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Frequent Loss of Cystatin E/M Expression Implicated in the Progression of Prostate Cancer Sai Murali Krishna Pulukuri, Bharathi Gorantla, James A. Knost, and Jasti S. Rao SUPPLEMENTARY INFORMATION Evaluation of immunostaining. CST6 and cathepsin B immunostaining positivity was determined by a pathologist who assessed the percentage of positive cells and staining intensity. An average value of two independent scores was presented in the present study. The percentage of positive cells was divided into five grades (percentage scores): <10% (0), 10-25% (1), 25-50% (2), 50-75% (3), and >75% (4). The intensity of staining was divided into the following four grades (intensity scores): no staining (0), light brown (1), brown (2), and dark brown (3). CST6 and cathepsin B staining positivity was determined using this formula: overall score = positive percentage score × intensity score. The overall score of ≤ 3 was defined as negative, > 3 to ≤ 6 as weak positive, and > 6 as strong positive. Drug treatments. Cells were seeded at a density of 1 x 106 cells/100-mm dish and allowed to attach over 24 h. To reactivate CST6, we carried out HDAC inhibition treatment by adding trichostatin A (300 µmol/L) to the culture medium for 20 h or by treating cells for 12 h in medium supplemented with 1 mM NaB. We carried out demethylating treatments using 5-aza (10 µmol/L) for 5 days, replacing the drug and medium 24 h after the beginning of the treatment. The treated cells were washed once with phosphate-buffered saline. Cells were allowed to recover for 24 h in drug-free medium in a 37 °C incubator with a 5% CO2 humidified atmosphere. 1 Immunoblot analysis. Cells were lysed in RIPA buffer and proteins were quantified using a BCA assay (Pierce, Rockford, IL). Equal amounts were separated on SDS-PAGE gels. Membranes were probed with antibodies against CST6 (R & D Systems, Minneapolis, MN), cystatin C (Oncogene, San Diego, CA) and GAPDH (Abcam, Cambridge, MA). Antibodies against cathepsins B, D, H and L were obtained from Santa Cruz Biotechnology (Santa Cruz, CA). Chromatin immunoprecipitation assay. ChIP assays were performed as per the manufacturer's instructions (catalog no. 17–295, Upstate Biotechnology, Lake Placid, NY). In brief, cells (1106 cells/100 mm dish) were fixed by adding formaldehyde (final concentration of 1%) and incubating for 10 min at 37°C. The cells were washed twice with ice-cold phosphate-buffered saline (PBS) containing protease inhibitors (1 mM phenylmethylsulfonyl fluoride, 1 µg/mL aprotinin, and 1 µg/mL pepstatin A), harvested, and treated with SDS lysis buffer for 10 min on ice. The resulting lysates were sonicated to shear the DNA to fragment lengths below 1000 bp (amplitude 60%; 4 x 10 s; Fisher Sonic Dismembrator 60, Pittsburgh, PA). After pre-clearing the lysates, 4 µg of specific antibodies (anti-acetylated histone H3, anti-acetylated histone H4, and anti-histone H3, Cell Signaling Technology Inc., Beverly, MA) were used to immunoprecipitate the protein-DNA complexes. Antibody controls were also included for each ChIP assay; no precipitation was observed. The antibody-protein complexes were collected using salmon sperm DNA-protein A-agarose slurry and washed several times as per the manufacturer's instructions. The immunocomplexes were eluted with 1% SDS and 0.1 M NaHCO3, and 2 the cross-links were reversed by incubation at 65°C for 4 h in the presence of 200 nM NaCl. The samples were treated with proteinase K for 1 h, and the DNA was purified by phenol/chloroform extraction and ethanol precipitation. The recovered DNA was resuspended in 30 µL of H2O and used as templates for PCR of CST6 or β-actin gene promoters. The following primers were used for PCR: CST6 promoter-sense, 5'- TGG TCG CAT TCT GCC TCC T-3', and CST6 promoter-antisense, 5'- ATG CTG TTG CTG CCC ATG TTG TAG-3'; β-actin promoter-sense, 5'-CCA ACG CCA AAA CTC TCC C3', and β-actin promoter-antisense, 5'-AGC CAT AAA AGG CAA CTT TCG-3'. Initially, PCR was performed with different numbers of cycles or dilutions of input DNA to determine the linear range of the amplification; all results shown fall within this range. Following 30 cycles of amplification, PCR products were run on 2% agarose gels and analyzed by ethidium bromide staining. Reverse transcription-PCR analysis. Total RNA was isolated from prostate cell lines and tissue samples using the RNeasy mini kit (Qiagen, Valencia, CA) and reverse-transcribed using Superscript III reverse transcriptase (Invitrogen, Carlsbad, CA) according to the manufacturer’s instructions. We then used PCR to amplify this cDNA using primers that spans exons 2 and 3 of the CST6 gene. The primers used for PCR were as follows: CST6 sense 5'- GAC TGC CGC AAG ACC -3' and antisense 5'- GAA GTG CCC TCC ACC A3'; GAPDH sense 5’-CGG AGT CAA CGG ATT TGG TCG TAT-3’ and antisense 5’AGC CTT CTC CAT GGT GGT GAA GAC-3’. Real-time PCR was conducted in 50 L volumes containing 1 L cDNA, 25 L SYBR Green, 2.5 L of 5 mol/L of each of the specific primers and the probe, and 19 L RNA-free water. All of the reactions 3 were performed in triplicate in an iCycle iQ system (Bio-Rad, Hercules, CA). Optical system software version 3.1 was used to detect the fluorescent level of CST6 and GAPDH for 40 cycles. The PCR conditions were as follows: 95°C for 5 min, followed by 40 cycles at 95°C for 1 min, 58°C for 1 min and 72°C for 1 min. The final extension was at 72°C for 5 min. Matrigel invasion assay. We used 6.5 mm-diameter Transwell inserts (Costar, Cambridge, MA) with the 8 m-pore membranes coated with matrigel (Becton Dickinson, Bedford, MA) to assess the invasive potential of prostate cells. Cells were detached, washed twice in PBS and resuspended in serum-free DMEM. A total of 5×105 cells in 0.2 mL were placed in the upper chamber of a Transwell and the lower chamber was filled with 400 L of DMEM/10% fetal bovine serum. After a 24 h incubation period, the cells in the upper chamber that did not migrate were gently scraped away and adherent cells present on the lower surface of the insert were stained with Hema-3 and photographed. Statistical analysis. Statistical comparisons were performed using ANOVA for analysis of significance between different values using GraphPad Prism software (San Diego, CA). Values are expressed as mean ± SD from at least 3 separate experiments and differences were considered significant at a p value of <0.05. 4 SUPPLEMENTAL FIGURE LEGENDS Supplemental Figure S1. Expression of cathepsin B in human prostate tissue samples. Compared with normal prostate tissue, the overall expression level of cathepsin B in the prostate cancer tissue was significantly higher (P < 0.001). Tissue sections were prepared from formalin-fixed, paraffin-embedded specimens of normal and tumor human prostate tissues. Immunostaining was carried out using a specific anti-human cathepsin B antibody. Cathepsin B expression in normal human prostate tissue (32 cases) and prostate cancer (42 cases) was analyzed. Supplemental Figure S2. CST6 mRNA levels in control and SB-treated LNCaP, PC3 and PC3-M cells were analyzed by semiquantitative RT-PCR. Cystatin C mRNA was amplified as a loading control and expression standard. Supplemental Figure S3. Methylation-specific PCR (MSP) analysis of the CST6 gene promoter region in human prostate cancer cell lines and in prostate tumor tissue samples. (A). Bisulfite-modified DNA derived from prostate cell lines were amplified with CST6 primers specific for unmethylated and methylated DNA. CST6-U: unmethylated PCR product; CST6-M: methylated PCR product. Positive controls used for MSP included DNA from RWPE1 cells as unmethylated DNA control and CpGenome Universal methylated DNA as methylated DNA control (Chemicon Internaltional). Negative control MSP reactions were performed using water only (no DNA) as template. (B). Percentage 5 of cases methylated at CST6 promoter-associated CpG islands in human normal prostate and tumor tissue samples. CST6-U: unmethylated PCR product; CST6-M: methylated PCR product. Supplemental Figure S4. Over- and knockdown expression of CST6 modified cathepsin B levels in prostate cells. (A). Real-time RT-PCR analysis of cathepsins mRNA expression in PC3 cells stably transfected with CST6 expression vector or empty vector. RNA was isolated and reverse transcribed and SYBR Green real-time PCR carried out with CST6-specific primers. Columns, mean of three independent experiments (*, P < 0.05); bars, SD. (B). Real-time RT-PCR analysis of CST6 and cathepsins mRNA expression in RWPE1 cells transfected with siCST6 or siCTL. Columns, mean of three independent experiments (*, P < 0.05); bars, SD. Supplemental Figure S5. (A) PC3 cells stably expressing luciferase reporter with either empty vector (control) or CST6 expression vector were injected into mouse prostate, and luciferase activity was recorded for each mouse. Representative mice images are shown. The color bar represents luciferase intensity. Numbers relating to the green ovals represent photon counts in the prostate. (B) Representative lung images from mice groups are shown. 6 Supplementary Table 1 Sequence Name Sequence (5’-3’) CST6-A ACTTCATCAAGGTGCACGTCG CST6-B TTCGTACACCTGCGAGTGTTC CST6-C CCTTATCTAACTACCAGACCA CST6-D GCCAAGCATGATGAGCTGACC “Smart pool” siRNAs that combined the above CST6 A-D siRNAs targeted against different regions of the CST6 mRNA sequence were used for transfection to increase the knockdown effect. 7