Name: Gene Expression Analyses in Human Follicles (Video) | JoVE Journal
Uploaded: 2023-02-17T14:30:00.000+00:00
Duration: 9 min 9 s
Description: Learn to isolate human ovarian follicles from frozen-thawed cortical tissue using controlled enzymatic and mechanical techniques. This protocol enables gene expression analyses while preserving follicle integrity for reproductive biology research.

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5 minutes

This work was supported by an Excellence of Science (EOS) grant (ID: 30443682). I.D. is an associate researcher at Fonds National de la Recherche Scientifique de Belgique (FNRS).

This project was approved by the Erasme Hospital Ethical Committee (Brussels, Belgium). The patient included in this protocol underwent ovarian tissue cryopreservation (OTC) for fertility preservation before chemotherapy exposure in 2000. The patient signed informed written consent to donate her residual frozen tissue to research at the end of the storage period.
1. Thawing of cryopreserved ovarian tissue
<ol>
	<li>Prepare a 6-well plate containing five thawing solutions. The first well contains 5 mL of cryoprotectant solution composed of Leibovitz-15 medium, 0.1 mol/L sucrose, 1.5 mol/L dimethyl sulfoxide (DMSO), and 1% human serum albumin (HSA). The next wells contain 5 mL of Leibovitz-15 medium with decreasing concentrations of cryoprotectant: 1 mol/L, 0.5 mol/L, and 2 x 0 mol/L DMSO. 
	NOTE: The cryoprotectant solution can differ according to the protocol used in the fertility clinic.</li>
	<li>Remove a vial containing an ovarian cortical fragment from liquid nitrogen in compliance with safety rules (cryogenic gloves, protective glasses, and closed shoes), and keep the tube at room temperature (RT) for 30 s.</li>
	<li>Soak the vial in double-distilled water for 2 min at RT with gentle agitation before opening the vial under a vertical hood and directly transferring it into the first well of the 6-well plate (on ice).</li>
	<li>Transfer the fragment successively into each well of the 6-well plate, with each containing decreasing concentrations of cryoprotectant in 5 mL of Leibovitz-15 medium. Gently agitate the tissue in each medium for 5 min (on ice).</li>
</ol>
2. Follicle isolation
NOTE: All experiments are conducted using RNase-free materials and under a vertical hood.
<ol>
	<li>Transfer the thawed tissue into a 2 mm gridded Petri dish filled with 10 mL of dissection medium (Leibovitz-15 medium, sodium pyruvate [2 mmol/L], L-glutamine [2 mmol/L], HSA [0.3%], penicillin G [30 &#181;g/mL], and streptomycin [50 &#181;g/mL]). Adjust the size of the tissue with a scalpel if necessary. 
	NOTE: Depending on the clinical protocol, the size of the frozen tissue can vary from 8 mm x 4 mm x 1 mm to 4 mm x 2 mm x 1 mm. For this protocol, two strips of 4 mm x 2 mm x 1 mm were used.</li>
	<li>Pile up the three pieces of the tissue slicer, put the fragment between the two blocks, and cut the fragment in half using a blade, sliding through the blocks to obtain two fragments of 0.5 mm thickness.</li>
	<li>Use the tissue chopper to cut the fragment and obtain smaller pieces. If necessary, cut the remaining pieces manually with a scalpel until the tissue is totally shattered.</li>
	<li>Transfer the fragmented tissue into a gridded Petri dish filled with 7 mL of digestion medium (culture medium [McCoy&#39;s 5A medium, 3 mmol/L glutamine, 0.1% HSA, 30 &#181;g/mL penicillin G, 50 &#181;g/mL streptomycin, 2.5 &#181;g/mL transferrin, 4 ng/mL selenium, and 50 &#181;g/mL ascorbic acid] supplemented with 0.2 % collagenase and 0.02% DNase).</li>
	<li>Put the dish in the incubator at 5% CO2 and 37 &#176;C. Every 10 min, take the Petri dish out of the incubator, and flush the tissue by pipetting up and down with a 1 mL pipette.</li>
	<li>After 45 min of incubation in the digestion medium, place the dish under a stereomicroscope with a magnification range of 5x-6.3x, and retrieve the follicles using a microcapillary pipette. Select the follicles of interest, and isolate them by sucking them up with a mouth pipette. 
	NOTE: Mouth pipetting should be performed carefully to avoid the loss of material into the pipe and contamination.</li>
	<li>If the follicles remain stuck in a piece of cortex, isolate them mechanically with two 27 G syringes by ripping the cortex off with the tip of the syringes to release follicles from the stroma. 
	NOTE: Do not touch the follicles with the syringes to avoid damaging them.</li>
	<li>Transfer the follicles with the microcapillary in a 4-well plate containing drops of 15 &#181;L of the calibrated culture medium covered by 500 &#181;L of oil culture (1 to 10 follicles per drop). This step maintains the follicle viability during the collection process. At the end of the procedure, rinse the follicles twice for 5 s each time into two drops of 15 &#181;L of phosphate-buffered saline solution (PBS) covered by 500 &#181;L of oil culture (on ice).</li>
	<li>Collect 20 follicles with a minimal quantity of PBS using the mouth pipette (maximum 10 &#181;L) in an empty tube, and keep the tube on ice. 
	NOTE: For RNA stability, it is crucial to perform step 2.8 and step 2.9 on ice. Around 20 follicles (&#60;75 &#181;m) are needed to have enough RNA for standard RT-qPCR (SYBR Green).</li>
	<li>After a maximum of 90 min of incubation in the digestion medium, stop the enzymatic reaction by adding into the Petri dish an excess of cold (4 &#176;C) blocking solution (7.5 mL) composed of culture medium supplemented with 10% fetal bovine serum (FBS). 
	&#8203;NOTE: The blocking solution can be added as soon as the experimenter observes follicles sticking on the plate or damaged follicles (asymmetric shape or darker-colored follicles). It is advised to perform follicle isolation within a maximum period of 2.5 h to avoid follicular damage and to perform RNA extraction immediately after isolation.</li>
</ol>
3. RNA extraction
NOTE: RNA extraction is performed following the instructions provided with an RNA extraction kit by adapting the elution volumes.
<ol>
	<li>Suspend the isolated follicles by adding 100 &#181;L of the lysis solution provided with the RNA extraction kit to the tube containing the follicles under a chemical hood, and vortex at a high speed (2,500 rpm/min) to break the structure of the follicles. Add 50 &#181;L of ethanol (100%) to the tube, and briefly vortex at a high speed. 
	NOTE: As the lysis buffer contains 2-mercaptoethanol and thiocyanic acid, this step must be performed with caution under a chemical hood.</li>
	<li>Transfer the total volume of the tube (approximately 160 &#181;L) to a microfilter cartridge assembly comprising a column and a collection tube, and centrifuge it for 10 s at 16,363 x g at 4 &#176;C. Wash the column with 180 &#181;L of wash solution 1, provided with the kit, and centrifuge the tube for 10 s at 16,363 x g at 4 &#176;C.</li>
	<li>Add 180 &#181;L of wash solution 2/3, provided with the kit, to the column, and centrifuge for 10 s at 16,363 x g at 4 &#176;C. Perform this step twice. Centrifuge the tube one last time for 1 min to dry the filter, and place a new collection tube under the cartridge.</li>
	<li>Perform the elution of the nucleic acids in two steps:
	<ol>
		<li>First, add 8 &#181;L of warm elution solution (75 &#176;C) to the filter, wait for 1 min at RT, and centrifuge for 30 s at 16,363 x g at 4 &#176;C.</li>
		<li>Repeat this step with 7 &#181;L of elution solution. 
		NOTE: The tube containing the eluted nucleic acids must be kept on ice. To avoid DNA contamination, a supplemental step of DNA degradation is highly recommended-step 3.5.</li>
	</ol>
	</li>
	<li>Incubate the tube with 2 IU DNase and 1x DNase buffer for 20 min at 37 &#176;C. Block the enzymatic activity with 1/10 DNase inactivation reagent for 2 min at RT.</li>
	<li>Centrifuge the tube for 1.5 min at 16,363 x g at 4 &#176;C. Finally, collect the suspension containing the RNA, and transfer it to a new tube.</li>
	<li>Assess the quantity of RNA present in the sample by using a spectrophotometer (NanoDrop 2000 software &#62; Nucleic Acid &#62; RNA). Use 1 &#181;L of elution solution as a blank, and measure the RNA quantity extracted from isolated follicles with 1 &#181;L of solution.</li>
	<li>Check the 260/280 ratio for RNA purity (around 2.0). Store the sample at &#8722;80 &#176;C, or directly retrotranscribe it to perform RT-qPCR. 
	NOTE: To assess the RNA integrity, the sample can be processed with a high-resolution automated electrophoresis system before or after freezing at &#8722;80 &#176;C. In this work, following retrotranscription, RT-qPCR was performed with the following cycle: 
	Hold stage with 20 s at 50 &#176;C and 10 min at 95 &#176;C 
	40&#160;PCR cycles with 15 s at 95 &#176;C and 1 min at 60 &#176;C 
	Melt curve stage with 15 s at 95 &#176;C, 1 min at 60 &#176;C, 30 s at 95 &#176;C, and 15 s at 60 &#176;C</li>
</ol>

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</ol>

The authors declare no competing interests.

The cryopreservation of ovarian tissue is a promising approach for preserving the fertility of cancer patients. In the clinic, thawed cortical tissue is grafted back into the patient after remission, allowing the resumption of ovarian function and fertility19,20. Besides clinical use, residual ovarian fragments may also be donated for research at the end of the storage period to study the mechanisms regulating folliculogenesis. Moreover, this tissue is particular...

The ovary is a complex organ composed of functional and structural units, including the follicles within the cortex and the stroma. Folliculogenesis, the process of follicle activation, growth, and maturation from a primordial quiescent state to a mature follicle able to be fertilized and to support early embryonic development, is widely studied in research1. Unraveling the mechanisms driving this phenomenon could improve fertility care for women2. Analyses on fixed human tissue allow the assessment of protein expression and gene localization within the functional units of the ovary3,4. However, specific techniques are needed to dissociate the follicles from the surrounding cortex to accurately assess gene expression levels within the ovarian follicles. Hence, in a previous study, a follicle isolation technique was developed to allow analyses of gene expression directly from the functional unit of the ovary5. Different approaches have been developed, such as enzymatic digestion and/or mechanical isolation, as well as laser capture microdissection, that allow follicle isolation within a piece of tissue6,7,8,9. Follicle isolation is widely used, either with human or animal ovarian tissue, to evaluate the gene expression profiles of follicles at all stages of development10,11,12. However, an optimal isolation procedure should take into account the fragile structure of the follicle within the dense cortex and, therefore, should be performed with care to avoid any damage7. This manuscript describes a procedure, adapted from a protocol described by Woodruff&#39;s laboratory, to isolate human follicles from frozen-thawed ovarian cortex in order to perform gene expression analyses13.
The first step of ovarian follicle isolation from frozen human tissue is the thawing procedure. This process is performed based on the clinical protocol used for the grafting of cryopreserved ovarian tissue, as previously described14,15. The process aims to remove the cryoprotectant agents by rinsing the ovarian cortex in decreasing concentrations of the medium. Then, the tissue is fragmented before enzymatic and mechanical isolation to retrieve the follicles. Follicles at different stages can be distinguished using a stereomicroscope with high magnification and good-quality optics in order to isolate the ones of interest. Each isolated follicle is measured using a ruler integrated into the microscope, and the follicles can be pooled according to their developmental stage: primordial follicles (30 &#181;m), primary follicles (60 &#181;m), secondary follicles (120-200 &#181;m), and antral follicles (&#62;200 &#181;m)16. Further classification can be performed according to the morphology of the follicles: primordial follicles have one layer of flattened granulosa cells (GCs), primary follicles have one layer of cuboidal GCs, secondary follicles have at least two layers of cuboidal GCs, and the presence of a cavity among the GCs characterizes the antral stage. When follicles of interest are selected, RNA extraction is performed. The RNA quantity and quality are evaluated prior to real-time quantitative polymerase chain reaction (RT-qPCR) (Figure 1).

<table><tbody><tr><td>2 mm gridded Petri dish</td><td>Corning</td><td>430196</td><td></td></tr><tr><td>2100 Bioanalyzer instrument</td><td>Agilent</td><td>G2939BA</td><td></td></tr><tr><td>2100 Expert software</td><td>Agilent</td><td>version B.02.08.SI648</td><td></td></tr><tr><td>4-wells plate</td><td>Sigma Aldrich</td><td>D6789</td><td></td></tr><tr><td>6-wells plate</td><td>Carl Roth</td><td>&amp;nbsp;EKX5.1</td><td></td></tr><tr><td>Agilent total RNA 6000 pico kit</td><td>Agilent</td><td>5067-1513</td><td></td></tr><tr><td>Ascorbic acid</td><td>Sigma Aldrich</td><td>A4403</td><td></td></tr><tr><td>Aspirator tube assemblies for microcapillary pipettes</td><td>Sigma Aldrich</td><td>A5177</td><td></td></tr><tr><td>Centrifuge</td><td>Eppendorf</td><td>5424R</td><td></td></tr><tr><td>Collagenase IV</td><td>LifeTechnologies</td><td>17104-019</td><td></td></tr><tr><td>DMSO</td><td>Sigma Aldrich</td><td>D2650</td><td></td></tr><tr><td>DNase</td><td>Sigma Aldrich</td><td>D4527-10kU</td><td></td></tr><tr><td>FBS</td><td>Gibco</td><td>10270-106</td><td></td></tr><tr><td>GoScript reverse transcriptase</td><td>Promega</td><td>A5003</td><td></td></tr><tr><td>HSA</td><td>CAF DCF&amp;nbsp;</td><td>LC4403-41-080</td><td></td></tr><tr><td>Leibovitz-15</td><td>LifeTechnologies</td><td>11415-049</td><td></td></tr><tr><td>L-Glutamine</td><td>Sigma Aldrich</td><td>G7513</td><td></td></tr><tr><td>McCoy&amp;rsquo;s 5A + bicarbonate + Hepes</td><td>LifeTechnologies</td><td>12330-031</td><td></td></tr><tr><td>McIlwain tissue chopper</td><td>Stoelting</td><td>51350</td><td></td></tr><tr><td>Microcapillary RI EZ-Tips 200 &amp;micro;m</td><td>CooperSurgical</td><td>7-72-2200/1</td><td></td></tr><tr><td>Microcapillary RI EZ-Tips 75 &amp;micro;m</td><td>CooperSurgical</td><td>7-72-2075/1</td><td></td></tr><tr><td>NanoDrop 2000/2000c operating software</td><td>ThermoFisher</td><td>version 1.6</td><td></td></tr><tr><td>NanoDrop spectrophotometer</td><td>ThermoFisher</td><td>2000/2000c</td><td></td></tr><tr><td>Penicillin G</td><td>Sigma Aldrich</td><td>P3032</td><td></td></tr><tr><td>PowerTrack SYBR green master mix</td><td>ThermoFisher</td><td>A46109</td><td></td></tr><tr><td>Primers: &lt;em&gt;GDF9&lt;/em&gt;</td><td></td><td></td><td>F: CCAGGTAACAGGAATCCTTC R: GGCTCCTTTATCATTAGATTG</td></tr><tr><td>Primers: &lt;em&gt;HPRT&lt;/em&gt;</td><td></td><td></td><td>F: CCTGGCGTCGTGATTAGTGAT R: GAGCACACAGAGGGCTACAA</td></tr><tr><td>Primers: &lt;em&gt;Kit Ligand&lt;/em&gt;</td><td></td><td></td><td>F: TGTTACTTTCGTACATTGGCTGG R: AGTCCTGCTCCATGCAAGTT</td></tr><tr><td>Real-Time qPCR Quantstudio 3</td><td>ThermoFisher</td><td>A33779</td><td></td></tr><tr><td>RNAqueous-micro total RNA isolation kit</td><td>ThermoFisher</td><td>AM1931</td><td></td></tr><tr><td>Selenium</td><td>Sigma Aldrich</td><td>S9133</td><td></td></tr><tr><td>Sodium pyruvate</td><td>Sigma Aldrich</td><td>S8636</td><td></td></tr><tr><td>Stereomicroscope</td><td>Nikon</td><td>SMZ800</td><td></td></tr><tr><td>Streptomycine sulfate</td><td>Sigma Aldrich</td><td>S1277</td><td></td></tr><tr><td>Sucrose</td><td>Sigma Aldrich</td><td>S1888</td><td></td></tr><tr><td>Thermo Scientific Forma Series II&amp;nbsp; water-jacketed CO&lt;sub&gt;2&lt;/sub&gt;&amp;nbsp;incubators</td><td>ThermoFisher</td><td>3110</td><td></td></tr><tr><td>Thomas Stadie-Riggs tissue slicer</td><td>Thomas Scientific</td><td>6727C10</td><td></td></tr><tr><td>Transferrin</td><td>Roche&amp;nbsp;</td><td>10652202001</td><td></td></tr></tbody></table>

gene expression analyses in human follicles

Gene Expression Analyses in Human Follicles

The ovary is a heterogeneous organ composed of different cell types. To study the molecular mechanisms occurring during folliculogenesis, the localization of proteins and gene expression can be performed on fixed tissue. However, to properly assess gene expression levels in a human follicle, this complex and delicate structure must be isolated. Hence, an adapted protocol previously described by Woodruff&#39;s laboratory has been developed to separate follicles (the oocyte and the granulosa cells) from their surrounding environment. The ovarian cortical tissue is first manually processed to obtain small fragments using two tools: a tissue slicer and a tissue chopper. The tissue is then enzymatically digested with 0.2% collagenase and 0.02% DNase for at least 40 min. This digestion step is performed at 37 &#176;C and 5% CO2 and is accompanied by mechanical pipetting of the medium every 10 min. After incubation, the isolated follicles are collected manually using a calibrated microcapillary pipette under microscope magnification. If follicles are still present in the pieces of tissue, the procedure is completed with manual microdissection. The follicles are collected on ice in a culture medium and are rinsed twice in droplets of phosphate-buffered saline solution. This digestion procedure must be carefully controlled to avoid follicle deterioration. As soon as the structure of the follicles appears to be compromised or after a maximum of 90 min, the reaction is stopped with a 4 &#176;C blocking solution containing 10% fetal bovine serum. A minimum of 20 isolated follicles (sized under 75 &#181;m) should be collected to obtain an adequate amount of total RNA after RNA extraction for real-time quantitative polymerase chain reaction (RT-qPCR). After extraction, the quantification of total RNA from 20 follicles reaches a mean value of 5 ng/&#181;L. The total RNA is then retrotranscribed into cDNA, and the genes of interest are further analyzed using RT-qPCR.

Using this isolation procedure, the experimenter can retrieve follicles from the stromal environment to perform specific gene expression analyses. Based on the size and morphology of the follicles, it is possible to differentiate the different stages of folliculogenesis. The experimenter can select follicles of interest according to their size using an adapted microcapillary pipette. By using a microcapillary of maximum 75 µm, it is possible to discriminate primordial and primary follicles from secondary, antral, and mat...

Here, we describe a protocol outlining how to isolate human ovarian follicles from frozen-thawed cortical tissue to perform gene expression analyses.

The ovary is a heterogeneous organ composed of different cell types. To study the molecular mechanisms occurring during folliculogenesis, the localization ...

gene-expression-analyses-in-human-follicles

Research

JoVE Journal

Developmental Biology

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Advancing the study of preantral folliculogenesis requires efficient methods of follicle isolation from single ovaries. Presented here is a streamlined, mechanical protocol for follicle isolation from bovine ovaries using a tissue chopper and homogenizer. This method allows collection of a large number of viable preantral follicles from a single ovary.

Isolation of Small Preantral Follicles from the Bovine Ovary Using a Combination of Fragmentation, Homogenization, and Serial Filtration

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Cell-Specific Paired Interrogation of the Mouse Ovarian Epigenome and Transcriptome

This article presents a co-culture model of bovine theca and granulosa cells. This method has the potential to serve as a reliable foundation for analyses focused on the study of paracrine communication and substrate transport between the somatic cells within the follicle.

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Multi-target Chromogenic Whole-mount In Situ Hybridization for Comparing Gene Expression Domains in Drosophila Embryos

Learn to isolate human ovarian follicles from frozen-thawed cortical tissue using controlled enzymatic and mechanical techniques. This protocol enables gene expression analyses while preserving follicle integrity for reproductive biology research.

Gene Expression Analyses in Human Follicles

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