Protocol Citation: Diane Saunders, Rita Bottino, Marcela Brissova, Angela R.S. Kruse, Jamie Allen, Carrie Romer, Danielle Gutierrez, Jeff Spraggins, Alvin C. Powers 2022. HuBMAP | VU TMC Eye/Pancreas | Human Pancreas Processing for Multiple Applications. protocols.io https://dx.doi.org/10.17504/protocols.io.eq2lyp5nelx9/v2Version created by Diane Saunders
Manuscript citation:
Cell Rep. 2018 Mar 6;22(10):2667-2676. doi: 10.1016/j.celrep.2018.02.032
License: This is an open access protocol distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited
Developed in collaboration with Dr. Rita Bottino (Imagine Pharma) and Dr. Marcela Brissova (Vanderbilt University); adapted from this standard operating procedure established by the Network for Pancreatic Organ Donors with Diabetes (nPOD).
Abstract
This protocol describes the workflow for collecting human pancreas samples for multimodal downstream assays, in use by the Vanderbilt University HuBMAP Tissue Mapping Center.
Materials
Materials and Consumables:
Stainless steel sterilizable tray (12.25 x 7.75 x 2)Cardinal HealthCatalog #DYND051202Z
All Purpose Sponge sterileCovidienCatalog #8044
4.5 straight scissorsGeneral Econopack (STERIS Life Sciences)Catalog #AH.50-1401
5.5 straight scissorsGeneral Econopack (STERIS Life Sciences)Catalog #AH.50-9591
100 mM PBS, 1L: Add 12.07 g Na2HPO4 (dibasic), 2.04 g KH2PO4 (monobasic), 8.0 g NaCl, and 2.0 g KCl to 1L glass bottle, then add MilliQ water to volume. Place on stir plate until dissolved. Filter through a 0.22 μm filter and store at 4ºC for up to 1 month.
70% Ethanol, 1L: Combine 700 mL of 190 Proof ethanol with 300 mL of dH2O.
16% Paraformaldehyde (PFA), for FCMC: Add 60 mL of 16% PFA stock into a 500 mL glass bottle, then add 180 mL of 100 mM PBS. Mix gently and transfer 40-mL aliquots into prelabeled 50-mL conical tubes for fixation.
⚠ This solution should be made fresh within 12 hours of use.
16% Paraformaldehyde (PFA), for CLR: Add 20 mL of freshly-opened 32% PFA ampule into a 500 mL glass bottle, then add 140 mL of 100 mM PBS. Mix gently and transfer 30-mL aliquots into prelabeled 50-mL conical tubes for fixation.
⚠ This solution must be made fresh immediately prior to use.
30% Sucrose: Add 72 g sucrose to approximately 100 mL of 10 mM PBS in a 500 mL glass bottle. Place on stir plate until dissolved, then bring to 240 mL total volume with 10 mM PBS. Filter through a 0.22 μm filter and store at 4ºC for up to 1 month.
2.6% Carboxymethylcellulose (CMC): Add 500 mL water to 500 mL glass bottle and microwave for 2 minutes. Place bottle on heated stir plate (~70ºC), and slowly add 13g CMC to warmed water. Stir on low hotplate overnight, occasionally tightening lid and shaking bottle. Store at 4ºC for up to 2 months. Before each use, pour solution into 125 mL bottle and sonicate for 10 minutes.
Upon arrival, remove the pancreas from transport solution (UW or HTK) and transfer into a large dissection tray placed on ice. Photograph the organ and note the following prior to dissection:
Gross morphology:
Peri-pancreatic fat: normal or excessive?
Peri-pancreatic adhesions: yes or no?
Texture: soft, firm, or hard? Any palpable masses?
Outer surface: is contour smooth or irregular? Note any localized bulge, hemorrhage, breakdown, chalk-white areas, or changes in color.
Other external features: describe as needed.
Dissect the pancreas by carefully removing duodenum, mesentery, fat, and spleen (Figure 1).
Figure 1. Pancreas may require removal of mesentary fat as well as portions of intestine or spleen.
⚠ Note: If time and personnel permit and there are pieces of duodenum and/or spleen, retain and freeze as tissue blocks (see Flash Freezing subheading below).
Once the pancreas is cleaned, blot with a sterile gauze square and quickly transfer to a clean plastic weigh boat. Place on a pre-tared balance and record pancreas weight.
Immediately transfer the pancreas on an ice-cooled dissecting platform and take a photograph with a ruler as shown in Figure 2. Record pancreas size.
Figure 2. Example photograph of pancreas after dissecting away fat.
Apply Tissue Marking DyesCancer DiagnosticsCatalog #MD2000 to length of organ as follows:
Anterior: blue
Superior: black
Posterior: green
Inferior: red
Figure 3. Schematic of marking dyes in relation to organ orientation in the body.
Once the pancreas has been marked, start collecting approximately 5 mm cross-sectional slices ("discs") starting from the head (duodenum) and moving laterally towards the tail (spleen) as outlined in Figure 4. Each disc should contain dye markings on the exterior to provide spatial orientation.
Figure 4. Map illustrating serial collection of cross-sections (discs) for different modalities/applications, moving from Head to Tail region. Processing types are alternated in sequence.
Photograph each disc, medial side down, using prelabeled cards with nomenclature developed for Vanderbilt LIMS (encodes positional information and processing type).
As discs are photoraphed, make notes on the experimental spreadsheet if any of the following gross morphology is observed:
Dilated ducts, cystic change, or stones
Hemorrhage
Tissue breakdown (necrosis)
Chalk-white areas (calcification)
Visible neoplasms
Other features
Divide each disc into four approximately equal-sized quadrants, attempting to bisect dye markings so that each tissue piece contains 2 dye colors (Figure 5). Photograph disc again after quadrants are cut.
Figure 5. Example of photographing a disc before (left) and after (right) division into quadrants. This particular disc (#21) was assigned to PFA Fixation and CMC Embedding (PCMC) and falls within the Tail region; blue labels indicate nomenclature to record processing and spatial orientation.
Transfer each set of quadrants to the appropriate processing protocol as outlined in Figure 4.
Formalin Fixation and Paraffin Embedding (PE)
Formalin Fixation and Paraffin Embedding (PE)
Place all tissue quadrants from one disc into a 50-mL Falcon tube containing 40 mL of 10% Neutral Buffered FormalinElectron Microscopy SciencesCatalog #15740-01.
Fix Overnight or at least 18:00:00 at 4 °C under mild agitation using an adjustable tilt rocker (LabNet).
Wash tissue four times in 40 mL of 100 mM PBS at 4 °C for a period of 03:00:00, rocking. Blot the tube with paper towel before adding the fresh washing solution.
After the last wash, add 40 mL of 70% ethanol and store at 4 °C.
To process for paraffin embedding, transfer fixed tissue samples from 50-mL tube into a 10-cm petri dish. Using the photographs described in step #10 and tissue marking dyes, identify quadrants A-D. Place each quadrant, medial side down, into prelabeled Fisherbrand™ Tissue Path™ II CassettesFisher ScientificCatalog #15-120-400A.
Follow schedule as follows using Epredia™ Excelsior™ AS Tissue Processor (total 16 hours):
70% Ethanol, one change - 00:45:00
90% Ethanol, one change - 00:45:00
95% Ethanol, one change - 00:45:00
100% Ethanol, three changes - 00:35:00 each
Xylene or xylene substitute (e.g., Clear Rite 3), three changes - 00:35:00 each
Paraffin wax, 58 °C to 60 °C, three changes - 01:00:00 each
Trim blocks as necessary and store at Room temperature.
Light PFA Fixation and CMC Embedding (PCMC)
Light PFA Fixation and CMC Embedding (PCMC)
Place all tissue quadrants from one disc into a 50-mL Falcon tube containing 40 mL of freshly prepared fixative (4% PFA*/100 mM PBS).
*16% ParaformaldehydeElectron Microscopy SciencesCatalog #15710is used; see step #2 for preparation details.
Fix for 03:00:00On ice under mild agitation using an adjustable tilt rocker (LabNet).
Wash tissue four times in 40 mL of 100 mM PBS On ice for a period of 2-3 hours (00:30:00 per wash), rocking. Blot the tube with paper towel before adding the fresh washing solution.
After the last wash, equilibrate the tissue in 40 mL of sucrose solution (30% sucrose/10 mM PBS) at 4 °COvernight. Tissue will settle to bottom of the tube.
Fill a prelabeledTissue-Tek Cryomold Standard 25x20x5mmVWR InternationalCatalog #25608-916with a thin layer of carboxymethylcellulose (CMC). Pour tissue samples and sucrose solution from 50-mL tube into a 10-cm petri dish. Using the photographs described in step #10 and tissue marking dyes, identify quadrants A-D.
Pick each quadrant up with a pair of fine forceps, blot on a Kimwipe to remove excess sucrose, and place into the appropriate CMC-prepared cryomold. Using the forceps, push the tissue lightly to bottom of the cryomold, medial side down.
Transfer the cryomold to a dry ice block to freeze, adding more CMC to completely fill the indentation. When CMC compound is completely frozen, wrap each tissue block tightly in a pre-labeled aluminum foil and place it a storage bag to prevent it from drying out.
Store samples at -80 °C.
▷ If sample transfer is required, ship blocks on dry ice.
Flash Freezing +/- CMC Embedding (FF, FCMC)
Flash Freezing +/- CMC Embedding (FF, FCMC)
Prepare isopentane slurry:
Place a layer of dry ice into an insulated, lidded container and add enough
2-MethylbutaneFisher ScientificCatalog #O3551-4 (isopentane) to make a slurry.
Place each tissue quadrant into a prelabeled Aluminum Weighing Dishes 68.2-mm diameterFisher ScientificCatalog #08-732-103 and transfer to isopentane slurry. Cover box with lid and allow tissue to completely freeze.
For FF samples (no embedding),wrap frozen tissue samples tightly in prelabeled squares of aluminum foil.
For FCMC, apply a thin layer of CMC into prelabeledEpredia™ Peel-A-Way™ Disposable Embedding MoldsFisher ScientificCatalog #18-41 on the isopentane slurry. Allow the CMC to begin freezing (noted by turning opaque) around the edges before placing tissue quadrant into the mold. Slowly add more CMC on top of the tissue until it is covered, keeping the lid closed over the slurry as much as possible. When completely frozen, wrap mold in prelabeled square of aluminum foil.
Place all wrapped samples in prelabeled storage bags and store at -80 °C.
▷ If sample transfer is required, ship blocks on dry ice.
Preservation for Spatial Transcriptomics (RNA)
Preservation for Spatial Transcriptomics (RNA)
Place all tissue quadrants from one disc into a 50-mL Falcon tube with approximately 5 volumes of
RNAlater™Thermo ScientificCatalog #AM7021 (four quadrants ≈ 3.5 g or 18 mL).
Store samples at 4 °C.
▷ If sample transfer is required, ship sealed tubes on ice packs.
PFA Fixation for Tissue Clearing (CLR)
PFA Fixation for Tissue Clearing (CLR)
Place all tissue quadrants from one disc into a 50-mL Falcon tube containing 40 mL of freshly prepared fixative (4% PFA*/0.1 M PBS).
*32% ParaformaldehydeElectron Microscopy SciencesCatalog #50-980-495stock is used; see step #2 for preparation details.
Fix for 16:00:00 at 4 °C under mild agitation using an adjustable tilt rocker (LabNet).
Wash tissue three times in 40 mL of 100 mM PBS On ice under mild agitation.
Continue immediately to tissue clearing protocol, or store samples at 4 °C in 100 mM PBS containing 0.1% sodium azide.