Abstract
Background: Measuring frequencies of antigen-specific memory B cells (B(mem)), their immunoglobulin (Ig) class and subclass usage, cross-reactivity, and affinity can provide insights into the efficacy of future antibody responses in case of antigen re-encounter. B cell ImmunoSpot(®) assays can provide such information; however, like most cell-based tests, they require considerable amounts of blood to be drawn from the donor and this has hindered their inclusion in clinical trials and routine immune diagnostics. Methods: We introduce strategies for reducing the cell numbers required to 2-3 million peripheral blood mononuclear cells (PBMCs) per antigen, obtainable from 2-3 mL of blood from healthy adult donors. Results: Except when B(mem) frequencies were very low, we found that testing PBMCs in singlet wells, but in serial dilution, enables as reliable B(mem) frequency assessments as when testing replicate wells at a single fixed cell number. Additionally, B cell ImmunoSpot(®) assays can be multiplexed for detecting four Ig classes, or IgG subclasses, simultaneously and without loss of sensitivity. The requirement for low cell numbers and the retention of B cell functionality by cryopreserved PBMCs equivalent to freshly isolated material implies that fewer than the standard 10 million PBMCs per vial can be frozen. This would reduce the number of individuals who could not be tested for B(mem) due to insufficient availability of PBMCs, a common problem with such assays. Conclusions: The predictable need for and recovery of cryopreserved PBMCs facilitates planning of and optimal cell utilization in B cell ImmunoSpot(®) assays and increases the practical feasibility of extensive B(mem) characterization in larger cohorts.