1. Generation of Freshly Selected Infected Erythrocytes
For this assay, the best results are obtained when using freshly selected cultures for surface expression of PfEMP1 protein. In this particular experiment the 3D7 P. falciparum lineage was selected using specific antibodies as previously described1.
Day 1
- Harvest 200 μl of packed blood cells from a P. falciparum culture containing 2-5 % late stage IE by centrifugation at 800 x g for 8 min at room temperature.
- Re-suspend the blood pellet in 2 ml of 37 °C warm 0.75 % gelatin solution in a 14 ml sterile tube, and leave for 15-20 min at 37 °C to allow the uninfected and ring-stage IE to sediment.
- Harvest the late-stage IE, i.e. the upper phase, into a new 14 ml tube and wash twice with 10 ml of 37 °C warm RBC-wash media.
- Dilute 50 μl of specific anti-PfEMP1 antibodies in 2 ml of 37 °C warm RBC-wash media and sterile filter.
- Mix the washed late-stage IE with the sterilized diluted antisera in a 14 ml sterile tube and incubate for 30 min at 37 °C with gentle agitation.
- Spin down at 800 x g for 8 min at room temperature, and wash twice with 10 ml of 37 °C warm RBC-wash media.
- Wash 50 μl of Dynabead Protein A suspension twice with RBC-wash media using a DynaMaq-15 magnet.
- Resuspend the Dynabeads in 300 μl RBC-wash media and add them to the washed late-stage IE. Incubate for 30 min at 37 °C with gentle agitation.
- Transfer the tube to the DynaMaq-15 magnet. Leave for 1-2 min and remove all the liquid.
- Resuspend the Dynabeads in 4-5 ml of RBC-wash media. Transfer the tube back onto the magnet and leave it for 1-2 min before removing all the liquid. Repeat the washing step once.
- Transfer the washed beads to a 25 cm2 sterile culture flask containing 200 μl freshly packed red blood cells. Add 5-6 ml of Albumax media into the culture. Store overnight at 5% CO2 at 37 °C.
Day 2
- Remove the Dynabeads from the culture when the selected IE has reinvaded the fresh red blood cells by transferring all the culture to a 14 ml sterile tube. Put the tube onto the DynaMaq-15 magnet and leave for 1-2 min. Then, pour all the liquid back to a culture flask.
- Culture for as few cycles as possible until a parasitemia of 5-10 % and parasites are at the ringstage.
- IE should be analyzed by FACS to make sure that the correct surface phenotype, i.e. protein expression of either PFD1235w and/orPF11_0008 has been obtained1.
2. Preparation of Probes
The antisense RNA probes were generated from the most variable regions of the PFD1235w and the PF11_0008 var genes from P. falciparum 3D7 genomic DNA. DNA was amplified by PCR and cloned into the pSPT18 or 19 vector for transcription, respectively according to the manufacturer's description (Roche). The probes (580 base pairs (bp) and 590 bp in length) were labeled with Digoxigenin (DIG) or Biotin using a DIG RNA labeling Kit or a Biotin RNA labeling Mix, respectively. We confirmed the specificity of the probes both by Northern blot analyses and by single-label FISH analysis1.
3. Thin Smear and Fixation of Parasites Prior to In Situ Hybridization
Day 1
All steps are performed in an RNase-free environment and all reagents are RNase-free or pre-treated with diethyl pyrocarbonate (DEPC) or RNase Zap (Invitrogen). The slides and cover slips should be cleaned with alcohol to remove residual manufacturing grease. It is important to perform the protocol without any pause in between steps in order to minimize the risk of nuclease contamination.
- Make a thin blood film by the standard spreading method3. Using the 100x oil objective lens of the microscope, count the IE and calculate the percentage of IE in the culture. Check that the parasite stages are in approximate synchrony, in the ring and early trophozoite stages of the IE cycle. These are the pre-replication, uni-nucleate stages, expressing var gene mRNA and suitable for single cell FISH transcription assays of this type.
- Transfer 50 μl of the parasite culture, at a parasitemia of 5-10 %, to a 1.5 ml RNase-free Eppendorf tube. Centrifuge for 1 min at 2,000 rpm at room temperature.
- Remove the media and add 50 μl PBS pH 7.2 in DEPC-treated water. Agitate the tube gently. Repeat the centrifugal sedimentation step twice to wash the cells free from media and cell debris.
- Make four good quality thin smears. For each smear, make one smear onto one 11 mm diameter well of a 4 well slide, i.e. four glass slides in total, in a RNase-free hood (a critical step). Wave slides briefly into the air to dry. Make three extra slides for negative controls–one slide for single probe staining for any other irrelevant gene by using a specific probe, another slide for RNase treatment and a third slide containing IE not expressing the gene of interest. Leave the slides to dry on the bench for 10-20 min.
- Fix the thin films by adding 60 μl of fixation solution containing 4 % paraformaldehyde and 5 % glacial acetic acid into the wells. Leave for 10 min on the bench at room temperature.
- Wash the slides in 2x SSPE buffer for 5 min by gentle agitation at room temperature. Briefly remove excess liquid by touching the wells containing the cells gently with a paper tissue.
- Cover the slides with 0.01 % pepsin in 0.01 M HCl for 2 min at 37 °C (an extremely critical step). Wash the slides in 2x SSPE for 5 min at room temperature.
- Dilute the RNase solution to a final concentration of 10 μg/ml. Cover the negative control smears with 60 μl of the RNase solution. Incubate for 30 min at 37 °C and then wash the slides in 2x SSPE for 5 min at room temperature.
- Proceed immediately to the hybridization step.
4. Hybridization of RNA Probes to Fixed Slides
Day 1
- Prepare the hybridization chamber, such as a ThermoStar 100 HC4 or an empty pipette tip box put in a clean oven, by spraying with RNase Zap and wiping it clean with a paper tissue. Fill the channels of the hybridization chamber or the bottom of the box with DEPC-treated water to make sure that the slides will not dry out during hybridization. Close the chamber and preheat to 48 °C.
- Dilute the probes into the hybridization solution to a final concentration of 12 ng/μl. Denature the probe solution at 65 °C for 5 min in a heating block. Immediately chill on ice.
- Briefly air dry the slides after the 2x SSPE wash. Carefully remove excess liquid around the wells with a paper tissue.
- Open the hybridization chamber and place the slides in the chamber. Apply one or both probes in a total volume of 60 μl per well. Carefully cover the liquid drop with an RNase-free cover slip using sterile forceps.
- Close the chamber and hybridize the slides at 48 °C for at least 16 hr over night.
5. Antibody Conjugation and Fluorescence Amplification
Day 2
The following steps are based on the TSA Plus Fluorescence Palette System from Perkin Elmer. All the steps are done at room temperature.
- Wash the slides 3 times in TNT buffer for 5 min with gentle agitation.
- Block the wells in 150 μl of TNB buffer for 30 min.
- Dilute the HRP-conjugated α-DIG antibody in TNB buffer at a ratio of 1:100 and the HRP-conjugated α-biotin antibody in TNB buffer, at a ratio of 1:500. Remove any excess TNB buffer from the slides with a paper tissue. When detecting two transcripts simultaneously, both antibodies can go at once. Apply a total amount of 100 μl of the antibody-TNB solution per well and carefully cover with a cover slip. Incubate the slides for 2 hr.
- Remove the cover slips carefully. Wash the slides in TNT buffer 3 times for 5 min.
- Dilute the FITC-fluorophore in the tyramide amplification reagent at a ratio of 1:500 and apply 100 μl of the solution to each well. Cover the wells with cover slips and incubate for 12 min.
- Remove the cover slips carefully and wash the slides 3 times for 5 min in TNT buffer by gentle agitation.
- Dilute the Cyan3-fluorophore in the tyramide amplification reagent at a ratio of 1:500. Add 100 μl per well of this solution. Cover the wells with cover slips and incubate for 12 min.
- Remove the cover slips carefully and then rinse the slides quickly by immersion in TNT buffer.
- Wash the slides 3 times with TNT buffer for 5 min.
- Immerse the slides quickly in DEPC-treated water.
- Leave the slides to air dry. Mount the slides with anti-fade reagent containing DAPI. Seal the corners of the cover slips with nail polish.
- The slides are now ready for microscopy. Keep the slides covered with aluminum foil and store at 4 °C if the experiment is to be completed the next day. A complete sealing of the sides of the slides can be carried out 24 hr after applying the anti-fade reagent. This will allow the slides to be imaged for up to one week after the protocol has been completed.
6. Visualization of Hybridized Probes
- Turn on the microscope. A standard immunofluorescence microscope is sufficient for this kind of experiment, but if you have access to a confocal microscope you can also use this for 3D images or to obtain videos of your stained cells. Allow microscope to warm up for 15-30 min. Switch on the computer and the software.
- Check the quality of the staining on the immunofluorescence microscope. Choose a spot containing a few parasites.
- Adjust the gain of each laser manually. Adjust the pixel dwell to 4-6 m-1s-1 and the steps to 512 x 512 pixels.
- Take a test picture using Frame Lambda. Readjust the laser gain.
- Take a minimum of 20 good pictures of fluorescent single cells. At least 2-5 pictures of a field containing 5-20 parasites are needed in order to obtain a fair overview of the percentage of positive parasites.