The leptomeninges explant culture protocol from human postmortem brain is a technically robust and simple way to derive fibronectin-positive meningeal fibroblasts within 6-8 weeks and cryopreserve approximately 20-30 million cells.
Even though great progress has been made in the clinical characterization of Parkinson's disease, several studies report that the diagnosis of Parkinson's disease is not pathologically confirmed in up to 25% of clinically diagnosed Parkinson's disease. Therefore, tissue collected from clinically diagnosed patients with idiopathic Parkinson's disease can have a high rate of misdiagnosis; hence in vitro studies from such tissues to study Parkinson's disease as a preclinical model can become futile.
By collecting postmortem human leptomeninges with a confirmed neuropathological diagnosis of Parkinson's disease and characterized by nigrostriatal cell loss and intracellular protein inclusions called Lewy bodies, one can be certain that clinically observed parkinsonism is not caused by another underlying disease process (e.g. tumor, arteriosclerosis).
This protocol presents the dissection and preparation of postmortem human leptomeninges for derivation of a meningeal fibroblast culture. This procedure is robust and has a high success rate. The challenge of the culture is sterility as the brain procurement is generally not performed under sterile conditions. Therefore, it is important to supplement the culture media with a cocktail of penicillin, streptomycin, and amphotericin B.
The derivation of meningeal fibroblasts from autopsy-confirmed cases with Parkinson's disease provides the foundation for in vitro modeling of Parkinson's disease. Meningeal fibroblasts appear 3-9 days after sample preparation and about 20-30 million cells can be cryopreserved in 6-8 weeks. The meningeal fibroblast culture is homogenous and the cells express fibronectin, a commonly used marker to identify meninges.
Meninges consist of three membranes that protect the brain: dura mater, arachnoid and pia mater. More recently, it has been recognized that meninges also play an important role in brain development and brain homeostasis1. Meninges are derived from mesenchymal and neural crest-derived cells and interestingly, it has been shown that progenitor cells residing in meninges can give rise to neurons in vitro and after transplantation in vivo2,3,4. Meninges cultures have been also successfully used as feeder layers, as they possess stromal cell-derived inducing activity for differentiation of embryonic stem cells into dopaminergic neurons5. Moreover, leptomeninges have the potential to directly differentiate into neurons, astrocytes, and oligodendrocytes under ischemic conditions6.
For this protocol, human postmortem meninges samples are collected from the arachnoid and pia mater, collectively called the leptomeninges, and are procured as part of a human brain donation for research purposes. Dissection of the brain is performed within 24 h of death and the leptomeninges sample is placed in cold growth media for further processing within the next 6-8 h as illustrated here in this protocol.
This protocol describes the dissection and preparation of human meninges samples for the development of patient primary leptomeninges cell culture. The tissue is cut into 25-30 pieces of approximately 3 mm x 3 mm squares. Three pieces are placed in each 6-well gelatin-coated well and held down with round glass coverslips. The meninges dissection takes about 25-35 min. The main challenge with this culture is sterility as the brain procurement, transport, and dissection are generally not performed under sterile conditions. Therefore, it is important to supplement the culture media with a cocktail of penicillin, streptomycin, and amphotericin B and use multi-well dishes to separately culture tissue pieces.
Outgrowth of meningeal fibroblasts occurs usually within the first week. Media is changed every two to three days until cells are confluent and the cells are enzymatically passaged. The meningeal fibroblasts are cryopreserved at 1 million cells per mL/vial in cryopreservation media. With this protocol, 20-30 million meningeal fibroblasts can be derived in 6-8 weeks for cryopreservation. Downstream applications of these meningeal fibroblasts are primary cultures for disease research, direct neuronal differentiation or derivation of induced pluripotent stem cells from the leptomeninges for understanding of disease mechanisms and for drug development.
The brain donation registration includes documentation by the registrant of their intent to donate. The autopsy permission for tissue retrieval is provided by the next of kin as permitted by law. Research studies using collected autopsy specimens are reviewed by the institutional review board (IRB) to ensure compliance with Health Insurance Portability and Accountability Act (HIPAA) regulations.
NOTE: Leptomeninges samples are collected by the brain dissector or neuropathologist during a brain dissection and are stored in 50 mL conical tubes containing 25-30 mL meninges growth media. The sample is stored at 4 °C until sample preparation. The processing should be performed as soon as possible as the viability of cells decreases with time post mortem.
1. Set-up before Starting the Leptomeninges Dissection
NOTE: Steps 1.1 - 1.3 are to be performed inside a biosafety cabinet.
- Prepare meninges growth media by combining 375 mL of Dulbecco's Modified Eagle Media, 100 mL of fetal bovine serum, 5 mL 10 mM non-essential amino acids, 5 mL 200 mM L-alanyl-L-glutamine, 5 mL 100 mM sodium pyruvate, 5 mL 10,000 U/mL penicillin/streptomycin and 5 mL 250 µg/mL Amphotericin B in 500 mL filter unit. Filter and mix. Use media for up to four weeks.
- Place all materials in the biosafety cabinet before starting the dissection: 4x Petri dishes, 2x 6-well plates, 2x scalpels, 15-20 sterilized 15-mm cover slips, phosphate buffer saline (PBS), serological pipettes, aspirating pipettes.
- Add 1 mL of sterile-autoclaved 0.1% gelatin solution to each well of a 6-well plate. Set the plate aside for 30-60 min. Prepare 2x 6-well plates.
2. Preparation of Leptomeninges Sample
NOTE: Steps 2.1 - 2.3 are to be performed inside a biosafety cabinet.
- Add approximately 10 mL of PBS to a sterile 10-cm tissue culture dish and place the meninges sample in the dish. Using forceps, gently wash leptomeninges with PBS to remove blood.
- Transfer the meninges into a new 10-cm tissue culture dish containing 10 mL of fresh PBS and continue washing. Repeat as necessary to remove as much blood as possible.
- Using two scalpels, cut leptomeninges tissue into an approximately 6 cm x 6 cm large piece.
- Place lid on a culture dish and transfer to a dissecting microscope in a horizontal laminar flow hood.
3. Dissection of Leptomeninges Tissue
NOTE: Steps 3.1 - 3.3 are to be performed inside a horizontal laminar flow hood using a dissecting microscope.
- Remove blood vessels from a region on the leptomeninges piece (step 2.3) large enough to create at least 20-25 3 mm x 3 mm pieces. Hold the leptomeninges in place with one scalpel and with the other, use a gentle and shallow scraping motion to separate the vessels.
- Cut small squares of tissue from the prepared region. Cut in a stepwise process by first making larger pieces and then slicing those into smaller sections.
- Use one scalpel to hold the tissue in place and another scalpel to cut the tissue with a rocking motion. Due to the consistency of the tissue, it is difficult to slide the scalpels against each other. This will only tear the tissue apart and results in ragged edges.
- Continue cutting the pieces in half until there are about 20-25 3 mm x 3 mm pieces.
4. Transfer of Dissected Meninges Pieces onto Tissue Culture Plates
NOTE: Step 4 is to be performed inside a biosafety cabinet.
- Aspirate gelatin from 6-well plate (from step 1.3). Add 1 mL of meninges growth media to each well. Using sterile forceps, place 3-4 biopsy pieces into each well.
5. Placement of Cover Slips over Meninges Pieces
NOTE: Steps 5.1 - 5.2 are to be performed inside a horizontal laminar flow hood using a dissecting microscope.
- Cover the pieces with 1-2 sterile 15-mm circular coverslips per well.
- Press down firmly with forceps to ensure the pieces are touching the bottom of the plate. This allows attachment of tissue pieces to the bottom of the well.
- Place the 6-well plate into a 37 °C, 5% CO2 incubator.
6. Cell Culture Maintenance
NOTE: Steps 6.1 - 6.3 are to be performed inside a biosafety cabinet. Handle culture dishes with care as coverslips should not move and dislodge the meninges pieces.
- After 2 days in culture, add an additional 1 mL of fresh meninges growth media to each well.
- At Day 7, carefully aspirate the media and add 2 mL of fresh media to each well.
- After Day 9, continue to change growth media every other day until culture becomes confluent.
NOTE: All steps are to be performed inside a biosafety cabinet. Once meningeal fibroblasts have migrated out of the meningeal tissue pieces and start to grow towards the edges of the culture vessel, expand meningeal fibroblasts into larger culture dish.
- Before starting the passaging, coat the culture dish with 1% gelatin for 15-30 min.
- Aspirate media from 6-well dish and wash cells with 2 mL PBS.
- Add 1 mL of trypsin/EDTA to each well and incubate at 37 °C for 5-10 min. It is not necessary to remove the cover slips or the meningeal tissue for this step.
- When cells are rounded and start to detach, add 2 mL of culture media.
- Pipette cells up and down to completely disrupt all clumps and transfer the cell solution to larger culture dish.
- Use a ratio of 1:3 to 1:4 to combine cells from three 6-well dishes into one T75 culture dish.
- Once meningeal fibroblasts cells are confluent in T75 culture flasks, trypsinize the cells, and cryopreserve in cryopreservation media at 1x106 cells/mL per vial. One T75 culture flask with confluent meningeal fibroblasts contains about 5-7 million cells.
8. Characterization of the Meningeal Fibroblasts by Immunostaining
NOTE: Before starting the procedure, prepare 4% paraformaldehyde solution, 5% normal goat serum in PBS (blocking buffer), 0.3% Triton X-100 in PBS (permeabilization buffer), primary and secondary antibody solutions, and 1 µg/mL of Hoechst 33342 diluted in PBS from 10 mg/mL stock.
- Seed 15,000 to 30,000 meningeal fibroblasts in 8-well chamber slide coated with 0.1% gelatin.
- After 24 h when the cells are attached, fix cells in 100 µL 4% paraformaldehyde per well for 10 min at room temperature. Wash the wells 3 times with 1x PBS.
- Permeabilize the cells with 150 µL of 0.3% Triton X-100 for 5 min at room temperature. Wash the wells 3 times with 1x PBS.
- Add 200 µL blocking solution (PBS + 5% normal goat serum) for 1 h at room temperature.
- Aspirate the blocking solution, and add 150 µL of desired primary antibodies diluted in blocking solution. For double-staining, prepare working dilutions of primary antibodies in separate centrifuge tubes on ice as follows:
- Prepare 1:300 dilution of anti-Fibronectin + 1:200 dilution of anti-nestin in blocking solution. Prepare 1:250 dilution of anti-SERPINH1 + 1:1,000 dilution of anti-TUJ1 in blocking solution. Prepare 1:250 dilution of anti-SERPINH1 + 1:100 dilution of anti-SOX2 in blocking solution
- Incubate at 4 °C overnight.
- Wash the wells 3 times with 1x PBS.
- Prepare a working 1:400 dilution of fluorescently labeled secondary antibodies goat anti-rabbit (green; Ex/Em2 495/519 nm) and goat anti-mouse (red; Ex/Em2 590/617 nm) in blocking solution and add 100 µL to each well. Incubate for 1 h, in the dark, at room temperature. Then wash wells once with 1x PBS.
- Add 100 µL of 1 µg/mL Hoechst 33342 (blue; Ex/Em2 358/461 nm) solution to each well and incubate in the dark for 3 min. Wash wells 3 times with 1x PBS, leaving in the final 1x PBS wash in the well, and cover the slide with aluminum foil.
- Analyze cells under fluorescent microscope.
When the leptomeninges processing protocol has been successful, outgrowth of meningeal fibroblasts is first observed three to nine days after dissection, although this can depend on the length of post-mortem interval for the brain. Figure 1 demonstrates meningeal fibroblast cultures of four different donors. Figure 1A shows a leptomeninges piece held down by a glass cover slip (dark diagonal line) and fibroblast outgrowth around the tissue four days after processing from an 88-year-old donor with 10 h 20 min post-mortem interval. Figure 1B shows sparse fibroblast outgrowth seven days post processing from a 70-year-old donor and 11 h 45 min post-mortem interval. Figure 1C shows fibroblast outgrowth 13 days after dissection from an 88-year-old donor and 24 h post-mortem interval. Figure 1D shows a confluent culture that was passaged into a T75 vessel and cells can be cryopreserved at this stage.
Meningeal fibroblasts are bipolar or multipolar and have elongated or irregular shapes (Figure 2). They are characterized by the expression of glycoprotein fibronectin and fibroblast marker SERPINH which is localized to the endoplasmic reticulum (Figures 2A-2C). Meningeal fibroblasts are not immuno-reactive to transcription factor SRY (Sex Determining Region Y)-Box 2 (SOX2) which is a marker for undifferentiated stem cells (Figure 2A). However, a subset of leptomeningeal fibroblasts is positive for type VI intermediate filament nestin, a neural stem cell marker (Figure 2B), and neuron-specific class III beta-tubulin (TUJ1) (Figure 2C).
Figure 1. Examples of outgrowth of meningeal fibroblasts from four different donors. A) Leptomeninges tissue piece is held down by a glass cover slip (dark diagonal line) and fibroblast outgrowth around the tissue was observed four days after processing from an 88-year-old donor with 10 h 20 min post-mortem interval. B) Sparse fibroblast outgrowth seven days post processing from a 70-year-old donor and 11 h 45 min post-mortem interval. C) Meningeal fibroblast outgrowth 13 days after dissection from an 88-year-old donor and 24 h post-mortem interval. D) Confluent meningeal fibroblast culture passaged into a T75 vessel. Please click here to view a larger version of this figure.
Figure 2. Immunostaining for meninges, stem cell, neural stem cell, and neuron markers. A) Immunofluorescence staining for fibroblast markers SERPINH1 (green) and stem cell marker SOX2 (red). SERPINH1 was expressed in all counted cell nuclei. Stem cell marker SOX2 was not detected in these leptomeninges culture. B) Immunofluorescence staining for meninges-specific marker fibronectin (green) and neural stem cell marker NESTIN (red). 52.1% of counted cell nuclei were positive for both NESTIN and Fibronectin. C) Immunofluorescence staining for SERPINH1 (green) and neuronal marker TUJ1 (red). 6.9% of counted nuclei were positive for SERPINH1 and TUJ1. Cell count data were determined by using the manual Cell Counter Multi-Select tool on ImageJ. Single stained images were assessed by counting the number of DAPI-positive cells compared to the number of cells positive for each marker in percentages. Please click here to view a larger version of this figure.
|3-9||Outgrowth of first meningeal fibroblasts.|
|7-18||Meningeal fibroblasts expand, and culture becomes denser. Media change of 2 mL every other day.|
|18-25||6-well plate becomes confluent, once meningeal fibroblasts are confluent combine three wells into a T75 culture flask (passage at 1:3 to 1:4).|
|26-45||One confluent T75 culture flask results in 5-7 million cells. Cryopreserve meningeal fibroblasts at 1 million cells/vial.|
Table 1: Timeline of cellular outgrowth.
This protocol describes a simple and robust protocol to derive a meningeal fibroblast culture from human postmortem leptomeninges collected in conjunction with a brain donation. There are very few descriptions of protocols to derive cell cultures from postmortem human material. Two studies describe skin-derived fibroblast cultures7,8,9, one study describes dura samples10, and another describes non-cryopreserved frozen dura samples11.
We prepare two 6-well plates with 2-3 tissue pieces (about 3 mm x 3 mm) in each well to ensure sufficient outgrowth and expansion before cryopreservation. It is critical that the meninges pieces are attached to the culture dish by gentle pressing a sterile glass cover slip onto the tissue pieces to hold them in place. Without a coverslip, the meninges pieces will not attach to the bottom of the culture dish. Successful outgrowth is only observed when the tissue pieces are in direct contact with the plastic bottom. If the tissue pieces float in the culture media, no cell outgrowth from the tissue is observed. This should be performed with about 500 µL of growth media to not dry out the samples and then add up to 1 mL of growth media to the vessel. It is not necessary to further use silicone to hold the cover slips in place.
If the pieces are smaller than 3 mm x 3 mm, the outgrowth is slower and in some cases no confluent cultures can be established. It is critical to not grow the cells too sparse and we recommend a split ratio of 1:3 to 1:4. Individual small wells allow for better managing potential contamination. Wells can be fed individually and pipettes should be changed between the wells.
We have successfully derived meningeal fibroblasts from 9 postmortem samples with a postmortem interval between 10-24 h. The donors were between 70 and 88 years of age and have disease durations of Parkinson's disease between 8-31 years. We notice that tissues with a longer post-mortem interval take longer before the first cells grow out (up to 9 days). In samples with shorter post-mortem interval, we observe outgrowth as soon as 3 days after preparation. We have not noticed a difference in growth based on age of donor, but we only had donors >70 years.
The significance of the method is the derivation of a primary cell culture for a sporadic neurodegenerative disease like Parkinson's disease, which can only currently be confirmed at autopsy12,13,14 since there are no fully defining clinical characteristics, imaging techniques or biomarkers that can provide a definite diagnosis during life15. We have previously developed a protocol for the derivation of fibroblasts from skin biopsies primarily for genetically confirmed cases of Parkinson's disease16 which have allowed us to generate induced pluripotent stem cells and study disease mechanisms17,18, but this new protocol will be crucial to directly compare neuropathological changes with the findings in vitro for sporadic Parkinson's disease. To our knowledge, this is the first protocol deriving meningeal fibroblasts from post-mortem human leptomeninges.
Meningeal fibroblast cultures can directly be used for studying molecular mechanisms relating to disease or injury or as a source for nuclear reprogramming into induced pluripotent stem cells or direct conversion into neuronal cultures as advanced preclinical models for sporadic Parkinson's disease or other neurodegenerative disorders19. These human patient-derived models provide the foundation and accelerate advancements in personalized and regenerative medicine.
The authors have nothing to disclose.
Development of this protocol was funded by private donations directed to the Parkinson's Institute Brain Donation Program.
|Corning Petri dishes||Fisher Scientific||351029|
|Nunc 6-well plate||Fisher Scientific||14-832-11|
|15-mm cover slips||Fisher Scientific||12-545-83 15CIR-1D|
|Scalpels, sterile blade, No. 15||Miltex||4-415|
|Curved precision tip forceps||Fisher Scientific||16-100-122|
|Serological pipettes||Fisher Scientific||13-678-11E|
|Pasteur pipettes||Fisher Scientific||22-230490|
|Phosphate Buffer Saline||Fisher Scientific||SH30264.02|
|Corning 500 mL filter unit||Fisher Scientific||430770||Combine media components and filter.|
|Nunc Cell Culture Treated Flasks with Filter Caps, T175 cm2||Thermo Scientific||178883|
|Hyclone DMEM||Fisher Scientific||SH30081.02|
|Hyclone FBS||Fisher Scientific||SH30910.03|
|MEM Non-Essential Amino Acids Solution (100x)||Thermo Fisher||11140-050|
|GlutaMAX Supplement (100x)||Thermo Fisher||35050-061|
|Sodium Pyruvate (100 mM)||Thermo Fisher||11360-070|
|Penicillin-Streptomycin (10,000 U/mL)||Thermo Fisher||15140-122|
|Amphotericin B (Yellow Solution/250 µg/mL)||Fisher Scientific||BP264520|
|Bambanker Freeze 120 mL||Fisher Scientific||NC9582225|
|8 well chamber slides||Fisher Scientific||1256518|
|20% paraformaldehyde||Electron Microscopy Sciences||15713|
|100% normal goat serum||Fisher Scientific||101098-382|
|Anti-Fibronectin antibody [F1]||Abcam||ab32419||1:300 dilution in blocking solution|
|Anti-SERPINH1||Sigma||S5950-200ul||1:250 dilution in blocking solution|
|Anti-SOX2||Millipore||MAB4343||1:100 dilution in blocking solution|
|Anti-Nestin||Millipore||MAB5326||1:200 dilution in blocking solution|
|Anti-TUJ1||Covance||MMS-435P||1:1,000 dilution in blocking solution|
|Alexa Fluor 488 anti-rabbit||Thermo Fisher||A11029||1:400 dilution in blocking solution; (green channel; Ex/Em2 495/519 nm)|
|Alexa Fluor 555 anti-mouse||Thermo Fisher||A21424||1:400 dilution in blocking solution; (red channel; Ex/Em2 590/617 nm)|
|Hoechst 33342 stain||Thermo Fisher||H3570||dilute to a final concentration of 1.0 μg/mL; (blue channel; Ex/Em2 358/461 nm)|
|Suppliers are suggestions, similar products from alternative vendors can be used as well.|
- Decimo, I., Fumagalli, G., Berton, V., Krampera, M., Bifari, F. Meninges: from protective membrane to stem cell niche. Am J Stem Cells. 1, (2), 92-105 (2012).
- Bifari, F., et al. Novel stem/progenitor cells with neuronal differentiation potential reside in the leptomeningeal niche. J Cell Mol Med. 13, (9B), 3195-3208 (2009).
- Bifari, F., et al. Meninges harbor cells expressing neural precursor markers during development and adulthood. Front Cell Neurosci. 9, 383 (2015).
- Decimo, I., Bifari, F., Krampera, M., Fumagalli, G. Neural stem cell niches in health and diseases. Curr Pharm Des. 18, (13), 1755-1783 (2012).
- Hayashi, H., et al. Meningeal cells induce dopaminergic neurons from embryonic stem cells. Eur J Neurosci. 27, (2), 261-268 (2008).
- Nakagomi, T., et al. Leptomeningeal-derived doublecortin-expressing cells in poststroke brain. Stem Cells Dev. 21, (13), 2350-2354 (2012).
- Hjelm, B. E., et al. Induction of pluripotent stem cells from autopsy donor-derived somatic cells. Neurosci Lett. 502, (3), 219-224 (2011).
- Hjelm, B. E., et al. In vitro-differentiated neural cell cultures progress towards donor-identical brain tissue. Hum Mol Genet. 22, (17), 3534-3546 (2013).
- Meske, V., Albert, F., Wehser, R., Ohm, T. G. Culture of autopsy-derived fibroblasts as a tool to study systemic alterations in human neurodegenerative disorders such as Alzheimer's disease--methodological investigations. J Neural Transm (Vienna). 106, (5-6), 537-548 (1999).
- Bliss, L. A., et al. Use of postmortem human dura mater and scalp for deriving human fibroblast cultures. PLoS One. 7, (9), e45282 (2012).
- Sproul, A. A., et al. Generation of iPSC lines from archived non-cryoprotected biobanked dura mater. Acta Neuropathol Commun. 2, 4 (2014).
- Adler, C. H., et al. Low clinical diagnostic accuracy of early vs advanced Parkinson disease: clinicopathologic study. Neurology. 83, (5), 406-412 (2014).
- Hughes, A. J., Daniel, S. E., Kilford, L., Lees, A. J. Accuracy of clinical diagnosis of idiopathic Parkinson's disease: a clinico-pathological study of 100 cases. J Neurol Neurosurg Psychiatry. 55, (3), 181-184 (1992).
- Hughes, A. J., Daniel, S. E., Lees, A. J. Improved accuracy of clinical diagnosis of Lewy body Parkinson's disease. Neurology. 57, (8), 1497-1499 (2001).
- Langston, J. W., Schüle, B., Rees, L., Nichols, R. J., Barlow, C. Multisystem Lewy body disease and the other parkinsonian disorders. Nature Genetics. 47, (12), 1378-1384 (2015).
- Vangipuram, M., Ting, D., Kim, S., Diaz, R., Schüle, B. Skin punch biopsy explant culture for derivation of primary human fibroblasts. J Vis Exp. (77), e3779 (2013).
- Byers, B., et al. SNCA triplication Parkinson's patient's iPSC-derived DA neurons accumulate alpha-synuclein and are susceptible to oxidative stress. PLoS One. 6, (11), e26159 (2011).
- Sanders, L. H., et al. LRRK2 mutations cause mitochondrial DNA damage in iPSC-derived neural cells from Parkinson's disease patients: reversal by gene correction. Neurobiol Dis. 62, 381-386 (2014).
- Beevers, J. E., Caffrey, T. M., Wade-Martins, R. Induced pluripotent stem cell (iPSC)-derived dopaminergic models of Parkinson's disease. Biochem Soc Trans. 41, (6), 1503-1508 (2013).