International Society for the Advancement of Cytometry cell sorter biosafety standards.

Flow cytometric cell sorting of biological specimens has become prevalent in basic and clinical research laboratories. These specimens may contain known or unknown infectious agents, necessitating precautions to protect instrument operators and the environment from biohazards arising from the use of sorters. To this end the International Society of Analytical Cytology (ISAC) was proactive in establishing biosafety guidelines in 1997 (Schmid et al., Cytometry 1997;28:99-117) and subsequently published revised biosafety standards for cell sorting of unfixed samples in 2007 (Schmid et al., Cytometry Part A J Int Soc Anal Cytol 2007;71A:414-437). Since their publication, these documents have become recognized worldwide as the standard of practice and safety precautions for laboratories performing cell sorting experiments. However, the field of cytometry has progressed since 2007, and the document requires an update. The new Standards provides guidance: (1) for laboratory design for cell sorter laboratories; (2) for the creation of laboratory or instrument specific Standard Operating Procedures (SOP); and (3) on procedures for the safe operation of cell sorters, including personal protective equipment (PPE) and validation of aerosol containment.

Human CD1c (BDCA-1)+ myeloid dendritic cells secrete IL-10 and display an immuno-regulatory phenotype and function in response to Escherichia coli.

Human blood myeloid DCs can be subdivided into CD1c (BDCA-1)(+) and CD141 (BDCA-3)(+) subsets that display unique gene expression profiles, suggesting specialized functions. CD1c(+) DCs express TLR4 while CD141(+) DCs do not, thus predicting that these two subsets have differential capacities to respond to Escherichia coli. We isolated highly purified CD1c(+) and CD141(+) DCs and compared them to in vitro generated monocyte-derived DCs (MoDCs) following stimulation with whole E. coli. As expected, MoDCs produced high levels of the proinflammatory cytokines TNF, IL-6, and IL-12, were potent inducers of Th1 responses, and processed E. coli-derived Ag. In contrast, CD1c(+) DCs produced only low levels of TNF, IL-6, and IL-12 and instead produced high levels of the anti-inflammatory cytokine IL-10 and regulatory molecules IDO and soluble CD25. Moreover, E. coli-activated CD1c(+) DCs suppressed T-cell proliferation in an IL-10-dependent manner. Contrary to their mouse CD8(+) DC counterparts, human CD141(+) DCs did not phagocytose or process E. coli-derived Ag and failed to secrete cytokines in response to E. coli. These data demonstrate substantial differences in the nature of the response of human blood DC subsets to E. coli.

Flow cytometry measurement of bone marrow perfusion in the mouse and sorting of progenitors and stems cells according to position relative to blood flow in vivo.

Identification of the precise location, where hematopoietic stem cells (HSCs) reside in the bone marrow, has made a great leap forward with the advance of live time-lapse video 2-photon fluorescent microscopy. These studies have shown that HSCs preferentially resides in the endosteal region of the BM, at an average of two cell diameters from osteoblasts covering endosteal bone surfaces. However, this equipment is very sophisticated and only a very few laboratories can perform these studies. To investigate functional attributes of these niches, we have developed a flow cytometry technique in which mice are perfused with the cell-permeable fluorescent dye Hoechst33342 in vivo before bone marrow cells are collected and antibody stained. This method enables to position phenotypic HSC, multipotent and myeloid progenitors, as well as BM nonhematopoietic stromal cells relative to blood flow in vivo. This technique enables prospective isolation of HSCs based on the in vivo perfusion of the niches in which they reside.

T cell transfer model of colitis: a great tool to assess the contribution of T cells in chronic intestinal inflammation.

Inflammatory bowel diseases (IBD) consist of Crohn's disease (CD) and ulcerative colitis (UC) affecting about 0.1% of the western population. These two chronic gut diseases affect youth at their prime of life causing diarrhoea, intestinal bleeding, and severe gut discomfort. Mouse models of colitis have been major tools in understanding the pathogenesis of IBD. A number of mouse models are available to assess the contribution of T cells in the pathogenesis of CD and UC. Among these, the T cell transfer model of colitis is the most widely used model to dissect the initiation, induction, and regulation of immunopathology in chronic colitis mediated by T cells. The methodology below describes the classification of various animal models and explains the T cell transfer model in detail, including flow cytometry-based isolation of naïve T cells that are used in the transfer, immunological concepts, detailed immune-pathological assessment, shortcomings of the model, and the latest improvements to this colitis model. A special focus is paid to the utilisation of the T cell transfer model in delineating the immunopathology in a primary epithelial defect model of colitis, namely Winnie.

Human CD141+ (BDCA-3)+ dendritic cells (DCs) represent a unique myeloid DC subset that cross-presents necrotic cell antigens.

The characterization of human dendritic cell (DC) subsets is essential for the design of new vaccines. We report the first detailed functional analysis of the human CD141+ DC subset. CD141+ DCs are found in human lymph nodes, bone marrow, tonsil, and blood, and the latter proved to be the best source of highly purified cells for functional analysis. They are characterized by high expression of toll-like receptor 3, production of IL-12p70 and IFN-beta, and superior capacity to induce T helper 1 cell responses, when compared with the more commonly studied CD1c+ DC subset. Polyinosine-polycytidylic acid (poly I:C)-activated CD141+ DCs have a superior capacity to cross-present soluble protein antigen (Ag) to CD8+ cytotoxic T lymphocytes than poly I:C-activated CD1c+ DCs. Importantly, CD141+ DCs, but not CD1c+ DCs, were endowed with the capacity to cross-present viral Ag after their uptake of necrotic virus-infected cells. These findings establish the CD141+ DC subset as an important functionally distinct human DC subtype with characteristics similar to those of the mouse CD8alpha+ DC subset. The data demonstrate a role for CD141+ DCs in the induction of cytotoxic T lymphocyte responses and suggest that they may be the most relevant targets for vaccination against cancers, viruses, and other pathogens.

Positioning of bone marrow hematopoietic and stromal cells relative to blood flow in vivo: serially reconstituting hematopoietic stem cells reside in distinct nonperfused niches.

Hematopoietic stem cell (HSC) niches have been reported at the endosteum or adjacent to bone marrow (BM) vasculature. To investigate functional attributes of these niches, mice were perfused with Hoechst 33342 (Ho) in vivo before BM cell collection in presence of pump inhibitors and antibody stained. We report that the position of phenotypic HSCs, multipotent and myeloid progenitors relative to blood flow, follows a hierarchy reflecting differentiation stage, whereas mesenchymal stromal cells are perivascular. Furthermore, during granulocyte colony-stimulating factor-induced mobilization, HSCs migrated closer to blood flow, whereas stromal cells did not. Interestingly, phenotypic Lin(-)Sca1(+)KIT(+)CD41(-)CD48(-)CD150(+) HSCs segregated into 2 groups (Ho(neg) or Ho(med)), based on degree of blood/Ho perfusion of their niche. HSCs capable of serial transplantation and long-term bromodeoxyuridine label retention were enriched in Ho(neg) HSCs, whereas Ho(med) HSCs cycled more frequently and only reconstituted a single host. This suggests that the most potent HSC niches are enriched in locally secreted factors and low oxygen tension due to negligible blood flow. Importantly, blood perfusion of niches correlates better with HSC function than absolute distance from vasculature. This technique enables prospective isolation of serially reconstituting HSCs distinct from other less potent HSCs of the same phenotype, based on the in vivo niche in which they reside.

Variability in techniques and patient safety protocols in discography: a national multispecialty survey of International Spine Intervention Society members.

STUDY DESIGN: National survey. OBJECTIVE: (1) Characterize the way discography is being carried out and by which specialties. (2) Quantify adherence to the International Spine Intervention Society (ISIS) guidelines. (3) To see if there is experience or specialty differences in technique. BACKGROUND: Discography is a controversial diagnostic tool that attempts to correlate disc morphology to concordant pain. It is increasingly performed by different specialties as a prelude to fusion, disc replacement, and percutaneous intradiscal procedures. A consensus committee of the ISIS has published guidelines for performing discography to increase diagnostic accuracy, standardize technique, and improve patient safety. This survey wishes to see how closely these guidelines are followed. METHODS: In all, 500 members of the ISIS were randomly selected to receive a 13-item questionnaire. The questions included the following demographic information: specialty, number of discograms in 1 year (<15, 15-50, >50). Patient safety questions included the following: use of preoperative antibiotics, intradiscal antibiotics, postoperative antibiotics, and use of double needle technique. Technical questions included the following: needle entry on the opposite site of symptoms, injecting the control disc first, using manometry to record opening pressure, using manometry to record pressure on pain reproduction, injecting discs adjacent to the painful disc, and using pain assessment forms. Comparison of responses was made between specialties. Responses to the questions were also compared based on the number of procedures performed per year. RESULTS: The response rate to the questionnaire was 34.6%. Of the 173 respondents, the following specialties were represented: 100 (57.8%) Anesthesiology, 53 (30.6%) Physical Medicine and Rehabilitation (PMR), 16 (9.2%) Radiology, 4 (2.3%) Other. Number of procedures carried out was as follows: <15 (22.54%), 15 to 50 (50.86%), >50 (26.58%). The adherence to patient safety guidelines were as follows: preoperative antibiotics (83.81%), intradiscal antibiotics (84.97%), postprocedure antibiotics (9.82%), use of double needle technique (64.16%). The adherence to technical guidelines were as follows: optional use of computed tomography scan (64.78%), pain assessment sheet (66.47%), entering on the side opposite symptoms (48.55%), manometry for opening pressure (65.31%), manometry of pain reproduction pressure (72.25%), injecting a control disc first (78.61%), injecting discs adjacent to the painful disc (56.64%). Significant differences across Anesthesiology, PMR, and Radiology were detected for computed tomography, intradiscal antibiotics, opening pressure, pain assessment form, and pain pressure measurement. There was no effect of volume of procedures done on overall adherence to guidelines. A significant interaction between specialty and number of procedures performed was detected for compliance with intradiscal antibiotics (P=0.092), opening pressure (P=0.027), and pain pressure (P=0.029) for respondents with >50 procedures. Respondents in Radiology were approximately 98% less likely to use intradiscal antibiotics compared with those in Anesthesiology (odds ratio, 0.019; 95% confidence interval, 0.001-0.264). PMR respondents were approximately 83% less likely than Anesthesiologists to use opening pressure (odds ratio, 0.168; 95% confidence interval, 0.035-0.82) when procedures were <15 per year. CONCLUSIONS: Discography is being performed by multiple different specialties: Anesthesiology, PMR, Radiology (highest to lowest in number, respectively). Overall adherence to guidelines pertaining to infection control was fair except for double needle technique which was poor. Adherence to guidelines that affect the diagnostic value was poor. There is specialty variation in adherence to guidelines and to a lesser extent volume based effect on compliance.

IL-16 regulation of human mast cells/basophils and their susceptibility to HIV-1.

AIDS patients often contain HIV-1-infected mast cells (MCs)/basophils in their peripheral blood, and in vivo-differentiated MCs/basophils have been isolated from the blood of asthma patients that are HIV-1 susceptible ex vivo due to their surface expression of CD4 and varied chemokine receptors. Because IL-16 is a ligand for CD4 and/or an undefined CD4-associated protein, the ability of this multifunctional cytokine to regulate the development of human MCs/basophils from nongranulated progenitors residing in cord or peripheral blood was evaluated. After 3 wk of culture in the presence of c-kit ligand, IL-16 induced the progenitors residing in the blood of normal individuals to increase their expression of chymase and tryptase about 20-fold. As assessed immunohistochemically, >80% of these tryptase(+) and/or chymase(+) cells expressed CD4. The resulting cells responded to IL-16 in an in vitro chemotaxis assay, and this biologic response could be blocked by anti-IL-16 and anti-CD4 Abs as well as by a competitive peptide inhibitor corresponding to a sequence in the C-terminal domain of IL-16. The additional finding that IL-16 induces calcium mobilization in the HMC-1 cell line indicates that IL-16 acts directly on MCs and their committed progenitors. IL-16-treated MCs/basophils also are less susceptible to infection by an M/R5-tropic strain of HIV-1. Thus, IL-16 regulates MCs/basophils at a number of levels, including their vulnerability to retroviral infection.

A quantitative cryo-scanning X-ray microanalysis protocol for the examination of the eye.

Analysis of elements present in fluids contained in small, poorly accessible sections of biological tissue is challenging. The choroid of the eye, which is a vascular tissue approximately 100 microm thick, surrounds the retina for the purposes of nutrient supply and metabolite removal, and which in the chick shows dramatic volumetric change in response to visual experiences. Because fluid homeostasis is critical to good vision, a complete understanding of the ionic changes driving large shifts in ocular fluids is required. However, the structure of the choroid and retina make extraction of pure fluids for analysis extremely difficult. Elemental x-ray analysis on a transverse chorioretinal specimen was performed after rapid freezing of a whole chick eye in liquid nitrogen, and mechanically fracturing the frozen globe. Using a Polaron Cryotrans System on a Cambridge S-360 scanning electron microscope and a Kevex Quantum detector, spectra were obtained for blood vessels, lymphatic vessels and vitreous that were readily visible at 265x. Analysis was performed on a frozen control solution of the elements found in the vessels. The elements and their concentrations found in blood vessels by x-ray analysis compared well with those from whole blood as established by conventional means. The analysis for lymph yielded results compatible with expectations; no other published data for small lymphatics enable a direct comparison. In conclusion, x-ray analysis can be used to acquire information that is otherwise unobtainable from tissue in situ. The same bulk-frozen elemental microanalysis protocol would have application to other organs and tissues when access to the site would destroy the integrity of the tissue under investigation.

The microaerophilic flagellate Giardia intestinalis: oxygen and its reaction products collapse membrane potential and cause cytotoxicity.

Trophozoites of the microaerophilic flagellate parasitic protozoon Giardia intestinalis have only a limited capacity to detoxify O(2). Thus, when exposed to controlled concentrations of dissolved O(2) >8 microM, they gradually lose their ability to scavenge O(2). In a washed cell suspension stirred under 10% air in N(2) (equivalent to 25 microM O(2)), inactivation of the O(2)-consuming system was complete after 3.5 h; during this period accumulation of H(2)O(2) (3 micromol per 10(6) organisms) and oxidation of cellular thiols to 16% of their initial level occurred. Under 20% air (50 microM O(2)), respiratory inactivation was complete after 1.5 h, and under air (258 microM O(2)), after 50 min. Loss of O(2)-consuming capacity was accompanied by loss of motility. Use of the fluorogen 2, 7-dichlorodihydrofluorescein acetate indicated that intracellular H(2)O(2) is produced at extranuclear sites. Flow cytometric estimation of the plasma membrane electrochemical potentials using bis(1,3-dibutylbarbituric acid) trimethine oxonol, DiBAC(4)(3), showed that values declined from -134 mV to -20 mV after 4.5 h aeration. Incubation of organisms with 60 microM H(2)O(2) for 10 min gave partial collapse of plasma membrane potential and complete loss of O(2) uptake capacity; motility and viability as assessed by DiBAC(4)(3) exclusion were completely lost after 1 h. Inactivation of the O(2)-consuming system and loss of viability were also observed on exposure to singlet oxygen photochemically generated from rose bengal or toluidine blue.