Oct 22, 2025

Public workspaceCollecting, freezing and shipping frozen post mortem skeletal muscle for single nuclear and spatial RNAseq

  • Prech Uapinyoying1,2
  • 1National institutes of health;
  • 2Children's National Hospital
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Protocol CitationPrech Uapinyoying 2025. Collecting, freezing and shipping frozen post mortem skeletal muscle for single nuclear and spatial RNAseq. protocols.io https://dx.doi.org/10.17504/protocols.io.dm6gp3zz1vzp/v1
Manuscript citation:
Nix JS, Moore SA. What Every Neuropathologist Needs to Know: The Muscle Biopsy. J Neuropathol Exp Neurol. 2020 Jul 1;79(7):719-733. doi: 10.1093/jnen/nlaa046. Erratum in: J Neuropathol Exp Neurol. 2021 Mar 22;80(4):387. PMID: 32529201; PMCID: PMC7304986.
License: This is an open access protocol distributed under the terms of the Creative Commons Attribution License,  which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited
Protocol status: In development
We are still developing and optimizing this protocol
Created: August 30, 2023
Last Modified: October 22, 2025
Protocol Integer ID: 87161
Keywords: freezing skeletal muscle tissue, frozen post mortem skeletal muscle, frozen skeletal muscle, preserved muscle histology, skeletal muscle autopsy samples from the morgue, muscle histology, skeletal muscle, shipping frozen post mortem, spatial rnaseq collecting, autopsy sample, remote laboratory site for downstream experiment, rna, freezing, spatial transcriptomic, clinical site, quality rna, remote laboratory site
Funders Acknowledgements:
Silicon Valley Community Foundation - CZI Pediatric Networks
Grant ID: DAF2021-237666
Abstract
Collecting and freezing skeletal muscle tissue from a clinical site for experimentation at a remote location can be a logistical challenge. This protocol provides the procedures for collecting, snap freezing and shipping frozen skeletal muscle autopsy samples from the morgue to a remote laboratory site for downstream experiments requiring preserved muscle histology and high-quality RNA such as single-nuclear and spatial transcriptomics, and immunofluorescence
Guidelines
Tissue collection for this protocol needs prior approval by the users' Institutional Ethics Board or equivalent ethics committee.
Materials

ABCDE
Organ Transplant SolutionBeltzer UW cold storage solutionFisher Scientific, cat# NC2122383Bridge to lifehttps://bridgetolife.com/belzer-uw-cold-storage-solution/
RNAse InhibitorProtector RNase inhibitor Millipore Sigma # RNAINH-RORoche # 3335402001https://www.sigmaaldrich.com/US/en/product/roche/rnainhro?gclid=EAIaIQobChMI9e2O0ZeDgQMVcc7ICh3dKAagEAAYAiAAEgIPpPD_BwE
CryotubesCorning™ Internally Threaded Cryogenic VialsFisher Scientific, # 03-374-21Corning # 430488https://www.fishersci.com/shop/products/corning-internally-threaded-cryogenic-vials-15/0337421?crossRef=337421#?keyword=337421
Scale / balance (milligram units)Laboratory grade balance; OHAUS Pioneer PX Precision BalancesFisher Scientific, # 01-922-178OHAUS # 30429848https://www.fishersci.com/shop/products/pioneer-px-balance-26/01922178?keyword=true
Small ForecepsSmall forceps for handling tissuesFisher Scientific, # 13-812-211
Large TweezersLarge stainless-steel tweezers, Straight Narrow Tip, Serrated 305 mm / 12 inCole-Parmer Essentials, # UX-07288-14
KimwipesSmall tissues made by Kimberly-ClarkeFisher Scientific, Catalog # 06-666
Freezer packsSonoco ThermoSafe PolarPack StandardFisher Scientific, # 03-530-110
Insulated foam shipping kit Insulated foam box fitted inside a cardboard shipping box, at least 12 x 12 x 11.5 inchesUline, # S-13392
Ice Bucket or insulated foam boxFisherbrand™ Polyurethane Ice BucketsFisher Scientfic, #02-591-45
Weigh boatsSmall (1.75” x 1.75” x 0.24”) and medium weigh boats (3.25” x 3.25”x 1”)
OCTOptical cutting temperature (OCT) compoundVWR # 25608-930Tissue-Tek # 4583
Small stainless-steel beaker250mL metal beaker for submerging isopentane into liquid nitrogen dewarVWR # 89075-592Ace Glass # 10300-08
Small ropeBraided rope (2-3 mm diameter kevlar or polyester) ropeFind at hardware store
Liquid nitrogen dewar Flask (1L)Nalgene Polyethylene Dewar Flask, Electron Microscopy SciencesVWR, # 100497-540Ace Glass # 10300-08
IsopentaneAKA 2-methyl butane, use to snap freeze tissueSigma Aldrich, # M32631-500ML
Razorblade or surgical knifeClean and sharp to cut through muscle
Wet Ice
Dry Ice
Aluminum Foil
Scissors
Gloves
Liquid Nitrogen
Packaging Tape
Shipping label

Troubleshooting
Prior to freezing
Collect the human muscle autopsy samples, keeping them moist in transplant solution or saline, weigh and divide the muscle into 250mg pieces or less beforehand.  
Note
  • Please refer to the sample collection steps in the "Collection and shipment of live skeletal muscle autopsy for RNA and cell isolation" (see steps 1-8; DOI: dx.doi.org/10.17504/protocols.io.5qpvo3krzv4o/v1)

Freezing the muscle samples
Prepare several items and reagents and place on laboratory bench
Fill a foam box with dry ice. Cover with lid.
Fill the dewar with liquid nitrogen and cover.
Cut aluminum foil into 2cm x 3cm rectangular pieces. Loosely fold the foil into One per 250mg muscle.
Tie the braided rope around the stainless-steel beaker so it can be safely lowered into the liquid nitrogen dewar
Label the cryotubes with sample ID, current date and other relevant information.
Cut a small hole in the top of the OCT bottle and place on bench
Fill 1/3 of the stainless-steel beaker with isopentane and carefully lower into the liquid nitrogen dewar.
Note
The isopentane is ready for snap freezing tissue when it is nearly -160°C or when it starts to form a white frozen layer along the edges of the of the beaker. It should look like a white well of liquid isopentane.

Add creases to the foil by pre-folding the foil rectangles into thirds, by folding the foil up along the long side using the small forceps.
Note
The foil should be in the shape of a long trough that when loosely wrapped around the muscle like a tube can fit into the mouth of the cryotube.

Take out one of the cut muscle pieces from the transplant solution and place onto kim wipes.
Thoroughly dab and dry off the excess liquid from the muscle with additional wipes (approximately as dry as a fresh sample)
Note
If there is excess liquid prior to freezing, the muscle may appear to have swollen fibers, and have abnormally large interstitial spaces when observed under the microscope. They may be prone to freeze artifacts as well.

Add a tiny dab of OCT into the middle/bottom of the foil trough and place the dried off muscle onto the OCT lengthwise.
Note
Too much OCT will prevent the frozen muscle sample from fitting into the cryotube
Loosely wrap the sides of the foil along the creases to form a tube around the muscle piece and pinch the foil at one of the long ends. Careful not to crush the muscle.
Note
Do not press the foil or wrap too tight. The foil should only be used to hold the muscle and allow it to retain its natural shape while allowing it to fit into a cryotube after frozen.

Using the long tweezers, carefully grab the foil wrapped muscle sample by the pinched-off end and submerge the sample into the well of liquid isopentane for 20-30 seconds to snap freeze.
Pull the sample out of the isopentane, shake off the excess, slide into the labeled cryotube and place on dry ice.
Repeat steps 4-10 until all muscle pieces are frozen and kept on dry ice.
Pull the beaker out of the liquid nitrogen dewar, allow it to thaw and pour the isopentane back into the original bottle for reuse.
The snap frozen samples can be stored at -80°C for further use.
Preparing the samples for shipment
Prepare shipping material by obtaining an insulated foam box fitted inside a cardboard shipping box.
Fill the foam box with dry ice, place the sample tubes inside, and close the box
Close the insulated foam box and tape the outer cardboard box layer shut. Label and send it out for overnight shipping.
Expected result
We have tested the RNA quality of human autopsy samples collected at various postmortem intervals (6-72 hours), snap frozen and shipped to a remote laboratory site. The samples were snap frozen in liquid nitrogen cooled isopentane at the sample collection site, sectioned on a cryostat and RNA extracted using a Zymo RNA isolation kit. The whole muscle RNA quality was assessed on an Agilent TapeStation. Samples had RIN numbers ~8. The frozen muscle should be suitable for single-nuclear extraction, histological examination and spatial transcriptomics.

The protocol has been successfully used for mouse skeletal muscle. RNA isolated from mouse muscles processed this way had RIN > 7.5. The snap frozen tissues were used for mouse spatial transcriptomics (Visium) and single-nuclear RNA-seq.