Monocyte isolation techniques significantly impact the phenotype of both isolated monocytes and derived macrophages in vitro.

Monocyte-derived macrophages (MDMs) generated from peripheral blood monocytes are widely used to model human macrophages for in vitro studies. However, the possible impact of different isolation methods on the resulting MDM phenotype is poorly described. We aimed to investigate the effects of three commonly used monocyte isolation techniques on the resulting MDM phenotype. Plastic adhesion, negative selection, and CD14 selection were compared. Monocyte-derived macrophages were generated by 5-day culture with macrophage and granulocyte-macrophage colony-stimulating factors. We investigated monocyte and MDM yields, purity, viability, and cell phenotype. CD14 selection resulted in highest monocyte yield (19·8 × 10 cells, equivalent to 70% of total) and purity (98·7%), compared with negative selection (17·7 × 10 cells, 61% of total, 85·0% purity), and plastic adhesion (6·1 × 10 cells, 12·9% of total, 44·2% purity). Negatively selected monocytes were highly contaminated with platelets. Expression of CD163 and CD14 were significantly lower on CD14 selection and plastic adhesion monocytes, compared with untouched peripheral blood mononuclear cells. After maturation, CD14 selection also resulted in the highest MDM purity (98·2%) compared with negative selection (94·5%) and plastic adhesion (66·1%). Furthermore, MDMs from plastic adhesion were M1-skewed (CD80  HLA-DR  CD163 ), whereas negative selection MDMs were M2-skewed (CD80  HLA-DR  CD163 ). Choice of monocyte isolation method not only significantly affects yield and purity, but also impacts resulting phenotype of cultured MDMs. These differences may partly be explained by the presence of contaminating cells when using plastic adherence or negative selection. Careful considerations of monocyte isolation methods are important for designing in vitro assays on MDMs.