Anaerobic Growth and Maintenance of Mammalian Cell Lines

Summary

Here, we describe a new method that enables the anaerobic long-term cultivation of established cell lines. The maximum survival time that was tested is 17 days. This method is suitable for the testing of cytotoxic agents and exploring the physiology of anoxically replicating cells.

Abstract

Most mucosal surfaces along with the midpoints in tumors and stem cell niches are geographic areas of the body that are anoxic. Previous studies show that the incubation in normoxic (5% CO₂ in air) or hypoxic (low oxygen levels) conditions followed by an anoxic incubation (an absence of free oxygen) results in limited viability (2–3 days). A novel methodology was developed that enables an anoxic cell cultivation (for at least 17 days; the maximum time tested). The most critical aspect of this methodology is to ensure that no oxygen is introduced into the system. This is obtained by the degassing of media, and by flushing tubes, dishes, flasks, and pipettes with an anaerobic gas mixture (H₂, CO₂, N₂) followed by permitting the materials to equilibrate to the anoxic (non-oxygen) environment prior to usage. Additional care must be exercised when acquiring photomicrographs to ensure that the micrographs obtained do not contain artifacts. In the absence of oxygen, cell morphology is significantly altered. Two distinct morphotypes are noted for all anaerobically-grown cells. The ability to grow and maintain mammalian cells in the absence of oxygen can be applied to the analysis of cell physiology, polymicrobial interactions, and the characterization of biosynthetic pathways for novel cancer drug development.

Introduction

Cells from solid tumors, stem cell niches, and those lining the mucosal surfaces exist in environments that experience reduced oxygen levels, including anoxia^1,2,3,4. In normal physiologic states, oxygenation varies beyond that of hypoxia to anoxia (the complete absence of oxygen)^5,6.The realization that atmospheric oxygen adversely affects mammalian cell replication and that in vitro cell growth can be optimized under depleted oxygen conditions was reported in the early 1970s. Richter et al.⁷ showed that 1–3% of oxygen levels (hypoxia) enhanced plating efficiency as compared to atmospheric oxygen (20%). The human diploid cell lifespan is also extended in the hypoxic culture conditions⁸.

In vivo, hypoxic conditions occur when oxygen stores are depleted (e.g., during intense exercise), wherein the ATP production is switched in the skeletal muscle from aerobic respiration to fermentation (anaerobic respiration) with the end-product of lactic acid⁹. Pathologically, in cancerous tumors, the interior of the tumor mass is hypoxic to anoxic due to poor vascularization¹⁰. The effect of the limited perfusion on tumor interiors is independently validated by tumor interiors colonized by obligate anaerobes¹. Mechanistically, tumor cell survival in hypoxia is thought to be solely dependent on the expression of the hypoxia-inducible factor 1-alpha gene (HIF1-alpha), which is the initial spontaneous response to hypoxia^4,11,12. HIF1-alpha is induced under hypoxic conditions by heat shock proteins that bind the HIF1-alpha promoter and upregulate the gene transcription¹². These heat shock proteins are believed to aid in the induction of the various phenotypes seen in the tumor hypoxic microenvironment. These phenotypes exhibit an increased expression of the cell membrane glucose transporters and the rate of glycolysis (the Warburg effect)¹³. The result is a switch from mitochondrial oxidative phosphorylation to lactate fermentation.

Anoxic survival can also utilize alternatives to glucose to support the survival phenomenon^14,15. The best studied mammalian example is the mole rat, which can survive for nearly 20 min without oxygen through a fructose-driven glycolytic fermentation pathway¹⁴. An alternative adaptation occurs in certain fish (e.g., carp [Carassius sp.], which can survive for significantly longer time periods using glycolysis with ethanol as the terminal by-product)¹⁵. In both cases, fermentation drives the metabolism enabling the survival in the absence of oxygen. The current hypothesis for anoxic survival is that so long as HIF1-alpha is activated during hypoxia, mitochondrial respiration, without the need for oxygen, occurs under anaerobic conditions¹⁶. Furthermore, it is postulated that the use of a fermentative pathway for hypoxic/anoxic survival enhances tumor survival since the cells avoid oxidative stress which could prove to be detrimental to the cell survival¹⁷. This postulate is supported by a recent study which shows that in cardiomyocytes, hypoxia reduces the oxidative stress placed on the tumor cell¹⁷.

To date, the essential nature of a fermentative pathway for anoxic mammalian cell survival has been ingrained in the literature, due, in large part, to an inability to culture mammalian cells in the complete absence of oxygen for more than 3 days. However, an alternative to glycolysis for the anaerobic survival occurs in bacteria. In certain bacteria, nitrogen or sulfate (among other compounds) can serve as terminal electron acceptors for the cytochrome oxidase system in the absence of oxygen¹⁸. Although the bacterial and eukaryotic evolution occurred in parallel since diverging from the last universal common ancestor, it is estimated that mitochondria were providing energy to cells for 1.542 million years before the oxygenation of the oceans¹⁹. Since researchers have shown that the isolated mitochondria can produce ATP in the absence of oxygen, with nitrite as the terminal electron acceptor, it is reasonable to assume that cells could function for periods of time longer than 3 days in the absence of oxygen^20,21,22,23. The methodology described in this study has a utility for the anaerobic mammalian cell growth of numerous cell lines.

Protocol

1. Prepare Media for Anaerobic Culture of Various Mammalian Cell Lines

1. Make the complete PS-74656 medium for an anoxic cell culture²⁵.
   1. Make the sterile nitrite stock solution (5 M; 100x) by dissolving 17.25 g of nitrite in 50 mL of distilled deionized water, then filter to sterilize it.
   2. Add 0.5 mL of the nitrite stock solution per 50 mL of low glucose DMEM (1 g/L of glucose) with 110 mg/L of L-glutamine, 584 mg/L of sodium pyruvate, and 10% fetal bovine serum (FBS; heat-inactivated).
      NOTE: The use of FBS concentrations greater than 10% are toxic. Of note, one cancer cell line tested had a low tolerance for media with nitrite (MDA-MB-231, breast cancer cell line) and, thus, was grown in the absence of nitrite. In addition, although PS-74656 medium supported the growth of all cell lines that were tested (n = 9), certain cell lines (e.g., Vero cells) exhibited higher cell concentrations and a higher viability in PS-74656 with high glucose (4.5 g/L) DMEM²⁵.
   3. Place 20 mL of medium in a sterile 50 mL conical centrifuge tube. Do not tighten the cap; it should be loose.
   4. De-gas the medium by placing the tube in a vacuum bell jar at an approximately 45° angle, to maximize the medium surface area.
   5. Apply a vacuum using a vacuum pump, or its equivalent, at room temperature. Maintain the vacuum until bubbles are no longer observed (24–48 h).
   6. Remove the tube from the jar and immediately close the cap, sealing the tube to minimize the introduction of air into the medium.
   7. Place the tube in the commercial anaerobic chamber.
   8. Loosen the tube cap and allow the atmosphere in the tube to equilibrate with that of the anaerobic gas mixture in the chamber for at least 24 h.
      NOTE: The medium should remain in the chamber until it is used up. For speeding up the process, flush the tube at least 3x with the anoxic gas mixture using a sterile transfer pipette filled with anoxic gas, which consists of H₂, CO₂, and N_2.
   9. Degas all tubes (10–15 min) placed in the anaerobic chamber as described above before sealing the tube and placing in the chamber. Before use, flush it with the anaerobic gas mixture using 1.5–2 mL transfer pipettes or pipette tips that have been flushed with anoxic gas at least 3x.
   10. While in the anaerobic chamber, remove 100 µL of the medium to a sterile degassed micro-centrifuge tube and test it for the dissolved oxygen using an oxygen probe within the chamber.
       NOTE: The oxygen electrode is calibrated per the manufacturer's protocol prior to use. Readings of the properly degassed and equilibrated anaerobic gas mixture media are 0.
       CAUTION: If the readings are above 0.3 ppm of oxygen, continue to incubate the media in the anaerobic chamber since more time to equilibrate the medium is required.

2. Anoxic Cultivation of Various Mammalian Cell Lines

1. Designated day -1
   1. Grow cells (37 °C, 5% CO₂) in a T150 flask to 90% confluence for the anoxic and normoxic culture control to provide a sufficient number of cells for three 24-well plates (80% confluence).
      NOTE: For this study, HeLa 229 and Vero cells were used. This protocol was also tested and proved successful for the growth and maintenance of seven other cell lines²⁵.
   2. Remove the medium from the flask by aspiration and wash it with 10 mL of HBSS.
   3. Replace the medium with 5 mL of trypsin. Agitate the flask until the cells visually detach from the plastic. Aspirate most of the trypsin, then tap the flask to dislodge the adherent cells. Add 10–15 mL of high glucose DMEM (4.5 g/L of glucose, 110 mg/L of L-glutamine, 10% FBS, 50 µg/mL of gentamicin) to inactivate the trypsin.
   4. Triturate the cells using a 25 mL pipette until all cell clumps are disrupted.
   5. Count the cells and determine the viability using the standard hemocytometer and the trypan blue dye exclusion method or the automated equivalent.
   6. Suspend the cells in the high glucose DMEM as mentioned above to a cell density of 2.24 x 10⁵ cells/mL.
   7. Add 1 mL of the cell suspension to the wells of a 24-well tissue culture plate (2.24 x 10⁵ cells/well; 80% confluence). Seed 1 plate for the anoxic culture and another for a control normoxic culture.
   8. Incubate the cells at 37 °C in normoxic conditions (5% CO₂) for 24 h.
      NOTE: The cells can be plated in various well-sized plates. However, seeding the cells for anoxic growth in flasks runs the risk of the introduction of oxygen into the system, unless care is exercised to completely flush out atmospheric gas.
2. Designated day 0
   1. After 24 h of the normoxic incubation, place the plates for the anoxic growth into the anaerobic chamber (a commercial anaerobic chamber; Figure 1).
   2. Immediately change the medium to antibiotic-free de-gassed PS-74656 medium which has been acclimated for 24 h to the anaerobic chamber. Place the plate in a container with a damp towel and loosely close it to maintain the moisture.
      NOTE: The plates for normoxic growth are handled identically with the exception that all the treatments are done under atmospheric conditions.
3. Designated Day 1
   1. Day 1 of the anaerobic incubation starts after 24 h of the incubation in the commercial anaerobic chamber which contains the standard anaerobic gas mixture of 10% H₂, 10% CO₂, and 80% N₂.
   2. Incubate the cells for various time periods.
   3. Monitor the anaerobic medium for the color change over time.
      NOTE: A color shift from red-orange to magenta signals the time to change the medium. This can take up to 2 weeks to occur. A color shift in the medium from red-orange to yellow indicates the presence of a bacterial contamination.
   4. When the medium changes from red to magenta, remove the runagate cells by aspiration.
   5. Place the aspirated spent media with the runagate cells in degassed and anaerobic gas equilibrated microfuge tubes, close the tubes while making sure that the seal is secure, and then centrifuge them (326 x g; at room temperature for 10 min). Immediately replace the aspirated media in the well with 1 mL of new degassed PS-74656 medium.
   6. Place the microfuge tube with pelleted cells in the anaerobic chamber prior to opening it. Aspirate the spent medium and replace it with fresh degassed PS-74656 medium to a total volume of 1 ml in the microfuge tube.
   7. Return the cells from the tube to a well in the 24-well tissue culture plate.

3. Assessment of Phenotypic Cell Differentiation by Microscopy of Anaerobically Cultured Cells

1. While in the anaerobic chamber, place the plate in a resealable box flushed with the anaerobic gas mixture and close the box.
   NOTE: The box must contain a damp paper towel to provide moisture and prevent the plate from drying out. For microscopy, sandwich bags work the best since they are thin.
   1. To observe the cells under the microscope, completely seal the bag and remove it from the chamber.
   2. Carefully stretch the plastic bag over the plate, examine cells using an inverted phase contrast microscope with the camera attachment and take photomicrographs at various magnifications.
   3. Return the plate in the sealed bag to the chamber, and continue the incubation as described in step 2.3.3.
   4. To separately analyze the runagate cells that are in suspension, follow the steps outlined in step 2.3.5.
      NOTE: These cells can then be used for aerobic testing or can be returned to the anaerobic chamber for the testing of this specific population.

Results

The strength of this protocol lies in its support of the longevity and the growth of multiple cell lines and in the recognition that there are a profound alteration and divergence in the cell morphology²⁵. The most critical element of this study is the transfer and maintenance of the cells under strict anaerobiosis. This requires an anaerobic chamber organized to maximize the protocol (Figure 1) and the assurance that the cells removed...

Discussion

This method represents first-time mammalian cells that were cultured for extended periods of time in the absence of oxygen. Based on current observations, the anoxic growth capability via a non-fermentative pathway appears to be universal amongst mammalian cells lines²⁸, where the anaerobic growth resulted in phenotype divergence. This was observed for all cell lines tested. With the anaerobic cultivation, increasing proportions of the cells became rounded, developed a suspension-like pop...

Materials

Name	Company	Catalog Number	Comments
Whitney A35 anaerobic chamber	Don Whitley Scientific	Microbiology International	The ability to remove the front of the chamber makes it easy to put instruments inside without concern about getting them through the portals.
CO2 incubator	Fisher Scientific	3531
Tissue Culture Hood	Labconco	DO55735
pipet aid	Drummond	4-000-100
sterile transfer pipets	Santa Cruz	sc-358867
50 cc sterile conical centrifuge tubes	DOT	451-PG
vaccum jar	Nalgene 111410862889	BTA-Mall 5311-0250
DMEM high glucose (4.5 g/L)	CellGro	10-017-CM
DMEM low glucose (1 g/L)	CellGro	10-014-CV
FBS	VWR	1500-500
HBSS	VWR	20-021-CV
trypsin	VWR	25-052-CI
gentamicin	Gibco	15750-060
sterile pipets	CellTreat	229210B, 229205B
Tissue culture flask (T75 or T150)	Santa Cruz	sc-200263, sc-200264
24 well tissue culture treated dishes	DOT	667124
glad ziplock sandwich bags	Ziploc	Costco
inverted phase microscope (10, 20 40x objectives with camera mont)	Nikon Eclipse	TS100
trypan blue	Invitrogen	T10282
hemocytometer	Invitrogen	C10283
Countess Automated Cell Counter	Life Technologies	AMQAF1000
Rainin microtiter pipets	Mettler Toledo	Rainin Classic Pipette PR-100
microtiter tips	Santa Cruz Biotechnology	sc-213233 & sc-201717
test tube rack (50cc tubes)	The Lab Depot	HS29050A
sodium nitrite	Sigma	https://www.sigmaaldrich.com/catalog/product/sigald/237213?lang=en&region=US
clear boxes with lids	Rosti Mepal	Rubber maid
paper towels	In House
cell scraper	CellTreat	229310
PBS	In house prepared
70% Ethanol	Fisher Scientific	64-17-5
microcentrifuge tubes sterile	Santa Cruz	sc-200273
biohazard bags with holder (desktop)	Heathrow Scientific	HS10320
Nitrile Gloves	VWR	89428
oxygen electrode	eDAQ	EPO354
pH meter	Jenway	3510
pH paper/ pHydrion	Sigma Aldich	Z111813