We have established an ex vivo mast cell degranulation assay carried out by incubating crude peritoneal exudate cells isolated from the mice, treated with a pharmacological agent of interest and administered anti-dinitrophenol (DNP) IgE beforehand, with DNP on a carrier protein.
Mast cell stabilizers are an essential part of allergy medication. Passive systemic anaphylaxis (PSA) is an animal assay widely used for investigating the effect of a pharmacological agent of interest on mast cells in vivo. As the anaphylactic symptoms are primarily attributed to exocytosis of the granules from mast cells, it is conceived that the agent to cause amelioration of the symptoms has a mast cell stabilizing activity. Despite the fact, it is prudent to confirm the activity by directly demonstrating the decline in the functional activity of mast cells following its treatment. In vitro degranulation assays using an immortalized mast cell line or cultured primary mast cells are routinely employed to that end. The results from the in vitro and in vivo assays may not always be akin to each other; however, as treatment conditions (e.g., treatment dose, time, surrounding environments) for the in vitro assays are often distinct from those for the in vivo assay such as PSA. In pursuit of an in vitro (or ex vivo) assay to reflect more closely the effect of a pharmacological agent on mast cells in vivo, we devised the ex vivo mast cell degranulation assay in which crude peritoneal exudate cells (PECs) isolated from the mice, treated with the agent and administered anti-dinitrophenol (DNP) IgE, were incubated directly with DNP on a carrier protein. It turned out that the assay was not only useful in validating the mast cell stabilizing activity of a pharmacological agent indicated by the in vivo assay but also practical and highly reproducible.
Mast cells play a central role in allergy1,2. When IgE located on the surface of mast cells via interaction with the high-affinity receptor for IgE (FcεRI) encounters a cognate allergen, a signaling cascade is elicited to prompt the release of the granules. As a result, a variety of allergy effector molecules, including monoamines (e.g., histamine, serotonin), cytokines (e.g., TNF-α), and proteolytic enzymes (e.g., tryptase, chymase), are released to cause a series of immunological, neurological and vasomuscular reactions3,4.
A class of pharmaceuticals is called mast cell stabilizer that alleviates the allergy symptoms by attenuating the mast cell function5. Passive systemic anaphylaxis (PSA) is an animal model often used for probing a mast cell stabilizing activity of pharmacological agents. As the anaphylactic symptoms result primarily from the activation of mast cells following interaction of passively transferred hapten-specific IgE with the hapten on a carrier protein injected into the animal later, it is well received that a pharmacological agent of interest bears a mast cell stabilizing activity when its treatment results in amelioration of the symptoms6. Still, it is often imperative to directly demonstrate impairment of the mast cell function by the agent in a separate experiment to rule out the possibility that improvement of the symptoms is derived from a mechanism other than suppression of mast cell function.
Mast cell degranulation assay, which is carried out by stimulating mast cells with a chemical reagent or a specific antigen of IgE forming a complex with FcεRI on the surface of mast cells to induce exocytosis of secretory granules (i.e., degranulation), is generally used for determining a mast cell stabilizing activity of a pharmacological reagent in vitro7. Several types of cells are used in that assay, including the rat basophilic leukemia (RBL) cell line8, bone marrow-derived mast cells (BMMC)9, and peritoneal cell-derived mast cells (PCMC)10. While useful as a large number of cells can be easily obtained, RBL is an immortalized cancer cell line whose cellular properties are no longer akin to those of mast cells in the body. Acquiring a sufficient number of BMMC or PCMC, even though their cellular properties may more closely resemble those of mast cells in the body, is often costly and time-consuming.
A degranulation assay using purified primary mast cells is a desirable alternative11. Nonetheless, the use of such an assay is not widespread as a facile method for purifying mast cells from animal tissue, particularly from mouse tissue, with a high yield, and purity is not yet available. Moreover, since the concentration and duration of treatment with a pharmacological agent to inhibit the mast cell function in vitro may not always coincide with those in vivo, results obtained with an in vitro degranulation assay may misrepresent those from an in vivo assay such as PSA, and vice versa. Hence, a novel degranulation assay, not only closely mimicking the way of mast cell activation transpiring in vivo but also accurately reflecting effects of a pharmacological reagent exerted on mast cells in vivo, is in high demand. In order to meet those needs, we devised an ex vivo mast cell degranulation assay where mast cells in peritoneal exudate cells (PECs) isolated from the mice, treated with a pharmacological agent of interest and administered IgE specific for dinitrophenol (DNP) beforehand, are stimulated with DNP-conjugated bovine serum albumin (BSA).
All animal experiments were performed in accordance with the guideline provided by the IACUC (Institutional Animal Care and Use Committee) of Chungnam National University (Animal Protocol Number: CNU-00996).
1. Quantifying mast cell-specific molecules in the lysate of crude PECs
2. Mast cell degranulation assay using crude PECs
Determining the optimal number of PECs for ex vivo mast cell degranulation assay
Mast cells (c-kit+·IgE+ double positive cells)15 represent only about 2% of PECs (Figure 1A). Estimating the maximum levels of mast cell-specific molecules to be detected in the culture supernatants on the assumption that 100% of the granules were released by mast cells in PECs, we measured the amounts of β-hexosaminidase16 and histamine17 in the total cell lysates prepared with different numbers of PECs: 2.5 x 105, 5 x 105 and 1 x 106 PECs, respectively. As shown in Figure 1B, significant levels of both β-hexosaminidase and histamine were detected even when the lysate was prepared with 2.5 x 105 PECs, and their levels increased proportionally as the number of PECs used for the preparation of the cell lysate increased.
Bearing those results in mind, we decided to use 5 x 105 PECs in the ex vivo mast cell degranulation assay for the following reasons. Considering that only a little over 3 x 106 PECs were isolated from one mouse (8 weeks old) and that they were to be plated evenly in 4 separate wells in a 96-well microplate (2 wells for β-hexosaminidase and another two wells for histamine assays, respectively), plating 1 x 106 PECs per well would likely cause a shortage of the cells. In addition, the results shown above indicated that a sufficient number of mast cells was in 5 x 105 crude PECs for carrying out the degranulation assay. That is, according to those results, it was expected that even in the case that only about 30 to 40% of the granules was released by mast cells, the levels of β-hexosaminidase and histamine detected in the culture supernatants after the degranulation assay would be high enough for being accurately quantified.
Next, we tried to confirm that β-hexosaminidase and histamine detected in the lysates of PECs were derived exclusively from mast cells in PECs. To do that, we depleted mast cells from PECs using a magnetic cell purification column (refer to step 1.2). Expectedly, unlabeled PECs that flew through the column were completely devoid of mast cells (Figure 1C). Also, expectedly, neither β-hexosaminidase nor histamine were detected in the cell lysate prepared with mast cell-depleted PECs (Figure 1D).
Ex vivo mast cell degranulation assay using crude PECs
We next examined the actual levels of β-hexosaminidase and histamine released by mast cells in PECs during culture with a specific antigen of IgE on their surface. To do that, we isolated PECs from the mice injected with anti-DNP-IgE and culture them (5 x 105) with DNP-BSA (0.5 ng/mL). As shown in Figure 2A, a significant level of β-hexosaminidase was begun to be detected in the culture supernatant within 5 min of culture and increased continually as the culture period was prolonged. Nevertheless, the rate of increase was diminished quickly after 10 min of culture, and the extent of degranulation gradually reached the plateau at around 50% after 30 to 40 min. Similar results were also obtained when the levels of histamine released by mast cells during the culture were examined (Figure 2B). Based on those results, we decided to culture PECs with DNP-BSA for 10 min in the following assays.
Verifying the in vivo effects of KET and DEX on mast cell with the ex vivo degranulation assay.
Ketotifen (KET) is an allergy medication with antihistaminergic activity. Different from other conventional antihistamines, however, it is known as a dual-acting antihistamine that also has a mast cell stabilizing activity in addition to the antihistaminergic activity. The mast cell stabilizing activity of KET has been explored21,22; however, mostly in in vitro studies and the studies to show how it has effect on mast cell in vivo are scarce. Dexamethasone (DEX) is another type of allergy medication23. DEX is known to impair functional activities of various types of immune cells to suppress a broad spectrum of immune responses24. To verify the effect of KET and DEX on the activity of mast cells in vivo, we were to carry out the ex vivo mast cell degranulation assay with PECs isolated from the mice treated with either of them.
Prior to the ex vivo mast cell degranulation assay, we first examined the effects of DEX and KET on anaphylactic reactions elicited by passively transferred DNP-specific IgE and DNP-BSA in PSA model. Expectedly, treatment with either KET or DEX resulted in improvement in anaphylactic symptoms in a dose-dependent manner (Supplemental Figure 1), indicating that the functional activity of mast cells was compromised by their treatments.
We also examined the numbers of PECs isolated from the mice treated with either compounds and the ratio of mast cells in PECs (Figure 3A). Treatments with KET, regardless of the doses used in the treatments, resulted in no noticeable change in the numbers of PECS isolated from the mice. In contrast, the numbers of PECs isolated from the DEX-treated mice decreased significantly when treated at 4.5 mg/kg dose, indicating that DEX treatment had effect on the viability of peritoneal cells. Still, it must be noted that the ratio of mast cells remained constant at around 2% regardless of the drugs and doses used for the treatment (Figure 3A). We also examined the effects of DEX and KET on the levels of β-hexosaminidase and histamine expressed by mast cells in the peritoneal cavity by measuring their amounts in the total cell lysates prepared with the same numbers of crude PECs (Figure 3B). Of note, the levels of both β-hexosaminidase and histamine were found to be augmented after treatment with DEX at the dose of 4.5 mg/kg. KET treatments resulted in little change in those levels.
Next, we performed the ex vivo mast cell degranulation assay (Figure 4). First, we adjusted the cell density of PECs evenly to 5.5 x 106 cells/mL to ensure that the same number of mast cells were used in the assay. PECs (90 μL) were then plated in a 96-well microplate and incubated with DNP-BSA for 10 min. When PECs from the mice treated with the high dose of either DEX or KET were incubated with DNP-BSA, the levels of β-hexosaminidase and histamine detected in the culture supernatants were found to be lowered significantly compared to those detected after incubation of PECs from sham-treated mice with DNP-BSA (Figure 4). An inverse correlation was also apparent between the levels of those molecules detected in the culture supernatants and the doses of DEX and KET used for treatments of the mice. Thus, the higher the dose used for the treatment was, the lower the levels of β-hexosaminidase and histamine detected in the culture supernatants after the incubation were.
Figure 1: Quantifying the levels of mast cell-specific molecules contained by the lysates prepared with different numbers of PECs.
(A) PECs were stained with FITC-labeled anti-mouse c-kit plus PE-labeled anti-mouse IgE mAbs and analyzed with flow cytometry. Mast cells (i.e., c-kit+·IgE+ double positive cells) are shown in the upper-right quadrant. (B) Cell lysates were prepared with 1 x 106 (circle), 5 x 105 (square), and 2.5 x 105 (diamond) PECs, respectively, and one half of the total lysates was incubated with the substrate of β-hexosaminidase for a period of time as indicated. The extent of color changes by the enzyme reaction was measured with a 96 well microplate reader at 405 nm wavelength. Assays were conducted in duplicate. (C) Cell lysates were prepared as in (B) and the histamine concentrations in the lysates were measured with ELISA. (D) Mast cell-depleted PECs were stained with the mAbs as in (A). (E) Cell lysates were prepared with 5 x 105 crude (filled bar) and mast cell-depleted (open bar) PECs, respectively, and incubated with the β-hexosaminidase substrate for 30 min before termination of the reactions. (F) The concentrations of histamine in the cell lysates prepared as in (E) were measured. Please click here to view a larger version of this figure.
Figure 2: Measuring the amounts of mast cell-specific molecules released by mast cells during culture of PECs with DNP-BSA.
PECs (5 x 105) isolated from the mice injected with anti-DNP IgE (circle) or with just 1 x PBS (triangle) were cultured with DNP-BSA for a period of time as indicated. The levels of β-hexosaminidase (A, left) and histamine (B, left) detected in the supernatants at each time point were plotted. Extents of degranulation were calculated with the amounts of β-hexosaminidase (A, right) and histamine (B, right) released to the supernatants and remaining inside the cells (cell lysate), respectively. The following equation was used for calculating the extent of degranulation (%). Degranulation (%) = [X]sup /([X]sup + [X]lysate) X 100 Please click here to view a larger version of this figure.
Figure 3: Effects of DEX and KET on the viability of mast cells in the peritoneal cavity and the levels of b-hexosaminidase and histamine expressions.
(A) PECs were isolated from the mice treated p.o. for 3 days with vehicle alone (sham) or with indicated doses of DEX or KET. Total cell numbers were counted with a hemocytometer and the average numbers were calculated and plotted along with standard deviations (left). PECs were stained with FITC-labeled anti-c-kit plus PE-labeled anti-IgE mAbs and analyzed with flow cytometry. The ratios of the double positive cells (i.e., mast cells) to total PECs were plotted (right). (B) PECs were isolated as in (A), and cell lysates were prepared with the same number (5 x 105) of PECs. The amounts of β-hexosaminidase (left) and histamine (right) in those lysates were measured and plotted. All experiments were performed with 3 mice per group. Statistical significances were calculated using one-way anova; * p < 0.05. Please click here to view a larger version of this figure.
Figure 4: Ex vivo mast cell degranulation assay using crude PECs isolated from the mice treated with DEX or KET.
PECs were isolated from the mice treated p.o. for 3 days with vehicle alone (naïve and sham) or with indicated doses of DEX or KET and then injected i.v. with PBS (naïve) or anti-DNP-IgE. They were then incubated with DNP-BSA for 10 min, and the extents of degranulation were calculated based on the levels of β-hexosaminidase (A) and histamine (B), respectively, released to the culture supernatants. All experiments were performed with 3 mice per group. Statistical significances were calculated using one-way anova; * p < 0.05. Please click here to view a larger version of this figure.
Buffer | Recipe | Comments/Description | |
0.1 M Na-citrate buffer | 45.6 mM Sodium Citrate dihydrate, 54.4 mM Citric Acid, pH 4.5 | Store at 2-8°C | |
10x RBC lysis buffer | 80 mg/mL NH4Cl, 8.4 mg/mL NaHCO3, 3.7 mg/mL EDTA (disodium) | Store at 2-8°C, do not exceed six months | |
Cell lysis buffer | 0.1 % Triton X-100, 1 x phosphate-buffered saline (PBS) pH 7.4 | Store at 2-8°C | |
ELISA stop solution | 100 mM glycine, pH 10.7 | Normal temperature storage | |
FACS buffer | 1 x PBS, 5 % horse serum, 1 % BSA, 10 mM HEPES, 2 mM EDTA, pH 7.2 | Store at 2-8°C, do not exceed two months | |
PBSBE buffer (MACS cell purification buffer) | 1x PBS, 0.5 % BSA, 2 mM EDTA, pH 7.2 | Store at 2-8°C, do not exceed two months | |
Tyrode's A buffer | 10 mM HEPES, 130 mM NaCl, 5.6 mM glucose, 5 mM KCl, 1 mM MgCl2, 1.4 mM CaCl2, 1 % bovine serum albumin (BSA) pH 7.4 |
Store at 2-8°C, do not exceed two months | |
Tyrode's B buffer | 137 mM NaCl, 5.6 mM glucose,12 mM NaHCO3,2.7 mM KCl, 0.3 mM NaH2PO4, 1 mM MgCl2, 1.8 mM CaCl2, 0.1 % gelatin,pH 7.4 | Store at 2-8°C, do not exceed two months |
Table 1: Buffer compositions.
Supplemental Figure 1: Effects of DEX and KET on the anaphylactic reactions caused by passively transferred anti-DNP-IgE and DNP-BSA. Mice, treated (p.o.) daily for 3 days with the vehicle alone (naïve, sham) or with indicated doses of DEX or KET, were administered (i.v.) PBS (naive) or anti-DNP-IgE mAb. One day after the antibody injection, the mice were injected (i.v.) with PBS (naive) or with DNP-BSA. The body temperatures of the mice measured 30 min after DNP-BSA injection were plotted (A). One day after injection of DNP-BSA, the blood was drawn from the mice and the levels of MCPT-1 were measured with ELISA (B). The experiment was performed with 3 mice per group. Statistical significances were calculated using one-way ANOVA; * p < 0.05. Please click here to download this figure.
The finding that mast cell degranulation assay can be carried out with a relatively small number of crude mouse PECs is significant. Even though PECs must be an excellent source of primary mouse mast cells, it is demanding to purify mast cells in PECs. Although a density gradient media such as Percoll25 has been successfully used for purification of mast cells from rat PECs, its use for purification of mouse peritoneal mast cells has been limited presumably for the difference in the densities of rat and mouse mast cells. Another gradient medium such as Histodenz26 has been used for purification of mouse peritoneal mast cells with limited success; the outcome of the purification appeared dependent on the conditions of mice (e.g., age). Even a new cell isolation system like magnetic cell purification system led to only a partial purification of mouse mast cells (authors’ unpublished data). We show here that purification of peritoneal mast cells is unnecessary for mast cell degranulation assay.
The result that mast cells in crude PECs could be triggered by a cognate antigen of IgE is encouraging in pursuit of an ex vivo assay to faithfully mimic the degranulation event happening in vivo. In addition to mast cells, however, basophils also express FcεRI27. Thus, one caveat here is that a small number of basophils in PECs might also contribute to the increase in the concentration of histamine in the culture supernatant during the assay. It seems unlikely, however, as no measurable level of histamine was detected in the culture supernatant when PECs depleted of c-kit-expressing cells (i.e., mast cells) were used in the assay. Those results assured that mast cells were entirely responsible for the release of histamine detected in the culture supernatant after the culture of crude PECs with DNP-BSA.
An intriguing issue in interpreting the result of an in vitro mast cell degranulation assay for probing the inhibition of mast cell function by a pharmacological agent is how to relate such an in vitro result (e.g., IC50 of a test compound) to the in vivo result (e.g., ED50) derived from an in vivo animal study such as PSA. Even in the case that primary mast cells are employed, considering that the surrounding environmental conditions for them to encounter during the in vitro and in vivo assays are profoundly different from each other, the results obtained from those studies may not always be akin to each other. Thus, it takes caution to extrapolate the results from the in vitro assay to the in vivo experiment and vice versa. As mast cells used in the ex vivo degranulation assay described in this study are treated with a test compound at the environments same as those for the in vivo assay and incubated with a natural ligand immediately after isolation from the animal, it is thought that the results from the ex vivo assay accurately reflect how mast cells in the body are affected by the compound during the in vivo assay.
While the main focus of this study was how to use the ex vivo assay to confirm the actual mast cell stabilizing activity of a potential anti-allergy medication in vivo, it must be noted that this assay can also be used in the purpose of examining the effects of specific gene knock-outs on mast cell function. For example, this assay will be useful in examining the effects of the deletion of specific genes critically involved in the differentiation of specific subsets of T cells on mast cell function. In addition, even though we used only passive systemic anaphylaxis as a model system in this manuscript, we presume that the same assay can be carried out with PECs obtained after active immunization of mice.
In summary, this assay has several unique features as follows. First, the assay is expeditious and facile as crude PECs are used. Second, as mast cells are treated with a test compound in the environments where a relevant in vivo animal study is carried out, results from the ex vivo degranulation assay faithfully reflect the effects of the compound exerted on mast cells during the animal study. Third, as the assay is accompanied by flow analysis for the ratio and the number of mast cells in PECs, effects of the test compound on the viability of mast cells in vivo can also be addressed.
The authors have nothing to disclose.
We thank Mr. Wonhee Lee and Ms. Eunjoo Lee for their technical and administrative assistance. We also thank Dr. Thi Minh Nguyet Nguyen for her thoughtful comments. This work was supported by the research grants from Chungnam National University (CNU Research Grant 2017-2098-01) and from National Research Foundation of Korea (NRF-2019R1F1A1061894 and NRF-2019M3A9G4067293).
1 mL syringe | 1757589701 | ||
1.5 mL micro tube | Hisol | MT-15003 | |
10 mL syringe | 1757593161 | ||
15 mL conical tube | Thermo Fisher scientific | 14-959-53A | |
20xPBS | Tech & Innovation | BPB-9121-500mL | |
4-nitrophenyl-N-acetyl-β-D-glucosaminide | SIGMA | N9376 | |
5 mL polystyrene round-bottom tube | Life sciences | 352003 | |
50 mL conical tube | Thermo Fisher scientific | 14-959-49A | |
Aluminium Fiol | BioFact | TS1-3330 | |
Anti-mouse CD117(c-kit) | Biolegend | 135129 | keep at 2-8°C |
Anti-mouse IgE mAbs | Thermo Fisher scientific | 11-5992-81 | keep at 2-8°C |
Antiti-DNP-IgE | SIGMA | D8406-.2MG | keep at -20°C |
Centrifuge | HANIL | 396150 | |
D-(+)-gluouse | SIGMA | G8270 | |
Dexamethasone | SIGMA | D2915-100MG | |
DNP-BSA | Invitrogen | 2079360 | keep at -20°C |
EDTA | Biofact | PB131-500 | |
Fetal Bovine serum | Thermo Fisher scientific | 11455035 | |
Gelatin | SIGMA | G1890 | |
Glycine | JUNSEI | 27185-0350 | |
hemocytometer | ZEISS | 176045 | |
HEPES | Thermo Fisher scientific | 15630130 | |
Histamine ELISA kit | Abcam | GK3275957-4 | keep at 2-8°C |
Hotplate stirrer | Lab teach | zso-9001 | |
Isoflurance | Troikaa | I29159 | |
ketotifen fumarate salt | SIGMA | K2628 | |
MCPT-1 ELISA kit | Thermo Fisher scientific | 88-7503-22 | keep at 2-8°C |
Mouse Fc block | BD Biosciences | 553141 | keep at 2-8°C |
Propidium iodiole | SIGMA | 81845 | keep at 2-8°C |
RBC lysis buffer | Biolegend | 420301 | |
Round-bottom 96 well | SPL-life sciences | 30096 | |
Single use syringe filter | Startoriusag | 16555 | |
Streptavidin microbeads | MilteryiBiotec | 130-048-101 | keep at 2-8°C |
Triton X-100 | JUNSEIchemical | 49415-1601 | |
TWEEN 20 | SIGMA | 9005-64-5 | |
Water bath | CHANGSHINSCIENCE | 190107 |
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