Abstract
Islets of Langerhans and β-cell isolation constitute routinely used cell models for diabetic research, and refining islet isolation protocols and cell quality assessment is a high priority. Numerous protocols have been published describing isolate of islets, but often rigorous and systematic assessment of their integrity is lacking. Herein, we propose a new protocol for optimal generation of islets. Pancreases from mice and rats were excised and digested using a low-activity collagenase solution and islets were then purified by a series of sedimentations and a Percoll gradient. Islets were maintained in culture for 5 days, during which viability, pro/antiapoptotic, and islet-specific genes, glucose-stimulated calcium entry, glucose uptake, and insulin secretion were assessed. The commonly used islet isolation technique by collagenase injection through the common bile duct (CBD) was also performed and compared with the present approach. This new protocol produced islets that retained a healthy status as demonstrated by the yield of stable living cells. Furthermore, calcium oscillation, glucose uptake, and insulin secretion remained intact in the islet cultures. This was reproducible when many rodent species were used, and neither sex nor age affected the cells behavior. When compared with the CBD technique, islet physiology was similar. Finally, this approach was used to uncover new ion channel candidates implicated in insulin secretion. In conclusion, this study outlines an efficient protocol for islet preparation that may support research into new therapeutic targets in diabetes research.
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Main
Islets of Langerhans and β-cell isolation constitute routinely used cell models for diabetic research.1 Many islet isolation protocols have been published, with the cell sources ranging from small rodents to humans;2, 3, 4, 5, 6, 7 however, very few give all of the necessary and details to perform the intricate procedure. Many of the protocols are complex (such as those that require microsurgery) and time-consuming, and rarely correlate the phenotypic characteristics with extensive functional assessment. Furthermore, conflicting data are reported when it comes to islet yield, with a tendency to overestimate the purity of the preparations.8, 9 Therefore, developing a reliable method that combines both functional and phenotypic characteristics is of great interest.
One of the main differences between the procedures described for the isolation of islets of Langerhans is the delivery route of the enzyme solution. The common bile duct (CBD) has been extensively used to deliver the enzyme,10, 11, 12, 13 but the protocol is cumbersome and requires animal microsurgery expertise. Islet separation and purification from exocrine tissue is then performed by Percoll14, 15 or Ficoll gradient,16 filtration,17 or magnetic retraction.18, 19 To further increase the islet preparation purity, selection is manually performed under a microscope, yielding only a few hundred islets from a single rodent.10, 13, 16, 20, 21, 22, 23, 24
Even more crucial than the isolation procedure is quantitative evaluation of islet quality and function assessment. Glucose-stimulated insulin secretion (GSIS) is a well-documented and accepted measure of islet function.25, 26, 27 Pancreatic β-cells are extremely sensitive to extracellular glucose concentrations, and respond through a biphasic insulin secretion. The first phase consists of a rapid spike of insulin secretion (first phase), followed by a second-phase plateau that remains as long as the glucose stimulus lasts.28 These two insulin secretion phases are controlled by intracellular cytosolic calcium (Ca2+), glucose-induced ATP-sensitive K+ channel inhibition, and voltage-gated Ca2+ channel activation result in the rapid elevation of cytosolic Ca2+ (first phase), followed by Ca2+ oscillation.29, 30 The latter is mediated by other non-selective channels but remains highly complex and poorly understood.29, 30, 31, 32 The intracellular Ca2+ stores have also been reported to have an important role in this insulin secretion, as well as other ATP-sensitive K+ channel-independent pathways.28, 33, 34 Therefore, glucose-stimulated Ca2+ (GSCa) is also a reliable parameter for assessing islet function and viability.25, 35 Furthermore, few studies contain glucose uptake monitoring with specific fluorescent probes, which could be valuable in demonstrating islet function.36, 37, 38, 39, 40
In the present study, we describe in detail a reproducible approach to isolate and assess the function of rodent islets, which may be useful for deciphering new cellular and molecular pathways in normal and diseased islet β-cells. Additionally, this approach was used to identify ion channel candidates implicated in rodent islet insulin secretion.
MATERIALS AND METHODS
Animals
The present study was approved by the ethical committee of the Saint Joseph University. The protocols were designed according to the Guiding Principles in the Care and Use of Animals approved by the Council of the American Physiological Society and were in adherence to the Guide for the Care and Use of Laboratory Animals published by the US National Institutes of Health (NIH Publication no. 85-23, revised 1996) and according to the European Parliament Directive 2010/63 EU. Male adult and aged C57BL/6 mice (3 and 10 months old), as well as male adult BALB/C mice (3 months old) and Wistar rats (3 months old), were used in this study and were obtained from Janvier Labs (Le Genest-Saint Isle, France). The animals were kept at a stable temperature (25 °C) and humidity (50±5%) and were exposed to a 12:12-h light–dark cycle. They were fed ordinary rodent chow, had free access to tap water, and were acclimatized for at least 1 week under these conditions before the start of the study.
Islet Isolation and Culture
Animals were anesthetized by a mixture of ketamine (75 mg/kg; Interchemie, Waalre, Holland) and xylazine (10 mg/kg; RotexMedica, Trittau, Germany). Pedal withdrawal reflex was performed to make sure of adequate depth of anesthesia; when animals were completely non-responsive to toe pinching, an abdominal incision was performed aseptically and pancreases were harvested while avoiding the collection of fat tissue. Pancreases were then rinsed with cold modified Tyrode free-calcium solution with the following composition (in mM): 140 NaCl, 5.7 KCl, 1.7 MgCl2, 4.4 NaHCO3, 1.5 KH2PO4, 10 HEPES, 10 creatine monohydrate, 20 taurine, and 11.7 d-glucose, pH 7.2, with NaOH. They were gently cut into small pieces (2 mm) in modified Tyrode and washed several times with this solution to get rid of blood and possible fat tissue contamination. Thereafter, tissues were digested by one oxygenated enzymatic bath (100 r.p.m. shaker at 37 °C) for 60 min. The bath contained 1 mg/ml collagenase A (Roche Diagnostics, Mannheim, Germany) that possesses a low-collagenase activity (>0.15 U/mg) with 1 mg/ml bovine serum albumin (Sigma-Aldrich, St Louis, MO, USA). Digestion was stopped by the addition of an equal volume of ice-cold modified Tyrode and the tissue solution was vigorously hand shaken to dissociate mechanically the digested islets. The solution was then left on ice for 3 min to sediment the islets, and this step was repeated three times. To further purify the islets from contaminating exocrine tissue, a Percoll solution (Sigma-Aldrich) with a density of 1.045 g/ml was used. First, a stock isotonic Percoll (SIP) solution was prepared by adding 9 parts of Percoll to 1 part of 1.5 mM NaCl (10 × concentrated), then this solution was diluted to 1.045 g/ml by adding 0.15 mM NaCl using the following formula: Vy=Vi x (ρi−ρ)/(ρ−ρy), where Vy is the volume of diluting 0.15 mM NaCl, Vi is the volume of SIP, ρi is the density of SIP, ρy is the density of 0.15 mM NaCl, and ρ is the density of final diluted Percoll solution. The digested pancreatic tissue was carefully placed on top of the 1.045 g/ml Percoll solution and allowed to sediment for 5 min. Islets were collected from the bottom of the tube and this step repeated three times. Finally, islets were cultured in RPMI-1640 (Lonza, Basel, Switzerland) supplemented with 2 mM l-glutamine, 10% fetal bovine serum (FBS), and 1% penicillin/streptomycin, and the culture medium was changed on a daily basis. This isolation protocol was followed for all the rodent species used in this study, C57BL/6 (young and aged, male and female), BALB/C, and Wistar.
As described previously,10 to compare between the two methods, the CBD was also used to deliver the enzyme mixture in mice. Briefly, 1000 U/ml collagenase XI (Sigma-Aldrich) was injected into the pancreas. The pancreas was then excised and incubated at 37 °C for 15 min in a solution with the same composition. After mechanical dissociation by hand shaking, the digestion was terminated by adding ice-cold modified Tyrode. After two brief centrifugations at 290xg, the islets were collected on a 70 μm filter and cultured in RPMI-1640 supplemented with 2 mM l-glutamine, 10% FBS, and 1% penicillin/streptomycin.
Dithizone Staining
Islets were stained with the zinc-chelating dithizone (Sigma-Aldrich). Dithizone was first diluted with 95% ethanol, and then NaOH was added to a pH of 12 for complete dissolution of dithizone. The solution was further diluted with phosphate-buffered saline and the pH was adjusted to 7.2 with HCl before adding it onto the islets. Finally, cells were incubated with dithizone for 30 min at 37 °C.
Islet Viability Tests
Cell viability was assessed by Trypan blue exclusion test, propidium iodide, and MTT (3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide). Following the pancreas digestion and for each consecutive day of culture, islets were labeled with Trypan blue (0.4% in PBS) (Sigma-Aldrich). Trypan blue-positive and -negative islets were calculated with a hemocytometer. Trypan blue-negative islets were regarded as viable ones. The percentage of viable islets was calculated using the following formula: total viable cells (unstained)/total cells (stained and unstained)x100. Islets were also stained with propidium iodide (3 μM) and fluorescence was detected at 620 nm. In addition, islets were stained with 0.5 mg/ml MTT water solution for 4 h at 37 °C and then the MTT formazan purple crystals were dissolved with 100% DMSO and absorbance was read at 550 nm.
Ca2+ Imaging
Cultured islets grown for either 1 or 5 days were first washed two times with the modified Tyrode solution containing 1.5 mM glucose and 1.5 mM CaCl2, and then incubated for 45 min at room temperature in modified Tyrode containing 3 μM Fluo-4-AM (Thermo Fisher Scientific, Waltham, MA, USA) previously dissolved in DMSO. Islets were washed two times with modified Tyrode before starting the fluorescence recordings. To rule out the presence of an undetermined leak, leak control was performed by incubating the islets in modified Tyrode+ or -Ca2+ before starting the perfusion protocols. Then, GSCa was monitored by quickly shifting the solution to 16 mM glucose. Triton X-100 (0.1%) and ethylene glycol tetraacetic acid (EGTA, 10 mM) were consecutively added at the end of the perfusion protocols to check for the maximum and minimum fluorescence values. l-Arginine (1 mM) and KCl (30 mM) were also used to assess potentiation of glucose-induced Ca2+ entry. The non-selective TRPC (transient receptor potential canonical) inhibitors 2-APB (75 μM) and gadolinium (100 μM) (Sigma-Aldrich) were added 10 min before the start of the recordings till the end of the perfusion experiments. 2-APB was dissolved in DMSO, while gadolinium was dissolved in ultrapure water. When Ca2+ imaging on transfected islets was performed, either transfected or non-transfected cells were analyzed after 48 h of transfection.
Fluorescence experiments were carried out at room temperature rather than at 37 °C to reduce compartmentalization of Fluo-4-AM.41, 42 Fluo-4 measurements were made using a Nikon Eclipse TS100-F inverted microscope and a Nikon HG lamp C-HGFI (Nikon Instruments, Melville, NY, USA). The 490 nm excitation light was focused onto cells by a 0.75 numerical aperture Plan Fluor objective with a magnification of x40 (Nikon Instruments). Emission was collected through the same objective, passed through a bandpass filter, and images were taken at 1 Hz. For analysis, images were played back and the ratio (F1/F0) of each image (F1) versus the first image (F0) of the series was recorded using the ImageJ and SigmaPlot v.11.0 softwares. These ratios were used to estimate intracellular Ca2+ concentrations ([Ca2+]i) as described by Grynkiewicz et al:43 [Ca2+]i=Kd × (Sf2/Sb2) × [(R−Rmin)/(Rmax− R)]. Sf2 is the fluorescence measured at 516 nm in Ca2+-free solution, whereas Sb2 is the fluorescence measured at 516 nm in Ca2+ saturating conditions. The dissociation constant for Ca2+ binding, Kd, was estimated to be 335 nmM as stated by the manufacturer. As mentioned above, Rmax was determined from islets dialyzed with 0.1% Triton X-100 in modified Tyrode containing 1.8 mM CaCl2, whereas Rmin was determined from islets dialyzed with 0.1% Triton X-100 in Ca2+-free modified Tyrode containing 10 mM EGTA at the end of each experiment. Finally, Ca2+ entry amplitudes (Δ[Ca2+]i) were measured by subtracting the intracellular Ca2+ concentrations just before adding high glucose from those at the Ca2+ peak; n=9–11 islets from three mice. Data are represented as mean±s.e.m. in bar graphs.
Glucose Uptake Monitoring
Glucose uptake was assessed in the isolated islets using a fluorescent glucose, 2-[N-(7-nitrobenz-2-oxa-1,3-diazol-4-yl)amino]-2-deoxy-d-glucose (2-NBDG). Cultured islets were washed with glucose-free modified Tyrode and incubated for 25 min at 37 °C in the same solution. Thereafter, 2-NBDG was added onto the cells to a final concentration of 200 μM for 5 min at 37 °C. Cells were then washed with glucose-free modified Tyrode to eliminate background fluorescence and an image of the cells was acquired. The 2-NBDG incubation, washout, and imaging procedure were repeated five times for a total exposure of 25 min to 2-NBDG. Transmitted light images were also acquired after each incubation and washed out to verify that the islets were not disturbed by the solution changes. 2-NBDG was excited at 465–495 nm and emission collected at 515–555 nm. Fluorescence intensity at each point was determined using ImageJ; after background subtraction, fluorescence intensity was calculated as the difference in the average fluorescence of cells before and after each application of 2-NBDG. To evaluate the effect of d-glucose on 2-NBDG uptake, all the incubations and washouts were performed as described previously, but with the presence of modified Tyrode containing 11.1 mM glucose; n=12–15 islets from three mice. Data are represented as mean±s.e.m. in bar graphs.
Insulin Secretion
Static insulin secretion assays were performed on the islets, on the first day of isolation as well as on the fifth day of culture. As RPMI contains 11.1 mM glucose, this medium was changed and islets were washed two times with the previously used modified Tyrode solution containing 1.5 mM glucose and 1.5 mM CaCl2. Islets were then incubated with the modified Tyrode for 45 min at 37 °C to establish basal insulin secretion; thereafter, the supernatant was removed and modified Tyrode, with either 1.5 or 16 mM glucose, was readded for another 30 min at 37 °C. l-Arginine (1 mM) and KCl (30 mM) were also used to assess the potentiation of glucose-induced insulin secretion.
Perifusion experiments were also performed to measure the kinetics of insulin release in response to glucose. Groups of 10 islets were perifused at 37 °C with modified Tyrode containing 1.5 mM glucose and 1.5 mM CaCl2 at a flow rate of 500 μl/min for 30 min to establish stable basal insulin secretion. Then, the glucose concentration was raised to 16 mM and fractions were collected every 2 min. When TRPC inhibitors were used, they were added 10 min before the high-glucose stimulation. Insulin measurements on transfected islets were carried out 48 h after transfection. Finally, supernatants were collected and insulin was measured with the Insulin Mouse ELISA Kit according to the manufacturer's protocol (Abcam, Cambridge, UK).
Islet Transfection
Islets were transfected with siRNAs for 48 h before assessing TRPC1, 3, 4, and 6 knockout effects. The Turbofect Transfection Reagent (Thermo Fisher Scientific) was used according to the manufacturer's protocol. siRNA sequences were, from Eurogentec (Seraing, Belgium), as follows: siTRPC1 sense, 5′-CUGCUCAUCGUAACAACUA-3′ and antisense, 5′-UAGUUGUUACGAUGAGCAG-3′; siTRPC3 sense, 5′-CAUUCUCAAUCAGCCAACACGAUAU-3′ and antisense, 5′-AUAUCGUGUUGGCUGAUUGAGAAUG-3′; siTRPC4 sense, 5′-GGCUCAGUUCUAUUACAAA-3′ and antisense, 5′-UUUGUAAUAGAACUGAGCC-3′; siTRPC6 sense, 5′-GGACCAGCAUACAUGUUUA-3′ and antisense, 5′-UAAACAUGUAUGCUGGUCC-3′; siScrambled sense, 5′-AAUACUCGCCCUAAUCCACAGAUAU-3′ and antisense, 5′-AUAUCUGUGGAUUAGGGCGAGUAUU-3′.
Gene Quantification
Total RNA was extracted from the previously isolated and cultured islets using Trizol (Thermo Fisher Scientific) and chloroform. RNA was precipitated with isopropanol and then purified with ethanol 75% and the purity and concentration was determined by measuring the absorbance at 260 nm with the NanoDrop Spectrophotometer 2000 (Thermo Fisher Scientific, Wilmington, DE, USA). cDNA was synthesized using random primers (250 ng/μl), dNTP (10 mM) ,and the Superscript II Reverse Transcriptase Kit (Thermo Fisher Scientific). Quantitative real-time PCR was conducted using the 7500 Real-time PCR System and the SYBR Green PCR Master Mix (Thermo Fisher Scientific). Samples were run in triplicates. Dissociation curves were performed at the end of the amplification to confirm the specificity of the amplified PCR products. In addition, ‘no RT’ control reactions were carried out by omitting the reverse transcriptase to confirm the absence of contaminating genomic DNA. Glyceraldehyde 3-phosphate dehydrogenase (GAPDH) was used as a housekeeping gene, and quantifications were conducted using the 2ΔΔCt method. The primers (Eurogentec, Seraing, Belgium) used were as follows: bax F, 5′-GGCTGGACACTGGACTTCCT-3′ and R, 5′-GGTGAGGACTCCAGCCACAA-3′; casp2 F, 5′-GGCTACAATGTCCATGTGCT-3′ and R, 5′- CCACTACGCAGGAGTCTGTG-3′; casp6 F, 5′-TCAGGGCTAGGACACCG-3′ and R, 5′-TTGAAGATGAGGGCAACTCC-3′; bcl2 F, 5′-TTCGCAGAGATGTCCAGTCA-3′ and R, 5′-TTCAGAGACAGCCAGGAGAA-3′; bag1 F, 5′-GAAACACCGTTGTCAGCACT-3′ and R, 5′-GCTCCACTGTGTCACACTC-3′; casp3 F, 5′-CAAGTCAGTGGACTCTGGGA-3′ and R, 5′-CGAGATGACATTCCAGTGCT-3′; ins1 F, 5′-GAAGCGTGGCATTGTGGAT-3′ and R, 5′-TGGGCCTTAGTTGCAGTAGTTCT-3′; ins2 F, 5′-AGCCCTAAGTGATCCGCTACAA-3′ and R, 5′-CATGTTGAAACAATAACCTGGAAGA-3′; trpc1 F, 5′-AGCCTCTTGACAAACGAGGA-3′ and R, 5′-ACCTGACATCTGTCCGAACC-3′; trpc3 F, 5′-GAGATCTGGAATCGGTGGAA-3′ and R, 5′-AAAAGCTGCTGTTGGCAGTT-3′; trpc4 F, 5′-GACACGGAGTTCCAGAGAGC-3′ and R, 5′-GTTGGGCTGAGCAACAAACT-3′; trpc6 F, 5′-TACTGGTGTGCTCCTTGCAG-3′ and R, 5′-GAGCTTGGTGCCTTCAAATC-3′; gapdh F, 5′-GGAGAGTGTTTCCTCGTCCC-3′ and R, 5′-ATGAAGGGGTCGTTGATGGC-3′.
Statistical Analysis
All quantitative data are reported as means±s.e.m. Statistical analysis was performed with the SigmaPlot software (v.11.0). When two conditions were compared, Student’s t-tests or Mann–Whitney U-tests were used depending, respectively, on the presence or absence of a normal distribution. Kruskal–Wallis one-way analysis of variance on ranks tests were performed for multiple comparisons of the values because the normal distribution verified with the Shapiro–Wilk test was not met. All values with P<0.05 were considered significant.
RESULTS
Islet Yield and Purity
After digestion of the pancreas and Percoll separation, most of the mouse islets were collected from the bottom of the tube, with some remaining cells in the upper phase mixed along with pancreatic acini. To collect relatively pure islets, cell solution was allowed to sediment for only 5 min on top of the Percoll solution. Islets were spheroid with a brownish color and refringent edges and were red stained with dithizone (Figures 1a and b). The method was reproducible and yielded a relatively constant number of islets (Figure 1c) that was equal to 990±112 per pancreas (Figure 1d). Islet size frequency was distributed between <100 and >350 μm, with the highest frequency between 100 and 200 μm (Figure 1e). Over 80% of the cell preparation consisted of islets on the day of isolation, and this percentage increased gradually till 100% of the fourth day of culture; the rest of the cells were pancreatic acini that got eliminated quickly from the cell culture medium (Figure 1f).
Islet Viability and Sustenance
First, viability was assessed using propidium iodide (Figures 2a–c), Trypan blue (Figures 2d and e), and MTT (Figure 2f). Few mouse islets stained positive with the first two solutions (~6%) on the day of isolation and this percentage remained relatively stable until the fifth day of culture, indicating the obtainment of healthy islets and optimal culture conditions. Additionally, an MTT colorimetric assay showed a stable cell metabolism. Furthermore, islet status was verified by studying the expression of pro- and antiapoptotic genes, bax, casp2, casp3, casp6, bag1 and bcl2, that remained stable throughout the duration of the culture (Figures 3a and b). Islet-specific proinsulin genes, ins1 and ins2, were also stable during the 5-day culture (Figure 3c).
Islet Yield Within Age, Sex, and Different Rodent Species
The reproducibility of the islet isolation protocol among different rodent species as well as the effect of sex and age on cell yield was evaluated. Ten-month-old male and female C57BL/6 mice were used with no significant differences in the number of obtained islets (Figure 4a); in addition, similar numbers were obtained from male BALB/C pancreases (Figure 4b). Pancreases from male Wistar rats were digested using the same protocol and higher islet numbers were obtained (Figure 4b). Dithizone staining revealed that rat islets count remained stable during the 5-day culture (Figures 4c–e), and also the cells viability, which was revealed by propidium iodide staining (Figure 4f).
Islet Function Assessment
After 24 h of culture in RPMI, the overall health of the islets was assessed by GSCa and GSIS. Islets were loaded with Fluo-4 in the presence of 1.5 mM glucose and then stimulated with 16 mmol/l glucose. This glucose concentration was chosen instead of 11 mM, as the most apparent difference between the Ca2+ oscillations in 11 and 16.7 mM glucose was its longer duration at the latter concentration, with little or no change in amplitude.44 Upon changing the medium, the Fluo-4 signal decreases briefly before giving the first phase a swift rise, which is followed by the second slower but longer lasting oscillation (Figures 5a–c). The initial duck in fluorescence signal could be caused by changes in intracellular Ca2+ levels because of Ca2+ uptake by the endoplasmic reticulum. After 5 days of culture, islets responded with a similar GSCa, indicating the intact function of the cells (Figure 5a). Intracellular Ca2+ amplitudes were comparable for the first and second phase between the first and the fifth day of culture (Figure 5b). The addition of Triton X-100, which permeabilizes the cells, elicited a higher Ca2+ entry, whereas the Ca2+-chelating EGTA diminished this response. Similarly, l-arginine and KCl, which depolarize the cells, increased the intracellular Ca2+ levels, and these effects were comparable between the first and the fifth day of culture (Figure 5b). GSIS was also evaluated; basal insulin secretion was measured in islets cultured in 1.5 mM glucose, while GSIS was measured after stimulation with 16 mM glucose in the presence or absence of l-arginine and KCl. Similar insulin secretion kinetics were obtained on the first and fifth day of culture, indicating a healthy islet status and favorable culture conditions (Figures 5d and e).
Studying glucose uptake in islets may provide new insights into the mechanisms of glucose transport and their alteration in disease states such as diabetes. Therefore, a fluorescent glucose analog 2-NBDG was used to evaluate the function of the islet. After starving the islets, 2-NBDG was added and fluorescence quantified over time. Fluorescence intensity increased exponentially the first 10 min to attain an eventual plateau starting at minute 15 (Figure 6a). Before 2-NBDG exposure, islets presented faint background fluorescence and were then clearly discerned after 5 min of incubation with 2-NBDG (Figure 6b). To determine whether 2-NBDG is transported through the same pathway as d-glucose, the fluorescent analog was added along with d-glucose. Fluorescence intensity significantly decreased in the presence of 11.1 mM d-glucose, demonstrating that d-glucose competes with 2-NBDG for glucose transporters (Figure 6c).
Comparison with a Commonly Used Protocol
The present approach was compared with the most commonly used islet isolation protocol that consists of injecting the enzymes via the CBD. The present protocol took more time to complete than the CBD approach, but with greater flexibility in enzyme digestion time (Figure 7a). Higher islet yield was obtained using the present approach (Figure 7b), but with an ~5% lower islet purity on the first 3 days of culture (Figure 7c). Cell viability was similar for the two protocols as assessed by propidium iodide staining (Figure 7d). When the islet function assessment was performed, Ca2+ signaling was comparable in cells obtained from both protocols, and the two Ca2+ phases were intact during the 5-day culture (Figure 7e). Finally, insulin secretion as well as glucose uptake was comparable between the two approaches on the first as well as on the fifth day of culture (Figures 7f–h). The 2-NBDG fluorescence curve over time was similar in islets obtained from both protocols. In fact, fluorescence intensity increased exponentially the first 10 min to eventually attain a plateau (Figure 7g). Additionally, when 2-NBDG was added along with 11.1 mM d-glucose, fluorescence intensity significantly decreased, demonstrating that d-glucose competes with 2-NBDG for glucose transporters. There was no significant difference between the fluorescence decrease in islets from both protocols, indicating that glucose transport is similar between the islets (Figure 7h).
TRPC Channels are Implicated in Ca2+-Mediated Insulin Secretion
To determine whether TRPC channels are implicated in insulin secretion, islets were perifused with low followed by high glucose concentrations, with or without TRPC inhibitors, 2-APB and gadolinium. TRPC1/3/4/6 knockdown were also performed to validate the role of these channels in insulin secretion. Real-time PCR demonstrated efficient knockdown of the respective TRPC channels (Figure 8a). Both 2-APB and gadolinium inhibited the first rise in calcium as well as in insulin secretion, whereas almost completely abrogated the second Ca2+ and insulin phases as compared with the control islets and the ones treated with the vehicle DMSO (Figures 8b–e). Similar results were obtained with the TRPC1/3/4/6 knockdown as compared with the islets transfected with the siScrambled (Figures 8b–e).
DISCUSSION
Isolated islets are in demand for in vivo transplantation and for determining new pathophysiological signaling pathways.3, 22, 45, 46, 47, 48 These needs caused us to revisit methods for obtaining highly pure islet preparations that retain their in vivo functions. Previously published protocols have described islet isolation from rodents, but these studies often lack essential detail and do not produce large numbers of pure and functional islets. The protocol described here is straightforward and can be easily followed as it does not require previous expertise in the field. Most of the literature makes use of CBD to deliver the enzyme solution, thus requiring surgical ability.6, 10, 21, 22, 25 In addition, most of the described enzyme solutions used possess high collagenase activity, such as collagenase P, IV, V, XI, and liberase blends, which makes digestion time an important limiting factor.10, 21, 49, 50, 51, 52, 53, 54 Herein, the pancreas was directly excised and digested with a low-collagenase solution, thus eliminating the digestion time-limiting factor and the need for surgical expertise. Islets were then purified using a Percoll solution; Percoll has the advantage of being chemically inert with less toxic effects on the cells, eliminating the need of performing several washes and thus stressing the islets after the gradient step. Many protocols use Ficoll or histopaque; however, others have questioned the use of such compounds because of their cellular toxicity.17, 55, 56 The contrast agent iodixanol has been also used with interesting cellular yield and viability,55, 57, 58 but when financial considerations are taken into account, Percoll remains the best solution. This last purification step was repeated three times to eliminate most of the exocrine tissue; many protocols have recourse to manual selection, which can be time-consuming.10, 11, 25
RPMI-1640 medium has been shown to be optimal for maintaining islets into culture59 and was therefore used in the present study. Exocrine tissue cells secrete a variety of digestive enzymes, which have been shown to affect negatively islet health and decrease GSIS.60 Few remaining exocrine acini were obtained after the Percoll purification step; however, most of this tissue contained dead cells as revealed by Trypan blue and propidium iodide, and these remnants were completely eliminated after 3 days of culture. In addition, islet fragmentation has been noted and associated with an islet diameter of <100 μm,61 but in our study the highest frequency of size distribution was between 100 and 200 μm, indicating the absence of tissue fragmentation. Finally, it has been demonstrated that islets subjected to harsh conditions while digesting pancreas, and culturing thereafter can result in survival impairment and activation of several death pathways, mediating islet loss of integrity.62, 63 In the present study, cell viability was stable throughout the duration of culture as assessed by Trypan blue, propidium iodide, and MTT, indicating favorable isolation and culture conditions. In fact, these simple cell viability and metabolism assays have been shown as reliable tools correlating with islet health and function.25, 64 In addition, and as the expression profile of bcl and caspases proteins has been used as a molecular marker for islet cell death, we sought to evaluate the expression of these proteins as an early indicator for apoptosis and as a molecular marker for the general healthy status of the cells. In fact, the role of caspases in the regulation of apoptotic rodent as well as human pancreatic islet β-cells such as in glucotoxic conditions has been well determined.65, 66 Several in vitro studies have suggested that caspase-3 activation is essential for β-cell apoptosis.67, 68 Other studies have indicated that chronic hyperglycemia increases cell death through the intrinsic apoptotic pathway by activating bax and caspase-3.69 Moreover, bcl2 family and bax have been used as molecular markers for islet cell death by apoptosis.70 High glucose has been shown to cause apoptosis of human pancreatic islet cells in vitro, possibly by unbalancing the expression of several bcl family members.71 Also, bcl2, bax, and caspase-3 have been shown as critical mediators in high-glucose-mediated islet apoptosis.72, 73 Finally, bag-1 overexpression in islets seemed to enhance protection from apoptosis.74 In the present study, the expression of pro- and antiapoptotic, as well as islet-specific genes, was stable during the culture period, indicating an overall healthy islet cell status.
Variations in the total islet mass per pancreas as well as the cellular-type composition has been shown to exist between inbred mice strains, and the islet number seemed to depend greatly on the genetic background;75 in addition, age differences among the same animal species have been noted.76, 77 Thus, extremely various islet yields have been described ranging from a few hundred to several thousand. Consequently, after taking into account the different methods of isolation and the enzyme solutions used, it is difficult to predict a precise yield for each animal strain. To evaluate the reproducibility of the present protocol among rodents, islets from male and female mice of different ages as well as from rats were isolated. Neither sex nor mouse strain affected the yield, but a tendency to a slightly lower islet count was noted with age. In fact, age has been shown to result in islet dysfunction and cell cultures that are more difficult to maintain.76, 78, 79, 80 In addition, a higher yield was obtained with rats as compared with mice, which could be because of the weight of the mammal species as described previously.23, 25, 77, 81
A fundamental characteristic of islets is the secretion of hormones to maintain glucose homeostasis. The last phase of hormone secretion, GSIS, other key elements such as GSCa and glucose uptake are crucial for reporting on the overall cellular machinery status, and thus should be systematically coupled to the routinely used GSIS. To assess GSIS, the islets were first incubated with a normal glucose medium and then challenged by a higher concentration. Isolated islets possessed the typical biphasic response with a first spike resulting from predocked insulin granule release, followed by a sustained secretion second phase as described previously.28, 82 GSIS was stable after 5 days of culture, indicating that the healthy status of cells was maintained. Insulin secretion is tightly regulated by intracellular Ca2+,29, 30 thus GSCa is also an important parameter for evaluating islet function. Similar to GSIS, GSCa presented a biphasic response that was maintained after culture. In fact, voltage-gated Ca2+ channel activation results in the fast elevation of cytosolic Ca2+, followed by slower oscillations mediated by non-selective Ca2+ channels.30 In diseased islets from high-fat diet animal models, calcium dynamics are markedly affected with decreased first phase as well as almost-blunted oscillatory response.83 Several other models of β-cell stress show markedly reduced calcium response to glucose, attributed to changes in calcium protein expression,84 impaired glucose metabolism,85 or abnormal calcium handling.86, 87 In our experimental conditions, we obtained similar calcium response as previously described in normal animals;83, 86 the oscillatory phase was stable for 5 days in culture, further confirming the healthy oscillatory profile. Finally, we measured glucose uptake in islets using the fluorescent 2-NBDG to assess the integrity of glucose transporters. 2-NBDG has been described as a surrogate for radiolabeled tracers for measuring glucose uptake in single living cells.36, 37, 38, 39, 40 In the present study, islets retained intact glucose transport after culture for several days.
To validate the present approach, the most commonly used islet isolation protocol, via CBD injection, was also performed and compared with the present study. Islets isolated using both protocols represented similar phenotypic and functional characteristics.
GSIS relies mostly on Ca2+ entry through voltage-gated Ca2+ channels; however, the pulsatile properties of insulin secretion are highly complex and still poorly understood. A number of ionic conductances, such as that of the TRP family, have been suggested to have a role in Ca2+-mediated insulin secretion.31, 32, 88, 89, 90, 91, 92, 93 TRP channels form Ca2+ non-selective channels implicated in various cellular functions.94 Therefore, to validate the islet isolation approach of the present study, we sought to assess the implication of the TRPC channel family in insulin secretion. The isolated islets were incubated with different TRPC inhibitors, and knockdown of the proteins was performed by siRNAs. When cells were stimulated with high glucose, the presence of TRPC inhibitors not only diminished the first phase of Ca2+ entry and insulin secretion but also the second oscillation phase. This indicates that these channels participate in the depolarization process and activation of the voltage-gated Ca2+ channels as well as the amplification Ca2+ signal afterwards to maintain the insulin secretion. Future studies should further dissect the mechanisms by which these channels participate in the insulin secretion machinery. As such, TRPC channels might represent potential and interesting targets for drug development for diabetes, especially where defects in Ca2+ and insulin oscillations are observed.
In conclusion, in this study we describe an islet isolation protocol that combines functional and phenotypic characterization. This method yields better quality functional islets for use in studying normal and diseased β-cells. Furthermore, this approach was used to determine new ion channel candidates implicated in insulin secretion.
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This work was supported by the Research Council of the Saint Joseph University—Faculty of Medicine.
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This study presents a procedure for reproducible isolation and evaluation of normal and diseased pancreatic islets. The authors present islet quality tests and functional assessments as standard checkpoints for studies relating to beta cells. As proof of concept, this approach was used to uncover a new ion channel candidate implicated in insulin secretion, transient receptor potential canonical channels.
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Saliba, Y., Bakhos, JJ., Itani, T. et al. An optimized protocol for purification of functional islets of Langerhans. Lab Invest 97, 70–83 (2017). https://doi.org/10.1038/labinvest.2016.123
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DOI: https://doi.org/10.1038/labinvest.2016.123