Multiplexed imaging of immune cells in staged multiple sclerosis lesions by mass cytometry

  1. Valeria Ramaglia  Is a corresponding author
  2. Salma Sheikh-Mohamed
  3. Karen Legg
  4. Calvin Park
  5. Olga L Rojas
  6. Stephanie Zandee
  7. Fred Fu
  8. Olga Ornatsky
  9. Eric C Swanson
  10. David Pitt
  11. Alexandre Prat
  12. Trevor D McKee
  13. Jennifer L Gommerman
  1. University of Toronto, Canada
  2. Yale School of Medicine, United States
  3. Université de Montréal, Canada
  4. University Health Network, Canada
  5. Fluidigm Canada Inc, Canada
8 figures, 3 tables and 1 additional file

Figures

Figure 1 with 4 supplements
Comparing IMC to IF in MS lesions.

Two serial sections were assessed: one used for immunofluorescence (IF, a and a’) and one dedicated to Imaging Mass Cytometry (IMC, a’’). (a) The region of interest (a’) was guided by the …

https://doi.org/10.7554/eLife.48051.003
Figure 1—figure supplement 1
Staging of MS lesions by IF.

General pathology: demyelinating lesions (arrows and arrows head in (a and b) seen in (a) hematoxylin and eosin (HE)/Luxol fast blue (LFB) stain of myelin and (b) oil red o (ORO) stain of neutral …

https://doi.org/10.7554/eLife.48051.004
Figure 1—figure supplement 2
Workflow of Imaging Mass Cytometry.

A panel is designed using pathologist-verified antibodies conjugated to metals. The brain tissue is stained simultaneously with a cocktail of all the metal-conjugated antibodies and placed into the …

https://doi.org/10.7554/eLife.48051.005
Figure 1—figure supplement 3
Validation of IMC staining patterns in MS lesions.

Core of an active demyelinating lesion, showing reduced proteolipid protein (PLP) stain by (a) immunohistochemistry, (b) immunofluorescence and (c) imaging mass cytometry and corresponding areas …

https://doi.org/10.7554/eLife.48051.006
Figure 1—figure supplement 4
Correlating IMC to IF staining patterns in MS lesions.

(a) Spearman correlation coefficient, showing a significant positive correlation between the % of PLP+ area identified with fluorochrome-conjugated antibody by IF and % of PLP+ area dentified with …

https://doi.org/10.7554/eLife.48051.007
Figure 2 with 1 supplement
Validation of IMC specificity in MS lesions.

(a) Overlay of CD3 (green) and CD45 (red) identifies CD3+CD45+ T cells (solid arrows) and CD3-CD45+ leukocytes other than T cells (dotted arrow). (b) Overlay of CD3 (green) and CD68 (red) identifies …

https://doi.org/10.7554/eLife.48051.008
Figure 2—figure supplement 1
Example of active lesion in which 8 analytes are displayed simultaneously.
https://doi.org/10.7554/eLife.48051.009
Staging of MS lesions by IMC.

Representative mass cytometry images of white matter areas of (a, f) healthy control, (b, g) MS normal-appearing white matter (block no. CR4A), (c, h) MS (p)reactive lesion (block no. CR4A), (d–i) …

https://doi.org/10.7554/eLife.48051.010
Pattern of microglia or macrophage activity in different stages of MS lesions by IMC.

Representative mass cytometry images of (a, a’, b, b’) control white matter, (c, c’, d, d’) normal-appearing white matter (block no. CR4A), (e, e’, f, f’) (p)reactive lesion (block no. CR4A), (g, …

https://doi.org/10.7554/eLife.48051.011
Pattern of T cell subpopulations in different stages of MS lesions by IMC.

Representative mass cytometry images of (a, a’, b, b’) white matter of control, (c, c’, d, d’) normal-appearing white matter (block no. CR4A), (e, e’, f, f’) (p)reactive lesion (block no. CR4A), (g, …

https://doi.org/10.7554/eLife.48051.012
Pattern of immunoglobulins and B cell subpopulations in different stages of MS lesions by IMC.

Representative mass cytometry images of (a, a’, b, b’) white matter of control, (c, c’, d, d’) normal-appearing white matter (block no. CR4A), (e, e’, f, f’) a (p)reactive lesion (block no. CR4A), (g…

https://doi.org/10.7554/eLife.48051.013
Figure 7 with 6 supplements
Density of immune cell subsets in different stages of MS lesions and their distance from blood vessels by IMC.

(a) Cell counts are provided as number of cells per mm2 (Barnett and Prineas, 2004) of region of interest. The category of cells is defined according to the expression of cell-specific and …

https://doi.org/10.7554/eLife.48051.014
Figure 7—source data 1

Source file for quantitative data of all ROI.

ROI 2 from block 95–056 (white matter control) ROI one from block CL3a (active lesion) ROI 2.1 from block CL3a (mixed active-inactive lesion) ROI 2.2 from block CL3a (mixed active-inactive lesion) ROI three from block CL3a (mixed active-inactive lesion) ROI four from block CL3a (active lesion) ROI two from block CR4a (mixed active-inactive lesion) ROI four from block CR4a (active lesion) ROI eight from block CR4a (normal-appearing white matter) ROI three from block CR4a (active lesion) ROI one from block CR4a ((p)reactive lesion) ROI five from block CR4a (active lesion) ROI six from block CR4a (mixed active-inactive lesion).

https://doi.org/10.7554/eLife.48051.021
Figure 7—figure supplement 1
Single cell segmentation and validation of approach using anti-CD3.

A Gaussian blur was applied to the DNA signal (nucleus detection - a), and the resulting blurred image was segmented to identify nuclear content corresponding to individual cell areas using a …

https://doi.org/10.7554/eLife.48051.015
Figure 7—figure supplement 2
Manual selection of myeloid cells.

(a) Representation of manually-annotated cells in an active lesion, based on the detection of nuclei. (b) Segmented cells. (c–h) Identification of cells that express (for example CD45+HLA+) or do …

https://doi.org/10.7554/eLife.48051.016
Figure 7—figure supplement 3
Manual selection of T cells.

(a) Representation of manually-annotated cells in an active lesion, based on the detection of nuclei. (b) Segmented cells. (c–h) Identification of cells that express (for example CD45+CD3+CD4+ or …

https://doi.org/10.7554/eLife.48051.017
Figure 7—figure supplement 4
Manual selection of B cells.

(a) Representation of manually-annotated cells in a mixed active-inactive lesion, based on the detection of nuclei. (b) Segmented cells. (c–h) Identification of cells that express (for example CD45+I…

https://doi.org/10.7554/eLife.48051.018
Figure 7—figure supplement 5
Gating strategy used for the identification of cell subsets.

Gating strategy for the identification of cell subset phenotypes and activation states of microglia, macrophages, T cells and B cells. In brief, the per-cell mean intensities of specific marker …

https://doi.org/10.7554/eLife.48051.019
Figure 7—figure supplement 6
Gating strategy used for the generation of heat maps.

Using the quadrants that capture the appropriate positivity range of each cell phenotype shown in Figure 7—figure supplement 5, cells were subjected to the positive and negative gating strategies as …

https://doi.org/10.7554/eLife.48051.020
Heat-diffusion Affinity-based Transition Embedding (PHATE) mapping of T cells.

(a–c) PHATE plots of all T cells analyzed in this study, colored by (a) cell class, (b) lesion type of residence and (c) relative marker expression intensity or distance to blood vessels. The …

https://doi.org/10.7554/eLife.48051.022

Tables

Key resources table
Reagent type
(species) or resource
DesignationSource or referenceIdentifiersAdditional
information
AntibodyAnti-Nucleic Acid-Ir191/Ir193FluidigmCat#:201192A
RRID: AB_2810850
IMC: (1/3000)
AntibodyAnti-Proteolipid Protein-141Pr (Mouse monoclonal)Bio-RadCat#: MCA839G
RRID:AB_2237198
IMC: (1/25), IF: (1/25), IHC: (1/100)
AntibodyAnti-human
CD38-167Er (Mouse monoclonal)
FluidigmCat#:3167001B
RRID: AB_2802110
IMC: (1/2000)
AntibodyAnti-human CD45-154Sm (Mouse monoclonal)FluidigmCat#: 3154001B
RRID:AB_2810854
IMC: (1/2000)
AntibodyAnti-human CD68-159Tb (Mouse monoclonal)FluidigmCat#: 3159035D
RRID:AB_2810859
IMC: (1/100)
AntibodyAnti-human HLA-147Sm (Mouse monoclonal)FluidigmCat#: Ab55152
RRID: AB_944199
IMC: (1/100), IF: (1/50), IHC: (1/100)
AntibodyAnti-human TMEM119-155Gd (Rabbit polyclonal)Sigma-AldrichCat#: HPA051870
RRID: AB_2681645
IMC: (1/50), IF: (1/100)
AntibodyAnti-human CD3-170Er (Mouse monoclonalFluidigmCat#: 3170001
RRID: AB_2661807
IMC: (1/100)
AntibodyAnti-human CD4-176Yb (Mouse monoclonal)BioLegendCat#:344602
RRID: AB_1937277
IMC: (1/100), IF: (1/20)
AntibodyAnti-human CD8a-162Dy (Mouse monoclonal)FluidigmCat#: 3162015B
RRID:AB_2661802
IMC: (1/100)
AntibodyAnti-human Granzyme B-171Yb (Mouse monoclonal)ThermoFisher ScientificCat#: MA1-80734
RRID:AB_931084
IMC: (1/25), IF: (1/20)
AntibodyAnti-human IgKappa-160Gd (Mouse monoclonal)FluidigmCat#:3160005B
RRID:AB_2810855
IMC: (1/3000)
AntibodyAnti-human IgLambda-151-Eu (Mouse monoclonal)FluidigmCat#: 3151004B
RRID:AB_2810853
IMC: (1/3000)
AntibodyAnti-human IgM-172Yb (Mouse monoclonal)FluidigmCat#: 3172004B
RRID:AB_2810858
IMC: (1/500)
AntibodyAnti-human Collagen Type I-169Tm (Goat polyclonal)FluidigmCat#: 3169023D
RRID:AB_2810857
IMC: (1/4000)
AntibodyAnti-human CD31-145Nd (Mouse polyclonal)LSBioCat#: LS-C390863
RRID:AB_2810860
IMC: (1/100)
AntibodyAnti-human NFAT1-143Nd (Rabbit monoclonal)FluidigmCat#: 3143023A
RRID:AB_2810851
IMC: (1/50)
AntibodyAnti-human Ki67-168Er (Mouse monoclonal)FluidigmCat#: 3168001B
RRID:AB_2810856
IMC: (1/100)
Table 1
Lesion types and regions of interest.
https://doi.org/10.7554/eLife.48051.023
CaseTissue block (anatomical location)Lesion typeRegion of interest
C,
95–056
A
(superior frontal gyrus)
WMC
MS,
AB129
CL3a
(cerebellum)
NAWM
2x Active demyelinating (pattern II)PPWM, center
3x Mixed active/inactive demyelinatingPPWM, edge, core
CR4a
(cerebellum)
NAWM
(p)reactive
3x Active demyelinating (pattern II)center
2x Mixed active/inactive demyelinatingedge, core
  1. C, control; MS, multiple sclerosis; WMC, white matter of control; NAWM, normal-appearing white matter; PPWM, periplaque white matter.

Table 2
Antibody panels for the identification of functional cell types by IMC.
https://doi.org/10.7554/eLife.48051.024
Functional cell typeAntibody panel
Macrophages and microglia
MacrophagesCD45highHLA+TMEM119-
Activated macrophagesCD45highHLA+TMEM119-CD68+PLP-
Demyelinating macrophagesCD45highHLA+TMEM119-CD68+PLP+
MicrogliaCD45low/+HLA+TMEM119+
Activated microgliaCD45low/+HLA+TMEM119+CD68+PLP-
Demyelinating microgliaCD45low/+HLA+TMEM119+CD68+PLP+
T Cells
CD8+ T cellsCD45+CD3+CD8α+CD4-
Proliferating CD8+ T cellsCD45+CD8α+CD3+CD4-Ki67+
Activated CD8+ T cellsCD45+CD3+CD8α+CD4-NFAT+
Activated and proliferating CD8+ T cellsCD45+CD3+CD8α+CD4-NFAT+Ki67+
‘Chronically activated’ CD8+ T cellsCD45+CD3+CD8α-CD8+CD38+HLA+
CD4+ T cellsCD45+CD3+CD8α-CD4+
Proliferating CD4+ T cellsCD45+CD8α-CD3+CD4+Ki67+
Activated CD4+ T cellsCD45+CD3+CD8α-CD4+NFAT+
Activated and proliferating CD4+ T cellsCD45+CD3+CD8α-CD4+NFAT+Ki67+
‘Chronically activated’ CD4+ T cellsCD45+CD3+CD8α-CD4+CD38+HLA+
B Cells
Naïve B CellsCD45+Igκ/Igλ+IgM+CD38-
IgM memory B cellsCD45+Igκ/Igλ+IgM+CD38+
Switched memory B cellsCD45+Igκ/Igλ+IgM-CD38+

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