这项研究已收到欧洲共同体第七框架计划 （FP7/2007年-2013 年） 的资助下赠款协议编号 305436 恒星。

The local medical ethical committee and ethical advisory board of the European consortium (STELLAR) approved the research and collection of human transplant grade kidneys discarded mainly for surgical reasons. Research consent was given for all kidneys.
1. Preparations for Cell Culture
<ol>
	<li>Prepare a pool of platelet lysates.
	<ol>
		<li>Store the platelets that have expired for less than 2 d in -80 &#176;C until use (for a maximum of 1 year). 
		NOTE: The platelets were originally sourced from a commercial vendor. Hospital surplus material distributed by the local blood bank were obtained.</li>
		<li>Thaw the platelets of at least 5 donors (preferably 10) O/N at 4 &#176;C.</li>
		<li>Pool the platelets in a large sterile bottle, transfer to conical centrifuge tubes and spin down for 10 min at 1,960 x g at 4 &#176;C. 
		NOTE: The volume of platelets depends on the number of donors and the amount of hospital surplus material per donor.</li>
		<li>Pipette the supernatant to blood bags (50 mL/bag) through the barrel of a 50 mL syringe. Store at -80 &#176;C.</li>
	</ol>
	</li>
	<li>Preparation of cell culture medium.
	<ol>
		<li>Defrost one bag of platelet lysates in a water bath at 37 &#176;C.</li>
		<li>Add 1 L (i.e. 2 bottles) of Minimum Essential Medium - alpha modification (alphaMEM), 5 mL 200 mM glutamine, and 20 mL of penicillin (5,000 U/mL)/streptomycin (5,000 &#181;g/mL) (pen/strep) to the bag.</li>
		<li>Incubate for 3 h at 37 &#176;C.</li>
		<li>Shake the bag for degelling by gently tapping on the bag when the bag is resting on a flat surface.</li>
		<li>Filter the 5% platelet lysates medium by pulling the lysates through the filter of the transfusion system with a sterile 50 mL syringe.</li>
		<li>Aliquot the medium in 50 mL tubes and store in -80 &#176;C until use. 
		NOTE: Every new batch of platelet lysates is tested in cell culture and compared to the previous batch by growing cells of interest (bmMSCs or kPSCs) to confluency in both batches. In cell numbers and viability, the kPSCs or bmMCs grown in the new batch should not differ more than 10%, and the marker expression of CD73, CD90, CD105 and CD31, CD34 and CD45 as analyzed by flow cytometry should not differ. The methods of cell culture are described in section 6 of the protocol (Culture of kPSC).</li>
	</ol>
	</li>
</ol>
2. Preparations for Cell Harvest
<ol>
	<li>Preparation of solutions.
	<ol>
		<li>Prepare the plain medium by adding 10 mL of pen/strep to 500 mL (1 bottle) of Dulbecco&#39;s Minimum Essential Medium (DMEM)-F12.</li>
		<li>Prepare the washing medium by adding 50 mL of Normal Human Serum (NHS) and 10 mL of pen/strep to 1 bottle of DMEM-F12.</li>
		<li>Prepare the enzyme-stock buffer by adding 2.9 mL 1 M 4-(2-hydroxyethyl)-1-piperazineethanesulfonic acid (HEPES), 1.2 mL NaHCO3 2.5% [w/v] and 160 &#181;L CaCl2 (1 M) to 160 mL University of Wisconsin solution.</li>
		<li>Prepare the collagenase solution by slowly adding 20 mL of enzyme stock buffer to the bottle of GMP-grade collagenase containing &#62;2,000 U/bottle collagenase. Dissolve at 4 &#176;C for approximately 40 min. Gently shake several times during the dissolving period.</li>
		<li>Prepare the freeze medium by adding 5 mL dimethyl sulfoxide (DMSO) to 45 mL NHS.</li>
	</ol>
	</li>
	<li>Preparation of perfusion tray (Figure 1A).
	<ol>
		<li>Clean the flow cabin and cover with surgical drapes. Heat a water bath to approximately 40 - 45 &#176;C to heat the perfusion tray to 37 &#176;C. Put on surgical gowns and surgical gloves.</li>
		<li>Connect a sterilized perfusion tray to the water bath to preheat the perfusion tray with warm water. Make sure that there is no air in the perfusion tray by starting with the perfusion tray in the vertical position. If necessary add more water to the water bath to prevent air infusion into the perfusion tray.</li>
		<li>Place the LS25 tube in the pump. Leave both sterile ends of the tube in the flow cabinet. Place a Kocher&#39;s forceps on one end of the tube and allow to rest on the bottom of the perfusion tray. Place a sterile gauze on top of the tube to prevent obstruction. Attach a Luer connector on the other tube end.</li>
		<li>Add approximately 100 mL of plain medium into the perfusion tray and start flushing the tube on a pump speed of 100 mL/min.</li>
	</ol>
	</li>
</ol>
3. Kidney Cell Isolation
<ol>
	<li>Preparation of the kidney.
	<ol>
		<li>Remove the kidney from the double sterile bags and place on the sterile perfusion tray (Figure 1B). Remove the perirenal adipose tissue and kidney capsule with scissors and gentle tearing (Figure 1C) and identify the renal artery on the aortic patch as shown in Figure 1D.</li>
		<li>Cannulate the renal artery with the accessory spike, fix with a sterilized tie-rip, and attach to the pump tube end with the Luer connector while the pump is on. If the tubes are not completely filled, first add more medium to the tray and flush tubes by starting the pump (Figure 1E - F). Flush the kidney with plain medium via the pump with a flow of 100 mL/min.</li>
	</ol>
	</li>
	<li>Collagenase treatment and kidney cell isolation.
	<ol>
		<li>Add collagenase (20 mL, &#62;2,000 U) and DNase (2.5 mL, 1 mg/mL) to the perfusion tray (Figure 1G). Turn the kidney from time to time gently by hand. Wait until the kidney becomes soft and the perfusion liquid becomes less transparent (approximately 30 - 40 min).</li>
		<li>Gently massage the kidney (Figure 1H) until a cell suspension is obtained (Figure 1I). Remove non-digested material and the spike in the renal artery.</li>
	</ol>
	</li>
	<li>Washing and collection of kidney cells.
	<ol>
		<li>Add 50 mL of the NHS to the cell suspension. Drain the cell suspension from the perfusion tray by putting the pump at low flow and placing the tube first connected to the kidney above the 50 mL tubes (Figure 1J).</li>
		<li>Centrifuge at 300 x g for 7 min at 4 &#730;C and remove the supernatant. Wash the pellets with washing medium containing 10% NHS and again centrifuge at 300 x g for 7 min. Repeat washing once more. Measure the volume of the cell pellets and add an equal volume of cell culture medium.</li>
		<li>Either cryopreserve the cells from here by adding freezing medium 1:1 to the cell suspension and store in cryogenic vials according to standard protocols, or continue to culture the cells (section 4). 
		NOTE: The cell suspension contains cell clumps and requires extra steps to obtain single cells, which results in an increase in cell death. Therefore, the cells are kept in suspension and are not counted at this stage.</li>
	</ol>
	</li>
</ol>
4. Cell Culture of Crude Kidney Cells
<ol>
	<li>Add approximately 1 mL of the cell suspension to 24 mL of alphaMEM 5% platelet lysates (cell culture medium) in a T175 cell culture flask (Figure 1K) and culture at 37 &#176;C, 5% CO2. Remove the medium and cell debris after 2 d&#160;from the adherent cells and refresh the medium with 25 mL of cell culture medium.</li>
	<li>Refresh the culture medium twice a week by removing half of the medium (12.5 mL) and adding fresh medium (12.5 mL) using aseptic techniques.</li>
	<li>Culture until confluent (usually 5 - 7 d) (Figure 1L). Remove the medium, wash twice with PBS and trypsinize the cells by adding 5 mL trypsin to each T175 flask for 5 min at 37 &#176;C. Wash in culture medium and centrifuge at 490 x g for 5 min and remove the supernatant.</li>
</ol>
5. Cell Enrichment for NG2 by Magnetic Cell Separation (Figure 1M)
<ol>
	<li>Prepare the cell separation buffer according to manufacturer&#39;s protocol.</li>
	<li>Resuspend the trypsinized kPSCs in 10 mL cell separation buffer. Centrifuge at 490 x g for 5 min, discard the supernatant and resuspend the cells in 300 &#181;L cell separation buffer.</li>
	<li>Add 100 &#181;L FcR blocking reagen/5 x 107 cells, add 100 &#181;L anti-melanoma (NG2) beads per 5 x 107 cells, and incubate for 30 min at 4 &#176;C. Separate the NG2-positive fraction according to manufacturer&#39;s protocol. Add 10 mL of medium and centrifuge cells for 5 min at 490 x g.</li>
	<li>Count the cells using a B&#252;rker counting chamber according to manufacturer&#39;s protocol. Seed the cells in a culture flask (approximately 4 x 103 cells/cm2) and incubate. 
	NOTE: Seed the cells in the following concentrations: &#60;250,000 in a T25 flask, 250,000 - 500,000 in a T75 flask, and 700,000 - 800,000 in a T175 flask. After magnetic cell enrichment, a positive fraction of approximately 1 - 2% is isolated. However, as this step is cell enrichment and not cell sorting, other cell types will be present in the culture (Figure 1N). After several passages (usually around 4 - 5), only a homogenous kPSC-population is present (Figure 1P).</li>
</ol>
6. Culture of kPSCs
<ol>
	<li>Refresh the medium twice a week by removing half of the medium and replace it with freshly thawed culture medium (Figure 1N). 
	NOTE: The kPSCs tend to be more viable and proliferative when only half of the medium is refreshed.</li>
	<li>Passaging of kPSCs. 
	NOTE: Passage the kPSCs at either 90 - 100% confluency, or when 3D structures appear (see Figure 1O), or when there hasn&#39;t been cell growth for more than a week. The latter two particularly might occur at early passages after cell enrichment. In this case, after passaging, the cells will usually start to grow again in monolayer culture (Figure 1P).
	<ol>
		<li>Remove the medium from the 90 - 100% confluent cells (keep the medium for later use). Wash the flask twice with PBS (1 mL in T25, 5 mL in T75, 10 mL in T175). Add trypsin (0.5 mL in T25, 2 mL in T75, 5 mL in T175) and incubate for 5 min at 37 &#176;C. Add the old medium to the flask and resuspend gently.</li>
		<li>Transfer to a 15&#160;or 50 mL tube (depending on the volume) and centrifuge at 490 x g for 5 min. Count the viable cells and plate &#60;250,000 in a T25, 250,000 - 500,000 in a T75, or 700,000 - 800,000 in a T175 (approximately 4 x 103 cells/cm2).</li>
	</ol>
	</li>
	<li>Test the kPSCs at passage 5 or 6 (e.g., scratch assay, section 7). 
	NOTE: Characterize the propagated cells by flow cytometry using standard protocols. Marker expression of NG2, PDGFR-&#946;, CD146, CD73, CD90, CD105, HLA-ABC should all be positive and CD31, CD34, CD45 and HLA-DR should be negative. Test for mycoplasma, bacteria and fungi in the culture medium according to standard protocols of the clinical microbiology lab. Test the kPSCs functionally in a kidney epithelial wound scratch assay. Experiments are usually performed with sterile, flow cytometry-confirmed homogeneous kPSC populations with wound healing capacity between passage 6-8.</li>
	<li>Cryopreserve the kPSCs by adding 0.5 mL cryopreservation medium to 0.5 mL cell suspension (2 million cells per mL of culture medium) using standard protocols. 
	NOTE: After thawing, seed the kPSCs at a higher density (106&#160;cells in a T175).</li>
</ol>
7. Functional Test of kPSCs: Kidney Epithelial Wound Scratch Assay
<ol>
	<li>Culture the kPSCs in a 6-well plate at a density of 200,000 cells/well in 2 mL culture medium. After 48 h of culture at 37 &#176;C, 5% CO2, collect the supernatant. This is the conditioned medium.</li>
	<li>Seed the HK-2 (proximal tubular epithelial cells)17 in 2 mL of Proximal Tubular Epithelial Cell (PTEC) medium consisting of a 1:1 ratio of DMEM-F12 supplemented with insulin (5 mg/mL), transferrin (5 mg/mL), selenium (5 ng/mL), hydrocortisone (36 ng/mL), triiodothyrinine (40 pg/mL), epidermal growth factor (10 ng/mL) and pen/strep, in a density of 500,000 cells per well in a 6-well cell culture plate.</li>
	<li>Culture for 48 h at 37 &#176;C, 5% CO2. Remove the cell culture medium of the HK-2s and create a scratch wound in the monolayer of HK-2s by making a scratch with the tip of a yellow pipette point from the top to the bottom of the well. Wash the HK-2s with PBS and add the conditioned medium of the kPSCs or control medium. Mark on the bottom of the plate the area to be imaged. 
	NOTE: The HK-2s should be confluent. Image two areas per well.</li>
	<li>Image the scratch at 4, 8, 12 and 24 h at the same marked position with an inverted bright-field microscope.</li>
	<li>Measure the scratch area in Image J using the polygon selection tool to determine the percentage of closure.</li>
</ol>

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D.G.L.，M.A.E.，和 T.J.R.都与本研究有关的专利申请。其他作者没有透露。

血管周围细胞已分离出许多不同的人类固体器官，包括胰腺、 脂肪、 软骨和肾脏9，，1516。然而，大多数的方法，基于小样本的组织，这是解剖和事后处理消化酶。此外，这通常不会执行与临床分级产品。这使得这些策略不太适合直接临床翻译大量的临床分级细胞是必要。
在这里我们展示整个器官灌注的临床分级酶和材料基于人类 kPSCs 新型分离方法。议定书 》 是改编自目前使用中的临床应用在我们中心18临床胰岛分离协议。
这是首次临床分级方法可以达到很大数量的 kPSCs。在细胞产率变异性是主要是捐助者的依赖。然而，当我们目前获得的三个不同的捐助者将原油细胞悬浮液的一小部分细胞产率推断，在理论上，可以实现 x 1012 kPSCs 每捐助 2.7 平均产量。由于 MSC 治疗通常包括用 1-2 x 106细胞/公斤身体重量42 细胞输注，这些单元格数字已足以让同种异体治疗的几个病人。
在分离过程中的一个重要步骤是胶原酶消化的持续时间。当消化期太短，则会继续一大簇的组织将对文化更难。当灌注时间过长时，增加的细胞死亡可能观察到。因此，尽快肾脏开始变得柔软和不透明液体，应轻轻按摩肾脏和胶原酶治疗应停止。
另一个关键的一步后 NG2 细胞富集是细胞的培养。有时后 NG2 细胞富集，不开始血管周细胞增殖或开始在三维结构中成长。在这种情况下，当细胞消化，加赛，细胞将通常开始生长单层培养。
为起始原料，主要用于外科手术的原因被丢弃的人类移植等级肾脏被使用。这些都是无重大肺间质纤维化的功能器官。我们承认，这可能是一个限制，因为这是比较少见，很难获取器官源。移植的肾可能是另一个来源;然而，根据肾取出的原因，这些肾脏可能包含更多的纤维化和因而肌成纤维细胞，并因此要小心因为肌成纤维细胞可能分离、 培养而不是血管周围细胞。
KPSCs 分离与此协议显示有机典型属性与肾上皮伤口愈合能力15，kPSCs 在肾脏疾病细胞治疗以及移植将是一个有趣的未来应用。为此目的，有的细胞产品交付的几种策略。第一种策略是输液的 kPSCs，作为目前 bmMSC 临床研究中。另一个有趣的应用程序是使用 kPSCs 或 kPSC 排泄因素在移植前机器灌注。这种方式，移植肾的质量可能会提高移植后可能导致肾功能改善。对于这两种策略，kPSCs 是有趣新的细胞来源，进一步探讨用于临床治疗。

骨髓间质细胞 (MSCs) 是最初分离大鼠骨髓细胞的免疫调节细胞。他们的特点是其梭形形态，能够分化成脂肪、 骨和软骨及塑料粘附。骨髓间充质干细胞表达基质标记 CD73，CD90、 CD105 同时被标记 CD31 和 CD451，，23负。骨髓间充质干细胞是细胞疗法由于其组织稳态和免疫调节能力有前途的候选人。目前正在进行临床试验的几种疾病，包括肾脏病和肾移植在其他地方审查4研究骨髓间充质干细胞。
以前它是显示血管周细胞从几个不同的实体器官，包括脂肪、 胎盘和骨骼肌细胞与骨髓间充质干细胞9共享特性。但是，这些细胞也表现出组织特异性功能从而导致器官修复10。人类心肌血管周围的细胞，例如，刺激血管反应后缺氧和分化成心肌细胞，而从其他组织血管周细胞并没有表现出这些潜力11。
血管周围间质细胞也可以隔绝鼠标12，，1314和16人肾15，。我们广泛 kPSCs 的特点，并比较这些对骨髓间充质干细胞。我们发现 kPSCs，类似于骨髓间充质干细胞，具有免疫抑制能力，并可支持血管丛形成。然而，有组织的细胞类型，作为 kPSCs 表明器官型转录表达签名，包括肾源性转录因子 HoxD10 和 HoxD11 之间的具体区别。kPSCs，与骨髓间充质干细胞，并没有经过肌成纤维细胞转化与 TGF-β 的刺激后，却不能分化为脂肪细胞。此外，kPSCs 加速上皮完整性在肾肾小管上皮伤口划痕实验中，没有观察到与骨髓间充质干细胞的现象。此增强的创面修复介导肝细胞生长因子释放。此外，kPSCs 改善肾损伤的急性肾损伤15小鼠模型。因此，kPSCs 似乎有优越的肾脏修复能力，是一个有趣的新来源细胞治疗在肾脏疾病。
为了能为细胞治疗目的使用 kPSCs，kPSCs 应隔离在临床分级方式，与临床分级酶和协议。此外，要能够从 1 捐助几个治疗 kPSCs，应该得到足够的单元格数目。在这里我们展示细节，从整个移植级肾，kPSCs 的临床分级分离过程中产生足够数量的细胞用于临床细胞治疗。

<table><tbody><tr><td>Baxter bags</td><td>Fenwal</td><td>R4R-7004</td><td></td></tr><tr><td>Human platelets</td><td>Sanquin</td><td></td><td>hospital surplus material expired for less than 2 d is used</td></tr><tr><td>platelet lysate</td><td></td><td></td><td>custom made</td></tr><tr><td>Disposable sterile bottles</td><td>Corning</td><td>09-761-11</td><td></td></tr><tr><td>500 mL PP centrifuge tubes</td><td>Corning</td><td>431123</td><td></td></tr><tr><td>a-MEM medium</td><td>Lonza</td><td>BE12-169F</td><td></td></tr><tr><td>glutamax</td><td>thermo fisher</td><td>35050038</td><td></td></tr><tr><td>pen/strep&amp;nbsp;</td><td>Invitrogen</td><td>15070063</td><td></td></tr><tr><td>transfusion system</td><td>Codan</td><td>455609</td><td></td></tr><tr><td>DMEM-F12</td><td>life technologies</td><td>11320-074</td><td></td></tr><tr><td>Normal Human Serum (NHS)</td><td>Sanquin</td><td></td><td></td></tr><tr><td>Hepes 1 M</td><td>Lonza</td><td>BE-17-737E</td><td></td></tr><tr><td>NaHCO&lt;sub&gt;3&lt;/sub&gt; 7.5%</td><td>Lonza</td><td>BE17-613E</td><td></td></tr><tr><td>CaCl&lt;sub&gt;2&lt;/sub&gt; 1 M</td><td>Sigma-Aldrich</td><td>10043-52-4</td><td></td></tr><tr><td>UW</td><td>Bridge to life</td><td>32911</td><td></td></tr><tr><td>Heparin</td><td>Leo Pharma</td><td></td><td></td></tr><tr><td>collagenase NB1 GMP grade</td><td>SERVA</td><td>17455.03</td><td></td></tr><tr><td>DMSO</td><td>Sigma Aldrich</td><td>D2650-100ml</td><td></td></tr><tr><td>surgical drapes</td><td>3M Nederland</td><td>DH999969404</td><td></td></tr><tr><td>perfusion pump</td><td>metrohm</td><td>x007528300</td><td></td></tr><tr><td>pump head</td><td>metrohm</td><td>x077202600</td><td></td></tr><tr><td>perfusion tray</td><td></td><td></td><td>custom made</td></tr><tr><td>LS25 masterflex tubes</td><td>Masterflex</td><td>HV-96410-25</td><td></td></tr><tr><td>accessory spike</td><td>Gambro DASCO</td><td>6038020</td><td></td></tr><tr><td>pulmozyme</td><td>Roche</td><td></td><td></td></tr><tr><td>culture flasks 25 cm&lt;sup&gt;2&lt;/sup&gt;</td><td>greiner</td><td>690175</td><td></td></tr><tr><td>culture flask 75 cm&lt;sup&gt;2&lt;/sup&gt;</td><td>greiner</td><td>658170</td><td></td></tr><tr><td>culture flask 175 cm&lt;sup&gt;2&lt;/sup&gt;</td><td>greiner</td><td>661160</td><td></td></tr><tr><td>Trypsin</td><td>sigma</td><td>t4174</td><td></td></tr><tr><td>Bovine Serum Albumin (BSA)</td><td>Sigma</td><td>A2153</td><td></td></tr><tr><td>EDTA</td><td>Sigma-Aldrich</td><td>E5134-500g</td><td></td></tr><tr><td>FcR blocking reagent</td><td>miltenyi</td><td>130-059-901</td><td></td></tr><tr><td>anti melanoma beads (NG2)</td><td>miltenyi</td><td>130-090-452</td><td></td></tr><tr><td>cell strainer 70 &amp;micro;m</td><td>Corning</td><td>352350</td><td></td></tr><tr><td>LS columns</td><td>Miltenyi</td><td>130-042-401</td><td></td></tr><tr><td>MACS magnet</td><td>miltenyi</td><td>130-090-976</td><td></td></tr><tr><td>CD34 FITC</td><td>BD&amp;nbsp;</td><td>555821</td><td></td></tr><tr><td>CD45 APC</td><td>BD&amp;nbsp;</td><td>555485</td><td></td></tr><tr><td>CD146 PE</td><td>BD&amp;nbsp;</td><td>550315</td><td></td></tr><tr><td>NG2 APC</td><td>R&amp;amp;D</td><td>FAB2585A</td><td></td></tr><tr><td>CD90 PE</td><td>BD&amp;nbsp;</td><td>555596</td><td></td></tr><tr><td>HLA ABC APC</td><td>BD&amp;nbsp;</td><td>555555</td><td></td></tr><tr><td>CD105 FITC</td><td>Ancell</td><td>326-040</td><td></td></tr><tr><td>HLA DR APC</td><td>BD&amp;nbsp;</td><td>559866</td><td></td></tr><tr><td>CD56 PE</td><td>BD&amp;nbsp;</td><td>555516</td><td></td></tr><tr><td>CD73 PE</td><td>BD&amp;nbsp;</td><td>550257</td><td></td></tr><tr><td>CD31 FITC</td><td>BD&amp;nbsp;</td><td>555445</td><td></td></tr><tr><td>CD133 PE</td><td>miltenyi</td><td>130-090-853</td><td></td></tr><tr><td>PDGF-r&amp;nbsp;</td><td>R&amp;amp;D</td><td>mab 1263</td><td></td></tr><tr><td>mouse IgG1 FITC</td><td>BD&amp;nbsp;</td><td>345815</td><td></td></tr><tr><td>mouse IgG1 PE</td><td>BD&amp;nbsp;</td><td>345816</td><td></td></tr><tr><td>mouse IgG1 APC</td><td>BD&amp;nbsp;</td><td>345818</td><td></td></tr><tr><td>IgG2b PE</td><td>BD&amp;nbsp;</td><td>555743</td><td></td></tr><tr><td>goat anti mouse PE</td><td>Dako</td><td>R0480</td><td></td></tr><tr><td>sodium azide</td><td>Merck</td><td>822335</td><td></td></tr><tr><td>DMEM Ham&amp;rsquo;s F12</td><td>Gibco</td><td>31331-028</td><td></td></tr><tr><td>ITS (insulin, transferrin, selenium)</td><td>Sigma</td><td>I1884</td><td></td></tr><tr><td>hydrocortisone</td><td>Sigma</td><td>H0135</td><td></td></tr><tr><td>triiodothyrinine</td><td>Sigma</td><td>T5516</td><td></td></tr><tr><td>Epidermal Growth Factor (EGF)</td><td>sigma</td><td>E9644</td><td></td></tr><tr><td>Immortalized human renal PTEC (HK2)</td><td></td><td></td><td>courtesey of M. Ryan, university college Dublin</td></tr></tbody></table>

a novel clinical grade isolation method for human kidney perivascular stromal cells

骨髓间质细胞 (MSCs) 是组织稳态和免疫调节细胞，有有利影响肾脏疾病和示移植。血管周围间质细胞 (Psc) 与骨髓间充质干细胞 （骨髓间充质干细胞） 共享特性。然而，他们也拥有，最有可能由于当地印迹、 组织特定的属性和地方组织的平衡中起着作用。这个组织特异性可能会导致组织具体的修复，还在人体肾脏内。我们先前表明人类肾脏物业服务公司 (kPSCs) 有增强肾上皮伤口愈合而骨髓间充质干细胞并没有这种潜力。此外，kPSCs 可以改善肾损伤的体内。因此，kPSCs 构成一个有趣的来源，细胞疗法，特别是对肾脏病和肾移植。在这里我们展示从移植级 kPSCs 详细的分离和培养方法基于整个器官灌注的消化酶通过肾动脉和血管周围标记 NG2 浓缩的人类肾脏。这种方式，适合细胞疗法可以获得大细胞数量。

在图 1中总结出的临床分级 kPSCs 隔离方法。原油肾细胞是从人类移植年级肾脏胶原酶灌注中分离。由此产生的细胞悬浮培养直到 5%血小板裂解液中汇合。然后基于 NG2 表达，血管周围间质细胞分数是孤立的。
kPSCs 塑料贴壁纺锤状细胞 (图 2A)，积极为 CD73 CD90、 CD105、 血管周围的间质标记标记 NG2、 血小板 B、 CD146，而消极 CD31、 CD34、 CD45 和 HLA-DR (图 2B)。通常情况下，kPSCs 均匀人口可达到通道 4 和 kPSCs 到达周围通道 9-10 (图 2C) 衰老。因而，我们建议进行通道 5-8 之间的实验。
要评价功能能力的孤立的 kPSCs，我们请执行体外肾上皮伤口划痕检测对每一批新的 kPSCs，正如我们先前表明的 kPSCs 培养液可以加速上皮伤口愈合在此划伤测定15。KPSC 培养液是通过培养 48 h alphaMEM 5%血小板裂解液中 kPSCs 和收集上清液。接下来，永生化人肾近端小管上皮细胞 (港币 2)17养殖直到汇合，然后划伤的伤口。然后要么 kPSCs 或控制介质条件培养液的中添加到井和伤口愈合的速度衡量。当添加的 kPSCs 培养液时，伤口关闭明显更快 (图 2D)。
<img alt="Figure 1" class="xfigimg" src="/files/ftp_upload/55841/55841fig1.jpg"> 
图 1: 临床分级分离方法的人类 kPSCs.洗由此产生的细胞悬液移植级肾是空心和经肾动脉 (A-G) 胶原酶灌注和要么冻存或投入文化 (H-K)。细胞达到合流 (L) 后，NG2 细胞富集被执行 (M)。细胞消化时他们要么汇合，已停止增殖或当 3D 结构出现 (N-P)。KPSCs 的发布标准是不育、 标志物表达及增强肾小管上皮伤口愈合 (Q) 的能力。箭头: 肾动脉。条码秤 =<a href="http://ecsource.jove.com/files/ftp_upload/55841/55841fig1large.jpg" target="_blank">请点击这里查看此图的大版本。</a> 200 µ m。
<img alt="Figure 2" class="xfigimg" src="/files/ftp_upload/55841/55841fig2.jpg"> 
图 2:表征人类 kPSCs。) KPSCs 是纺锤状、 塑料贴壁细胞。B) kPSCs 是为间充质标记 CD73，CD90、 CD105，血管周围标记 NG2、 血小板 β 和 CD146，而消极 CD31、 CD34 和 CD45 阳性。kPSCs 表达 MHC 类我 (HLA-ABC) 但不是类 II (HLA-DR)。C) 生长特性的三个不同的 kPSC 捐助者从流式证实均匀 NG2 积极的人口 （通道 4）。kPSCs 到达周围通道 9-10 的衰老。D) kPSCs 是能够提高肾上皮修复伤口划痕检测中。代表的形象，控制介质及 kPSC 条件介质在 t = 0、 4、 8 和 12 h 显示。条码秤 a） = 200 µ m，d) =<a href="http://ecsource.jove.com/files/ftp_upload/55841/55841fig2large.jpg" target="_blank">请点击这里查看此图的大版本。</a> 100 µ m。

Watch this Scientific Journal Video about A Novel Clinical Grade Isolation Method for Human Kidney Perivascular Stromal Cells at JoVE.com

A Novel Clinical Grade Isolation Method for Human Kidney Perivascular Stromal Cells

在这里我们提出肾血管周围间质细胞 (kPSCs) 基于整个器官灌注与消化酶和 NG2 细胞丰富新颖的临床分级分离和培养方法。使用此方法，就可以获得足够的细胞数量，为细胞疗法。

人类肾脏血管周围间质细胞新型临床分级分离方法

Mesenchymal Stromal Cells (MSCs) are tissue homeostatic and immune modulatory cells that have shown beneficial effects in kidney diseases and ...

a-novel-clinical-grade-isolation-method-for-human-kidney-perivascular

Research

JoVE Journal

Medicine

6.9K 次观看.  Leiden University Medical Centre. 在这里我们提出肾血管周围间质细胞 (kPSCs) 基于整个器官灌注与消化酶和 NG2 细胞丰富新颖的临床分级分离和培养方法。使用此方法，就可以获得足够的细胞数量，为细胞疗法。

视频: A Novel Clinical Grade Isolation Method for Human Kidney Perivascular Stromal Cells

Isolation of Glomeruli and In Vivo Labeling of Glomerular Cell Surface Proteins

Proteinuria results from the disruption of the glomerular filter that is composed of the fenestrated endothelium, glomerular basement membrane, and podocytes with their slit diaphragms. The delicate structure of the glomerular filter, especially the slit diaphragm, relies on the interplay of diverse cell surface proteins. Studying these cell surface proteins has so far been limited to in vitro studies or histologic analysis. Here, we present a murine in vivo biotinylation labeling method, which enables the study of glomerular cell surface proteins under physiologic and pathophysiologic conditions. This protocol contains information on how to perfuse mouse kidneys, isolate glomeruli, and perform endogenous immunoprecipitation of a protein of interest. Semi-quantitation of glomerular cell surface abundance is readily available with this novel method, and all proteins accessible to biotin perfusion and immunoprecipitation can be studied. In addition, isolation of glomeruli with or without biotinylation enables further analysis of glomerular RNA and protein as well as primary glomerular cell culture (i.e., primary podocyte cell culture).

Isolation of Glomeruli and In Vivo Labeling of Glomerular Cell Surface Proteins

Here we present a protocol for murine in vivo labeling of glomerular cell surface proteins with biotin. This protocol contains information on how to perfuse mouse kidneys, isolate glomeruli, and perform endogenous immunoprecipitation of the protein of interest.

肾小球的分离及肾小球细胞表面蛋白的活体标记

Proteinuria results from the disruption of the glomerular filter that is composed of the fenestrated endothelium, glomerular basement membrane, and ...

科研

生物化学

Isolation of Double Negative &#945;&#946; T Cells from the Kidney

There is currently no standard protocol for the isolation of DN T cells from the non-lymphoid tissues despite their increasingly reported involvement in various immune responses. DN T cells are a unique immune cell type that has been implicated in regulating immune and autoimmune responses and tolerance to allotransplants1-6. DN T cells are, however, rare in peripheral blood and secondary lymphoid organs (spleen and lymph nodes), but are major residents of the normal kidney. Very little is known about their pathophysiologic function7 due to their paucity in the periphery. We recently described a comprehensive phenotypic and functional analysis of this population in the kidney8 in steady state and during ischemia reperfusion injury. Analysis of DN T cell function will be greatly enhanced by developing a protocol for their isolation from the kidney.
Here, we describe a novel protocol that allows isolation of highly pure ab CD4+ CD8+ T cells and DN T cells from the murine kidney. Briefly, we digest kidney tissue using collagenase and isolate kidney mononuclear cells (KMNC) by density gradient. This is followed by two steps to enrich hematopoietic T cells from 3% to 70% from KMNC. The first step consists of a positive selection of hematopoietic cells using a CD45+ isolation kit. In the second step, DN T cells are negatively isolated by removal of non-desired cells using CD4, CD8, and MHC class II monoclonal antibodies and CD1d &#945;-galcer tetramer. This strategy leads to a population of more than 90% pure DN T cells. Surface staining with the above mentioned antibodies followed by FACs analysis is used to confirm purity.

DNabT cells are rare among peripheral T cells; however, they are abundant in certain non-lymphoid tissues. Difficulty of isolating DN T cells from non-lymphoid tissue hinders their functional analysis despite increasing recognized pathophysiologic significance. We describe a novel protocol for isolation of highly purified DN T cells from murine kidney.

从肾脏双重否定αβ性T细胞的分离

There is currently no standard protocol for the isolation of DN T cells from the non-lymphoid tissues despite their increasingly reported involvement in ...

免疫与感染

Reliable and High Efficiency Extraction of Kidney Immune Cells

Immune system activation occurs in multiple kidney diseases and pathophysiological processes. The immune system consists of both adaptive and innate components and multiple cell types. Sometimes, the cell type of interest is present in very low numbers among the large numbers of total cells isolated from the kidney. Hence, reliable and efficient isolation of kidney mononuclear cell populations is important in order to study the immunological problems associated with kidney diseases. Traditionally, tissue isolation of kidney mononuclear cells have been performed via enzymatic digestions using different varieties and strengths of collagenases/DNAses yielding varying numbers of viable immune cells. Recently, with the development of the mechanical tissue disruptors for single cell isolation, the collagenase digestion step is avoided and replaced by a simple mechanical disruption of the kidneys after extraction from the mouse. Herein, we demonstrate a simple yet efficient method for the isolation of kidney mononuclear cells for every day immune cell extractions. We further demonstrate an example of subset analysis of immune cells in the kidney. Importantly, this technique can be adapted to other soft and non-fibrous tissues such as the liver and brain.

Techniques that are reliable and efficient for the isolation of kidney immune cells are needed for downstream applications. This requires surface antibody labeling of a small number of kidney immune cells. Herein, we describe a concise method for isolation of kidney immune cells that seemingly achieves this goal.

肾脏免疫细胞的可靠和高效率的提取

Immune system activation occurs in multiple kidney diseases and pathophysiological processes.  The immune system consists of both adaptive and innate ...

An Efficient Sieving Method to Isolate Intact Glomeruli from Adult Rat Kidney

Preservation of glomerular structure and function is pivotal in the prevention of glomerulonephritis, a category of kidney disease characterized by proteinuria which can eventually lead to chronic and end-stage renal disease. The glomerulus is a complex apparatus responsible for the filtration of plasma from the body. In disease, structural integrity is lost and allows for the abnormal leakage of plasma contents into the urine. A method to isolate and examine glomeruli in culture is critical for the study of these diseases. In this protocol, an efficient method of retrieving intact glomeruli from adult rat kidneys while conserving structural and morphological characteristics is described. This process is capable of generating high yields of glomeruli per kidney with minimal contamination from other nephron segments. With these glomeruli, injury conditions can be mimicked by incubating them with a variety of chemical toxins, including protamine sulfate, which causes foot process effacement and proteinuria in animal models. Degree of injury can be assessed using transmission electron microscopy, immunofluorescence staining, and western blotting. Nephrin and Wilms Tumor 1 (WT1) levels can also be assessed from these cultures. Due to the ease and flexibility of this protocol, the isolated glomeruli can be utilized as described or in a way that best suits the needs of the researcher to help better study glomerular health and structure in diseased states.

The main focus of this protocol is to efficiently isolate viable primary glomeruli cultures with minimal contaminants for use in a variety of downstream applications. The isolated glomeruli retain structural relationships between component cell types and can be cultured ex vivo for a short time.

一种从成年大鼠肾脏中分离完整型肾小球的有效筛分方法

Preservation of glomerular structure and function is pivotal in the prevention of glomerulonephritis, a category of kidney disease characterized by ...

医学

Single-channel Analysis and Calcium Imaging in the Podocytes of the Freshly Isolated Glomeruli

Podocytes (renal glomerular epithelial cells) are known to regulate glomerular permeability and maintain glomerular structure; a key role for these cells in the pathogenesis of various renal diseases has been established since podocyte injury leads to proteinuria and foot process effacement. It was previously reported that various endogenous agents may cause a dramatic overload in intracellular Ca2+ concentration in podocytes, presumably leading to albuminuria, and this likely occurs via calcium-conducting ion channels. Therefore, it appeared important to study calcium handling in the podocytes both under normal conditions and in various pathological states. However, available experimental approaches have remained somewhat limited to cultured and transfected cells. Although they represent a good basic model for such studies, they are essentially extracted from the native environment of the glomerulus. Here we describe the methodology of studying podocytes as a part of the freshly isolated whole glomerulus. This preparation retains the functional potential of the podocytes, which are still attached to the capillaries; therefore, podocytes remain in the environment that conserves the major parts of the glomeruli filtration apparatus. The present manuscript elaborates on two experimental approaches that allow 1) real-time detection of calcium concentration changes with the help of ratiometric confocal fluorescence microscopy, and 2) the recording of the single ion channels activity in the podocytes of the freshly isolated glomeruli. These methodologies utilize the advantages of the native environment of the glomerulus that enable researchers to resolve acute changes in the intracellular calcium handling in response to applications of various agents, measure basal concentration of calcium within the cells (for instance, to evaluate disease progression), and assess and manipulate calcium conductance at the level of single ion channels.

Changes in the intracellular calcium levels in the podocytes are one of the most important means to control the filtration function of glomeruli. Here we explain a high-throughput approach that allows detection of real-time calcium handling and single ion channels activity in the podocytes of the freshly isolated glomeruli.

单通道分析和钙成像在新鲜分离的肾小球足细胞

Podocytes (renal glomerular epithelial cells) are known to regulate glomerular permeability and maintain glomerular structure; a key role for these cells ...

生物学

Isolation, Characterization, And High Throughput Extracellular Flux Analysis of Mouse Primary Renal Tubular Epithelial Cells

Mitochondrial dysfunction in the renal tubular epithelial cells (TECs) can lead to renal fibrosis, a major cause of&#160;chronic kidney disease (CKD). Therefore, assessing mitochondrial function in primary TECs may provide valuable insight into the bioenergetic status of the cells, providing insight into the pathophysiology of CKD. While there are a number of complex protocols available for the isolation and purification of proximal tubules in different species, the field lacks a cost-effective method optimized for&#160;tubular cell isolation without the need for purification. Here, we provide an isolation protocol that allows for studies focusing on both primary mouse proximal and distal renal TECs. In addition to cost-effective reagents and minimal animal procedures required in this protocol, the isolated cells maintain high energy levels after isolation and can be sub-cultured up to four&#160;passages, allowing for continuous studies. Furthermore, using a high throughput extracellular flux analyzer, we assess the mitochondrial respiration directly in the isolated TECs in a 96-well plate for which we provide recommendations for the optimization of cell density and compound concentration. These observations suggest that this protocol can be used for renal tubular ex vivo studies with a consistent, well-standardized production of renal TECs. This protocol may have broader future applications to study mitochondrial dysfunction associated with renal disorders for drug discovery or drug characterization purposes.

This protocol provides a cost-effective approach to isolate and characterize mouse primary renal tubular cells that can subsequently be sub-cultured to assess renal biological functions ex vivo, including mitochondrial bioenergetics.

小鼠原发性肾管上皮细胞的分离、鉴定及高通量的细胞外流量分析

Mitochondrial dysfunction in the renal tubular epithelial cells (TECs) can lead to renal fibrosis, a major cause of&#160;chronic kidney disease (CKD). ...

Isolation of Conditionally Immortalized Mouse Glomerular Endothelial Cells with Fluorescent Mitochondria

Glomerular endothelial cell (GEC) dysfunction can initiate and contribute to glomerular filtration barrier breakdown. Increased mitochondrial oxidative stress has been suggested as a mechanism resulting in GEC dysfunction in the pathogenesis of some glomerular diseases. Historically the isolation of GECs from in vivo models has been notoriously challenging due to difficulties in isolating pure cultures from glomeruli. GECs have complex growth requirements in vitro and a very limited lifespan. Here, we describe the procedure for isolating and culturing conditionally immortalized GECs with fluorescent mitochondria, enabling the tracking of mitochondrial fission and fusion events. GECs were isolated from the kidneys of a double transgenic mouse expressing the thermolabile SV40 TAg (from the Immortomouse), conditionally promoting proliferation and suppressing cell differentiation, and a photo-convertible fluorescent protein (Dendra2) in all mitochondria (from the photo-activatable mitochondria [PhAMexcised] mouse). The stable cell line generated allows for cell differentiation after inactivation of the immortalizing SV40 TAg gene and photo-activation of a subset of mitochondria causing a switch in fluorescence from green to red. The use of mitoDendra2-GECs allows for live imaging of fluorescent mitochondria&#39;s distribution, fusion, and fission events without staining the cells.

The article describes the method for isolating conditionally immortalized glomerular endothelial cells from the kidneys of transgenic mice expressing the thermolabile simian virus 40 and photo-activatable mitochondria, PhAMexcised. We describe the procedure for glomeruli isolation from whole kidneys using beads, digestion steps, seeding, and culturing of GECs-CD31 positive.

用荧光线粒体分离条件永生化的小鼠肾小球内皮细胞

Glomerular endothelial cell (GEC) dysfunction can initiate and contribute to glomerular filtration barrier breakdown. Increased mitochondrial oxidative ...

Isolation of Primary Human Proximal Tubule Epithelial Cells and Their Use in Creating a Microphysiological Model of the Renal Proximal Tubule

Kidney disease affects over 850 million people globally, including 37 million Americans. Risk factors for&#160;chronic kidney disease include environmental influences, genetic predispositions, co-existing medical conditions, and a history of acute kidney injury. These factors often take months or years to develop, complicating longitudinal studies of disease etiology and pathophysiology. Advanced kidney models are needed to improve our understanding of disease mechanisms and enhance nephrotoxicity prediction in drug development. Proximal tubule epithelial cells (PTECs) in the kidney play a critical role in xenobiotic and toxin clearance as well as the reabsorption of essential nutrients. We have previously demonstrated that three-dimensional (3D) microphysiological system (MPS) platforms, populated with isolated primary PTECs, can be used to investigate renal drug interactions, assess nephrotoxicity of compounds, and predict drug clearance. Here, we present protocols for isolating and culturing primary PTECs from whole human kidneys and for seeding them into a 3D MPS platform that mimics in vivo renal physiology. This protocol enables long-term studies supporting PTEC viability, physiological morphology, and functional polarization of key transporter proteins in MPS devices for up to 6 months.

We present an optimized protocol for processing whole human kidneys to isolate and culture primary renal proximal tubule epithelial cells and the application of these cells in a three-dimensional, microfluidic, microphysiological platform to recapitulate the renal proximal tubule.

原代人近端肾小管上皮细胞的分离及其在创建肾近端肾小管微生理模型中的应用

Kidney disease affects over 850 million people globally, including 37 million Americans. Risk factors for&#160;chronic kidney disease include ...

Optimizing Isolation and Purification of Murine Glomerular Mesangial Cells

Mesangial cells (MCs) are stromal cells located in the middle space of the glomerulus, with pivotal functions in glomerular homeostasis. Methods for isolating, purifying, and culturing glomerular MCs have been developed and optimized since the 1980s for use in biomedical research, particularly in the field of nephrology. Mice are the most frequently used experimental animal models in research on renal diseases. In this study, we developed an optimized protocol for murine MCs isolation and ex vivo cell culture. These cells can be passaged multiple times, frozen, revived, and cultured without compromising cell growth or protein expression. This optimized approach significantly reduces the study duration for researchers and enables long-term cell preservation. The necessary equipment for the procedures is easily accessible in a basic biomedical laboratory, and the procedural steps are straightforward. The acquisition of target cells requires only 2-3 weeks, a reduction of at least 1 week compared to existing methods.

This study developed an optimized protocol for the isolation of murine mesangial cells (MCs) and their ex vivo cell culture. These cells can be passaged multiple times, frozen, revived, and cultured without compromising cell growth or protein expression.

优化小鼠肾小球系膜细胞的分离和纯化

Mesangial cells (MCs) are stromal cells located in the middle space of the glomerulus, with pivotal functions in glomerular homeostasis. Methods for ...

Murine Renal Cell Isolation: A Technique to Isolate and Generate Primary Culture of Renal Tubular Epithelial Cells

Source: Ding, W. et al. <a href="https://www.jove.com/video/57718" target="_blank">Isolation, Characterization and High Throughput Extracellular Flux Analysis of Mouse Primary Renal Tubular Epithelial Cells.</a> J. Vis. Exp. (2018)
In this video, we demonstrate the steps to isolate and purify renal tubular epithelial cells for a wide range of molecular biology and cell culture studies.

小鼠肾细胞分离:一种分离和产生肾小管上皮细胞原代培养物的技术

Source: Ding, W. et al. Isolation, Characterization and High Throughput Extracellular Flux Analysis of Mouse Primary Renal Tubular Epithelial Cells. J. ...