Experiments were conducted according to the guidelines and standards of the Novartis Human Research Ethics Committee.
1. Preparation of Peripheral Blood Mononuclear Cells (PBMCs) from Human Buffy Coats
NOTE: We received buffy coats from healthy volunteers one day after collection, in 50 mL bags. They were provided under informed consent and collected through the Interregionale Blutspende Schweizeriches Rotes Kreuz. We handled them using the procedure below, at room temperature unless specified otherwise.
- Prepare a sterile and clean pair of scissors and a 1 L beaker with a plastic bag (under a lamina flow).
- Transfer the buffy coat into the beaker and carefully open it with the scissors.
- Using a 25 mL pipette, add 100 mL of phosphate-buffered saline buffer/ethylenediaminetetraacetic acid (PBS/EDTA: PBS 1x pH 7.4 containing no CaCl2 and no MgCl2, supplemented with 2 mM EDTA pH 8.0).
NOTE: Using the same pipette and after slowly pipetting the solution up and down, dispense 25 mL of the diluted buffy coat into 6 conical centrifuge tubes of 50 mL pre-filled with 15 mL of polysaccharide-based density gradient.
- Centrifuge 20 min at 800 x g with moderate acceleration (set at 4 out of 9) and without brake to allow for separation of cells based on their densities.
NOTE: After centrifugation, three layers will be visible; a pellet containing red blood cells and granulocytes, an upper layer made of plasma, and in between a white ring containing peripheral blood mononuclear cells (PBMCs).
- Harvest the PBMC ring using a 10 mL pipette and transfer to new 50 mL tubes.
NOTE: Two to three 50 mL tubes are normally required per buffy coat. At this stage, some plasma likely contaminates the collected PBMCs, which should have no impact on the subsequent enrichment steps.
- Top up to 50 mL every tube using PBS/EDTA and proceed to three successive washes with decreasing centrifugation time and speed (15 min at 520 x g, 10 min at 330 x g, 8 min at 150 x g).
NOTE: At each step, the supernatant is poured off in a liquid waste container and the cell pellet is resuspended in 50 mL of PBS/EDTA (pellets may be pooled after the first wash).
- After the final wash, resuspend the pellet in 25 mL of an ice-cold lysis buffer (see Table of Materials) to lyse the red blood cells by osmotic pressure.
- Incubate until the solution becomes clear (≤5 min at room temperature).
- Stop the reaction by adding 25 mL of separation buffer (PBS 1x pH 7.4 containing no CaCl2 and no MgCl2, supplemented with 2% heat-inactivated fetal bovine serum (FBS) and 1 mM EDTA pH 8.0).
- Wash one more time at 150 x g for 8 min.
NOTE: At this stage PBMCs can be used as a bulk population (see step 3: PBMCs and monocytes treatments and stimulatory conditions) or processed for monocyte enrichment (see step 2: Preparation of monocytes from PBMCs), or frozen down for subsequent use (see step 5: Monocytes and PBMCs freezing/thawing procedures).
2. Preparation of Monocytes from PBMCs
- Resuspend the PBMCs obtained at step 1.10 in separation buffer and count them to reach 5 x 107cells/mL.
- Transfer the cell suspension into a 14 mL conical centrifuge tube with cap.
- Add 50 µL of monocyte enrichment antibody cocktail per mL of cell suspension, vortex, and incubate 10 min at 4 °C.
- Add 50 µL of monocyte enrichment beads per mL of cells.
NOTE: The beads must be thoroughly vortexed to ensure homogeneity of the suspension.
- After adding the beads, shortly vortex the cell suspension and incubate 5 min at 4 °C.
- Rinse the upper part of the tube with separation buffer until the tube is filled up to 10 mL.
- Slowly mix the solution by pipetting up and down.
- Place the tube without cap into a separation magnet.
- Incubate for 2.5 min at room temperature.
- Pour slowly into a 15 mL conical centrifuge tube.
- At this stage, use monocytes directly (see step 3: PBMCs and monocytes treatments and stimulatory conditions) or differentiate them into immature Monocyte-derived Dendritic Cells (iMoDCs) (see step 4), or freeze them down for subsequent use (see step 5).
3. PBMCs and Monocytes Treatments and Stimulatory Conditions
- Count cells and dilute them in culture medium (Roswell Park Memorial Institute medium (RPMI) 10% FBS + 1 mM Sodium Pyruvate + 100 U/mL Penicillin Streptomycin (Pen/Strep) + 5 µM β-mercaptoethanol), down to 1.25 x 104 cells/well.
- Distribute 30 µL of cell suspension per well of a 384-well plate.
- Add 15 µL of 4x concentrated compound solutions and pre-incubate for 1 h at 37 °C, 5% CO2.
- Add lipopolysaccharide (LPS) to a final concentration of 10 ng/mL, or depleted zymosan (DZ) to a final concentration of 100 µg/mL, or keep in plain medium.
- Incubate overnight at 37 °C, 5% CO2.
- Take 10 µL of the supernatant to measure secreted TNF-a levels (see step 7: Cytokines and viability measurements).
4. Monocytes Differentiation into iMoDCs and Stimulatory Conditions
- Count monocytes (enriched at step 2) and centrifuge the cell suspension at 520 x g for 5 min.
- Pipette off the supernatant and add culture medium (RPMI+ 10% FBS to obtain a final cell suspension of 0.4 x 106 cells/mL.
- Add 80 ng/mL recombinant human IL-4 + 100 ng/mL GM-CSF.
- Dispense 5 mL of cell suspension per well in a 6-well plate.
- Incubate for 7 days at 37 °C, 5% CO2.
- At day 7, harvest cells by pipetting gently to avoid their activation.
- Centrifuge at 520 x g for 5 min.
- Vacuum aspirate and resuspend in 50 mL of culture medium without growth factors.
- Centrifuge at 520 x g for 5 min and resuspend at 1 x 106 cells/mL in culture medium.
- Dispense 100 µL of cell suspension (105 cells) per well of a 96-well flat bottom plate.
- Pre-incubate for 1 h at 37 °C after adding 50 µL of 4x concentrated compound solutions, prepared as described at step 8: Compounds preparation.
- Add 50 µL of stimuli (4x concentrated), prepared as described at step 9.
- Incubate 24 h at 37 °C.
- Mix each well and transfer cells and supernatant (SN) into a 96-well V-bottom plate.
- Spin down at 475 x g for 5 min.
- Transfer supernatant into a new 96-well flat bottom plate, seal and freeze at -20 °C until further use.
5. Monocytes and PBMCs Freezing/Thawing Procedures
- Freezing
- Spin down PBMC or monocyte cell preparations at 520 x g for 5 min.
- Vacuum aspirate the supernatant and resuspend cells in freezing medium at 1 x 107 cells/mL.
- Dispense 1 mL of cell suspension into cryotubes, transfer the tubes to a specific cooling device (see Materials table) and place it at -80 °C.
- Thawing
- Thaw the cryotube and quickly transfer its content into a 15 mL conical centrifuge tube containing 9 mL of culture medium.
- Centrifuge at 520 x g for 5 min.
- Vacuum aspirate supernatant and resuspend cell pellet in 5 mL of culture medium. Cells are now ready for further experimental processing.
6. Mouse Spleen Cells Preparation and Treatment
NOTE: We conducted animal sacrifices according to the guidelines and standards of the Novartis Animal Welfare Organization. Studies were approved by the Ethics Committee of the regional governmental authority (Kantonales Veterinäramt der Stadt Basel). We sacrificed animals by isoflurane over-exposure, with all efforts made to minimize suffering.
- Harvest the spleen and dissociate tissue using a tube equipped with a mechanical tissue grinder device and filled with 5 mL of cold RPMI medium.
- Use the spleen program of the dissociation machine to grind organs.
- Filter the cells through a 100 mm nylon cell strainer.
- Transfer the suspension into 50 mL tubes and centrifuge at 4 °C for 10 min at 320 x g.
- Vacuum aspirate the supernatant, resuspend the cell pellet in 3 mL of ice-cold lysis buffer, and incubate for ≤2 min on ice.
- Stop lysis by adding 7 mL of RPMI medium.
- Filter again through a 100 µm nylon cell strainer.
- Spin down cell suspension at 330 x g for 10 min at 4 °C.
- Vacuum aspirate supernatant and resuspend cells at 11 x 106 cells/mL in complete medium (RPMI supplemented with 10% FBS, 100 U/mL Pen/Step and 5 µM β-Mercaptoethanol).
- Plate 1 x 106 cells/well (90 µL) in a 96-well plate (flat bottom).
- Add 5 µL of 20x concentrated compound solution previously diluted in RPMI medium as described in step 8.3: Serial dilution for murine spleen cells.
- Incubate for 30 min at 37 °C, 5% CO2.
- Add 5 µL of 20x concentrated DZ (final concentration 30 µg/mL) or 20x concentrated LPS + IFN-g (TLR-4) (final concentration 1 µM LPS and 10 ng/mL IFN-g).
- Incubate overnight at 37 °C, 5% CO2.
- Centrifuge at 330 x g for 10 min.
- Transfer supernatants in new plates, seal and freeze at -20 °C until further use.
7. Cytokines and Viability Measurements
- Human TNF-a measurement by HTRF (Homogenous Time Resolved Fluorescence)
NOTE: The protocol followed the supplier’s recommendations, briefly summarized below.
- Mix 1 volume of reconstituted reagent (anti TNF-a-cryptate and anti-TNF-a-XL665) with 19 volumes of reconstitution buffer (50 mM phosphate buffer pH 7.0, 0.8 M potassium fluoride (KF), 0.2% bovine serum albumin (BSA)).
- Mix the two ready-to-use antibody solutions 1:1 just prior to dispensing the reagents.
- Dispense 10 µL of supernatants from step 3.6 into white 384-well plates.
- Dispense 10 µL of the antibody mix.
- Cover the plate with a sealer and incubate at 4 °C overnight.
- Read plate on a microplate reader (50–200 flash).
- Human IL-23 measurement by HTRF (Homogenous Time Resolved Fluorescence)
NOTE: The protocol followed the supplier’s recommendations, briefly summarized below.
- Mix one volume of reconstituted reagent (anti IL-23-cryptate-antibody and anti-IL-23 D2-antibody) with 19 volumes of detection buffer #3.
- Mix the two ready-to-use antibody solutions 1:1 just prior to dispensing the reagents.
- Dispense 10 µL of supernatants from step 3.6 into white 384-well plates.
- Dispense 10 µL of the antibody mix.
- Cover the plate with a sealer and incubate at 4 °C overnight.
- Read plate on a microplate reader (50–200 nm flash).
- Human IL-6, IL-8, IL-1β and TNF-α measurements by electrochemiluminescence
NOTE: All samples were diluted at 1/150 in diluent 2 (first dilution: 10 µL in 150 µL, then 20 µL in 180 µL). The protocol followed the supplier’s recommendations:
- Dilute samples and standard in diluent 2.
- Proceed to dilution of the standard in diluent 2 using a 1/4 serial fold dilution.
- Wash plates three times with wash buffer.
- Dispense 50 µL of samples or standard per well.
- Incubate for 2 h at room temperature under agitation.
- Wash the plate four times with PBS + 0.05% Polysorbate 20.
- Add 25 µL of detection antibody (60 µL of each antibody for 3 mL final) in diluent 3.
- Incubate for 2 h at room temperature under agitation.
- Wash the plate four times with PBS + 0.05% Polysorbate 20.
- Avoiding bubbles, add 150 µL per well of read buffer (Tris-based buffer containing tripropylamine, diluted 2x in ddH20) as a co-reactant for light generation in electrochemiluminescence immunoassays.
- Read the plate (without delay) on a multiplex plate reader.
- Mouse TNF-a measurement by ELISA following the supplier’s protocol
- Dilute supernatant 1:1 in assay diluent (ready to use protein-containing buffer).
- Prepare reagents, samples, and standard dilutions as described in the kit. Add 50 μL of assay diluent to each well.
- Add 50 μL of standard, control, or sample per well.
- Mix by gently tapping the plate frame for 1 min.
- Cover with the provided adhesive strip and incubate for 2 h at room temperature.
- Aspirate each well and wash with 400 μL/well (repeat this step five times in total).
- After the final wash, remove any remaining wash buffer by aspirating.
- Invert the plate and blot against clean paper towels.
- Add 100 μL of mouse TNF-α conjugate to each well. Cover with a new adhesive strip.
- Incubate for 2 h at room temperature.
- Repeat the aspiration/wash as in step 7.4.4.
- Add 100 μL of substrate solution to each well and incubate for 30 min at room temperature protected from light.
- Add 100 μL of diluted hydrochloric acid solution (stop solution) to each well. Gently tap the plate to ensure thorough mixing.
- Measure the optical density at 450 nm (with the correction wavelength set at 560 nm) using a microplate reader (to be done within 30 min).
- Cell viability
- After removing supernatants from PBMC or monocyte preparations, assess cell viability using a ready to use resazurin solution (oxidation-reduction indicator) added directly to the cell suspension to 10% final concentration.
- Incubate for 1 to 2 h at 37 °C, 5% CO2.
- Read fluorescence at 590 nm (Excitation 540 nm) using a microplate reader.
8. Compound Preparation
- Serial dilution for iMoDCs
- Dilute the MLT-827 stock solution (10 mM in dimethyl sulfoxide (DMSO) into medium to reach 8 µM in one go (4x concentrated).
- Perform a six-step 1:5 serial dilution, using medium + 0.08% DMSO. Use the same medium + 0.08% DMSO solution for the vehicle (no compound) condition.
- Single dose testing for iMoDCs
- Dilute the MLT-827, AFN700 and Cpd11 stock solutions into medium to reach 4 µM in one go (4x concentrated).
- Serial dilution for murine spleen cells
- Dilute a 10 µM MLT-827 solution (obtained from a 10 mM stock solution following a one go dilution in medium) to 0.01 µM, with a DMSO end concentration of 0.1%.
- For the dilution steps, take 2 µL of each dilution, add 38 µL RPMI, and pipet 5 µL into the well.
NOTE: All treatments are performed in triplicate.
9. Stimuli Preparation
- Depleted zymosan (DZ)
- Add 2 mL of sterile endotoxin-free water to 10 mg of DZ.
- Vortex to homogenize the stock solution, vortex also prior each use.
- Aliquot solution and store aliquots at -20 °C.
- Trehalose-6,6-dibehenate (TDB)
- Add 100 µL of DMSO to 1 mg TDB, heat at 60 °C in a water bath for 15–30 s.
- Vortex and immediately add 900 µL of sterile PBS, vortex again.
- Heat for 10–15 min at 60 °C and homogenize by vortexing prior each use.
- Keep the solution at 4 °C.
- Perform serial dilutions and single dose preparation as for the MLT-827 compound.
NOTE: Because TDB needs to be prepared in DMSO, a final 1% DMSO concentration is present during cell stimulation.