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7 protocols using foxp3 fix perm solution

1

Phenotyping PBMCs in Systemic Sclerosis-ILD

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Six representative SSc-ILD were selected based on having the most available biospecimen in the absence of disease modifying anti-rheumatic drugs (DMARDs). Samples were age/sex matched 1:1 with healthy controls. Cryopreserved PBMCs were thawed in 10 mL of PBS w/o calcium or magnesium, pelleted by centrifugation, resuspended in fluorescence-activated cell sorting (FACS) buffer containing fetal bovine serum and sodium azide and washed once more with FACS buffer. Cells were transferred to a 96-well plate for staining. After incubation with 5 μL Fc Block (BD Biosciences, San Jose, CA) in 45μL FACS buffer for 10 min on ice, surface master mix (Table S2) was added for 30 min on ice without centrifugation prior to adding Live/Dead 700 for an additional 5 min. Cells were pelleted by centrifugation, washed twice with FACS buffer, and resuspended in eBioscience FoxP3 Fix/Perm solution (ThermoFisher Scientific, USA) for 30 min, pelleted by centrifugation, and washed with FoxP3 Fix/Perm buffer. After pelleting by centrifugation, cells were resuspended in intracellular master mix in FoxP3 Fix/Perm buffer for 30 min at RT, pelleted by centrifugation and washed twice with FoxP3 Fix/Perm buffer prior to transferring to FACS tubes for data acquisition. All data were acquired on a BD LSRII Fortessa instrument.
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2

Regulatory T and Th17 Cell Profiling

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Thawed PBMCs (1 × 106 cells/ml) resuspended in 50 µl of PBS were stained with anti-human CD3 PEcy7, and anti-human CD4 Violet for 30 min at 4 °C. Post incubation, the cells were washed in PBS twice and fixed with Foxp3 Fix Perm solution (Thermo Fischer) for 30 min at room temperature, followed by a wash and staining with anti-human Foxp3 PE (clone: PCH101; Thermo Fischer) and anti-human RORγt APC (clone: 2A2; Thermo Fischer) in diluted permeabilisation buffer (Thermo Fischer) for 30 min at 4 °C. Regulatory T cells were defined as CD3+ve CD4+ve Foxp3+ve cells (gating strategy Fig. 4B) and Th17 cells as CD3+ve CD4+ve RORγt+ve cells (gating strategy Fig. 4D).
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3

Multiparameter Flow Cytometry Analysis

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Single-cell suspensions were stained with Live/Dead Aqua Fixable Stain (Thermo Fisher), followed by 3 panels of fluorochrome-conjugated antibodies (supplemental Table 1), fixed and permeabilized using the FoxP3 Fix/Perm solution (Thermo Fisher), and then stained for intracellular proteins. Flow cytometry was performed using an LSRII cytometer (BD Immunocytometry Systems), and the data were analyzed using Cytobank Software (version 9.1; RRID:SCR_014043).
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4

Regulatory T Cell Phenotyping by Flow Cytometry

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PBMCs (1 × 106 cells/ml) resuspended in 50 µl of PBS were stained with anti-human CD3 PE cy7, anti-human CD4 Violet and anti-human CD25 APC (clone: PC61; Biolegend, UK) for 30 min at 4 °C. Post incubation, the cells were washed in PBS twice and fixed with Foxp3 Fix Perm solution (Thermo Fischer) for 30 min at room temperature, followed by a wash and staining with anti-human Foxp3 PE (clone: PCH101; Thermo Fischer) in diluted permeabilization buffer (Thermo Fischer) for 30 min at 4 °C. Post incubation, the cells were washed and analysed using a Cyan ™ ADP flow cytometer (Dako). Regulatory T cells were defined as CD3+ CD4+ CD25+ Foxp3+ cells [ gating strategy Supplementary Fig. 1] [32 (link)].
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5

Immune Profiling of Cryopreserved PBMCs

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Peripheral blood was obtained by venipuncture and collected in Vacutainer tubes containing acid-citrate-dextrose anticoagulant. Peripheral blood mononuclear cells (PBMC) and plasma were separated by Ficoll density gradient centrifugation, and PBMCs were resuspended in a 90% FBS (Gemini) and 10% DMSO (Sigma-Aldrich) solution. PBMCs were viably cryopreserved and stored in vapor phase liquid nitrogen, whereas plasma was frozen and stored at −80°C for future use. Immune profiling of PBMCs was performed using an immune cell subsetting panel. Two million PBMCs were first incubated in a 12 × 75 staining tube, with Fc Block (BD Biosciences), followed by a surface stain with 4–1BB, ICOS, PD-1, PD-L1, TIM3, HLA-DR, viability dye, CD8 and CD4 for 25 minutes at 4°C. Following cell surface staining, cells were treated with the FOXP3 Fix/Perm solution (eBioscience) for 45 minutes at 4°C. Intranuclear staining was then performed for 30 minutes at 4º C using fluorescent antibodies against FOXP3 and CTLA-4. Matched isotype controls were used for ICOS, 4–1BB, HLA-DR, CTLA-4, PD-1, PD-L1, TIM3, and FOXP3. Cells were fixed with 1% paraformaldehyde (Sigma-Adrich) and acquired on a BD LSRII flow cytometer.
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6

Flow Cytometric Analysis of T and B Cell Subsets

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Frozen PBMCs were thawed at 37 °C and washed in 10 mL of RPMI containing FCS (10%) (Sigma Aldrich). The pelleted cells were re-suspended in PBS (1 × 106 cells/mL), were stained with combinations of antibodies (Supplementary Table S1) for 30 min at 4 °C and followed by 2 washes with PBS. For intracellular transcription factor staining for regulatory and follicular helper T cell staining, cells were surface-stained (anti-human CD3, anti-human CD4) and fixed with Foxp3 Fix Perm solution (eBiosciences, San Diego, CA, USA) for 30 min. This was followed by washing the cells, permeabilization with diluted permeabilization buffer (eBiosciences) and staining with antibodies for anti-human foxp3 and anti-human bcl6 for 30 min at 4 °C followed by 2 washes with PBS.
Samples were acquired using a Cyan ADP flow cytometer (Dako, Glostrup, Denmark). Data analysis was done using Summit V 4.3 software. Spectral overlap when using more than one colour was corrected via compensation. Appropriate isotype controls were used for setting gates. The gating strategy used to identify the T cell subset has been shown in Figure S1; the gating strategy for B cell subset distribution has been published [35 (link),36 (link)]. The detailed methods for stimulation of PBMCs to induce cytokine production by CD4 T cells and staining for toxin expressing immune cells can be found in the Supplementary Methods.
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7

Mass Cytometry Immune Profiling of PBMCs

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Frozen PBMCs were thawed using complete RPMI (RPMI+10%FBS) and washed with PBS. The cells were then treated with cisplatin for 5 mins, followed by incubation with metal-conjugated surface antibodies cocktail (Table 1) for 30 mins at 37°C. Cells were washed twice with CyFACS buffer (PBS with 4% FBS, 0.05% sodium azide), followed by primary antibody staining for 30 mins on ice. Subsequently, cells were washed twice with CyFACS buffer, followed by permeabilization and fixation with Foxp3 fix/perm solution (eBioscience) for 30 mins on ice. Following this, cells were washed with permeabilization buffer (Biolegend) and then stained with intracellular antibody cocktail (Table 1) for 30 mins on ice, wash with Biolegend permeabilization buffer then stained with metal-conjugated streptavidin for 10 mins on ice. Finally, cells were washed with PBS and fixed overnight using 2% PFA made in PBS. The next day, cells were barcoded and stained with Cell-ID Intercalator-Ir (Fluidigm) in PBS for 20 mins at room temperature. Cells were washed twice with CyFACS buffer followed by a final wash using MiliQ water and passed through size filter. Filtered cells were analyzed using Helios mass cytometer (Fluidigm) with CyTOF software version 7.0.8493. Data analyses were performed using Flowjo V10.5.3 (BD) and Cytofkit2 (33 (link)).
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