Introduction

The rise of high-throughput sequencing technologies has transformed the use of transcriptomics and enabled the study of gene expression in unprecedented detail. However, concerns regarding the quality and accuracy of transcriptomic data have emerged. Analyses have uncovered the presence of ex vivo activation gene signatures resulting from cell isolation techniques across various tissues and organs1,2,3,4,5,6. These findings emphasize the importance of rigorous quality control assessments as well as offer insights into biases introduced during sample preparation. Indeed, once cells are removed from their in vivo environment, induced cellular stress responses can have wide-reaching impacts on RNA profiles, causing RNA landscapes to gradually lose in vivo relevance2.

Ongoing studies are addressing these concerns by attempting to implement standardized protocols, improving isolation techniques, and developing computational methods to account for potential artifacts2,7,8. In fact, over the last century, there has been a shift to maintain cells and tissues in cold conditions during storage9,10 and isolation to mitigate transcriptional changes11. However, not all tissues may be amenable to cold processing. For example, peripheral blood mononucleated cells (PBMCs); the main immune cells of the body, are most commonly isolated at room temperature (RT) using density gradient centrifugation. The option of cold processing has been largely disregarded, possibly due to concerns about the effectiveness of cell separation and apprehensions regarding unforeseen consequences associated with cold processing methods, such as effects on survival. While these hypothetical limitations exist, it remains unclear what optimizations would be required to efficiently isolate PBMCs at cold temperatures, or whether cold processing offers any benefit to standard PBMC isolation protocols. Recently, Marsh et al. utilized another method to mitigate processing artifacts. Using transcription and translation inhibitors (TTis), they revealed that immune cells from the brain and blood are particularly vulnerable to ex vivo activation during enzymatic digestion at 37 °C and that the inclusion of TTis such as anisomycin, triptolide, and actinomycin D reduces the expression of 9 activation signature genes (ASGs), including AP1 complex genes (JUNB, JUN, FOS), as well as DUSP1 (dual specificity phosphatase-1), NFKB1A (NF-kappa-b alpha subunit), ZFP36 (zinc finger protein-36), DDIT4 (DNA damage-inducible transcript-4), CXCR4 (CXC-motif chemokine receptor-4), and CCL4 (chemokine ligand-4)12.

Here, we examine the effects of these ASG-mitigating methods; TTis and cold processing on the transcriptome of PBMCs. We show that TTis indeed do reduce ASG expression caused by standard RT processing, however they also block the ability of PBMCs to respond to stimuli thereafter. On the other hand, we reveal that using a cold isolation protocol similarly dampens ASG expression and that the addition of TTis during cold isolation offers minimal additional advantage. Thus, while both TTis and cold isolation effectively reduced ASG expression, TTis should be used with caution if PBMCs are to be used for future functional assays.

Results

Transcription and translation inhibitors reduce activation signature gene expression

We first determined if ASG expression is regulated in PBMCs when using a traditional isolation protocol compared to that of PBMCs collected with a TTi cocktail (all at RT with Red Blood Cell (RBC) lysis buffer) as described by Marsh et al. (Fig. 1A). We performed bulk RNA sequencing on PBMCs and found a total of 293 differentially expressed genes (DEGs), of which the vast majority were down-regulated (Fig. 1B). We also compared the effects of adding RBC lysis buffer in multiple conditions to determine if this influenced the DEGs. Interestingly, regardless of how PBMCs were isolated, either at RT (Fig. S1A–C) or in cold conditions (Fig. S1D–F), RBC lysis buffer led to few significant DEGs; 28 DEGs at RT (Fig. S1B), 45 DEGs in cold conditions (Fig. S1E). Intriguingly, when we made the same comparisons, but under TTis conditions, we observed a larger number of DEGs (274 DEGs) but only in the RT condition (Fig. S1C) versus 21 DEGs with cold (Fig. S1F). This suggests that the addition of TTis at RT triggers a transcriptomic response that is inhibited when PBMCs are processed cold or when RBC lysis buffer is added. Next, enrichment analysis was performed on the 280 DEGs decreased by TTis. Kyoto encyclopedia of genes and genomes (KEGG) revealed enrichment in pathways related to cell contact, apoptosis, and inflammatory IL-17 signaling following addition of TTis (Fig. 1C). Gene ontology (GO) analysis for cellular compartment (CC) found strong enrichment of AP-1 complex genes including FOS, JUNB, and JUN genes, likewise identified by Marsh as well as cytoskeleton-related pathways (Fig. 1D). Also in line with the Marsh findings, we observed reduced expression of their proposed ASG set following addition of TTis, with all but DDIT4 being significantly down-regulated (Fig. 1E).

Figure 1
figure 1

Transcription and translation inhibitors reduce activation signature genes. (A) Schematic of the experimental plan comparing the transcriptomic signatures from PBMCs isolated using a traditional protocol and PBMCs treated with and without a TTi cocktail (n = 2/condition). (B) Volcano plot of 293 DEGs identified in the TTi-treated PBMCs compared to the traditional protocol. (C) Enrichment analysis of the 280 down-regulated DEGs revealed enrichment in KEGG pathways related to cell contact, apoptosis, and inflammatory IL-17 signaling. (D) Gene ontology (GO) enrichment analysis for cellular compartment (CC) showed strong clustering of AP-1 complex genes (FOS, JUNB, and JUN) and genes involved in multiple cytoskeleton-related pathways. (E) Bar graphs of the activation signature gene (ASG) set identified by Marsh et al. Error bars represent mean ± SEM. Significance was set at p-value < 0.01 and an absolute log2FoldChange value of 0.58 (1.5-fold). Refer to Table S1 for raw transcriptomic data and Table S2 for complete DEG lists.

This data demonstrates that ASG expression in PBMCs is triggered by a traditional isolation protocol at RT, even with rapid isolation, and addition of TTis significantly reduces this activation.

PBMCs treated with TTis during the isolation protocol no longer respond to stimuli in vitro

Considering that TTis essentially freeze gene expression, we next asked whether cells isolated in the presence of TTis would remain responsive to subsequent stimulation in vitro. PBMCs isolated with and without TTis were treated with the pro-inflammatory stimulus lipopolysaccharide (LPS) for 6 h, either directly after isolation (Fig. 2A–C) or 18 h after (Fig. 2A,D,E). The gene expression of immune effectors IL1β and IL6 indicated that PBMCs not exposed to TTi responded sharply to LPS, exhibiting increased expression of IL1β (Fig. 2B, 2-way ANOVA Sidak's post hoc, p = 0.0256) and IL6 (Fig. 2C, 2-way ANOVA Sidak's post hoc, p = 0.0816) when exposed to LPS immediately after plating, as well as 18 h after; IL1β (Fig. 2D, 2-way ANOVA Sidak's post hoc, p = 0.0043) and IL6 (Fig. 2E, 2-way ANOVA Sidak's post hoc, p = 0.0011). However, PBMCs treated with TTi during isolation showed no increase in IL1β (Fig. 2B, 2-way ANOVA Sidak's post hoc, p > 0.9999) or IL6 (Fig. 2A,C, 2-way ANOVA Sidak's post hoc, p > 0.9999) when treated either immediately after plating, or 18 h later (IL1β: Fig. 2D, 2-way ANOVA Sidak's post hoc, p = 0.9858; IL6: Fig. 2E, 2-way ANOVA Sidak's post hoc, p = 0.9761), indicating complete unresponsiveness to LPS.

Figure 2
figure 2

PBMCs treated with TTis during the isolation protocol no longer respond to stimuli in vitro. (A) Schematic of the experimental plan where PBMCs isolated with and without TTis were subjected to LPS stimulation for 6 h either immediately after isolation or 18 h post-isolation (n = 2/condition). (B) Gene expression analysis of IL1β in PBMCs showed a significant increase in cells not exposed to TTi when treated with LPS at 0 h post-treatment (p = 0.0256, 2-way ANOVA Sidak's post hoc), while no significant increase was observed in cells treated with TTi (p > 0.9999, 2-way ANOVA Sidak's post hoc). (C) Gene expression analysis of IL6 in PBMCs exhibited a trend towards increased expression in cells not exposed to TTi (p = 0.0816, 2-way ANOVA Sidak's post hoc) when treated with LPS at 0 h post-treatment, whereas no significant increase was observed in cells treated with TTi (p > 0.9999, 2-way ANOVA Sidak's post hoc). (D) Gene expression analysis of IL1b in PBMCs exhibited increased expression in cells not exposed to TTi (p = 0.0043, 2-way ANOVA Sidak's post hoc) when LPS stimulation was performed 18 h after TTi treatment, no significant increase was observed in cells treated with TTi (p = 0.9858, 2-way ANOVA Sidak's post hoc). (E) Gene expression analysis of IL6 in PBMCs exhibited increased expression in cells not exposed to TTi (p = 0.0011, 2-way ANOVA Sidak's post hoc) when LPS stimulation was performed 18 h after TTi treatment, no significant increase was observed in cells treated with TTi (p = 0.9761, 2-way ANOVA Sidak's post hoc). Error bars represent mean ± SEM. Significance was set at p-value < 0.05.

These results reveal that while TTis may offer advantages when RT dissociation is required, a repercussion is the loss of the cells' ability to respond to stimuli in vitro.

Cold isolation of PBMCs also down-regulates activation signature genes compared to RT

In other tissues, it is common practice to preserve in vivo gene expression states by keeping cells cold during isolation13. However, it has been assumed that maintaining cells at cold temperatures during PBMC isolation may not be feasible14. As the use of TTis is both costly and inflexible, our next objective was to isolate PBMCs while maintaining the workflow at 4 °C (cold) compared to a traditional PBMC isolation protocol at RT (Fig. 3A) to determine if we can use cold conditions to suppress ASG expression. RNA sequencing analysis revealed a total of 111 DEGs, with 38 up-regulated DEGs in cold samples and 73 down-regulated DEGs (Fig. 3B). Pathway analysis of the down-regulated DEGs demonstrated enrichment in immune-related processes based on KEGG pathways (Fig. 3C), while GO CC revealed a significant enrichment of AP-1 pathway genes, including JUNB, JUN, and FOS (Fig. 3D). Intriguingly, maintaining cells in cold conditions significantly reduced the expression levels of all ASGs down-regulated by TTis, except for CCL4 (Fig. 3E). Collectively, this data demonstrates that PBMCs isolated cold exhibit low expression levels of ASGs compared to RT.

Figure 3
figure 3

PBMCs processed cold compared to RT show down-regulation of activation signature genes. (A) Schematic of the experimental plan where PBMCs were isolated using a traditional protocol at either cold or room temperature (RT) (n = 2/condition). (B) Volcano plot of RNA sequencing analysis revealing a total of 111 DEGs, with 38 up-regulated DEGs and 73 down-regulated DEGs in PBMCs isolated cold compared to RT. (C) KEGG pathway analysis of the down-regulated DEGs revealed enrichment in immune-related processes. (D) Gene ontology (GO) cellular compartment (CC) analysis demonstrated a significant enrichment of AP-1-stimulated pathway genes, including JUNB, JUN, and FOS (D). (E) Bar graphs of the activation signature gene (ASG) set identified by Marsh et al. Error bars represent mean ± SEM. Significance was set at p-value < 0.01 and an absolute log2FoldChange value of 0.58 (1.5-fold). Refer to Table S1 for raw transcriptomic data and Table S2 for complete DEG lists.

Addition of TTis during cold PBMC isolation offers minimal transcriptomic advantage

Given the protective effect of keeping cells cold and the limitations imposed by the addition of TTis, the degree of transcriptomic similarity between PBMCs isolated cold and those processed with TTis was evaluated (Fig. 4A). A comparison of the 157 DEGs decreased by cold processing (cold vs RT, all with RBC lysis buffer and without TTi) and the 280 DEGs decreased by the addition of TTi (+TTi vs −TTi, all with RBC lysis buffer processed at RT) revealed 64 DEGs shared between both processing methods (Fig. 4B). Direct comparison of the expression of these 64 DEGs showed that most ASGs are similarly down-regulated by both methods; JUN, DUSP1, FOS, ZFP36, NFKBIA, CXCR4, and JUNB (Fig. 4C). Pathway analysis of these shared DEGs predominantly identified immune-related KEGG pathways (Fig. 4D), while GO CC revealed significant enrichment for AP-1 complex genes JUN, JUNB, FOS, along with platelet-, transcription-, and DNA-related compartments (Fig. 4E). Intriguingly, 92 DEGs were selectively modified in cold samples, and a separate 216 DEGs were altered in TTi-processed samples. GO and KEGG pathway analysis of the DEGs specifically down-regulated by cold processing showed enrichment in ribosome-related processes (Fig. S2A,B), while those down-regulated specifically by the addition of TTi were enriched in various processes, including platelets, cytoskeleton, and immune cell signaling (Fig. S2C,D). To evaluate if keeping cells cold prevented ex vivo activation to the extent that the addition of TTi would no longer provide any benefit, we performed an additional experiment where TTi inhibitors were added, and cells were kept cold during the isolation protocol (Fig. 4F). Interestingly, only 20 DEGs were observed, with 3 down-regulated and 17 up-regulated when cells were harvested under these conditions. This indicated that the addition of TTi offers little advantage when cells are maintained in cold conditions during isolation (Fig. 4G). Furthermore, the comparison of expression levels of the Marsh ASGs showed no significant differences between these conditions (Fig. 4H).

Figure 4
figure 4

Transcription and translation inhibitors offer little transcriptomic advantage when a cold PBMC isolation protocol is used. (A) Schematic of the experimental steps to compare the degree of transcriptomic similarity between PBMCs isolated cold and those processed with TTi (n = 2/condition). (B) Venn analysis of the differentially expressed genes (DEGs) decreased by cold processing and those decreased by the addition of TTi revealed 64 shared DEGs between both methods. (C) Heatmap of log2FC for shared DEGs decreased by cold processing or the addition of TTis. (D) KEGG pathway analysis of the shared DEGs predominantly identified immune-related pathways. (E) Gene ontology (GO) cellular compartment (CC) analysis revealed significant enrichment for AP-1 complex genes (JUN, JUNB, FOS) and other relevant compartments. (F) Schematic of experiment conducted where TTi inhibitors were added, and cells were kept cold during the isolation protocol. (G) Volcano plot of DEGs when TTis are added to cold cell isolation showing 3 down-regulated and 17 up-regulated. (H) Bar graphs of the activation signature gene (ASG) set identified by Marsh et al. Error bars represent mean ± SEM. Significance was set at p-value < 0.01 and an absolute log2FoldChange value of 0.58 (1.5-fold). Refer to Table S1 for raw transcriptomic data and Table S2 for complete DEG lists.

Collectively, this data illustrates a shared mechanism by both processing methods that converges to regulate multiple genes including AP-1 complex members.

Thawed PBMCs show transiently increased activation gene expression in vitro

An advantage of PBMCs is their ability to be cryopreserved for subsequent experiments. However, how cryopreservation and time post thaw (pt) affect the transcriptome of PBMCs remains nebulous. Moreover, in an attempt to mitigate freeze/thaw-induced stress, some groups acclimate their cells in vitro after cryopreservation15, however we were unable to find any evidence on how time pt impacts ASG expression of PBMCs. In order to investigate this, we performed RNA sequencing on PBMCs immediately after thawing (t0pt) and compared them to PBMCs that were cultured for either 2 h (t2pt) or 24 h (t24pt) (Fig. 5A–F). Global transcriptomic differences were observed among all three time points, as revealed by principal component analysis (Fig. 5B). Comparing the transcriptome between t0pt and t2pt, 4978 DEGs were identified (2256 down-regulated, 2722 up-regulated). The number of DEGs between t0pt and t24pt totalled 2269 (1228 down-regulated, 1041 up-regulated) (Fig. 5D), approximately half of what was observed between t0pt and t2pt. Interestingly, GO enrichment analysis of the down-regulated DEGs between t24pt and t0pt showed enrichment for AP-1 complex genes (JUN, JUNB, JUND, and FOS), along with vesicular trafficking-related compartments (Fig. 5E). Analysis of ASG expression levels (Fig. 5F) demonstrated that AP-1 complex genes (JUNB, JUN, FOS) and DUSP1 decreased from t0pt to t2pt and continued to decline over 24 h pt. In contrast, immune-related genes (NFKB1A, ZFP36, DDIT4, and CXCR4) either showed no change or significantly increased from t0pt to t2pt and sharply decreased by t24pt (Fig. 5F). CCL4, however, exhibited an increase from t0pt to t2pt and remained elevated at t24pt (Fig. 5F). To assess the kinetics of ASGs related to stress and immunity, we assessed how time pt affects stress signature (JUNB, FOS, DUSP1, CCL4) and cytokine genes (IL1β, IL6). We plated cryopreserved PBMCs in vitro for 0, 2, 6, 24, 48, and 72 h (Fig. 5G,H). We found that JUNB and FOS expression was similar at t0 and t2, then declined with time in vitro. DUSP1 and CXCR4 expression was approximately four to eightfold higher at t2 compared with t0 and declined with time in vitro. CCL4 was ninefold higher at t2 compared to t0, increased until t6 then began to decline with time in vitro (Fig. 5G). Expression of cytokines IL1β and IL6 were approximately 16-fold higher at t2 from t0, peaked at t6, and declined thereafter (Fig. 5H). This was consistent with the RNA sequencing data where IL1β and IL6 were significant DEGs between t2pt and t0pt but not t24pt and t0pt (Table S2).

Figure 5
figure 5

Cultured PBMCs show increased activation post thaw that dampens with time in vitro. (A) Schematic of the experimental plan for time post thaw analysis of cryopreserved PBMCs. (B) Principal component analysis revealed global transcriptomic differences among the three time points (n = 3/condition). (C) Volcano plots of transcriptomic differences between 0 pt (t0pt) and 2 pt (t2pt) showing 4978 DEGs, with 2256 down-regulated and 2722 up-regulated. (D) Volcano plots of transcriptomic differences identified between t0pt and 24 pt (t24pt), with a total of 2269 DEGs (1228 down-regulated, 1041 up-regulated). (E) Gene ontology (GO) enrichment analysis of the down-regulated DEGs between t24pt and t0pt showed enrichment for AP-1 complex genes (JUN, JUNB, JUND, and FOS), along with vesicular trafficking-related compartments. (F) Bar graphs of the activation signature gene (ASG) set identified by Marsh et al. (G) Plot showing changes over time post thaw in mRNA expression of ASGs (JUNB, FOS, DUSP1, CCL4, and CXCR4) relative to their expression at t0pt (n = 5/condition). (H) Plot showing changes over time post thaw in mRNA expression of immune genes (IL1b and IL6) relative to their expression at t0pt (n = 5/condition). Error bars represent mean ± SEM. Significance was set at p-value < 0.01 and an absolute log2FoldChange value of 0.58 (1.5-fold). Refer to Table S1 for raw transcriptomic data and Table S2 for complete DEG lists.

These findings highlight the impact of time post thaw on ASGs in cryopreserved PBMCs, with longer time in vitro (24–72 h post thaw) having lowest expression of activation and immune-related genes.

Discussion

To obtain comparable transcriptomic signatures, it is critical for the field to agree on a standardized method for processing PBMCs prior to analysis. Cold isolation protocols and TTis have both emerged as potential strategies for preserving in vivo cellular signatures11,12. Cold isolation, by maintaining low temperatures during cell isolation, aims to minimize transcriptional changes and preserve the original gene expression profile. On the other hand, TTis halt transcription and translation processes, effectively freezing the cellular transcriptome and proteome at the time of treatment12,16. In this article, we explore the positive and negative implications of each approach and highlight their shared mechanisms in order to inform decision making for experimental designs.

TTis effectively suppress ASG expression triggered during PBMC isolation

Recently, Marsh et al.12 demonstrated that TTis effectively suppress an ex vivo triggered response, which represents artificial changes in the transcriptomic profile of cells upon their removal from the body, and that this suppression occurs through an AP-1-mediated mechanism. However, it should be noted that their study included additional mock digestion steps, including a 30-min enzyme incubation at 37 °C during PBMC isolation which are not necessary or commonplace in other labs. Thus, it remained unclear whether this signature was present in PBMCs isolated using traditional procedures. To investigate the practicality of TTis for PBMCs in a standard PBMC isolation protocol, we began by confirming that the TTis suppress ASG activation in PBMCs (Fig. 1). In line with the findings of Marsh et al.12, we identified several down-regulated DEGs in samples treated with TTis vs those non-treated and very few upregulated DEGs. Among the most highly down-regulated genes are the signature genes identified by Marsh: FOS, DUSP1, JUN, and JUNB. Together, these genes drive “Transcription factor AP-1 complex” as the most significant GO term associated with the addition of TTis. This data demonstrates that TTis can effectively suppress genes that would otherwise become activated during standard PBMC isolation protocols.

PBMCs no longer respond to stimuli in vitro following TTi treatment

Since TTis need to be added immediately once whole blood is collected, our next concern was that PBMCs treated with TTis may be irreversibly inhibited such that in vitro studies become infeasible. It would be ideal if these inhibitors could accommodate in vitro assays because if not, an entire vial of collected PBMCs would need to be dedicated solely to sequencing, thereby wasting cells that might otherwise be used to generate functional data17. To address this concern, we performed LPS stimulation either immediately or 18-h after plating (Fig. 2). This way, we could evaluate whether cells are immediately unresponsive following treatment with TTis, and if so, whether this effect is reversible. Surprisingly, in both conditions we found a complete lack of LPS response by PBMCs that were isolated with TTis. This reveals that isolation of PBMCs in the presence of TTis blocks their transcription and translation abilities for at least 18–24 h, a key limitation.

Cold processing is sufficient to suppress ASG expression in PBMCs

The widespread use of cold processing to minimize RNA degradation while slowing cellular metabolism for other cell and tissue types led us to next assess the feasibility of keeping PBMCs cold during isolation as an alternative to TTis (Fig. 3). In comparing the DEGs between cold and RT processing, we observed the down-regulation of 73 genes in the cold condition, while 38 genes were upregulated (albeit with relatively lower significance compared to many down-regulated genes). Interestingly, genes down-regulated by this condition included the AP-1-related ASGs whose activation was similarly suppressed by addition of the TTis. Of the ASGs identified by Marsh et al.12, all showed either a statistically significant decrease or a trended decrease in gene expression; except for CCL4 (Fig. 3E). Kinetic evaluations of CCL4 have previously revealed this gene to be expeditiously expressed following stimulation18, and as such it is likely that this gene activated prior to the cells attaining a cold temperature. Moreover, our time-course post thaw study showed that CCL4 expression stays high for up to 72 h in vitro (Fig. 5G). Together, this data demonstrates that cold processing can be a viable strategy for suppressing ASGs in PBMCs.

TTis and cold approaches act on shared regulatory mechanisms

To determine if TTis and cold processing share common regulatory mechanisms, we analyzed DEGs down-regulated by both methods. Intriguingly, we observed 64 shared genes; 41% of cold and 23% of TTi treated, which showed a 400-fold GO enrichment in AP-1 complex genes FOS, DUSP1, JUN, and JUNB. The clear enrichment in AP-1, a complex of transcription factors that regulate gene expression in response to a variety of stimuli including cytokines, growth factors and stress19,20,21,22, shows that temperature and time ex vivo also activate this complex. In addition, KEGG pathway analysis of the shared DEGs show enriched in inflammation-related processes including IL-17 and TNF signaling, as well as response to infection. Interestingly, comparing the levels of transcriptomic suppression of these common DEGs across methods showed that many are down-regulated to a similar degree (Fig. 4C). We did observe two genes that are markedly more suppressed in the cold condition; C-X-C Motif Chemokine Ligand 8 (CXCL8) and G0/G1 Switch 2 (G0S2). CXCL8 is involved in TNFα signaling23. The enhanced down-regulation of this gene in the cold condition likely represents a stronger anti-inflammatory effect being exerted on the PBMCs, yet this observation could also be an indicator of differential regulation of apoptosis24. Similarly, G0S2 is known to be involved in enacting sudden metabolic shifts25, while also positively regulating apoptosis26, thus the down-regulation of this gene may carry anti-apoptotic effects as well. Of the DEGs that are commonly down-regulated, there is also a broad class that are more down-regulated in the TTi condition including; Heart tissue-associated transcript 92 (HRAT92), Triggering Receptor Expressed On Myeloid Cells Like 1 (TREML1), H3 Clustered Histone 10 (HIST1H3H), and Myosin Light Chain 9 (MYL9), which are implicated in a wide variety of cellular functions including transcriptional regulation, antigen presentation, histone assembly, and intracellular transport27,28,29,30. This hints at broad transcriptional down-regulation that is accentuated by TTis over standard or cold processing strategies, far beyond effectively reducing ASG expression in PBMCs.

Cold-induced changes in PBMC yield are unlikely to drive transcriptional changes

To preserve cell isolation integrity during density gradient centrifugation in our cold processed conditions we made the exception to keep the Ficoll at room temperature in all isolation conditions, however centrifugation steps and all other reagents were still at 4 °C for the cold conditions. We qualitatively assessed the separation of the respective buffy coats while ensuring that consistent PBMC pellets were collected across the temperatures, noticing no significant differences. Moreover, trypan blue quantification revealed similar cell yield and viability. Within the bulk RNA sequencing data, we monitored GO terms to ensure that there weren’t any DEG clusters enriched for markers of specific cell types. In addition, many of the genes dysregulated by temperature were shared by the TTi condition, providing further confidence that these DEGs aren’t driven by temperature-dependent cell type differences. Altogether, we found no evidence that cold isolation altered cell proportions or yield to drive DEG expression.

Time resting in vitro reduces ASGs after thawing but alters the transcriptome

Several groups culture cells in vitro prior to downstream analysis15, we explored the transcriptomic effects of the temporal landscape experienced by PBMCs. We noted a significant change in approximately 5000 genes when comparing 2-h in vitro against immediately harvested cells post thaw (t0pt). Similarly, there are over 2000 DEGs between 24-h in vitro and t0pt. Intriguingly, we found that ASG expression levels generally decreased following 2-h in culture, but that their expression levels fell to insignificant levels following 24-h in culture. Overall, our data suggests that transcriptional changes tend to stabilize after approximately 24-h in vitro, making this a more ideal time to compare expressional profiles across conditions. These results indicate that acclimating cells for 24 to 72 h in vitro can reduce activation signatures. However, our findings also suggest that broad transcriptomic changes remain.

Pros and cons of cold processing and TTis

When choosing between cold processing and adding TTis to PBMC processing protocols, consider that both methods effectively suppress gene expression quickly and efficiently. However, there are potential drawbacks to consider for each. Acute cold isolation protocols are effective at diminishing ASG expression, however, maintaining blood at cold temperatures prior to PBMC isolation for greater than 6-h has been shown to reduce PBMC viability and influence purity7. TTis can also have unintended consequences on cellular functions beyond gene expression. For example, we observed 216 DEGs selectively down-regulated by TTis (Fig. S2C,D) which were enriched for pathways related to red blood cells and cytoskeleton dynamics and that were not altered by cold processing. By blocking protein synthesis, TTis can disrupt normal cellular processes, potentially impacting cell viability, proliferation, and metabolism. Moreover, as we show here, TTis can interfere with the ability of cells to respond to stimuli, impairing their capacity to mount appropriate immune or stress responses. This limitation is particularly relevant when studying PBMCs, as their responsiveness to external signals is often critical for downstream experiments.

Recommendations for rapid PBMC processing

It is important to recognize that our study processes PBMCs immediately. In cases where the whole blood is collected and then left idle for a period of time prior to PBMC isolation, we do not recommend leaving the whole blood cold7 or for long periods of time31, as previous work has shown that this can result in changes in gene expression, reduced viability and contamination with non-PBMC cell types. We strongly urge prioritizing the immediate PBMC processing to minimize ex vivo changes. In situations where it is desirable to block transcriptional changes in whole blood, where cells can not be processed immediately, and where there is not an interest in observing the cells’ in vitro performance, it may be sensible to treat the whole blood with TTis. Importantly, we observed a previously unreported hemolytic effect caused by the TTi administration and internal testing showed that it was necessary to predilute the TTis in at least 500 μl of PBS per 10 ml of whole blood in order to quell the hemolysis. In other contexts, isolating the PBMCs cold can be a viable alternative: easier, less expensive, and more flexible for downstream applications. Also, to keep in mind, since PBMCs are immune cells, it is not surprising that many of the DEGs we observe are immune-related. However, as immunity and immune responsiveness can differ from one individual to another and during aging32,33, the use of appropriate controls when comparing study parameters is vital.

In summary, while RNA sequencing has provided powerful insights into gene expression, it has also revealed shortcomings in our cell isolation methods. Finding optimal protocols to best preserve the in vivo cellular state is crucial for obtaining high-quality and biologically meaningful results. Our study shows that processing conditions can have fundamental effects on cellular behaviour and gene expression. With this in mind, considering sample processing such as time ex vivo and temperature in the experimental design, as well as reporting these in detail in method sections, is critical to obtain accurate cellular profiling and useful biological interpretations. By comparing the ability of two isolation methods to mitigate ex vivo gene activation, we found that while TTis are effective for suppressing ex vivo ASG expression, their cost and inflexibility supports the use of alternative strategies for suppressing ASG expression in PBMCs, such as by processing the cells cold. Importantly, adding TTis to a cold isolation offered limited advantages. Together, our findings highlight the importance of selecting appropriate cell isolation methods to favour accurate biological profiling in studies involving immune cells.

Materials and methods

Ethics statement

All experiments were approved by the Research Ethics office of the CRCHUM (2021-91150) or McGill University Research Ethics Office (IRB) of the Faculty of Medicine and Health Sciences (2021-6588) and performed according to relevant guidelines and regulations.

PBMC isolation

For Figs. 1, 2, 3, 4, experiments were performed on n = 2 from blood from subjects; M;64 years and M;47 years. For Fig. 5, sequencing experiments were performed on n = 3 from blood from subjects M;78 years, M;69 years, F;66 years and an additional n = 2 F;69 years, F;63 years were analyzed for (Fig. 5G,H).

For Figs. 1, 2, 3, 4 experiments, Human PBMCs were obtained by drawing blood into lithium heparin-coated tubes (cat#3048749) and for Fig. 5 in BD vacutainer EDTA tubes (cat#366643). The blood collection followed the approved protocol of CRCHUM or McGill University Institutional Review Board, and informed consent was obtained from the participants. PBMC isolation began less than 10 min after the blood was drawn from the body. Briefly, peripheral blood samples were diluted with an equal volume of PBS containing 2 mM EDTA. Ficoll-Paque (cytiva, cat#17144003) was then underlaid, and centrifugation was performed at 800×g for 20 min at room temperature (unless stated otherwise) to separate the middle white phase (buffy coat), which was transferred to a fresh tube. In cases where RBC lysis was required, RBC lysis buffer (BioLegend, cat#420301) was added for 5 min on ice before washing the buffy coat. The enriched mononuclear cells were washed twice with PBS containing 2 mM EDTA and centrifuged at 500×g for 5 min. Cell count and viability were assessed using trypan blue hemocytometer counting. Following isolation and or LPS treatment, cells were pelleted and frozen at – 80 °C until RNA extraction or cryopreserved in freezing media (90% FBS/10%DMSO).

For the addition of the transcription and translation cocktail, inhibitor stock solutions were reconstituted and stored as follows: Actinomycin D (Sigma-Aldrich, cat# A1410) was reconstituted in dimethylsulfoxide (DMSO, Thermo Fisher Scientific, cat# J66650.AE) at a stock concentration of 5 mg/ml and stored at − 20 °C, protected from light. Triptolide (Sigma-Aldrich, cat# T3652) was reconstituted in dimethylsulfoxide at a stock concentration of 10 mM and stored at − 20 °C, protected from light. Anisomycin (Sigma-Aldrich, cat# A9789) was reconstituted in dimethylsulfoxide at a stock concentration of 10 mg/ml and stored at 4 °C, protected from light. All inhibitors were used within 14 days after reconstitution. The final concentrations used were 5 μg/ml of Actinomycin D (1:1000 from stock), 10 μM of Triptolide (1:1000 from stock), and 27.1 μg/ml of Anisomycin (1:368.5 from stock). The inhibitors were added to the whole blood within 5 min of the blood draw.

In the room temperature conditions, all reagents and steps of PBMC isolation, including centrifugation were performed at room temperature.

In the cold condition, the blood was placed on ice 5 min after the draw, all reagents and cells were kept on ice, with exception of the Ficoll that was room temperature and all centrifugations were performed at 4 °C throughout the protocol.

PBMC cultures

LPS treatments

PBMCs were plated at a concentration of 1 million cells/ml and treated with Lipopolysaccharides from Escherichia coli O111:B4 (Sigma-Aldrich, cat# L4391) diluted in RPMI media (Sigma-Aldrich, cat# R0883) with 10% FBS (Thermo Fisher, cat# 122484028) at 100 ng/ml for 6 h. Cells were either immediately exposed to LPS upon plating and harvested at the end of treatment or 18 h after plating and harvested at the end of treatment.

Time post thaw experiments

For time post thaw experiments, cryopreserved PBMC cell vials were thawed briefly in a 37 °C water bath, rinsed with pure FBS (Thermo Fisher, cat# 122484028), and quantified for plating at a concentration of 1 million cells in 1 ml of RPMI media with 10% FBS (as above). After the specified time in vitro, cells were harvested, and RNA was isolated using the Qiagen RNeasy mini kit (Qiagen).

RNA extraction

RNA was purified with the RNeasy mini kit (Qiagen) and quantified using a BioPhotometer plus model 6132 (Eppendorf).

Real-time quantitative PCR

cDNA was prepared using superscript IV VILO (Thermo Fisher Scientific). Real-time quantitative PCR was performed using Taqman master mix (Applied Biosystems) on the QuantStudio7 (Applied Biosystems). Taqman primers (Applied Biosystems): 18S (Hs99999901_s1), ACTB (Hs01060665_g1), IL1b (Hs01555410_m1), IL6 (Hs00174131_m1), DUSP1 (Hs00610256_g1), JUNB (Hs00357891_s1), FOS (Hs00170630_m1), CCL4 (Hs99999148_m1), CXCR4 (Hs00607978_s1). Delta Ct was calculated by normalizing the gene expression of each target mRNA to the expression levels of the housekeeping gene 18S that was found to be stable across experimental conditions.

RNA sequencing

The NEBNext Ultra II directional RNA library prep kit for Illumina (New Englands Biolabs Inc., Ipswich, MA, USA) was used to prepare mRNA sequencing libraries, according to manufacturer’s instructions. Briefly, 150 ng of total RNA were purified using the NEBNext poly(A) mRNA Magnetic Isolation module (New Englands Biolabs Inc., Ipswich, MA, USA) and used as a template for cDNA synthesis by reverse transcriptase with random primers. The specificity of the strand was obtained by replacing the dTTP with the dUTP. This cDNA was subsequently converted to double-stranded DNA and end-repaired. Ligation of adaptors was followed by a purification step with AxyPrep Mag PCR Clean-up kit (Axygen, Big Flats, NY, USA), by an excision of the strands containing the dUTPs and finally, by a PCR enrichment step of 12 cycles to incorporate specific indexed adapters for the multiplexing. The quality of final amplified libraries was examined with a DNA screentape D1000 on a TapeStation 2200 and the quantification was done on the QuBit 3.0 fluorometer (ThermoFisher Scientific, Canada). Subsequently, mRNA-seq libraries with unique dual index were pooled together in equimolar ratio and sequenced for paired-end 100 bp sequencing on an Illumina NovaSeq 6000 at the Next-Generation Sequencing Platform, Genomics Center, CHU de Québec-Université Laval Research Center, Québec City, Canada. The mean coverage/sample was 12 M paired-end reads.

Bioinformatics

The raw paired-end fastq files obtained from RNA-sequencing were aligned to the human hg19 reference genome using STAR aligner (v2.6.1b)34. Next, the gene expression was obtained with FeatureCounts (v2.0.1)35. Group data was analyzed pairwise and normalized using the DESeq2 (v1.40.1)36 generalized linear model in R (v4.2.3). Differentially expressed genes (DEGs) were determined using cutoffs for p-value < 0.01 and an absolute log2FoldChange value of 0.58 (1.5-fold). Principal component analysis (PCA) and bar plots were made using ggplot2 (v3.4.2)37 in R. EnhancedVolcano (v1.18.0)38 was used to produce volcano plots. Pheatmap (v1.0.12)39 was used to produce heatmaps.

KEGG pathway and GO_Cellular component enrichment analysis on DEGs was performed using ShinyGO v0.7740, significance was set to FDR ≤ 0.05 and limited to the top 20 most significant categories for all analyses. For the hierarchical clustering tree summarizing the correlation among significant pathways, the pathways with many shared genes are clustered together. Bigger dots indicate more genes.

Statistical analysis

Statistical analyses were performed using GraphPad Prism, Version 8 (GraphPad Software, Inc). Two-way ANOVA was used when more than two groups were compared with Sidak’s multiple comparison correction when appropriate. Error bars represent mean ± standard error of the mean (SEM). Significance level was set at p ≤ 0.05.

Declaration of generative AI and AI-assisted technologies in the writing process

During the preparation of this work the author(s) used OpenAI/ChatGPT in order to improve readability. After using this tool/service, the author(s) reviewed and edited the content as needed and take(s) full responsibility for the content of the publication.