Best Practice for PBMC Processing

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Best Practice for PBMC Processing 2016 IQA PBMC Processing Training Session Hospital dos Servidores do Estado,Rio de Janeiro Presented by: Sarah Keinonen October 28, 2016 1

IQA Cryopreservation Proficiency Test Program The optimization of peripheral blood mononuclear cell (PBMC) processing is essential to ensure the quality and function of the cells for ongoing studies in the development of vaccines and treatment strategies. The IQA Cryopreservation PT Program measures viability and viable recovery of PBMC samples processed at participating DAIDS-supported laboratories on a quarterly basis to ensure sample integrity. This enables the IQA to obtain insight regarding a number of difficulties that laboratories confront during the processing of PBMCs. 2

Difficulties Observed by the IQA Out of Range Viable Recovery Out of Range Viability Counting Cellular Contamination Calculations/Dilution Mixing/Aliquoting Processing time Use of Expired Reagents Lack of Cold Chain Method 3

Recommendations Prior to PBMC Processing Follow the Cross Network SOP Be Prepared Check all equipment Do NOT use expired reagents Prepare Cryopreservation Solution (CPS) Hood Picture 4

Overview of PBMC Processing Dilution Density Gradient Separation Spin Isolate & Wash Obtain a Viable Cell Count Cryopreserve 5

Whole Blood Dilution Suitable for the selected density gradient Higher yield of PBMCs Reduces the amount of the Red Blood Cell (RBC) contamination 6

Density Gradient Cell Separation Whole Blood and Density Gradient Media (DGM) must be at 15 30 C Carefully layer using proper technique 7

Density of PBMCs 8

4 C Density Gradient Media 9

Centrifugation Brake must be OFF and the rotor properly seated Use swinging buckets Temperature must be at 15-30 C 10

Buffy Coat Isolation Once the centrifuge has completely stopped carefully remove the layered tube from the centrifuge as not to disrupt the layer. 11

Isolation Recommendations Avoid harvesting the platelet aggregates Avoid removing excess amounts of Plasma and/ or DGM with the Buffy Coat 12

PBMC Washes Quickly Decant Fully re-suspend the PBMC Pellet Follow the number of required washes 13

Viable Cell Count Accurate Volume Even distribution of PBMCs Dilute accordingly 14

Manual Counting Each quadrant should contain approximately 50-200 cells Four quadrants should agree within ± 15 % Allow the sample to settle for 30 seconds 15

Cryopreservation Solution (CPS) Chill at 2-8 C for 30 minutes or in an ice bath for 15 minutes prior to use CPS can be stored at 2-8 C for up to 18 hours 90 % Fetal Bovine Serum (FBS) 10 % Dimethyl sulfoxide (DMSO) Cryopreservation Solution (CPS) 16

Addition of CPS Work quickly Mix gently and thoroughly during the aliquoting process Use an ice bath during the addition of CPS 17

Cryopreservation Maintain the cold chain method Follow all laboratory and network guidelines 18

Recommendations During PBMC Processing Processing Time (8 hours from time of collection) Use accurate and precise pipetting techniques Maintain the proper temperature requirements Documentation 19

Acknowledgments NIH Daniella Livnat Westat & IMPAACT Frances Whalen Hospital dos Servidores do Estado José Carlos Cruz Loredana Ceci Rosimere Grismino Esaú Custódio João Leon Claude Sidi IQA Laboratory Tom Denny Raúl Louzao, Ambrosia Garcia John Wong Todd DeMarco William Tyson II Meredith Carter Heidi Macht Linda Walker Khalil Itani Eric Brady Sylvia Hood 20

Questions? Thank You! 21

References Cross Network PBMC Processing SOP (HANC-LAB- P0001v5.2, Effective date 2014-09-22) GE Healthcare/Isolation of mononuclear cells Methodology and applications(18-1152-69 AD 08/2010) Histopaque Troubleshooting Guide, BioFiles Volume 6, Number 5 Centrifugation PBMC Counting_HANC-LAB-P0006_v1.0_2012-04-13 IVQAC SOP #007_Whole Blood Processing IVQAC CRYO #014_Cryopreservation of PBMCs Obtained from Whole Blood 22