A) Clinical samples
1) Centrifuge 3 ml fresh CSF sample from lumbar puncture at 1,750 g for 10 min at 4 °C.
2) Freeze supernatant immediately at -80 °C.
3) Lyse cells in 350 μl RLT buffer and store until further processing at -80 °C.
B) Analysis of IgG transcripts
4) Isolate RNA using the RNeasy Micro Kit according to the recommendations of the manufacturer. Add 5 µl of carrier poly-A-RNA (4 ng/µl) to cell lysate if fewer than 5,000 cells are analyzed.
5) Elute RNA in 14 µl RNase-free water; final volume results in 12 µl.
6) Perform reverse transcription in 20 μl final volume RT reaction mix for 90 min at 37 °C1. Use the total amount of RNA from step 5.
7) Amplify IgG Heavy and Light chain cDNAs in independent experiments. Each experiment contains two rounds of nested PCR in final volumes of 20 µl. Use forward outer and inner primers1, and reverse outer and inner primers2as described. Use 3 µl of cDNA as template for the first, outer PCRs and 2 µl of PCR product of the first reaction as template for the second, inner PCR. The reaction conditions are: First PCR: 3 min 94 °C; 50 cylces of 30 sec 94 °C, 30 sec 55 °C, 55 sec 72 °C; 10 min 72 °C;
Second PCR: 3 min 94 °C; 50 cylces of 30 sec 94 °C, 30 sec 55 °C, 45 sec 72 °C; 10 min 72 °C.
8) Separate PCR products by electrophoresis in 2% agarose/TBE buffer.
9) Isolate IgG Heavy and Light chains using the Easypure® DNA Purification Kit according to the recommendations of the manufacturer. Dissolve purified DNA in 12 μl EB buffer.
10) Insert the IgG heavy and light chains into the pCR®2.1TOPO vector using the TOPO TA Cloning Kit, transform One Shot® Chemically Competent E.coli, and select by blue/white screening according to the recommendations of the manufacturer. Pick at least 40 white colonies per chain for further analysis and culture them overnight in 3 ml LB medium containing 100 µg/µl ampicillin.
11) Isolate plasmid DNA using QIAprep Spin Miniprep Kit. Elute plasmid DNA in 30 μl EB buffer.
12) Perform DNA sequencing by standard methods using the primer "M13 forward (-20)" (Invitrogen).
13) Analyze IgG Heavy and Light chains. The germline sequences are available at "http://vbase.mrc-cpe.cam.ac.uk":http://vbase.mrc-cpe.cam.ac.uk (MRC Centre for Protein Engineering).
14) Convert sequences in FASTA format. They can then be entered into the mass spectrometry data analysis program "MASCOT Peptide Mass Fingerprint" (Matrix Science).
C) Analysis of IgG proteins
Protein G affinity chromatography
15) Wash Dynabeads® Protein G three times in 0.1M Na-acetate, 0.15 M NaCl pH 5.0.
16) Centrifuge CSF supernatant at 17,500 g for 5 min at 4 °C (Microcentrifuge 5417 R)
17) Add 200 µl of Dynabeads® Protein G bead suspension to CSF supernatant. Typically, we used 50 to 200 µg IgG in 1 to 2 ml CSF supernatant.
18) Shake at 300 rpm for 60 min at room temperature on a thermomixer. We used 2 ml low binding polypropylene reaction vessels (Biozym) to prevent protein adsorption and allow efficient mixing.
19) Wash Dynabeads® Protein G three times in 0.1M Na-acetate/0.15 M NaCl pH 5.0.
20) Elute IgG in 50 μl Urea-containing Elution buffer; Repeat elution so that the final volume is 100 μl.
Isoelectric focusing
21) Rehydrate 24 cm Immobiline DryStrip pH 3–10 in RH buffer overnight at room temperature according to the recommendations of the manufacturer.
22) Load the sample directly at the cathodic end (pH=10) onto rehydrated Immobiline DryStrip using the Multiphor II Electrophoresis System.
23) Perform isoelectric focusing. The voltage is increased in consecutive steps: 300 V for 1 h, 600 V for 15 min, 900 V for 15 min, 1200 V for 15 min, 1500 V for 15 min, 1800 V for 15 min, 2100 V for 15 min, 2500 V for 15 min, 3000 V for 15 min, 3500 V for 15 min, 4000 V for 15 min, 4500 V for 15 min, 5000 V for 20 h.
24) Fix proteins for 30 min in 12% TCA at room temperature on a slow shaker.
25) Wash IPG strip for 3 min in 25% methanol.
26) Stain IPG strip for 2 h by colloidal Roti®-Blue at room temperature on a slow shaker.
27) Destain overnight in 30% methanol/10% acetic acid.
In-gel digestion by Trypsin3
28) Excise appropriate bands and transfer separately to reaction tubes.
29) Add 20-50 μl of 10 mM NH4HCO3 to each tube so that the gel slice is completely covered. Incubate for 5 min at room temperature.
30) Discard supernatant and wash the piece of gel with 20-50 μl 100% acetonitrile.
31) Repeat steps 29 and 30.
32) Reduce IgG disulfide bonds by adding 20-50 μl of 10 mM DTT in 10 mM NH4HCO3. Incubate for 30 min at 60 °C. Discard supernatant.
33) Wash twice with 100% acetonitrile.
34) Alkylate cysteins by adding 20-50 μl of 50 mM jodoacetamide in 10 mM NH4HCO3. Incubate for 15 min at room temperature. Discard supernatant.
35) Wash with 100% acetonitrile.
36) Wash with 10 mM NH4HCO3 and discard supernatant.
37) Wash with 100% acetonitrile.
38) Wash with 10 mM NH4HCO3 and discard supernatant.
39) Wash twice with 100% acetonitrile.
40) Digest IgG by 0.1 μg Trypsin in 20-50 μl 10 mM NH4HCO3. Incubate overnight at 37 °C.
MALDI-TOF
41) Prepare MALDI-MS matrix: mix 10mM NH4H2PO4/50% acetonitrile/0.1% TFA with α-cyano-4-hydroxycinnamic acid in 50% acetonitrile/ 0.1% TFA.
42) Mix 1 μl of MALDI-MS matrix with 1 μl of sample and spot onto a well of the MALDI Steel Target. Dry at room temperature.
43) Mix 1 μl of MALDI-MS matrix with 1 μl MS-CAL2 and spot onto another MALDI Steel Target well. Dry at room temperature.
44) Insert the MALDI Steel Target in Bruker Ultraflex II TOF TOF Spectrometer.
45) Operate Mass Calibration according to the recommendations of the manufacturer.
46) Measure samples for Mass Fingerprint in the “Proteomics method” mode. Use 250–1000 shots, Laser Power 20–40%, accelerating voltage 20kV, Reflector Voltage 22.8KV, 1700–1750V Reflector Detector Voltage.
47) Save and analyze MS spectra by software “Flex Analysis”, S/N (signal to noise percentage): 1–4%.
48) Copy peaklist in program “Mascot Peptide Mass Fingerprint”.
49) Use the following parameters for Mascot Search:
Enzyme: Trypsin
Allowed missed cleavages: 1
Fixed modification: Carbamidomethyl (C)
Variable modifications: Oxidation (M), (W)
Peptide tolerance: +/- 100 ppm
Mass values: MH+
Monoisotopic
Report top: 100 hits
50) For MS/MS analysis use “LIFT method” mode. Use 250–1000 shots, Laser Power 50–90%, accelerating voltage 20kV, 1700–1750V Reflector Detector Voltage.
51) Save and analyze MS/MS spectra by software “Flex Analysis”, S/N (signal to noise percentage): 1–4%.
52) Copy peaklist in program “Mascot MS/MS Ions Search”.
53) Use the following parameters for Mascot Search:
Enzyme: Trypsin
Allowed missed cleavages: 1
Fixed modification: Carbamidomethyl (C)
Variable modifications: Oxidation (M), (W)
Peptide tolerance: +/- 100 ppm
Peptide charge: 1+
Data format: Bruker (. xml)
Instrument: MALDI TOF TOF
MS/MS tol: +/- 0.8 Da
Monoisotopic
Precursor: mass of interest
Report top: 100 hits