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In This Article

  • Summary
  • Abstract
  • Introduction
  • Protocol
  • Results
  • Discussion
  • Disclosures
  • Acknowledgements
  • Materials
  • References
  • Reprints and Permissions

Summary

To investigate the immune response to brain disorders, one common approach is to analyze changes in immune cells. Here, two simple and effective protocols are provided for isolating immune cells from murine brain tissue and skull bone marrow.

Abstract

Mounting evidence indicates that the immune response triggered by brain disorders (e.g., brain ischemia and autoimmune encephalomyelitis) occurs not only in the brain, but also in the skull. A key step toward analyzing changes in immune cell populations in both the brain and skull bone marrow after brain damage (e.g., stroke) is to obtain sufficient numbers of high-quality immune cells for downstream analyses. Here, two optimized protocols are provided for isolating immune cells from the brain and skull bone marrow. The advantages of both protocols are reflected in their simplicity, speed, and efficacy in yielding a large quantity of viable immune cells. These cells may be suitable for a range of downstream applications, such as cell sorting, flow cytometry, and transcriptomic analysis. To demonstrate the effectiveness of the protocols, immunophenotyping experiments were performed on stroke brains and normal brain skull bone marrow using flow cytometry analysis, and the results aligned with findings from published studies.

Introduction

The brain, the central hub of the nervous system, is protected by the skull. Beneath the skull are three layers of connective tissue known as the meninges - the dura mater, arachnoid mater, and pia mater. Cerebrospinal fluid (CSF) circulates in the subarachnoid space between the arachnoid mater and pia mater, cushioning the brain and also removing waste via the glymphatic system1,2. Together, this unique architecture provides a secure and supportive environment that maintains the stability of the brain and shields it from potential injury.

The brain has long been considered immune-privileged. However, this notion has been partially abandoned as mounting evidence indicates that, in addition to resident microglia in the parenchyma, the borders of the brain, including the choroid plexus and meninges, host a diverse array of immune cells3. These cells play critical roles in maintaining homeostasis, surveilling brain health, and initiating the immune response to brain injury. Notably, recent findings indicate that the skull is involved in meninges immunity, and may contribute to the immune response in the brain after injury. In 2018, Herisson et al. made a seminal discovery of direct vascular channels that link the skull bone marrow to the meninges, thereby establishing an anatomical route for leukocyte migration4,5. Later, Cugurra et al. demonstrated that many myeloid cells (e.g., monocytes and neutrophils) and B cells in the meninges do not originate from the blood6. Using techniques such as calvaria bone-flap transplantation and selective irradiation regimens, the authors provided compelling evidence that the skull bone marrow serves as a local source for myeloid cells in the meninges as well as CNS parenchyma after CNS injury6. Further, another study proposed that meningeal B cells are constantly supplied by the skull bone marrow7. More recently, a novel structure, termed the arachnoid cuff exit (ACE), has been identified as a direct gateway between the dura mater and the brain for immune cell trafficking8.

These exciting findings have important implications for the origin of infiltrating immune cells into the injured brain (e.g., after ischemic stroke). A large body of evidence has indicated that after stroke, many immune cells infiltrate the brain, contributing to both acute brain damage and chronic brain recovery. The conventional notionΒ is that these cells are circulating leukocytes in the blood that infiltrate the brain, which is largely facilitated by stroke-induced blood-brain barrier damage. However, this notion has been challenged. In one study, immune cells in the skull and the tibia of mice were labeled differently, and at 6 h after stroke, a significantly greater decrease in neutrophils and monocytes was found in the skull vs. the tibia, and more skull-derived neutrophils were present in the ischemic brain. These data suggest that in the acute stroke phase, neutrophils in the ischemic brain primarily originate from the skull bone marrow4. Interestingly, CSF may guide this migration. Indeed, two recent reports demonstrated that CSF can directly relay signaling cues from the brain into the skull bone marrow via skull channels, and instruct cell migration and hematopoiesis in the skull bone marrow after CNS injury9,10.

In light of these recent findings, it has become important to analyze changes in immune cells in both the brain and the skull bone marrow, when studying the immune response to brain disorders. In such investigations, sufficient numbers of high-quality immune cells are needed for downstream analyses such as cell sorting, flow cytometry analysis, and single-cell RNA sequencing (scRNA-seq). Here, the overall goal is to present two optimized procedures for preparing single-cell suspensions from brain tissue and skull bone marrow. It is important to note that the calvaria (frontal bone, occipital bone, and parietal bones) of the skull are typically used to extract bone marrow, and this bone marrow is specifically referred to as skull bone marrow throughout this study.

Protocol

The protocol was approved by the Duke Institute Animal Care and Use Committee (IACUC). Male C57Bl/6 mice (3-4 months old; 22-28 g) were used in the current study. The details of the reagents and the equipment used are listed in the Table of Materials.

1. Single-cell suspension from mouse brain

NOTE: Figure 1 illustrates the overview of the brain cell isolation protocol.

  1. Anesthetize, intubate, and secure the mouse, as demonstrated previously11.
  2. Make an upper abdominal incision through the skin and underlying muscle layers, and carefully cut through the diaphragm and ribs to create the opening into the thoracic cavity.
  3. Fill a 30 mL syringe with cold PBS and attach it to the blunt perfusion needle via silicone tubing. Carefully insert the perfusion needle into the left ventricle.
  4. Perform a small nick at the right atrium to allow blood drainage and then perfuse12 the mouse at a flow rate of ~ 10 mL/min for 3-4 min.
    NOTE: To improve blood clearance in the brain, increasing the volume of perfusion solution and adding heparin may be considered.
  5. Decapitate the mouse and make a midline incision through the skin on the top of the head to expose the skull.
  6. Carefully scrape away any connective tissue overlying the skull using blunt forceps.
  7. Use sharp dissection scissors to carefully cut through the skull sutures along the midline and on both sides, creating a flap.
  8. Gently lift the skull flap to expose the brain, and use blunt forceps to carefully remove the brain from the cranial cavity.
  9. Immerse the brain in a Petri dish containing ice-cold PBS and remove any remaining meninge tissues.
    NOTE: To better preserve cell viability, it is recommended to perform all following steps on ice or at 4 Β°C.
  10. Place the brain in a pre-cooled 15 mL glass Dounce homogenizer containing 20 mL (whole brain) or 12 mL (half brain) of ice-old HBSS buffer.
  11. Use the loose Dounce pestle to gently and slowly dissociate the brain tissue with around 100-120 strokes on ice.
    NOTE: This step is critical to obtaining a large quantity of healthy brain cells. This step takes approximately 10 min. Stop homogenization when no substantial brain tissue chunks are visible in the suspension. At this point, the pestle can easily move down without any force.
  12. Filter the resulting brain tissue suspension through a 70 Β΅m cell strainer in a 50 mL centrifuge tube.
  13. Rinse the Dounce tube with 5 mL HBSS, and proceed with filtration to maximize the cell collection.
  14. Centrifuge the filtered tissue suspension at 550 x g for 6 min at 4 Β°C.
  15. Remove the supernatant using a vacuum aspirator, and resuspend the cell pellet in 1 mL of 30% isotonic density gradient solution.
    NOTE: To make 15 mL of 30% isotonic density gradient solution, mix 4.5 mL of 100% stock density gradient medium, 1.5 mL of 10Γ— PBS, and 9 mL of ddH2O.
  16. Transfer the cell suspension into a 15 mL centrifuge tube, and add 9 mL (whole brain) or 6 mL (half brain) of 30% density gradient solution.
  17. Gently invert the tube to ensure thorough mixing.
  18. Immediately centrifuge the tube at 845 x g with acceleration and brake set at level 3, for 20 min at 4 Β°C.
  19. Gently remove the tube from the centrifuge without shaking, and carefully aspirate the upper myelin layer using a 1 mL tip connected to the vacuum.
    NOTE: It is critically important not to disturb this layer. Any remaining myelin can negatively impact cell health and compromise downstream analyses.
  20. Aspirate the supernatant, leaving 1-2 mL behind, and resuspend the cell pellet with a minimum of 10 mL cold HBSS.
  21. Centrifuge at 550 x g for 6 min at 4 Β°C.
  22. Wash one more time with a minimum of 7 mL of cold HBSS.
  23. Remove as much of the supernatant as possible, and resuspend the cells for flow cytometry analysis using 100-200 Β΅L of flow cytometry buffer.
    NOTE: The flow cytometry FACS buffer used for this study contains 0.5% BSA and 2 mM EDTA in 1Γ— PBS. A 96-well V-bottom plate for cell staining is recommended to minimize cell loss during the washing steps.
  24. Perform flow cytometry analysis using a standard protocol established in individual laboratories13.
    1. Briefly, mix 80 Β΅L of cell suspension with 20 Β΅L of the antibody mixture in a 96-well V-bottom plate and incubate for 25 min at 4 Β°C.
    2. Wash with 200 Β΅L of FACS buffer and then resuspend the cells with 100 Β΅L of HBSS plus cell viability staining reagent.
    3. After a 15 min incubation at 4 Β°C, wash with FACS buffer and resuspend the cells in 200 Β΅L of FACS buffer for flow cytometry analysis.

2. Preparation of bone marrow single-cell suspension from mouse calvaria

NOTE: Figure 2 depicts the overview of the skull bone marrow isolation procedure.

  1. Perfuse the mouse as described in step 1.4.
  2. Decapitate the mouse and make a midline skin incision on the scalp to expose the skull.
  3. Cut through the skull, starting from the foramen magnum and moving forward along the lateral sides of the calvaria using sharp scissors. Then, lift and remove the calvaria.
    NOTE: The brain can be harvested from the same mouse and processed using step 1, enabling analysis of immune cells from both the brain and skull bone marrow.
  4. Carefully peel off the dura mater from the skull under a dissecting microscope using blunt forceps.
    NOTE: It is easier to start at the edges of the occipital bone, slowly detach, and progress steadily towards the frontal area, working inward.
  5. Place the calvaria in the dish on ice and use a 1 mL pipette to rinse the calvaria, ensuring the removal of blood residues from its surface.
  6. Transfer the calvaria to a new dish with fresh, cold PBS sufficient to immerse the calvaria.
  7. Use sterile scissors to cut the calvaria into approximately 3 mm x 3 mm fragments in cold PBS.
    NOTE: Cropping methods may affect the efficiency of calvaria bone marrow extraction. It is recommended that the same cropping method be used to minimize variability. It is also important to cut open the sutures. Figure 2B illustrates one approach.
  8. Poke a hole in the bottom of a 500 Β΅L microcentrifuge tube using an 18 G needle.
  9. Insert this tube into a 1.5 mL microcentrifuge tube containing 20 Β΅L of cold PBS.
  10. Transfer the calvaria fragments into the 500 Β΅L tube.
    NOTE: The bone fragments should be loosely packed to increase extraction efficiency.
  11. Centrifuge at 10,000 x g for 30 s at 4 Β°C.
    NOTE: To maximize cell recovery, use an 18 G needle to gently stir the calvaria fragments, and repeat this step 1-2 more times.
  12. Resuspend the collected calvaria bone marrow cells in 500 Β΅L of Red Blood Cell lysis buffer and incubate at room temperature for 30 s.
  13. Transfer the suspension to a 15 mL centrifuge tube containing 4 mL of cold PBS.
  14. Centrifuge at 400 x g for 6 min at 4 Β°C.
  15. Wash one more time with 5 mL of cold PBS.
  16. Resuspend the cell pellet in an appropriate buffer. For flow cytometry, we typically use 500 Β΅L of FACS buffer.
  17. For flow cytometry analysis, perform cell counting and use approximately 1 x 106 cells for antibody staining.
    NOTE: Ensure to include the Fc block step before antibody staining13.

Results

To prepare immune cells from the mouse brain tissue, the protocol generally yields cells with high viability (84.1%Β Β± 2.3% [meanΒ Β± SD]). Approximately 70%-80% of these cells are CD45 positive. In the normal mouse brain, nearly all CD45+ cells are microglia (CD45LowCD11b+), as expected. This protocol has been used in the laboratory for various applications, including flow cytometry analysis, fluorescence-activated cell sorting (FACS), and scRNA-seq analysis. As an examp...

Discussion

Here, two simple yet effective protocols are presented for isolating immune cells from the brain and skull bone marrow. These protocols can reliably yield a large quantity of viable immune cells that may be suitable for diverse downstream applications, in particular for flow cytometry.

To study neuroinflammation in various brain disorders, many protocols for immune cell preparations from the brain have been established and used in different laboratories15,

Disclosures

None.

Acknowledgements

We thank Kathy Gage for her excellent editorial contribution. The illustrationΒ figures wereΒ created with BioRender.com. This study was supported by funds from the Department of Anesthesiology (Duke University Medical Center) and NIH grants NS099590, HL157354, and NS127163.

Materials

NameCompanyCatalog NumberComments
0.5 mL microcentrifuge tubesVWR76332-066
1.5 mL microcentrifuge tubesVWR76332-068
15 mL conical tubesThermo Fisher Scientific339651
18 G x 1 in BD PrecisionGlide NeedleBD Biosciences305195
1x HBSSGibco14175-095
50 mL conical tubesThermo Fisher Scientific339653
96-well V-bottom microplateΒ SARSTEDT82.1583
AURORAΒ  flow cytometerCytek bioscience
BSAFisherBP9706-100
CD11b-AF594BioLegend1012541:500 dilution
CD19-BV785BioLegend1155431:500 dilution
CD19-FITCBioLegend1155061:500 dilution
CD3-APCBioLegend1003121:500 dilution
CD3-PEBioLegend1002061:500 dilution
CD45-Alex 700BioLegend1031281:500 dilution
CD45-BV421Biolegend1031331:500 dilution
Cell Strainer 70 umAvantor732-2758
Dressing ForcepsΒ V. MuellerNL1410
EDTAInvitrogen15575-038
Fc BlockBiolegend1013201:100 dilution
ForcepsRobozRS-5047
LIVE/DEAD Fixable Blue Dead Cell Stain KitThermo Fisher ScientificN71671:500 dilution
Ly6G-BV421BioLegend1276281:500 dilution
Ly6G-PerCp-cy5.5BioLegend1276151:500 dilution
NK1.1-APC-cy7BioLegend1087231:500 dilution
Percoll (density gradient medium)Cytiva17089101
Phosphate buffer saline (10x)Gibco70011-044
RBC Lysis Buffer (10x)BioLegend420302
ScissorsSKLAR64-1250
WHEATON Dounce Tissue, 15 mL SizeDWK Life Sciences357544

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