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Method Article
The goal of this protocol is to obtain high-integrity RNA samples from enteric ganglia isolated from unfixed, freshly-resected human intestinal tissue using laser capture microdissection (LCM). This protocol involves preparing flash-frozen samples of human intestinal tissue, cryosectioning, ethanolic staining and dehydration, LCM, and RNA extraction.
The purpose of this method is to obtain high-integrity RNA samples from enteric ganglia collected from unfixed, freshly-resected human intestinal tissue using laser capture microdissection (LCM). We have identified five steps in the workflow that are crucial for obtaining RNA isolates from enteric ganglia with sufficiently high quality and quantity for RNA-seq. First, when preparing intestinal tissue, each sample must have all excess liquid removed by blotting prior to flattening the serosa as much as possible across the bottom of large base molds. Samples are then quickly frozen atop a slurry of dry ice and 2-methylbutane. Second, when sectioning the tissue, it is important to position cryomolds so that intestinal sections parallel the full plane of the myenteric plexus, thereby yielding the greatest surface area of enteric ganglia per slide. Third, during LCM, polyethylene napthalate (PEN)-membrane slides offer the greatest speed and flexibility in outlining the non-uniform shapes of enteric ganglia when collecting enteric ganglia. Fourth, for distinct visualization of enteric ganglia within sections, ethanol-compatible dyes, like Cresyl Violet, offer excellent preservation of RNA integrity relative to aqueous dyes. Finally, for the extraction of RNA from captured ganglia, we observed differences between commercial RNA extraction kits that yielded superior RNA quantity and quality, while eliminating DNA contamination. Optimization of these factors in the current protocol greatly accelerates the workflow and yields enteric ganglia samples with exceptional RNA quality and quantity.
This method is designed to obtain high-quality RNA samples of enteric ganglia from human intestinal tissue using laser capture microdissection (LCM). The protocol described here has been optimized to provide sufficient RNA quality and yields for RNA sequencing (RNA-seq) and is intended to be used with freshly-resected, unfixed, flash-frozen human intestinal tissue.
Functional gastrointestinal and gut motility disorders affect one of every four people in the United States. The enteric nervous system (ENS), also referred to as the second brain1, is often at the center of these disorders, as it plays a crucial role in gut homeostasis and motility. Manipulation of gut motility has generally been restricted to surgical resection of the aganglionic/noncontractile tissue, chronic dietary modification and/or medications. Surprisingly, the full transcriptome of the adult ENS remains to be sequenced, greatly limiting our ability to identify molecules within the ENS that can be targeted pharmaceutically or utilized in stem cell therapies.
There are relatively few methods for isolating RNA from human enteric ganglia. The first approach, cell dissociation2, requires high incubation temperatures and long incubation times; both of which are known to promote RNA degradation and alter the transcriptome2,3. An alternative approach, LCM, more reliably preserves the transcriptome and protects RNA integrity. Although several studies have used LCM to collect ganglia from fresh-frozen human intestinal tissue4,5,6, these approaches were either hampered by poor RNA quality and quantity, were quite labor-intensive, or needed modification of staining or RNA extraction techniques to work in our hands. Other LCM protocols designed for preserving RNA that were found in LCM product manuals provided additional improvements7,8, but adaptation was needed when applied to the isolation of enteric ganglia8,9. For these reasons, we developed an optimized protocol based on these resources that yields substantial quantities of high-integrity RNA from human enteric ganglia, has a relatively fast workflow, and produces consistent results across a large number of samples.
In this study, we present a synopsis of optimized procedures that facilitate the isolation of high-integrity RNA from enteric ganglia sourced from resected human intestinal tissue. Our method incorporates five important aspects. First, freshly-resected, unfixed human intestinal samples should be trimmed to size, have all excess moisture removed with a laboratory tissue and flattened in a large base mold before flash-freezing atop a slurry of dry ice and 2-methylbutane (2-MB). Second, histologic sections of intestine should be prepared to obtain the full plane of the myenteric plexus on a slide, which offers a large payload of enteric ganglia. Success with this step is largely dependent on the tissue preparation process. Third, the nonuniform structure of ganglia in the ENS requires the use of polyethylene napthalate (PEN) membrane slides6, which offer the greatest speed and precision during the LCM process. Fourth, ethanol-compatible dyes, such as Cresyl Violet, should be used to preserve RNA integrity while staining enteric ganglia. Last, the RNA extraction process is critical for a successful outcome with RNA-Seq. We sought an RNA extraction approach that produces high RNA integrity, maximizes RNA yields when starting with small collections of enteric ganglia, eliminates DNA contamination, and retains as many RNA species as possible.
Taken together, optimization of these factors in the present study greatly accelerates the workflow and yields samples of enteric ganglia with exceptional RNA quantity and quality. Results have been largely consistent among a sizable group of samples, indicating the consistency of this approach. Further, we have used these approaches to successfully sequence dozens of RNA samples from enteric ganglia. The strategies highlighted here can also be broadly adapted for performing LCM of desired ganglia or nuclei of the peripheral and central nervous system and other cases requiring the isolation of high-quality RNA.
All protocols described here have been approved by the Vanderbilt University Institutional Review Board (IRB).
1. Preparation Prior to Tissue Arrival
2. Preparation of Flash-Frozen Human Intestinal Tissue
Note: This entire process can take between 45-80 min per intestinal segment, depending on the intestinal tissue quality. We also recommend collecting quality control samples to assess RNA quality and histology prior to proceeding with LCM.
3. Cryosectioning
4. Staining
Note: For an overview of the staining process, refer to Table 1. All solutions used are prepared in standard 50-mL conical vials. Treating the outside of the tubes with RNase decontamination solution does not appear to improve results (data not shown).
5. Dehydration
6. Laser Capture Microdissection (LCM)
7. RNA isolation
We have made several improvements to existing protocols that enable the relatively rapid collection of enteric ganglia from human intestinal samples using LCM, meeting the standards for RNA-Seq. First, we optimized the rapid freezing of intestinal tissue segments in large base molds placed at the surface of a slurry of dry ice in 2-MB (Figure 1B). The best success during cryosectioning and subsequent LCM was obtained by laying intestinal segm...
This procedure enables the efficient collection of numerous enteric ganglia as a source to derive RNA for RNA-seq. Here, we have accelerated the processes outlined in existing protocols while maximally preserving RNA integrity. As all steps in this procedure are interdependent, it is important that all issues be eliminated from the onset of the study and that all samples are prepared as similarly to one another as possible, to obtain reliable RNA-seq.
From the onset of the procedure, RNA integ...
The authors have no conflicts of interest to disclose.
We are grateful to the donors and their families who made this work possible. We also appreciate the assistance of staff at the International Institute of Medicine and Tennessee Donor Services for helping coordinate collection of tissue used in this study. This work was supported by grants from the National Institutes of Health, NIH OT2-OD023850 to EMS2 and stipend support from NIH T32-DK007673 to AMZ. We are grateful to staff of the Vanderbilt Translational Pathology Shared Resource for access to the LCM Instrument and advice on tissue preparation. The Vanderbilt Tissue Pathology Shared Resource is supported in part by NIH grants P30-CA068485-14 and U24-DK059637-13. We thank the Genome Technology Access Center in the Department of Genetics at Washington University School of Medicine for help with genomic analysis. The GTAC is partially supported by NCI Cancer Center Support Grant #P30 CA91842 to the Siteman Cancer Center and by ICTS/CTSA Grant #UL1TR002345 from the National Center for Research Resources (NCRR), a component of the National Institutes of Health (NIH), and NIH Roadmap for Medical Research. This publication is solely the responsibility of the authors and does not necessarily represent the official view of NCRR or NIH.
Name | Company | Catalog Number | Comments |
10% Neutral-buffered formalin | Sigma | HT501128-4L | |
2-Methylbutane | Fisher | O3551-4 | |
3-mL syringe | BD | 309628 | |
50-mL conical tubes, polypropylene | Corning | 05-526B | |
Base molds 37x24x5mm, disposable | Electron Microscopy Sciences | 5025511 | |
Belzer UW Cold Storage Solution | Bridge to Life | N.A. | |
CapSure Macro LCM caps | Arcturus, ThermoFisher | LCM0211 | |
Cling Wrap, Press’n Seal | Glad | N.A. | |
Cresyl Violet Acetate | Acros Organics | AC405760025 | |
Cutting Board | Electron Microscopy Sciences | 63308 | |
Ethanol, 190-proof | Pharmco-AAPER | 111000190 | |
Ethanol, 200-proof | Pharmco-AAPER | 111000200 | |
Glass Microscope slides | Fisher | 12-550-343 | |
Gloves, extended cuff | Microflex | 19010144 | |
Gowns, surgical-disposable | Kimberly-Clark | 19-088-2116 | |
Tray, 20 L (large polypropylene sterilizing pan) | Nalgene | 1335920B | |
Kimwipes (large) | Kimberly-Clark | 34120 | |
Kimwipes (small) | Kimberly-Clark | 34133 | |
Laser Capture Microdissection System (ArcturusXT) | ThermoFisher | N.A. | |
Leica Cryostat Chuck, large, 40 mm | Southeast Pathology Instrument Service | N.A. | |
Light Microscope | Olympus | CX43 | |
Microscope objective (20X) | Olympus UPlanFl 20X/0.50, ∞/0.17 | N.A. | |
Microscope objective (10X) | Olympus UPlanFl 10X/0.25, ∞/- | N.A. | |
Molecular Sieves | Acros Organics | AC197255000 | |
Nuclease-free water | Ambion | AM9937 | |
PicoPure RNA extraction kit | Applied Biosystems | 12204-01 | |
Pellet Pestle | Kimble Kontes | 4621973 | |
PEN membrane LCM slides | Arcturus, ThermoFisher | LCM022 | |
RNase-free tubes, 1.5 mL | Ambion | AM12400 | |
RNaseZAP | Sigma | Sigma-R2020 | |
RNA Extraction Kit "A" (PicoPure) | Applied Biosystems | 12204-01 | |
RNA Extraction Kit "B" (RNeasy Micro kit) | Qiagen | 74004 | |
RNA Extraction Method "C" (TRIzol) | Invitrogen | 15596-026 | |
RNA Extraction Kit "D" (RNeasy PLUS Mini kit) | Qiagen | 74134 | |
Splash Shield, disposable faceshield | Fisher | 17-310 | |
Scissors, Surgical, 14.5 cm "sharp-sharp" | Fine Science Tools | 14002-14 | |
Syringe filter, cellulose acetate (0.2 μm) | Nalgene | 190-2520 | |
Tissue Freezing Medium | General Data Healthcare | TFM-5 | |
Xylenes | Fisher | X3P1GAL |
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