Enrichment of Melanoma Stem-Like Cells via Sphere Assays

Sphere assays are widely used in vitro techniques to enrich and evaluate the stem-like cell behavior of both normal and cancer cells. Utilizing three-dimensional in vitro sphere culture conditions provide a better representation of tumor growth in vivo than the more common monolayer cultures. We describe how to perform primary and secondary sphere assays, used for the enrichment and self-renewability studies of melanoma/melanocyte stem-like cells. Spheres are generated by growing melanoma cells at low density in nonadherent conditions with stem cell media. We provide protocols for preparing inexpensive and versatile polyHEMA-coated plates, setting up primary and secondary sphere assays in almost any tissue culture format and quantification methods using standard inverted microscopy. Our protocol is easily adaptable to laboratories with basic cell culture capabilities, without the need for expensive fluidic instruments.


Introduction
The sphere formation assay is an in vitro functional assay for enriching adult stem cells and assessing their self-renewability potential [1][2][3]. Spheres have been widely used in stem and cancer research since the 1970s [2,[4][5][6][7][8][9] and are great functional assays complementary to assays based on cell surface stem-cell markers. A brief history of the development of this assay is provided in Fig. 1. In short, cells are grown in nonadherent, serum-free conditions to promote proliferation into three-dimensional spheres [1,7,[9][10][11][12][13][14][15][16][17]. The media contains growth factors selective for stem-like cells, and anchorage-independent cultureware is used to push anoikis of non-stem cells, which are often dependent on adhesion or the extracellular matrix. Cells are seeded at low density, allowing for single cells to clonogenically proliferate into spheres. Each sphere forms a microenvironment within itself, with cell layers of different oxygenation, nutrition, and CO 2 removal [18,19] (Fig. 2). Additionally, primary spheres can be dissociated and re-seeded into the secondary sphere assay; only stem-like cells able to self-renew are able to re-form spheres. Therefore, the sphere, as a three-dimensional (3D) "tissue", allows in vitro study of stem-like cells that closely resembles in vivo [2,18,20].
In cancer research, sphere assays are used to enrich the cancer stem cells (CSCs) of various solid cancers such as lung [21,22], breast [23][24][25][26], ovarian [27][28][29], pancreatic [30][31][32], colon [33][34][35], liver [36], prostate [3,37,38], and melanoma [10, 11, 39-47, 53, 54]. Various experimental treatments can be applied to sphere assays as a means of analyzing the effects on the stem-like populations of cancers, including melanoma. For instance, in vitro multi-well plates of spheres can be used to test the effects-such as killing, resistance, or proliferation in response to inhibitors, growth factors, or genetic manipulations on the stem-like populations [40,41,44,[46][47][48][49][50]. Similar questions can be tested in vivo, by enriching for stem-like cells and implanting in a modified mouse xenograft model. For example, the tumor initiating frequency of melanoma-stem or initiating cells (MSCs/MICs) can be studied by enriching MSCs/MICs, followed by mouse implantation of very low cell numbers by serial dilution [44,45,51]. Similarly, the metastatic potential of CSC can be assessed with injection in the lateral tail vein of immunodeficient NOD scid gamma mice followed by the detection of the metastatic incidence in lungs [49].
In this chapter, we describe the details of enriching MSC/MICs using sphere assays in suspension culture (Fig. 3). We have successfully used primary sphere assays to assess drug effects on melanoma stem-like cells [40, 44-46, 53, 54] and secondary sphere assays for self-renewal capacity [40, 44-46, 53, 54], and we have also implanted low number of cells from primary spheres in vivo to further assess tumor-initiating capacity of melanomas [44,45]. Here, we explain the details of plate preparation, seeding, and quantification of sphere assays.

10.
4 μg/ml of heparin, prepared and stored according to manufacturer.

15.
Inverted, optical light microscope with bright field and phase contrast options, with at least a 10× objective, ideally with a camera.

16.
Automated cell counter or manual hand-held cell counter.

2.
Place lids on plates and incubate in a dry 37 °C incubator (no water pan or cells) until dry. The small volumes in 12-well plates may dry overnight, but it may take 2-3 days to ensure all the ethanol has evaporated from larger plates.

3.
Store coated plates at room temperature (plates can be stored for at least 6 months) and sterilize by UVC light right before seeding cells.

Seeding Primary Sphere Assay
The optimal seeding density is cell-specific (see Note 2) and ranges from 1000 cells/ml for fast-growing cell lines to 10,000 cells/ml for tumor samples. We recommend starting with a pilot study to determine the optimal density.

1.
With the lids off, sterilize the polyHEMA-coated plates in biosafety hood UVC light for 20 min.

2.
Freshly prepare the stem cell medium and warm up to 37°C in water bath. Volumes are standard for culture, e.g., 1 ml per well for 12-well plate, 2 ml per well for 6-well plate.

3.
Detach adherent melanoma cells using method optimized for the particular cells, e.g., add trypsin-EDTA and place in the incubator for 5 min. For culturing spheres from human melanoma tumors and mouse tumors (see Notes 3 and 4).

5.
Collect the cells in 15 ml tubes using about 8 ml of medium for a 10 cm dish of adherent cells. Spin conical tubes at 180 × g and discard the supernatant.

6.
Resuspend the pellet in medium (volume depends on pellet size) by pipetting up and down multiple times to ensure there are no clumps.

7.
Count cells and determine viability. We usually use a 1:10 dilution of cells while using an automated cell counter. Alternatively, manually count and determine viability with a trypan blue exclusion method, using a hemocytometer and a microscope. If cell clumping is evident during the cell count, pipette up and down and re-check for clumping. It is recommended that cells be at least 90% viable (see Note 5).

8.
Plate viable cells at the recommended density (see Note 2) in stem cell medium (see Note 6).

9.
Place the plates in a humidified incubator set at 37 °C with 5% CO 2 (this seeding day represents day 0 of the assay).

10.
Do not disturb the plates for 48 h after seeding as the spheres are especially fragile during the formation period and may dissociate due to mechanical movements. Handle plates very gently if they must be viewed or imaged for experimental purposes.

1.
Feed cells with freshly prepared stem cell medium every 3-4 days, or when pH indicator turns yellow, by adding one-fourth the starting volume of medium to the plates, e.g., 250 μl of medium per well of a 12-well plate (see Note 7).

2.
If testing the effects of drugs or other experimental treatments on spheres, see Note 8 regarding the timing of treatment.

3.
View cultures with an inverted microscope to assess the formation of doublets and triplets 24-72 h after seeding [14] (see Note 9).

1.
Transfer the primary spheres from plates into sterile 15 or 50 ml conical tubes using a wide bore pipette, such as 5-or 10-ml serological pipettes.

2.
Wash the plates with an equal volume of sterile PBS and carefully collect any remaining spheres.

3.
Centrifuge gently at low speed typical for cells, such as 180 × g, for 5 min at room temperature.

2.
Perform dual ethidium bromide and acridine orange (EB/AO) staining, which is a low-cost alternative to live cell imaging that also distinguishes apoptotic cells from necrotic cells [52] (see Note 15).

3.
Dissociate spheres into single cells and analyze by conventional assays, such as flow cytometry with Annexin-V/propidium iodide.

1.
If you are using a 10× stock of polyHEMA stored at 4 °C, warm up by shaking at least 1 h in 65°C water bath.

2.
For sphere assays, the cells need to be seeded at a lower density than typical for regular monolayer culture. The majority of commercially available melanoma cells form spheres when seeded at a density of 1000-5000 viable cells/ml. For instance, the fast-growing melanoma line A375 can be seeded at 1000 viable cells/ml, while the slower growing line HT-144 can be seeded at a density of 5000 viable cells/ml. For patient-derived melanoma cells, the density may need to be higher (5000-10,000 viable cells/ml) depending on the growth rate of cells.

3.
For culturing spheres from human melanoma tumors, the tumors need to be minced thoroughly and may need to be enzymatically dissociated until a homogeneous mixture is obtained. The cells often need to be seeded at a higher density of 5000 cells per ml of stem cell medium [12].

4.
For culturing cells from mouse xenograft tumors of nude mice, the tumor tissue needs to be minced and dissociated as described in Note 3. After dissociation and cell count, it is important to separate out mouse cells from human cells by magnetic activated cell sorting (MACS), which we achieve with the commercially available Mouse Cell Depletion Kit (Miltenyi Biotec).

5.
If cell clumping is evident during the cell count, pipette up and down and re-check for clumping. It is recommended that cells be at least 90% viable.

6.
We recommend diluting cells in a 50 ml falcon tube, followed by gentle shaking or pipetting up and down to ensure mixing. Add the volume of cell of suspension to well or dish. It is helpful to tilt the plates and tap at the bottom gently to ensure spreading of cells.

7.
Unlike standard procedures for regular 2D cell culture, do not attempt to exchange medium, as the mechanical stress of pipetting might dissociate the spheres. Instead, add extra medium gently from the side of the well or dish.

8.
For testing the efficacy of certain drugs in MSC/MIC population, the drug should be added by day 5. This will enable better visualization of drug effect in vehicle and test wells without over-confluence of the vehicle wells. At least three replicates for each study/experimental condition are recommended.

9.
Small compact spheroid masses of cells will be visible around day 4. By days 5-7, well-developed spheres of 50 μm or more in diameter should be visible (Fig.  4). This is the ideal time to count spheres. Once the spheres are of diameter 200 μm or larger, the cells will undergo apoptosis and appear dark in the center (Fig.  5). At this point, it is better to passage the cells into the secondary (or tertiary) sphere assay.

10.
We recommend seeding the secondary spheres at the same density as primary spheres. However, for some cells, the secondary spheres grow faster (Fig. 4).

11.
Sphere assays can be conducted in any sized culture plates or flasks. However, 6-well or 12-well plates are recommended for quantification, and larger 10-cm dishes are recommended for protein lysates.

12.
For secondary sphere assays, we find it ideal to do triplicate wells in 12-well plates for each condition. To ensure enough viable cells for the secondary sphere assay, it is important to seed cells for the primary spheres in larger plates. For instance, we typically set up primary sphere assays in 6-cm or 10-cm plates, which ensures enough cells for triplicate conditions in the secondary sphere assay, as well as for lysate collection. Also, if looking at the effect of drugs on primary spheres, expect much death, and seed the primary experiment accordingly.

13.
Sharpies can be used to divide the plate into multiple areas for counting. For each well of 12-well plate, we divide the entire well into ten fractions for counting. The optimum time to count the spheres is typically between days 4 and 7. Spheres are easier to count if seeded in 6-well or 12-well plates, as it is easier to keep track of your place in the plate, thereby avoiding double counting. Pay attention to the sphere quality and relative size, and take images of the representative spheres if desired and able. It is important to distinguish spheres from loose cell aggregates. If there is doubt regarding a sphere versus an aggregate, it is useful to shake the plate very gently. A loose aggregate will dismantle, while a sphere will not. For faster growing cell lines, it is best to do the quantifications when the spheres are 100 μm in diameter. If the spheres are allowed to grow for longer, they over-proliferate and stick to one another.

14.
Images are collected using phase contrast microscopy and a standard green fluorescence channel at time intervals, for multiple days. The same process can also be used to visualize the effects of compounds in disrupting the already formed spheres. The accompanying Incucyte ® Cell-by-Cell Analysis Software Module is intuitive and automates sphere counts and viability analysis.

15.
EB/AO is simply added to the culture media and immediately visualized under an inverted microscope with a standard green fluorescence channel. Live or necrotic cells fluoresce green or red, respectively, and apoptotic cells show green blebbing of the membrane. These methods have been described and quantitatively used in melanoma and other studies [40,44,45]. EB/AO are mutagenic compounds; care must be used when handling, and waste must be disposed of according to local regulations. Major scientific breakthroughs leading to the current sphere assays