Oct 25, 2023

Public workspaceTargeted detection of SNCA CNVs in SOX10+ nuclei from oligodendrocytes containing alpha-synuclein inclusions isolated from human post-mortem brain

  • Caoimhe Morley1,
  • Diego-Perez Rodriguez2,
  • Monica Emili Garcia-Segura2,
  • Ester Kalef-Ezra2,3,
  • Christos Proukakis2,3
  • 1University College London;
  • 2Department of Clinical and Movement Neurosciences, Queen Square Institute of Neurology, University College London, London, UK;
  • 3Aligning Science Across Parkinson’s (ASAP) Collaborative Research Network, Chevy Chase, MD, 20815
Open access
Protocol CitationCaoimhe Morley, Diego-Perez Rodriguez, Monica Emili Garcia-Segura, Ester Kalef-Ezra, Christos Proukakis 2023. Targeted detection of SNCA CNVs in SOX10+ nuclei from oligodendrocytes containing alpha-synuclein inclusions isolated from human post-mortem brain. protocols.io https://dx.doi.org/10.17504/protocols.io.5jyl8p6r7g2w/v1
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: October 09, 2023
Last Modified: May 31, 2024
Protocol Integer ID: 89876
Keywords: ASAPCRN
Funders Acknowledgement:
Multiple System Atrophy Trust
Grant ID: 2022/93020 (572015)
The Michael J. Fox Foundation for Parkinson’s Research (MJFF) and the Aligning Science Across Parkinson’s (ASAP)
Grant ID: 000430
Disclaimer
This protocol was adapted from the following:

Garcia-Segura, M.E., Perez-Rodriguez, D. and Proukakis, C. (2022) ‘Combined fluorescence in situ hybridization (FISH) and immunofluorescence for the targeted detection of somatic copy number variants in Synucleinopathies’, Neuromethods, pp. 229–243.

Ester Kalef-Ezra, Diego Perez-Rodriguez, Christos Proukakis. Manual isolation of nuclei from human brain using CellRaft device and single nucleus Whole Genome Amplification. Protocols.io (https://protocols.io/view/manual-isolation-of-nuclei-from-human-brain-using-cx4mxqu6).

Abstract
There has been a growing recognition of the complexity of the human genome, and the role somatic variation plays in disease. The brain is particularly vulnerable to genomic mosaicism, likely arising during complex neurodevelopmental and ageing processes. However, current genomic technologies often lack the sensitivity to detect low-level genomic mosaics that could contribute to disease. An alternative cytogenetic method is DNA fluorescence in situ hybridisation (FISH), which allows for a targeted analysis of rare, disease-relevant copy number variants (CNVs). FISH can be subsequently combined with immunofluorescence to characterize somatic CNVs in specific cell populations based on specific protein marker expression. This protocol describes a method combining FISH with immunofluorescence, which we name immuno-FISH, for the detection of CNVs in the SNCA gene of patients with synucleinopathies, such as Parkinson’s disease (PD) and Multiple System Atrophy (MSA). This method is performed on nuclei isolated from frozen, human post-mortem brain tissue, which addresses potential sectioning artefacts and reduces protease digestion for epitope preservation. Our protocol is optimised to detect SOX10, a nuclear oligodendrocyte marker, and alpha-synuclein inclusions, which are frequently retained at the perinucleus in MSA (the so-called Papp-Lantos inclusions). This protocol also describes its use in affected PD and MSA brain regions such as the putamen, substantia nigra (SN) and cerebellum.
Attachments
Guidelines
Intended purposes:

This protocol has been optimised for use on single-nuclei isolated from flash-frozen, human post-mortem brain tissue. It can be adapted to different SureFISH Agilent probes and antibodies for detecting nuclear markers.
Figure 1. Overview of nuclei isolation and immuno-FISH protocol (created using BioRender).

Materials
Equipment

  • Tissue culture hood for human sample handling
  • PCR Laminar Flow Cabinet
  • Refrigerated centrifuge for 1.5mL tubes capable of reaching 13,000xg
  • Oven capable of maintaining 37°C for FISH hybridisation
  • Water bath capable of reaching 72°C
  • P1000, P200, P20, P2 Pipettes with filtered tips
  • Fume hood
  • Pair of forceps and scissors
  • Haemocytometer
  • Dounce tissue grinder set 2mL (Kimble via Sigma Aldrich – D8938)

Table 1. Specifications of reagents used for nuclei isolation method from human post-mortem brain tissue.
ABCD
ItemSupplierCatalogue Ref.Preparation prior use
UltraPure DNase/RNase-Free Distilled WaterThermo Fisher10977049Aliquot and keep at RT
PBS (Phosphate Buffered Saline) 10X Solution (pH 7.4)Thermo Fisher15815418Make 1x with dH2O and store at 4°C
50x cOmplete Protease Inhibitor Cocktail EDTA-freeRoche via Sigma Aldrich4693159001Use 1 tablet in 1 ml dH2O and store at -20°C
Triton-X100Sigma AldrichT9287Prepare 10% aliquot and store at RT
ODGM (Optiprep Density Gradient Medium)Sigma AldrichD1556Aliquot and keep at 4°C
Dithiothreitol (DTT)Prepare 1 mM and keep aliquots at -20°C
SucrosePrepare 1 M and keep at -20°C
Table 2: Specifications of the consumables used for immuno-FISH protocol.
ABC
ItemSupplierCatalogue Ref. 
EasyDip™ slide staining systemSimportM905-12DGY
SuperFrost Ultra Plus™ GOLD Adhesion SlidesEpredia™ 11976299
Glass coverslips 22mm x 22mmVWR631-0124
Glass coverslips 22mm x 50mmVWR631-0137
FixoGum Rubber CementMarabu29010017000
Nail Varnish
1.5mL Polypropylene DNA LoBind Microcentrifuge TubesEppendorf™ 0030108418
0.2mL PCR TubesEppendorf™ 951010006
Table 3. Specifications of reagents used for immuno-FISH protocol.
ABCD
Reagent NameSupplierCatalogue Ref.Preparation prior to use
Methanol >99.5% PureThermo FisherM/4000/21No
Glacial Acetic AcidThermo FisherBP1185No
Magnesium Chloride Hexahydrate, BioXtra, ≥99.0%Sigma-AldrichM2670Dissolve 1 M in dH2O and store at RT
Pepsin 1g from porcine gastric mucosaSigmaD1000Prepare 10% solution and store in aliquots at -20°C
1M Hydrochloric acid (HCl)Thermo Fisher124210025No
UltraPure™ FormamideThermo Fisher15515026No
20X SSC Buffer, Molecular GradePromegaV4261 2X solution in dH2O and stored at RT
UltraPure™ DNase/RNase-Free Distilled WaterThermo Fisher10977049No
Molecular Grade 100% Ethanol (EtOH)Thermo FisherBP2818Prepare solutions of 70%, 90% and 100% EtOH and store one at RT and one at -20°C
SureFISH hybridisation bufferAgilentG9400ANo
SureFISH custom-designed probe 50kb SNCA 4q22.1AgilentG110902G-8No
SureFISH Wash Buffer 1AgilentG9401ANo
SureFISH Wash Buffer 2AgilentG9402ANo
SureFISH Chr7 CEP probe 767kb P20 GRAgilentG110899G-8No
Goat SerumSigma AldrichG9023Store in aliquots at -20°C
Triton™ X-100, BioXtraMerckT9284Prepare 0.2% Solution in 1X PBS stored at RT
PBS TabletsLife Technologies18912014Prepare 1X with dH2O stored at RT
DAPI (4’, 6-diamidino-2-phenylindole, Dihydrochloride)Sigma-AldrichD9542Prepare 1 mg/mL aliquots stored at -20°C
TrueBlack® Lipofuscin Autofluorescence QuencherBiotium23007No
Prolong™ Gold Anti-Fade MountantThermo FisherP36930No
Table 4. Specifications of antibodies used in this immuno-FISH protocol.
ABCD
AntibodySpeciesSupplierCatalogue Ref. 
Primary antibodies
SOX10 (SP267)RabbitAbcamAb227680
a-Syn (Syn 211)MouseSanta-Cruzsc-12767
Secondary antibodies
Anti-Rabbit Alexa Fluorophore 647GoatThermo-FisherA21245
Anti-Mouse Alexa Fluorophore 488GoatThermo-FisherA11001
Table 5. FISH pre-treatment solutions.
ABCD
Solution NameReagentsVolumeFinal Concentration
Pepsin solution10% Pepsin aliquot50 μL0.01%
dH2O100 mL
1M HCl1000 μL10 mM
PBS/MgCl2 solution1X PBS100 mL
1M MgCl2100 μL1 mM
Formamide solution99.5% Formamide70 mL70%
2M SSC30 mL0.6 M
Table 6. FISH probe mixture per 22 x 22 mm reaction area / slide.
ABC
ReagentVolume (μL)Final % concentration
Custom-designed SureFISH probe 50kb SNCA 4q22.1 - Fluorophore 568110
SureFISH Chr7 CEP probe 767kb P20 GR – Fluorophore 488110
SureFISH Hybridisation buffer770
Nuclease-free H2O110
Total10
Table 7. Immunofluorescence solutions.
ABCD
Solution NameReagentVolume (μL)Final concentration
Blocking SolutionGoat serum3010%
0.2% Triton-X in 1X PBS270
Primary Antibody solutionRabbit anti-SOX1030.5 μg/mL
Mouse anti-Syn 2110.751 μg/mL
Goat serum32%
0.2% Triton-X in 1X PBSAdjust to 150 μL
Secondary Antibody solutionGoat Anti-Rabbit Fluorophore 6480.32 μg/mL
Goat Anti-Mouse Fluorophore 4880.32 μg/mL
Goat serum32%
0.2% Triton-X in 1X PBSAdjust to 150 μL
TrueBlack solution20X TrueBlack Lipofuscin quencher101X
70% EtOH190
ReagentUltraPure™ DNase/RNase-Free Distilled WaterThermo FisherCatalog #10977049
ReagentPBS (Phosphate Buffered Saline) 10X Solution (pH 7.4)Fisher ScientificCatalog #15815418
ReagentcOmplete mini EDTA free protease inhibitor cocktailMerck MilliporeSigma (Sigma-Aldrich)Catalog #4693159001
ReagentTriton™ X-100Merck MilliporeSigma (Sigma-Aldrich)Catalog #X100-5ML
ReagentOptiPrep™ Density Gradient MediumMerck MilliporeSigma (Sigma-Aldrich)Catalog #D1556)

ReagentMethanol, Certified AR for AnalysisThermo Fisher ScientificCatalog #M-4000-21
ReagentAcetic Acid, Glacial (Aldehyde-Free/Sequencing), Fisher BioReagents™™Thermo Fisher ScientificCatalog #BP1185-500
ReagentMagnesium chloride hexahydrateMerck MilliporeSigma (Sigma-Aldrich)Catalog #M2670
ReagentPepsin from porcine gastric mucosaMerck MilliporeSigma (Sigma-Aldrich)Catalog #P7000
ReagentHydrochloric acid, 1N standard solutionThermo Fisher ScientificCatalog #124210025
ReagentUltraPure™ FormamideThermo FisherCatalog #15515026
ReagentSSC Buffer, 20X, 1LPromegaCatalog #V4261
ReagentUltraPure™ DNase/RNase-Free Distilled WaterThermo FisherCatalog #10977049
ReagentEthanol, Absolute, Molecular Biology GradeThermo Fisher ScientificCatalog #BP2818500
ReagentFISH Hybridization BufferAgilent TechnologiesCatalog #G9400A

ReagentFISH Wash Buffer 1Agilent TechnologiesCatalog #G9401A
ReagentFISH Wash Buffer 2Agilent TechnologiesCatalog #G9402A

ReagentGoat serumMerck MilliporeSigma (Sigma-Aldrich)Catalog #G9023
ReagentTriton™ X-100Contributed by usersCatalog #T9284
ReagentPBS TabletsThermo FisherCatalog #18912014
Reagent4′,6-Diamidino-2-phenylindoleMerck MilliporeSigma (Sigma-Aldrich)Catalog #D9542
ReagentTrueBlack® Lipofuscin Autofluorescence QuencherBiotiumCatalog #23007
ReagentProLong™ Gold Antifade MountantThermo FisherCatalog #P36930
ReagentRecombinant Anti-SOX10 antibodyAbcamCatalog #ab227680
ReagentAnti-α-synuclein Antibody (211)Santa Cruz BiotechnologyCatalog #sc-12767
ReagentGoat anti-Rabbit IgG (H+L) Highly Cross-Adsorbed Secondary Antibody, Alexa Fluor™ 647Thermo Fisher ScientificCatalog #A-21245
ReagentGoat anti-Mouse IgG (H+L) Cross-Adsorbed Secondary Antibody, Alexa Fluor™ 488Thermo Fisher ScientificCatalog #A-11001
Safety warnings
Attention
Safety warnings
All tissue cutting and nuclei isolation steps must be performed in a Class II biosafety cabinet. Toxic chemicals such as formamide must be used in a fume hood. Refer to the SDS of each reagent for details on handling guidelines.
Nuclei isolation from human post-mortem brain tissue using iodixanol gradient
Nuclei isolation from human post-mortem brain tissue using iodixanol gradient
Set the centrifuge to Temperature4 °C .
Prepare ice-cold Carnoy’s fixative (3:1 Methanol: Glacial acetic acid) and 1X PBS.
Isolate nuclei manually:
See Table 1 for reagents and steps used for nuclei isolation. Refer to Kalef-Ezra, Perez-Rodriguez and Proukakis (dx.doi.org/10.17504/protocols.io.kxygxzjjov8j/v1) for details of the methods and solutions required for nuclei isolation implemented here.
Tissue guidelines: Use approximately Amount10-50 mg of brain tissue per nuclear suspension. Nuclei yield will vary between samples due to tissue collection, disease progression, and sub-regional differences between grey and white matter (cellular density and lipid composition among others).
Note
Notes
  1. For the putamen, Amount20-50 mg of tissue is recommended. For the cerebellum and substantia nigra, Amount10-30 mg is recommended due to overall higher cellular density and proportion of lipid content within these regions.
  2. The granular layer of the cerebellar cortex cannot be fully disassociated by Dounce homogenisation and may cause clumps within the nuclear suspension.


Nuclear yield check and visualization with DAPI (optional)
Nuclear yield check and visualization with DAPI (optional)
30m
Resuspend the pellet containing the isolated nuclei in Amount500 µL of DAPI (Amount1 undetermined in 1x PBS working concentration).
Leave the tube on a rotator disk for Duration00:20:00 at Temperature4 °C .

20m
Centrifuge at Centrifigation800 x g, 4°C, 00:05:00 and remove the supernatant.

5m
Centrifigation
Resuspend in Amount100-200 µL of 1X PBS.
Use a haemocytometer and an epifluorescence microscope to estimate yield and visualise the spread of nuclei. The nuclear suspension should be evenly distributed, appear as single nuclei and free of large debris (see Figure 2 for examples).
Figure 2. Examples of isolated nuclei stained with DAPI illustrating (A) areas of nuclei clumping and (B) evenly distributed, single nuclei.

Centrifuge at Centrifigation800 x g, 00:05:00 to pellet nuclei and remove the supernatant.
5m
Centrifigation
Nuclei fixation and preparation onto slide
Nuclei fixation and preparation onto slide
1h 15m
Resuspend pellet containing the isolated nuclei in 1mL of pre-chilled Carnoy’s fixative and leave to fix on a rotator disk for Duration01:00:00 at Temperature4 °C .

1h
Centrifuge Centrifigation800 x g, 00:05:00 and remove the supernatant.
5m
Centrifigation
Resuspend pellet in Amount100-200 µL of Carnoy’s fixative by pipetting up and down.
Optional: A Thikness70 µm Flowmi cell strainer can be used to filter large clumps and debris.
Optional
Using a dropper or a pipette, place nuclear suspension onto an EprediaTM SuperFrost Plus Gold Adhesion slide and leave to evaporate for 20-60 min TemperatureRoom temperature .
Note

  1. The charge of the SuperFrost Plus Gold Adhesion Slides repels PBS, therefore we do not recommend dropping a nuclear suspension containing PBS as it will require hours to evaporate and forms crystallised salts on the slide.
  2. We recommend using a Super PAP pen to create a hydrophobic barrier prior to dropping the nuclei to contain the nuclear suspension within a small area on the slide.

Wash slides.
Wash
Wash slides for Duration00:05:00 at TemperatureRoom temperature in an EasyDip slide staining jar containing 1X PBS. (1/2)
5m
Wash slides for Duration00:05:00 at TemperatureRoom temperature in an EasyDip slide staining jar containing 1X PBS. (2/2)
5m
Check under microscope to assess the spread of nuclei before proceeding with immuno-FISH.
Imaging
FISH Pre-treatment
FISH Pre-treatment
1h 25m
Prepare slide staining jars for FISH Pre-treatment according to Table 5 of Materials.
Place the water bath in a fume hood and set it to Temperature72 °C .
Submerge the staining jar containing formamide solution into the water bath.
Set the oven to Temperature37 °C and place the jar with dH2O inside (to which pepsin will be added afterwards), allow at least Duration00:30:00 for solutions to reach the desired temperature.
30m
Add HCl and pepsin to dH2O jar (according to Table 5 of Materials), then immediately place the slides in the pepsin solution for Duration00:05:00 in the oven.
5m
Pipetting
Transfer the slides to the PBS/MgCl2 solution and leave for Duration00:05:00 at TemperatureRoom temperature .

5m
Wash with 1X PBS once for Duration00:05:00 at TemperatureRoom temperature .

5m
Wash
Dehydrate the isolated nuclei in increasing concentrations of EtOH.
Dehydrate the isolated nuclei in 70% EtOH stored at TemperatureRoom temperature for Duration00:02:00 .

2m
Dehydrate the isolated nuclei in 90% EtOH stored at TemperatureRoom temperature for Duration00:02:00 .

2m
Dehydrate the isolated nuclei in 100% EtOH stored at TemperatureRoom temperature for Duration00:02:00 .

2m
Allow the slides to air-dry for Duration00:10:00 on the bench at TemperatureRoom temperature .
Note
Note: In the meantime, take out the FISH probes and hybridisation buffer from Temperature-20 °C to equilibrate to TemperatureRoom temperature , taking care to avoid exposure to direct light.

10m
Incubate the slides in the formamide solution for Duration00:03:00 at Temperature72 °C .
3m
Incubation
Dehydrate the nuclei in EtOH (pre-chilled at Temperature-20 °C ).
Dehydrate the nuclei in 70% EtOH (pre-chilled at Temperature-20 °C ) for Duration00:02:00 at TemperatureRoom temperature .

2m
Dehydrate the nuclei in 90% EtOH (pre-chilled at Temperature-20 °C ) for Duration00:02:00 at TemperatureRoom temperature .
2m
Dehydrate the nuclei in 100% EtOH (pre-chilled at Temperature-20 °C ) for Duration00:02:00 at TemperatureRoom temperature .
2m
Allow the slides to air-dry for Duration00:10:00 on the bench at TemperatureRoom temperature .
Note
Notes
  1. In the meantime, prepare the FISH probe mixture as outlined in Table 6 of Materials.
  2. This protocol can be performed as a 1-colour or 2-colour FISH probe reaction depending on the number of protein markers being investigated. If two protein markers will be used for immunofluorescence, the reference probe can be excluded, and the volume of the reaction mix adjusted with Nuclease-free H2O.

10m
Denature the FISH probe mixture for Duration00:05:00 at Temperature72 °C in the water bath.

5m
Add Amount10 µL of the probe mixture to the slide, evenly distributing small droplets onto the nuclear suspension.

Pipetting
Place a 22mm x 22mm coverslip and seal the edges with rubber cement.
The FISH probes can be left to hybridise to DNA in a humidified box kept in the dark at Temperature37 °C for 48-96 hrs.
FISH Post-hybridisation treatment & immunofluorescence staining
FISH Post-hybridisation treatment & immunofluorescence staining
30m

Note
Prepare immunofluorescence solutions according to Table 7 of Materials.
Place the water bath in a fume hood, then set temperature to Temperature72 °C .

Add Wash Buffer 1 at least Duration00:30:00 in the water bath.

30m
Pipetting
Take out an aliquot of goat serum from Temperature-20 °C and leave to thaw at TemperatureRoom temperature .

Peel off the rubber cement manually, soak the slides in 2X SSC for Duration00:10:00 and then remove the coverslips from the slides.
10m
Wash the slides in FISH Wash Buffer 1 for Duration00:02:00 at Temperature72 °C in the water bath.

2m
Wash
Wash the slides in FISH Wash Buffer 2 for Duration00:01:00 at TemperatureRoom temperature .

1m
Wash
Wash the slides.
Wash
Wash the slides Duration00:10:00 in 1X PBS at TemperatureRoom temperature . (1/3)

10m
Wash the slides Duration00:10:00 in 1X PBS at TemperatureRoom temperature . (2/3)

10m
Wash the slides Duration00:10:00 in 1X PBS at TemperatureRoom temperature . (3/3)

10m
Hand-dry sections with tissue to remove PBS excess and create a hydrophobic barrier around the section using a Super PAP pen.
Note
Notes
  1. Be careful not to damage the nuclei on the slides.
  2. If the barrier pen was previously used for containing the nuclear suspension, apply more in the same area.

Add Amount300 µL of the blocking solution and leave the slides in a humidified chamber for Duration01:00:00 at TemperatureRoom temperature or DurationOvernight at Temperature4 °C .
2h
Pipetting
Overnight
Remove the blocking solution excess and apply Amount150 µL of the primary antibody solution.

Leave to incubate 2-4 hrs at TemperatureRoom temperature or DurationOvernight at Temperature4 °C .

1h
Incubation
Overnight
Wash the primary antibody solution off.
Wash
Wash the primary antibody solution off in 1X PBS for Duration00:10:00 at TemperatureRoom temperature . (1/3)

10m
Wash the primary antibody solution off in 1X PBS for Duration00:10:00 at TemperatureRoom temperature . (2/3)
10m
Wash the primary antibody solution off in 1X PBS for Duration00:10:00 at TemperatureRoom temperature . (3/3)
10m
Add Amount150 µL of the secondary antibody solution and leave to incubate for Duration01:00:00 at TemperatureRoom temperature .
1h
Incubation
Pipetting
Wash the secondary antibody off.
Wash
Wash the secondary antibody off in 1X PBS for Duration00:10:00 at TemperatureRoom temperature . (1/3)
10m
Wash the secondary antibody off in 1X PBS for Duration00:10:00 at TemperatureRoom temperature . (2/3)
10m
Wash the secondary antibody off in 1X PBS for Duration00:10:00 at TemperatureRoom temperature . (3/3)
10m
Add Amount1 undetermined DAPI (working concentration) to the slides for Duration00:20:00 .

20m
Pipetting
Wash in 1X PBS for Duration00:05:00 at TemperatureRoom temperature .

5m
Wash
Add Amount200 µL of TrueBlack solution for Duration00:01:00 .
1m
Pipetting
Quickly rinse the slides with 70% EtOH and then wash.
Wash
Wash the slides in 1X PBS for Duration00:10:00 at TemperatureRoom temperature . (1/3)

10m
Wash the slides in 1X PBS for Duration00:10:00 at TemperatureRoom temperature . (2/3)
10m
Wash the slides in 1X PBS for Duration00:10:00 at TemperatureRoom temperature . (3/3)
10m
Add Amount10-20 µL of Prolong Gold Anti-Fade solution and mount a 22mm x 22mm coverslip.
Pipetting
Leave the slides to dry in the dark DurationOvernight at TemperatureRoom temperature before sealing the edges of the coverslip with nail varnish. Store them at Temperature4 °C until use.
Note
Notes
  1. In our experience, nuclear suspension autofluorescence can interfere with FISH signal detection, and so we have incorporated a quenching treatment step.
  2. For optimal acquisition, suspensions can be imaged within 2 weeks on any 4-colour fluorescence microscope with resolution to detect small FISH signals. We use 16 Z-stacks of 0.5uM to capture focal planes across the nucleus.
Figure 3. Examples showing (a) Chr 7 CEP and SNCA FISH signals and (b) a SOX10+ nucleus.
10m
Overnight