13th IHWC – HLA and Mycobacterial Disease study

General Work Plan Sheet

  1. Clinical details of patients: Separate proformas giving all the clinical details should be used for
      A. For Tuberculosis (Pulmonary and drug resistant groups): Please mention the extent of TB such as unilateral single lesion/ multiple lesions/ bilateral lesions/ miliary TB

      B. For Leprosy (TT/BT and LL/BL groups)

      C. For healthy controls

  • Sample Collection:
  • (i) 10 ml (EDTA) blood for DNA isolation for HLA class II analysis.

    (ii) 10 ml (heparinised) blood for cell surface and intracellular cytokine staining

    (iii) 5 ml for serum. The serum must be stored at –70° C.

  • DNA isolation: The standard salting out procedure is recommended.
  • HLA typing:
  • Class II: The standard procedures including PCR-SSP are recommended for HLA class II typings. We would encourage SSOP, RBH (and SBT technologies, if possible) for high resolution subtyping of DRB1-DRB5 and DQB1 genes.

  • NRAMP typing: This would involve PCR followed by sequencing. For uniformity of data, this component will be carried out at New Delhi laboratory (Department of Histocompatibility and Immunogenetics, All India Institute of Medical Sciences, Ansari Nagar, New Delhi-110029, India. Tel: (91 11) 6967588; Fax: (91 11) 6862663 Email: narin98@hotmail.com). Approximately 20m g DNA should be sent at room temperature to this central laboratory for NRAMP typing.
  • Cytokine staining:
    1. Lymphocyte isolation : If protocol is not available, detailed protocol can be made available on request.
    2. Intracellular staining and cell surface staining (see Annexure I).

    You are advised to fix and freeze the lymphocytes as per the protocol. The frozen cells can be shipped in dry ice and DNA at room temperature to the New Delhi laboratory for flowcytometric and NRAMP analysis.

     

    For further details contact:

    PROF NARINDER MEHRA

    Chair, Mycobacterial Disease Study

    DEPARTMENT OF HISTOCOMPATIBILITY & IMMUNOGENETICS

    ALL INDIA INSTITUTE OF MEDICAL SCIENCES

    ANSARI NAGAR

    NEW DELHI-110029

    INDIA

    TEL: (91 11) 6967588 (O) , 6859185 (R)

    FAX: (91 11) 6862663

    EMAIL: narin98@hotmail.com

    nkmehra@medinst.ernet.in

    Annexure I

     

    Isolation, fixing and freezing of lymphocytes for intracellular cytoplasmic staining

    Preparation of reagents:

    PBS: 1.9mM Na H2PO4, 8.1 mM Na2HPO4, 0.154 M NaCl. Set pH 7.2 -7.4 with 1M NaOH or 1M Hcl.

    PMA: (2ng/ ml) Dissolve 10 mg in 500 m l DMSO and store the stock in aliquots at -20° C. Without repeated freezing or thawing, dilute 5 m l (100m g) of the stock with 95 m l PBS and store at -20° C. Dilute 1 m l of this stock with 999m l of RPMI plus 10 % FCS and use 2m l / ml culture to obtain 2 ng/ml final concentration.

    Ionomycin: (2 m M) Prepare 5 mg/ml stock in DMSO (10mM). Dilute 200m l with 800 m l PBS (2mM) and use 1m l in 1 ml culture to obtain 2m M final concentration.

    Monensin: (2 m M) Dissolve Monensin in absolute alcohol as a stock of 2mM and add NaOH to final 1 mM concentration. Use 1m l in 1 ml culture to obtain 2m M final concentration.

    PBS+BSA+Azide buffer: Mix 500 ml PBS + 0.5 ml 1M Sodium azide in water + 2.5 gm BSA (Fraction V). Dissolve and filter sterilize. Store at 4° C

    Freezing mixture: 10 % DMSO in 1% BSA (prepared in PBS).

    4 % formaldehyde: Take 10.8 ml of 37.5 % formaldehyde from the bottle and make up the vol to 100 ml with PBS. Filter and store at 4° C.

    Procedure:

    1. Isolate lymphocytes from peripheral blood using ficoll gradient centrifugation.
    2. Culture 2 x 106 cells / ml of RPMI 1640 + 10%FCS or human AB serum preferably in 24 well plates. Add PMA (2 ng/ml) plus Ionomycin (2 m M) plus Monensin (2 m M) at 0 hrs and incubate at 37° C in 5% CO2 incubator precisely for 6 hrs.
    3. Harvest the cells in a 5 ml polystyrene tube and centrifuge at 1000 rpm for 10 minutes at room temperature for washing.
    4. Wash twice with PBS+BSA+Azide buffer.
    5. Wash once with PBS alone.
    6. Resuspend the pellet in 200m l of 4% formaldehyde and add 200m l of PBS. Mix gently and place in dark at room temperature for 30 minutes.
    7. Pellet the cells.
    8. Wash once with PBS+BSA+Azide buffer.
    9. Pellet the cells and resuspend in prechilled freezing mixture [1 % BSA + 10 % DMSO in PBS].
    10. Immediately transfer to –70° C and store until shipped to the central laboratory for antibody staining and analysis. Shipment should be done in dry ice and ensure while transferring from –70° C to dry ice that cells don’t get thawed.








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