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A whole-blood cryopreservation method streamlines clinical sample collection for multimodal single-cell immune profiling in sepsis
Alyssa K. DuBois, Pierre O. Ankomah, Alexis C. Campbell, Renee Hua, Olivia K. Nelson, Christopher A. Zeuthen, M. Kartik Das, Shira Mann, Abigail Mauermann, Blair A. Parry, Nathan I. Shapiro, Michael R. Filbin, Roby P. Bhattacharyya
Alyssa K. DuBois, Pierre O. Ankomah, Alexis C. Campbell, Renee Hua, Olivia K. Nelson, Christopher A. Zeuthen, M. Kartik Das, Shira Mann, Abigail Mauermann, Blair A. Parry, Nathan I. Shapiro, Michael R. Filbin, Roby P. Bhattacharyya
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Research Article Clinical Research Immunology Infectious disease

A whole-blood cryopreservation method streamlines clinical sample collection for multimodal single-cell immune profiling in sepsis

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Abstract

Single-cell RNA sequencing (scRNA-seq) of peripheral blood mononuclear cells (PBMCs) has enhanced our understanding of host immune mechanisms in small cohorts, particularly in diseases with complex and heterogeneous immune responses such as sepsis. However, standard PBMC isolation from blood requires technical expertise and over 2 hours of on-site processing using Ficoll density gradient separation (“Ficoll”) for scRNA-seq compatibility, precluding large-scale sample collection at most clinical sites. To minimize on-site processing, we developed cryopreservation with PBMC recovery offsite (Cryo-PRO), a method of immediate on-site whole-blood cryopreservation and subsequent batched PBMC isolation in a central laboratory prior to sequencing. We compared multimodal single-cell immune profiling results from samples processed using Cryo-PRO versus standard on-site Ficoll separation in 23 patients with sepsis. Key outputs, including cell substate fractions, marker genes, and surface protein expression were similar for each method across multiple cell types and substates, including an important monocyte substate enriched in patients with sepsis. Capture of T cell receptor transcripts was also comparable across both methods. Cryo-PRO reduced on-site sample processing time from more than 2 hours to less than 15 minutes and was reproducible across 2 enrollment sites, thus demonstrating potential for expanding multimodal single-cell analyses in multicenter studies of sepsis and other diseases.

Authors

Alyssa K. DuBois, Pierre O. Ankomah, Alexis C. Campbell, Renee Hua, Olivia K. Nelson, Christopher A. Zeuthen, M. Kartik Das, Shira Mann, Abigail Mauermann, Blair A. Parry, Nathan I. Shapiro, Michael R. Filbin, Roby P. Bhattacharyya

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Figure 2

Processing time and quality metrics by cryopreservation method.

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Processing time and quality metrics by cryopreservation method.
(A) “Han...
(A) “Hands-on” time spent by operators at clinical sites to process patient samples from initiation of processing after blood draw to placing the sample in a freezer for storage. (B) Percentage of CD45+CD235a–CD15– cells staining DAPI negative on flow cytometry as an indicator of cell membrane integrity and cell viability. Box-and-whisker plots show the median (center line) and interquartile range (IQR; box); whiskers extend to the most extreme values within 1.5 times the IQR. Points represent individual samples. (C) Violin plots of RNA-seq quality metrics by method (left to right): unique genes per cell, unique molecular identifiers (UMIs) of RNA transcripts per cell, and percentage of transcripts represented by mitochondrial (Mito) genes per cell. (D) Violin plots of CITE-seq quality metrics by method: unique surface protein features (left panel) and UMIs (right panel) per cell (detected via CITE-seq). Violin plots show the distribution of each metric detected per cell; embedded box-and-whisker plots indicate the median and IQR (whiskers = 1.5 × IQR). PRO denotes Cryo-PRO. Statistical significance in A and B was assessed using a paired, 2-sided t test. ***P < 0.001. NS, not significant. According to convention in single-cell data analysis, statistical testing in C and D was not performed due to the effect of P-value inflation (51).

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