Neural stem cells (NSCs) are cells of the central nervous system (CNS) that can self-renew and are multipotent. NSCs are first specified during development of the embryonic forebrain and continue to persist in the adult brain at specific regions such as the subventricular zone (SVZ) of the lateral ventricles and the dentate gyrus (DG) of the hippocampus. A number of NSC lines are being used in clinical trials for treatment of stroke and other neurological diseases such as Batten's disease1.
NSCs and neural progenitors (NPs) are propagated in culture as floating 3-dimensional spheroid structures called neurospheres. The neurosphere culture system was developed by Reynolds and Weiss in the early 1990s, when they found that embryonic and adult cortical cells could divide in the presence of epidermal growth factor (EGF) and basic fibroblast growth factor (bFGF)2-4. Neurospheres consist of a heterogeneous mix of cells comprising of subclasses at different developmental stages5. It is challenging to specifically study NSCs using data obtained from neurospheres due to the presence of NPs. Hence, it is crucial to enrich NSCs from neurospheres. At present, four main methods have been used to enrich for NSCs in vitro. First is the use of cell surface markers. Lewis-X (LeX) and CD133 (also known as Prominin1) are the most prominent cell surface NSC markers6-9. Syndecan-1, Notch-1 and Integrin-beta1 are other surface proteins that enrich for NSCs10. Second is the dye exclusion. It has been shown that the side-population cells, which have the unique ability to pump out the fluorescent DNA-binding dye Hoechst 33342, are enriched for NSCs11. Third is the use of morphological selection. It has been demonstrated that cells with increased cell size and granularity harbor more NSCs than their counterparts5,12,13. Fourth is the addition of NSC survival factors to the culture medium. It has been shown that addition of Chondroitin sulphate proteoglycan and Apolipoprotein E enhances NSC survival and thus increases NSC frequency14,15. Although many markers including transcription factors have been associated with NSCs16,17, none of these markers are able to enrich NSCs to purity. Due to the lack of definitive NSC markers, it remains a challenge to quantify NSCs and distinguish them from NPs in vitro.
Initial studies used the neurosphere formation assay (NFA) to quantify NSCs7,11,13. In this assay, dissociated cells are cultured to form neurospheres and the number of neurospheres generated for every 100 cells plated is determined. This value is termed as the Neurosphere Formation Unit (NFU). The NFU equals the NSC frequency if all neurospheres arise from NSCs. However, it was shown that the NFU overestimates the NSC frequency as neurospheres are formed by both NSCs and early NPs5. Thus, it is inaccurate to enumerate NSCs solely based on neurosphere formation. It could be possible to quantify NSCs based on their ability to self-renew, proliferate extensively and generate multipotent neurospheres.
NSCs, which are EGF and bFGF responsive, usually survive for at least ten passages and thus display extensive self-renewal capacity in culture4,18-20. NPs, which are EGF and bFGF responsive as well, could also generate neurospheres for a few passages but not for an extended period of time. Hence, it has been widely accepted that bona fide NSCs can be enumerated with fair accuracy based on neurosphere formation for at least ten passages. In most studies, however, self-renewal is usually measured based on secondary or tertiary neurosphere formation due to the long experimental time required for ten passages. Hence, the secondary NFA can be used to broadly compare the self-renewal ability between populations, but cannot be used to accurately enumerate NSC frequency.
NSCs have a greater proliferative ability compared to NPs. This property of NSCs was used by Louis et al. to develop an assay for NSC enumeration — the neural colony-forming cell assay (NCFCA)21,22. In this assay, single cells are cultured for 3 weeks in a collagen-containing semisolid matrix. Under these culture conditions, it was shown that cells that form neurospheres above 2 mm in diameter are tripotent and can self-renew for long term. These cells are defined as NSCs. Therefore, the NSCs are effectively distinguished from NPs.
NSCs have the ability to differentiate into astrocytes, oligodendrocytes and neurons. For differentiation of neurospheres, growth factors are removed and serum is added to the culture medium. If all three neural lineages are observed in a neurosphere, then the cell that initiated that neurosphere is an NSC. However, the differentiation assay has some limitations. First, the culture conditions used for differentiation may not be optimal for generation of all three neural lineages. In fact, in a single neurosphere differentiation process, significant cell death occurs and mostly astrocyte generation occurs (Tham M and Ahmed S, unpublished). Second, there is the issue of clonality. For accurate enumeration of NSCs, formation and differentiation of neurospheres have to be performed under clonal conditions, where each neurosphere arises from a single cell. In bulk suspension cultures, aggregation occurs at both cellular and neurosphere levels23-25. Hence, it is possible for each neurosphere to arise from multiple cells or neurospheres, which complicates neurosphere counting and evaluation of multipotency. Recent evidence shows that aggregation of cells does not occur at low plating density of 0.5 cells/µL or below, and when culture plates are not moved during neurosphere formation15. Thus culturing cells at such low density would ensure clonality.
Currently, the NCFCA is the most commonly used method to distinguish NSCs from NPs and enumerate NSC frequency. The NCFCA, however, requires a relatively long time of three weeks. Here, we describe a protocol to enumerate NSC frequency based on the ability of NSCs to form multipotent neurospheres. This protocol takes only 13 days to perform. The NCFCA ensures clonality as the collagen matrix prevents movement of the neurospheres. The culture conditions used in this protocol also allows clonality to be maintained throughout. For instance, the use of 50-well chambered coverslips ensures that the neurospheres will differentiate without contacting each other. Furthermore, we use conditioned medium that supplies neurotrophic factors during differentiation to maximize the differentiation potential of the neurospheres (Figure 1).