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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 6

Correlation of cell type and substate proportions between Ficoll and Cryo-PRO methods.

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Correlation of cell type and substate proportions between Ficoll and Cry...
(A) Scatter plot of cell type proportion from Ficoll and Cryo-PRO. Each point represents the proportion of one cell type from one patient sample, as measured by each method. Each cell type is represented by a different color. Proportion is the number of cells of one cell type divided by the total number of PBMCs from that patient sample. Patient-paired Ficoll:Cryo-PRO samples are plotted to assess correlation by method for each patient. (B–D) Scatter plots of cell substate proportion from Ficoll and Cryo-PRO. Each point represents the proportion of one cell substate from one patient sample, as measured by each method. Each cell substate is represented by a different color. Proportion is the number of cells of one cell substate divided by the total number of cells from its cell type from that patient sample. Patient-paired Ficoll:Cryo-PRO samples are plotted to assess correlation in method for each patient. Trendlines indicate a linear regression fit with shaded 95% confidence intervals. Pearson’s correlations (R) are shown for all trendlines. *P < 0.05, ***P < 0.001.

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