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Separation of the immune competent cells 8th seminar Cell separation Physical isolation of the cells of interest from a heterogeneous population Differences in the physical , biological or immunological properties of the cells are utilized to separate the cells (differences in cell surface receptor expression is often available – there is a possibility to further investigate the separated living cells ) physical – density, size cell biological – adherence, phagocytosis, sensitivity to the medium immunological – antigen differences (surface!) Characteristics of the separation: • purity • recovery, yield, loss • viability of the cells Separation Base strategies: positive separation – labeling and separation of the cells of interest e.g. Labeling of a cell surface molecule (receptor!) by a fluorescent antibody. The cells become affected both by the separation environment and the antibodies bound to the receptors. The purity of the separation is generally high. negative separation – get rid of the labeled unwanted cells (depletion) The cells become affected only by the separation environment This is the preferred strategy in the functional examinations. Peripheral blood is an easily accessible source for the separation of human immune cells Separation of the plasma from the cellular components: Separation by filtration (simple membrane or holofiber „membrane”) Pore diameter for plasma separation: 0.2 to 0.6μm The different density parts of the anticoagulated blood is separated to three parts in undisturbed tube: bottom: sedimented red blood cells top: cell free plasma the intermediate layer is called „buffy coat” contains the leukocytes, platelets The process can be accelerated by centrifugation Apheresis (ancient greek ἀφαίρεσις) -“to take away” Separating one particular component of the blood and returning the remainder to the circulation • Donor apheresis • Therapeutic apheresis Donor apheresis: • Plasmapheresis – processed (e.g. IVIG) or fresh frozen plasma for immunodefficient patients or in acute infections as passive immunization • Plateletapheresis (trombocytapheresis) – concentrated platelets for inherited or induced thrombocytopenia (infections, chemotherapy, irradiation) or in the case of thrombocyte disfunction • Red blood cells (erythrocytapheresis) - for patients with anemia (inherited or internal/external blood loss by surgery or trauma) • Leukapheresis – buffy coat, mainly for autotransplantation • isolating and protecting the leukocytes before chemotherapy • monocyte separation for dendritic cell therapy • leukapheresis after the mobilization of bone marrow stem cells – for stem cell therapy or bone marrow transplantation (autologous, allogeneic) Therapeutic apheresis: • Removing abnormal/disfunctional components of the blood (humoral or cellular) • Replacing a component with a healthy donor apheresis product • Blood component alteration (ex vivo therapy) • Leukapheresis – Extreme high leukocyte number can lead to hemostatic disorders in leukemia (accompanying shortness of breath, vision changes). Inflammatory cell number can be decreased in autoimmune chronic inflammatory diseases (ulcerative colitis, rheumatoid arthritis) • LDL apheresis – Removal of low density lipoprotein from the plasma in patients with familial hypercholesterolemia (adsorption with ApoB affinity column or precipitation with acetate) • Thrombocytapheresis – In essential trombocythemia/e.trombocytosis (rare disease) the disfunctional very high thrombocyte number (with thrombosis and bleedings) can be lowered rapidly in the rare cases of life threatening emergency situations • Erythrocytapheresis - Removing abnormal red blood cells in patients experiencing sickle cell crisis (in sickle-cell anemia) • Plasmaexchange – Removing/replacement the plasma with autoimmune antibodies in various autoimmune diseases (combined with immunosuppression) (eg. Myasthenia gravis, Guillain-Barré syndrome, lupus, Goodpasture syndrome, Antiphospholipid antibody syndrome, Behcet syndrome, etc….) • Immunoadsorption with protein A/G – removal of allo- and autoantibodies (in autoimmune diseases, transplant rejection, hemophilia) by directing plasma through protein A or G-agarose columns Continuous Flow Apheresis Systems Continuous Flow Centrifugation (CFC) Cross section representation of an old fashioned washable apheresis centrifuge bowl Thrombocytes and thrombocyte free plasma can be separated by appropriate CFC methods plasma, red blood cells, and buffy coat production by continuous flow centrifugation plasma production by filtration & WBC concentrated platelet production from pooled buffy coats Buffy coat contains too much erythrocytes to investigate the white blood cell part. Further separation is needed. Ficoll-Paque (1.077g/ml) (Nature Protocols http://www.nature.com/nprot/journal/v3/n6/images/nprot.2008.69-F1.jpg) Ficoll-Paque: density based cell separation peripheral blood pipettig the „ring” containing the mononuclear cells to a new tube centrifugation to get rid of ficoll plasma mononuclear cells (PBMC) ficoll pipetting cells on ficoll, or pipetting ficoll under the cells neutrophyl granulocytes Red blood cells separated cells Ficoll separation combined with rosette formation can be used for the depletion of unwanted cells negative separation Isolating or depleting adherent cells (negative and positive separation) Cheap, simple, but only for adharent cells. Low purity and recovery. Antibody ”panning” (negative and positive separation) coated antibodies Complement mediated lysis antibodies complement LYSIS (negative separation) (Red blood cells could be lysated in mild hypotonic ammonium-chloride buffer without any pretreatment) Simple magnetic cell separation Phagocyte cells can uptake small iron particles. These cells could be separated with a strong magnet. Magnetic immunoseparation (MACS) antigene specific antibody paramagnetic bead MACS Magnetic cell separation (MACS) separation of labeled cells (positive separation) MAGNET MAGNET column depleting or selecting unlabeled cells (negative separation) Magnetic column CliniMACS – closed system magnetic cell separator instruments CliniMACS Plus CliniMACS Prodigy MicroBeads are very small, usually don’t interfere with cellular functions. CD8+ T cells „DETACHaBEAD” Policlonal antibodies against the Fab fragment of the antigen specific antibodies can be produced (including anti-idiotype antibodies). These could compete with the cell surface antigens for binding to the „magnetic” antibodies. So the magnetic antibodies could detach from the cells. CD antigen cell type function ligand CD3 T cells TCR signalling - CD4 helper T sejtek, (monocytes, T cell coreceptor, (HIV receptor) MHC- II, HIV pDC) CD5 T cells, (B cell subset: B1) adhesion, activation signals CD72 CD8 cytotoxic T cells, (NK, T cells) T cell coreceptor MHC I CD14 monocytes, macrophages, some granulocytes LPS binding LPS, LBP CD19 B cells part of the B cell coreceptor CD28 T cells costimulatory signals to T cells (B7-1, B7-2) CD80, CD86 CD34 hematopoietic progenitor cell adhesion CD62L (L-selektin) (endothelial cells) CD56 CD80, CD86 (B7-1, -2) NK cell, (T and B cell subset) homoadhesion (N-CAM isoform) APC: DC, B, monocyte, macrophage costimulatory signals CD28, CD152 FACS Example: NKT cell separation (CD3/CD56) NKT cells NK cells lymphocytes Try to figure out how to achieve this by magnetic separation The fluid stream break up into dropplets by the vibration of the flow cell. breakoff point vibration (nozzle orifice of the flow cell) + + + + + + + + + Laser + charged deflection + plate + + If the wanted cell reach the breakoff point, the stream become charged for the short time of drop formation, and the formed drop become charged + + + + + - charged deflection plate - --- collection tube collection tube waste