(a)

Transfer the homogenous sample to a 15-mL centrifuge

tube for intermediate storage.

(b)

Gently resuspend the sample using a 10-mL sterile pipette

and aliquot the sample into 2  2 mL and 1  1.5 mL

microtubes, as shown in Fig. 4.

(c)

Allow the MCs to sediment in all containers.

(d)

Transfer the supernatant from one 2-mL microtube to a

new 1.5-mL microtube in such a way as to not aspirate any

MCs. This supernatant may then be analyzed to determine

substrate and metabolite concentrations (see Note 3).

(e)

To the 1.5-mL microtube, add 1 mL of formalin. This

sample, henceforth referred to as aliquot 1, may then be

used to determine cell distribution, as well as MC aggre-

gation (see Note 19).

(f)

Using 1 mL of pre-warmed DPBS for each, resuspend the

sedimented MCs in both 2-mL microtubes.

(g)

Allow the MCs to sediment, then remove and replace the

supernatant with 0.5 mL of pre-warmed TrypLE Select

1.

(h)

Place the 2-mL microtubes horizontally on an orbital

shaking platform at 130 rpm, 25 mm, 37 C for 7 min

(see Note 7).

(i)

Following incubation, resuspend the suspension in both

2-mL microtubes 10 times using a 1-mL pipette and

standard pipette tip, then use aliquot 3 to determine cell

density (see Note 2). Be sure to account for the concen-

tration factor (approximately 10:1, see Note 13).

(j)

Based on the cell density results above, use a 70-μm cell

strainer to filter the volume of aliquot 2 corresponding to

a maximum of 1.5  106 cells into a 1.5-mL microtube

and separate them from the MCs (aliquot 3 may also be

used in combination with aliquot 2, if the latter’s volume

proves insufficient). Then proceed with the flow cytome-

try analysis (see Note 4).

3. Determining cell distribution and MC aggregation by staining

with DAPI.

(a)

Prepare the Perm/Stain working solution by adding

DAPI working solution (see Note 20) to the Triton®

X-100 working solution (see Note 21) at a ratio of

2.5:1000. In other words, 2.5 μL of DAPI working solu-

tion for every 1,000 μL of Triton® X-100 working

solution.

(b)

Following fixation with formalin of the sample in the 1.5-

mL Eppendorf tube, remove the supernatant, while

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