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Methods in Molecular Biology 2184 Suresh Mishra Editor Immuno- metabolism Methods and Protocols M M B ETHODS IN OLECULAR IO LO GY SeriesEditor JohnM.Walker School of Lifeand MedicalSciences University ofHertfordshire Hatfield, Hertfordshire, UK Forfurther volumes: http://www.springer.com/series/7651 For over 35 years, biological scientists have come to rely on the research protocols and methodologiesinthecriticallyacclaimedMethodsinMolecularBiologyseries.Theserieswas thefirsttointroducethestep-by-stepprotocolsapproachthathasbecomethestandardinall biomedicalprotocolpublishing.Eachprotocolisprovidedinreadily-reproduciblestep-by- step fashion, opening with an introductory overview, a list of the materials and reagents neededtocompletetheexperiment,andfollowedbyadetailedprocedurethatissupported with a helpful notes section offering tips and tricks of the trade as well as troubleshooting advice. These hallmark features were introduced by series editor Dr. John Walker and constitutethekeyingredientineachandeveryvolumeoftheMethodsinMolecularBiology series. Tested and trusted, comprehensive and reliable, all protocols from the series are indexedinPubMed. Immunometabolism Methods and Protocols Edited by Suresh Mishra Faculty of Health Sciences, Department of Internal Medicine, University of Manitoba, Winnipeg, MB, Canada; Faculty of Health Sciences, Department of Physiology and Pathophysiology, University of Manitoba, Winnipeg, MB, Canada Editor SureshMishra FacultyofHealthSciences DepartmentofInternalMedicine UniversityofManitoba Winnipeg,MB,Canada FacultyofHealthSciences DepartmentofPhysiologyandPathophysiology UniversityofManitoba Winnipeg,MB,Canada ISSN1064-3745 ISSN1940-6029 (electronic) MethodsinMolecularBiology ISBN978-1-0716-0801-2 ISBN978-1-0716-0802-9 (eBook) https://doi.org/10.1007/978-1-0716-0802-9 ©SpringerScience+BusinessMedia,LLC,partofSpringerNature2020 Thisworkissubjecttocopyright.AllrightsarereservedbythePublisher,whetherthewholeorpartofthematerialis concerned,specificallytherightsoftranslation,reprinting,reuseofillustrations,recitation,broadcasting,reproduction onmicrofilmsorinanyotherphysicalway,andtransmissionorinformationstorageandretrieval,electronicadaptation, computersoftware,orbysimilarordissimilarmethodologynowknownorhereafterdeveloped. Theuseofgeneraldescriptivenames,registerednames,trademarks,servicemarks,etc.inthispublicationdoesnotimply, evenintheabsenceofaspecificstatement,thatsuchnamesareexemptfromtherelevantprotectivelawsandregulations andthereforefreeforgeneraluse. Thepublisher,theauthors,andtheeditorsaresafetoassumethattheadviceandinformationinthisbookarebelievedto betrueandaccurateatthedateofpublication.Neitherthepublishernortheauthorsortheeditorsgiveawarranty, expressedorimplied,withrespecttothematerialcontainedhereinorforanyerrorsoromissionsthatmayhavebeen made.Thepublisherremainsneutralwithregardtojurisdictionalclaimsinpublishedmapsandinstitutionalaffiliations. Covercaption:Immunofluorescencestainingofmembrane(red)andmitochondrial(green)markersinmacrophage. ThisHumanaimprintispublishedbytheregisteredcompanySpringerScience+BusinessMedia,LLC,partofSpringer Nature. Theregisteredcompanyaddressis:1NewYorkPlaza,NewYork,NY10004,U.S.A. Preface Immunometabolismisanemergingfieldofbiomedicalinvestigationattheinterfaceofthe historicallydistinctdisciplinesofimmunologyandmetabolism[1];itincorporatesboththe roleofimmunecellsinmetabolichomeostasisinthebodyandtheimpactofinterconnected metabolicpathwaysonimmunecellfunctions[2,3].Thebirthofthisnewresearchfrontier can be traced back to the understanding that obesity affects the immune system and promotes inflammation, also known as meta-inflammation (or alternatively chronic low-grade inflammation). For more than 50 years, physicians and scientists have observed a close association between metabolic disorders and systemic inflammation [4]. Studies dating from the 1960s found that individuals with type 2 diabetes mellitus have higher circulating concentrations of active complement and acute-phase reactants [5, 6], both of whichareclassicalmarkersofaninflammatorystate.However,thesiteofinflammationand theirpathologicalimplicationsremainedobscureuntilabout25yearsago[4].Inthe1990s, it was reported that the obesity-induced expression of tumor necrosis factor-α (TNF-α) exists in the adipose tissue of both rodents and humans, and it has been proposed that TNF-α mediates obesity-related insulin resistance [7]. Subsequently, the transcriptional evidence for the presence of macrophages in adipose tissue was found [8, 9]. Later, it was shown that the macrophage levels correlated positively with adiposity, and most of the TNF-α and other inflammatory molecules were derived from adipose tissue macrophages [8,9]. Although the initial immunometabolism studies focused on adipose tissue, it is now evident that the metabolic activation of the immune system is not limited to obesity [4]. Growing evidence suggests that interacting metabolic pathways in immune cells play a central role in their functional plasticity and have been the focus of intense interest as therapeutictargetstoharnessthefullpotentialoftheimmunesystem[2,3].Thescientific communitydoesnotyetfullyunderstandhowandwhyimmunecellscommittoaparticular metabolicfate,ortheimmunologicalconsequencesofreachingametabolicendpointbyone pathway versus another. The multilevel interactions between the metabolic and immune systems suggest pathogenic mechanisms that may underlie many metabolic and immune diseasesandoffersubstantialtherapeuticpromise[1].Researchonimmunotherapyhasbeen conductedforoveracentury;nevertheless,thelastdecadehasseenanincreaseininterestin studying immunotherapy. However, a number of challenges remain due to its limited effectiveness and treatment-related adverse effects. It is anticipated that incorporating immunometabolism and manipulating immune cell functions will provide some much- needed ways to improve the effectiveness of promising immunotherapy, and reduce the unintendedsideeffects,aswellasimprovethetreatmentandpreventionofawidevarietyof pathologiesandchronicdiseases.Thus,themolecularunderpinningofimmunometabolism hasbecomeaprioritytomaximizethetherapeuticefficacyofimmunotherapy. Thisbookisdedicatedtoshowcasingthetremendouseffortandprogressmadeoverthe lastfewdecadesindevelopingtechniquesandprotocols,andinutilizingrecenttechnologi- caladvancesforprobingandmanipulatingadiposeandimmunecells,andsubsequentlytheir functions and immunometabolic consequences. All chapters are written by experts in their particularfieldsandcoverawiderangeoftopicsrelatedtothestudyofimmunometabolism using different experimental approaches in combination with new tools and techniques. v vi Preface Manychaptersinthisprotocolsbookarewrittenusingmacrophagesasamodelimmunecell type(includingmurineandhumancelllines,aswellasprimarycells)becausemacrophages are the most prominent cells of the innate immune system that regulate a variety of inflammatory, host defense, and wound repair processes, and as such have been studied extensively for cell differentiation, gene regulation, and signal transduction. In addition, well-establishedproceduresexisttoisolate,culture,andactivatemouseandhumanmacro- phages.Importantly,anextraordinaryplasticityofmacrophagestotheirsurroundingmicro- environment makes them a unique therapeutic target for a variety of immunometabolic diseases. Moreover, protocols using adipocytes, dendritic cells, and T cells as model cell lines, as well as measurement of glucose metabolism at the systemic level, have also been included,asitrelatestoimmunometabolism. The single-cell RNA sequencing (scRNA-seq) allows an unbiased approach for unco- vering a new level of cellular heterogeneity and dynamics of a diverse biological system, includingtheimmunesystem,asitenablesacomprehensiveanalysisofthetranscriptomeof individual cells by next-generation sequencing. Optimization of the technical procedures performed prior to RNA-seq analysis is imperative to the success of a scRNA-seq experi- ment. Janilyn Arsenio describes three major experimental procedures: (1) the isolation of immuneCD8a+Tcellsfromprimarymurinetissue;(2)thegenerationofsingle-cellcDNA 0 libraries using the 10x Genomics Chromium Controller and the Chromium Single Cell 3 Solution;and(3)cDNAlibraryqualitycontrol.Inthisprotocol,CD8a+Tcellsareisolated from murine spleen tissue, but any cell type of interest can be enriched and used for the single-cellcDNAlibrarygenerationandsubsequentRNA-seqexperiments. Cellular metabolism has emerged as a major player in the regulation of the functional plasticity of different immune cell types. For example, the production of lactate by macro- phages has been associated with their polarization and function. Baeza-Lehnert et al. describeimagingprotocolstocharacterizethemetabolismofculturedhumanmacrophages using a genetically encoded fluorescent sensor specific for lactate. This protocol allows determining the kinetic parameters of monocarboxylate transporter 4 and lactate produc- tionatthesingle-celllevel.Theauthorshavealsoprovidedpracticaladviceregardingsensor expression, imaging, and data analysis. Importantly, the spatiotemporal resolution of this techniqueisamenabletothestudyof fasteventsatthesingle-celllevelindifferentimmune cellsandothercelltypes. Inadditiontothemeasurementofthetranscriptomeandcellularmetabolismatasingle- cell level, recent developments have enabled a parallel analysis of both the transcript and protein at a single-cell level by using antibodies conjugated to barcoded oligonucleotides. These antibodies allow the “i” of protein levels to be presented in nucleotide format, permitting a sequencing-based detection of both modalities at a single-cell level. Tapio Lo¨nnberg and colleagues present a simple and reliable method for the conjugation of oligonucleotides with antibodies and a protocol for their use in single-cell transcriptome sequencing.Thisprotocoladdressesthesignificantchallengesassociatedwiththebiological andfunctionalinterpretationofnewlyidentifiedcellpopulationsusingscRNA-seq. The stable isotope labeling of metabolites is a technique employed to investigate the movementofametabolitethroughacell’senzymaticmachinery.Theinformationobtained fromthisprocessallows for thedeterminingoftherelativefluxesofmetabolitesthrougha biochemical pathway, and the contribution of specific metabolites to the total metabolite pool. For instance, the incorporation of stable isotope labels into specific fatty acids allows for the discrimination of newly synthesized fatty acids from those that are in preexisting pools, or fatty acids that have been imported from an extracellular source. Kevin Williams Preface vii and Steven Bensinger describe a workflow for a total cellular fatty acid analysis in macro- phages, which combines a fatty acid methyl ester analysis (by gas chromatography–mass spectrometry) with isotopic labeling. This approach can elucidate the synthetic pathways beingengagedbythecellsandtherelativecontributionofsynthesisandimporttomaintain lipidcontent,whichisanimportantcomponentofcellular metabolisminimmunecells. Discovery-basedquantitativeproteomicsisausefulmethodtounravelcomplexprotein networks and protein-protein interactions. Saiful Chowdhury and coworkers describe pro- tocolsfortheproteomicsnetworkanalysisofpolarizedmacrophagesinresponsetopro-and anti-inflammatoryagents.Theyprovidedetailedprotocols,aquantitativeproteomicanalysis bymassspectrometrydata,aproteinnetworkanalysisbybioinformatics,andavalidationof targets through biochemical methods (e.g., immunocytochemistry, immunoblotting, gene silencing,andreal-timePCR). The intercellular communication or cross talk between different cell types, including intra-organ and interorgan cross talk, engaged in metabolic and immune regulation (e.g., adipocytes, hepatocytes, macrophages, dendritic cells, lymphocytes) plays a crucial role in immunometabolism at the systemic level and their dysregulation in the development of a number of metabolic and immune diseases, including different types of cancer. In this context, exosomes have been identified as a crucial player in the intercellular cross talk in healthanddisease[10].Thus,itiscrucialtodevelopprotocolstoinvestigatetheintercellu- lar cross talk between metabolic and immune cells, including the role of exosomes in this process. To this end, Fridman et al. describe methods for the isolation and polarization of mouseperitonealmacrophages,thepurificationofexosomesfromtheconditionedmediaof thepolarizedmacrophages,andthecharacterizationoftheresultingexosomes.Inaddition, they provide protocols to study exosome-based communication between two cell types using macrophages and pancreatic cancer cells as an example, thus mimicking a tumor microenvironment. This protocol may be used to study exosome-based communication in other experimental settings as well. In addition, Inbar Azoulay-Alfaguter and Adam Mor provideprotocolsfor theisolationandcharacterizationofTlymphocyte-derivedexosomes using mass spectrometry. Particularly, they describe a centrifugation approach, combined with mass spectrometry characterization, as a means to study exosomes derived from primary human T lymphocytes. As mass spectrometry is a very sensitive method, this protocolcanbeappliedwhenlimitedsamplesareavailable. Three-dimensionalculturesarebetterabletoreflectthetumormicroenvironmentthan two-dimensionalmonolayercultures, byfacilitating cell-cellinteractions in theappropriate spatial dimensions. Tanya N. Augustine describes the isolation and co-culture of immune cells with tumor cell lines in a three-dimensional system in a biologically relevant scaffold facilitated by a basement membrane extract. This protocol allows for the assessment of immune-tumor cell interactions in spatial dimensions that reflect the in vivo tumor micro- environment. This protocol may be adapted for different cell types, and for determining a responsetotherapeuticagents. Continuing on the theme of intercellular communication, Monk et al. describe meth- odologiesfortheco-cultureofmatureadipocytes(differentiated3T3-L1pre-adipocytecell line)withprimaryimmunecellsubsetspurifiedfrommousesplenicmononuclearcellsusing magneticMicroBeadpositiveselection.MicroBead-basedpositiveselectionmaybeusedto purify multiple immune cell populations sequentially from a single mouse spleen, thereby providing diversity in the types of immune cells that can be co-cultured with adipocytes. Additionally, the authors provide the experimental procedures for co-culturing adipocytes and immune cells in two different co-culture systems, including a cell contact-dependent viii Preface co-culture system wherein the cells are in direct physical contact, as well as a cell contact- independent,solublemediator-drivenco-culturesystem,whereinatranswellsemipermeable membranephysicallyseparatesthecells. Ghia and colleagues have elaborated methods for the isolation of macrophages from a varietyofmurinesources,includingperitoneal,bonemarrow-derived,and alveolar macro- phages, which are extensively used to explore both the immunobiology and pathophysiol- ogyofseveraldiseases.Inaddition,theauthorsdescribethephenotypiccharacterizationof polarized human monocytic THP-1-derived macrophages and murine RAW264.7 cells (a macrophage cell line). Ikeogu et al. describe methods for isolation and preparation of bone marrow-derived immune cells for metabolic analysis, including macrophages, den- driticcells,andneutrophilsfrommice. The posttranslational modifications by ADP-ribosylation and phosphorylation are important regulators of cellular pathways. While mass spectrometry-based methods for the study of protein phosphorylation are well developed, protein ADP-ribosylation meth- odologiesarestillindevelopment.Nita-Lazarandcolleaguesdescribeanimmobilizedmetal affinity chromatography: a phosphoenrichment matrix-based method to enrich ADP-ribosylated peptides, which have been cleaved down to their phosphoribose attach- ment sites by a phosphodiesterase, thus isolating the ADP-ribosylated and phosphorylated proteomes simultaneously for their quantitative analysis. Importantly, this protocol allows the achievement of a robust and relative quantification of changes in the posttranslational modification using dimethyl labeling, a straightforward and economical choice, which can then be used on lysate from any cell type, including primary tissue. The protocol has been optimizedtoworkinADP-ribosylation-compatiblebuffersandwithaprotease-ladenlysate fromthemacrophagecells. As mentioned above, cellular metabolism plays a central role in the activation and effector functions of macrophages. Intracellular pathogens subvert the immune functions ofmacrophagestoestablishaninfectionbymodulatingthemetabolismofthemacrophages. Cumminget al.describehow theSeahorseExtracellular Flux analyzer(XF)can beused to studychangesinthebioenergeticmetabolismofthemacrophagesinducedbyinfectionwith mycobacteria. The XF simultaneously measures the oxygen consumption and extracellular acidificationofthemacrophagesnoninvasivelyinrealtime,andtogether withtheaddition of metabolic modulators, substrates, and inhibitors enables measurements of the rates of oxidativephosphorylation,glycolysis,fattyacidoxidation,andATPproduction. Anotherimportantimmunecelltypeisdendriticcells(DCs),whichserveasthebridge between innate and adaptive immunity, and which are promising therapeutic targets for cancer and immune-mediated disorders. This can be achieved by differentiating them into eitherimmunogenicortolerogenicDCsbymodulatingtheirmetabolicpathways(including glycolysis,oxidativephosphorylation,andfattyacidmetabolism)toorchestratetheirdesired function. Thus, understanding the metabolic regulation of DC subsets and functions not only will improve our understanding of DC biology and immune regulation, but can also open up opportunities for treating immune-mediated ailments and cancer by adjusting endogenous T-cell responses through DC-based immunotherapies. Wei et al. describe a method to analyze this dichotomous metabolic reprogramming of DCs for generating a reliable and effective DC cell therapy product. Particularly, by using a pharmacological nuclear factor (Nrf2) activator as an example, they illustrate the metabolic profile of tolerogenicDCs. Preface ix The mitochondrial membrane potential (Δψ) is an established indicator of the func- tional metabolic status of mitochondria, which accounts for approximately 90% of all available ATP for cellular activities. There are several experimental approaches to measure Δψ levels,ranging fromfluorometricevaluationstoelectrochemicalprobes.Teodoroetal. describetheevaluationofthemitochondrialmembranepotentialusingfluorescentdyesora membrane-permeable cation (TPP+) electrode in isolated mitochondria and intact cells. Moreover,theauthorsdiscusstheadvantagesanddisadvantagesofseveralofthesemethods, ranging from one method that is dependent on the movement of a particular ion, tetra- phenylphosphonium(TPP+)withaselectiveelectrode,totheselectionofafluorescentdye from various types to achieve the same goal. These methods are highly sensitive, fast, accurate, and a simple mode of evaluation of Δψ levels in respiring mitochondria, either isolatedorstillinsidethecell. Apartfromcellularmetabolism,mitochondrialdynamics(i.e.,mitochondrialfissionand fusion) coincide with effectors and memory T-cell differentiation, resulting in metabolic reprogramming. In general, freshly collected immune cells are preferred for such measure- ments,asfrozencellsarenotconsideredidealforimmunometabolicanalyses.However,the useoffreshlycollectedclinicalsamplesisnotalwayspossibleduetothelogisticdifficultiesof having to complete analyses within a few hours of blood collection. Clovis Palmer and coworkersdescribemethodsfor themultiparametric analysis ofmitochondrialdynamicsin Tcells from cryopreserved peripheral blood mononuclear cells. They have optimized and validatedasimplecryopreservationprotocolforperipheralbloodmononuclearcells,yield- ing an astonishing >95% cellular viability, and preserved metabolic and immunologic properties.Bycombiningfluorescentdyeswithcellsurfaceantibodies,theauthorsdemon- strate how to analyze mitochondrial density, membrane potential, and reactive oxygen speciesproductioninCD4andCD8Tcellsfromcryopreservedclinicalsamples. Finally,Xuetal.describemethodstomeasureglucosehomeostasisatthesystemiclevel (which is an integral component of immunometabolism) by measuring blood glucose disposal and insulin sensitivity utilizing glucose tolerance and insulin tolerance tests. The authors also provide valuable tips for consideration while performing these tests, as well as datapresentationandinterpretation. In addition to the previously discussed protocol chapters, opinion and review chapters havebeenincluded withinthis book,relating to fundamentalaspectsinthe field ofimmu- nometabolismandtheirimplications.Thefirstchapteristitled“ImmunometabolismandIts Potentialto ImproveCurrentLimitations ofImmunotherapy” and isauthoredbyAndrew Sheppard and Joanne Lysaght. The authors have provided an excellent account of the promising discoveries made in this field, and future directions in the field can move in to enhancetherapeuticeffectiveness.ThesecondchapterisauthoredbyMishraetal.,inwhich the authors have highlighted the need to advance our understanding of sex differences in thisfield,hencethetitle“SexDifferencesinImmunometabolism:AnUnexploredArea.”It is anticipated that these two thought-provoking opinion chapters, along with a variety of experimental protocols, will provide a valuable source of information and motivation for researchersinthisemergingandpromisingfieldofimmunometabolism. Iamindebtedtoalloftheauthorsforspendingtheirvaluabletimetocontributetothis book. Importantly, I would like to thank John Walker, the series editor of Methods in Molecular Biology, for the opportunity, as well as his guidance and help during the whole

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