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A demonstrational, refined method for liver perfusion and purification/enrichment of hepatocytes and SECs is presented here that provides detailed tips for optimal cell purification/enrichment similar to other printed reports compiled in this referenced review 5. The critical steps which determine success for cellular purification occur in the route and technical details of the collagenase perfusion procedure and are outlined in this protocol. The set-up for the apparatus is fairly simple and cost effective with standard laboratory equipment, in contrast to other systems that have been published11 (Figure 1). In this set-up, the tray holding the mouse is sitting on the water bath with some of the excess tubing in the water bath to maintain the temperature of the liquids perfusing within the liver. The apparatus as shown here may be used for mice as well as rats, with a slightly different geometry for rat liver perfusion12 (Figure 2).
In this procedure, the liver is perfused via the portal vein instead of the vena cava (which is another popular perfusion route) due to its ease of access within the abdomen and that the vein feeds directly into the liver. The viewer should be aware that the portal vein has several small branches which may short-circuit the perfusate, and the catheter should be placed past these branches for optimal success13 (Figure 3). Once the portal vein is identified, curved forceps are used to draw a surgical suture or polyester thread beneath the portal vein between the liver and the superior pancreatic-duodenal vein. The forceps are also used to straighten out the portal vein which is under positive blood pressure (Figure 4A). The needle within the catheter should be placed parallel and next to the vein (Figure 4B) and the bevel should be gently inserted into the lumen of the vein (Figure 4C). Proper placement will be indicated by blood appearing along the catheter. Once the needle is retracted the catheter should be stabilized with a thread tied down upon it and the blood pressure will force blood up through the catheter. It is recommended that the catheter be connected to the pump tubing before blood spills out (Figure 4D). Once the pump tubing is connected, immediately cut a major blood vessel such as the vena cava or aorta abdominalis for blood/fluid drainage (Figure 5A). It is usually necessary to cut the side of the abdominal wall of the mouse for sufficient drainage, as a buildup of blood in the abdomen makes it difficult to visualize the perfusion process, and blood may carry over into the cell purification (Figure 5B). Once the PBS begins to perfuse the liver, the liver will blanch with the absence of blood (Figure 5C). If only a few of the lobes blanch, then the likely cause is that the catheter has been placed too far inside the liver and will need to be backed out slowly. Once placement of the catheter is confirmed, use water-resistant masking tape to secure the tubing in place. General laboratory tape is usually not sufficient. To confirm proper placement of the catheter, squeeze the cut blood vessel to cease drainage and observe the increase pressure within the liver. Doing this will aid in flushing blood out of the liver (Figure 5D). This should also be done when the collagenase solution initially goes into the liver to ensure that all lobes are exposed to collagenase. After the collagenase solution runs out, a good collagenase digestion is indicative by separation of the Glisson's capsule from the parenchyma.
The general procedure for cellular purification is outlined in Figure 6 and Figure 7 in which hepatocytes are harvested early on in the procedure during the low speed spins and are very pure after 4 washes in BSA-containing buffers (Figure 8). SECs are co-purified with KCs on a PVP gradient (Figure 9A) and then separated by selective adhesion on a collagen-coated polystyrene Petri dish. The purity of the SECs using this method is 83 - 90% pure and largely depends on the overall effectiveness of the collagenase digestion (Figure 9B). Quantitative measurements using light microscopy (as both hepatocytes and SECs have distinguishing features from other cells) show that in a representative preparation, hepatocytes are nearly 100% pure and SECs are just over 89% pure (Table 1). Alternatively, a higher enrichment of SECs may be obtained by magnetic column separation after the PVP gradient, although that is beyond the scope of this protocol. More information about magnetic separation of SECs and KCs may be found in Meyer et al.9 and Liu et al.14 It should be remembered that viability of hepatocytes rapidly decreases in an insufficiently digested liver, but this is not necessary true for the NPCs. Insufficiently digested livers also produce more cellular debris, which is not entirely eliminated in the centrifugation steps.

Figure 1: Schematic representation of the perfusion suite. The flasks are held in place by clamps (not shown); the tubing containing fluid is swapped from the 1L flask to the 125 mL flask during the procedure is represented by the red dotted line. Note, that the oxygen feed does not bubble directly into the solutions in the flasks. The corks should also be notched to allow a closed-circuit fluid flow with the tubing inserted within the notch. This is critical during warm-up of the tubing and for ejection of all air within the tubing. The air bleed is composed of the T-connector which is connected to Tygon tubing and pinch clamps for quick open and closure of the system. Please click here to view a larger version of this figure.

Figure 2: The perfusion suite during mouse liver perfusion. The tray with the mouse is placed on the corner of the water bath. The oxygen is disconnected from the collagenase solution as that was already oxygenated during the warm-up. Location of items are A) oxygen lines, B) 1 L flask containing PBS, C) 125 mL flask containing buffer 2 with collagenase, D) pump, E) pump controls, F) bubble trap, G) fluid line running from the flask, through the pump and to the mouse. Please click here to view a larger version of this figure.

Figure 3: Image of the vasculature of the mouse abdomen. Insertion of the catheter should be just below the gastric and pancreatic vein junctions coming off the portal vein (green dot) and the tip should be placed near the left and right hepatic portal veins (yellow dot) which forms a fork into the main lobes of the liver. Once correct placement is achieved, the catheter should be stabilized with thread using a simple overhand knot. K = kidney, L = liver, SI = small intestine. Please click here to view a larger version of this figure.

Figure 4: Catheter placement in the portal vein. (A) The forceps are used to ensure blood engorgement of the portal vein and to straighten out the vein for catheter placement. (B) The catheter is lined up in parallel with the portal vein with the bevel up. (C) The bevel of the needle within the catheter is inserted into the vein, not through the vein. (D) The needle of the catheter is retracted and blood will backflow through the catheter as indicated by the tip of the forceps. Please click here to view a larger version of this figure.

Figure 5: Proper liver perfusion. (A) After catheter placement, the female Luer end of the catheter is connecting to the male Luer end (cut from a 1 mL syringe) of the pump tubing. (B) After cutting one of the major descending blood vessels, blood and PBS are drained from the abdomen by slicing the side of mouse with scissors. (C) The liver should blanch while the blood is flushed out and (D) will swell when under pressure by squeezing shut the cut blood vessel with forceps. Please click here to view a larger version of this figure.

Figure 6: Schematic outline of hepatocyte purification and NPC isolation. Most of the centrifugation steps aim to remove live and dead hepatocytes from the non-parenchymal cells. Please click here to view a larger version of this figure.

Figure 7: Schematic outline of SEC enrichment and purification. NPCs are separated by the PVP gradient followed by SEC separation by short adhesion to a standard polystyrene plate. Please click here to view a larger version of this figure.

Figure 8: Purified hepatocytes. Hepatocytes were plated on collagen coated tissue culture plates with DMEM + 8% FBS + Pen/Strep and incubated for 6 h followed by image collection by a microscope at 400X. Bar equals 20 µm. Please click here to view a larger version of this figure.

Figure 9: SEC purification. (A) SECs and KCs were collected from the 25/50% PVP interface (yellow arrows) and washed with serum-free medium. (B) The SECs were separated from the KCs by selective adhesion on standard Petri dishes, washed, and plated on collagen-coated tissue culture dishes in RPMI + 5% FBS. Images were taken by an EVOS inverted microscope at 400X. Bar equals 20 µm. Please click here to view a larger version of this figure.

Figure 10: Scanning electron microscopy of mouse liver anatomy. A mouse liver was perfused with PBS followed by fixative (100 mM sodium cacodylate, 12 mL 25% glutaraldehyde, 15.6 mL 16% paraformaldehyde, 2.65 mM calcium chloride, 180.2 mM sucrose, mixed in 100 mL solution) at a rate of 1 mL/min for 4 min. Tissues were sliced and prepared for scanning electron microscopy. Images were collected on a Field Emission SEM at 10,000X. Yellow arrows indicate the microvilli between the hepatocytes. Bar equals 5 µm. Please click here to view a larger version of this figure.

Figure 11: Visualization of dead versus live hepatocytes. After 2 washes with Buffer 1, pelleted hepatocytes may be assessed for live/dead ratio by eye. A lighter pellet (left) indicates that at least half the hepatocytes are dead. The darker pellet on the right is more firmly pelleted to the bottom of the tube and is more than 90% live. Please click here to view a larger version of this figure.
| Table 1: Cell purification |
| Cell Type | % target cells | % other cells |
| Hepatocytes | 99 | 1 |
| Sinsusoidal endothelial cells | 89.1 | 10.9 |
Table 1: Assessment of cell purity by light microscopy.