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Method Article
* These authors contributed equally
A simple and reliable method is described here to analyze a set of NK cell functions such as degranulation, cytokine and chemokine production within different NK cell subsets.
Natural killer (NK) cells are an important part of the human tumor immune surveillance system. NK cells are able to distinguish between healthy and virus-infected or malignantly transformed cells due to a set of germline encoded inhibitory and activating receptors. Upon virus or tumor cell recognition a variety of different NK cell functions are initiated including cytotoxicity against the target cell as well as cytokine and chemokine production leading to the activation of other immune cells. It has been demonstrated that accurate NK cell functions are crucial for the treatment outcome of different virus infections and malignant diseases. Here a simple and reliable method is described to analyze different NK cell functions using a flow cytometry-based assay. NK cell functions can be evaluated not only for the whole NK cell population, but also for different NK cell subsets. This technique enables scientists to easily study NK cell functions in healthy donors or patients in order to reveal their impact on different malignancies and to further discover new therapeutic strategies.
As part of the innate immune system natural killer (NK) cells contribute to the first line of defense against virus-infected or malignantly transformed cells. A system of inhibitory and activating receptors enables them to distinguish between healthy and transformed cells without prior antigen priming in contrast to T cells. Upon target cell encounter NK cells release the content of their cytotoxic granules (e.g., perforin, granzymes) into the immune synapse to kill their target. Moreover, NK cells produce and secrete different kinds of cytokines (e.g., interferon- γ: IFN-γ; tumor necrosis factor-α: TNF-α) and chemokines (e.g., macrophage inflammatory protein-1β: MIP-1β) upon target cell interaction or cytokine stimulation1.
Sufficient NK cell functions such as cytotoxicity, chemokine and cytokine production have an important impact on the fate of diverse diseases. Leukemia patients show increased relapse rates if they exhibit a defective NK cell profile at diagnosis consisting of reduced IFN-γ production and reduced expression of activating NK cell receptors2. An early recovery of NK cell numbers and function including cytokine production upon target cell interaction is associated with a reduced relapse and improved survival rate in patients receiving allogeneic stem cell transplantation3. Moreover, upon initiation of interferon therapy in hepatitis C virus-infected patients the degranulation capacity of peripheral NK cells is stronger in early responders than in non-responders4. NK cell numbers (>80/µl) on day 15 after autologous stem cell transplantation (autoSCT) in patients suffering from lymphoma or multiple myeloma are predictive for an improved progression free and overall survival5. In melanoma patients the expression of the T-cell immunoglobulin- and mucin-domain-containing molecule-3 (TIM-3), an immune-regulatory protein on NK cells, correlates with disease stage and prognosis6.
Scientists have monitored NK cell functions throughout the last decades. The initial analysis of NK cell cytotoxicity against tumor cells without prior priming was addressed using a 51Cr-release assay7. More recently, scientists developed a non-radioactive method to evaluate the cytotoxicity of expanded NK cells8. Cytokine and chemokine production has been frequently evaluated using enzyme-linked immunosorbent assay (ELISA) techniques9,10. During the last decades these methods have been complemented by flow cytometry-based assays. The use of protein transport inhibitors (e.g., brefeldin A and monensin) and cell permeabilization methods in combination with conventional surface staining protocols have enabled scientists to study chemokine and cytokine production in different specific lymphocyte subsets (e.g., T, B or NK cells)11. Moreover, different flow cytometry-based assays have been developed to monitor T and NK cell cytotoxicity. In 2004 Alter et al. described the surface expression of the lysosome-associated protein CD107a (Lamp1) on NK cells upon target cell encounter as a marker for the degranulation of cytotoxic granules12. Since a wide range of different fluorochromes and multi-channel flow cytometers are available in our days, it has become possible to simultaneously monitor diverse NK cell functions (cytotoxicity, cytokine and chemokine production) in different NK cell subsets. This becomes especially important in situations where sample size is limited, e.g., in biopsies or blood samples of patients suffering from leukopenia.
To test global NK cell functions, the different flow cytometry-based assays can be efficiently combined. Theorell et al. stimulated NK cells from healthy donors with the tumor cell line K562 and analyzed NK cell degranulation, inside-out signal and chemokine production via flow cytometry13. Recently NK cell subgroups, phenotypes and functions in tumor patients during autoSCT were analyzed using flow cytometry-based assays. It was demonstrated that NK cells were able to degranulate and produce cytokines/chemokines upon tumor cell recognition at very early time points after autoSCT11.
Here a protocol is described to evaluate NK cell functions upon interaction with tumor cells including degranulation capacity, chemokine and cytokine production using a flow cytometry-based assay that makes it possible to monitor NK cell functions in different subsets simultaneously.
This study was carried out in accordance with the recommendations of the local ethics committee of the University of Frankfurt.
1. Culturing of K562 Cells
2. Isolation of NK Cells
3. Harvesting of the K562 Cells for NK Cell Stimulation
4. Stimulation of NK Cells with the Tumor Cell Line K562 and Cytokines
5. Surface and Intracellular Staining
6. Flow Cytometry Compensation and Acquisition
7. Analysis and Statistics
The gating strategy for analyzing the degranulation, cytokine and chemokine production of the whole NK cell population and three different NK cell subsets are illustrated in Figure 1.
Representative results of one healthy donor are illustrated in Figure 2. NK cells without any stimulus produced neither IFN-γ nor MIP-1β and did not express CD107a on their surface (Figure 2A
The described method is an easy, fast and reliable approach to study NK cell functions from whole blood samples of healthy donors or patients. This method offers the great advantage to directly purify NK cells from whole blood, avoiding the time-consuming density gradient centrifugation, which is mandatory for many other purification methods15. Moreover, it requires a smaller sample size compared to "classical" NK cell isolation/enrichment methods, which makes it a suitable alternative for samples of p...
The authors have nothing to disclose.
Authors were supported by the German Cancer Aid (Max Eder Nachwuchsgruppe, Deutsche Krebshilfe; EU), the LOEWE Center for Cell and Gene Therapy Frankfurt (EU, ST) funded by the Hessian Ministry of Higher Education, Research and the Arts, Germany (III L 4- 518/17.004) and by the "Alfred- und Angelika Gutermuth-Stiftung", Frankfurt, Germany (EU). BJ was funded by a Mildred Scheel postdoctoral scholarship from the Dr. Mildred Scheel Foundation for Cancer Research. ST was founded by a GO-IN postdoctoral fellowship (PCOFUND-GA-2011-291776). The authors thank Becton Dickinson (BD) for providing the FACSCanto II and Canto10c Flow Cytometry Analyzers used in this study.
Name | Company | Catalog Number | Comments |
RPMI 1640 + glutamine | Invitrogen | 6187-044 | |
penicilin/streptomycin | Invitrogen | 15140-122 | |
BD Falcon Round Bottom Tube | BD | 352008 | |
fetal calf serum | Invitrogen | 10270-106 | heat inactivated before use |
T-flask | Greiner Bio-One | 690195 | |
K562 tumor cell line | DSMZ GmbH | ACC 10 | |
ammonium-chloride-potassium (ACK) lysis buffer | made in house | / | components are listed in the text |
Distilled water: Ampuwa Spüllösung 1000ml Plastipur | Fresenius Kabi | 1088813 | |
Megafuge 40R Centrifuge | Heraeus | / | |
EDTA blood collector tubes | Sarstedt | 386453 | S-Monovette 7,5 ml, K3 EDTA |
UltraPure 0.5M EDTA, pH 8.0 | Life Technologies | 15575-020 | |
Hematopoietic media (XVIVO) | Lonza Group Ltd | BE04-743Q | |
human serum | DRK Blutspendedienst, Frankfurt/M | / | healthy donors with blood type AB; heat inactivated before use |
Neubauer-improved counting chamber, bright line | Marienfeld superior/ LO-Laboroptik Ltd. | 0640030/ 1110000 | |
trypan blue solution (0,4%) | Invitrogen | 15250-061 | |
3% acetic acid with methylene blue | Stemcell Technologies | 07060 | |
Corning 96 Well Clear V-Bottom TC-treated Microplates | Corning | 3894 | |
Falcon 96 Well Round Bottom Not Treated Microplates | Corning | 351177 | |
DPBS (Ca2+- and Mg2+-free) | Gibco Invitrogen | 14190-169 | |
BSA | Sigma Aldrich | A2153-100G | |
NaN3 | Sigma Aldrich | 08591-1ML-F | |
phorbol 12-myristate 13-acetate (PMA) | Merck | 524400-1MG | |
ionomycin | PromoKine | PK-CA577-1566-5 | |
interleukin 15 (IL-15) | PeproTech | 200-15 | |
Proleukin S (IL-2) | Novartis Pharma | 730523 | |
Golgi Stop, Protein Transport Inhibitor (containing Monensin) | BD Biosciences | 554724 | This product can be used in combination or instead of Golgi Plug. The best combination for the wished experimental setting has to be tested. |
Golgi Plug, Protein Transport Inhibitor (containing Brefeldin A) | BD Biosciences | 555029 | |
paraformaldehyde | AppliChem | UN2209 | |
saponin | Sigma Aldrich | 47036 | |
flow cytometer: Canto10C | BD Biosciences | / | |
FlowJo | TreeStar Inc. | / | |
Graph Pad | Graph Pad Inc. | / | |
MACSxpress Separator | Miltenyi Biotec | 130-098-308 | |
MACSxpress NK isolation kit | Miltenyi Biotec | 130-098-185 | |
MACSxpress Erythrocyte Depletion Kit, human | Miltenyi Biotec | 130-098-196 | |
MACSmix Tube Rotator | Miltenyi Biotec | 130-090-753 | |
anti-human CD3 APC | Biolegend | 300412 | |
anti-human CD3 V450 | BD Biosciences | 560366 | |
anti-human CD14 PerCP | Miltenyi Biotec | 130-094-969 | |
anti-human CD14 V450 | BD Biosciences | 560349 | |
anti-human CD16 PE | Biolegend | 302008 | |
anti-human CD16 PerCP | Biolegend | 302029 | |
anti-human CD19 PE-Cy7 | Biolegend | 302216 | |
anti-human CD19 V450 | BD Biosciences | 560353 | |
anti-human CD45 BV510 | BD Biosciences | 563204 | |
anti-human CD56 FITC | Biolegend | 345811 | |
anti-human CD107a PE | Biolegend | 328608 | |
anti-human IFN-γ AF-647 | BD Biosciences | 557729 | |
anti-human MIP-1β APC-H7 | BD Biosciences | 561280 | |
DAPI | Biolegend | 422801 | |
Zombie Violet Fixable Viability Kit | Biolegend | 423113 | fixable dead cell marker |
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