Identification and validation of a commercial cryopreservation medium for the practical preservation of Dirofilaria immitis microfilaria
Parasites & Vectors volume 13, Article number: 383 (2020)
Dirofilaria immitis is a parasitic nematode transmitted by mosquitoes and the cause of heartworm disease in dogs and dirofilariasis in humans and other mammals. The parasite is endemic worldwide. Vector stage research requires a reliable supply of D. immitis microfilariae (mf). It is believed that cryopreserved mf would retain viability and provide a powerful tool for vector stage research. However, reports on cryopreservation of D. immitis mf are limited. Therefore, this study aimed to validate commercial cryopreservation media to establish a practical, convenient and reproducible storage procedure for D. immitis mf.
Six different commercially available cryopreservation media were compared with the traditional polyvinylpyrrolidone-dimethyl sulfoxide (PVP-DMSO) preservation solution. In vitro viability of purified D. immitis mf and mf-infected total blood was analyzed using a motility assay and propidium iodide staining. In vivo infectivity of Aedes aegypti mosquitoes with cryopreserved mf was assessed using a mosquito survival test and quantifying the number of third-stage larvae (L3) after 13 days post-infection.
Purified mf cryopreserved in CultureSure showed the best viability when compared to mf cryopreserved in the remaining five commercially available media and PVP-DMSO. Viability of mf in mf-infected total blood cryopreserved in CultureSure varied with the ratio of infected blood to CultureSure. Optimum results were obtained with 200 µl mf-infected blood:800 µl CultureSure. CultureSure was also the optimum medium for cryopreserving mf prior to infectivity of A. aegypti. The number of L3 was approximately the same for CultureSure cryopreserved mf (3× concentrated solution) and non-cryopreserved fresh mf.
CultureSure is an optimal commercial cryopreservation solution for the storage of D. immitis purified mf, mf-infected total blood, and mf used for in vivo mosquito experiments. Furthermore, this study describes an easy preservation method for clinical D. immitis-infected blood samples facilitating vector stage studies, as well as the study of macrocyclic lactone resistance in heartworms and the education of veterinarians.
The parasitic nematode Dirofilaria immitis is transmitted by mosquitoes causing potentially lethal heartworm disease in dogs, pulmonary dirofilariasis in humans, and dirofilariasis in various mammals . Wild carnivores are also sentinels for the spread of D. immitis. Despite the availability of effective preventive medicines, D. immitis is endemic worldwide. Therefore, a better understanding of host-parasite interactions between mosquito vectors and D. immitis is needed to establish a truly effective control strategy.
Vector stage experiments require live D. immitis microfilariae (mf) obtained from infected animals . Having a reliable supply of live mf on demand is very important. Cryopreservation is a powerful tool allowing pathogens to be stored in a viable state. However, there are only a few reports describing cryopreservation of D. immitis mf. Initially, in 1947, Weinman and McAllister  demonstrated cryopreservation of mf in citrated or heparinized blood without cryoprotectant additives. Taylor  in 1960 and Lok et al.  in 1983 used glycerol and dimethylsulfoxide (DMSO), respectively, for cryopreservation of mf and assessed the subsequent infectivity of mosquitoes. In the most recent study, published in 2001, Bartholomay et al.  prepared and tested a 16% polyvinylpyrrolidone (PVP)-6% DMSO solution (PVP-DMSO) as a cryoprotective medium.
In the previous studies, the cryopreservation media tested were originally prepared by the investigators. Recently, various commercial cryopreservatives have become available and they are commonly used, especially for mammalian cell cryopreservation. For convenience, reproducibility and standardization purposes, we sought to identify a commercially available cryopreservation medium for effective D. immitis mf preservation. To this end, here, we compared six commercial cryopreservation media with the traditional PVP-DMSO preservative  for the cryopreservation of D. immitis mf. Effectiveness was evaluated by measuring in vitro viability and in vivo infectivity of mosquitoes.
Female beagles (2–4 years-old) were experimentally infected with D. immitis SF1 strain originally isolated in Japan  and reared under a veterinarian’s administration. Aedes aegypti Liverpool (LVP)-OB strain, kindly provided by Dr R Maeda, the Obihiro University of Agriculture and Veterinary Medicine (OUAVM), Japan, susceptible to D. immitis infection was maintained at 27 ℃ and > 80% humidity on a diet of 5% fructose and a 12:12 h light:dark photoperiod.
Microfilariae purification and cryopreservation
Cryopreservation was initially tested using purified D. immitis mf isolated from heparinized blood of an experimentally infected dog. The mf were purified using a PD-10 gel purification column (GE Healthcare, Amersham Place, UK) equilibrated with RPMI 1640 Medium (Gibco 2120429, Thermo Fisher Scientific, Waltham, MA, USA) supplemented with 1× penicillin-streptomycin (Gibco 15140122) [8, 9]. Purified mf were centrifuged at 1000×g for 10 min at room temperature. The supernatant was discarded and the pelleted mf were re-suspended in 1 ml of cryopreservation medium (c.3000 or 15,000 mf/tube) and transferred to cryogenic tubes (Nunc 119546, Thermo Fisher Scientific). Samples were stored in freezing containers (Corning® CoolCell® LX, Corning, NY, USA) overnight at − 80 ℃ before being transferred into liquid nitrogen, and stored until analysis. Cryopreservation media used in this study were as follows: PVP-DMSO (0.004 M PVP, average molecular weight of 40,000 and 6% DMSO) in phosphate buffered saline (PBS) [6, 10], CultureSure® Freezing Medium (CultureSure, FUJIFILM Wako, Osaka, Japan), Cellbanker® 1 (Cellbanker, Zenoaq Resource, Shiga, Japan), LaboBanker 1 (LaboBanker, Kurabo, Osaka, Japan), Cos banker (Cosmo Bio, Tokyo, Japan), Bambanker® (GC Lymphotec, Tokyo, Japan), CryoScarless® DMSO-Free (CryoScarless, Bio Verde, Kyoto, Japan), and RPMI 1640 (Table 1).
In vitro motility assay
Cryopreserved mf were thawed rapidly by swirling in a water bath at 37 ℃. Immediately after thawing, the mf were suspended in 10 ml of RPMI 1640 medium and centrifuged at 1500×g for 10 min at room temperature. The pelleted mf were re-suspended in 1 ml of RPMI 1640 medium containing 5% fetal calf serum, transferred to 12-well cell culture plates (Nunc) and incubated in 5% CO2 in air at 37 ℃ for 3 days. The motility of mf was assessed microscopically on days 0, 1 and 3 post-thawing (dpt) (n ≥ 3) and subjectively scored as inactive or dead (−), less active (+), moderately active (++) and highly active (+++) . The results were statistically analyzed to rank the various media using a Chi-square test and adjusted residuals (AR). Absolute AR values were considered significant at AR ≥ 1.96. The difference between PVP-DMSO and each cryopreservation medium was analyzed using Welch’s t-test.
Cryopreservation of D. immitis mf-infected total blood
Fresh, heparinized blood (50–400 µl) was collected from D. immitis-infected dogs (c.25,000 mf/ml) and mixed with CultureSure up to 1 ml and then cryopreserved as described above. Differences in motility between purified mf and mf-infected total blood were analyzed by one-way analysis of variance (ANOVA), followed by Tukey’s multiple comparisons test.
Propidium iodide (PI) staining assay
To evaluate any physical damage caused by cryopreservation, cultured mf were stained with PI (2 µg/ml) (Molecular probes, Eugene, OR, USA) for 10 min on 3 dpt. The stained mf were washed with PBS by centrifugation at 1500×g for 10 min at 4 ℃ and then subjected to fluorescence microscopy observation using the same exposure time in each experiment. Methanol-fixed mf were used as a positive control. The results were statistically compared using a Chi-square test and calculated AR.
In vivo third-stage larva (L3) development assay
Mf cryopreserved with commercial CultureSure, LaboBanker media and traditional PVP-DMSO were used to determine the infectivity of mosquitoes in vivo. Thawed mf were fed to female A. aegypti on day 7 post-emergence for 2 h by artificial membrane feeding using Parafilm (Bemis company, Neenah, WI, USA). Blood-feeding experiments were completed within 4 h post-thawing. The concentration of thawed mf was adjusted to 18 mf/µl using heparinized blood collected from a healthy dog. Non-cryopreserved fresh blood (6 mf/µl) was collected from an infected dog and used as the control. Fully fed mosquitoes were selected under CO2 anesthesia and maintained for 13 d. Mosquito survival was monitored every day. At day 13 post-infection (dpi), all surviving female mosquitoes were dissected under a stereomicroscope to investigate the number of L3. Mosquito survival was analyzed by Chi-square test and the L3 count was analyzed by Welch’s t-test.
All statistical analyses were performed using GraphPad Prism 7 (GraphPad, San Diego, CA, USA). A significant difference was defined by P < 0.05 and P < 0.10 was considered a marginal difference.
Results and discussion
In vitro viability of purified microfilariae
The viability of cryopreserved mf was compared between traditional PVP-DMSO and several commercially available cryopreservation media. Microscopic observation revealed that mf cryopreserved with CultureSure exhibited the highest motility (χ2 = 721.2, df = 7, P < 0.0001, AR = 8.5 on 0 dpt; χ2 = 648.5, df = 7, P < 0.0001, AR = 10.51 on 1 dpt and χ2 = 333.3, df = 7, P < 0.0001, AR = 12.19 on 3 dpt) (Fig. 1a). Mf cryopreserved with LaboBanker exhibited the second highest motility (AR = 7.67 on 0 dpt, 9.88 on 1 dpt, and 6.55 on 3 dpt), and Mf in CryoScarless exhibited the lowest motility (AR = − 24.03 on 0 dpt, − 20.06 on 1 dpt, and − 10.12 on 3 dpt). When mf motility was compared based on moderately active and highly active levels, mf in CultureSure (t = 6.634, df = 2.214, P = 0.017 on 0 dpt; t = 6.682, df = 3.118, P = 0.0061 on 1 dpt and t = 6.76, df = 3.835, P = 0.0029 on 3 dpt), LaboBanker (t = 4.495, df = 3.934, P = 0.011 on 0 dpt; t = 5.944, df = 3.373, P = 0.0068 on 1 dpt and t = 4.493, df = 3.997, P = 0.011 on 3 dpt) and Cellbanker (t = 5.024, df = 3.571, P = 0.0099 on 0 dpt; t = 6.184, df = 2.383, P = 0.016 on 1 dpt and t = 3.02, df = 3.698, P = 0.043 on 3 dpt) media all exhibited significantly higher motility on 0, 1 and 3 dpt than mf preserved in traditional PVP-DMSO media. Mf in CryoScarless medium showed significantly lower motility compared to PVP-DMSO on 0 (t = 18.87, df = 2.116, P = 0.0022) and 1 dpt (t = 10.61, df = 2.071, P = 0.0078).
The viability of mf on 3 dpt was quantified based on the ability of PI to penetrate dead or dying cells but not living cells. CultureSure-cryopreserved mf showed significantly lower PI values compared to all of the other cryopreservation media (χ2 = 161.3, df = 7, P < 0.0001, AR = 5.7) (Fig. 1b). The mf cryopreserved in PVP-DMSO (AR = 3.59), LaboBanker (AR = 2.87) and Bambanker (AR = 2.53) showed significantly lower PI positive rates (Fig. 1b). These results are supported by fluorescent imaging of mf PI staining in each medium (Fig. 1c). Translating our results, to do a parallel with other published studies, the total motile parasite ratio of CultureSure-cryopreserved mf after thawing (97.2%, Fig. 1a) was considered equivalent or slightly better than the reported for cryopreserved mf using 5% DMSO medium (78.8–91.6%)  or PVP-DMSO (> 95%) . From these experiments, it is clear that CultureSure is the optimal cryopreservation medium tested for the preservation of D. immitis mf.
Parasite concentration levels were a factor influencing motility in the various media. In general, motility of mf cryopreserved at a high concentration (c.15,000 mf/ml) was significantly greater than mf cryopreserved at a low concentration (c.3000 mf/ml). This was true for mf cryopreserved in PVP-DMSO on 0 to 3 dpt (t = 4.451, df = 3.499, P = 0.015 on 0 dpt; t = 36.17, df = 2.929, P < 0.0001 on 1 dpt and t = 11, df = 2.414, P = 0.004 on 3 dpt), in CultureSure on 1 (t = 4.708, df = 3.817, P = 0.010) and 3 dpt (t = 3.805, df = 2.865, P = 0.035) and in LaboBanker on 0 (t = 4.748, df = 3.291, P = 0.014) and 3 dpt (t = 6.522, df = 2.901, P = 0.008) (Fig. 1d). These results suggest that cryopreservation of mf should be carried out at the higher mf concentration to retain better viability.
In vitro viability of microfilariae in mf-infected total blood
Cryopreservation of D. immitis mf-infected total blood is especially important in clinical settings. The motility of mf in mf-infected total blood was compared over a range of blood volumes in CultureSure (1 ml total volume) and with purified mf (c.25,000 mf/ml) (Fig. 2a). The results were comparable to purified mf cryopreservation, in most cases. Significant differences were observed between purified mf and mf-infected total blood volumes of 400 µl on 0 dpt (q = 5.431, df = 12, P = 0.022) and 300 µl on 3 dpt (q = 5.38, df = 12, P = 0.024). In addition, a significant difference was seen for mf-infected volumes of 200 µl and 400 µl on 0 dpt (q = 5.048, df = 12, P = 0.035). Analysis of PI staining of mf on 3 dpt, demonstrated that mf-infected total blood at a volume of 200 µl showed significantly lower PI positive values (χ2 = 12.19, df = 5, P = 0.032, AR = 2.36, Fig. 2b), whereas the 300 µl sample showed the highest PI staining values (AR = 1.98, Fig. 2b). These findings were supported by fluorescent imaging (Fig. 2c). Altogether, these results suggest that cryopreservation is optimal with 200 µl (c.25 mf/µl) of infected blood brought to a total volume of 1 ml with CultureSure.
Vector infectivity and survival of cryopreserved microfilariae
Infectivity of mosquito vectors with D. immitis mf cryopreserved with CultureSure or LaboBanker was compared with traditional PVP-DMSO cryopreservation. Non-cryopreserved, fresh mf were used as a positive control. The survival rate of mosquitoes fed LaboBanker cryopreserved mf was significantly higher compared to mosquitoes fed CultureSure (χ2 = 4.761, df = 1, P = 0.029) or PVP-DMSO (χ2 = 4.086, df = 1, P = 0.043) cryopreserved mf on 13 dpi (Fig. 3a). The number of L3 in mosquitoes fed CultureSure cryopreserved mf tended to be higher than that of the L3 for mf cryopreserved in PVP-DMSO (t = 1.728, df = 53.64, P = 0.090) and fresh (t = 1.897, df = 56.14, P = 0.063) mf (Fig. 3b). Although different mosquito colonies and mf infectious inocula were used, the mf infectivity reported here was similar to the one previously reported for PVP-DMSO cryopreserved mf . The ratios of mean L3 numbers in individual mosquitoes/feeding inoculum concentration were 0.85 and 0.77 for PVP-DMSO cryopreserved mf in our study and a previous study, respectively . Remarkably, this ratio, determined for CultureSure was 1.03. The number of L3 of mosquitoes fed LaboBanker cryopreserved mf was significantly lower compared to the other treatments (Fresh: t = 5.868, df = 71.41, P < 0.0001; PVP-DMSO: t = 5.67, df = 45, P < 0.0001; and CultureSure: t = 6.496, df = 42.96, P < 0.0001). These results indicate that CultureSure is an optimal medium for D. immitis mf cryopreservation. Lok et al.  demonstrated that 6.0–20.0% of mf cryopreserved in 5% DMSO medium reached the L3 stage when inoculated to mosquitoes using the enema method. The estimated average blood volume ingested by A. aegypti per blood meal was 2.3–2.6 µl [12, 13]. In our study, assuming a blood intake of 2.5 µl (18 mf/µl) per mosquito, the L3 development ratio was calculated as 41.8% (18.8 L3/45 mf), suggesting CultureSure is better than 5% DMSO medium for the cryopreservation of D. immits mf.
Importance of DMSO in cryopreservation media
DMSO appears to be an important component in cryopreservation media for D. immitis mf. In the present study, most of the commercial cryopreservation media examined yielded a positive performance, except for CryoScarless, which was the only medium that did not contain DMSO. DMSO is known to inhibit ice crystal formation during the freezing process and it is commonly used for mammalian cell cryopreservation . Selection of a DMSO-containing medium seems critical for successful cryopreservation of D. immitis mf.
Justification and practical applications for using cryopreserved microfilariae
Preparation of D. immitis-infected animals and fresh mf is a bottleneck for in vivo mosquito vector experiments. Here, we demonstrated that cryopreserved mf could be used for in vivo mosquito experiments instead of fresh mf, thereby eliminating the need to maintain infected animals. The concentration of cryopreserved mf fed to mosquitoes in mf-infected blood was adjusted to 3-fold higher levels than non-cryopreserved, fresh mf. Under these conditions, the number of L3 for the mosquitoes was almost equivalent to that of fresh mf.
Standardization of D. immitis mf cryopreservation method is essential for the study of drug-resistant D. immitis. Macrocyclic lactones have been widely used to prevent heartworm infections for the past three decades . Since the emergence of macrocyclic lactone resistance in D. immitis in 2005 , numerous field and laboratory-induced isolates have been studied [17,18,19]. These isolates are essential for further studies to completely understand drug resistance in D. immitis. However, it is quite expensive and time-consuming to maintain each of these isolates by continuous alternate passages in mosquitoes and dogs. Although cryopreservation methods are not without limitations, such as the need for continuous and relatively frequent replenishment of liquid nitrogen levels, they offer unique advantages over continuous biological maintenance. In addition and importantly, cryopreservation allows the reduction of animal use (fewer dogs are needed), respecting the ethics in animal experimentation, and makes the continuous maintenance of an insectary for mosquito production expendable.
Cryopreservation of D. immitis mf has practical applications for veterinary science education . Currently, diagnosis of D. immitis infection is usually performed with a commercial antigen detection kit; however, false negatives are common . Adequate skills need to be developed to ensure mf detection in clinical settings. The supply of D. immitis mf available for veterinary education curricula is limited due to the difficulty of maintaining live animals infected with D. immitis mf. We believe our results validate the use of a commercial cryopreservation medium for D. immitis mf, overcoming the current issues.
In summary, we determined that CultureSure is an optimal commercial cryopreservation solution for the storage of D. immitis mf. CultureSure was successful in cryopreserving purified mf, mf-infected total blood, and mf for in vivo mosquito vector experiments. This study will facilitate not only the study of the vector stage of D. immitis, but also the study of macrocyclic lactone resistance in heartworms and the consequent education of veterinarians.
Availability of data and materials
Data supporting the conclusions of this article are provided within the article.
analysis of variance
Obihiro University of Agriculture and Veterinary Medicine
phosphate buffered saline
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We would like to thank R Maeda for providing A. aegypti LVP-OB strain and Editage (http://www.editage.com) for English language editing.
This study was supported by JSPS KAKENHI (Grant numbers 19H03121 and 19KK0175 to SF).
Ethics approval and consent to participate
This study was carried out in strict accordance with the recommendations in the Guide for Laboratory Animals of OUAVM. The protocol was approved by the committee of the Animal Experiments of the OUAVM (permit number 19-115).
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Shirozu, T., Soga, A. & Fukumoto, S. Identification and validation of a commercial cryopreservation medium for the practical preservation of Dirofilaria immitis microfilaria. Parasites Vectors 13, 383 (2020). https://doi.org/10.1186/s13071-020-04257-1
- Aedes aegypti
- Cryopreservation media
- Dirofilaria immitis
- Heartworm disease
- Parasitic nematode