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Key Variables in ICS Assays
Holden T. Maecker
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The original BD ICS assay protocol
1 ml whole blood + Ag + CD28 + CD49d + Brefeldin A + FACSLyse, 10 min + EDTA/PBS 2h 4h 15 min Centrifuge, aliquot into staining tubes or freeze Wash Wash, fix, analyze CD69 PE anti-TNF FITC FACS Perm, 10 min mAb staining, 30-60 min 3- or 4-color Flow cytometry
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96-well plate ICS protocol with lyophilized reagents
PBMC or whole blood Plate with lyophilized Ag+BFA 37oC, EDTA, FACS Lyse, FACS Perm 2 Plate with lyophilized Ab to flow cytometer
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What are the key variables?
Stimulation PBMC vs. whole blood Resting PBMC before activation Activation/staining in plates vs. tubes Costimulatory Abs (CD28+CD49d) Stimulation time Brefeldin A and/or monensin Processing and staining Use of EDTA or not Method of fixation/permeabilization Freezing of cells post-fixation Surface vs. intracellular staining for CD3, CD4, CD8, etc. Fluorochromes and fixation (APC-Cy7, AmCyan) Staining time, temperature, and agitation Number of washes (post-fix and post-stain) Acquisition and analysis Number of events to collect Gating Interpretation of results, precision, comparisons with other assays
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Effect of overnight rest on cryo PBMC
% IFNg+ MFI of IFNg+ 3 750 2 500 1 250 100 10000 100 10000 Reciprocal Dilution Reciprocal Dilution No rest, 6 h peptide stimulation Overnight rest, 6 h peptide stimulation
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Correlation of tube vs. plate ICS
A. 96-well whole blood B. 96-well PBMC CD4 CD8 CD4 CD8 1.25 2.5 4 4 1.00 2.0 3 3 Peptide mix % IFNg+ cells 0.75 1.5 2 2 0.50 r 2 = 0.95 1.0 r 2 =0.87 r 2 = 0.96 r 2 = 0.73 p<0.0001 p<0.0001 p < p = 0.25 1 1 slope 0.94 0.5 slope 0.88 slope = 1.2 slope = 1.1 0.00 0.0 plate 0.00 0.25 0.50 0.75 1.00 1.25 0.0 0.5 1.0 1.5 2.0 2.5 1 2 3 4 1 2 3 4 0.0 2.5 5.0 7.5 10.0 2 4 6 8 10 12 14 10 20 10 20 30 % IFNg+ cells SEB 2 2 r = 0.94 r 2 =0.95 r = 0.74 r 2 = 0.79 p<0.0001 p = p < p<0.0001 slope = 0.84 slope 0.91 slope 0.93 slope = 0.78 % IFNg+ cells % IFNg+ cells % IFNg+ cells % IFNg+ cells tube
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Similar IFNg MFI in tubes vs. plates
A. 96-well whole blood B. 96-well PBMC C. 24-well whole blood (HIV+) CD4 CD8 1 2 3 CD4 CD8 1 2 3 CD4 CD8 1 2 3 t u b e p l a t e IFNg mean fluorescence
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Cell recovery in tubes vs. plates
1 7 5 % CD3+ cell recovery 5 2 5 Tube Tube 96-well 24-well 96-well Whole Blood PBMC
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Effect of costimulatory Abs (CD28+49d)
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Monensin vs. Brefeldin Summary
Brefeldin A preferred (10 mg/mL): TNFa, IFNg, IL-2, IL-4, IL-12 When combining any of the above with CD107, TGFb, or IL-10: 5 mg/mL monensin + 5 mg/mL brefeldin A
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What are the key variables?
Stimulation PBMC vs. whole blood Resting PBMC before activation Activation/staining in plates vs. tubes Costimulatory Abs (CD28+CD49d) Stimulation time Brefeldin A and/or monensin Processing and staining Use of EDTA or not Method of fixation/permeabilization Freezing of cells post-fixation Surface vs. intracellular staining for CD3, CD4, CD8, etc. Fluorochromes and fixation (APC-Cy7, AmCyan) Staining time, temperature, and agitation Number of washes (post-fix and post-stain) Acquisition and analysis Number of events to collect Gating Interpretation of results, precision, comparisons with other assays
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EDTA addition in plates and tubes
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Fix/perm comparison: monocyte IL-12
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Fix/perm comparison: T cell TGFb
BD FACS Lysing Solution BD Cytofix/Cytoperm BD FACS Permeabilizing Sol’n BD Perm Wash TGFb PE TGFb PE TGFb PE TGFb PE
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TGFb staining and activation media
TGFb PE TGFb PE TGFb PE
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Freezing activated cells in FACS Lyse
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Surface vs. IC staining for CD3
SEB stimulated PBMCs surface stain intracellular stain CD3 Alexa 700 Clone
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Surface vs. IC staining for CD4 & CD8
surface stain intracellular stain SEB stimulated PBMCs CD8 APC-hilyte CD4 60ng CD8 Qdot 605 @ 0.25ul CD4 AmCyan @ 60ng
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All events CD3+ gate B CD8 APC-Cy7 Side Light Scatter C A
CD3 Pacific Blue CD4 AmCyan CD4- CD8+ gate CD4+ CD8- gate IFNg FITC IFNg FITC IL-2 PE IL-2 PE CD8+ IFNg+ CD8+ IFNg+ IL-2+ CD4+ IFNg+ CD4+ IFNg+ IL-2+ Side Light Scatter Side Light Scatter Side Light Scatter Side Light Scatter CD27 APC CD27 APC CD27 APC CD27 APC CD45RA PE-Cy7 CD45RA PE-Cy7 CD45RA PE-Cy7 CD45RA PE-Cy7 CD45RA PE-Cy7 CD45RA PE-Cy7 CD45RA PE-Cy7 CD45RA PE-Cy7 CD28 PerCP-Cy5.5 CD28 PerCP-Cy5.5 CD28 PerCP-Cy5.5 CD28 PerCP-Cy5.5 CD28 PerCP-Cy5.5 CD28 PerCP-Cy5.5 CD28 PerCP-Cy5.5 CD28 PerCP-Cy5.5
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Degradation of APC-Cy7 on stained cells
In BDSF
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BDSF and AmCyan don’t mix
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IC staining time, volume, and mixing
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What are the key variables?
Stimulation PBMC vs. whole blood Resting PBMC before activation Activation/staining in plates vs. tubes Costimulatory Abs (CD28+CD49d) Stimulation time Brefeldin A and/or monensin Processing and staining Use of EDTA or not Method of fixation/permeabilization Freezing of cells post-fixation Surface vs. intracellular staining for CD3, CD4, CD8, etc. Fluorochromes and fixation (APC-Cy7, AmCyan) Staining time, temperature, and agitation Number of washes (post-fix and post-stain) Acquisition and analysis Number of events to collect Gating Interpretation of results, precision, comparisons with other assays
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Number of events to acquire
CALCULATING SAMPLE SIZE FOR RARE EVENT ANALYSIS Enter the estimated values in the grey fields: % bkgd= 0.1 p(av)= 0.0015 %pos= 0.2 delta= 0.001 For power of 90%, p<0.05, N= 25761 For power of 99%, p<0.005, 71592 For power of 80%, p<0.05, 18572 _______________________________________________________________ ________# events to collect__________ % bkgd lowest % positive 90% power, p<0.05 99% power, p<0.005 0.01 0.02 260,000 720,000 0.05 32,000 90,000 12,000 67,000 190,000 16,000 45,000 0.03 170,000 480,000 23,000 63,000 0.04 33,000 93,000 52,000 140,000 0.06 86,000 240,000 0.07 160,000 450,000 0.08 17,000 46,000 26,000 72,000
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Importance of gating dim cells
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Multi-site lyophilized control cell data
Individual (Manual) Analysis Cocltail 1 CD4 Cocktail 1 CD8 Cocktail 2 CD4 Cocktail 3 CD8 10 20 30 32% 29% % % % cytokine+ cells Central (Automated) Analysis 7% % % %
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Gating Manual analysis Batch analysis with dynamic gates 0.55% 0.56%
200 400 600 800 1000 Forward Scatter R1 10 1 2 3 4 CD3 APC R2 200 400 600 800 1000 Forward Scatter R1 10 1 2 3 4 R3 R2 CD3 APC ungated ungated ungated gated on R1 Side Scatter Side Scatter Side Scatter Side Scatter 10 1 2 3 4 CD3 APC R3 10 1 2 3 4 CD3 APC R4 R5 gated on R1 gated on R1&R2 &R3 ungated gated on R1&R3 &R5 R4 0.55% R6 0.56% CD8 PerCP-Cy5.5 CD69 PE CD8 PerCP-Cy5.5 CD69 PE R7 10 10 1 10 2 10 3 10 4 10 10 1 10 2 10 3 10 4 IFNg FITC IFNg FITC
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What are the key variables?
Stimulation PBMC vs. whole blood Resting PBMC before activation Activation/staining in plates vs. tubes Costimulatory Abs (CD28+CD49d) Stimulation time Brefeldin A and/or monensin Processing and staining Use of EDTA or not Method of fixation/permeabilization Freezing of cells post-fixation Surface vs. intracellular staining for CD3, CD4, CD8, etc. Fluorochromes and fixation (APC-Cy7, AmCyan) Staining time, temperature, and agitation Number of washes (post-fix and post-stain) Acquisition and analysis Number of events to collect Gating Interpretation of results, precision, comparisons with other assays
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Holden’s rules for ICS (and life)
Validate your assay, but don’t validate that the earth is round take advantage of others’ data if it’s sound Know the inherent variability in your assay don’t talk about significant differences unless you run at least triplicate samples Avoid comparing apples and oranges any changes to the assay can produce variability, so keep protocols constant and run samples in parallel whenever possible
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Acknowledgements Laurel Nomura Smita Ghanekar Brinda Emu Maria Jaimes
Margaret Inokuma Sonny Bhatia Joyce Ruitenberg Maria Suni Jack Dunne Skip Maino Brinda Emu Rebecca Hoh Steve Deeks Jeff Martin Mike McCune Doug Nixon
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