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1. Collection of Blood Samples
- Collect fasting peripheral venous blood samples into 10 ml plastic tubes containing anticoagulant Ethylenediaminetetraacetic acid (EDTA) (which has several advantages over other anticoagulants) by standard venipuncture of a prominent vein in the antecubital fossa.
- Centrifuge the blood samples at 1,600 x g for 20 min at 4 °C in a tabletop centrifuge to obtain plasma free of red blood cells and small amounts of RNA.
- Sequentially centrifuge the supernatant at 3,000 g (4 °C) in a swinging bucket rotor for 10 min to remove WBC & Platelets and then additional 15 min to remove remaining cell debris respectively.
- Measure the density of the plasma using a densitometer at RT as per manufacture instructions.
NOTE: Adjustment of the density (d = 1.023 g/ml) with 0.9% saline solution may be required after removal of exosomes but prior to density gradient ultracentrifugation.
2. Exosome Removal from Plasma
- Remove the circulating exosomes that have a density similar to HDL and represent a quantitatively significant source of miRNA3.
- Do this by adding 252 µl exosome precipitation solution to 1 ml plasma followed by incubation for 30 min at 4 °C. To pellet out the exosomes, centrifuge the mixture for 30 min at 1,500 g at 4 °C.
- To isolate HDL, transfer 1 ml of the resulting supernatant to a polycarbonate thick-walled ultracentrifuge tube for further processing with density gradient ultracentrifugation (see below).
3. Density Gradient Ultracentrifugation (Figure 1).
- To seperate HDL use a 3-step process employing a floor ultracentrifuge with a fixed-angle rotor operating at 448,811 x G and 8 °C, respectively.
- Prepare three different density solutions sequentially and fresh for each isolation.
- Prepare Solution A (isolation of VLDL, d =1.006 g/ml) by dissolving 11.4 g NaCl (NaCl: 0.195 mol), 0.1 g EDTA2Na and 1 ml 1N NaOH in 1,000 ml of autoclaved-distilled water. Then add an additional 3 ml of autoclaved-distilled water.
- Prepare Solution B (isolation of LDL, d = 1.182 g/ml) by adding 25.2 g NaBr to 100 ml solution A (NaCl 0.195 mol, NaBr 2.44 mol).
- Prepare Solution C (isolation of HDL, d=1.470 g/ml) by mixing 78.8 g NaBr with 100 ml of solution A (NaCl 0.195 mol, NaBr 7.7 mol). Confirm the appropriate density at RT using a densitometer. Keep all solutions at 4 °C until further use.
4. Isolation of VLDL
- Mix 1 ml of plasma (average density = 1.023 g/ml) and nuclease free 200 µl of Fat Red 7B in a 6.5 ml polycarbonate thick-walled ultracentrifuge tube.
- Then carefully layer 5 ml of solution A on top of the mixture. If needed, add additional Fat Red 7B on top of solution A to balance the weight of each tube. Centrifuge for 2 hr (acceleration - 5), (deceleration - 7).
NOTE: During centrifugation, the lipoproteins are accumulated as a band at their equilibrium density regions.
- At the end of the run observe 2 layers. Remove 1.5 ml of the VLDL fraction representing the top layer and store at 4 °C.
- Finally, using a pipette transfer 4 ml from the bottom of the tube containing the LDL, HDL, albumin and fatty acid fraction to a new polycarbonate tube for LDL isolation.
5. Isolation of LDL
- Mix 2 ml of solution B and 100 µl nuclease free Fat Red 7B into the tube containing the LDL and HDL fraction (section 4), respectively.
- Then centrifuge out for 3 hr (acceleration 9, deceleration 7). Thereafter, remove 1.5 ml of the LDL fraction representing the top layer and keep at 4 °C or store at -80 °C. Finally, transfer 4 ml from the bottom of the tube containing the HDL fraction to a new polycarbonate tube.
6. Isolation of HDL
- Mix 2 ml of solution C, 100 µl nuclease free Fat Red 7B and 15 µl of 98% β-mercaptoethanol into the tube containing the HDL fraction, respectively.
- Centrifuge for 3 hr (acceleration 9, deceleration 7). Thereafter remove 2 ml of the HDL fraction representing the top layer and either keep at 4 °C or store at -80 °C.
7. Desalting and Concentration of Lipoprotein Fractions
- To avoid interference with subsequent agarose gel electrophoresis and PCR, remove excessive salt added during density gradient ultracentrifugation using centrifugal filter devices with the appropriate molecular weight cutoff (3K tube for VLDL and 10K tube for LDL/HDL) as described by the manufacturer's instructions.
- Briefly, after adding 2.5 ml cold PBS (137 mM NaCl, 2.7 mM KCL, 8 mM Na2HPO4, 2 mM KH2PO4; pH 7.4) centrifuge the entire VLDL fraction collected-during density gradient ultracentrifugation at 4 °C for 60 min using a swinging bucket rotor.
- Desalt the LDL fraction twice with 10 ml ice cold PBS for 30 min each. Next, Use 13 ml ice cold PBS twice for desalting the HDL fraction. The higher PBS volume is necessary to improve mobility with agarose gel electrophoresis. After centrifugation, remove the lipoprotein containing solutes and keep at 4 °C or stored at -80 °C.
8. Agarose Gel Electrophoresis
- Perfrom lipoprotein agarose gel electrophoresis employing the kit with minor modifications of the manufacturer's instructions as follows.
NOTE: This step is just to assess the quality and purity of the concentrated lipoprotein samples.
- Briefly, obtain 6 µl of the desalted lipoprotein fraction with density gradient ultracentrifugation and load onto a pre-cast lipoprotein gel. Use human lipoprotein standards for VLDL, LDL and HDL as size reference. Carry out electrophoresis at RT at 100 V for 60 min using Rep Prep buffer.
- Dry the gel for 10 min and then stain for 10 min at RT with Fat Red 7B. Destain the gel in a mixture of methanol-water 75:25 (v/v) and dry again for 5 min.
9. RNA Extraction and Purification
- Perfrom isolation of miRNA by purified human HDL using the serum/plasma miRNA isolation and purification kit.
- Briefly, add 1 ml of RNA lysis reagent to 200 µl of purified HDL, mix with a vortexer and then incubated for 5 min at RT to ensure complete dissociation of nucleoprotein complexes and inactivation of RNases.
- Then spike 3.5 µl of synthetic Caenorhabditis elegans microRNA (cel-miR-39; 1.6 x 108 copies/µl) into the mixture. Then carry out RNA extraction according to the manufacturer's instructions.
- Perform purification of extracted-miRNA with elute spin columns as per manufacturer's instructions. Measure the concentration of miRNA from purified HDL with a spectrophorometer.
NOTE: Elution of miRNA from the spin columns employed 16 µl of RNase-free water.
10. Reverse Transcription (RT-PCR)
- Isolate 100 ng of the miRNA from HDL spiked with synthetic miRNA (cel-miR-39) and reverse-transcribed in a 20 µl reaction volume employing the reverse transcription kit and according to the manufacturer's instructions.
- Perform appropriate controls without template miRNA (NTC) and without reverse transcriptase enzyme mix (NRT).
11. Real-time PCR (qRT-PCR)
- Perfrom Real-time PCR in a total volume of 20 µl with 2 µl of a 1:2 dilution of the cDNA, 10 µl PCR mix, 2 µl universal primer, 2 µl of miRNA primers and 4 µl RNase-free water.
- Run the reaction in 96-well plates at 95 °C for 15 min, followed by 45 cycles of 94 °C for 15 sec and 55 °C for 30 s and an extension phase at 70 °C for 30 s.ec Perfrom all reactions in triplicates.
- Next, Calcuate relative quantities of miRNA by using the 2-ΔΔCt method after normalization to the synthetic housekeeping gene as per manufacturer's instructions .