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Independent research studies have characterized limited regenerative capacity within the neonatal cochleae2,10,12,13. Using a GFP-reporter mice and flow cytometry, White and colleagues isolated specific cochlear supporting cells and found them to have progenitor cell characteristics12.
The canonical Wnt pathway has been demonstrated to mark stem/progenitor cell populations in multiple organ systems including the brain, mammary gland, hematopoietic system, skin, and gastrointestinal intestinal crypts. Recent work has found active Wnt signaling in a poorly characterized cell population in the neonatal cochlea8. The Axin2-LacZ reporter mouse9 generates a faithful readout of active Wnt signaling in the cochlea8 like in other systems5,7. In order to better characterize this population of Axin2-LacZ-positive cells, we modified and combined several established approaches to investigate the role of Wnt signaling in regulating regeneration in the neonatal cochlea.
The use of fluorescence-conjugated substrates to label LacZ-positive cochlear cells prior to cell sorting presents several technical challenges that would not be encountered when sorting fluorescent reporter (e.g., GFP-positive) cells from transgenic mice. We used a known fluorescent substrate of β-galactosidase called 3-carboxyumbelliferyl β-D-galactopyranoside (CUG)5,7. However, this substrate is not specific to the E. coli β-galactosidase enzyme and endogenous murine β-galactosidase can also be labeled in a dose-dependent manner. To maximize substrate specificity, we determined the level of nonspecific labeling by processing wildtype cochleae with the same CUG staining procedure in each experiment. This control experiment is necessary to create a threshold for setting gates used to identify Axin2-high cells, which we defined as the most fluorogenic cells from the Axin2-LacZ cochleae, especially since this protocol typically generates a "shoulder" of LacZ-positive cells (see Figure 1B''').
Another challenging aspect of this technique is the paucity of cells in the cochlea, making isolation of rare subpopulations difficult. In order to overcome this, we simply increased the number of mice utilized for each experiment (20 to 50 mice). One of the critical steps is therefore to maintain cell viability prior to undergoing the stress of cell sorting. The following three steps were found important in optimizing cell viability: 1) Minimize dissection time: we coordinated a team of dissectors (2-3 people) to shorten the duration of harvesting cells. We routinely completed dissections of 80 cochleae in less than two hours with a team of 3 investigators; 2) Gentle trituration: it is important to perform this step on non-coated 6-well plates using a blunt tip pipette in a gentle manner; 3) Keep dissociated cells on ice: we found that keeping tissues/cells on ice in as many steps as possible improved subsequent cell viability. Gating of viable cells during sorting must remain consistent among different experiments as the final line is selected by the operator. We determined our set value (seen in Figure 2A'') following analysis of more than 500,000 events (data not shown) on one plot where the viable and non-viable cells demonstrate two separate foci on dot plot.
During the sorting process, an experienced flow cytometer user is needed to maintain standards and voltages constant in different trials. More importantly, it is essential to become familiar with the cochlear cells using one flow cytometer (one machine) to avoid re-configurations of voltages during every experiment and thus potential variability. This will not only save time, but will also allow for faster processing of cells and thereby increase cell viability. To further increase viability, we found the use of a 100 μm nozzle superior to the 70 μm nozzle. Following isolation of Axin2-high and Axin2-low cells, one can proceed with a number of different experiments, including gene array analyses or cell culture assays.
In conclusion, we have established a novel and reliable technique to separate out LacZ-expressing cells from the neonatal cochlea using flow cytometry. This protocol aims to facilitate the isolation and characterization of rare stem/progenitor cell populations. Future efforts include improving cell sorting efficiency to decrease the number of experimental animals needed.