Lymphocyte Isolation from Human Skin for Phenotypic Analysis and Ex Vivo Cell Culture

Summary

We describe a protocol to efficiently isolate skin resident T cells from human skin biopsies. This protocol yields sufficient numbers of viable human skin resident lymphocytes for flow cytometric analysis and ex vivo culture.

Abstract

Human skin has an important barrier function and contains various immune cells that contribute to tissue homeostasis and protection from pathogens. As the skin is relatively easy to access, it provides an ideal platform to study peripheral immune regulatory mechanisms. Immune resident cells in healthy skin conduct immunosurveillance, but also play an important role in the development of inflammatory skin disorders, such as psoriasis. Despite emerging insights, our understanding of the biology underlying various inflammatory skin diseases is still limited. There is a need for good quality (single) cell populations isolated from biopsied skin samples. So far, isolation procedures have been seriously hampered by a lack of obtaining a sufficient number of viable cells. Isolation and subsequent analysis have also been affected by the loss of immune cell lineage markers, due to the mechanical and chemical stress caused by the current dissociation procedures to obtain single cell suspension. Here, we describe a modified method to isolate T cells from both healthy and involved psoriatic human skin by combining mechanical skin dissociation using an automated tissue dissociator and collagenase treatment. This methodology preserves expression of most immune lineage markers such as CD4, CD8, Foxp3 and CD11c upon the preparation of single cell suspensions. Examples of successful CD4⁺ T cell isolation and subsequent phenotypic and functional analysis are shown.

Introduction

The skin, as the primary interface between the body and the environment, provides the first line of defence against external physical, chemical and biological insults such as wounding, ultraviolet radiation and micro-organisms. Skin comprises two main compartments, the epidermis and the dermis, and contains a variety of immune cells including Langerhans cells, macrophages, dendritic cells (DCs), and about 20 billion memory T cells, nearly twice the number present in the entire blood volume^1,2. A growing body of data supports the notion that the skin has essential immunological functions, both during tissue homeostasis and in various pathological conditions. Immune cells resident in normal skin are thought to conduct immunosurveillance³ and have been shown to play a role in the development of inflammatory disorders such as psoriasis⁴. In psoriatic lesional skin, both CD4⁺ and CD8⁺ infiltrated T cells were observed and it was shown that the ratio of the CD4 and CD8 varies depending on the disease status⁵. However, these populations of cells are difficult to study because existing techniques allow the isolation of only few cells.

The currently widely used techniques for T cell isolation from human skin combine mechanical skin dissociation with enzymatic treatment. Human skin biopsies are extensively minced and incubated with enzymes like trypsin, collagenase and/or EDTA^6-8. Considering that skin is a barrier tissue which is highly resistant to tensile forces and mechanical disaggregation, the established methods of T cell isolation produced very few cells, and even lower numbers of viable cells, which makes ex vivo cell culture of these cell populations difficult and challenging.

Here, we report a modified method to isolate lymphocytes from both healthy and involved psoriatic human skin by combining mechanical dissociation of the skin using an automated tissue dissociator instead of the established method of extensively mincing, together with enzymatic digestion using collagenase. Various viable immune cell subsets including DCs and T cells were observed after preparation of a single-cell suspension. Importantly the expression of the surface markers CD3, CD4 and CD8 was well preserved. Cells thus prepared, are ready for use in ex vivo cell cultures or flow cytometric analysis. This protocol has been successfully employed for the analysis of single skin biopsies (4 mm) derived from lesional skin of psoriasis patients. Results showed that skin resident patient T cells produced more inflammatory cytokines like IL-17 and IFNγ in comparison to healthy volunteers⁹.

Protocol

NOTE: Skin biopsies from healthy individuals were obtained from abdominal skin leftover of individuals undergoing elective plastic surgery after oral or written informed consent for scientific use. The use of human skin was approved and in accordance with the regulations set by the Medical Ethical Committees for human research of the Radboud university medical centre, Nijmegen, the Netherlands and University of Essen, Germany.

1. Preparation of Single Cell Suspensions from Human Skin (Work Sterile in a Flow-cabinet if Subsequent Cell Culture is Required)

1. Prepare cell culture medium: RPMI 1640 + penicillin/streptomycin (final concentrations 100 units/ml and 100 µg/ml, respectively) + pyruvate (0.02 mM) and glutamax (0.02 mM), with no serum added.
2. Prepare complete culture medium: culture medium prepared in step 1.1 + 10% human pooled serum (HPS); store at 4°C. Bring medium to 20 °C ± 2 before using.
3. Obtain the skin biopsy using a 4mm round biopsy punch instrument and keep it in RPMI1640 complete culture medium at 20 °C ± 2 for up to 4 hr or at 4 °C ON. Process the biopsy as soon as possible upon arrival in the laboratory.
   NOTE: Longer storage of skin will influence the cell yield and cell viability.
4. Label a blue-capped dissociation tube and add 5 ml complete culture medium into the labelled tube.
5. Add 2 ml of complete culture medium into each well (in total 3 wells) of a sterile 6-well culture plate. Use sterile tools to place the biopsy into a single well, rinse, move it over to a second well and repeat this step one more time, thus achieving a total of three rinses.
6. Transfer the well rinsed skin biopsy to a sterile Petri dish, add 100 µl of complete culture medium on the top of biopsy, and carefully scrape off the subcutaneous fat tissue using a stainless steel disposable sterile scalpel.
   NOTE: This is a critical step.
7. Cut each skin biopsy into 4 smaller pieces on a sterile Petri dish. Transfer samples (up to four of 4 mm biopsies per tube) to the prepared dissociation tube containing 5 ml of complete culture medium.
8. Tightly close the tubes with the cap, and attach upside down to the sleeve of the automated tissue dissociator. Make sure that all sample material is located in the area of the rotor.
9. Start the dissociation process by running the “program m_spleen _01” (a pre-defined program provided by the instrument’s internal memory or by the accompanied program card) to dissociate the biopsy at the appropriate rotating speed for 56 sec.
10. After processing, detach the dissociation tube from the dissociator and make sure that all the dissociated material is collected at the bottom of the tube.
11. Add 150 µl collagenase I-A (80 mg/ml) into the dissociation tube and incubate the sample in a shaking water bath at 37 °C for 60 min. Add 100 µl of DNase I (5 MU/ml) into thedissociation tube, mix well.
    NOTE: Higher concentration of collagenase or longer incubation time will alter cell viability.
12. Attach the dissociation tube to the sleeve of the automated tissue dissociator and run the “program m_ spleen _01” to dissociate the biopsy one more time.
13. Place a 70 µM nylon cell strainer on the top of a 50 ml Falcon tube. Apply dissociated sample materials to this cell strainer to remove cell clumps/tissue debris.
14. Wash cell strainer once with 5 ml of complete culture medium. Centrifuge at 20 °C ± 2, 450 x g for 10 min and aspirate supernatant.
15. Repeat the washing step one more time. Resuspend cell pellets in 300 µl of complete culture medium. Single-cell suspensions are ready for further analysis; continue with protocols for ex vivo cell culture or flow cytometry analysis.
16. In case of further intracellular cytokine staining, stimulate cells with PMA (12.5 ng/ml), Ionomycin (500 ng/ml) and Brefeldine A (5 µg/ml) for 4 hr at 37 °C, 5% CO₂ incubator for 4 hr before performing flow cytometry analysis.

2. Polyclonal Activation of Skin-Resident T Cells (Ex Vivo Cell Culture)

1. Aliquot 100 µl single-cell suspensions (prepared in step 1.15) into a round-bottom 96-well plate.
   NOTE: For each of 4 mm skin biopsy, the acquired single-cell suspensions can be split into at least two wells of a 96-well plate.
2. Add anti-CD3/anti-CD28 mAb-coated microbeads (25,000 beads per well), recombinant human cytokine rIL-2 (final concentration 25 U/ml) and rIL-1β (final concentration 50 ng/ml).
3. Cover the culture plate with a well-labelled plate lid, incubate in 5% CO₂, 100% humidity, 37 °C incubator. Change medium when the medium colour turns to yellow.
   NOTE: A clear cell colony can be observed from day 8 of cell culture.

3. Flow Cytometry Analysis of Primary/Cultured Skin-Resident T Cells

1. Prepare FACS buffer: PBS + 0.2% BSA.
2. Transfer cells of interest into a v-bottom 96-well plate. Centrifuge at 20 °C ± 2, 450 x g for 2 min, and aspirate supernatant.
3. Resuspend the pellet in 100 µl of PBS. Centrifuge at 20 °C ± 2, 450 x g for 2 min, and aspirate supernatant.
4. Stain cells with 100 µl of prepared eFluorescence780 conjugated fixable viability dye (1:1,000 dilution using PBS) at 4 °C for 30 min. Add 100 µl of FACS buffer, centrifuge at 20 °C ± 2, 450 x g for 2 min, and aspirate supernatant.
5. Select required cell surface marker mAbs, for example: CD45-BV421 (HI30, 1:20), CD3-ECD(UCHT1, 1:50), CD4-PC5.5(1388.2, 1:200), CD8-APC-AlexFluo700(B9.11, 1:400), CD14-FITC(TUK4, 1:50), CD19-APC-AlexFluo750(13-119, 1:50), CD56-PE(MEM-188, 1:50), CD25-PeCy7(BC96, 1:50), CD11c-PeCy7(BU15, 1:10), and CD1c-APC(AD5-8E7, 1:10), prepare the mAbs-mixture using FACS buffer according to each mAb dilution factor tested. Define gate settings using isotype control of antibody together with non-stain sample.
6. Add 25 µl of prepared mAbs-mixture into each well. Incubate 20 min at 20 °C ± 2, protect from light.
7. Add 100 µl of FACS buffer, centrifuge at 20 °C ± 2, 450 x g for 2 min, and aspirate supernatant.
8. For samples that only require cell surface staining, continue with step 3.16.
9. In case of intra-cellular Foxp3 staining:
   1. Prepare fixation and permeabilization buffer by mixing one part of concentrate with 3 parts of diluents.
   2. Prepare 1x permeabilization buffer: 1 part of 10x permeabilization buffer + 9 parts of sterilized H₂O.
10. Resuspend pellets in 100 µl of fixation and permeabilization buffer, mix well, and incubate at 4 °C for 30 min.
11. Add 100 µl permeabilization buffer to each well, centrifuge at 450 x g at RT for 2 min, and aspirate supernatant.
12. Wash cells with permeabilization buffer one more time.
13. Select required intracellular mAbs, for example, Foxp3-eFluo450(PCH101, 1:50), IL-17A-AlexFluo488(eBio64DEC1, 1:50) and IFNγ-PeCy7(4S.B3, 1:400). Prepare the mAbs mixture using permeabilization buffer containing 2% normal rat serum according to each mAb dilution factor tested. Define gate settings using isotype control of antibody together with non-stain sample.
14. Add 20 µl of prepared mAb-mixture into each well. Incubate at 4 °C for 30 min, protect from light.
15. After 30 min incubation, add 100 µl of permeabilization buffer into each well. Centrifuge at 20 °C ± 2, 450 x g for 2 min, and aspirate supernatant.
16. Wash cells with permeabilization buffer one more time. Resuspend pellet in 110 µl of FACS buffer, and transfer cell suspensions into microFACS tube.
    NOTE: Sample is ready for measurement using 10-colour flow cytometry.
17. In case of exact cell number required, add 10 µl of well-mixed uniform suspension of fluorospheres into each sample immediately before performing measurements using flow cytometry.

Results

The protocol presented here will yield between 2,200 ± 615 (mean ± SEM, skin of healthy volunteers) up to 178,000 ± 760 (mean ± SEM, lesional skin of psoriasis patients) viable lymphocytes from human skin when using a single 4 mm skin biopsy.

Different types of CD45⁺ cells were identified in single-cell suspensions derived from skin of healthy individuals including CD4⁺ T-cells (~45%), CD8⁺ T-cells (~30%), and CD11c⁺ DCs (~5%), whereas few B cells (C...

Discussion

Here, we present a protocol to efficiently isolate skin resident T cells from human skin biopsies. The advantage of this protocol is the isolation of relatively high numbers of viable lymphocytes, and expressing relevant surface markers. The cell subsets identified were: CD11c⁺ DCs, CD4⁺ and CD8⁺ T cells and Foxp3⁺CD25⁺ cells. Importantly, ex vivo culture of isolated skin resident T cells was very well feasible and allowed for subsequent functional analysis....

Materials

List of materials used in this article

Name	Company	Catalog Number	Comments
Disposable Biopsy Punch	Kai Europe	BP-40F	4 mm
Disposable sterile scalpels	Dalhausen	1100000510
gentleMACS C tube	Miltenyi Biotech	130-093-237	Blue-capped, used as the dissociation tube.
gentleMACS Dissociator	Miltenyi Biotech	130-093-235	Automated tissue dissociator. Using the "program spleen_01" for dissociation of the skin biopsy.
Cell strainer	BD	352350	70 µm nylon
96-well U-bottom plate	Greiner Bio-One	650180
RPMI 1640	Life Technologies	22409-015
Sodium pyruvate	Life Technologies	11360-039
GlutaMAX	Life Technologies	35050-061
Penicillin/Streptomycin	Life Technologies	15140-122
Human Pooled Serum (HPS)	in house prepared
Collagenase I	Sigma-Aldrich	C2674	Type 1-A, suitable for cell culture
DNase I	Calbiochem	260913
PBS	B Braun	3623140
BSA	Sigma-Aldrich	A4503-500G
Fixable Viability Dye (FVD) APC-eFluo780	eBioscience	65-0865-18	Stain dead cells prior to cell fixation; dilute with PBS at 1:1,000
Fixation/Permeabilization Concentrate	eBioscience	00-5123-43
Fixation/Permeabilization Diluent	eBioscience	00-5223-56
Permeabilization Buffer (10x)	eBioscience	00-8333-56
BV421 Mouse anti-human CD45	BD	563879	Clone: HI30; dilution factor 1:50
FITC Mouse anti-human CD14	Dako	T0844	Clone: TUK4; dilution factor 1:50
PE Mouse anti-human CD56	Dako	R7127	Clone: MOC-1; dilution factor 1:50
ECD Mouse anti-human CD3	Beckman - Coulter	A07748	Clone: UCHT1; dilution factor 1:50 for surface staining; dilution factor 1:25 for intracellular staining.
PC5.5 Mouse anti-human CD4	Beckman - Coulter	B16491	Clone: 13B8.2; dilution factor 1:200
PeCy7 Mouse anti-human CD11c	Beckman - Coulter	A80249	Clone: BU15; dilution factor 1:50
APC Mouse anti-human CD1c	Miltenyi Biotech	130-090-903	Clone: AD5-8E7; dilution factor 1:10
APC-AlexFluo700 Mouse anti-human CD8	Beckman - Coulter	A66332	Clone: B9.11; dilution factor 1:400
APC-AlexFluo750 Mouse anti-human CD19	Beckman - Coulter	A94681	Clone: J3-119; dilution factor 1:50
PeCy7 Mouse anti-human CD25	eBioscience	AD5-8E7	Clone: BC96; dilution factor 1:50
PE Rat anti-human CLA	Miltenyi Biotech	130-091-635	clone: HECA-452; dilution factor 1:
eFluo450 Rat anti-human Foxp3	eBIoscience	48-4776-42	Clone: PCH101; intracellular staining; dilution factor 1:50
AlexFluo488 Mouse anti-human IL-17A	eBioscience	53-7179-42	Clone: eBio64DEC17; intracellular staining; dilution factor 1:50
PeCy7 Mouse anti-human IFNg	eBioscience	25-7319-41	Clone: 4S.B3; intracellular staining; dilution factor 1:400
Flow-Count Fluorospheres	Beckman - Coulter	7547053	Counting beads, for flow cytometry