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Animal handling was approved in accordance with the Laboratory Animal Ethics guidelines (Ethical approval No.: PZSHUTCM2211070009) from Shanghai University of Traditional Chinese Medicine. Eight-week-old female BALB/c mice (SPF grade, 20 ± 1 g body weight) were used in this study. This protocol outlines the purification, passaging, flow cytometry-based phenotyping, and osteogenic and adipogenic differentiation of mouse-derived BMSCs. The reagents and equipment used are listed in the Table of Materials.
1. Animal handling
- House mice under specific pathogen-free (SPF) conditions in individually ventilated cages, with five mice per cage. Provide SPF-grade feed and sterile water. Maintain a 12-h light/dark cycle.
NOTE: This method has been tested and found to be feasible in both the BALB/c and C57BL/6 mouse strains. This paper mainly uses BALB/c as an example.
2. Harvesting femurs and tibias from mouse hind limbs
- Euthanize the animals via CO2 asphyxiation followed by cervical dislocation7 following ethical guidelines.
- Soak mice in 75% ethanol for 5 min (Figure 1A).
NOTE: Stem cells were harvested within 30 min2 after euthanasia, and the entire process, including marrow flushing, filtration, and seeding into culture plates, was completed within 2 h to ensure optimal cell viability.
NOTE: Use adult mice (≥8 weeks old) for optimal BMSC yield; 8–12 week old mice are ideal8.
- Make an incision about 1 cm at the hind limb of the Achilles tendon with sterile dissection scissors (Figure 1B).
- Make a circular incision around the hind limb of the Achilles tendon with sterile scissors to expose the distal tibia (Figure 1C).
- Peel the skin from the incision towards the hip to remove it from both hind limbs (Figure 1D).
- Cut along the iliac bone to separate the femoral head from the hip bone (Figure 2A).
NOTE: Avoid damaging the bilateral joints of the femur during dissection to prevent the loss of bone marrow.
- Place the collected femurs and tibias in a 60 mm dish harboring sterile pre-cold PBS containing 2% penicillin/streptomycin (Figure 2B).
- Cut off as much tendon and muscle as possible from the tibia and fibula using a sterile scalpel to facilitate later flushing (Figure 2C).
- Return the processed bones to PBS containing 2% penicillin/streptomycin and transfer them to the sterile hood for subsequent isolation steps.
3. Purification and culture of mouse BMSCs
- Prepare complete MEM Alpha Modification (αMEM) medium for BMSC culture by supplementing αMEM with 10% Fetal bovine serum and 1% penicillin/streptomycin.
NOTE: Choose αMEM medium since it contains 1000 mg/L of glucose, which is a relatively low concentration. This helps prevent the inhibition of cell proliferation that can occur in high-glucose environments9
- Take a 50 mL syringe and attach the needle that comes with the syringe.
- Draw 20 mL of αMEM medium into the 50 mL syringe, then replace the needle with the one that comes with the 1 mL syringe.
NOTE: Use a 1 mL syringe needle to accommodate the bone size and minimize the cell damage. A 50 mL syringe allows for efficient flushing of the bone marrow with reduced risk of cell contamination from repeated insertions.
- Use scissor to cut off both ends of the separated femur or tibia in a sterile hood.
- Insert the needle into the bone along the cut edge and flush the bone marrow into a 100 mm culture dish containing complete αMEM medium (Figure 2D).
- Flush bone cavities repeatedly until the bone pieces appear pale to ensure that most bone marrow has been extracted (Figure 2E).
- Pipette up and down 40 times gently with a pipette tip to disperse the aggregated cells as much as possible.
- Filter the cell suspension through a 40 μm cell strainer into a 50 mL centrifuge tube to remove debris, tissue fragments, and undispersed clumps.
- Transfer the filtered cell suspension to a 100 mm cell culture dish and add complete αMEM medium to a final volume of 15 mL per dish.
NOTE: Culture all the bone marrow cells collected from the femurs and tibias of each mouse in one 100 mm culture dish to facilitate cell growth. Based on previous experiments, approximately 1 × 107 BMC can be isolated from an 8-week-old mouse (from two femurs and two tibias). These cells are seeded into a 100 mm culture dish at a density of 1.8 × 105 cells/cm2 for primary culture.
- Hold the dish with both hands and gently swirl it in a figure-eight motion 15 times to ensure an even distribution of cells across the dish.
- Place the culture dish at 37 °C in a 5% CO2 incubator and culture for 5 days (Figure 3A).
NOTE: Avoid moving the culture dish during this period to ensure uniform cell growth.
4. Replacement of αMEM medium for BMSC culture
- Observe the cells under a microscope to determine if they have reached 80% confluency. If not, proceed with the medium replacement on the 5th day.
- Draw 3 mL of PBS with a sterile Pasteur pipette and dispense it from a height of 1 cm above the culture dish at different positions.
NOTE: Avoid dispensing liquid down one side of the dish, as this may remove adherent cells due to excessive impact force and prevent effective removal of unwanted cells.
- After adding 3 mL of PBS, gently shake the culture dish to thoroughly wash the cells, and remove PBS from the dish with a pipette. Repeat the wash process once more to ensure the cells are thoroughly washed.
- Draw 15 mL of complete αMEM medium with a sterile Pasteur pipette and dispense it from 1 cm above the culture dish at different positions.
- Return the culture dish to the incubator and monitor until cells reach 80% confluency before subculturing (Figure 3B).
5. Passage of BMSCs
- Wash 80% of confluent cells twice with PBS (Figure 3C).
NOTE: Washing the cells with PBS before digestion helps remove residual medium and cell secretions and reduces MSC adhesion to the culture dish.
- Digest the cells with 1 mL of 0.25% trypsin-EDTA by incubating at 37 °C in a 5% CO2 incubator for 2–3 min.
- Neutralize the trypsin by adding 4 mL of complete αMEM medium to the cell suspension.
- Aspirate the cell suspension from the culture dish using a 1 mL pipette tip, and gently flush the bottom of the dish to detach all adherent cells.
- Transfer the cell suspension to a 15 mL centrifuge tube and centrifuge at 300 × g for 5 min at room temperature.
- Use a pipette to discard the supernatant and resuspend the cell pellet in 2 mL of complete αMEM medium.
NOTE: For subculturing, a seeding density of approximately 4 × 104 cells/cm2 was found to be optimal for continued growth and proliferation.
- Split the cells at a 1:1–1:2 ratio into new 100 mm cell culture dishes (this constitutes the 1st passage, P1) (Figure 3D).
- Split the cells approximately every three days at a 1:1.5 ratio when they reach 80% confluency to generate the second passage (P2) (Figure 3E) and the third passage (P3) (Figure 3F) of BMSCs.
6. Preparing P3 BMSCs for phenotypic identification and osteogenic differentiation
- Discard the cell culture medium.
- Wash the P3 BMSCs with 3 mL of PBS twice.
- Digest the P3 BMSCs with 1 mL of 0.25% trypsin-EDTA by incubating at 37 °C in a 5% CO2 incubator for 2–3 min when they reach 80% confluency.
- Neutralize the trypsin by adding 4 mL of complete αMEM medium to the cell suspension.
- Transfer the cell suspension to a 15 mL centrifuge tube, centrifuge at 300 × g for 5 min at room temperature, and discard the supernatant.
NOTE: The P3 BMSC pellets prepared here will be used for phenotypic identification via flow cytometry and for assessing osteogenic or adipogenic differentiation.
7. Phenotypic identification of BMSCs by flow cytometer
- Resuspend the cell pellets of P3 BMSCs with 1.5 mL of PBS solution containing 2% FBS and adjust the concentration to 5 × 106 cells/mL.
- Aliquot 100 μL of the cell suspension into each of 11 tubes to achieve 5 × 105 cells per tube. Prepare the following groups: label blank, CD29 isotype control, CD29, CD44 isotype control, CD44, Sca-1 isotype control, Sca-1, CD31 isotype control, CD31, CD45 isotype control, and CD45.
NOTE: In the current study, the following fluorochromes were used: CD29-FITC, CD29 isotype-FITC, CD44-APC, CD44 isotype-APC, Sca-1-PECy7, Sca-1 isotype-PECy7, CD45-PerCPcy5.5, CD45 isotype-PerCPcy5.5, CD31-PE, and CD31 isotype-PE (as shown in the table of materials). These fluorochromes can be modified based on the configurations of different flow cytometers.
- For each group, add the following reagents: 2 μL of PBS to the label blank group, 2 μL of CD29 isotype to the CD29 isotype control group (1:50 dilution), 2 μL of CD29 to the CD29 group (1:50 dilution), 0.5 μL of CD44 isotype to the CD44 isotype control group (1:200 dilution), 0.5 μL of CD44 to the CD44 group (1:200 dilution), 0.5 μL of Sca-1 isotype to the Sca-1 isotype control group (1:200 dilution), 0.5 μL of Sca-1 to the Sca-1 group (1:200 dilution), 2 μL of CD31 isotype to the CD31 isotype control group (1:50 dilution), 2 μL of CD31 to the CD31 group (1:50 dilution), 2 μL of CD45 isotype to the CD45 isotype control group (1:50 dilution), and 2 μL of CD45 to the CD45 group (1:50 dilution).
NOTE: Antibodies were used according to the manufacturer’s optimized recommendations for flow cytometry. Preliminary experiments confirmed optimal staining and specificity for target cells. Refer to the manufacturer’s dosage guidelines and conduct titer pre-tests as needed.
- Mix gently, centrifuge using a palm centrifuge, and incubate for 30 min at 4 °C in the dark.
- Add 900 μL of PBS to each tube, mix by inverting, and centrifuge at 300 × g for 5 min at 4 °C. Discard the supernatant to remove excess antibodies.
- Resuspend the cell pellet in each tube with 300 μL of PBS and analyze using a flow cytometer.
NOTE: Cells do not need to be fixed with 2.5% neutral formaldehyde if the flow cytometer assay can be completed within 1–2 h. If analysis cannot be performed within 1–2 h, fix cells with 2.5% neutral buffered formalin (prepared by mixing 10% neutral buffered formalin with PBS in a 1:3 ratio) and store at 4 °C in the dark overnight for later flow cytometer assay.
- Adjust the flow cytometer voltage using the label blank group to ensure cell autofluorescence is within approximately 1/4–1/3 of the coordinate axis. Sequentially load the cells from the CD29 isotype, CD29, CD44 isotype, CD44, Sca-1 isotype, Sca-1, CD31 isotype, CD31, CD45 isotype, and CD45 groups. Set the P1 gate (as defined in the FSC/SSC plot) to capture 10,000 cells, running at medium speed.
NOTE: Ensure that the flow cytometer is equipped with the appropriate channels, such as those commonly used in the experiments: FITC, PE, PerCp-Cy5.5, PE-Cy7, and APC, or other channels that correspond to antibody-coupled fluoresceins.
8. Osteogenic differentiation of BMSCs
- Resuspend P3 BMSC pellets in complete αMEM medium, adjusting the concentration to 1 × 105 cells/mL.
- Seed P3 BMSCs into a 24-well cell culture plate by adding 1 mL of complete αMEM medium containing 1 × 105 cells to each well.
- Culture the P3 BMSCs at 37 °C in a 5% CO2 incubator for 3–5 days until they reach over 90% confluency. Replace the complete αMEM medium with fresh medium every 2 days.
- Divide the different wells equally into two groups: the negative control group (without osteogenic differentiation induction) and the osteogenic differentiation group
- Prepare the osteogenic differentiation induction medium by supplementing the complete αMEM medium with 10 mmol/L β-glycerophosphate, 50 mg/L L-ascorbic acid, and 10-8 mol/L dexamethasone.
- Discard the cell culture medium and wash the P3 BMSCs with 1 mL of PBS.
- Add the osteogenic differentiation induction medium to the wells of the osteogenic differentiation group for the osteogenic differentiation induction (1 mL/well).
- Add the complete αMEM medium to the wells of the control group (1 mL/well).
- Culture the P3 BMSCs at 37 °C in a 5% CO2 incubator for 7 or 21 days, replacing the osteogenic differentiation induction medium or the complete αMEM medium with the same fresh medium every 3 days.
NOTE: Cells with a 7-day induction are used for the alkaline phosphatase (ALP) staining. Cells with a 21-day induction are used for the alizarin red S assay.
9. Identification of differentiated osteogenic cells with ALP staining
- Wash the cells in each well of the 24-well plate with 1 mL of PBS once.
- Fix the cells by adding 0.5 mL of 10% buffered formalin solution and incubating for 20 min.
- Wash the cells in each well again with 1 mL of PBS once.
- Add 0.5 mL of alkaline phosphatase staining reagent 1-Step NBT/BCIP to each well, and incubate at 37 °C for 30 min with aluminum foil wrapping to protect from light.
- Discard the solution, wash the cells in each well with 1 mL of distilled water once, and allow the plate to dry.
- Observe and acquire images of stained colonies using a camera to identify ALP-positive cells with black-purple precipitate.
NOTE: The alkaline phosphatase (ALP) staining reagent 1-Step NBT/BCIP produces a strong, insoluble black-purple precipitate upon reaction with ALP, which can be easily visualized.
10. Identification of differentiated osteogenic cells by alizarin red S assay
- Wash the cells in each well of the 24-well plate with 1 mL of PBS once.
- Fix the cells by adding 0.5 mL of 10% buffered formalin solution and incubating for 20 min.
- Wash the cells in each well of the 24-well plate with 1 mL of PBS once.
- Add 0.5 mL of 0.1% alizarin red S in 0.1 mol/L Tris-HCl (pH 8.3) to each well, and incubate at 37 °C for 30–60 min.
- Discard the solution, wash the cells in each well with 1 mL of distilled water once, and allow the plate to dry.
- Observe and acquire images of stained colonies using a camera to identify alizarin red S-positive cells.
NOTE: The alizarin red S assay for MSC differentiation into mature mineralized bone cells results in the formation of an alizarin red S-calcium complex, which produces a bright red stain that can be visually observed.
11. Preparation of adipogenic induction differentiation media A for BMSCs
NOTE: For adipocyte differentiation of BMSCs, a Mouse Bone Marrow Mesenchymal Stem Cells Adipogenic Differentiation Kit (see Table of Materials) is often used according to the guidelines.
- Place the Fetal Bovine Serum (a component of the Kit, referred to as serum) in the 4 °C refrigerator for at least 6 h before complete thawing.
- Place Supplement A-I (component of the Kit) in the 4° C refrigerator at least 30 min before preparation; place Supplement A-II (component of the Kit) at room temperature until fully thawed.
- Invert or gently tap the reagent tube to mix the contents.
- Centrifuge the Supplement A-II reagent tube at 300 × g for 30 s at room temperature to ensure the reagent collects at the bottom for easy retrieval.
- Clean the outer packaging of all components thoroughly with 75% medical alcohol and open them in a biosafety cabinet.
- Add serum, Supplement A-I, and Supplement A-II into the Medium.
NOTE: To ensure proper dissolution, preheat the Basal Medium (a component of the Kit) to 37 °C, or Supplement A-II may precipitate due to cold exposure.
- Use a small amount of Basal Medium to rinse each bottle and tube, making sure to transfer all components into the Basal Medium.
- Secure the cap on the Basal Medium bottle and shake gently to mix thoroughly.
- Seal the bottle with paraffin film, wrap it in aluminum foil, and label it with the name, preparation date, and other details.
12. Preparation of adipogenic induction differentiation media B for BMSCs
- Place the Fetal Bovine Serum in the 4 °C refrigerator for at least 6 h before complete thawing.
- Place Supplement B (a component of the Kit) in a 4 °C refrigerator until it is completely thawed for at least 30 min before preparation.
- Invert or gently tap the reagent tube to mix the contents.
- Centrifuge the Supplement B tube to concentrate the reagent at the bottom for easier collection.
- Clean the outer packaging of all components thoroughly with 75% medical alcohol and open them in a biosafety cabinet.
- Add serum and Supplement B into the Basal Medium.
- Use a small portion of the Basal Medium to wash each bottle and tube, ensuring all components are fully transferred to the medium.
- Secure the cap on the Basal Medium bottle and shake gently to mix thoroughly.
- Seal the bottle with parafilm, wrap it in aluminum foil, and label it with the name, preparation date, and other details.
13. Adipocyte differentiation of BMSCs
- Add 1 mL of 0.1% gelatin to a six-well plate, shaking it to evenly coat the bottom of each well.
- Place the six-well plate coated with 0.1% gelatin in a sterile hood or CO2 incubator for at least 30 min.
- Aspirate the gelatin, and the plate is ready for cell seeding, or wait for the wells to dry before seeding after 30 min.
- Seed the P3 BMSCs at a density of 4 × 104 cells/cm2 in each well of the six-well plate, adding 2 mL of complete medium to each well.
- Incubate the cells at 37 °C in a CO2 incubator with 5% CO2 and saturated humidity.
- Aspirate the medium carefully and add 2 mL of adipogenic differentiation induction medium A to each well when the cells reach 100% confluence.
- Aspirate medium A from the wells after 3 days of induction, and add 2 mL of adipogenic differentiation medium B.
- Aspirate medium B after 1 day, and switch back to medium A for further induction.
- Alternate between medium A and B, and observe the cells daily. If cell contraction or death occurs during induction with medium A, switch to medium B promptly.
- Repeat the induction and maintenance process until a sufficient number of lipid droplets of appropriate size appear, and then prepare for staining.
14. Oil Red O (ORO) staining
NOTE: Perform all procedures as gently as possible to avoid detachment of the lipid droplets.
- Aspirate the adipogenic induction differentiation medium from the 6-well plate after the adipogenic induction differentiation is completed and gently wash with 1×PBS 2–3 times.
- Add 2 mL of 10% neutral buffered formalin per well, and fix for 20 min at room temperature.
- Prepare Oil Red O working solution by mixing Oil Red O stock with distilled water in a 3:2 ratio. After mixing, centrifuge at 250 × g for 4 min and use the supernatant.
- Aspirate the fixative and gently wash with PBS 2–3 times, ensuring thorough removal of the fixative.
- Add 0.8 mL of red O stain solution to each well, leave at room temperature for 30 min.
- Aspirate the stain solution, wash twice with 1 mL 75% ethanol.
- Add 1 mL of hematoxylin counterstain to each well for 2 min, then aspirate.
- Add 2 mL of PBS to each well and observe the adipogenic staining results under a microscope.
- Seal the stained six-well plate with parafilm and store at 4 °C.
NOTE: Do not store for more than 1 week. The lipid droplets may fuse, losing the staining state.