Table 3. Troubleshooting.
| Problem | Possible Cause | Solution |
|---|---|---|
| Basic Protocol 1: Cells are erroneously injected onto (rather than into) the pancreas. This will lead to cancer cell dissemination into the abdominal cavity. |
Needle positioned incorrectly (piercing through the tissue instead of remaining within it). |
The entire organ should be immediately flushed with sterile water using a 1-ml syringe equipped with a wide bore (22G to 24G) needle. This will result in death of the cancer cells by osmotic shock. A second injection can be attempted after the flush. |
| Basic Protocol 1: Bleeding | Damage to local blood vessels. | Use a cotton swab to apply gentle pressure on the source of bleeding. Upon achievement of hemostasis, the procedure can continue. |
| Basic Protocol 2: The contents of the 50-ml tube do not elute through the strainer. |
The solution is highly cellular (high cell density in the digested tissue or large size of the tumor/liver). |
Use a 1,000-μl pipette tip to stir the solution, and move the larger, undigested bits of tissue towards the side of the strainer. If necessary, further dilute the solution by adding more R10. |
| Basic Protocol 2: The cell suspension from the digested liver and/or tumor and Ficoll admix during centrifugation. |
The acceleration and/or deceleration rates were not set to 0, disrupting the formation of layers. | Immediately stop the centrifuge run, mix the sample by gently inverting the tube a few times and layer over Ficoll again, ensuring the acceleration and deceleration rates are both set to 0. |
| Basic Protocol 3: The sample viability observed on the flow cytometry analysis software is considerably higher than that recorded during manual cell count in Basic Protocol 2. |
Cells were incubated with the viability dye in a protein-rich medium, causing the amine-reactive viability dye to bind non-specifically to the proteins in the medium and reducing the amount of dye available to bind to dead cells. |
Repeat staining using DPBS in the viability dye incubation step. |
| Basic Protocol 3: The sample viability observed on the flow cytometry analysis software is considerably lower than that recorded during manual cell count in Basic Protocol 2. |
Cell loss during handling and staining or excessive fixation. | Repeat staining ensuring:
|
| Basic Protocol 3: Unmixing errors are observed (e.g., hypernegative populations or oddly-shaped negative populations). |
Reference controls of inadequate quality were used during unmixing. |
Repeat unmixing with autofluorescence extraction, ensuring:
|