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How to Extract CSF-Like Fluid from Choroid Plexus Organoids

The STEMdiffâ„¢ Choroid Plexus Differentiation Kit efficiently and reproducibly generates human pluripotent stem cell-derived choroid plexus organoids featuring cystic structures containing fluid resembling cerebrospinal fluid (CSF). This organoid model permits access to CSF-like fluid without requiring invasive lumbar puncture procedures, and maintains a blood-free sample. Extracting the fluid from these organoids presents a valuable tool for disease-related biomarker discovery and blood-CSF permeability assays. The following protocol describes two options for the extraction of CSF-like fluid from choroid plexus organoids, and was adapted from a previously published protocol developed by Pellegrini et al1.

Table 1. Comparison of CSF-like Fluid Extraction Methods

Extraction Method
Optimal Cyst Size
Expected Volume of CSF-like Fluid
Syringe Method
≥ 1 mm diameter (medium to large)
100 - 1000 µL
Centrifugation Method
≤ 1 mm diameter (small)
10 - 500 µL
Figure 1. Morphology of small (< 1 mm in diameter), medium (1 - 3 mm diameter) and large (> 3 mm in diameter) cystic ChP organoids between day 40 - 50. Cystic ChP organoids may develop multiple cysts per organoid.

Protocol Option 1: Syringe Extraction

This method works best with larger choroid plexus organoids (> 1 mm in diameter). Expected extracted volumes are 100 - 1000 µL per organoid.

Materials

Procedure

  1. Transfer a single ChP organoids using a cut P1000 pipette tip (or sterile spatula) to an appropriate vessel to wash (for small to medium ChP organoids these can be transferred to a 12-well plate, for large ChP organoids these can be transferred to a 6-well plate).
  2. Rinse ChP organoid with enough D-PBS to cover the organoid (0.5 to 3 mL depending on vessel and organoid size).
    1. Perform wash a minimum of three times to remove excess media, immediately removing wash each time. Note: perform wash steps gently to prevent popping of the ChP organoid cyst.
  3. Use a 200 μL or 1000 μL pipette to remove as much PBS as possible to prevent dilution of the CSF-like fluid.
  4. Use a syringe + needle assembly to poke the choroid plexus organoid and slowly extract CSF-like fluid. Aim for the middle of the cysts if possible. Holding the tube at eye-level can make this easier.
  5. Expel CSF-like fluid into a new microcentrifuge tube and store at -20°C to -80°C for subsequent analysis.
    1. Note: The total volume of CSF-like fluid extracted from each organoid can range from 10 - 1000 µL, depending on the method.
    2. The deflated choroid plexus organoid can be used as a control in subsequent experiments.

Protocol Option 2: Centrifugation Extraction

This method works best with smaller choroid plexus organoids (< 1 mm in diameter) mm or when multiple ChP organoids need to be processed per sample. It’s not recommended to use this method with organoid cyst diameter greater than 1 mm due to dimensions of the Amicon Ultra-0.5 mL Centrifugal Filter. Expected extracted volumes are 10 - 500 µL per organoid.

Materials

Procedure

  1. Transfer ChP organoids using a cut p1000 pipette tip (or sterile spatula) to an appropriate vessel to wash
    1. Note: Small to medium ChP organoids can be transferred to a 12-well plate, and large ChP organoids can be transferred to a 6-well plate.
  2. Rinse ChP organoid with enough D-PBS to cover the organoid (0.5 to 3 mL depending on vessel and organoid size).
    1. Perform wash a minimum of three times to remove excess media, immediately removing wash each time. Note: perform wash steps gently to prevent popping of the ChP organoid cyst.
  3. Using a cut wide-bore pipette tip, transfer choroid plexus organoid(s) to a Amicon Ultra-0.5 mL Centrifugal Filter. Remove as much excess PBS as possible to prevent dilution of the CSF-like fluid.
    Note: 2 to 3 organoids may be loaded into one tube. More than this may clog the filter.
  4. Centrifuge the tube at 10,000g for 2 minutes.
  5. CSF-like fluid is collected as the flow-through and can be store at -20°C to -80°C for subsequent analysis. The deflated choroid plexus organoid can be used as a control in subsequent experiments.

Analysis of CSF-Like Fluid

CSF-like fluid may be analyzed by SDS-PAGE and Western blotting using the following antibodies:

  • Rabbit anti-IGF-2 (Abcam ab204567) 1:250
  • Goat Anti-Rabbit IgG H&L (HRP) (ab205718) (1:2000)
  • HRP-Clusterin (Biolegend 848703) 1:250

CSF-like fluid may also be analyzed using other methods such as mass spectrometry, as demonstrated in Pellegrini et al1.

References

  1. Pellegrini L, et al. Science. 2020 Jul 10;369(6500):eaaz5626.