This study delineates a novel approach for the establishment of human monocyte-derived microglia-like (iMG) cells that enable the indirect assessment of brain inflammation. This presents a cellular model that may be beneficial to research focusing on potential inflammation of the brain and associated neuropsychiatric disorders.
Recent investigations employing animal models have highlighted the significance of microglia as crucial immunological modulators in various neuropsychiatric and physical diseases. Postmortem brain analysis and positron emission tomography imaging are representative research methods that evaluate microglial activation in human patients; the findings have revealed the activation of microglia in the brains of patients presenting with various neuropsychiatric disorders and chronic pain. Nonetheless, the aforementioned technique merely facilitates the assessment of limited aspects of microglial activation.
In lieu of brain biopsy and the induced pluripotent stem cell technique, we initially devised a technique to generate directly induced microglia-like (iMG) cells from freshly derived human peripheral blood monocytes by supplementing them with granulocyte-macrophage colony-stimulating factor and interleukin 34 for 2 weeks. These iMG cells can be employed to perform dynamic morphological and molecular-level analyses concerning phagocytic capacity and cytokine releases following cellular-level stress stimulation. Recently, comprehensive transcriptome analysis has been used to verify the similarity between human iMG cells and brain primary microglia.
The patient-derived iMG cells may serve as key surrogate markers for predicting microglial activation in human brains and have aided in the unveiling of previously unknown dynamic pathophysiology of microglia in patients with Nasu-Hakola disease, fibromyalgia, bipolar disorder, and Moyamoya disease. Therefore, the iMG-based technique serves as a valuable reverse-translational tool and provides novel insights into elucidating dynamic the molecular pathophysiology of microglia in a variety of mental and physical diseases.
In recent years, brain inflammation has been suggested to assume pivotal roles in the pathophysiology of various brain and neuropsychiatric disorders; the microglia have been highlighted as key immunomodulatory cells by human postmortem brain analysis and positron emission tomography (PET)-based bio-imaging techniques1,2,3,4. Postmortem brain and PET imaging analyses reveal significant findings; nevertheless, however, these approaches are inefficient in terms of capturing the dynamic molecular activities of human microglia in the brain in their entirety. Therefore, novel strategies are required to enable the comprehensive evaluation of human microglial functions and dysfunctions at the molecular and cellular levels.
In 2014, we originally engineered a novel technique to produce directly induced microglia-like(iMG) cells5,6, prior to the first publication of human-induced pluripotent stem cell (iPSC)-derived microglia-like cells in 20167. In just 2 weeks, we successfully converted human peripheral blood monocytes into iMG cells by optimizing the cytokines, granulocyte-macrophage colony-stimulating factor (GM-CSF) and interleukin 34 (IL-34). When we developed this technique, the innovative reprogramming method of inducing neuronal cells from iPS cells or fibroblasts was just beginning to prevail in the world8,9,10,11. However, at that time, a method for inducing iPS-derived microglial cells had not yet been reported, and the generation of a human somatic cell-derived microglial model was desired. Since cytokines such as GM-CSF and IL-34, macrophage colony-stimulating factor, were reported to be necessary for the development and maintenance of microglia12,13,14,15, we hypothesized that a combination of these cytokines could be applied directly to generate a microglial cellular model from blood monocytes. Finally, we succeeded in developing a model of microglia derived from monocytes by combining GM-CSF and IL-345. In addition, some of these combinations of cytokines are also employed to induce microglia from iPS cells7,16 and are assumed to be an important factor in acquiring microglial characteristics.
In contrast to iPSC methods, iMG cells do not require any genetic modification and can be generated in a very short time by simple chemical induction, resulting in lower time and financial costs. Furthermore, iMG cells do not require genetic reprogramming, so we believe that iMG cells are potent surrogate cells to evaluate not only the traits but also the states of human microglia. In the initial paper on the iMG technique in 2014, we confirmed that iMG cells exhibit a phenotype of human microglia, which can be distinct from monocytes and macrophages. For example, iMG cells exhibited an overexpression ratio of CX3C chemokine receptor 1 (CX3CR1) and C-C chemokine receptor type 2 (CCR2) than monocytes and typical microglia markers, including transmembrane protein 119(TMEM 119) and purinergic receptor P2RY125,17. Recently, we validated that peripheral blood-derived iMG cells resemble brain microglia in their gene expression profile of well-known microglial markers in the same patient who underwent brain surgeries18. The iMG cells can be analyzed for dynamic functions at the molecular level, such as phagocytosis and cytokine production, and are expected to compensate for the disadvantages of postmortem brain research and PET studies.
We have discovered previously unknown dynamic pathophysiological mechanisms involving microglia in patients diagnosed with Nasu-Hakola disease5, fibromyalgia19, bipolar disorder20,21, or Moyamoya disease22. Furthermore, based on our original methodology, various laboratories have employed the iMG cells (certain laboratories have designated alternative names to these cells) as a crucial reverse-translational research tool23,24,25,26,27. Sellgren et al. successfully generated iMG cells in compliance with our recommendations and conducted a microarray analysis, which revealed that these cells closely resemble human brain microglia23. Recently, we confirmed the resemblance between human iMG cells and brain primary microglia using RNA sequencing18.
This study aimed to document the methodology to generate iMG cells from human peripheral blood to facilitate reverse-translational research focused on neuropsychiatric diseases. This technique presents potential as a reasonable analytical tool that can effortlessly produce microglial cellular models in a brief duration, even in ill-equipped laboratories that lack gene transfer apparatus or proficient personnel.
The study protocol was approved by the Ethics Committee of Kyushu University and complied with all the provisions of the Declaration of Helsinki. Written informed consent was obtained from all participants, including healthy volunteers and patients, to analyze their blood and publish their data. Materials and equipment are listed in the Table of Materials, and the compositions of the solutions are detailed in Table 1.
1. Preparation of media and buffers for experiments
2. Isolation of mononuclear cells from whole blood
3. Isolation of monocytes using CD11b microbeads
4. Induction of iMG cells from monocytes
5. Immunocytochemistry
Importantly, there is a great deal of person-level and timing-level heterogeneity in the characters of iMG cells including morphologies and gene expressions. The iMG cells in certain individuals assume a numerous branching appearance (Figure 1A), while in others they remain spherical (Figure 1B). The iMG characteristics may differ even within a single individual, rendering iMG cells as a pivotal tool for detecting disease state biomarkers. Conversely, the examination of such inter-individual differences warrants the reduction of technical errors. The iMG cells are defined as monocytes induced with GM-CSF and IL-34 for a minimum of 14 days. To minimize technical errors, it is recommended to standardize the induction time, utilize the same amounts of reagents, and refrain from using expired reagents.
Validation of immunostaining also confirms that iMG cells express microglial markers, including P2RY12 and TMEM119 (Figure 2). Prior research has demonstrated that the morphological and gene-expression characteristics of iMG cells are associated with the pathophysiology of bipolar disorder20,21. The earliest branched cells were observed on DAY 3 after GM-CSF and IL-34 treatment, and iMG cells in optimum condition can survive for more than 1 month when medium change is done once a week. The iMG cells can be used for gene expression analysis. For example, under stimulations with interferon gamma or IL-4, iMG cells changed the gene expression pattern, which can be used for the functional evaluation of M1 and M2 polarized microglia5,22. Moreover, FITC beads trigger amoeboid-like morphological modifications and upregulate the expression of TNFα and other genes5. Furthermore, phagocytosis can be evaluated by measuring the fluorescence intensity of the beads5,22. Moreover, as iMG cells are viable cells, their actual movement and morphological alterations can be observed by taking cell pictures (Figure 3) or through time-lapse photography (Video 1).
Figure 1: Morphology of iMG cells. (A) Typical ramified iMG exhibited minute soma bodies and numerous branched collaterals. (B) Certain samples varied in appearance such as the ameboid type. Scale bar, 50 µm. Please click here to view a larger version of this figure.
Figure 2: Immunocytostaining of iMG cells. iMG cells express typical microglial markers: (A) TMEM 119, (B) P2RY12. Nuclei were stained with DAPI (blue). Scale bar =10 µm. Please click here to view a larger version of this figure.
Figure 3: Morphological modifications in iMG cells. iMG alter their morphology during the induction process. Cell protrusions appear (A) around day 3 and elongate on days (B) 7 and (C) 14 as induction proceeds. Scale bar = 50 µm. Please click here to view a larger version of this figure.
Video 1: Time-lapse photography of iMG cells. The ramified iMG cell in the center appeared to establish contact with the surrounding cells while extending and contracting their processes. Furthermore, the cell performed phagocytosis of damaged cells. The image acquisition intervals were 46 sec, and the filming time was approximately 14 h. Please click here to download this Video.
Table 1: Composition of solutions Please click here to download this Table.
Analytical techniques employing iMG cells may serve as potent reverse-translational research tools5,6. To generate sufficient quantities of human iMG cells, experimenters should design their studies taking certain issues into consideration. Blood samples derived from human beings are extremely sensitive; consequently, the obtained samples warrant prompt processing, and meticulous handling to avoid contamination. Specifically, blood samples should be separated immediately after being drawn and not left unattended for extended periods. Experiments are conventionally commenced within 3 h of blood collection to confirm their validity; however, it is possible to store blood samples at 4°C for over 3 h and bring them to room temperature prior to starting separation protocols.
To ensure stable results, reagents such as culture media are recommended to be used within a month of unsealing and discarded upon expiration. When separating peripheral blood mononuclear cells using density gradient centrifugation, cell aggregation may be observed in certain specimens. In such cases, the whole blood sample must be diluted with PBS (−) to prevent aggregation. During the induction of differentiation into microglia, the culture medium is not replaced for 14 days to avoid unnecessary stimulation of the cells. After the completion of differentiation induction, medium replacement with fresh medium may restore the weakened cells and maintain viability for a while.
The iMG technique established in this study presents a limitation; the experimentally induced "microglia-like cells" are comparable but not completely identical to the actual microglial cells in the human brain. Additionally, prior research has documented methodology for the induction of human monocyte-derived microglia-like cells, and different research groups have proposed their own distinct protocols and names contingent upon the original iMG methods28. For instance, certain protocols use M-CSF29,30,31,32 or TGF-β33, which are reported to promote a microglia-like phenotype in iPSC-derived microglia cultures or on coatings such as Geltrex24,34; these factors may prove to be effective for inducing microglia-like cells.
The original iMG technology is advantageous owing to its simple and easy-to-reproduce protocol with merely two cytokines and no coatings, which enables a variety of reverse-translational experiments using human blood. Conversely, advancements in technology have facilitated the development of many products. Magnetic separation methods include column-based positive selection, similar to our protocol, as well as negative selection and column-free methods. Moreover, in lieu of magnetic separation, an alternative method of separation using plastic adhesion may be considered. Column-based positive selection ensures purity, but the technique is time-consuming, and stimulation by magnetic beads substantially affects the cells35. Contrarily, negative selection and plastic adhesion may be less detrimental to the cells; nevertheless, these approaches may be less pure35,36. Further modification may be needed based on other protocols in the future.
The aforementioned findings substantiate that the predominant advantage of this iMG technology is its brief duration, cost-effective methodology, and ability to process a large number of samples for high-throughput studies. Therefore, this technology can be employed to acquire knowledge from human samples and then conduct further validation studies using different animal models. Moreover, the findings obtained from investigations conducted on cellular and animal models by applying the iMG technique may be beneficial. In this way, our iMG technique can be applied to bi-directional translational research in a bedside-to-bench and bench-to-bedside manner.
The authors have nothing to disclose.
This work was partially supported by the following Grants-in-Aid for Scientific Research: (1) The Japan Society for the Promotion of Science (KAKENHI; JP18H04042, JP19K21591, JP20H01773, and JP22H00494 to TAK, JP22H03000 to M.O.); (2) The Japan Agency for Medical Research and Development (AMED; JP21wm0425010 to TAK, JP22dk0207065 to M.O.) and (3) The Japan Science and Technology Agency CREST (JPMJCR22N5 to TAK). The funding bodies assumed no roles in the study design, data collection and analysis, decision to publish, or manuscript preparation. We would like to thank Editage (www.editage.jp) for English language editing.
0.1% Triton X-100 | Sigma-Aldrich | 30-5140-5 | |
4% paraformaldehyde | Nacalai Tesque | 09154-14 | |
Antibiotic-Antimycotic (100x) | gibco | 15240-062 | described as "antibiotic-antimycotic solution" |
autoMACS Rinsing Solution | Miltenyi Biotec | 130-091-222 | described as "basic buffer solution" and used for "isolation buffer" |
CD11b MicroBeads | Miltenyi Biotec | 130–049-601 | |
DAPI solution | DOJINDO | 28718-90-3 | |
Dulbecco's Phosphate Buffered Saline | Nacalai Tesque | 14249-24 | described as "PBS (−)" |
Fetal Bovine Serum | biowest | S1760-500 | |
Histopaque-1077 | Sigma-Aldrich | 10771 | described as "density gradient medium" |
Human FcR Blocking Reagent | Miltenyi Biotec | 130–059-901 | |
Leucosep | Greiner Bio-One | 227290 | described as "density gradient centrifugation tube" |
MACS LS columns | Miltenyi Biotec | 130-042-401 | described as "magnetic column" |
MACS BSA Stock Solution | Miltenyi Biotec | 130-091-376 | described as "bovine serum albumin (BSA) stock solution" |
MACS MultiStand | Miltenyi Biotec | 130-042-303 | described as "magnetic stand" |
Penicillin-Streptomycin | Nacalai Tesque | 26253–84 | |
ProLong Gold Antifade Mountant | Invitrogen | P10144 | described as "mounting media" |
recombinant human GM-CSF | R&D Systems | 215-GM | |
recombinant human IL-34 | R&D Systems | 5265-IL | |
RPMI 1640 Medium + GlutaMAX Supplement (pre-supplemented medium) | Thermo Fisher Scientific | 61870036 | described as "basal induction medium" |
RPMI-1640 | Nacalai Tesque | 30264-56 | |
Antibodies | |||
anti-P2RY12 antibody | Sigma-Aldrich | HPA014518 | primary antibody, rabbit, 1:100 |
anti-TMEM119 antibody | Sigma-Aldrich | HPA051870 | primary antibody, rabbit, 1:100 |
Goat anti-Rabbit IgG (H+L) Cross-Adsorbed Secondary Antibody, Alexa Fluor 568 | invitrogen | A-11011 | secondary antibody, rabbit, 1:1000 |