I realize this is a question that has probably been previously addressed!

We are currently trying to differentiate monocytes to to macrophages using autologous serum from the same donor. The general protocol we follow is as such:

1) standard PBMC isolation using Ficoll

2) Plating isolated PBMC fraction in a non TC plate for 30 min-1 hour to allow monocyte adhesion

3) Washing off adherent cells with DPBS

4) adding RPMI+ pen strep + 10-40% autologous human serum and culturing withour disturbance for 6 days.

However, within the first few days itself the cells begin to look pretty terrible and almost none survive and/or differentiate.

I was wondering what I could start with in terms of troubleshooting prior to resorting to magnetic isolation of monocytes or using any sort of growth factor within the medium.

I'd be very thankful for any suggestions. Finally, just as a side, although the established literature suggests autologous serum, is there much of an effect to be expected if say one were to use autologous plasma? I ask as we already have some reserves of plasma that could be used for additional attempts.

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