Methylation Specific Multiplex Droplet PCR using Polymer Droplet Generator Device for Hematological Diagnostics

Summary

Epigenetic markers are used for white blood cell (WBC) subtyping through the quantification of DNA methylation patterns. This protocol presents a multiplex droplet polymerase chain reaction (mdPCR) method using a thermoplastic elastomer (TPE)-based microfluidic device for droplet generation allowing for precise and multiplex methylation-specific target quantification of WBC differential counts.

Abstract

A multiplexed droplet PCR (mdPCR) workflow and detailed protocol for determining epigenetic-based white blood cell (WBC) differential count is described, along with a thermoplastic elastomer (TPE) microfluidic droplet generation device. Epigenetic markers are used for WBC subtyping which is of important prognostic value in different diseases. This is achieved through the quantification of DNA methylation patterns of specific CG-rich regions in the genome (CpG loci). In this paper, bisulfite-treated DNA from peripheral blood mononuclear cells (PBMCs) is encapsulated in droplets with mdPCR reagents including primers and hydrolysis fluorescent probes specific for CpG loci that correlate with WBC sub-populations. The multiplex approach allows for the interrogation of many CpG loci without the need for separate mdPCR reactions, enabling more accurate parametric determination of WBC sub-populations using epigenetic analysis of methylation sites. This precise quantification can be extended to different applications and highlights the benefits for clinical diagnosis and subsequent prognosis.

Introduction

Analysis of white blood cells (WBCs) composition is among the most frequently requested laboratory tests in hematological diagnostics. Differential leukocyte count serves as an indicator for a spectrum of diseases including infection, inflammation, anemia, and leukemia, and is under investigation as an early prognostic biomarker for several other conditions as well. Gold standard in WBC subtyping involves immunostaining and/or flow cytometry both of which require costly, instability-prone fluorescent antibodies and are often highly dependent on operator proficiency in sample preparation. Moreover, this method is applicable to fresh blood samples only, such that the sa....

Protocol

All the experiments performed in this study involving human samples were approved by the NRC’s Ethics Board and were done according to NRC’s policies governing human subjects that follow applicable research guidelines and are compliant with the laws in Québec, Canada.

1. Cell preparation

1. Thaw the frozen human peripheral blood mononuclear cells (PBMCs) immediately by placing the cryovial in a water bath at 37 °C for 5 min.
2. Invert the cryovial twice to.......

Discussion

The presented experimental protocol and methods allow for in-house mdPCR using a fabricated TPE droplet generator, a thermal cycler, and fluorescence microscope. The fabricated device using soft TPE to TPE bonding affords hydrophobic surface properties that are uniform across all channel walls, such that the final device does not require any surface treatment for subsequent use as a droplet generator. This material has been routinely employed in point-of-care platforms that necessitate compatibility with high throughput .......

Materials

Name	Company	Catalog Number	Comments
Bio-Rad, Mississauga, ON	TFI0201	PCR tube
RAN Biotechnologies, Beverly, MA	008-FluoroSurfactant	Fluoro-surfactant
Silicon Quest International, Santa Clara, CA
Oxford Instruments, Abingdon, UK		EMCCD camera
Thermo Fisher Scientific, Waltham, MA	MA5-16728
Thermo Fisher Scientific, Waltham, MA	22-8425-71
CellProfiler		Used for fluorescence image analysis
Nikon, Japan		10x objective
American Type Culture Collection (ATCC), Manassas, VA	PCS-800-011
Ramé-Hart Instrument Co. (Netcong, NJ)	p/n 200-U1
Fisher, Canada
Vitrocom, NJ, USA	5015 and 5010	Borosilicate capilary tube
(http://definetherain.org.uk/)
Hamamatsu, Japan	LC-L1V5	DEL UV light source
Dolomite	3200063	Disposable fluidic tubing
Dolomite	3200302	Disposable fluidic tubing
IDT, Coralville, IA
Nikon, Melville, NY		Upright light microscope
Cytec Industries, Woodland Park, NJ
EV Group, Schärding, Austria
Zymo Research, Irvine, CA	D5030
Photron, San Diego, CA
IDT, Coralville, IA
Gersteltec, Pully, Switzerland		SU-8 photoresist
Fineline Imaging, Colorado Springs, CO
Qiagen, Hilden, Germany	203603
Image J		Used to assess droplet diameter
Anachemia, Montreal, QC
Excelitas, MA, USA		Broad-spectrum LED fluorescent lamp
Galenvs Sciences Inc., Montreal, QC	DE1010
Hexpol TPE, Åmål, Sweden		Thermoplastic elastomer (TPE)
Thermo Fisher Scientific, Waltham, MA	13-400-518
Nikon, Japan		Used for image acquisition
3M, St Paul, MN		Carrier Oil
Thermo Fisher Scientific, Waltham, MA	R37605	Blue fluorescent live cell stain (DAPI)
IDEX Health & Science, Oak Harbor, WA	P-881	PEEK fittings
Sigma-Aldrich, Oakville, ON	806552
Dow Corning, Midland, MI
ThinkyUSA, CA, USA	ARV 310
Ihc world, Maryland, USA	IW-125-0
Zinsser NA, Northridge, CA	2607808
Cetoni GmbH, Korbussen, Germany
Sigma-Aldrich, Oakville, ON	484431
Bio-Rad, Mississauga, ON	1861096
Hitachi High-Technologies, Mississauga, ON
Nikon, Melville, NY		Inverted microscope
Nikon, Japan
Loctite	AA 352