Skeletal muscle comprises multiple cell types, including resident stem cells, each with a special contribution to muscle homeostasis and regeneration. Here, the 2D culture of muscle stem cells and the muscle cell niche in an ex vivo setting that preserves many of the physiological, in vivo, and environmental characteristics are described.
Skeletal muscle is the largest tissue of the body and performs multiple functions, from locomotion to body temperature control. Its functionality and recovery from injuries depend on a multitude of cell types and on molecular signals between the core muscle cells (myofibers, muscle stem cells) and their niche. Most experimental settings do not preserve this complex physiological microenvironment, and neither do they allow the ex vivo study of muscle stem cells in quiescence, a cell state that is crucial for them. Here, a protocol is outlined for the ex vivo culture of muscle stem cells with cellular components of their niche. Through the mechanical and enzymatic breakdown of muscles, a mixture of cell types is obtained, which is put in 2D culture. Immunostaining shows that within 1 week, multiple niche cells are present in culture alongside myofibers and, importantly, Pax7-positive cells that display the characteristics of quiescent muscle stem cells. These unique properties make this protocol a powerful tool for cell amplification and the generation of quiescent-like stem cells that can be used to address fundamental and translational questions.
Movement, breathing, metabolism, body posture, and body temperature maintenance all depend on skeletal muscle, and malfunctions in the skeletal muscle can, thus, cause debilitating pathologies (i.e., myopathies, muscular dystrophies, etc.)1. Given its essential functions and abundance, skeletal muscle has drawn the attention of research labs worldwide that strive to understand the key aspects that support normal muscle function and can serve as therapeutic targets. In addition, skeletal muscle is a widely used model to study regeneration and stem cell function, as healthy muscle can fully self-repair after complete injury and degeneration, mostly due to its resident stem cells2; these are also called satellite cells and are localized under the basal lamina in the periphery of the muscle fibers3.
The core cells of adult skeletal muscle are the myofibers (long syncytial multinuclear cells) and the satellite cells (stem cells with myogenic potential that are quiescent until an injury activates them). The latter cells are the central cells of muscle regeneration, and this process cannot occur in their absence4,5,6,7. In their immediate microenvironment, there are multiple cell types and molecular factors that signal to them. This niche is gradually established throughout development and until adulthood8. Adult muscle contains multiple cell types (endothelial cells, pericytes, macrophages, fibro-adipogenic progenitors-FAPs, regulatory T cells, etc.)9,10 and extracellular matrix components (laminins, collagens, fibronectin, fibrillins, periostin, etc.)11 that interact with each other and with the satellite cells in the context of health, disease, and regeneration.
Preserving this complex niche in experimental settings is fundamental but challenging. Equally difficult is to maintain or return to quiescence, a cell state that is critical for satellite cells9. Several methods have been introduced to partially tackle these challenges, each with its advantages and disadvantages (detailed in the discussion section). Here, a method is presented that can partially overcome these two barriers. Muscles are initially harvested and then broken down mechanically and enzymatically before the heterogenous cell mixture is put into culture. Over the course of the culture, many cell types of the niche are detected, and satellite cells that have returned to quiescence are observed. As a last step of the protocol, the immunofluorescence steps that allow for the detection of each cell type through the use of universally accepted markers, are presented.
All experiments complied with French and EU animal regulations at the Institut Mondor de Recherche Biomédicale (INSERM U955), notably the directive 2010/63/UE. Animals were kept in a controlled and enriched environment at the animal facilities with certification numbers A94 028 379 and D94-028-028; they were handled only by authorized researchers and animal caretakers, and they were visually inspected by animal housing personnel for signs of discomfort during their lifetime. They were euthanized by cervical dislocation prior to dissection. No interventional procedures were performed during the animals' lifetimes; thus, acquiring approval for the procedure from an Ethics Committee and the French Ministry of Higher Education, Research and Innovation was not necessary. Indeed, no ethics clearance is required for euthanization and post-mortem dissection according to the directive 2010/63/UE. The results presented in this manuscript are from the wild-type C57BL/6NRj line (see Table of Materials) and the transgenic Tg:Pax7-nGFP line12(bred by our team). The protocol was applied to male and female mice aged 8-12 weeks of age.
1. Reagent and equipment preparation pre-digestion
2. Reagent and equipment preparation post-digestion
3. Dissection
Figure 1: Pre-culture muscle preparation. (A) The skin is removed to reveal the hindlimb muscles, as described in step 3.1. (B,C) All the hindlimb muscles are harvested (B) around and (C) between the bones, as described in step 3.2. (D) The harvested muscles are placed in a 10 cm Petri dish on ice with DMEM drops to keep them moist, as described in step 3.3. (E) The muscles are finely chopped with scissors until a smooth paste is obtained with the consistency depicted in this image. (F) An image of the pellet after the final centrifugation; the blue arrow highlights the pellet, which is against the tube, under the dashed blue line. Please click here to view a larger version of this figure.
4. Digestion
NOTE: At the end of the digestion, a centrifuge at 4 °C, a bucket of ice, three cell strainers (100 um, 70 um, 40 um), and three 50 mL tubes (per animal) are needed for section 5.
5. Filtration
6. (Optional) Freezing
NOTE: Section 6 is optional. The protocol can be paused after filtering, but this can reduce the cell survival and culture success.
7. Culturing
NOTE: Frozen or fresh cell suspensions can be expected to fill 24-32 wells of three to four 8-well plates.
8. Fixation
NOTE: Sections 8-10 should be conducted at room temperature unless otherwise stated.
9. Permeabilization and blocking
10. Staining
This protocol allows for muscle cell culture while preserving the satellite cells and most cells from their endogenous niche. Figure 2 summarizes the main steps of the protocol, while essential parts of the dissection and digestion are presented in Figure 1. Dissection of the hindlimb musculature is recommended (Figure 1A–C), as this group of muscles is well studied and shares a developmental origin and molecular hierarchies14. Preparing all the mixes under sterile conditions is advised. In addition, lower culture contamination was noticed when the digestion mix was passed through a 0.22 µm filter under a cell culture hood.
When plating 1/30 of a bulk prep onto coated 1 cm2 well plates, elongated cells are visible 3-4 days after the culture has started. However, this may vary depending on the cell concentration, and elongated cells may start to appear later, particularly when expanding frozen bulk preparations. Approximately 7 days later, the medium should have turned yellow, and at this point, daily medium changes are required. Additionally, at this point, the wells need to be covered with myotubes. The endothelial cells make up a minor fraction of the culture. The main indication of a successful culture is abundant PAX7+ cells, which may require fixation and staining. A convenient mouse model that could be used when possible is the Tg:Pax7-nGFP line12, which allows for the visualization of PAX7 positivity in the form of GFP expression; thus, the satellite cells can be readily detected by the reporter GFP. GFP can be observed at 20x magnification on an inverted epifluorescence microscope, thus allowing for the analysis of the culture success while the culture is ongoing. This also makes the live imaging of PAX7-GFP cells in bulk cultures possible. Cultures must not be left longer than 10 days. After that, the reserve cells begin to decline in numbers, and the myotubes may detach from the plate. Failed cultures, including based on recent experience with cultures from frozen cells, can still generate a large proportion of fibers but very few PAX7-GFP cells. When using mice without a fluorescent marker for PAX7, it is necessary to perform staining to assess the efficacy of reserve cell generation.
The following antibodies have been tested and work well with the staining protocol presented in protocol section 10: anti-PAX7 (a marker of satellite cells and activated myoblasts15; also a marker of reserve cells that emerge in this culture), anti-myosin (a marker of myotubes15), anti-CD31 (a marker of endothelial cells16), anti-GFP (if reporter mice are used), anti-MYOD (a marker of myoblasts15), anti-MYOG (a marker of differentiating myocytes15), anti-KI67 (a marker of proliferating cells17), and anti-PDGFRα (a marker of FAPs15). Figure 3 shows myogenic and niche cells after 7 days in culture. Regarding Figure 3A–C, muscle bulks were cultured from wild-type mice, while for Figure 3D–F, muscle bulks were cultured from the aforementioned Tg:Pax7-nGFP line. Double staining with PAX7 and KI67 (Figure 3A) allowed for marking the reserve cells that appeared after 5 days in culture and had muscle stem cell characteristics, such as the exit from the cell cycle (KI67- status) and a localization as "satellites" to the formed myotubes. Double staining with MyHC and MYOG (Figure 3B,D,E) allowed for marking the cells that advanced through muscle differentiation and, thus, progressively expressed MYOG and then merged to form multinucleated MyHC+ myotubes. Staining with CD31 or PDGFRα allowed for marking niche cells (Figure 3C), such as endothelial cells and FAPs. Figure 3D,E shows emerging reserve cells marked by GFP. Co-staining with GFP and MyHC allowed for evaluating the satellite cell position of the reserve cells (Figure 3E), while co-staining with GFP and other activation/differentiation markers allowed for evaluating the quiescent-like nature of the reserve cells (Figure 3F).
Figure 2: An overview of the protocol steps. (A–D) Sequential steps of (A) dissection, (B) digestion, (C) filtration, and (D) culture. Please click here to view a larger version of this figure.
Figure 3: Immunostaining of the cell populations. (A) Immunofluorescence of myogenic (marked by PAX7; green) and cycling (marked by KI67; red) cells. The nuclei are counterstained with DAPI (blue). The presence of non-cycling myogenic cells (KI67-PAX7+) shows that the protocol can produce quiescent-like cells from wild-type mice that are abundant at 7 days of culture. (B) Immunofluorescence of myotubes (marked by myosin heavy chain [MyHC]; green) and myocytes (marked by MYOG; red) after 7 days of culture of cells from wild-type mice. The nuclei are counterstained with DAPI (blue). (C) Immunofluorescence of myogenic cells (marked by PAX7; green), mesenchymal fibro-adipogenic progenitors (marked by PDGFRa; red), and endothelial cells (marked by CD31; magenta) after 7 days of culture of cells from wild-type mice. Nuclei are counterstained with DAPI (blue). (D) Immunofluorescence of GFP+ cells (green) and myocytes (marked by MYOG; magenta) after 8 days of culture of cells from Tg:Pax7-nGFP mice, in which PAX7-expressing cells are marked by nuclear GFP. (E) Immunofluorescence of GFP+ cells (green) and myotubes (marked by MyHC; red) after 7 days of culture of cells from Tg:Pax7-nGFP mice. Note that the satellite-cell-like cells appear in the culture after 7 days. (F) Quantification of the GFP+ cell proportion that co-expresses markers of satellite cells (PAX7), activation (FOSB), proliferation (KI67), or myogenic differentiation (MYOD, MYOG). The error bars indicate the standard deviation. Scale bar: 100 um. Please click here to view a larger version of this figure.
Adult skeletal muscle function is underpinned by a finely orchestrated set of cellular interactions and molecular signals. Here, a method is presented that allows for the study of these parameters in an ex vivo setting that closely resembles the physiological microenvironment.
Several groups have reported in vitro methods to culture myogenic cells. These methods aimed to isolate satellite cells to study their myogenic progenitor properties. Two main approaches are used to isolate pure satellite cells, either from cultures of isolated fibers from soleus and/or EDL muscles18or from FACS-isolated satellite cells, from bulk muscles, using a panel of antibodies for Pax7, CD34, and a7-integrin for positive selection and CD45, CD31, and Sca1 for negative selection19,20,21. Others have also used mechanical taps to isolate primary myoblasts from bulk cultures on gelatin-plated plates due to their fragile adhesion properties compared to other cells such as FAPs22,23. While these approaches are suitable for studying the activation of satellite cells or for expanding them in culture, the cells grow in an environment deprived of the supporting cells that usually contribute to their niche. In addition, these approaches require keeping the myogenic progenitors for more than 2 weeks to establish quiescent mononucleated reserve cells with high Pax7 expression18. Co-cultures of satellite cells and other cell types, such as macrophages, have also been reported. This has enabled the study of the direct contribution of a specific cell to myogenic properties such as proliferation, differentiation, and fusion24. Several single-cell RNA-seq studies have detailed the cellular makeup of the skeletal muscle25,26. As our culture conditions favor the generation of myogenic cells, we have observed a much higher proportion of reserve cells and a lower proportion of support cells in bulk cultures compared to these in vivo studies.
Three critical steps have been identified in the method described here that can increase the efficiency. Firstly, fast and efficient chopping is necessary to ensure optimal muscle dissociation during the 2 h of digestion and, subsequently, a higher cell yield. Secondly, continuous rotation during digestion is very important to ensure the proper diffusion of the enzymes through the tissue. Finally, gentle mechanical dissociation is also important for optimal tissue dissociation.
There are four main limitations of this protocol. Firstly, it remains an ex vivo system, meaning that some physiological and biophysical cues might be lost or altered. This includes signaling to/from the muscle fibers, as the fibers are lost before plating, and the myotubes are rebuilt during culture. Secondly, it remains to be seen whether the formed myotubes have embryonic or adult characteristics and whether they represent the different fiber types in slow and fast muscles. For reference, cultures of the C2C12 muscle cell line and human myoblasts have shown that myotubes in 2D culture are less mature than their in vivo counterparts27,28, while primary mouse myoblast cultures seem to lead to myosin types representative of the ones found in vivo29. Thirdly, with this method, the cells lose their in situ position during tissue dissociation, and the newly formed myotubes lack neuromuscular and myotendinous junctions; thus, results on spatial features should be interpreted with caution. Fourth, the presented protocol has been optimized for healthy adult muscles, but adaptations might be necessary if the starting material originates from aged or myopathic muscles that present extensive fibrosis, increased adipogenic deposition, or compromised cell activation.
Most of these limitations are common to other methods of ex vivo muscle studies, but this protocol has several advantages over them. It is the only protocol that allows for harvesting large numbers of quiescent-like reserve satellite cells. In addition, it represents a cheap and straightforward method that does not require the special culture conditions or expertise associated with induced pluripotent stem cells, embryonic stem cells, myosphere culture, or organoid culture. Moreover, the bulk culture does not depend on the complicated infrastructure and standardization that is associated with cultures of myogenic cells in hydrogels or other scaffolds. Compared to cultures of isolated myofibers, FACS-isolated primary cells, or preplating-enriched primary cells, the bulk culture preserves more cell populations that are present in the physiological muscle environment. These cells pass through a relatively physiological path of activation and differentiation driven by the culture medium's growth factors rather than the extreme and unusual signals from the snake venoms commonly used to study muscle regeneration in vivo30,31. Finally, the presented cell culture is advantageous over using C2C12 cells, which, as with any cell line, have genetic alterations compared to endogenous or primary cells.
The above advantages make this protocol a powerful tool for applications such as cell amplification and the generation of a quiescent-like satellite cell pool, which are necessary to develop cell therapies or even answer fundamental questions on quiescence and cellular/molecular regulation. In addition, the protocol can be used to modify molecular signaling via drugs, siRNA targeting, or transfection with vectors (plasmid, viruses) that induce the overexpression or expression of dominant negative forms of the factors of interest.
The authors have nothing to disclose.
For Figure 2, templates from Servier Medical Art (https://smart.servier.com/) were used. The FR lab is supported by the Association Française contre les Myopathies – AFM via TRANSLAMUSCLE (grants 19507 and 22946), the Fondation pour la Recherche Médicale – FRM (EQU202003010217, ENV202004011730, ECO201806006793), the Agence Nationale pour la Recherche – ANR (ANR-21-CE13-0006-02, ANR-19-CE13-0010, ANR-10-LABX-73), and the La Ligue Contre le Cancer (IP/SC-17130). The above funders had no role in the design, collection, analysis, interpretation, or reporting of this study or the writing of this manuscript.
anti-CD31 | BD | 550274 | dilution 1:100 |
anti-FOSB | Santa Cruz | sc-7203 | dilution 1:200 |
anti-GFP | Abcam | ab13970 | dilution 1:1000 |
anti-Ki67 | Abcam | ab16667 | dilution 1:1000 |
anti-MyHC | DSHB | MF20-c | dilution 1:400 |
anti-MYOD | Active Motif | 39991 | dilution 1:200 |
anti-MYOG | Santa Cruz | sc-576 | dilution 1:150 |
anti-Pax7 | Santa Cruz | sc-81648 | dilution 1:100 |
anti-PDGFRα | Invitrogen | PA5-16571 | dilution 1:50 |
b-FGF | Peprotech | 450-33 | concentration 4 ng/mL |
bovine serum albumin (BSA) – used for digestion | Sigma Aldrich | A7906-1006 | concentration 0.2% |
BSA IgG-free, protease-free – used for staining | Jackson ImmunoResearch | 001-000-162 | concentration 5% |
cell strainer 40 um | Dominique Dutscher | 352340 | |
cell strainer 70 um | Dominique Dutscher | 352350 | |
cell strainer 100 um | Dominique Dutscher | 352360 | |
Collagenase | Roche | 10103586001 | concentration 0.5 U/mL |
Dimethyl sulfoxide (DMSO) | Euromedex | UD8050-05-A | |
Dispase | Roche | 4942078001 | concentration 3 U/mL |
Dissection forceps size 5 | Fine Science Tools | 91150-20 | |
Dissection forceps size 55 | Fine Science Tools | 11295-51 | |
Dissection scissors (big, straight) | Fine Science Tools | 9146-11 | ideal for chopping |
Dissection scissors (small, curved) | Fine Science Tools | 15017-10 | |
Dissection scissors (small, straight) | Fine Science Tools | 14084-08 | |
Dulbecco's Modified Eagle's Medium (DMEM) | ThermoFisher | 41966-029 | |
EdU Click-iT kit | ThermoFisher | C10340 | |
Fetal bovine serum – option 1 | Eurobio | CVF00-01 | |
Fetal bovine serum – option 2 | Gibco | 10270-106 | |
Matrigel | Corning Life Sciences | 354234 | coating solution |
Parafilm | Dominique Dutscher | 090261 | flexible film |
Penicillin streptomycin | Gibco | 15140-122 | |
Paraformaldehyde – option 1 | PanReac AppliChem ITW Reagents | 211511.1209 | concentration 4% |
Paraformaldeyde – option 2 | ThermoFisher | 28908 | concentration 4% |
Shaking water bath | ThermoFisher | TSSWB27 | |
TritonX100 | Sigma Aldrich | T8532-500 ML | concentration 0.5% |
Wild-type mice | Janvier | C57BL/6NRj |