complete medium on Retri dishes, as estimated under a phase-contrast inverted microscope. 0 into single cells. After this time, (10 min at 400 x g), after which resulting cell pellet was dispersed cold serum-free BME and DNase the cell suspension was centrifugea the supernatant was poured off. The by agitating lightly, and 20 ml of iceI (103 Kunitz units/ml; Sigma Chem ical Co., St. Louis, Mo.) were added prior to centrifugal elutriation. Centrifugal Elutriation. The procedure for obtaining relatively ho mogenous cell populations from EMT6 spheroid cells using centrifugal elutriation was a modification of the long collection method which has been detailed previously (13-15). Briefly, single-cell suspensions from multiceli spheroids were elutriated in ice-cold serum-free BME. The elutriator system had been sterilized previously (using 70% ethanol), and the elutriator run was performed at 4°using a constantly main tained flow rate of 35 ml/min in these experiments. After loading the spheroid cells, the rotor speed was decreased in a stepwise fashion with varying numbers of 40-ml cell fractions collected at each step. The cells in each fraction were counted, and their volume distributions were assessed with an electronic particle counter and channelyzer system (Models ZB1 and C1000, respectively; Coulter Electronics, Hialeah, Fla.). The median cell volume of each fraction was estimated from the median channel number of the cell volume distribution with a calibration constant determined previously by relating microscopically measured EMT6/Ro cell size to electronic particle counter settings. Two-Step AO Staining. The 2-step AO staining was performed by a modification of the method of Darzynkiewicz ef al. (7) and Tráganos ef al. (27) as described previously (3). A cell suspension was obtained from dissociated spheroids at a final concentration of approximately 106 cells/ml in PBS + glucose (1 g/liter). Approximately 0.3 ml of the cell suspension was mixed with 0.45 ml of 0.1% Triton X-100 in 0.08 N MCI + 0.15 M NaCI (pH 2.2) for 1 min on ice. After this time, the cells were stained by the addition of 1.8 ml of chromatographically purified AO (12 /ig/ml; Polysciences, Inc., Warrington, Pa.) in 0.2 M NajHPO«: 0.1 M citric acid (pH 6.0) and 1 HIM sodium EDTA, resulting in a final AO concentration of 2.8 x 10~5 M. The calculated ratio of /¿molDMA: phosphate to /«molAO was approximately 8.6, which at the AO con centration utilized offers good spectral discrimination between nuclear DMA and cytoplasmic RNA (17). ISO 250 IO 7.5 5 Spheroid Dissociation. EMT6/Ro spheroids were dissociated by removing approximately 750 spheroids from suspension flasks, placing them into a sterile tube, and rinsing them once in 15 ml of ice-cold serum-free BME. After rinsing, 15 ml of trypsin (73.8 units/ml; Worthington Biochemical Corp., Freehold, N. J.) in PBS were added to the spheroids. This mixture was agitated on a mechanical rotator for approximately 20 min at 37°,a time sufficient to disperse the spheroids 50 RELATIVE RED FLUORESCENCE (Channel Number) 2.5 "0 50 RELATIVE ISO 250 GREEN FLUORESCENCE (Channel Number) Chart 1. Representative 3-dimensional fluorescence contour map (fop), red fluorescence histogram (middle), and green fluorescence histogram (bottom) obtained from dissociated EMT6/RO spheroid cells after 2-step AO staining and measuring by FCM. The relative red and green fluorescence intensities (channel number) for individual cells and the relative cell number as indicated by the contour levels are shown on the contour map. Iso-cell contour levels of 10, 25, 50, 100, and 250 cells are shown. Dors, locations with 5 or more cells accumu lated. For fluorescence histograms, the relative cell number (ordinate) is plotted against cellular red or green fluorescence (channel number). FCM. The fluorescence of AO-stained cells was monitored on a EPICS IV flow cytometer (Coulter Electronics, Inc.) interfaced to a PDP11 /03 minicomputer (Digital Equipment Corp., Maynard, Mass.). The cells were stirred and maintained at approximately 4° during FCM analysis. Laser excitation (Model 164-05; Spectra Physics, Boston, Mass.) was at 488 nm (300 milliwatts). A 510 nm interference barrier filter was inserted in front of the right angle collection lens. A 560 nm dichroic mirror was used to split the fluorescence signal. Green fluo rescence (530 to 560 nm) was observed with the addition of a 530 nm long-pass filter, while red fluorescence was simultaneously monitored utilizing a 630 nm long-pass filter. A minimum of 1.5 x 10* spheroid cells was analyzed for each FCM histogram (relative red or green fluorescence intensity versus relative cell numbers) and 3-dimensional contour map (cellular red and green fluorescence intensity and cell number). The proportion of Q-cells observed after AO staining was estimated from 3-dimensional contour analysis using a computer program devel oped by Salzman et al. (22) compatible with the interfaced PDP-11703 minicomputer. Briefly, the method involved plotting contours of suc cessively larger numbers of cells per red and green fluorescence channel number combination, which provided an estimate of the bound ary between the P-like and Q-like cells. Next, the boundary of the region of interest could be graphically "windowed," and the cell number in the window of interest could be quantitated and compared with the total cell number. For example, in Chart 1 (fop), the Q-like population was estimated from the cell number occurring between Green Fluorescence Channels 61 and 94 and Red Fluorescence Channels 18 to 46. Cell Clonogenicity. The cell clonogenicity of EMT6/RO cells was JANUARY 1982 Downloaded from cancerres.aacrjournals.org on June 14, 2017. © 1982 American Association for Cancer Research. 73 K. D. Bauer et al. assayed by the method of Puck and Marcus (21). Approximately 75 and 150 cells from control or elutriated spheroid cell suspensions in 5 ml of BME + 15% fetal bovine serum were plated on 60-mm Retri dishes with 5 replicate dishes plated per dilution. The cells were then maintained in a 37°incubator for 10 to 12 days, i.e., un'il macroscopic IO • TOTAL EMT6/RO SPHEROID CELLS 8- colonies appeared. The colonies were then stained with crystal violet and scored when consisting of 50 or more cells. [3H]dThd Labeling and Autoradiography. For LI determinations, [3H]dThd (specific activity = 20 Ci/mmol; New England Nuclear, Boston, Mass.) was added to monolayer or multiceli spheroid cultures at a final activity of approximately 0.025 /iCi/ml. The continuous LI for the multiceli spheroids was determined by collecting 30 spheroids from suspension flasks after various periods of [3H]dThd incubation at 37°, trypsinizing them to single-cell suspensions, centrifuging the cells for 10 min at 200 x g, and fixing the resuspended cells in 1 ml methanol: glacial acetic acid (3:1). For the monolayer cultures, individual 100mm plates were incubated with [3H]dThd for appropriate periods of time, trypsinized. and fixed as for the spheroids. After fixation, the cells were washed twice in methanohglacial acetic acid, and the washed cells were dropped onto prewashed microscope slides. The slides were dipped in NTB3 photographic emulsion (East man Kodak Co., Rochester, N. Y.), stored at 4°for various lengths of I Si SEPARATED EMT6/RO SPHEROID CELLS time, developed, and stained with hematoxylin and eosin. The slides were developed between 2 and 10 days and microscopically scored for labeled cells. The background grain counts were <1 grain/cell with a labeling index threshold of 2 grains/cell. The reported continuous LI was determined from the plateau region of temporal LI curves in all cases. The pulse [3H]dThd LI was determined similarly after a [3H]dThd exposure period of 30 min. RESULTS Chart 1 (top) shows a representative 3-dimensional contour map of a 2-step AO-stained cell suspension derived from 850 cu firn EMT6/RO spheroids in which cellular red and green fluorescence/cell was assessed simultaneously. The corre sponding histograms for green fluorescence (DMA content) and red fluorescence (RNA content) are displayed in Chart 1 (mid dle and bottom, respectively). On the contour map and the red fluorescence histogram, a discrete cellular subpopulation with a relatively low red fluorescence (mean channel number, ap proximately Channel 23) is clearly identifiable. From the con tour map, this population is further observed to possess a low (i.e., Gì)DNA content (green fluorescence). This subpopulation occurs only at very low frequency (<2.5%, data not shown) in I 2 CELL VOLUME (cu u,m xlO" Chart 2. Representative cell volume profiles of dissociated EMT6/Ro sphe roid cells. A, relative cell number versus cell volume obtained from nonelutriated cells (total spheroids). B. result from 4 different fractions (Groups Q1, Q2, Q3, and Q4/P) obtained after centrifugal elutriation which have median volumes of approximately 800, 1250, 1650, and 2250 cu ¡im,respectively. The cells in Chart 2 ß,Group Q1, are from an early elutriation K. D. Bauer et al. the relation between the relative clonogenicity of elutriated cells and the estimated proportion of Q-like cells which was assessed on the remaining cells using AO staining and FCM analysis. Linear regression analysis of the raw data indicates a significant (p < 0.05) correlation coefficient, r = -0.77, suggesting an inverse relationship between cell viability (i.e., clonogenicity) and the proportion of Q-like cells. Since expo nential EMT6/RO cells, which contain approximately 97.5% Plike cells, have a clonogenicity of approximately only 70% and since the mean proportion of Q-like cells in each of the elutria tion fractions shown in Chart 5 is higher than the mean pro Ö 50 ISO 250 portion of nonclonogenic cells, it is suggested that a proportion RED FLUORESCENCE of the Q-like population is composed of clonogenic cells. Also, (Channel Number) it is apparent that the fractions with the smallest proportions of Q-like cells (cells of largest size) have a somewhat lower clonogenicity than do fractions with intermediate numbers of 2.0 such cells. These fractions composed of very large cells include giant cells which have been shown previously (15, 16) to have I.5 a lower clonogenicity. Downloaded from cancerres.aacrjournals.org on June 14, 2017. © 1982 American Association for Cancer Research. In classical cell cycle kinetic analyses, variations in the rate Isolation of Quiescent Spheroid Cells (Chart 3, Group Q1 ) is clearly enriched in the proportion of Qlike cells, with >99% of the cells having G,-phase DNA content (Chart 3, lower). Chart 3, Groups Q2 and Q3, indicate that successively larger cells also with predominantly G t-phase DNA content show proportionately fewer Q-like cells. Despite the similar DNA contents in the different groups, both the Plike and Q-like cells of Chart 3, Group Q3, appear to have a somewhat higher red fluorescence (RNA content) than do those of Groups Q1 and Q2. The median cell volume, proportion of trypan blue-excluding cells, calculated proportions of Q-like cells from various elutriation fractions, and proportion of the total spheroid cells which the fractions represent are displayed on Table 1. This table illustrates that centrifugal elutriation allows for the separation of cells which vary widely in the proportion of Q-cells. The earliest elutriation fractions isolated (those with median vol umes <800 cm firn) were composed mainly of cell debris and dead cells (approximately only 21 % of these cells were capable of trypan blue exclusion). Most of these cells showed a green fluorescence intensity (DNA content) and red fluorescence intensity (RNA content) less than that of Gi-phase cells with very few (approximately 1%) Q-like cells. Relative to total spheroids, which contain approximately 21% Q-like cells, it can be seen that, with the exception of the smallest fractions (median volumes, <800 cu urn), the smaller volume fractions appear the most enriched in the Q-like cells, although some enrichment is evident in cell fractions as large as 1600 eu /¿m, a median cell volume approximately that of the total spheroid cells. Despite the marked enrichment of Q-like cells in the small-volume fractions, elutriated cells of larger median volume still contain significant numbers (=20%) of Q-like cells. This finding is further exemplified in Chart 4 in which a 3dimensional contour map (top), red fluorescence histogram (middle), and green fluorescence histogram (bottom) of elu triated cells with a large median cell volume (corresponding to that of Chart 28, Group Q4/P) are displayed. In this case, Table 1 Enrichment of Q-like cells and trypan blue dye exclusion of elutriated EMT6/RO spheroid cells The estimated proportion of Q-like cells observed after AO staining and FCM was derived from 3-dimensional contour analysis (cellular red and green fluores cence intensities and cell number). See text for details. Median cell volume8 % of Q-like cells6 % of trypan blue dye-exeluding cells 2182.3±0.1° } <800800-900900-10001000-12001200-14001400-16001600-18001 8158.0±5.3 ) 6.448.6 ± 5.135.3 ± 2.727.1 ± 3.019.4 ± Proportion of total spheroid cells (%) ^70 3.120.1 ± 800-20002000-25002500-3000>30000.9 1.924.2 ± 3.225.1 ± 1.221.2 ± ±5.890QO9A94831 Derived from the median channel number of calibrated Coulter channelyzer measurements. 6 Total (nonelutriated) spheroids have a median cell volume of approximately 1600 cm ¡itn. c Mean ±S.D.; n a 3 determinations. 200-150-100-50-0-QlÄKSr*---"r*.•0 200-,I50-IOO-50-nQ2^S=OD„ 200 -,150-100-50-o.Q3Oè£=3^ÃŒ&-•fi " 250n§•4-3-2-1 50 150 0 50 150 0 50 250 RED FLUORESCENCE (Channel Number) 5-, 432 150 250 03 •n-QlL!L..J "rTri*-w^. 5 IO- Ql 7.5 5 2.5-1 O 0 50 150 0 250 O 50 150 250 O 50 RELATIVE RED FLUORESCENCE (Channel Number) 107.552.5- Q2 10- 150 250 150 250 Q3 7.5 52.5- 0 0 150 150 250 0 50 250 0 50 RELATIVE GREEN FLUORESCENCE (Channel Number) Chart 3. Three-dimensional contour map (top), red fluorescence histogram (middle), and green fluorescence histogram (bottom) from elutriated spheroid cells obtained after AO staining and measuring by FCM. Q1, Q2. and Q3 illustrate these parameters in cells from fractions with increasing volume, which correspond approximately to those of Cell Groups Q1, Q2, and Q3, respectively, of Chart 2B. The iso-cell contour levels and dot representations are as in Chart 1. JANUARY 1982 Downloaded from cancerres.aacrjournals.org on June 14, 2017. © 1982 American Association for Cancer Research. 75 K. D. Bauer et al. '0 50 150 the relation between the relative clonogenicity of elutriated cells and the estimated proportion of Q-like cells which was assessed on the remaining cells using AO staining and FCM analysis. Linear regression analysis of the raw data indicates a significant (p < 0.05) correlation coefficient, r = —0.77, suggesting an inverse relationship between cell viability (i.e., clonogenicity) and the proportion of Q-like cells. Since expo nential EMT6/RO cells, which contain approximately 97.5% Plike cells, have a clonogenicity of approximately only 70% and since the mean proportion of Q-like cells in each of the elutria tion fractions shown in Chart 5 is higher than the mean pro portion of nonclonogenic cells, it is suggested that a proportion of the Q-like population is composed of clonogenic cells. Also, 250 RED FLUORESCENCE (Channel Number) it is apparent that the fractions with the smallest proportions of Q-like cells (cells of largest size) have a somewhat lower clonogenicity than do fractions with intermediate numbers of such cells. These fractions composed of very large cells include giant cells which have been shown previously (15, 16) to have a lower clonogenicity. In classical cell cycle kinetic analyses, variations in the rate of increase in LI after continuous [3H]dThd labeling have been 2.0 1.5 1.0 interpreted to indicate variable rates of cell cycle transit (29). To further characterize the elutriated spheroid cells, pulse- and continuous [3H]dThd-labeling studies were performed prior to 0.5- 50 150 250 RELATIVE RED FLUORESCENCE (Channel Number) centrifugal elutriation. The results of this investigation are shown on Chart 6. Chart 6A indicates the result from small cells (median volume, approximately 800 eu /¿m)thus corre sponding to those shown in Chart 2B, Group Q1, while Chart 6, ßand C, indicates the result in larger cells (median volume, approximately 1000 and 1GOOcu firn, respectively). For com parison, the result from total spheroids is shown in Chart 6D. The smallest cells (Chart 6A, most enriched in Q-like cells) show a significant but somewhat slower rate of increase in LI (1.6%/hr) relative to that observed in cells somewhat less enriched in Q-cells (Chart 66, 1.9%/hr). Both of these groups appear to increase the LI at a slower rate than do cells in Chart 6C (2.8%/hr) which contained nearly the same proportion of „ EXPONENTIAL 70J_-"""~"MONOLAYER CELLS 0 50 RELATIVE 150 250 GREEN FLUORESCENCE (Channel Number) Chart 4. Three-dimensional contour map (top), red fluorescence histogram (middle), and green fluorescence histogram (bottom) from elutriated spheroid cells of relatively large median cell volume (approximately 2250 cu /un), corre sponding to Cell Group Q4/P of Chart 26. The iso-cell contour levels and dot representations are as in Chart 1. although a substantial enrichment of S- and G2-M-phase cells was achieved relative to the total spheroid cells, a substantial number of Q-like cells remain. Although Q-like cells with Giphase DMA content are again observed, other cells, possibly corresponding to Q-like cells with S- and G2-phase DMA con tents and somewhat higher RNA content, are also observed. One advantage of centrifugal elutriation is that it is a mild separation procedure which allows for the isolation of viable cells. Trypan blue dye exclusion measurements performed both on nonelutriated spheroid cell suspensions and on a composite of all elutriated fractions suggested that centrifugal elutriation did not induce gross cell killing at the cell membrane level (i.e., 83% dye-excluding cells in nonelutriated spheroids and 87% dye-excluding cells after elutriation). Chart 5 shows 76 60 IO S e> 50 4O TOTAL SPHEROID CELLS 2O 20 30 40 PROPORTION 50 OF Q-LIKE 60 70 80 90 CELLS Chart 5. Relationship between cell clonogenicity and the proportion of Q-like cells obtained by 2-step AO staining and FCM for elutriated EMT6/RO spheroid cells.The plotted proportion of Q-cells represents the mean of at least 3 separate determinations. Points, corresponding clonogenicity expressed as the group mean; oars, S.D. CANCER RESEARCH Downloaded from cancerres.aacrjournals.org on June 14, 2017. © 1982 American Association for Cancer Research. VOL. 42 Isolation of Quiescent Spheroid Cells documentation of heterogeneous Q-cells in solid tumors (8). The present finding (Chart 4) that Gi-phase Q-cells appear to reduce the effectiveness of obtaining synchronous populations of S- and G2M-phase cells by elutriation may also be important in the context of previous data which have indicated substantial contamination of Gt-phase cells in S- and G2-M-enriched frac tions in the EMT6/RO (1 5) and other (1 6) solid-tumor systems. The relationship between clonogenicity and the P- and Qtumor cell compartments has long been speculated upon by many investigators and remains somewhat controversial. The current findings (Chart 5) suggest that the identified Q-cells in EMT6/RO spheroids include both clonogenic and nonclonogenic cells, further emphasizing the heterogeneity of the Qcompartment. The additional observation in Chart 5 of an apparent inverse relationship between the proportion of Q-cells 10 20 30 TIME (hr) Chart 6. Continuous 40 [3H]dThd SO 20 JO TIME (hr) 40 LI (%) as a function of time in EMT6/Ro spheroid cells. A to C, determinations from elutriated spheroid cells of increasing median volume, i.e., approximately 800, 1000. and 1600 cu ,um, respectively; D, the same determination from total spheroids. Q-like cells and rate of increase in L! as cells from total spheroids, Chart 6D (22 and 2.6%/hr, respectively). These data thus could be interpreted as indicating a relatively slower rate of cell cycle transit in the groups (i.e., Chart 6, A and 8) most enriched in Q-cells, relative to the total spheroid (Chart 6D). DISCUSSION These studies demonstrate that centrifugal elutriation can be successfully used to separate cells from the multicellular sphe roid tumor model into subpopulations which are quite homo geneous in size. Small cell volume fractions were obtained which consisted almost exclusively of G,-phase cells, indicating the successful synchronization of G,-phase spheroid cells. By combining centrifugal elutriation with AO staining and FCM, which allows for the identification of Q-like cells on the basis of relatively lower RNA and DNA contents than the P-cell coun terparts, the Q-like cells have been markedly enriched (i.e., 80 to 85% Q-cells versus approximately 21 % in the total spheroid) (Chart 3, Table 1) in elutriation fractions of small (i.e., 800 cu jum) cell volume. Centrifugal elutriation in the present investigation provided approximately 87% trypan blue dye-excluding cells as com pared with 83% dye-excluding nonelutriated spheroid cells. Analysis of the composite of data from all elutriation fractions (Table 1) revealed approximately 25% total Q-like spheroid cells, as compared with approximately 21 ±3% (S.D.) Q-like cells from nonelutriated EMT6 spheroids. Thus, the method provided a benign method for spheroid cell separation, al though we cannot rule out the loss (lysis) of a small proportion of labile (presumably dead) cells by this procedure. Despite success in enriching for Q-like cells in small-volume spheroid cell fractions, such cells were also observed in sub stantial numbers in fractions containing cells of much larger median volume. Such size heterogeneity of Q-cells and the possible appearance of Q-cells with varying DNA and RNA contents (Chart 4) suggest different modes of arrest of P-cells or different physiological states of Q-cells in the multicellular spheroid cultures, a finding in agreement with the previous and clonogenicity provides further support for the hypothesis that Q-cells in in vitro tumor systems represent an intermediate compartment between P-cells and dead cells. Finally, the pres ent data corroborate previous in vitro studies (11, 25), which suggested a decreased clonogenicity in Q- relative to P-spheroid cells but contrast with the previous conclusion of an equal clonogenicity in these cell compartments in a rat rhabdomyosarcoma (1 ). The multicellular spheroid is a dynamic cell system charac terized by a varying growth fraction [i.e., P/P + Q(10, 31)], Pto Q-compartment transition (10, 11 ), cell loss (1 0), and vari ations in the proportion of Q-cells as a function of the distance between the center and periphery of the spheroid (1 1). Our finding of marked increases in the continuous LI even in frac tions substantially enriched in Q-cells (Chart 6, A and 8), which has been related previously to cell cycle transit rate (29), indicates that such an interpretation must be considered with great caution, due to the probability that such LI increases mainly reflect P- to Q-transition during the course of the labeling studies (4). Since many tumors are also characterized low and varying growth fractions (8) and substantial cell loss (23), the present results argue that the use of continuous [3H]dThd labeling for estimating the rate of cell cycle transit in such tumor systems may not be warranted in the absence of Q-cell identification. Furthermore, the Q-cells identified using this assay probably represent only a subpopulation of the Q-cell compartment. ACKNOWLEDGMENTS The authors wish to express their sincere appreciation to Dr. P. Horan for helpful consultation and reviewing of this manuscript and to P. Alden for expert technical assistance. REFERENCES 1. Barendsen, G. W., Roelse. H., Hermens, A. F., Madhuizen, H. T., Van Peperzel, H. A., and Rutgers, D. H. Clonogenic capacity of proliferating and nonproliferating cells of a transplantable rat rhabdomyosarcoma in relation to its radiation sensitivity. J. Nati. Cancer Inst., 57: 1521-1526, 1973. 2. Baserga, R. Resting cells and the G, phase of the cell cycle. 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CANCER RESEARCH Downloaded from cancerres.aacrjournals.org on June 14, 2017. © 1982 American Association for Cancer Research. VOL. 42 Isolation of Quiescent Cells from Multicellular Tumor Spheroids Using Centrifugal Elutriation Kenneth D. Bauer, Peter C. Keng and Robert M. Sutherland Cancer Res 1982;42:72-78. Updated version E-mail alerts Reprints and Subscriptions Permissions Access the most recent version of this article at: http://cancerres.aacrjournals.org/content/42/1/72 Sign up to receive free email-alerts related to this article or journal. To order reprints of this article or to subscribe to the journal, contact the AACR Publications Department at [email protected]. To request permission to re-use all or part of this article, contact the AACR Publications Department at [email protected]. Downloaded from cancerres.aacrjournals.org on June 14, 2017. © 1982 American Association for Cancer Research.
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