TITLE: Human CD34+ cell isolation from fetal liver, and fetal thymus preparation
AUTHORS: Austin Chen, Mohsen Khosravi-Maharlooei, Markus Holzl, Nichole Danzl, Chris Parks, Elizabeth Waffarn, Megan Sykes

[DESCRIPTION]
<div class = "text-blocks"><div class = "text-block">This protocol details the steps for isolating human CD34+ cells from human fetal liver. It also explains how to prepare human fetal thymus for immediate use or for freezing, as well as the process for thawing. The CD34+ cells are hematopoietic progenitor cells and can be used to generate humanized mice through reconstitution of immune cells via IV injection after bone marrow ablation. These cells can also be used for mixed lymphocyte reaction experiments.</div><br/><br/><br/></div>

[STEPS]
?. [Digestion method for CD34+ isolation]
Start water bath and heat to   if not already on.
37 °C
?. [Digestion method for CD34+ isolation]
Spray the fetal organ test tube before putting it into the hood
?. [Digestion method for CD34+ isolation]
Fill beaker w/ 70% EtOH. Soak your tools in this.
?. [Digestion method for CD34+ isolation]
Lay out tools onto petri dish to evaporate the EtOH off of them (EtOH will fix the tissue). Open fetal liver test tube and pour out all contents into a big petri dish.
?. [Digestion method for CD34+ isolation]
Separate the white connective tissue from the rest of the tissue and place onto the lid of the original petri dish. Also remove the gall bladder if present (and discard this).a. The white connective tissue should still be saved b/c it can be used for HLA typing (will place this by itself into a cryovial. Do not add media. Then place into  freezer into box that says “fetal tissue for HLA typing”)b. Remove the gall bladder and as much connective tissue as possible (and the ligaments), as they cannot be digested and would clot the pipette
-20 °C
?. [Digestion method for CD34+ isolation]
Prepare pre-diluted Liberase solution in BM media or AIM-V media) in a  Falcon tube:a. Add  AIM-V medium (or BM media) to a   falcon tube – will say BM media for rest of protocol, but seems like you can use AIM-V + 10% human serum too.     i. Add  DNAse only if using AIM-V. b. Add Liberase ( ) – found in  freezer in  aliquots.
15 mL
5 mL
50 mL
125 µl
200 µl
0.5 mg
-20 °C
200 µl
?. [Digestion method for CD34+ isolation]
Transfer the non-connective tissue liver pieces from the petri dish to a  Falcon tube with  Liberase + BM media.a. Take big pieces and cut it into smaller pieces above the  Falcon tube so that the cut pieces drop directly back into the Falcon tube.     i. This way, you do not need to take more time later to transfer the smaller pieces from the petri dish.b. Can then use a pipette to transfer the remaining pieces and media from the petri dish back into the  Falcon tube     i. Don’t add this directly to the Liberase. Put into a different falcon tube, centrifuge, aspirate supernatant, and then resuspend with Liberase (or solution already containing Liberase) to avoid diluting the Liberase.       ♦ Centrifuge settings: 4 C | 1650 RPM | 3 minutes            ◊◊ Discard supernatant by pipetting off the solution
50 mL
5 mL
50 mL
50 mL
?. [Digestion method for CD34+ isolation]
Vortex this tube for 20 seconds.
?. [Digestion method for CD34+ isolation]
Place in a rack and place in  water bath. (The rack should already be in the bath)a. Let it sit for 6 minutes. b. Vortex for 20 seconds again and pipette up and down with  pipette. Then place back in  water bath for another 6 minutes.     i. Repeat this step a few times until you can pipette up and down easily with a  pipette        (1). Must spray down with EtOH each time before placing it back into the hood. Return to  water bath each time.        (2). usually completely digested within 10-15 minutes.      ii. The liver should now be disrupted to a single cell solution. The pipette should not clot anymore (except for ligaments, etc).c. At some point, if not done already, also cut up the connective tissue that you reserved for HLA typing and place it into a yellow/blue top container (without media) while the tissue is digesting in the water bath.
37 °C
10 mL
37 °C
5 mL
37 °C
?. [Digestion method for CD34+ isolation]
Grab at least two 70 um filters and place 1 on top of 2 new  Falcon tubes.
50 mL
?. [Digestion method for CD34+ isolation]
Once solution is easily pipettable through  pipette and “feels” like a single cell suspension, top off Falcon tube with BM media.
5 mL
?. [Digestion method for CD34+ isolation]
Transfer  of the solution to each new  Falcon tube through the 70 um filter. (should have 2 Falcon tubes with filtered  cells)
25 mL
50 mL
25 mL
?. [Digestion method for CD34+ isolation]
Centrifuge both of these  Falcon tubesa. Centrifuge settings: 4 C | 1650 RPM | 3 minutes
50 mL
?. [Digestion method for CD34+ isolation]
While centrifuging, prepare four  Falcon tubes with  Histopaque (use a   pipette)
50 mL
13 mL
10 mL
?. [Digestion method for CD34+ isolation]
When centrifuge done, aspirate supernatant, then resuspend each pellet in  BM media.
50 mL
?. [Digestion method for CD34+ isolation]
Add of cells + BM media to each tube with Histopaque (4 total) by slowly dripping the cells onto the top of the Histopaque. Can tilt the tube and support it on any structure for stabilization (e.g. Styrofoam holder for the  falcon tubes, a falcon tube holder, etc.)a. Weigh the tubes in the centrifuge containers to make sure they are balanced. Add water into the container if it is not balanced.b. Centrifuge all 4 tubes: if using histopaque: 25 °C | 0 prog | 2000 rpm | 25 minutes, accel: 1, brake: 0c. Grab some lunch!
25 mL
13 mL
50 mL
50 mL
?. [Digestion method for CD34+ isolation]
Collect the buffy coat into two  Falcon tube (each 2 tubes goes into 1 tube) – then fill up the  ube with BM media:a. Use or pipette and suck up the “ring”/layer right above the Histopaque. Will inevitably suck up Histopaque as well, but try to suck up all of the layer right above it. b. Collect all of the layer/Histopaque until you get close to the RBCs to make sure you have obtained all of the buffy coat (which contains PBMCs)
50 mL
50 mL
10 mL
25 mL
?. [Digestion method for CD34+ isolation]
Centrifuge the tubes that you have just collecteda. 4 C | 1650 RPM | 4 minutesb. Discard the supernatant by aspirating with pipettec. Optional: RBC Lysis – Add 5ml ACK Lysis buffer, incubate 5min RT.    i. If RBC lysis, wash with BM media, then centrifuge and resuspend in MACS buffer (step 19)
?. [Digestion method for CD34+ isolation]
Resuspend in  MACS buffer.
15 mL
?. [Digestion method for CD34+ isolation]
Take and add to a 1.5 round bottom blank tube labeled “Pre” for flow cytometry
100 µl
?. [Digestion method for CD34+ isolation]
Count the cells: do serial dilution to 1:25 dilution factora.  Trypan blue +  cells (1:5 dilution factor). Then of this combination (1:5 dilution factor) into another  Trypan blue = 1:25 dilution factor
40 µl
10 µl
10 µl
40 µl
?. [MACS isolation:]
Centrifuge cells 4 C | 1650 RPM | 3-4 minutesa. While centrifuging, grab CD34+ microbeads + FcR blocker (MACS Miltenyi Biotec CD34 Microbread kit)b. Calculate volumes needed for addition of FcR Block and Beads1 volume FcR Block= _______ul (1x volume of beads)1 volume CD34 microbeads= _______ul (10ul per 107 cells)8 volumes Macs Buffer= _______ul (8x volume of beads)Max volumes: 200 uL FcR blocker, 200 uL CD34 microbeads, 1.6 mL MACS buffer      ♦ Example calculation: for 339.375E6 cells à 33.9E7 cells =  . But since max =  , we used   CD34+ microbeads,  FcR blocker, and   MACS buffer.Usually we get around 500E6 cells. For this amount, we don’t use 500 uL of beads (it’s too much). Usually between 100 to 200 uL is enough.      ♦ Example calculation: for 339.375E6 cells à 33.9E7 cells = . But since max = , we used  CD34+ microbeads, FcR blocker, and  MACS buffer.      ♦ CD34+ beads      ♦ FcR blocker      ♦  MACs buffer
339 µl
200 µl
200 µl
200 µl
200 µl
150 µl
150 µl
1.2 mL
?. [MACS isolation:]
Resuspend cells with amount of MACS buffer first.a.Then add FcR blocker (must add FcR blocker before microbeads!!)b.Then add CD34 microbeadsc. Pipette up and down
?. [MACS isolation:]
Incubate for 30 minutes at
4 °C
?. [MACS isolation:]
Wash cells by adding 5-10ml MACS buffer. Centrifuge cells 1650 RPM, 3-4 min, 4C. Aspirate and discard supernatant.*Important to stick to this centrifuge speed because at higher speeds beads that have NOT bound cells will also be spun down into pellet.a. Prepare MACS set up while centrifuging:b. LS filter placed into MACS set up “multi stand” with fin tips pointing toward you; place  falcon tube underneath LS filter; place 70 uM filter on top of the LS filter     i.Label the falcon tube “CD34-“c. a.Add  MACS to the 70 uM filter + LS filter after you put it together to wet the filter
15 mL
3 mL
?. [MACS isolation:]
Resuspend the sample in  MACS and add this to the MACS filter tube through the 70 uM filter
1 mL
?. [MACS isolation:]
Once liquid has flowed through the filter, wash 3 times with  MACS eacha. For the first wash, put the  into the original  tube that held the tissue. Pipette up and down and add to the LS filterb. Can then toss the original tissue tube and the 70 uM filter on top of the LS filterc. For the next 2 washes, add  MACS straight to the LS filter
3 mL
3 mL
15 mL
3 mL
?. [MACS isolation:]
Remove the CD34- tube, and switch it with a tube labeled CD34+.
?. [MACS isolation:]
Remove the LS filter from the magnet, place it over the CD34+ tube, add 5 mL MACS buffer, take the plunger, and force out the CD34+ cells.
?. [MACS isolation:]
Add  of CD34+ and  CD34- to separate round bottom, blank tubes for flow cytometry later
100 µl
100 µl
?. [MACS isolation:]
Count the CD34- and CD34+ cellsa. For CD34-: use 1:125 dilution (12-13 mL)b. For CD34+: use 1:25 dilution (5 mL)
?. [MACS isolation:]
Determine how many vials to freezea. For CD34+: freeze 2 million per vial. Use AIM-V + 10% HS in 10% DMSOb. For CD34-: freeze ~50 million per vial. Use AIM-V + 10% HS in 10% DMSO
?. [MACS isolation:]
Stain the small aliquots taken before for purity check by flow cytometry:a. hCD3 BV650b. hCD19 APCc. hCD45 PE-CF594d. hCD34 PEe. DAPIf. Human serum as blocker
?. [Alternative: CD34+ isolation by smashing the fetal liver]
1. Put fetal liver in a petri dish and smash it gently with a sterile plunger of a 3 or 6ml syringe. Transfer cell suspension into  conicals through a 40 um cell strainer2. Place cell suspension on  of Histopaque 1.077 of a tube.3. Centrifuge 600 g, 25 min, 25 C, acc 3, break 04. Collect buffy coats and filter through 40 um cell strainer. Fill up with MACS buffer5. Count cells6. Spin 6 min 400 g, 4 C, 7. Resuspend in MaCs buffer according to protocol8. Perform MACS
50 mL
14 mL
50 mL
?. [Fetal thymus isolation and freezing]
1. Cut thymus in 3 big pieces in a petri dish2. Transfer counted pieces (e.g. 10) into a cryotube. Remove medium3. Fill up with of cryomedium4. Let the cells incubate for 5 minutes (DMSO has to diffuse into the tissue in order to mediate cryoprotection)5. Alternatively, thymus can immediately be transplanted
1 mL
?. [Thymus thaw]
1. Take vials and transfer them to a   water bath. Let them sit there for 10 minutes2.  Pour the thymic pieces into  BM medium (warm) and let them sit for 10 minutes3.  Before transfer to a new Falcon, vigorously pipette the thymic pieces up and down to remove excess of thymocytes. Transfer the cells to new  BM4.  Let the cells sit for 10 minutes. Before transfer into a new falcon, pipette vigorously up and down to remove excess of thymocytes. Transfer the cells to new  BM5.  The cells are now ready for transplantation
37 °C
15 mL
15 mL
15 mL