Sep 02, 2021

Public workspaceInfluenza A Virus-Infected Lung Epithelial Cell Co-Culture with Human Peripheral Blood Mononuclear Cells

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  • Liyen Loh1,2,
  • Marios Koutsakos1,
  • Katherine Kedzierska1,
  • Timothy S. C. Hinks3
  • 1Department of Microbiology and Immunology, The Peter Doherty Institute for Infection and Immunity, The University of Melbourne, Parkville, Australia;
  • 2Department of Immunology and Microbiology, University of Colorado Anschutz Medical Campus, Aurora, USA;
  • 3Respiratory Medicine Unit, Nuffield Department of Medicine Experimental Medicine, University of Oxford, Oxfordshire, UK
  • Springer Nature Books
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Protocol CitationLiyen Loh, Marios Koutsakos, Katherine Kedzierska, Timothy S. C. Hinks 2021. Influenza A Virus-Infected Lung Epithelial Cell Co-Culture with Human Peripheral Blood Mononuclear Cells. protocols.io https://dx.doi.org/10.17504/protocols.io.bmenk3de
Manuscript citation:
Loh L., Koutsakos M., Kedzierska K., Hinks T.S.C. (2020) Influenza A Virus-Infected Lung Epithelial Cell Co-Culture with Human Peripheral Blood Mononuclear Cells. In: Kaipe H., Magalhaes I. (eds) MAIT Cells. Methods in Molecular Biology, vol 2098. Humana, New York, NY. https://doi.org/10.1007/978-1-0716-0207-2_9
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: Working
We use this protocol and it's working
Created: September 16, 2020
Last Modified: September 02, 2021
Protocol Integer ID: 42158
Keywords: Virus, MAIT cell, Flow cytometry, Tetramer, Infection, Human Epithelial cell,
Abstract
Sensing of influenza A virus (IAV) infection by pattern recognition receptors can occur by either direct infection of lung epithelial cells or uptake of virus-infected cells by innate cells such as dendritic cells/monocytes. This triggers a series of downstream events including activation of the inflammasome, the production of cytokines, chemokines, and the upregulation of stress-induced ligands that can lead to the activation of innate cells. These cells include innate lymphocytes such as MAIT, NKT, NK, and γδ T cells. Here we describe a method used to allow activation of human innate lymphocytes in co-culture with an IAV-infected human lung epithelial cell line (A549) to measure ex vivo effector functions (TNF and IFNγ) in a mixed culture environment. We describe (1) infection of the human lung epithelial cell line, (2) co-culture with PBMC, and (3) measurement of activation using intracellular cytokine staining.
Attachments
Guidelines
Please read the full protocol before starting any steps.

Introduction
The innate immune response serves as the first line of defense during viral infections. Sensing of influenza A virus (IAV) infection by pattern recognition receptors (e.g., TLR and RIG-I) can occur by either direct infection of lung epithelial cells or uptake of virus-infected cells by innate cells such as dendritic cells/monocytes. This triggers a series of downstream events including activation of the inflammasome, the production of cytokines, chemokines, and the upregulation of stress-induced ligands that can lead to the activation of innate cells. These cells include innate lymphocytes such as MAIT, NKT, NK, and γδ T cells. These lymphocytes can be activated by non-classical MHC interactions, cytokine-mediated signals or both. This method allows for the activation of human innate lymphocytes in co-culture with IAV-infected human lung epithelial cells (A549) and is used to measure ex vivo effector functions (TNF and IFNγ) in a mixed culture environment [2]. The objective is to measure and recapitulate the events of early IAV infection in vitro, in a co-culture system with human peripheral blood mononuclear cells (PBMC) and IAV-infected human lung epithelial cells.
The method described in this chapter comprises three main steps: (1) infection of a human epithelial cell line, (2) co-culture with PBMC to activate the virus responsive cells, and (3) intracellular cytokine staining to measure the extent of functional activation.


References:
  1. Koutsakos M, Illing PT, Nguyen THO et al (2019) Human CD8(+) T cell cross-reactivity across influenza A, B and C viruses. Nat Immunol
  2. Loh L, Wang Z, Sant S et al (2016) Human mucosal-associated invariant T cells contribute to antiviral influenza immunity via IL-18-dependent activation. Proc Natl Acad Sci U S A 113:10,133–10,138

Acknowledgements:
This work was funded by grants to TSCH from the Wellcome Trust (104553/z/14/z, 211050/Z/18/z) and K.K from the National Health and Medical Research Council (NHMRC) Program Grant (1071916). K.K. is an NHMRC Senior Research Fellow (1102792). The content represents only the authors’ views and not those of the European Commission.
Materials
Reagents and Buffers:
1. Complete RPMI (cRPMI): Roswell Park Memorial Media, 10% heat-inactivated fetal calf serum (FCS), 100 U/mL Penicillin, 100 U/mL Streptomycin, and 100 μM MEM Vitamins.
2. Human lung epithelial cell line, A549 (ATCC, VA, USA).
3. PR8 virus (influenza A strain/H1N1/Puerto Rico/1934).
4. Trypsin Versene (In-house preparation).
5. Trypan Blue and Counting Chamber.
6. Brefeldin A—Golgi PLUG (BD, CA, USA).
7. Live/dead Fixable Aqua Dead Cell Stain Kit (ThermoFisher, MA, USA).
8. Cytofix/Cytoperm Fixation/Permeabilization Kit (BD Biosciences, USA).
9. 10% Lysol or 1% Virkon.
10. Fluorescence activated flow cytometry (FACS) buffer: phosphate-buffered saline (PBS), 2 mM EDTA, 0.5% bovine serum albumin (BSA). From a 500 mL bottle of PBS, add 40 mL to a 50 mL falcon containing 2.5 g BSA powder, vortex hard, then filter-sterilize back into PBS bottle using a syringe through a 0.22 um filter.
11. 1% paraformaldehyde (PFA) solution. Dilute 16% paraformaldehyde 1:16 with FACs buffer.
12. Antibodies for flow cytometry (Table 1, shown below).
13. Phosphate-buffered saline (PBS).

Plastic:
1. T75 flasks (Corning, NY, USA).
2. 50 mL Falcon tube (Fischer Scientific, MA, USA).
3. 96-well U-bottom plate polystyrene (Greiner, Germany).

Equipment:
1. Flow Cytometer, BD LSR FORTESSA, or equivalent.
2. Water Bath.

Table 1 (Antibodies):
Example flow cytometric activation panel and IAV nucleoprotein expression
MarkerFluorophoreLaserCloneDilution
Surface stain activation
Live DeadAquaViolet1/800 (stain in PBS prior to surface stain)
MRI-5-OP-RU TetSA-BV421Violet*Titrate 1/200-1/400
CD19APC-H7RedH1B191/100
CD14APC-H7RedMΦP91/100
CD8αPerCP-Cy5.5BlueSK11/50
TCRγδFITCBlue2F111/50
CD4BV650VioletOKT41/200
CD161BV605VioletHP-3G101/50
CD3PE-CF594Yellow/GreenUCHT11/200
TCR Vα7.2PEYellow/Green3C101/200
CD56PE-Cy7Yellow/GreenNCAM16.21/100
Intracellular stain activation
TNFAPCRedMAb111/50
IFNγAF700RedB271/100
Intracellular stain IAV-NP infection
IAV nucleoproteinFITCBlue13311/100
Typical flow cytometry panel compatible with a four-laser BD LSRII Fortessa flow cytometer, allowing identification of innate and adaptive lymphocyte subsets and assessment of activation measured by intracellular cytokine staining
*Batches of SA-conjugated and Tetramerized MR1-5-OP-RU will vary and require titration prior to usage

Safety warnings
Personal protective equipment (PPE) should be worn at all times (gloves, lab coat, and eye protection).

For hazard information and safety warnings, please refer to the SDS (Safety Data Sheet).
Before start
Biological Hazards—Human PBMC samples are classified as non-infectious. Influenza A virus—PR8-strain (H1N1) is a lab-adapted strain of IAV virus. Work should be risk assessed, and we recommend controls which include but are not restricted to the following: Lab coat, safety glasses, and gloves should be worn when performing this protocol. Work with human PBMCs and virus in a Class II biohazard cabinet. Use filter tips when working with virus. Decontaminate all pipette tips that have been used for human and virus work in 10% lysol or 1% Virkon when working in the biohazard cabinet. After use, the biohazard hood should be decontaminated by wiping down with 70% ethanol and by UV sterilization for 15 min before any further use. All waste and its container must be disposed as hazardous waste.
IAV Infection of Human Lung Epithelial Cell Line, A549
IAV Infection of Human Lung Epithelial Cell Line, A549
Duration24:00:00 prior to infection, in two T75 flasks, seed 5 x 106 A549 cells in a total volume of Amount20 mL media .
Note
One flask for IAV infection and the second flask for uninfected control A549s.

On the day of infection:
Leave one flask of A549 cells in the incubator (uninfected control).
Incubation
Wash the other flask with TemperatureRoom temperature PBS once, cap and gently rotate flask from side to side. Aspirate PBS with glass tissue culture pipette.

Wash
Thaw virus (PR8) TemperatureOn ice and add Amount174 µL virus to Amount10 mL room temperature PBS in a 50 mL falcon tube (depending on viral titer of stock) to achieve a multiplicity of infection (MOI) of ~10–30.

Gently pipette this into the T75 containing A549 cells.
Note
Example calculation of MOI 10:
An MOI of 10 using 1x106 PBMC per well requires 1x107 virus particles/well.
The volume required/well of a 1x109 plaque forming units (pfu)/mL virus titer is:
1x107 pfu/1x109 pfu/mL = 0.01 mL/well or 10 μL/well.

Pipetting
Incubate flask horizontally for Duration01:00:00 in the Temperature37 °C incubator (5% CO2).

Incubation
Remove both T75 flasks from incubator and add Amount10 mL cRPMI to the flask containing virus. Cap and gently rotate from side to side. Aspirate media from both flasks.

Pipetting
To detach A549 cells, wash flasks once with TemperatureRoom temperature PBS , aspirate, and add Amount2.5 mL Trypsin versene to each flask. Gently tilt the flask to ensure that the solution coats the entire flask.

Wash
Incubate for Duration00:05:00 in the Temperature37 °C incubator (5% CO2).

Incubation
Add Amount10 mL cRPMI to T75 flasks and transfer the contents into two 50 mL falcon tubes.

Centrifuge Centrifigation500 x g, 25°C, 00:05:00 .
Centrifigation
Aspirate supernatant.
Resuspend cells in Amount2 mL cRPMI and perform cell counts using trypan blue estimation.

Adjust the volume of A549 cells so that the final concentration is 2x106 cells/mL.
Co-Culture (Start During the 1 h Incubation with Virus)
Co-Culture (Start During the 1 h Incubation with Virus)
Thaw PBMCs in Temperature37 °C water bath .

Gently pipette dropwise into Amount9 mL pre-warmed cRPMI per cryovial.

Pipetting
Centrifuge Centrifigation500 x g, 00:05:00 .
Note
MAIT cell responses after in vitro influenza co-culture are highly variable between donors. Freshly processed PBMCs may aid in the detection of IFNγ cytokine responses after influenza co-culture.


Centrifigation
Aspirate media and count cells.
Computational step
Resuspend PBMCs at 10x106 cells/mL in cRPMI.
For each sample, aliquot Amount100 µL cells (1x10^6 PBMC) into three wells of a 96-well U-bottom plate.
Note
These wells will correspond to Media Control, uninfected A549 + PBMC, and IAV-infected A549 + PBMC, respectively.


Check IAV nucleoprotein levels:
Note
To determine if influenza virus infection of lung epithelial cells is successful after 10 h of culture, intracellular cytokine staining for influenza A virus nucleoprotein is determined by flow cytometry. (Steps 25-27 followed by steps 31-38, shown here in subsequent substeps for convenience)

Computational step
Spin down plate by centrifuging at Centrifigation400 x g, 4°C, 00:05:00 . Discard supernatant in waste container containing 10% Lysol or 1% Virkon in class II biosafety cabinet.

Centrifigation
Stain cells with live/dead discrimination marker Aqua (1:800) final volume of 50 μL/well. Use PBS as a diluent. Incubate at TemperatureRoom temperature in the dark for Duration00:15:00 .
Note
Fixable viability dyes react with exposed amine groups within permeable cells. Therefore, to prevent wasteful reaction with proteins in cytometry buffers, it is recommended to resuspend cells in protein-free media for the viability staining step.

15m
Incubation
Centrifuge plate at Centrifigation400 x g, 4°C, 00:05:00 . Discard supernatant.

Centrifigation
Resuspend the cells in Amount100 µL cold cytofix/perm solution and incubate TemperatureOn ice in the dark for Duration00:20:00 .

20m
Incubation
Wash cells with Amount100 µL diluted (1:10 in dH2O) perm/wash buffer . Centrifuge for Centrifigation450 x g, 4°C, 00:05:00 .

Centrifigation
Wash
Resuspend cells in Amount50 µL intracellular cytokine stain , see (Table 1) below.

Table 1 (Antibodies):
Example flow cytometric activation panel and IAV nucleoprotein expression
MarkerFluorophoreLaserCloneDilution
Surface stain activation
Live DeadAquaViolet1/800 (stain in PBS prior to surface stain)
MRI-5-OP-RU TetSA-BV421Violet*Titrate 1/200-1/400
CD19APC-H7RedH1B191/100
CD14APC-H7RedMΦP91/100
CD8αPerCP-Cy5.5BlueSK11/50
TCRγδFITCBlue2F111/50
CD4BV650VioletOKT41/200
CD161BV605VioletHP-3G101/50
CD3PE-CF594Yellow/GreenUCHT11/200
TCR Vα7.2PEYellow/Green3C101/200
CD56PE-Cy7Yellow/GreenNCAM16.21/100
Intracellular stain activation
TNFAPCRedMAb111/50
IFNγAF700RedB271/100
Intracellular stain IAV-NP infection
IAV nucleoproteinFITCBlue13311/100
Typical flow cytometry panel compatible with a four-laser BD LSRII Fortessa flow cytometer, allowing identification of innate and adaptive lymphocyte subsets and assessment of activation measured by intracellular cytokine staining
*Batches of SA-conjugated and Tetramerized MR1-5-OP-RU will vary and require titration prior to usage

Pipetting
Incubate TemperatureOn ice in the dark for Duration00:30:00 .

30m
Incubation
Wash cells with Amount150 µL perm/wash buffer . Centrifuge for Centrifigation450 x g, 4°C, 00:05:00 .

Centrifigation
Wash
Repeat with a second wash with Amount200 µL FACs buffer . Centrifuge for Centrifigation450 x g, 4°C, 00:05:00 .

Centrifigation
Wash
Resuspend cells in Amount100 µL 1% PFA and transfer to bullet tubes.
Note
Keep samples in the dark and at cold until acquisition on the flow cytometer.

For suggested flow cytometric gating strategy see Fig. 1. below:

Fig. 1
Flow cytometry gating strategy for MAIT cells and other lymphocyte subsets
Add Amount100 µL of infected and uninfected A549 cells to separate wells in the 96-well plate.

Add Amount100 µL of uninfected A549s or IAV-infected A549s (2x105 cells) into wells containing PBMC. Leave one well with PBMC only, add Amount100 µL cRPMI to this well. Place plate in the Temperature37 °C incubator (5% CO2).

After Duration03:00:00 Duration04:00:00 , add brefeldin A (BFA-GOLGI PLUG), 1:2000 to all wells.

Incubation
Incubate for a further Duration06:00:00 in the Temperature37 °C incubator (Duration10:00:00 total co-culture ).

Incubation
Remove plate and continue with intracellular cytokine (ICS) staining or place in the Temperature4 °C covered in foil to stain the next day.

Pause
Intracellular Cytokine Staining
Intracellular Cytokine Staining
1h 35m
1h 35m
Spin down plate by centrifuging at Centrifigation400 x g, 4°C, 00:05:00 . Discard supernatant in waste container containing 10% Lysol or 1% Virkon in class II biosafety cabinet.

Centrifigation
Stain cells with live/dead discrimination marker Aqua (1:800) final volume of 50 μL/well. Use PBS as a diluent. Incubate at TemperatureRoom temperature in the dark for Duration00:15:00 .
Note
Fixable viability dyes react with exposed amine groups within permeable cells. Therefore, to prevent wasteful reaction with proteins in cytometry buffers, it is recommended to resuspend cells in protein-free media for the viability staining step.

15m
Incubation
Centrifuge plate at Centrifigation400 x g, 4°C, 00:05:00 . Discard supernatant.

Centrifigation
Add Amount50 µL surface phenotype stain (Table 1 below) to each well.

Table 1 (Antibodies):
Example flow cytometric activation panel and IAV nucleoprotein expression
MarkerFluorophoreLaserCloneDilution
Surface stain activation
Live DeadAquaViolet1/800 (stain in PBS prior to surface stain)
MRI-5-OP-RU TetSA-BV421Violet*Titrate 1/200-1/400
CD19APC-H7RedH1B191/100
CD14APC-H7RedMΦP91/100
CD8αPerCP-Cy5.5BlueSK11/50
TCRγδFITCBlue2F111/50
CD4BV650VioletOKT41/200
CD161BV605VioletHP-3G101/50
CD3PE-CF594Yellow/GreenUCHT11/200
TCR Vα7.2PEYellow/Green3C101/200
CD56PE-Cy7Yellow/GreenNCAM16.21/100
Intracellular stain activation
TNFAPCRedMAb111/50
IFNγAF700RedB271/150
Intracellular stain IAV-NP infection
IAV nucleoproteinFITCBlue13311/100
Typical flow cytometry panel compatible with a four-laser BD LSRII Fortessa flow cytometer, allowing identification of innate and adaptive lymphocyte subsets and assessment of activation measured by intracellular cytokine staining
*Batches of SA-conjugated and Tetramerized MR1-5-OP-RU will vary and require titration prior to usage

Pipetting
Incubate for Duration00:30:00 TemperatureOn ice , in the dark.

30m
Incubation
Wash cells once with Amount150 µL FACs buffer . Centrifuge for Centrifigation1500 rpm, 4°C, 00:05:00 . Flick off supernatant in discard container in biohazard cabinet.
Centrifigation
Wash
Resuspend the cells in Amount100 µL cold cytofix/perm solution and incubate TemperatureOn ice in the dark for Duration00:20:00 .

20m
Incubation
Wash cells with Amount100 µL diluted (1:10 in dH2O) perm/wash buffer . Centrifuge for Centrifigation450 x g, 4°C, 00:05:00 .

Wash
Resuspend cells in Amount50 µL intracellular cytokine stain , see (Table 1) below.

Table 1 (Antibodies):
Example flow cytometric activation panel and IAV nucleoprotein expression
MarkerFluorophoreLaserCloneDilution
Surface stain activation
Live DeadAquaViolet1/800 (stain in PBS prior to surface stain)
MRI-5-OP-RU TetSA-BV421Violet*Titrate 1/200-1/400
CD19APC-H7RedH1B191/100
CD14APC-H7RedMΦP91/100
CD8αPerCP-Cy5.5BlueSK11/50
TCRγδFITCBlue2F111/50
CD4BV650VioletOKT41/200
CD161BV605VioletHP-3G101/50
CD3PE-CF594Yellow/GreenUCHT11/200
TCR Vα7.2PEYellow/Green3C101/200
CD56PE-Cy7Yellow/GreenNCAM16.21/100
Intracellular stain activation
TNFAPCRedMAb111/50
IFNγAF700RedB271/150
Intracellular stain IAV-NP infection
IAV nucleoproteinFITCBlue13311/100
Typical flow cytometry panel compatible with a four-laser BD LSRII Fortessa flow cytometer, allowing identification of innate and adaptive lymphocyte subsets and assessment of activation measured by intracellular cytokine staining
*Batches of SA-conjugated and Tetramerized MR1-5-OP-RU will vary and require titration prior to usage

Pipetting
Incubate TemperatureOn ice in the dark for Duration00:30:00 .

30m
Incubation
Wash cells with Amount150 µL perm/wash buffer . Centrifuge for Centrifigation450 x g, 4°C, 00:05:00..

Wash
Repeat with a second wash with Amount200 µL FACs buffer . Centrifuge for Centrifigation450 x g, 4°C, 00:05:00..

Centrifigation
Resuspend cells in Amount100 µL 1% PFA and transfer to bullet tubes.
Note
Keep samples in the dark and at cold until acquisition on the flow cytometer.

For suggested flow cytometric gating strategy see Fig. 1. below:

Fig. 1
Flow cytometry gating strategy for MAIT cells and other lymphocyte subsets