* The overall goal of this protocol is to isolate mesenchymal stromal cells from four distinct
perinatal tissue sources; the umbilical cord lining, Wharton's jelly, cord-placenta junction, and
foetal placenta.
* This method can help advance the field of stem cell biology, alternative medicine by obtaining
special quality mesenchymal stem cells, non-invasively.
* The main advantage of this technique is that it productively yields large numbers of high quality
homogenous cell populations from distinct perinatal tissue sources.
* Multi-potent cord mesenchymal stromal cells derived from this technique can be used to treat
various diseases and disorders since they are more primitive than mesenchymal stem cells
isolated from adult tissues.
* This method can provide insight into the characteristics of mesenchymal stromal cells from
different segments and specific niches of the cord and placenta.
* Begin by placing the sample in a 150 millimetre petri dish on ice in a bio safety cabinet and use a
needle and syringe to rinse the tissue several times with ice cold PBS.
* When all the blood clots have been removed, carefully examine the sample to identify the
different anatomical regions.
* Then use forceps to grasp the foetal end of the umbilical cord and use scissors to carefully make
an incision at the top of the cord-placenta junction.
* Make a second incision below the junction to separate the cord-placenta junction from the
placenta.
* And split the separated tissues into individual petri dishes.
* Next, cut the umbilical cord longitudinally to completely expose the blood vessels and the
surrounding Wharton's jelly without disturbing the epithelium. Use a scalpel to scrape the
Wharton's jelly away from the blood vessels and interepithelium of the subamnion.
* Then, remove the blood vessels, transferring any remaining perivascular jelly under and around
the blood vessels into the Wharton's jelly dish and place the remaining cord lining tissue in its own
dish.
* When all the tissues have been dissected, replace the PBS in each dish with three to five millilitres
of trypsin and use scissors to cut each tissue sample into one to two millimetre pieces for a 30
minute incubation at 37 degrees Celsius and five percent carbon dioxide.
* Use a phase contrast microscope to observe the partial digestion by visualizing the release of cells
from the tissue.
* At the end of the partial digestion period, neutralize the trypsin with an equal volume of culture
medium and transfer the samples into individual 50 millilitre conical tubes.
* Allow the tissue pieces to settle for three minutes. Then carefully aspirate the supernatant and
plate 15 to 20 partially digested tissue pieces per sample into individual 75 square centimetre
tissue culture flasks.
* Next, add nine millilitres of culture medium for a two to three day incubation at 37 degrees
Celsius.
* Change the culture medium after three days and examine the xplants by phase contrast
microscopy for cell outgrowth.
* When the cell growth reaches 70 percent confluency, dissociate the cells in one to two millilitres
of trypsin solution per flask, rotating the flask for an even coating with the enzyme solution and
incubate the cultures for three minutes at 37 degrees Celsius.
* Then neutralize the reaction with one to two millilitres of culture medium.
* Collect the cells by centrifugation, resuspending the pellet in culture medium for subculture at a
one times ten to the fourth cells per centimetre squared seeding density.
* The cells from the cord lining and Wharton's jelly cultures exhibit colony forming efficiency values
of 59 and 80 colonies respectively.
* The colony forming efficiency value of the cord-placenta junction cells, however, is similar to that
observed for bone marrow mesenchymal stem cells suggesting that cord-placenta junction
derived cells have higher proliferative and self-renewal capabilities.
* Flow side a metric analysis of the single cell suspensions isolated from these perinatal tissues
indicates that the percentages of positive cells for specific mesenchymal stem cell markers from all
four tissue sources are similar to those expressed by standard bone marrow derived mesenchymal
cells.
* The median fluorescence intensity ratios, however, indicate that Wharton's jelly and cord-placenta
junction derived cells are very similar or higher than the cord lining in foetal placenta derived cells.
* Interestingly, in spite of their varying colony forming efficiency values, all of the cells from the
different perinatal sources express similar levels of pluripotency markers by quantitative RTPCR
analysis except the cord-placenta junction derived mesenchymal stromal cells, which expressed
the highest levels of expression for all the tested pluripotency markers.
* Further, mesenchymal stromal cells isolated from all of the perinatal sources readily differentiate
into adipogenic, chondrogenic, and osteogenic cell types as well as demonstrated trilineage
differentiation. Although the potential of differentiation varies according to the mesenchymal
stromal cell source.
* Once mastered, this technique can be completed in two to three hours if it's performed efficiently.
* While attempting this procedure, it is important to practice lateral technique and avoid cross
contamination between the tissue sources.
* This technique paved the way for researchers to explore the nature of stem cell niches in perinatal
tissues.