Abstract
The retinal pigment epithelium (RPE) performs numerous functions that are indispensable for photoreceptor health and vision. This monolayer of cells is also a major site of insult in inherited and age-related macular degenerations. In vitro models of primary RPE such as human fetal and adult RPE cultures have been invaluable for dissecting disease pathways at the cellular and molecular level. However, numerous studies show that it takes over four weeks for human RPE cell monolayers to become fully polarized after plating on semipermeable membrane supports. Poor persistence of transgene expression over this time period critically limits the applicability of human RPE cultures for live imaging studies required to follow dynamic processes like intracellular trafficking and organelle transport that occur over timescales of milliseconds. Here, we provide a detailed three-step protocol for live imaging of polarized primary RPE using high-speed spinning disk confocal microscopy. Step 1: establish porcine RPE monolayers that undergo differentiation within one week after plating on semipermeable membrane supports; step 2: transfect or transduce RPE using either of two different protocols that result in prolonged transgene expression; and step 3: perform multicolor high-speed live imaging of organelle transport in polarized RPE monolayers. Porcine RPE cells and photoreceptor outer segments were isolated from freshly harvested eyes and plated on collagen-coated Transwell® filters to generate polarized monolayers. After seven days, RPE monolayers were highly pigmented, had TER values ≥ 200 Ω.cm2 and cleared outer segments within 5 hours after phagocytosis. These cells expressed RPE65, localized ZO-1 to the tight junction, Na+,K+-ATPase to the apical membrane and acetylated tubulin to the primary cilium. There was an inverse relationship between initial plating density and the time to differentiation. We used nucleofection to express fluorescently tagged genes in RPE cells prior to plating on filters or baculovirus fusion constructs to transfect polarized monolayers. Both these methods resulted in transfection efficiencies over 40% and transgene expression lasted up to 8 days after plating. These filters were imaged by high-speed spinning disk microscopy to follow tubulovesicular trafficking of lysosomes and actin dynamics in the RPE. Four-dimensional image analysis performed using commercially available software was used to analyze live imaging data. In conclusion, this 3-step protocol describes a powerful method to investigate organelle trafficking and function in real time in the RPE that can be used for answering fundamental questions of RPE cell biology and pathobiology.
1. Introduction
The retinal pigment epithelium (RPE), a monolayer of cuboidal epithelial cells that sits between the photoreceptors and the choriocapillaris, is the initial site of insult in several inherited and acquired blinding diseases, including Stargardt disease, Best disease and age-related macular degeneration (AMD) (Ambati and Fowler, 2012; Bok, 2005; Rattner and Nathans, 2006). This central role for the RPE in retinal dysfunction is largely due to the many critical functions it performs to ensure healthy vision (Bok, 1993; Strauss, 2005) (Fig. 1): the RPE participates in the visual cycle by recycling retinoids to photoreceptors; RPE melanosomes absorb stray light and improve the quality of the visual image; tight junctions between RPE cells form the outer blood-retinal barrier, which maintains ion and fluid homeostasis within the retina and directs vectorial traffic of nutrients into, and metabolites out of, the retina; the RPE secretes growth factors and extracellular matrix components essential for the maintenance of photoreceptors; the RPE secretes vascular endothelial growth factor (VEGF), which is critical for maintaining the choriocapillaris and secretes pigment epithelial-derived factor (PEDF), which suppresses pathological angiogenesis; and last but not least, the RPE participates in photoreceptor renewal by daily phagocytosis and degradation of shed outer segment tips.
The polarized phenotype of the RPE, with a defined repertoire of proteins on the apical and basolateral membrane domains, is critical for carrying out these essential functions (Fig. 1). The RPE is a post-mitotic tissue with limited regenerative potential; therefore, loss of RPE with a concomitant loss of photoreceptor support functions contributes to vision loss in retinal degenerative diseases such as age-related macular degeneration (AMD) (Fuhrmann et al., 2013). Insight into how early changes in the RPE at a cellular level predispose towards disease requires a robust cell-based model system that is amenable to genetic manipulations and microscopy-based assays. Data from RPE cell lines (ARPE-19, d407 and RPE-J) cannot be directly extrapolated to native tissue because these cells lack essential features like tight junctions (d407), high TER (ARPE-19 and d407) or correct apico-basal localization of key RPE membrane proteins (RPE-J and d407) (reviewed in (Bonilha, 2013; Sonoda et al., 2009)). A significant advance in the field was the development of human fetal RPE cultures, first reported by the Bok laboratory and subsequently by the Miller laboratory (Hu and Bok, 2001; Maminishkis et al., 2006). These cells have since been extensively characterized by many other groups (Ablonczy et al., 2011; Adijanto and Philp, 2014; Sonoda et al., 2009) and have emerged as a powerful system to study RPE function in vitro. However, they require at least four weeks on semi-permeable membrane supports to become fully differentiated (summarized in Table 1). Recent reports on establishing RPE monolayers from adult human eyes suggest a similar timeline to differentiation (Blenkinsop et al., 2013). This presents a challenge for live imaging studies that use exogenous expression of fluorescently tagged proteins because transgene expression does not last beyond 4–7 days, depending on the promoter used.
TABLE 1.
Cell source | Porcine eyes (data from this study) |
Human fetal | Human adult |
---|---|---|---|
Availability | Unlimited | Limited | Limited |
Recommended growth medium | DMEM with 1% FBS and antibiotics; no other extracts, hormones or growth factors. | CEM replacement medium (Hu and Bok, 2001); MEM α with N1 supplement and THT (Maminishkis et al., 2006; Sonoda et al., 2009). | DMEM-F12 with N1 supplement, growth factors, hormones, etc (Blenkinsop et al., 2013). |
Minimum time on filters for differentiation | 7–14 days (Figs. 3, 4and 5) | ~ One month or more (Hu and Bok, 2001; Maminishkis et al., 2006; Sonoda et al., 2009) | ~ One month (Blenkinsop et al., 2013). |
TER at one week (Ω.cm2) | ~ 200 Ω.cm2 (Fig. 6) | ~ 30 to 40 Ω.cm2 (Ablonczy et al., 2011) | ~ 50 to 75 Ω.cm (Blenkinsop et al., 2013) |
TER after 1–3 months (Ω.cm2) | ~ 400 Ω.cm2 (Fig. 6) | ~ 200 Ω.cm2 at one month; > 500 Ω.cm2 after 3 months (Ablonczy et al., 2011; Hu and Bok, 2001; Sonoda et al., 2009) | 100–300 Ω.cm (Blenkinsop et al., 2013). |
Phagocytosis | OS clearance by 5 h (Fig. 7) | 23 h (Gordiyenko et al., 2010) | 15 h (Kennedy et al., 1994) |
Transgene expression for live imaging? | Nucleofection > 40% efficiencies; expression for ≥ 8 days (Fig. 8) | Not reported | Not reported (Blenkinsop et al., 2013) |
A number of recent studies have used RPE isolated from porcine eyes as in vitro models to address questions of trans-epithelial transport, outer segment phagocytosis, regulation of VEGF secretion and inflammation (Ablonczy and Crosson, 2007; Chew et al., 1993; Dintelmann et al., 1999; Dithmer et al., 2014; Hamann et al., 2003; Hammer et al., 2006; Joffre et al., 2007; Klettner et al., 2013; Miura et al., 2010; Muller et al., 2014; Shirasawa et al., 2013; Terasaki et al., 2013). Many of these studies used non-polarized porcine RPE cultures. A few (Miura et al., 2010; Shirasawa et al., 2013; Terasaki et al., 2013) used protocols that produced polarized RPE monolayers after 14–21 days in culture (summarized in Table 2), suggesting that porcine RPE could be an alternative in vitro model for use in live cell imaging if these monolayers could be induced to polarize within 7–10 days. Here, we demonstrate a culture method for porcine RPE with a short time to differentiation and establish the utility of these cultures for live imaging.
TABLE 2.
Aim and Reference | Culture conditions | Polarity features |
---|---|---|
A2E–induced damage (Hammer et al., 2006) | DMEM with 20% FCS on fibronectin-coated plates | ZO-1 expression after 21 days in culture. |
VEGF and barrier function (Ablonczy et al., 2007) | On Transwell filters in DMEM/F12/Ham with 10% FBS | TER at day 14 ~ 20 Ω.cm2 Maximum TER at 6 weeks ~ 70 Ω.cm2 |
VEGF and barrier properties (Miura et al., 2010) | DMEM with 10% porcine serum | TER at day 7 ~ 300 Ω.cm2 At day 21, ZO-1 at tight junctions; |
TNFα and barrier properties (Shirasawa et al., 2013) | 100,000 cells/cm2 on fibronectin-coated filters in α-MEM with 1% FBS | TER at day 7 ~ 100 Ω.cm2; day 30 ~ 220 Ω.cm2 At day 14, RPE65, apical MCT1, basal laminin, ZO-1 at tight junctions; basolateral VEGF secretion. |
TNFα and VEGF secretion (Terasaki et al., 2013) | 100,000 cells/cm2 on fibronectin-coated filters in α-MEM with 2% FBS | TER at day 7 ~ 200 Ω.cm2 At day 14, apical MCT1, basal laminin, ZO-1 at tight junctions and RPE65 expression. basolateral VEGF secretion. |
Bestrophin and phagocytosis (Muller et al., 2014) | 1×106 cells/ml in 96-well plate in α-MEM with N1 and 5% FCS for 48 h | Non-polarized cells; Bestrophin-1 and β-catenin on the lateral membrane. |
Polarized trafficking in primary RPE (this study) | 300,000 cells/cm2 on collagen-coated filters in DMEM with 1% FBS | TER at day 7 ~ 200 Ω.cm2 At day 7, apical Na,K-ATPase, ZO-1 at tight junctions and at day 14, RPE65 expression. |
We present a simple, easily reproducible 3-step protocol to follow intracellular traffic in the RPE in real time: step 1 – establish and characterize primary RPE monolayers that become polarized within 7 days after plating on Transwell® filters; step 2 – transfect with genes of interest; and step 3 – perform high-speed live imaging. The salient features of this study are: (i) the culture protocol is straightforward and does not require specially formulated media, extracts or hormones; (ii) these RPE cells form tight monolayers with high TER, express differentiation markers and localize key proteins to the correct membrane domains and efficiently clear phagocytosed outer segments; (iii) we describe two different gene delivery protocols for polarized RPE that result in transgene expression that lasts for more than 7 days; and (iv) we demonstrate methods for highspeed live imaging of polarized RPE to track organelle transport. From a practical standpoint, use of porcine tissue to harvest RPE is highly advantageous since porcine eyes are considerably more available than human eyes. Because RPE and OS can be efficiently harvested from the same eyes using our protocol, it is a significant savings in terms of both cost and time. Our gene delivery protocols are suitable for biosafety level 1 (BSL-1) facilities unlike adeno, adeno-associated or lentiviral vectors that need enhanced BSL-2 or BLS-3 facilities. The live imaging methodology described here can be easily used with any commercially available microscopy systems.
This 3-step protocol fills an important niche in the study of RPE cell biology because it describes a method to study intracellular events that occur on timescales of milliseconds (e.g., organelle fission/fusion, tubulovesicular transport) or over periods of minutes to hours (e.g., biosynthetic protein sorting, endocytic transport, tissue morphogenesis). The ease of RPE culture, transfection and live imaging will not only allow investigation of basic cellular functions in the RPE in real time, but also enable comparative studies of healthy and compromised RPE to identify early functional deficits that could promote retinal disease.
2. Materials and Supplies
Adult pig eyes (ages from 8 months to 5 years and both genders) were obtained from the Hart & Vold Meat Market (Baraboo, WI). Dulbecco’s modified Eagle’s medium (DMEM) with 4.5 g/L glucose, L-glutamine and sodium pyruvate and RPMI 1640 were from GIBCO Life technologies(Grand Island, NY). Trypsin was from Lonza (Basel, CH), Hanks balanced salt solution (HBSS)without calcium and magnesium, HBSS with calcium and magnesium, HEPES, penicillin/streptomycin, non-essential amino acids (NEAA) and EDTA were from Corning (Manassas, VA). Fetal bovine serum (FBS) from GIBCO was used during RPE harvest and FBS from American Type Culture Collection (ATCC) was used for RPE culture. Povidone-iodine was from Ricca (Arlington, TX), saponin and ciprofloxacin were from Sigma (St. Louis, MO) and mouse collagen IV was from BD Biosciences. T25 flasks, 12 mm and 24 mm diameter 0.4 µm pore size Transwell® filters were from Corning, glass-bottom 35 mm dishes were from Mattek (Ashland, MA), STX3 chopstick electrode was from World Precision Instruments (Sarasota, FL), ultracentrifuge tubes were from Beckmann Coulter (Brea, CA), Amaxa Nucleofector was from Lonza, electroporation cuvettes were from BTX (Holliston, MA) and small volume closed bath imaging chambers were from Harvard Apparatus (Hamden, CT). Immunofluorescence reagents: paraformaldehyde, slides and coverslips were from Electron Microscopy Sciences (Hatfield, PA), bovine serum albumin (BSA) was from Rockland (Gilbertsville, PA), mouse monoclonal 6–11B-1 anti-acetylated tubulin from Sigma (T6793), rat anti-Z0–1 (Xu et al., 2012), mouse monoclonal anti-alpha 1 Na,K−ATPase (ab7671) and mouse anti-RPE65 (ab13826) were from Abcam (Cambridge, MA), rabbit anti-LAMP1 from Cell Signaling (9091, Danvers, MA) and mouse-monoclonal (4D2) anti-rhodopsin from Millipore (MABN15), CellLight baculovirus fusion constructs, LysoTracker Green, AlexaFluor secondary antibodies and NucBlue were from Life Technologies (Grand Island, NY), rhodamine-phalloidin was from Cytoskeleton (Denver, CO) and Vectashield was from Vector Labs (Burlingame, CA). Immunoblotting reagents: DC assay kit was from Bio-Rad (Hercules, CA), 4–12% NuPAGE® Bis-Tris Precast Gels and the iBlot dry transfer system were from Invitrogen (Carlsbad, CA), goat anti-actin was from Santa Cruz (SC-1616, Dallas, TX), horseradish peroxidase-conjugated anti-rabbit, anti-mouse, or anti-goat secondary antibodies were from Southern Biotech (Birmingham, AL) and the ECL substrate was from Thermo Scientific (Rockford, IL).
3. Detailed Methods
3.1 Porcine tissue handling and RPE harvest
Upon receipt, eyes were trimmed of excess tissue (Fig. 2A, B) and placed in 0.2% povidone-iodine (1% povidone-iodine diluted 1:5 in sterile distilled water) for 10 minutes on ice. Eyes were rinsed 5 times with sterile distilled water and placed in 1000 U/mL Penicillin-Streptomycin (10000 U/mL diluted 1:10 in sterile distilled water) on ice for a minimum of 5 minutes. Anterior segments (including the entire lens and vitreous) were removed with a scalpel at the ora serrate (Movie 1). Eyecups (posterior poles) were placed into individual wells of 12-well tissue culture cluster plates. Eyecups were filled with 2 mL of PBS with 1 mM EDTA (pre-warmed to 37°C) and incubated in a 37°C 5% CO2 incubator for 30 minutes (Fig. 2C). Incubation with EDTA loosens the neural retina from the RPE sheet. The retina was gently pulled and gathered at the center of the eyecup and clipped at the optic nerve head (Movie 2). Neural retinae were collected and pooled for OS harvest as described below. Eyecups were placed into new sterile 12-well cluster plates and filled with 1 mL of pre-warmed 0.5% trypsin with 5.3 mM EDTA in HBSS without calcium and magnesium and incubated in a 37°C 5% CO2 incubator for 30 minutes. RPE cells were gently detached by repeated pipetting with a 10 mL serological pipet. The resulting RPE cell suspension (~ 2 mL) from two eyecups was combined and transferred to a 15 mL conical tube containing 8 mL of pre-warmed 10% FBS in 1X DMEM with 4.5 g/L glucose, L-glutamine and sodium pyruvate to inactivate the trypsin (Movie 3). Eyecups were rinsed out with 1 mL each of pre-warmed trypsin to harvest any remaining RPE and added to the conical tubes (total of 12 mL −8 mL FBS plus 4 mL trypsin cell suspension). This was repeated for all eyecups. Tubes were centrifuged (Eppendorf, model 5702, Hauppauge, NY) for 4 minutes at 300 RCF and the supernatant was aspirated (Fig. 2D). Cell pellets from five tubes (RPE from 10 eyecups) were pooled and resuspended in 14 mL of 10% ATCC FBS in 1X DMEM with 4.5 g/L glucose, L-glutamine and sodium pyruvate, 1% NEAA and 1% penicillin/streptomycin. 7 mL of this suspension was plated onto one T25 flask and distributed over the surface of the flask by gentle shaking (Fig. 2E). Flasks were kept at 37°C in a 5% CO2 incubator.
Porcine RPE plated on T-25 flasks reached confluence within 7 days (Fig. 2, bottom row). Cell monolayers were pigmented and showed the characteristic cobblestone morphology. For the first week the cells were grown in 7 mL 10% ATCC FBS in 1X DMEM with 4.5 g/L glucose, L-glutamine and sodium pyruvate, 1% NEAA and 1% PenStrep. Cells were fed with fresh growth medium at day 3 after harvest. At day 7, cells were switched to medium containing 1% FBS (ATCC) in 1X DMEM (DMEM with 4.5 g/L glucose, L-glutamine and sodium pyruvate), 1% NEAA, 1% PenStrep, and 10 µg/mL ciprofloxacin. Decreasing serum concentration to 1% is necessary for the cells to stop proliferating and undergo differentiation. Studies in rat RPE have shown that high serum in the medium prevents expression of tight junction proteins (Chang et al., 1997a; Chang et al., 1997b). It is also essential to grow the cells in 1% serum prior to plating them on filters because culture conditions influence gene expression profiles (Tian et al., 2005).
3.2 Establishment of polarized monolayers
Two weeks after culture, growth medium was aspirated and RPE on T25 flasks were washed HBSS without calcium or magnesium and incubated with fresh HBSS without calcium or magnesium for 15 minutes at 37°C in a 5% CO2 incubator. The HBSS was aspirated and replaced with 3 mL 0.25% trypsin with 2.21 mM EDTA and the flasks were returned to the incubator for 6 minutes. Trypsin was neutralized with 6 mL 1% FBS growth media and the suspension was collected in 15 mL conical tubes. Cells were centrifuged for 4 minutes at 300 RCF, supernatant aspirated and cell pellets resuspended in fresh 1% FBS growth medium.
RPE were plated at confluence onto semi-permeable polyester Transwell® filters, 0.4 µm pore size. Filters were first coated with 5 µg/cm2 mouse collagen IV for one hour room temperature and washed twice with HBSS without Ca2+ or Mg2+. Cells were typically plated at a density of 300,000 cells per cm2 on either 12 mm or 24 mm filters, depending on the experimental paradigm. Filters were maintained in a 37°C and 5% CO2 incubator for 2–4 weeks and fed fresh 1% FBS growth medium every 3–4 days. 12 mm filters were fed 0.3 mL media in the top chamber and 0.7 mL media in the bottom chamber and 24 mm filters were fed 1 mL in the top chamber and 1.5 mL media in the bottom chamber.
Since published reports indicate that it takes ≥ four weeks for human RPE cultures (Blenkinsop et al., 2013; Geisen et al., 2006; Hu and Bok, 2001; Maminishkis et al., 2006; Sonoda et al., 2009) and ≥ 14 days for porcine RPE cultures (Shirasawa et al., 2013; Terasaki et al., 2013) to become polarized on filters (see Tables 1 and 2), we first checked the expression of polarity markers in our RPE cultures after two weeks on filters. Immunostaining showed that, as early as two weeks, these cells form densely packed, pigmented monolayers that localize ZO-1 to the tight junctions and acetylated tubulin to the primary cilium (Nishiyama et al., 2002) (Fig. 3). These data indicate that plating at confluence in low FBS medium is critical for adult primary porcine RPE to form polarized monolayers within 7 days.
3.3 Relationship between plating density and development of polarity in RPE monolayers
Studies have shown that the expression of RPE-specific differentiation markers such as RPE65 is abundant in freshly harvested native RPE but is lost within two weeks of culture when cells are plated at low density and allowed to proliferate to reach confluence over 4–8 weeks (Hamel et al., 1993). Moreover, RPE cells plated at low confluence have immature intercellular junctions, low packing density and express high levels of proliferation markers like Ki-67 (Kaida et al., 2000). A recent report suggests that plating density could influence time to polarity for human fetal RPE, based on qualitative assessment of RPE morphology and packing density (Adijanto and Philp, 2014). We hypothesized that RPE65 gene expression would be retained in primary RPE plated at confluence because they would not undergo de-differentiation or proliferation, unlike sparsely plated cells. We tested this by plating cells at three different densities on Transwell® filters: 50,000, 150,000 or 300,000 cells/cm2. At 7, 14 and 21 days on Transwell® filters, trans-epithelial electrical resistances (TER) were measured and cells were fixed in 2% paraformaldehyde for 10 min at room temperature and immunostained for polarity markers (see below).
3.4 Immunofluorescence staining and imaging to determine polarity
Cells grown on Transwell® filters were fixed in 2% paraformaldehyde (PFA) in PBS. Membranes were excised from the filters and blocked in 1% BSA in PBS containing 1 mM calcium chloride and 1 mM magnesium chloride for 30 minutes. Cells were incubated with primary antibodies for 1 hour at room temperature. Primary antibodies were diluted in blocking buffer with 0.1% saponin and used as follows: mouse monoclonal 6–11B-1 anti-acetylated tubulin 1:1000, rat anti-Z0–1 1:3000, mouse monoclonal anti-alpha 1 Na,K−ATPase 1:200, mouse anti-RPE65 1:200, rabbit anti-LAMP1 1:100 and mouse-monoclonal (4D2) anti-rhodopsin 1:500. Cells were washed thrice, 5 minutes each with blocking buffer to remove unbound antibodies and incubated for 30 minutes at room temperature with anti-mouse or anti-rabbit AlexaFluor 488 secondary antibodies diluted in blocking buffer at 1:500, rhodamine-phalloidin at 1:200, and 2 drops of NucBlue per mL of antibody solution. Filters were washed thrice, 5 minutes each with blocking buffer and a final 5-minute wash in PBS with calcium and magnesium. Filters were mounted on clean slides under coverslips with Vectashield and sealed with clear nail enamel. Cells were imaged with the Andor Revolution XD spinning disk confocal microscope (see below) at 100 millisecond exposure using a 60× 1.4 NA oil objective.
As shown in Fig. 4, RPE65 protein expression could be robustly detected in cultures that were plated at confluence, i.e., at 300,000 cells/cm2. Cells plated at 50% or lower confluence had low RPE65 expression. Notably, under sub-confluent conditions, tight junctions labeled by ZO-1 became discontinuous and distorted. Localization of ZO-1 to the tight junctions is modulated by cell-cell contacts in Madin-Darby canine kidney (MDCK) cells (Siliciano and Goodenough, 1988) and this also applies to primary RPE. Phalloidin staining showed that the actin cytoskeleton was disorganized in cells plated at low densities with many actin stress fibers clearly visible. RPE cell morphologies were also strikingly altered in cells plated at low densities and we observed cells that were more fibroblastic (flat, large cells) rather than epithelial (tall, compact cells) (Fig. 4).
Next, we examined the expression and localization of Na+,K+-ATPase in the RPE as a function of plating density and days in culture. In situ, Na+,K+-ATPase is present on the RPE apical membrane and pumps Na+ out of and K+ into the RPE cell. This helps maintain a high Na+ environment in the sub-retinal space, which is necessary for photoreceptor dark current and photo-transduction (Ames et al., 1992; Quinn and Miller, 1992). In RPE cultures from chicken embryos, Na+,K+-ATPase becomes nonpolar upon culture (Rizzolo, 1990), whereas human fetal RPE monolayers polarize Na+,K+-ATPase apically only after 4 weeks on Transwell® filters (Geisen et al., 2006; Hu and Bok, 2001; Maminishkis et al., 2006; Sonoda et al., 2009). Immunofluorescence images showed that in our primary porcine RPE monolayers, Na+,K+-ATPase was localized apically as early as 7 days post-plating in cells seeded at confluence (Fig. 5). When cells were plated at low densities, Na+,K+-ATPase was found at the apical membrane only after 3 weeks on Transwell® filters.
3.5 Trans-epithelial electrical resistance (TER) measurements
Tight junctions between adjacent RPE cells prevent transport of solutes via the paracellular route and help the RPE regulate movement of solutes and metabolites into and out of the retina. Resistance to passive diffusion of ions across the monolayer is a measure of the barrier function or “tightness” of the epithelial cell sheet (Madara, 1998). TER across isolated preparations of fresh fetal and adult human RPE were reported to be in the range of 206 ± 151 Ω.cm2 (Quinn and Miller, 1992). Published data show that primary human fetal RPE attain TER values of 100 Ω.cm2 or more only after at least 30 days in culture (Hu and Bok, 2001; Maminishkis et al., 2006; Sonoda et al., 2009). For porcine RPE, plating at 100,000 cells/cm2 on Transwells resulted in TER of 150–200 Ω.cm2 after 7–14 days on filters (Shirasawa et al., 2013; Terasaki et al., 2013).
We measured TER of RPE monolayers on Transwell® filters with the STX3 chopstick electrode weekly for 3 consecutive weeks. Transwell® filters were filled with pre-warmed media and TER readings were obtained after placing the electrodes according to the manufacturer’s instruction. TER measurements of collagen-coated filters without cells were used for background subtraction. Resistance per unit area was calculated by multiplying background-subtracted TER values by the area of the Transwell® filter membranes.
Our primary porcine RPE cultures exhibited a TER of 203 ± 10 Ω.cm2 as early as 7 days in culture when plated at 300,000 cells/cm2, which increased to 398 ± 19 Ω.cm2 after 14 days (Fig. 6). In agreement with the immunostaining data shown in Figs. 6 and 7, TER values of cells plated at low densities were low and did not cross 100 Ω.cm2 even after 21 days in culture (Fig. 6). Collectively, these data suggest that when primary porcine RPE are plated at confluence on collagen-coated Transwell® filters, they form tight monolayers with relatively high TERs and express RPE differentiation markers within 7–14 days in culture.
3.6 Photoreceptor outer segment phagocytosis and clearance
A major function of the RPE in vivo is the daily phagocytosis and clearance of shed photoreceptor outer segment disks (Kevany and Palczewski, 2010). Efficient lysosomal clearance of phagocytosed disks is critical for preventing accumulation of cellular debris within the RPE, which can contribute to RPE dysfunction and retinal disease (Lakkaraju, 2012). A significant limitation of currently available RPE cell lines is that it takes ≥ 24 h for these cells to completely clear ingested outer segments (Diemer et al., 2008; Finnemann et al., 2002; Lakkaraju et al., 2007). Studies on rodent RPE suggest that outer segment disk clearance occurs fairly rapidly, within 2 to 10 hours after phagocytosis depending on the experimental paradigm (Gibbs et al., 2003; Nandrot et al., 2004). Limited data are available on the kinetics of outer segment clearance in human and porcine primary RPE cultures: one study on human fetal RPE (Gordiyenko et al., 2010) and another on adult RPE (Kennedy et al., 1994) showed that these cells take 15 to 23 hours to clear phagocytosed outer segments.
To determine the efficiency of outer segment engulfment and digestion by our porcine primary RPE cultures, we isolated rod outer segments from porcine eyecups at the same time as RPE harvest, fed them to polarized porcine RPE monolayers and followed phagocytosis and degradation by immunofluorescence and immunoblotting as detailed below.
3.6.1 Outer segment isolation
Outer segments were purified from porcine eyes using modifications of previously published protocols for bovine eyes (Finnemann et al., 1997; Molday et al., 1987). Under dim light, ~ 20 retinae from porcine eyes were collected into a conical tube (covered with foil) containing 7.5 mL ice-cold homogenization solution (20% sucrose, 20mM tris acetate pH7.2, 2mM MgCl2, 10mM glucose, 5mM taurine). The tube was then shaken with moderate force for 2 minutes and the resulting homogenate was filtered through cotton gauze three times successively to remove tissue fragments. The filtrate was transferred on top of a continuous sucrose gradient and centrifuged for 1 hour at 25,400 rpm (84,000 rcf) at 4°C (Thermo Scientific Sorvall WX Ultra Series ultracentrifuge). The continuous sucrose gradient was generated in ultracentrifuge tubes 2 hours prior to outer segment isolation using a gradient maker with 60% and 25% sucrose solutions, both supplemented with 20mM Tris-acetate pH7.2, 10mM glucose, and 5mM taurine. After centrifugation, a single pale orange-pink band was observed near the upper third of the gradient. This band was carefully collected with a pipette into a conical tube and diluted with 5 volumes of wash solution 1 (20 mM Tris acetate pH 7.2, 5 mM taurine) and centrifuged at 3,000 RCF at 4°C for 10 minutes. Wash solution 1 was aspirated and the resulting bright orange pellet was resuspended in wash solution 2 (10% sucrose, 20 mM Tris acetate pH 7.2, 5 mM taurine) and centrifuged at 3000 RCF at 4°C for 10 minutes. After aspiration of wash solution 2, the pellet was resuspended in wash solution 3 (10% sucrose, 20 mM sodium phosphate pH 7.2, 5 mM taurine) and centrifuged again. The final pellet was resuspended in 1X DMEM supplemented with 2.5% sucrose and counted using a hemocytometer to check the yield. The outer segment suspension was aliquoted for storage at −80°C.
3.6.2 Outer segment phagocytosis assays
Outer segments were thawed, centrifuged at 2,600 RCF for 5 minutes and the supernatant aspirated. The outer segment pellet was resuspended in 1X DMEM supplemented with 1% NEAA and 1% FBS (ATCC). Porcine RPE cells on filters were incubated with outer segments (~ 10 OS/cell) for 2 hours at 37°C. One set of cells were either fixed for immunofluorescence or harvested for immunoblotting (0 time point). From the remaining filters, outer segments were washed out and cells were fed with fresh 1% FBS-containing growth medium and incubated for an additional 1, 3 or 5 hours and then fixed or harvested to follow OS clearance kinetics (Fig. 7A). Immunostaining showed that after two hours, rhodopsin-labeled outer segment particles were in lysosomes labeled with lysosome-associated membrane protein 1 (LAMP1). Rhodopsin signal gradually decreased 3 and 5 h after outer segment phagocytosis, indicative of rhodopsin degradation (Fig. 7B). For immunoblotting, cells were harvested by trypsinization and lysed in HNTG buffer (50mM Hepes, 150mM NaCl, 10% glycerol, 1.5mM MgCl2, 1% TX-100) supplemented with protease inhibitors. Protein concentrations were measured using the DC assay. Samples (20 µg) were run in 4–12% NuPAGE® Bis-Tris precast gels at 200 V. Proteins were transferred onto nitrocellulose membranes using iBlot dry transfer system, blocked in 5% milk in Tris-buffered saline with 0.1% Tween-20 (TBS-T) for 1 hour before incubating in primary antibody overnight at 4°C. Primary antibodies used were: mouse-monoclonal (4D2) anti-rhodopsin 1:750 and goat anti-actin 1:500. After three 5-minute washes in TBS-T, membranes were incubated in 1:10,000 horseradish peroxidase-conjugated anti-rabbit, anti-mouse, or anti-goat secondary antibodies for 45 minutes. Membranes were then washed thrice for 15 minutes each before signal detection using ECL substrate. Our data showed that majority of the rhodopsin is cleared from our primary RPE cultures with 5 hours after outer segment phagocytosis (Fig. 7C). Thus, polarized porcine RPE monolayers retain functional characteristics of native RPE and ingest and clear photoreceptor outer segments with high efficiency.
3.7 Expression of transgenes in primary porcine RPE
Live imaging of polarized RPE monolayers expressing fluorescently tagged proteins of interest is a powerful technique to investigate basic questions of RPE morphogenesis, intracellular trafficking and polarized sorting and for identifying early cellular dysfunction that could contribute to disease. A significant limitation of the ≥ 14 day culture times required for differentiation of human and porcine primary RPE monolayers is that once polarized, these cells are not easily amenable to transfection for expressing fluorescently tagged proteins. We present two different protocols for expressing transgenes in RPE cells.
Protocol 1. Transfection of cells in suspension prior to plating on filters
Cells on T25 flasks were harvested by trypsinization and ~1.5 million RPE were suspended in 100 µL of Amaxa nucleofection buffers (kit L) along with 5 µg of appropriate plasmid. The cell suspension was transferred to an electroporation cuvette and placed in the Amaxa Nucleofector II device. Cells were nucleofected using the L-005 program on the instrument. The transfected cell suspension was transferred to a microfuge tube containing 600 µL pre-warmed RPMI 1640 medium (Mediatech) and incubated at 37°C for at least 10 minutes before plating onto Transwell® filters or serum-coated glass-bottom dishes (Mattek, Ashland, MA) or collagen-coated Transwell® filters for live imaging. Nucleofection resulted in transfection efficiencies of ~40% or higher, depending on the size of plasmid. After plating on filters or glass-bottom Mattek dishes, cells expressed the exogenous plasmid driven by the cytomegalovirus promoter (CMV) for up to 8 days (Fig. 8A).
Protocol 2. Baculovirus transduction of polarized monolayers
Cells on filters were incubated with CellLight® BacMam 2.0 baculovirus insect expression system to efficiently transduce cells according to the manufacturer’s instructions. The recommended amount of CellLight particles to cell numbers is 10–50 particles/cell and needs to be optimized for each fusion protein. We used ~ 5×106 particles for a 12 mm Transwell filter with ~ 300,000 cells (roughly 17 particles per cell). Cells were incubated with the CellLight particles overnight and imaged the next day.
3.8 Spinning disk confocal microscopy for live imaging and 4-D image analysis
Cells were imaged 48–96 hours after transfection using the Andor Revolution XD microscope system equipped with a Yokogawa CSU-X1 confocal spinning disk head, a Nikon Eclipse Ti inverted microscope with a 100X Apo TIRF objective (compatible with both confocal and TIRF microscopy) and an ASI motorized stage with piezo Z for rapid Z-stack acquisition, an Andor laser combiner with four solid state lasers at 405, 488, 561, and 640 nm and corresponding band-pass filter sets, an iXon x3 897 EM-CCD camera (for confocal microscopy) and a Neo sCMOS camera (for TIRF microscopy). IQ2 software (Andor) was used for image acquisition and Imaris x64 software (Bitplane, Zurich, CH) for image analysis. Cells on filters were excised using a scalpel blade and mounted face down (apical side down) in a small-volume closed bath chamber suspended in a drop of imaging medium (HBSS with calcium and magnesium, 20 mM HEPES and 4.5 g/L glucose) between two coverslips. For cells grown on glass-bottom Mattek dishes, growth medium was replaced with imaging medium immediately before microscopy. For transfected RPE cells, 2–10 minutes worth of rapid z-stacks were acquired with this system. Trafficking data was collected from 3–6 separate transfections and at least 30 movies were captured for each transfection and treatment. During image acquisition care was taken to maintain the same laser power, exposure and electron-multiplying gain settings.
Image analysis of these data was performed using the Spots and Tracks modules of Imaris x64 (Bitplane) software to determine parameters such as track displacement, mean speed, track duration etc. and provide a real-time measure of organelle trafficking in the RPE. Similar analyses can be performed using other commercially available software such as Metamorph (Molecular Devices), Volocity (PerkinElmer) or Axiovision (Zeiss).
Cells expressing EGFP-tagged LAMP2 (lysosome-associated membrane protein 2) were imaged live using spinning disk confocal microscopy using the 488 laser line (Movie 4). Analysis of real-time tubulovesicular trafficking using the Spots and Tracks modules of Imaris software (Fig. 8B) showed that ~ 50% of LAMP2-labeled organelles move with speeds ≥ 0.5 µm/second. For multicolor imaging, polarized cells on Transwell filters expressing CellLight Actin-RFP were incubated with LysoTracker Green to label lysosomes. The filters were excised and placed in a small volume closed volume chamber and imaged using the 488 and 561 laser lines (Fig. 8C and Movie 5).
4. Potential pitfalls and troubleshooting
4.1 Inter-experiment variability due to pooling cells from different eyes
Our protocol pools cells from different eyes and the flasks are a heterogeneous mix of different ages/sexes/health statuses as opposed to a single source of cells (as in the case of human fetal RPE), which could introduce some inter-experimental variability. In our experience, this is not a significant issue if data are collected from triplicates from at least three independent platings. Alternatively, close communication with vendors to acquire eyes only from animals of matched age, gender, etc. could also help circumvent this potential problem.
4.2 Maintaining continuous supply of primary RPE
We have had limited success in recovering cells from frozen stocks and these cells do not divide significantly in culture. This prevents passaging of the cells beyond P1 (i.e., plating on Transwell® filters). Moreover, cells passaged beyond this lose pigment and become fibroblastic. To maintain a continuous supply of cells, we isolate RPE cells every week so we don’t have to depend upon frozen stocks.
4.3 Problems with generating healthy polarized monolayers of porcine RPE
We have observed that primary RPE are healthiest when grown in medium containing FBS from ATCC rather than in medium with FBS from other vendors. Because pigs are natural carriers of several mycoplasma strains (Drexler and Uphoff, 2002), we grow cells with ciprofloxacin as a prophylactic to prevent mycoplasma contamination of our cultures. In our experience, RPE do not polarize well on filters with diameters less than 10–12 mm and cells seem to form better monolayers on collagen-coated polystyrene filters compared to laminin-coated polystyrene or polycarbonate filters.
4.4 Problems with transgene expression
For Amaxa nucleofection, highest transfection efficiencies are obtained with cells that are no more than 2–3 weeks old after initial harvest from porcine eyes. Older cells yield poor transfection efficiencies. We typically use ~5 µg DNA (for plasmids with a cytomegalovirus promoter) and 1.5 million cells per transfection. This can be optimized depending on the promoter and plasmid size. However, plasmids with a total size (fluorescent reporter + gene of interest) greater than 5 kilobases are poorly expressed after nucleofection. In such cases, adenovirus vectors, which can accommodate inserts up to 7 kb are a likely alternative.
4.5 Issues with live imaging
Primary RPE cells have significant autofluorescence due to melanin granules that can make it difficult to detect transgene expression in cases of poor transfection efficiency or when the fluorescent tag has poor quantum efficiency. Untransfected control cells should be imaged for each experiment to set the threshold for background autofluorescence. Fluorescent reporters used for live imaging should ideally have the best combination of high quantum efficiency, brightness and photostability (Shaner et al., 2005).
4.6 Advantages and disadvantages of the pig as a model system to study RPE and retinal function
Pigs diverged from humans ~ 70 million years ago compared to mice, which diverged from humans around 91 million years ago (Groenen et al., 2012). There are several advantages of using porcine tissue including low cost, wide availability, short death-to-RPE harvest time and limited ethical concerns compared to those associated with human fetal tissue. For studying diseases that affect the central retina like AMD, pigs have unique advantages compared to mice because among non-primates, the pig eye is most similar to that of humans with a cone-rich area in a central horizontal band (the area centralis), which is analogous to the human macula (Sanchez et al., 2011). Recent studies show that the porcine immune system has many similarities to that of humans (Mair et al., 2014), which could be useful in modeling diseases like AMD that have a strong immune component (Ambati et al., 2013). Indeed, choroidal neovascularization or wet AMD has been modeled in pigs (Lassota et al., 2007) and transgenic porcine models of retinitis pigmentosa and autosomal-dominant form of Stargardt disease have also been developed (Petters et al., 1997; Ross et al., 2012; Sommer et al., 2011). These studies suggest that the pig could be a powerful model to study AMD and other complex retinal diseases.
Pigs reach sexual maturity around 6 months of age and have an average life span of 10 to 15 years. In our studies, we primarily used eyes from animals 8 months to 5 years of age, with the majority being fairly young, around 1 year old. This could be a limitation for studies comparing young and aged retinal tissue. On the other hand, the use of RPE from young pigs could enable mechanistic studies to identify early deficits in RPE function that could contribute to disease. Another potential disadvantage is that pigs do not express key proteins implicated in the pathogenesis of AMD such as ARMS2/HTRA1 or multiple apolipoprotein E (ApoE) isoforms. In this regard, although non-human primates express ARMS2 (Francis et al., 2008), they express only one ApoE isoform, unlike humans who have three ApoE alleles (Keene et al., 2011). Thus, although our porcine RPE model has significant advantages over currently available in vitro RPE model systems, it cannot conceivably replicate all features of human RPE and, depending on the experimental paradigm, comparative studies using human tissue will likely be necessary.
Since there is, as yet, no “gold standard” in vitro RPE model (Rizzolo, 2014), our primary porcine RPE model fulfills a key niche for RPE cell biologists. The detailed 3-step protocol presented here to culture, transfect and image polarized primary RPE monolayers is a powerful tool that can be used to study diverse processes (organelle biogenesis and trafficking, cellular energetics and clearance, cytoskeletal transport, etc.) within the RPE that will likely yield valuable insight into RPE function in health and disease.
Supplementary Material
Highlights.
We present a detailed 3-step protocol for live imaging of polarized primary RPE.
Step 1: a protocol for primary porcine retinal pigment epithelial culture.
This method results in highly polarized monolayers within 7 days.
Step 2: two gene delivery protocols that yield efficient transgene expression
Step 3: High speed live imaging to visualize intracellular traffic in the RPE.
ACKNOWLEDGEMENTS
We thank Ingrid Meschede (laboratory of Clare Futter, University College, London) and Dena Almeida (Weill Cornell Medical College, Cornell University) for sharing their protocols for culturing porcine and bovine RPE, respectively. Supported by NIH P30 EY016665, and grants from the Research to Prevent Blindness Foundation, American Federation for Aging Research, BrightFocus Foundation (M2009-093), Karl Kirchgessner Vision Research Foundation, Reeves Foundation for Macular Degeneration Research and gifts from the Schuette-Kraemer family for macular degeneration research. A.L. is the Retina Research Foundation Rebecca Meyer Brown Professor and the recipient of a career development award from the Research to Prevent Blindness Foundation.
Footnotes
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