Application Note PN33506 Flexible Purecell™ Select System Enables Protocol Modifications to Optimize Enriched MNC Population for Downstream Applications Introduction Materials and Methods Pall’s extensive knowledge and experience in blood cell interaction with materials and medical device development has resulted in a first-generation product named the Purecell Select System. Designed for mononuclear cell (MNC) recovery from whole blood (WB), the Purecell Select System is easy to use and produces consistently high MNC recovery in less than 15 minutes. Additionally, the Pall system has a sterile fluid path with very few points of direct user interaction. Human WB Samples • Units of human whole blood collected in CPDA-1 anticoagulant are held at ambient temperature until use. The Purecell Select System process is simple – the sample is transferred to the sample bag via a sterile Luer-Lok◆ port, then as the sample flows through the system under gravity flow, the MNC are captured on Pall’s filter materials. After flow has stopped, the user back-flushes the filter with the optimized Harvest Solution to recover the enriched MNC population. Purecell Select System processing results in a sample with a significant reduction in total red blood cells (RBC), platelets, and volume. Pall recognizes that for some applications the standard performance is not optimal for downstream use. Simple modifications to the standard protocol can significantly alter the cellular composition of the final product. This Application Note is intended to provide useful information on the performance of this system when the standard protocol is modified. Results from WB starting volume of 20-120 mL, Harvest Solution volumes of 10-25 mL, the inclusion of a rinse step, and fresh versus 24-, 48-, and 72-hour WB samples are presented. Additionally, recommendations for post-processing sample manipulation for RBC removal, centrifugation, and freeze-thaw are included. • Experiments are performed within three hours of blood collection, except for WB 1, 2, or 3 days after collection, as noted. Mononuclear Cell Enrichment by Filtration (8-15 minutes total processing time. Refer to instructions for use for labeled diagram and full details.) • A syringe is used to transfer WB and approximately 10 mL of air into the harvest set. 50 mL WB is used for all experiments unless noted. • The WB passes through the Purecell Select System by gravity flow. • Cells are recovered by back-flushing (i.e., reversing the direction of the flow) with 24 mL sterile Purecell Select System Harvest Solution, unless noted otherwise in figure legend. • Incorporation of the optional rinse is performed in the following manner: – Close the upper clamp to stop WB flow once the WB sample reaches the mid-point of the Y at Port A (sample input port). – Attach a syringe filled with pre-measured rinse solution [Phosphate Buffered Saline (PBS) for these tests] to Port A and add slowly. Be sure that there are no air bubbles in the tubing between the blood and the rinse solution. Any air bubbles can be removed by squeezing the tubing to force the bubbles upward, or by flicking or tapping the tubing. – Open the clamp to restart the sample flow. • All Purecell Select System processing procedures were done on an open lab bench using good laboratory practice, not in a laminar flow biological safety cabinet. Materials and Methods (continued) Cell Counts Generated on a Cell-Dyn◆ 1800 hematology analyzer (Abbott Labs) following standard protocols. Triplicate measurements are averaged for the concentrations of WBC (white blood cells), RBC, and platelets. Percent recoveries for each sub-population are determined by calculating the number of cells before and after the preparation using the following formula: Concentration of cells after isolation procedure x volume CFU Assays (StemCell Technologies) Performed according to manufacturer’s instructions. • Processed samples are resuspended at a concentration of 2 x 106 WBC/mL. • 300 µL of cell suspension is added to 3 mL of complete Methocult. • 1.1 mL of Methocult-cell suspension (2 x 105 WBC/dish) is added to each of two 35 mm culture dishes. • Culture dishes are transferred to a tissue culture incubator at 37 ºC, 5% CO2, and 95% humidity. x 100 Concentration of cells before isolation procedure x WB volume Three-Part Differential Based on WBC counts from Cell-Dyn analyzer and lymphocyte, monocyte, and granulocyte percentages from forward versus side scatter plots on a BD FACSCalibur◆ flow cytometer (BD Biosciences) unless noted in figure legend. MNC numbers are a sum of lymphocytes and monocytes. The formula used is as follows: (Concentration of WBC x volume x percent of population) / 100 Viability Determination Percent viability of WBC in the starting material and after processing is determined by dye exclusion using propidium iodide (PI). • 50 µL sample, pre- and post-filtration, is incubated in 1 mL 1x H-lyse buffer (R&D Systems) for 18 minutes at RT. • 10 or 2 µL of PI (1 mg/mL, Molecular Probes) is added (except no stain controls) and incubated an additional 2 minutes at RT. • The cells are pelleted by centrifugation at 500 x g for 5 minutes, then resuspended in 0.5 mL PBS for analysis. • Percent viability is determined by calculating the percentage of unstained versus total cells as determined by flow cytometry (BD FACSCalibur). RBC Depletion for Colony Forming Unit (CFU) Assays RBC depletion prior to cell culture is recommended. NH4Cl solution (StemCell Technologies) is used with slight modifications to manufacturer’s protocol. • 5 mL of Purecell Select System processed cells are added to 20 mL of ice-cold NH4Cl solution (final ratio is 4:1 lysis buffer:sample). • The mixture is incubated on ice until lysis is complete (~10-15 minutes). • After complete lysis, 25 mL of PBS with 2% fetal bovine serum (FBS) is added. Then WBC cells are centrifuged at 500 x g for 10 minutes. • The cell pellet is resuspended in 25 mL of PBS with 2% FBS and centrifuged again at 500 x g for 10 minutes. • The final cell pellet is resuspended in Iscove’s Medium with 2% FBS. • The CFUs are enumerated after 14-16 days in culture. Enumeration of CFU The CFU is counted using an inverted microscope (Olympus 1x51). Cultures are evaluated for the presence of erythroid, myeloid, and multi-potential CFU as described in the technical manual, Human Colony-Forming Cell Assays Using Methocult (Stem Cell Technologies). • Erythroid CFC include Burst-Forming Units-Erythoid (BFU-E) and Colony-Forming Unit-Erythroid (CFU-E). • The Myeloid CFC include Colony-Forming Unit-Granulocyte (CFU-G), Colony-Forming Unit-Macrophage (CFU-M), and Colony-Forming Unit-Granulocyte, Macrophages (CFU-GM). • Multi-potential CFC include Colony-Forming Units with mixed populations of erythroid and myeloid cells (CFU-GEMM). Results WB Volume Testing – Purecell Select System Results Using 20-120 mL of WB The bar graph in Figure 1 shows total number of MNC and granulocytes (left and right, respectively) and percent recovery from the Purecell Select System processing of 20, 40, 80, and 120 mL of human WB. As expected, the number of MNC and granulocytes in the Purecell Select System sample increases with increasing volume of WB (blue bars). There is a slight decrease in the percent recovery of MNC as the WB volume increases, as seen by the increasing gap between cell number in the WB sample (orange bars) and the Purecell Select System sample (blue bars) at higher volumes. Interestingly, there is a dramatic decrease in granulocyte recovery as the WB volume increases. This results in a relatively greater enrichment of MNC as compared to granulocytes with increasing volume. When the volume is increased to 150 mL, there is a significant reduction in percent MNC recovery (data not shown). Thus, 120 mL is the upper limit recommended for this filter harvest set design. Results (continued) Figure 1 Purecell Select System Total Cell Number and Recoveries from 20-120 mL of WB Figure 2 Percent Recovery of Major Cell Populations with 10, 15, 20, or 25 mL of Harvest Solution 80 400 400 71% 71% 300 300 77% 77% 200 200 100 100 00 99% 99% 20 20 85% 85% 79% 79% 40 40 80 80 Mononuclear Cells Cells Mononuclear WB WB 120 120 20 20 55% 55% 40 40 38% 38% 80 80 31 31% Percent Recovery 6 Total TotalCell CellNumber Number(x (x10 106)) 500 500 120 120 60 40 20 0 Granulocytes Granulocytes MNC Purecell Select Select System System Purecell Total number and percentage of mononuclear cells and granulocytes in WB or Purecell Select System from indicated volume of WB (20, 40, 80, 120 mL). Samples processed in duplicate. 20 mL volume from 3 donors; all others from 5 donors. Recovery is calculated based on WBC and three-part differential from Cell-Dyn 1800 hematology instrument. Error bars show one standard deviation (SD) across donors. Harvest Solution Volume Testing – Purecell Select System Results Using 10-25 mL of Harvest Solution (Figure 2 and Table 1) The bar graph in Figure 2 shows the percent recovery of MNC, lymphocytes, monocytes, and granulocytes from the Purecell Select System processing when 10, 15, 20, and 25 mL of Harvest Solution are used for the back-flush step. As expected, increasing the volume of Harvest Solution results in higher recovery of the major populations. The difference in recovery is ~6-10% of the starting cell number when comparing 10 mL to 25 mL. Although cell recovery is lower with less Harvest Solution, the concentrations of MNC and granulocytes are significantly higher when lower volumes of Harvest Solution are used (Table 1). MNC concentration drops from a 4.4 fold increase to a 1.6 fold increase relative to WB with 10 versus 25 mL Harvest Solution, respectively. Thus, there is a trade-off between MNC recovery and final cell concentration. This can be countered by processing a higher volume of WB. The relative ratio of MNC compared to granulocytes changes somewhat with the volume of Harvest Solution. Lymph Mono Gran 15 mL 10 mL RBC Plts 25 mL 20 mL Standard protocol used except that the volume of Harvest Solution for cell recovery is varied, as indicated. Percent recovery is calculated as described in Materials and Methods. Duplicates are averaged. Means +/- 1 SD across 3 donors are reported. Table 1 Effect on Final MNC and Granulocyte Concentration of 10, 15, 20, or 25 mL of Harvest Solution Average Fold Increase (x 106 Cells/mL) (x 106 Cells/mL) MNC Gran MNC Gran Average Final Volume (mL) WB 2.9 3.9 10 mL 12.5 6.8 4.4 1.8 7.6 15 mL 7.6 4.9 2.7 1.3 12.5 20 mL 5.7 3.8 2.0 1.0 17.6 25 mL 4.5 3.2 1.6 0.8 22.5 Data generation (3 donors) and analysis as described in Figure 2 legend. Optional Rinse Step to Further Reduce RBC and Platelets For greater reduction in the number of RBC and platelets, an additional rinse step is incorporated into the processing protocol. Specifically, WB flow is stopped once the level of WB has reached the sample input valve. PBS is then added to the system through the sample input valve. The flow is resumed and the processing is continued as per the standard method (see Materials and Methods). The recovery of the major cell types is shown in Figure 3a. The standard Purecell Select System method results in 86% depletion of RBC. When an additional 6 or 10 mL PBS rinse is incorporated, RBC depletion is increased to 94% and 97%, respectively. The rinse step also results in a 5-8% further reduction in platelets. There is a 5-20% decrease in recovery of lymphocytes, monocytes, and granulocytes with the added rinse step. Lymphocytes, which typically give the highest recovery, show the greatest drop in recovery with this step. The viability of the processed samples is similar or slightly improved with the additional rinse step (data not shown). Results (continued) Figure 3b Effect of a Rinse Step on Hematopoietic CFU Assays Figure 3a Effect of a Rinse Step on Recovery of Major Cell Populations 35 Percent TotalRecovery Cell Number (x 106) 80 400 71% 300 60 200 77% 85% 100 40 55% 99% 31% 38% 79% 25 20 15 10 5 0 20 20 CFU Number/2 x 105 30 500 40 80 120 20 Mononuclear Cells WB 40 80 120 Lymph No rinse Myeloid Purecell Select System Mono Gran 6 mL rinse RBC Mixed CFU Type 0 MNC 0 Erythroid Granulocytes Plts 10 mL rinse The standard protocol +/- the optional PBS rinse step is followed, as indicated on the graph. Means +/- 1 SD across 3 donors are reported. Data from rare cell enumeration using CFU assays for erythroid, myeloid, and mixed colonies demonstrate the presence of hematopoietic progenitor cells in WB samples processed using the Purecell Select System (Figure 3b). Although the level of RBC in the harvested sample is much lower than the starting material, further depletion is necessary before plating to achieve accurate colony counts. Data comparing the Purecell Select System rinse protocol versus the standard protocol with RBC lysis suggests that some of the erythroid progenitor cells are lost during the RBC lysis and/or subsequent washing step. The PBS rinse step saves time while resulting in equivalent or higher numbers of hematopoietic progenitor cells. Thus, even though the rinse step does result in a ~5-20% decrease in total MNC recovery, the rare cells do not appear adversely effected when compared to the incorporation of an RBC lysis step. WB RBC Lyse Pall RBC Lyse Pall 6 mL Rinse Pall 10 mL Rinse CFU assay results from samples processed as indicated. The standard method sample required an RBC lysis step prior to use in this assay, while samples processed with the additional rinse step were diluted and used directly in the assay. Duplicates are averaged. Means +/- 1 SD across 3 donors are reported. Purecell Select System Processing of Fresh Versus 1, 2, or 3-Day Old WB Recovery and viability data from WB pre- and post-processing with the Purecell Select System (Table 2) indicates that fresh and aged WB samples (from 3 donors) behave similarly. There are no significant differences in percent recovery of the MNC, WBC, or cell composition of the samples (data not shown) between WB processed on the day of collection or 1-3 days after collection when compared to pre-processing values. There may be a slight decrease over time in total MNC and WBC number, but donor variability is high for these counts. The viability of major cell populations post-processing is always equal to or slightly higher than the WB starting sample of the same age. There is a slight downward trend in WB viability over time, which is to be expected. Table 2 Purecell Select System Processing of Fresh WB Compared to Aged WB – Percent Recovery and Viability % Recovery MNC Recovery WBC Recovery Cell Number x 106/50 mL WB or Processed Sample MNC WBC Viability 252.8 +/- 80.3 164.2 +/- 39.5 90.1 +/- 9.0 92.4 +/- 5.7 WB Age Sample Fresh WB Pall 74.0 +/- 5.9 66.3 +/- 6.5 128.2 +/- 30.8 94.3 +/- 20.7 WB Pall 76.4 +/- 6.9 72.7 +/- 3.3 117.5 +/- 29.7 90.6 +/- 29.3 236.7 +/- 67.7 170.7 +/- 43.9 83.9 +/- 12.6 86.0 +/- 7.1 WB Pall 78.2 +/- 5.2 72.8 +/- 1.4 108.2 +/- 18.2 85.3 +/- 19.9 212.7 +/- 61.1 164.8 +/- 44.0 87.2 +/- 5.9 89.9 +/- 3.9 WB Pall 73.7 +/- 10.4 68.0+/- 2.9 114.0 +/- 22.7 84.2 +/- 23.2 223.9 +/- 63.5 151.1 +/- 37.4 82.6 +/- 3.2 82.6 +/- 4.6 Day 1 Day 2 Day 3 Comparison of MNC and total WBC recovery and viability from matched donors using fresh WB versus the same WB stored at 4 ºC for 1-3 days. Chilled WB is equilibrated to room temperature prior to processing. Percent viability is determined with PI. Averages from 3 donors +/- 1 SD are reported. www.pall.com/celltherapy Recommendations for Centrifugation of Purecell Select System Processed Samples Although isotonic, the Harvest Solution has higher density than typical buffers. As a result, good recovery from a centrifugation step requires the use of non-standard conditions. Pellet the cells at 300-400 x g for 5 minutes with no brake. It is crucial to turn off the centrifuge brake! If this is not done, the cell pellet will be highly disrupted, resulting in poor recovery. Resuspend the cell pellet in appropriate buffer. This procedure will result in a significant decrease in platelets (40-75% relative to pre-centrifugation), but high recovery of all other cell types. Cell Freeze Recommendations for Samples Processed Using the Purecell Select System Several factors such as cell concentration, solutions, and serum proteins used for preparation of cell suspension, concentration of cryopreservation agent, cooling rate, storage conditions, and thawing methods directly affect the viability and quality of cells after freezing and thawing. Freeze and thaw procedures should be optimized for the MNC samples and any post-thaw manipulation step. RBC lysis during a freeze-thaw cycle contributes to post-thaw debris in any RBC-containing sample. If desired, RBC may be removed prior to cell freezing using an RBC lysis method or by adding a rinse step to the Purecell Select System standard processing protocol after cell capture and before cell harvest (see note above regarding rinse step). If an RBC lysis step is included, be aware that the number of RBC in the processed sample will be much lower as compared to WB (< 15% of total from 50 mL WB). We typically use half the amount of RBC lysis solution recommended for WB samples when performing RBC lysis of Purecell Select System processed samples. During the post-RBC lysis wash and centrifugation, turn off the brake (as noted above) unless sample dilution is 10-fold or greater. Post-thaw viability determination of MNC or specific target cell population is recommended. Analysis of thawed samples indicates that a high percentage of the granulocytes (CD66b positive cells) die during freeze-thaw, as assessed with PI staining (data not shown). This is consistent with the well-known fact that granulocytes do not survive freeze thaw cycles as well as other cell types. As a result, postthaw viability on total WBC is not indicative of MNC viability. Conclusions Pall’s Purecell Select System provides fast sample processing with an easy-to-use method resulting in high MNC recovery. In addition to use of the standard protocol, simple alterations to the procedure change the final MNC sample composition. The system is very robust and flexible, readily accommodating WB volumes from 20-120 mL, Harvest Solution volumes of 10-25 mL, and an added rinse step to reduce RBC or older WB samples (fresh to 3 days). Guidelines are provided for post-processing sample manipulation, specifically cell freezing and centrifugation. Matched donor samples are used for all testing to eliminate donor-to-donor variability, which is very high. Most experiments are done with 50 mL volumes from split blood units and data from multiple donors is combined, although generally with a limited number of samples. Data from duplicates shows a high degree of processing method reproducibility, consistent with overall high reproducibility reported in Application Note Performance Characterization of the Purecell Select System for Enrichment of Mononuclear Cells from Human Whole Blood (PN 33505). Although it is unlikely that the Purecell Select System will replace Ficoll◆ cell processing for all applications, the ability to modify the protocol to alter final sample composition is beneficial to users. This method flexibility increases the range of downstream applications for which the Purecell Select System processing method is directly applicable. www.pall.com/celltherapy www.pall.com/celltherapy Pall Medical - Cell Therapy 600 South Wagner Road Ann Arbor, MI 48103-9019 USA Australia - Cheltenham, VIC Tel: 03 9584 8100 1800 635 082 (in Australia) Fax: 1800 226 825 India - Mumbai Tel: +91 22 67995555 or +91 22 66830700 Fax: +91 22 67995556 800.521.1520 734.665.0651 734.913.6495 Stem_Cells@Pall.com Brazil - Rio de Janeiro Tel: (5521) 2111.92.08 Fax: (5521) 2111.92.05 Korea - Seoul Tel: 82-2-560-8711 Fax: 82-2-569-9095 Canada - Ontario Tel: 905-542-0330 800-263-5910 (in Canada) Fax: 905-542-0331 Thailand - Bangkok Tel: (66) 2937 1055 Fax: (66) 2937 1066 toll-free in USA phone fax email Canada - Québec Tel: 514-332-7255 800-435-6266 (in Canada) Germany - Dreieich Tel: 06103-307 333 Fax: 06103-307 399 United Kingdom - Portsmouth Tel: +44 (0)23 9230 3452 Fax: +44 (0)23 9230 3324 Biosvc@Pall.com United States - California Tel: 626.339.7388 Fax: 626.858.0458 Stem_Cells@Pall.com © 2008, Pall Corporation. Pall, , and Purecell are trademarks of Pall Corporation. ® indicates a trademark registered in the USA. ◆Ficoll is a trademark of GE Healthcare Bio-Sciences. Cell-Dyn is a trademark of Abbott Laboratories. BD FACSCalibur is a trademark of BD Biosciences. Luer-Lok is a trademark of Becton-Dickinson. This product, and its use, may be covered by one or more patents including US 6,544,751 and EP 973,587. 1/09, 1.5k, GN08.2340 PN33506