title: Measurement of proliferation and disappearance of regulatory T cells in human studies using deuterium-labeled glucose.
abstract: The in vivo proliferation and disappearance kinetics of lymphocytes may be estimated in humans from rates of deuterium-labeled glucose ((2)H(2)-glucose) incorporation into DNA. This protocol describes its application to regulatory T cells (Treg). Because Treg divide frequently, (2)H(2)-glucose is a suitable precursor, achieving high levels of enrichment over a short period. Being nonradioactive and readily administered, it is appropriate for human studies.There are four phases to the method: labeling, sampling, analysis and modeling. Labeling consists of administration of (2)H(2)-glucose, either intravenously or orally; during this phase, small blood samples are taken to monitor plasma glucose enrichment. Sampling occurs over the ensuing ∼3 weeks; PBMC are collected and sorted according to surface marker expression. Cell separation can be achieved by fluorescence-activated cell sorting (FACS) using CD4, CD45RA and CD25 to define memory Treg (CD4(+)CD25(hi)), or by a combination of magnetic bead separation and FACS. Analysis consists of DNA extraction, hydrolysis, derivatization to the pentafluoro tri-acetate (PFTA) derivative, and quantitation of deuterium content by gas-chromatography mass-spectrometry (GC/MS). The ratio of deuterium enrichment in cellular DNA relative to plasma glucose is used to derive the fraction of new cells in the sorted population, and this is modeled as a function of time to derive proliferation and disappearance kinetics.
authors.affiliation: Department of Immunology, Infection, and Immunity, University College London, London, UK.
authors.forename: Milica
authors.initials: M
authors.lastname: Vukmanovic-Stejic
authors.forename: Yan
authors.initials: Y
authors.lastname: Zhang
authors.forename: Arne N
authors.initials: AN
authors.lastname: Akbar
authors.forename: Derek C
authors.initials: DC
authors.lastname: Macallan
mesh_terms: D049109:Cell Proliferation; D003903:Deuterium / Q000378:metabolism*; D005947:Glucose / Q000378:metabolism*; D006801:Humans; D007553:Isotope Labeling / Q000379:methods*; D008954:Models, Biological; D050378:T-Lymphocytes, Regulatory / Q000166:cytology*
chemical_list: D003903:Deuterium; D005947:Glucose