Phenotypic Characterization of Macrophages from Rat Kidney by Flow Cytometry

Summary

This manuscript describes a detailed protocol for phenotypic and quantitative analysis of resident macrophages from rat kidneys by flow cytometry. The resulting stained cells can be also used for other applications, including cell sorting, gene expression analysis or functional studies, thus increasing the information obtained in the experimental model.

Abstract

There is increasing evidence suggesting the important role of inflammation and, subsequently, macrophages in the development and progression of renal disease. Macrophages are heterogeneous cells that have been implicated in kidney injury. Macrophages may be classified into two different phenotypes: classically activated macrophages (M1 macrophages), that release pro-inflammatory cytokines and promote fibrosis; and alternatively activated macrophages (M2 macrophages) that are associated with immunoregulatory and tissue-remodeling functions. These macrophage phenotypes need to be discriminated and analyzed to determine their contribution to renal injury. However, there are scarce studies reporting consistent phenotypic and functional information about macrophage subtypes in inflammatory renal disease models, especially in rats. This fact may be related to the limited macrophage markers used in rats, contrary to mice. Therefore, novel strategies are necessary to quantify and characterize the renal content of these infiltrating cells in a reliable way. This manuscript details a protocol for kidney digestion and further phenotypic and quantitative analysis of macrophages from rat kidneys by flow cytometry. Briefly, kidneys were incubated with collagenase and total macrophages were identified according to the dual presence of CD45 (leukocytes common antigen) and CD68 (PAN macrophage marker) in live cells.This was followed by surface staining of CD86 (M1 marker) and CD163 (M2 marker). Rat peritoneal macrophages were used as positive control for macrophage marker detection by flow cytometry. Our protocol resulted in low cellular mortality and allowed characterization of different intracellular and surface protein markers, thus limiting the loss of cellular integrity observed in other protocols. Moreover, this procedure allows the use of macrophages for further techniques, including cell sorting and mRNA or protein expression studies, among others.

Introduction

Renal disease is a global health problem, with increased prevalence, and associated with elevated morbidity and mortality¹. One of the most important mechanisms involved in the progression and development of renal injury is inflammation, mainly triggered by macrophages. Macrophages play a pivotal role in many inflammatory diseases, including renal disorders². Thus, an elevated presence of infiltrating macrophages has been reported in biopsies from patients with acute kidney injury (AKI) or chronic kidney disease (CKD)^3,4. Recent studies suggest that the long-term outcome of renal disease could be controlled by macrophages^5,6. In response to the local microenvironment, macrophages may differentiate into different phenotypes that play diverse biological functions⁷. Two well differentiated macrophage phenotypes have been established: classically activated macrophages (M1 macrophages) and alternatively activated macrophages (M2)⁸. M1 macrophages promote inflammation, whereas M2 macrophages have an anti-inflammatory role and are involved in tissue repair⁹. Therefore, a better knowledge of macrophage heterogeneity is necessary to understand their regulation and contribution to renal pathology and develop novel therapeutic approaches.

Both, murine and rats models have been widely used to understand the molecular and cellular mechanism involved in renal injury¹⁰. However, there are substantial differences in the diverse markers used to identify macrophages phenotypes between these rodents. Hence, several murine markers, such as F4/80 or Ly6C are not used in rats, thus limiting the extrapolation of findings between these species. Moreover, there is a limited number of markers describing macrophage phenotypes in rats, explaining the scarce studies analyzing macrophage heterogeneity in these animals as compared with mice. Therefore, new strategies for macrophage subset characterization are necessary to understand the role of macrophages in renal disease models in rats.

This manuscript describes a protocol for the phenotypic and quantitative analysis of macrophages from rat kidneys by flow cytometry. This technique can be further followed by several assays, including cell sorting and mRNA or protein expression studies to allow in-depth characterization of the role of macrophages in renal disease.

Protocol

This protocol was approved by local Institutional Animal Care and Use Committees following the Directive 2010/63/EU of the European Parliament and the National Guideline 53/2013.

1. Preparation of Reagents and Solutions

1. Prepare all the reagents and solutions under sterile conditions and use under a laminar flow hood. Keep solutions at 4 °C.
2. Prepare staining buffer (2% Fetal Bovine Serum (FBS) in 1x Dulbecco's PBS).
3. Prepare collagenase solution by adding 0.5 mg of collagenase to each ml of saline.
4. Prepare anesthesia solution of ketamine/xylazine (2:1 v/v).

2. Kidney Perfusion and Extraction

1. Anesthetize rats by intraperitoneal injection of ketamine/xylazine (75 mg/12 mg/kg weight). Carefully pinch a small fold of skin, to check that the animal is sufficiently anesthetized. Then, cover eyes with vet ointment to prevent dryness while under anesthesia. Note: 4-month-old Wistar rats are used in this assay.
2. Once the rat is totally anesthetized, place it on a surgical table in a supine position.
3. Apply 70% ethanol to the abdomen.
4. Make a central incision through the abdominal skin and peritoneum, from the pubis to the rib cage, to expose the pleural and abdominal cavities.
5. Inject saline solution (0.9%) into the abdominal aorta to perfuse kidneys using a perfusion system until all blood is removed from kidneys. Cut the aorta at the abdominal level to help release the blood.
6. Remove both kidneys from the rat by cutting from the renal hilum (renal vein, artery and ureter). To decapsulate the kidney, press the edge of the kidney using fingers, carefully separating the capsule¹¹.
7. Place the kidney into Hanks' balanced salt solution.

3. Kidney Digestion and Cell Suspension

1. Cut half of a kidney with scissors into small pieces and put the pieces into a 1.5 ml tube.
   Note: All the following concentrations are calculated for 1 sample (1/2 rat's kidney).
2. Add 1 ml of the collagenase solution and incubate at 37 °C for 30 min. Mix by inversion every 5 min to make sure that the collagenase solution accesses the entire tissue.
3. Collect the solution and pass it through a strainer (40 µm) with the aid of a plunger, and resuspend it in 10 ml of staining buffer.
4. Centrifuge at 400 x g for 15 min.
5. Re-suspend the pellet in 1 ml ACK (Ammonium-Chloride-Potassium) Lysing Buffer. After 1 min 30 sec at room temperature, add 10 ml of staining buffer to stop the reaction.
6. Centrifuge at 400 x g for 10 min.
7. Re-suspend the pellet in an adequate volume of staining buffer (1 ml) and filter the cell suspension using a strainer (30 µm).
8. Count the number of cells using trypan blue exclusion on a hemocytometer and add 2 million cells to a 1.5 ml tube for staining.

4. Cell Staining and Flow Cytometry Analysis

1. Centrifuge cells at 100 x g for 5 min.
2. Re-suspend the pellet in 100 µl of rat serum (diluted 1:100) for 10 min at 4 °C to block Fc receptors.
3. Wash by adding 1 ml of staining buffer and centrifuge 100 x g for 5 min.
4. Mix the antibodies for cell surface staining in 100 µl of staining buffer for each condition: CD45 APC-Cy7 (1:100), CD163 A647(4:100) and solution to detect live cells (3:1,000).
5. Re-suspend the cell pellet in the antibody mix for 20 min at 4 °C in the dark.
6. Wash by adding 1 ml of staining buffer and centrifuge at 100 x g for 5 min. Repeat this step.
7. Add 600 µl of Fixation/Permeabilization solution for 20 min at 4 °C in the dark.
8. Wash 2 times with 1 ml Permeabilization/Wash buffer and centrifuge at 170 x g for 5 min.
9. Add the CD68 FITC antibody (35:1,000) for the intracellular staining to 100 µl of Permeabilization/Wash buffer for each condition.
10. Re-suspend the pellet in the CD68-antibody solution and incubate 50 min at 4 °C in the dark.
11. Wash with 1 ml Permeabilization/Wash buffer and centrifuge at 170 x g for 5 min.
12. Re-suspend the pellet in 100 µl of Permeabilization/Wash buffer, add CD86PE antibody (35:1,000) and incubate for 20 min at 4 °C in the dark.
13. Wash by adding 1 ml of Permeabilization/Wash buffer and centrifuge at 100 x g for 5 min.
14. Re-suspend the pellet in 100 µl of Permeabilization/Wash buffer and pass it to a flow cytometry tube.
15. Analyze samples by flow cytometry. Determine CD45 staining in live cells gated in the Side-scattered light/forward-scattered light (SSC/FSC) window. In a second step, analyze CD86 and CD163 expression in CD68⁺ cells.

Results

We analyzed macrophage heterogeneity in an inflammatory experimental model of renal injury associated with increased presence of infiltrating macrophages in the kidney. In this model, renal damage was induced by administration of aldosterone (1 mg^-1kg^-1day) plus salt (NaCl 1%) in drinking water for 3 weeks in Wistar rats, as previously reported¹².

The schedule of our experiments is shown in

Discussion

Macrophages are heterogeneous cells that play an important role in different inflammatory diseases, including renal disorders. There is increasing interest in the characterization of macrophages subsets in renal disease because each macrophage subpopulation contributes in a different way to the development of kidney injury, as reported in glomerulonephritis, diabetic nephropathy and kidney cancer^14-16. In the early stages of acute renal injury, a predominance of M1 macrophages is observed, promoting tubular ne...

Materials

Name	Company	Catalog Number	Comments
Laminar flow hood	Faster		Or equivalent equipment
Centrifuge	Hettich		Or equivalent equipment
Flow cytometer (FACSAria)	BD Biosciences
Fetal bovine serum	BioWest	S1820-500
PBS 10x	LONZA	BE17-515Q
Collagenase	Sigma-Aldrich	12/1/9001
ACK Lysing Buffer	Thermo Fisher Scientific	A10492-01
Flow cytometry strainers	BD Biosciences	340626
Falcon cell strainers	Thermo Fisher Scientific	352340
Flow cytometry tubes	Falcon	352052	5 ml Polystyrene Round-Bottom Tube
Centrifuge tubes	Corning centristar	430791
Water bath	Memmert GmbH + Co. KG	WNE 7	37 °C
Fixation/Permeabilization Solution or Permeabilization/Wash Buffer	BD Biosciences	554714
Rompum (Xylazine)	Bayer		Or equivalent
Ketalar (Ketamine)	Pfizer		Or equivalent
Hanks’ balanced salt solution	Sigma-Aldrich	H8264-500ML
Saline solution	Braun	622415
Anti-CD45 (clone:OX-1) APC-Cy7	Biolegend	202216	Diluted 1:100
Anti-CD68 (clone: ED1) FITC	Bio-RAD	MCA341F	Diluted 35:1,000
anti-CD86 (clone: 24F) PE	Biolegend	200307	Diluted 35:1,000
anti-CD163 (clone: ED2) Alexa Fluor 647	Bio-RAD	MCA342R	Diluted 4:100
Live/dead stain	Molecular Probes	L34955	Diluted 3:1,000