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APPLICATIONNOTE
CTSNK-XpanderMedium
Expansionandcharacterizationof
humannaturalkiller(NK)cells
OptimizeyourNKcellexpansionprotocolwith
CTSNK-XpanderMedium
Introduction
Naturalkiller(NK)cellsarelymphocytesthateitherdirectly
attackoractivatetheadaptiveimmunesysteminresponse
todetectionofmalignantorvirallyinfectedcells.They
haveawell-knownsafetyprofileandtheabilitytoactas
allogeneicimmunemodulators,whichmakesNKcellsan
attractiveoptionforoff-the-shelfimmunotherapeutics[1].
Liuetal.[2]outlinethemanyexpansionandactivation
strategiesunderexploration,includingcytokine-only
expansion,autologousandallogeneicfeederstrategies,
engineeredcelllinefeeder–basedsystems,andeven
strategiestoengineercell-freeparticlesthatmimicthe
activityofengineeredfeedercells.Feeder-basedprotocols
havehistoricallyprovidedthehighestratesofexpansion.
Thetypicalexpansionrangeislessthan10-foldfor
cytokine-onlysystems,lessthan500-foldforautologous
andallogeneicfeeder–basedsystems,andwellover1,000-
foldforengineeredcelllinefeeder–basedsystems[2].
Intheclinicalsetting,strategiesarebeingdevelopedto
improveNKcellfunction,persistence,andtraffickingto
tumorsites[2].Theseincludeinsertingchimericantigen
receptors(CARs)andusingcomplementaryantibodiesto
enhancetheidentificationanddestructionoftumorcells,
aswellasexvivoexpansionandactivationtechniques.
Safetyconcernsaboutfeedercells,includingtheriskof
contaminatingcellsinthefinaltherapeuticproduct,make
feeder-freesystemsadesirablechoiceforclinicalresearch
applications.However,lowerexpansionratesinfeeder-
freeculturesystemspresentachallengetowidespread
adoption.Thisisakeyreasonwhyfeeder-basedexpansion
systemsarestillfrequentlyuseddespitethesafetyand
regulatoryriskstheypose.
Expand
Analyze
•CTSNK-XpanderMedium
•RecombinanthumanIL-2
•HumanABserum
•Countess3FLAutomated
CellCounter
•AttuneNxTAcoustic
FocusingCytometer
Herewedescribetheexpansionandcharacterization
ofNKcellsgrowninafeeder-freeculturesystemusing
Gibco™CTS™NK-Xpander™Medium,whichcansupportan
average1,500-foldexpansionofNKcellswithintwoweeks.
•Stainingsolutionsand
monoclonalantibodies
Figure1.Optimizedworkflowforfeeder-freeexpansionand
characterizationofNKcells.
Materialsandmethods
EnrichedNKcellswereexpandedfor
14daysineitherCTSNK-Xpander
Mediumwithsupplementation,classic
mediumwithsupplementation,oran
alternatefeeder-freemediasystem.
NKcellcultureswerefedevery
2–3daysbeginningonday5.The
levelofexpansionwasmeasured
oneveryfeedday,andphenotypic
andfunctionalcharacterizationwas
performedonday14(Figure2).
25,000cellsplatedCTSNK-XpanderMedium
•Totalnucleatedcells
•Percentviability
in96-wellplate
+5%hABserum
+500U/mLIL-2
•Flowphenotyping
•Cytotoxicityassessment
EnrichedNKcells
fromPBMCs
14daysculturefeedingand
splittingevery2–3days
CD56+NKcells
Figure2.PrimaryNKcellexpansionandcharacterizationmethodology.
NKcellphenotypiccharacterization
NKcellshavetraditionallybeenidentifiedbythepresenceofCD56andthe
absenceofCD3receptorsontheirsurfacesviaflowcytometry.NKcellscanbe
furthercategorizedintoavarietyofsubsetsbasedonmanydifferentcellsurface
markers,includingCD16andtheKIRfamilyofreceptors.Fortheseexperiments,
expandedNKcellsweregatedforlivecellsusingtheInvitrogen™LIVE/DEAD™
FixableDeadCellStainKit(Cat.No.L34964).ThelevelsofCD56,CD3,and
CD16weremeasuredusinglabeledantibodiesspecifictothesemarkers,and
theInvitrogen™Attune™NxTAcousticFocusingCytometer(Cat.No.A42858).
Feeder-freeNKcellexpansion
CD56+NKcellsenriched
from20differentdonorsof
peripheralbloodmononuclear
cells(PBMCs)wereplatedat
1.25x105cells/mLin200µLperwell
inuntreatedThermoScientific™Nunc™
96-wellplates(Cat.No.268200).
Thecellswereculturedfor14days
inoneoffourmedia:(1)CTSNK-
XpanderMedium(Cat.No.A5019001)
containing500U/mLrecombinant
humanIL-2(Cat.No.PHC0023)and
5%hABserum(FisherScientific
Cat.No.BP2525100);(2)axeno-free
NKspecialtymediumfromsupplier
1supplementedwith500U/mL
recombinanthumanIL-2and5%hAB
serumperproductinstructions;
(3)Gibco™RPMI1640Medium
(Cat.No.11875093)supplemented
with500U/mLrecombinant
NKcellfunctionality
Figure3illustratesthefunctionalcharacterizationstrategy.NKcells(effector
cells)expandedinCTSNK-XpanderMediumwereco-incubatedwithK562
targetcellslabeledwiththeInvitrogen™CellTrace™CFSECellProliferationKit
(Cat.No.C34570)for2hours.TheratiosofNKcellstoK562cellswere0.625:1,
1.25:1,2.5:1,and5:1.Followingincubation,degranulationwasassessedbythe
expressionofCD107aonCD56+NKcells,measuredusingalabeledantibody
specifictothismarker,andtheAttuneNxTAcousticFocusingCytometer.NK
cellcytotoxicitywasassessedbymeasuringK562celldeathontheAttune
NxTFlowCytometer;thegatewassetforCFSE-labeledK562cells,and
percentagesofliveanddeadcellsweredeterminedusingtheLIVE/DEADstain
kit(Cat.No.L34964).
ExpandedNK
cells
CSFE-labeled
K562cells
IncubateexpandedNKcells
withlabeledK562cellsfor2hr
humanIL-2and5%FBS(Cat.No.
16140063);and(4)RPMI1640
+
•NKcelldegranulation
Mediumsupplementedwith500U/mL
recombinanthumanIL-2and5%
hABserum.Thecellswerestained
withtrypanblue(Cat.No.15250061)
andcountedusingtheInvitrogen™
Countess™2FLAutomatedCell
Counter(Cat.No.AMQAX1000).
Beginningonday5,cultureswerefed
every2–3daystomaintainanoptimal
celldensityof4–5x105cells/mL.
•MeasureK562celldeath
Eꢀector
Target
Figure3.NKcellfunctionalitywasassessedbymeasurementofdegranulationandtheability
oftheNKcellstokillK562targetcells.
Results
NKcellsthatwereexpandedusingCTSNK-Xpander
Mediummaintainedtheirphenotypeandfunctionality.
NKcellphenotypiccharacterization
ThepurityofNKcellsexpandedinCTSNK-Xpander
Mediumandthesupplier1mediumwascomparable,while
NKcellsexpandedinRPMImediumsupplementedwith
eitherFBSorhABserumhadlowerpurity(Figure5).Cells
growninCTSNK-XpanderMediumhadsignificantlygreater
expansionbutsimilarpurityrelativetocellsgrowninother
NKcell–specificexpansionsystems.
Feeder-freeNKcellexpansion
PBMC-derivedNKcellsfrom20differentdonorswere
expandedfor14daysineitherCTSNK-XpanderMedium,
classicmedia,oranNKspecialtymediumfromsupplier
1.Asexpected,expansionlevelsvariedfromdonor
todonorandbetweenthedifferentmediasystems
tested.Cellexpansioninthedifferentmediaover14days
iscomparedinFigure4A,andFigure4Bshowsadonor-
to-donorcomparison.ExpansioninCTSNK-Xpander
Mediumwassignificantlyhigherthanitwasinanyother
mediumsystemtested(p<0.0001).InCTSNK-Xpander
Medium,expansionwassignificantlyhigherthanitwasin
themediumfromsupplier1for80%ofthedonorstested.
Expansionofcellsfromthe20donorsinsupplier1medium
was732-foldonaverageafter14days,whereasexpansion
ofcellsfromthesamedonorsinCTSNK-XpanderMedium
was1,508-foldonaverageafter14days.
A
B
Day14cellpurity
Celltype
100
80
NKcells
NKTcells
Tcells
Other
60
40
20
A
1,800
1,600
1,400
1,200
1,000
800
Medium
NK-Xpander
0
RPMI-FBS
RPMI-hAB
Supplier1
NK-Xpander
RPMI-FBS
RPMI-hAB
Supplier1
Medium
C
1,800
1,600
1,400
1,200
1,000
800
600
400
200
0
Day5
Day7
Day10
Day12
Day14
B
3,500
Medium
600
NK-Xpander
Supplier1
3,000
2,500
2,000
1,500
1,000
500
400
200
0
NK-Xpander
RPMI-FBS
RPMI-hAB
Supplier1
Medium
Figure5.PhenotypiccharacterizationofNKcells.ExpansionofNK
cellsinCTSNK-XpanderMediumwassignificantlyhigher,withnoloss
inpurity.(A)Gatingstrategy,(B)purity,and(C)expansionbyday14
indifferentmediasystems.Errorbarsrepresent1standarderrorfrom
themean.
0
Donorblinded
Figure4.ExpansionofNKcellcultureinCTSNK-XpanderMedium
comparedtoexpansioninothermediasystems.(A)Average
expansionofcellsfrom20differentdonorsover14days.Errorbars
represent1standarderrorfromthemean.(B)Donor-to-donorcomparison
after14daysofexpansion.Errorbarsrepresent1standarddeviationfrom
themean.
NKcellfunctionality
A
B
NKcellsgrowninCTSNK-XpanderMediumretainedtheir
dose-dependentabilitytodegranulate(Figure6),andthey
displayedcytolyticfunctionality(Figure7)afterexposure
toK562targetcells.ThesearekeyindicatorsofNKcell
functionalityinvitro.
A
B
C
120
100
80
60
40
20
0
C
80
70
60
50
40
30
20
10
0
0.625:1
1.25:1
2.5:1
5:1
NK:K562ratio
Figure7.NKcellsexpandedinCTSNK-XpanderMediumcankill
K562targetcellsinadose-dependentmanner.Representativegating
isshownfor(A)K562cellsonlyand(B)K562cellsexposedtoNKcells.
(C)ThepercentageofK562cellkillingatvaryingratiosofNKcellstoK562
cells.EachdotrepresentsoneNKcelldonor.
0.625:1
1.25:1
2.5:1
5:1
NK:K562ratio
Figure6.NKcellsexpandedinCTSNK-XpanderMediumarecapable
ofdegranulationinadose-dependentmanner,asdemonstrated
bysurfaceCD107aexpression.ComparisonofCD107aexpression
in(A)NKcellsonlyand(B)NKcellsexposedtoK562cells.(C)The
percentageofNKcelldegranulation(CD107a+)atvaryingratiosofNKcells
toK562cells.EachdotrepresentsoneNKcelldonor.
Conclusions
Whilefeeder-freeculturesystemsaretypicallyseenas
asaferchoiceforNKcellexpansionthanfeeder-based
culturesystems,NKcellexpansioninexistingfeeder-free
systemslikeRPMIandserumissignificantlylower.The
recentdevelopmentofNKcell–specificspecialtymedia
hasbegunthetransitiontotrulyfeeder-freeculture
systems,buttheystillleavemuchtobedesiredinterms
ofexpansion.
CTSNK-XpanderMediumoffersasolutiontothis
challenge:feeder-freeNKcellculturewithCTSNK-Xpander
Mediumcandeliveruptoanaverage1,500-foldexpansion
offunctionalNKcells.CTSNK-XpanderMediumisaxeno-
freeNKcellculturemediumformulatedforfeeder-free
culturethatcanhelpreduceregulatoryrisksforyourNK
cellexpansionprotocol.
Orderinginformation
Product
Quantity
Cat.No.
Expand
500mLbottle
5Lbag
A5019001
CTSNK-XpanderMedium
A5019002
HumanIL-2RecombinantProtein
CTSDPBS,withoutcalciumchloride,withoutmagnesiumchloride
HumanABSerum
1mg
PHC0023
2Lbag
A1285602
100mL
FisherScientific,BP2525100
268200
Nuncnon-treated96-wellplates
Caseof160
Caseof75
Nuncnon-treated48-wellplates
150787
Analyze
Countess3FLAutomatedCellCounter
1instrument
100mL
AMQAF2000
15250061
C34570
TrypanBlueSolution,0.4%
CellTraceCFSECellProliferationKit
1kit
eBioscienceFlowCytometryStainingBuffer
FcRe
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