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Method Article
Using human primary prostate epithelial cells, we report a novel biomarker-free method of functional characterization of stem-like cells by a spheroid-based label-retention assay. A step-by-step protocol is described for BrdU, CFSE, or Far Red 2D cell labeling; three-dimensional spheroid formation; label-retaining stem-like cell identification by immunocytochemistry; and isolation by FACS.
Despite advances in adult stem cell research, identification and isolation of stem cells from tissue specimens remains a major challenge. While resident stem cells are relatively quiescent with niche restraints in adult tissues, they enter the cell cycle in anchor-free three-dimensional (3D) culture and undergo both symmetric and asymmetric cell division, giving rise to both stem and progenitor cells. The latter proliferate rapidly and are the major cell population at various stages of lineage commitment, forming heterogeneous spheroids. Using primary normal human prostate epithelial cells (HPrEC), a spheroid-based, label-retention assay was developed that permits the identification and functional isolation of the spheroid-initiating stem cells at a single cell resolution.
HPrEC or cell lines are two-dimensionally (2D) cultured with BrdU for 10 days to permit its incorporation into the DNA of all dividing cells, including self-renewing stem cells. Wash out commences upon transfer to the 3D culture for 5 days, during which stem cells self-renew through asymmetric division and initiate spheroid formation. While relatively quiescent daughter stem cells retain BrdU-labeled parental DNA, the daughter progenitors rapidly proliferate, losing the BrdU label. BrdU can be substituted with CFSE or Far Red pro-dyes, which permit live stem cell isolation by FACS. Stem cell characteristics are confirmed by in vitro spheroid formation, in vivo tissue regeneration assays, and by documenting their symmetric/asymmetric cell divisions. The isolated label-retaining stem cells can be rigorously interrogated by downstream molecular and biologic studies, including RNA-seq, ChIP-seq, single cell capture, metabolic activity, proteome profiling, immunocytochemistry, organoid formation, and in vivo tissue regeneration. Importantly, this marker-free functional stem cell isolation approach identifies stem-like cells from fresh cancer specimens and cancer cell lines from multiple organs, suggesting wide applicability. It can be used to identify cancer stem-like cell biomarkers, screen pharmaceuticals targeting cancer stem-like cells, and discover novel therapeutic targets in cancers.
The human prostate gland contains luminal epithelium with secretory function and basal cells underlying it along with an unusual neuroendocrine cell component. The epithelial cells, in this case, are generated from a rare population of prostate stem cells that are relatively quiescent in vivo and act as a repair system to maintain glandular homeostasis throughout life1. Despite many advances, the identification and functional isolation of prostate stem cells remains a major challenge in the field. Stem cell biomarkers, including cell surface marker-based methodologies combined with flow cytometry are commonly used for stem cell research2,3,4. However, results for enrichment and isolation vary widely as a function of marker combinations and antibody specificity5,6, raising questions about the identity of the isolated cells. Another widely used approach for stem-like cell enrichment is three-dimensional (3D) spheroid culture2,3,4. While resident stem cells are relatively quiescent in vivo with niche restraints, they undergo cell division in 3D matrix culture (both symmetric and asymmetric), generating both stem and progenitor cells that rapidly reproduce toward the lineage commitment7,8. The formed spheroids are a heterogeneous mixture containing both stem cells and progenitor cells at various stages of lineage commitment, including early and late stage progenitor cells. Thus, assays using the whole spheroids are not stem cell exclusive, making the identification of unique stem cell properties inconclusive. Therefore, it is critical to create assays to identify and separate prostate stem cells from their daughter progenitors. Towards this end, the goal of the current protocol is to establish an assay system that allows for the efficient identification and isolation of stem cells from human prostate tissues followed by robust downstream analysis of their biological functions.
Long-term 5-bromo-2'-deoxyuridine (BrdU) label-retention is widely used for in vivo and in vitro lineage tracing of stem cells based on their prolonged doubling time9,10. The current approach for prostate stem cell identification and isolation described herein is based on their relative quiescent characteristic and label-retention properties within a mixed epithelial population. Furthermore, based on the immortal strand DNA hypothesis, only stem cells can undergo asymmetric cell division. The stem cell represents the daughter cell that contains the older parental DNA while the progenitor cell, which is a committed daughter cell, receives the newly synthesized DNA. The unique stem cell property described above is exploited to perform BrdU labeling in parental stem cells in primary cultures and then track their label following BrdU-washout upon transfer to 3D anchor-free spheroid culture. While the majority of primary prostate epithelial cells retain a basal and transit amplifying phenotype in 2D culture, there is also a rare population of multipotent stem cells replenishing and maintaining the epithelial homeostasis as evidenced by formation of spheroids or fully differentiated organoids with corresponding culture media upon transfer to 3D systems3,12. In our current protocol, by using HPrEC prostate spheroids or prostasphere-based BrdU, CFSE, or Far Red retention assays followed by fluorescence activated cell sorting (FACS), we identify label-retaining stem cells in spheroids at a single cell level13.
Importantly, we further confirmed the stem cell characteristics of label-retaining cells within early-stage spheroids compared to the progenitor cells with lineage commitment. These include stem cell asymmetric division, in vitro spheroid formation ability and in vivo tissue regeneration capacity, elevated autophagy activity, augmented ribosome biogenesis and decreased metabolic activity. Subsequently, RNAseq analysis was performed. Differentially expressed genes in label-retaining spheroid cells were observed that may serve as novel biomarkers for human prostate stem cells. This spheroid-based label-retaining approach can apply to cancer specimens to similarly identify a small number of cancer stem-like cells, thus providing translational opportunities to manage the therapeutic resistant populations13. Presented below is the prostasphere-based label-retention assay using human primary prostate epithelial cells (HPrEC) as an example.
All cell handling and media preparations should be performed with aseptic technique in a Class II biological safety cabinet (BSC).
1. Culture and maintenance of HPrEC Cells in 2D
2. Labeling HPrEC with BrdU, CFSE, or Far Red pro-dyes
NOTE: The cells can proceed either to step 2.1 or step 2.2 followed by the transfer to 3D prostasphere culture as described in step 3.1.
3. Prostasphere formation in the 3D basement membrane culture system
4. Identification of BrdU-retaining prostate stem cells by immunofluorescent staining
5. Isolation of the CFSE label-retaining prostate stem cells by FACS sorting
Primary normal human prostate epithelial cells are placed into fibronectin-coated culture dishes and cell growth is maintained in 2D culture (Figure 1a). Upon transfer into 3D culture with a basement membrane matrix, differentiated epithelial cells slowly die out. Only prostate stem cells can survive in an anchor-free culture and form spheroids in 5 days (Figure 1b).
Dual labeling of prostate epitheli...
Flow cytometry using multiple stem cell surface markers is a commonly used approach for stem cell research despite lacking both specificity and selectivity1,5,6. While spheroid formation in a 3D culture system is another useful method in enriching the rare stem cell population from primary epithelial cells, including HPrEC, the resulting spheroids are still a heterogeneous mixture of stem and progenitor cells2<...
The authors do not have financial relationships to disclose.
This study was supported by grants from the National Cancer Institute R01-CA172220 (GSP, WYH), R01-ES02207 (GSP, WYH). We thank the Flow Cytometry Core at the University of Illinois at Chicago for assistance on cell sorting.
Name | Company | Catalog Number | Comments |
0.05% Trypsin-EDTA | Gibco | 25300-054 | |
1 mL tuberculin syringes | Bectin Dickinson | BD 309625 | |
1.5 mL microcentrifuge tubes, sterile | |||
100 mm culture dishes | Corning/Falcon | 353003 | |
12-well culture plate | Corning/Falcon | 353043 | |
15 mL centrifuge tubes | Corning/Falcon | 352097 | |
22 x 22 mm coverslips, sq | Corning | 284522 | For MatTek 35 mm culture dish |
24 x 50 mm coverslips | Corning | 2975245 | |
26G x 1.5 inch hypodermic needle | Monoject | 1188826112 | |
2N HCl | |||
35 mm culture dish with cover glass bottom | MatTek Corp | P35G-0-10-C | Glass bottom No. 0, uncoated, ![]() |
40 µm pore nylon cell strainer | Corning | 352340 | |
5% CO2 culture incubator, 37 °C | Forma | ||
50 mL centrifuge tubes | Corning/Falcon | 352098 | |
5mL Polystyrene Round-Bottom Tube with strainer snap cap | Corning | 352235 | 35 µm nylon mesh |
6-well culture plates | Corning | 353046 | |
8-well chamber slides | Millipore Sigma | PEZGS0816 | |
Aqueous mounting medium containing DAPI | Vector Laboratories | H-1200 | A nuclear fluorescent dye |
Biological safety cabinet, Level 2 certified | |||
BrdU (5-bromo-2’-deoxyuridine) | Sigma-Aldrich | B5002 | 1 mM stock solution in DMSO |
Centrifuge for 1.5 mL microcentrifuge tubes | Eppendorf | ||
Centrifuge for 15 mL tubes | Beckman Coulter | Allegra 6 | |
CFSE (carboxyfluorescein succinimidyl ester) | Thermo Fisher Scientific | C34554 | 5 mM stock solution in DMSO |
cytochalasin D | Thermo Fisher Scientific | PHZ1063 | |
Dispase 1U/mL | StemCell Technologies | 07923 | |
FACS CellSorter MoFlo XDP | Beckman Coulter | s | |
Far-Red pro-dye | Thermo Fisher | C34564 | 5 mM stock solution in DMSO |
Fetal Bovine Serum (FBS) | |||
Fibronectin | Sigma-Aldrich | F0895 | For coating 100 mm culture dishes |
Fluorescent microscope with color digital camera | Carl Zeiss | Axioskop 20 fluorescent microscope; color digital Axiocamera | |
Goat anti-Mouse IgG (H+L) Highly Cross-Adsorbed Secondary Antibody, Alexa Fluor 488 | Thermo Fisher | A-11029 | |
HPrEC (Primary normal human prostate epithelial cells) | Lifeline Cell Technology | FC-0038 | Pooled from 3 young (19-21yr od) disease-free organ donors; 1 x 105 cells/mL; stored in liquid nitrogen |
ice bucket and ice | |||
Inverted microsope with digital camera | |||
Matrigel, low growth factor, phenol-red free | Corning | 356239 | |
Methanol | Corning | A452-4 | |
Mouse anti-BrdU antibody | Cell Signaling | 5292S | |
Mouse IgG antibody (negative control) | Santa Cruz Biotechnology | sc-2025 | |
Normal goat serum | Vector Laboratories | S-1000 | |
Phosphate Buffered Saline (PBS), pH 7.4 | Sigma-Aldrich | P5368-10PAK | |
Pipettors and tips, various sizes | |||
PrEGM (ProstaLife Epithelial Cell Growth Medium) | Lifeline Cell Technology | LL-0041 | |
Propidium Iodide (PI) | R & D Systems | 5135/10 | 10 μg/mL PI in PBS stored at 4 °C in the dark |
Serological pipets, various sizes | |||
Software for sphere counting and size measurements | |||
Software: 3D images using Imaris an imageing software with freeform drawing capabilities | |||
Triton X-100 | Millipore Sigma | T8787 | |
Water bath, 37 °C | |||
z-stack images using a transmitted light inverted fluorescent confocal microscope |
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