Importance of culturing primary lymphocytes at physiological oxygen levels

Abstract
Although studies with primary lymphocytes are almost always conducted in CO 2 incubators maintained at atmospheric oxygen levels (atmosO 2 ; 20%), the physiological oxygen levels (physO 2 ; 5%) that cells encounter in vivo are 2–4 times lower. We show here that culturing primary T cells at atmosO 2 significantly alters the intracellular redox state (decreases intracellular glutathione, increases oxidized intracellular glutathione), whereas culturing at physO 2 maintains the intracellular redox environment (intracellular glutathione/oxidized intracellular glutathione) close to its in vivo status. Furthermore, we show that CD3/CD28-induced T cell proliferation (based on proliferation index and cell yield) is higher at atmosO 2 than at physO 2 . This apparently paradoxical finding, we suggest, may be explained by two additional findings with CD3/CD28-stimulated T cells: ( i ) the intracellular NO (iNO) levels are higher at physO 2 than at atmosO 2 ; and ( ii ) the peak expression of CD69 is significantly delayed and more sustained at physO 2 that at atmosO 2 . Because high levels of intracellular NO and sustained CD69 tend to down-regulate T cell responses in vivo , the lower proliferative T cell responses at physO 2 likely reflect the in vitro operation of the natural in vivo regulatory mechanisms. Thus, we suggest caution in culturing primary lymphocytes at atmosO 2 because the requisite adaptation to nonphysiological oxygen levels may seriously skew T cell responses, particularly after several days in culture.