Here, we show an enzymatic approach to isolate primary hepatocytes from adult mice, and we describe the quantification of an inflammatory response using ELISA and real-time PCR.
The liver plays a decisive role in the regulation of systemic inflammation. In chronic kidney disease in particular, the liver reacts in response to the uremic milieu, oxidative stress, endotoxemia and the decreased clearance of circulating proinflammatory cytokines by producing a large number of acute-phase reactants. Experimental tools to study inflammation and the underlying role of hepatocytes are crucial to understand the regulation and contribution of hepatic cytokines to a systemic acute phase response and a prolonged pro-inflammatory scenario, especially in an intricate setting such as chronic kidney disease. Since studying complex mechanisms of inflammation in vivo remains challenging, resource-intensive and usually requires the usage of transgenic animals, primary isolated hepatocytes provide a robust tool to gain mechanistic insights into the hepatic acute-phase response. Since this in vitro technique features moderate costs, high reproducibility and common technical knowledge, primary isolated hepatocytes can also be easily used as a screening approach. Here, we describe an enzymatic-based method to isolate primary murine hepatocytes, and we describe the assessment of an inflammatory response in these cells using ELISA and quantitative real-time PCR.
Chronic kidney disease (CKD) can be defined as a state of acute and chronic inflammation1. In patients with CKD, serum levels of the phosphaturic hormone fibroblast growth factor 23 (FGF23) progressively rise in order to maintain serum phosphate homeostasis2. Increased serum FGF23 levels are independently associated with cardiovascular morbidity and mortality among patients who are beginning hemodialysis treatment3,4. Furthermore, several clinical studies have shown a strong correlation between elevated FGF23 levels and serum levels of C-reactive protein (CRP), Interleukin-6 (IL-6) and Tumor Necrosis Factor α (TNFα)5,6. Moreover, in an experimental study, we have recently demonstrated that FGF23 can directly target hepatocytes and cause an inflammatory response by increasing CRP and IL-6 production in the liver7. Hence, FGF23 might act as a circulating factor that contributes to systemic inflammation in CKD.
In the early 70's, primary hepatocytes were isolated and studied for the first time8. Since then primary cultured hepatic cells have been extensively used to examine metabolic processing, hormonal function, drug metabolism and toxicity as well as immunity and inflammatory responses9,10. Previous protocols have mainly described the enzymatic isolation of primary hepatocytes from human liver tissue11,12. While an excellent model, this leaves out the ability to study how genetic manipulation affects complex hepatic signaling mechanisms as well as functional consequences upon different types of stimuli. In the following, we describe the isolation of murine primary hepatocytes. Notably, the effect of several mediators of the hepatic acute-phase response, such as lipopolysaccharide (LPS), IL-6 and FGF23 can be analyzed in an easy, fast and reproducible manner13.
Herein, we present a protocol for the enzymatic isolation of hepatocytes from adult mice, and we demonstrate that established inducers of inflammation, such as LPS and IL-6, as well as novel inflammatory mediators such as FGF23, can directly stimulate expression and secretion of inflammatory cytokines, such as CRP and IL-6 in cultured hepatocytes.
All animal protocols and experimental procedures were approved by the Institutional Animal Care and Use Committee (IACUC) of the University of Miami Miller School of Medicine.
1. Preparation
2. Liver Recovery
3. Isolation and Treatment of Cells
4. Isolation of RNA
5. Generating cDNA from isolated RNA by Reverse Transcription
6. Analysis of Cells by Quantitative Real-time PCR (qPCR)
7. Analysis of Cell Supernatants by ELISA
NOTE: All steps are performed according to manufacturer's protocol.
Histology
Representative light microscopy images of primary isolated and cultured cells are depicted in Figure 1A. Immunocytochemical analysis demonstrates that isolated hepatocytes highly express albumin (red) as well as fibroblast growth factor receptor 4 (FGFR4) (green). Nuclei are stained with 4',6-diamidino-2-phenylindole (DAPI) (blue). (Figure 1B).
Quantitative real-time PCR
Primary isolated hepatocytes were treated with FGF23 (25 ng/ml) LPS (100 µg/mL) or IL-6 (50 ng/mL) for 24 h and mRNA levels of CRP and IL-6 were analyzed by quantitative real-time PCR. FGF23, LPS and IL-6 significantly increased expression of CRP and IL-6. (Figure 2A)
ELISA
Cell culture supernatants from isolated primary hepatocytes were analyzed by ELISA for CRP levels. In line with our quantitative real-time PCR analysis, LPS, IL-6 as well as FGF23 treatments significantly increased CRP levels in cell supernatants when compared to PBS-treated cells. (Figure 2B)
Figure 1: (A) Phase contrast microscopic image of isolated murine primary hepatocytes. 24 hours after plating, cells exhibit a hexagon-like shape and often appear bi-nucleated. (Scale bar = 100 µm); (B) Immunofluorescence microscopic analysis reveals that the majority of isolated cells express albumin (red), a hepatocyte-specific marker. Cells also highly express FGFR4 (green). DAPI stains nuclei. Original magnification 40X. (Scale bar = 50 µm). Please click here to view a larger version of this figure.
Figure 2: Quantitative Real-time PCR Analysis of Isolated Murine Primary Hepatocytes to Determine CRP and IL-6 Expression. (A) LPS, IL-6 and FGF23 treatments significantly increase mRNA levels of CRP when compared to PBS-treated cells. (values are expressed as fold change ± SEM; p <0.01; n = 3 independent isolations). (B) Cells treated with LPS, IL-6 or FGF23 also show a significant increase in mRNA levels of IL-6 when compared to PBS treatments. (values are expressed as fold change ± SEM; p <0.001; n = 3 independent isolations) (C) Quantification of CRP protein levels in supernatants from isolated murine primary hepatocytes by enzyme-linked immunosorbent assay (ELISA). LPS, IL-6 and FGF23 significantly increase CRP protein levels when compared to PBS treatments. Values represent CRP concentrations in mg/dl per 500,000 cells. (p <0.05, n = 3 independent isolations). Please click here to view a larger version of this figure.
Isolating primary hepatocytes from mice is a fast, inexpensive and reliable tool to study inflammatory responses ex vivo. If performed correctly, results can be easily generated and reproduced in a timely and cost-efficient manner. The following points should be carefully assessed in order to ensure a successful isolation.
The surgical incision and the cannulation of the IVC should be performed under general anesthesia and not after euthanasia. A young, inexperienced investigator will need more time in the beginning to become familiar with the anatomical features of the murine abdomen and to perform a correct cannulation. Keeping the donor animal alive until the perfusion starts, will significantly increase the viability of isolated cells. Ligation of the supra-hepatic IVC should be performed since it will significantly increase the yield of isolated hepatocytes. Alternatively, a micro-surgical clamp can be placed on the IVC. However, following thoracotomy, the animal will become deceased within a couple of minutes. Hence all subsequent steps should be performed promptly to ensure that the liver maintains sufficient blood flow until initiation of perfusion. For the cannulation, the usage of a retractable intravenous catheter is highly recommended. After cannulating the IVC, the catheter needle can be carefully retracted, which minimizes the risk of vessel perforation. The last critical step is the connection of the perfusion system to the catheter. After removing the needle from the catheter, blood should drain from the end of the catheter before connecting it to a perfusion pump. This step minimizes the risk of air-emboli, which can cause a significant reduction in quantity as well as the quality of isolated cells.
Once the perfusion is initiated, the liver should immediately and homogenously change its color from red to a pale yellow. Parts remaining red will indicate insufficient perfusion or the presence of air-emboli. Washing and filtering of isolated cells should repeatedly be performed. This will ensure efficient removal of excess cell debris. Healthy isolated hepatocytes will adhere within the first 4 h of being plated. Hence, plating media can be changed to maintenance media at this time point. After overnight incubation, cells will appear in a more hexagonal shape with a prominent nucleus. Hepatocytes can also be bi-nuclear (Figure 1A). Granulation or cellular blebbing is an indicator for a poor isolation. If hepatocytes continuously not adhere properly or the cell viability remains low, the amount of digestion media used for perfusion should be altered. This should avoid over- or underdigestion of hepatic tissue.
If a higher yield of cells is required, an anterograde perfusion via the portal vein can be performed. Klaunig et al. have shown that this particular technique can increase total cell yield. Alternatively, following portal vein cannulation intermittent clasping of the IVC can be applied. This will periodically increase the pressure during the perfusion and supposedly also can increase total number of isolated cells. Perfusion time as well as perfusion rate might have to be adjusted14. We, however, have not performed alternative perfusion protocols.
After a first successful isolation, a hepatocyte-specific immunostaining (e.g. for albumin) should be performed to ensure the purity of the isolation (Figure 1B). 24 h after isolation, hepatocytes should be serum starved for 4 to 8 h and then used for treatments. When studying the acute phase response, cells can be treated with LPS, which is known to induce inflammation via Toll-like receptor 4 and NF-κB15. Pro-inflammatory cytokines, such as IL-6, mediate their effects through interleukin receptors16. Moreover, we have recently demonstrated that FGF23 can activate FGFR4 and the PLCγ/calcineurin/NFAT pathway and induce an inflammatory response in the liver7,17. To ensure sufficient transcription and translation of target genes, cells should be treated for 24 h. Isolating mRNA and consecutive analysis of gene expression using quantitative real-time PCR together with ELISA of cell supernatants provides robust information that can easily be repeated. This allows the investigation of novel pro-inflammatory mediators, its hepatic receptors and their consecutive downstream signaling mechanisms. Isolated primary cells, especially from transgenic animals will provide superior results when compared to generic cancer cell lines such as HepG2 and Hep3B cells. Due to its simplicity, this approach can also be used for screenings to investigate the effect of novel drugs. Nevertheless, studying complex pharmacological or patho-physiological mechanisms will require additional confirmative experiments, mainly in an in vivo setting.
We have not performed long-term studies since isolated hepatocytes tend to dedifferentiate within a couple of days. However, this can be overcome by special cell culture techniques, as reported by others18. These include a collagen double-gel configuration, hepatocyte spheroids, co-culture with endothelial cells, and micropatterned co-cultures with 3T3-J2 fibroblasts. Taken together, the isolation of primary murine adult hepatocytes provides a robust tool for scientists interested in metabolomics, inflammation, immunity and the hepatic response to drugs and toxins. It is characterized by simple feasibility, moderate costs and fast reproducibility.
The authors have nothing to disclose.
This work was supported by the NIH (R01HL128714 to C.F.) and (F31DK10236101 to K.S) and the American Heart Association (C.F. and A.G.).
Consumables | |||
Cell Strainer 70 μm Nylon cell strainer | Falcon | 352350 | |
BD Insyte Autoguard | BD | 381412 | |
50 mL Polypropylene Conical Tube | Falcon | 352098 | |
100 6-inch Cotton Tipped Applicators | Puritan | 806-WC | |
1cc U-100 Insulin Syringe 28 G 1/2 | Becton Dickinson | 329420 | |
Tissue Culture Dish 100 x 20 mm Style | Corning | 353003 | |
6 well Cell Culture Cluster | Costar | 3516 | |
5/0 Black Braided Surgical Silk (100 yards) | LOOK | SP115 | |
Name | Company | Catalog Number | Comments |
Equipment | |||
Minipuls 3 Perfusion Pump | Gilson | F155007 | |
Hemacytometer Kits, Propper | VWR | 48300-474 | |
Hemacytometer Cover Glasses, Propper | VWR | 48300-470 | |
Surgical Scissers – Sharp/Blunt | F.S.T. | 14001-12 | |
Iris Scissors-ToughCut Straight | F.S.T. | 14058-11 | |
Dumont SS-45 Forceps | F.S.T. | 11203-25 | |
Student Tissue Forceps | F.S.T. | 991121-12 | |
Name | Company | Catalog Number | Comments |
Reagents | |||
Acetic acid solution, 2.0 N | Sigma | A8976-100ML | |
Isoflurane, USP 250 mL | Piramal Healthcare | 66794-013-25 | |
KetaVed 1000mg/10mL (100mg/mL) | VEDCO | 50989-161-06 | |
Xylazine 100 mg/mL | AnaSed Injection | 139-236 | |
Willams' Medium E (1x) | gibco | 12551-032 | |
Liver Perfusion Medium (1x) | gibco | 17701-038 | |
Liver Digest Medium (1x) | Life Technologies | 17703034 | |
Primary Hepatocyte Thawing and Plating Supplements | Life Technologies | CM3000 | |
Primary Hepatocyte Maintenance Supplements | Life Technologies | CM4000 | |
Phosphate Buffer Saline (PBS) pH 7.4 | ThermoFisher scientific | 10010031 | |
Collagen Type 1 | Corning | 354236 | |
Trypan Blue Solution | VWR | 45000-717 |