Jul 15, 2024

Public workspaceHuman-Derived Precision-Cut Lung Slices (hPCLS): Agarose Filling, Coring and Slicing Protocol

  • 1University of Pittsburgh
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Protocol CitationRicardo Pineda, John Sembrat, Carter Kessler, Nayra Cardenes, Melanie Königshoff 2024. Human-Derived Precision-Cut Lung Slices (hPCLS): Agarose Filling, Coring and Slicing Protocol. protocols.io https://dx.doi.org/10.17504/protocols.io.36wgq3xr5lk5/v1
Manuscript citation:
Am J Physiol Lung Cell Mol Physiol. 2017 Jun 1;312(6):L896-L902. PMID: 28314802
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
Protocol status: Working
We use this protocol and it's working
Created: February 22, 2024
Last Modified: August 13, 2024
Protocol Integer ID: 95618
Keywords: PCLS, SenNet, human ex vivo model, lung, TriState, TriState SenNet
Funders Acknowledgement:
TriState SenNET (Lung and Heart) Tissue Map and Atlas consortium - NIA
Grant ID: U54AG075931
Disclaimer
The protocols.io team notes that research involving animals and humans must be conducted according to internationally-accepted standards and should always have prior approval from an Institutional Ethics Committee or Board.
Abstract
 Human Precision-Cut Lung Slices (hPCLS) are uniform tissue slices generated from human lungs. These slices contain all resident lung cells and their interactions, including alveolar macrophages and dendritic cells, present in the tissue at the time of slicing, representing the natural complexity of the lung’s 3-dimensional architecture and organ function physiology.
 
hPCLS has become one of the most relevant ex vivo organotypic models for studying the pathophysiology of human lungs. Thanks to specialized tissue slicers, a single lung can provide hundreds of slices for both control and experimental conditions. Additionally, hPCLS can be kept in culture for up to 4 weeks, making possible to mimic the onset and progression of lung diseases.  
 
hPCLS has proven valuable in multiple applications such as RNA and protein analysis, biochemistry, metabolism, toxicology, and chronic and acute lung diseases. They have also been used for highly specialized downstream applications such as transcriptomics, proteomics and high-resolution live microscopy. 
 
The following protocol is a guide on how to generate PCLS from human lungs.
Image Attribution
CLAR (Center for Lung Aging and Regeneration) Logo designed by Nayra Cardenes, PhD.
Guidelines
All steps involving human tissue must be conducted under BSL2 safety guidelines.

Materials
ReagentPR1MA™ Agarose, Low Melt TemperatureMIDSCICatalog #KCA20070
Amphotericin B Solution. 250 ug/ml, filtered. Millipore-Sigma, catalog #A2942
Penicillin-Streptomycin 100X solution. Millipore-Sigma, catalog #P00781-100ml
500 ml Pyrex round media storage bottles. Millipore-Sigma Cat# CLS1397500
Sterile physiological solution
Cyanoacrylate gel glue
Dow Corning high vacuum grease
Double Edge, breakable style, stainless steel, razor blades/ Ted Bella, Cat# 121-6
Equipment
Compresstome® VF 310-0Z Vibrating Microtome
NAME
NBT
BRAND
HVD-751104
SKU
LINK




Protocol materials
ReagentPR1MA™ Agarose, Low Melt TemperatureMIDSCICatalog #KCA20070
Materials, Step 3
ReagentDMEM/F-12, powder, HEPESThermo Fisher ScientificCatalog #12400024
Step 1
ReagentAmphotericin B solutionMerck MilliporeSigma (Sigma-Aldrich)Catalog #A2942
In 2 steps
ReagentPenicillin-StreptomycinMerck MilliporeSigma (Sigma-Aldrich)Catalog #P0781
In 2 steps
Safety warnings
The protocol content here is for informational purposes only and does not constitute legal, medical, clinical, or safety advice, or otherwise; content added to protocols.io is not peer reviewed and may not have undergone a formal approval of any kind. Information presented in this protocol should not substitute for independent professional judgment, advice, diagnosis, or treatment. Any action you take or refrain from taking using or relying upon the information presented here is strictly at your own risk. You agree that neither the Company nor any of the authors, contributors, administrators, or anyone else associated with protocols.io, can be held responsible for your use of the information contained in or linked to this protocol or any of our Sites/Apps and Services.
Before start
Set a water or bead bath at 42°C
DMEM/F12 Preparation for Agarose or Complete media
DMEM/F12 Preparation for Agarose or Complete media
Due to the large amounts of media required, we recommend the use of reconstituted powder DMEM/F12.
ReagentDMEM/F-12, powder, HEPESThermo Fisher ScientificCatalog #12400024

Dissolve the content of one DMEM/F12 pouch in 700 ml of dd-water (the solution will be yellow).
Add 1.2 g of sodium bicarbonate. Stir and bubble with carbogen (a gas mixture of 30% CO2 and 70% oxygen) until pH is about 6.8-7.0 (The solution will turn red at this point). Then, stop bubbling.
Adjust the pH with NaOH 1N to 7.2.
If inflating lungs continue to steps on preparing Agarose (LMPA). If treating or storing the PCLS, continue to next steps for complete medium (DMEM/F12).

Note
Do NOT add antibiotics, antimycotics or serum if preparing LMPA for lung inflation.

Step case

Low Melting Point Agarose (LMPA)
45 steps

Do NOT add antibiotics, antimycotics or serum if preparing LMPA for lung inflation.
Weigh 15g of LMPA for a final concentration of 2.5% LMPA in 600 ml of DMEM/F12.
ReagentPR1MA™ Agarose, Low Melt TemperatureMIDSCICatalog #KCA20070

Add the LMPA to 400 ml of DMEM/F12 media in a clean, sterile, wide-mouth bottle (we recommend the 500 ml Pyrex round media storage bottles), and mix. Let the agarose hydrate for about 5 minutes. A magnetic bar can be included in the bottle.
Equipment
Pyrex® round media storage bottles, wide-mouth
NAME
Millipore Sigma
BRAND
CLS1397500
SKU
LINK
500 ml capacity
SPECIFICATIONS
Download CLS1397500.avif

Microwave the media/LMPA mix on high for about 30 seconds and then mix. Repeat the heating and mixing occasionally until the agarose starts to dissolve (this can be done with a magnetic stirrer). DO NOT BOIL. When the agarose is completely dissolved and the media is transparent, let cool to approximately 50-55°C.
Note
Do NOT add antibiotics, antimycotics or serum to the DMEM/F12 hot media until the agarose is completely dissolved and it has cooled down to close to 40-45oC.

Critical
Temperature
Add 6.0 ml of FBS (final concentration 1%), 12 ml of Pen/Strep 10x (final concentration 2X), and 9 ml of Amphotericin B stock solution (final concentration 1.5X, optional ). Mix well.
ReagentAmphotericin B solutionMerck MilliporeSigma (Sigma-Aldrich)Catalog #A2942 ReagentPenicillin-StreptomycinMerck MilliporeSigma (Sigma-Aldrich)Catalog #P0781

Complete the volume to 600 ml with DMEM/F12 media at room temperature. Keep stirring. Warm it up a little if necessary to keep the agarose from gelling.
Temperature
Keep this solution at 42°C in a water or bead bath until use.
Lung Filling and Coring
Lung Filling and Coring

Safety information
ALL STEPS MUST BE PERFORMED UNDER BSL2 (Biosafety Level 2) CONDITIONS.

It is recommended to take pictures of the lung tissue in different planes before agarose inflation for future records. Include a ruler for size reference.
Imaging
Optional
If the lung has not been flushed or has too much blood or mucus in the airways, it will be necessary to flush it with saline and antibiotics before agarose inflation.
Fill a 60 ml syringe with sterile saline containing 2x Pen/Strep and 1.5x Amphotericin B (optional but recommended). Gently push the saline through airways and blood vessels to force blood and mucus out. Gently squish the saline out of the lung by compressing the tissue. Do not apply excessive force. Repeat the process until most of the blood and mucus have been cleared out. For the mid and lower left lobes, about 1 L of saline should suffice.
After flushing, rinse the tissue in a clean bucket twice with sterile saline and antibiotics.
Find the main bronchus and examine the opening to determine how many airways branch from it. This will guide the positioning of the cannula through the different airways to fill the lung.
Use hemostats to clamp shut all arteries, exposed blood vessels, and any areas where the pleura has been cut or compromised. Fill a 60ml syringe with warm agarose and attach it to the end of a cannula or flexible tubing, insert it into the main airway following its natural track being careful not to use excessive force or forcing the cannula in.
Using constant pressure and speed, inject the agarose solution into the lung.

Note
IMPORTANT: the media/LMPA mix should be kept at 42°C at all times to prevent agarose solidification, which could affect tissue inflation.

Temperature
While injecting the agarose solution, check for leaks at the pleura or through blood vessels/airways. Use hemostats to clamp shut any leaks. If the agarose solution start leaking out through the same airway it was injected, clamp it closed with a hemostat keeping the injecting cannula tightly fixed in place inside the airway.
Critical
Once one region of the lobe if full, relocate the inflating cannula to a different airway and continue filling with warm agarose until full inflation. Do not overfill.
Complete agarose filling will ensure structure preservation and will facilitate coring and slicing.
After filling the lung lobe, clamp shut all airways and blood vessels that may leak. Place the tissue into a clean, new zip-lock plastic bag. Close it. Transfer the bag to an ice bucket and ensure complete coverage with ice for 45-60 minutes for the agarose to be completely solidified.
Be careful not to allow ice or ice water to leak into the plastic bag.
Pause
After 45-60 minutes transfer tissue to a cutting board and remove all clamps.
Orient the tissue according to your experimental plan and slice the lobe into thick slices of about 2-2.5cm thick with a long trimming blade.
Take pictures of the lung slices for future records.
Imaging
With a tissue coring tool, punch out cylindrical cores from the areas of interest.
Collect the cores in a container with DMEM/F12 supplemented with 1% Pen/Strep, 1X of Amphotericin B (optional) and 1% FBS. Keep at 4°C until slicing. (Check Step-case 2 for Complete medium recipe).

Note
It is important to note that cores must be processed within the next 72 hours.

Critical
Pause

From different areas of the remaining thick tissue slices, cut a few small pieces of about 2-3 mm3 and distribute them into a 6-well plate. Add fresh DMEM/F12 media with 1% strep, 1x Amphotericin, 1% FBS, and incubate overnight at 37 °C in a quarantine incubator.


Overnight
Temperature
Check for possible contamination the next day.
If contamination is present, discard all cores.

Critical
Core Slicing
Core Slicing


Note
IMPORTANT: Slicing should be done under BSL2 guidelines.

Equipment
Compresstome® VF 310-0Z Vibrating Microtome
NAME
NBT
BRAND
HVD-751104
SKU
LINK

Materials:
• Agarose 2.0% in DMEM/F12 with antibiotics and fungizone warmed up and kept at 40-42°C
• Double edge razor blades cut in half lengthwise and cleaned with ETOH to remove protective wax and oils.
• Cyanoacrylate Glue (we like Loctite, super glue, gel control ).
• Bucket with ice
• DMEM/F12 with 1% penstrep, 2.5 ug/ml amphotericin (optional), and 1.0% FBS
• Fine painting brush (natural fibers, NOT SYNTHETIC)
• Two 100 mm Petri dishes
• Forceps
• Several 3 ml sterile plastic transfer pipettes
• Clean Kimwipes
• Silicon grease

Critical
From the Compresstome, take the white Teflon plunger out of the metal specimen tube and apply a light coat of silicone grease to the first half of it. Reinsert the piston into the metal tube. It should have a tight seal.
Grab one lung core and remove any liquid excess with a new, clean Kimwipe. Do not overdry the tissue.
Apply a light coat or a drop of the cyanoacrylate glue gel to the center top of the Teflon plunger keeping the metal specimen tube upright. Gently set the tissue core. Wait a few seconds until the glue is set.
Pull the piston down into the specimen tube until the whole core is inside it.

Specimen tubes containing lung cores.

With a plastic transfer pipette fill the specimen tube with enough warm agarose to cover up the tissue.

Specimen tubes containing lung cores and filled with agarose.

Make a big enough hole in the ice to put the specimen tube with the tissue in it to cool the agarose. Wait for the agarose to solidify.

Specimen tubes containing lung cores and agarose, on wet ice.

Note
DO NOT COVER THE SPECIMEN TUBE.

Pause
Temperature


Greased tube specimen tube holder.
In the meantime, prepare the Compresstome: Put a light coat of silicone grease inside the specimen tube holder of the slicing chamber.
Attach one-half of the double-sided blade in the blade holder by applying a light coat of cyanoacrylate glue to the holder IF NECESSARY (newer Compresstome models have a magnetic blade holder). Center the blade and let the glue cure.


Specimen tube canister properly greased for posterior slicing.
Once the agar in the canister is set and cool, take the specimen tube out of the ice, dry the metal surface, and apply a light coat of silicone grease around the center of the canister.
Insert the specimen tube into the holder of the slicing chamber making sure not to push the agarose with the tissue out. It should have a tight, waterproof seal.
Check that the metal guide from the Compresstome control panel is completely retracted into the control panel, otherwise the sample holder piston won’t fit in place.

Secure the slicing chamber with the safety screw.

Slicing chamber properly secured with the black safety screw at the bottom of the image.

Fill the chamber with DMEM/F12 up to cover the sample holder.
Press the “fast forward” button to move the metal guide forward until contacting the base of the Teflon plunger.
Attach the blade holder to the vibratory arm and secure it firmly with the hex screw.
Check the parameters for slicing PCLS: Speed 4.0, Oscillation 4.0, and slice thickness at 300 um.
Press the “fast forward” button again to push the agarose without tissue out of the sample holder. About 1 mm.
Press the “continuous” key down and press “start”.
The first slice should contain mostly agarose and if so, a little piece of tissue. This piece can be discarded.
Slicing should be continuous and shouldn't present any major problems.

Note
PCLS will slide into the buffer tray. They can be fished out with a brush. DO NOT USE FORCEPS.

Transfer the PCLS into a petri dish kept on ice containing DMEM/F12 with antibiotics and 1.0% FBS.
If some agarose remains attached to the PCLS, hold the PCLS down by the agarose using a pair of forceps and gently “pull away” the tissue from the agarose matrix with the brush.
Once slicing is done, transfer the PCLS to a 24-well plate. One PCLS per well, with complete DMEM/F12 (see Step-case 2 for recipe).
Protocol references
Am J Physiol Lung Cell Mol Physiol. 2017 Jun 1;312(6):L896-L902. PMID: 28314802