Science WriterApril 12, 2022
Creative ProducerApril 12, 2022
IT ALL STARTS WITH BLOOD. In 2020 alone, nearly half of the studies published by La Jolla Institute for Immunology (LJI) researchers relied on human blood samples. Through blood, they witnessed the immune system’s battle against SARS-CoV-2 and the power of COVID-19 vaccines. Through blood, they tracked responses to yellow fever and dengue virus. They even uncovered potential drivers of heart disease.
In 2021, the Institute opened the John and Susan Major Center for Clinical Investigation. In this new, highly efficient space LJI staff can see up to 35 donors a day.
This is where generous blood donors meet the hardworking Clinical Core staff.
Core Director Gina Levi, R.N., welcomes blood donor Rachel M. to the clinic on a crisp winter day. They sit down in a screening room to go over the clinical research requirements and Rachel’s health history. Rachel is healthy, but her family history of Parkinson’s disease means her blood may hold clues to the origins of the disease—and possible treatments. Levi understands Rachel’s urge to help.
“Advances in Parkinson’s research, specifically, have been very meaningful to me as my father had Parkinson’s disease,” Levi says. “I watched as it slowly robbed a once vital and strong man of his ability to move and think.”
Clinical Laboratory Technician Quinn Bui shares a look through the microscope as she explains how she spots different cell types in donor blood samples. Counting the cells allows her to find the concentration of the sample which is essential for researchers in the lab.
INSIDE THE CLINICAL CORE:
served in 2021
of blood processed in 2021
COVID-19 patient samples collected
currently enrolling donors
To isolate Rachel’s immune cells, the highly skilled Clinical Core staff start by spinning the blood sample in a centrifuge. Heavier red and white blood cells will settle at the bottom of the tube, while a layer of blood plasma stays at the top. The blood cells are then separated by density (red blood cells are heavier than white blood cells).
The layer of precious white blood cells is washed with a special mix of chemicals used to keep cells healthy and then the cells are frozen.
The first spin in the centrifuge. Bui separates red blood cells, white blood cells, and plasma.
Bui gently adds blood to a tube of Ficoll. Ficoll is a chemical mixture, which scientists call media. Ficoll works as a divider between red blood cells and white blood cells in the tube.
Rachel M.’s blood cells and plasma are now separated into distinct layers. Bui carefully moves the layer of white blood cells to a new tube.
The pellet is broken up by repeated shots of RPMI to homogenize the cells prior to the fourth and final spin before freezing.
The final step is to portion the white blood cells into smaller tubes and ready them for the freezer.
LJI Postdoctoral Fellow Gregory Williams, Ph.D., picks up Rachel’s cells from the Clinical Core freezer.
Dr. Williams is spearheading a Parkinson’s study in the lab of LJI Research Assistant Professor Cecilia Lindestam Arlehamn, Ph.D.
Already, LJI researchers working with human blood samples have uncovered something surprising: Parkinson’s disease looks a lot like an autoimmune disease, at least at the disease onset. That finding has sparked many, many more questions—and paths to potential Parkinson’s diagnostics and therapies.
In the end, what Dr. Lindestam Arlehamn’s team finds in Rachel’s blood may appear as a single data point in a scientific paper. What the world doesn’t get to see are the many personal stories that propel citizens and scientists to contribute to research.