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A Validation of the Clonogenic Assay: A Study of Glioblastoma in Vitro REU student: Jacqueline Sugar Graduate Student Mentor: Nathan Withers Faculty Mentor: Dr. Marek Osinski Activities: A. Introduction B. Background C. Research Objective a. Materials D. Methodology E. Descriptions of Experiments Findings: F. Findings a. Results b. Conclusions c. Future work Activities: A. Introduction Glioblastoma is currently the deadliest of brain cancers; there is no effective treatment. Most patients live 3 months after diagnosis. The removal of brain tumors may extend life expectancy to one year. My project is the validation of the clonogenic assay, which is used to study the effects of irradiation in glioblastoma [1]. The cells are from a line of U-87, which are cancerous human glial cells in vitro. Glial cells are the glue-like material surrounding neurons in the brain. The brain has a dynamic and fluctuating ratio of glial cells and neurons, which adds to the uncertainty of the behavior of cancer. The glial cells are also akin to an immune system in the brain, which may contribute to why glioblastoma is so invasive. Glial cells are also linked to the blood brain barrier [2], and tumor vasculature is part of the pericyte landscape that must be navigated by drug delivery treatments [3]. Originally, two assays were to be compared. One was the clonogenic assay, which results in genetic clones, and the other would have been the MTT assay, which uses 3-(4,5Dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide, a yellow tetrazole[4]. Unfortunately the summer has ended before completing the MTT assay, and so in lieu of a comparison of assays, there is a validation of one of the assays. A pivotal moment in my REU experience was my attendance at a lecture at the UNM Cancer Center, given on July 23, 2012 by Dr. Andre Nel. I am infinitely grateful for the exposure to the following ideas. These concepts of the applications of nanomedicine have been developed since my attendance at the lecture, and have truly inspired me to continue to research the roles of nanoparticles in cancer treatments. I had been a skeptic until this lecture, and it has galvanized my confidence in the future of nanotechnology. There is most definitely a secure future for this branch of science, and nearly unbounded possibilities for potential applications. Nonetheless, there has been a tremendous amount of hype surrounding nanoscience [3]. The phase of hype must be transcended by experimental evidence. Nanomaterials have proven highly effective in biological processes. Engineered nanostructures can readily interact with biomolecules, such as protein corona, receptors, etc. Nanocrystals can be used not only with regenerative medicine and tissue engineering, but also with delivery and interaction with biological systems. The difficulty lies in the prevention of agglomeration of nanocrystals, and also in the encapsulation, circulation half-life and retention of particles at the tumor site, but as stated earlier, nanoparticles can reduce drug and radiation toxicity, even hydrophobic drugs [3]. Nanocrystals can also act as multi-functional delivery systems with tumor targeting ability. Often there is poor lymphatic drainage at the tumor site, as well as hypoxia and other somatic disorders that prevent active drug delivery. Much of the cancer drug will be processed by the body via the kidneys, liver, lungs and spleen. These renal and hepatic macrophage processes filter out the drug before it can target the tumor, without effective delivery. Nanocrystals provide the capability to probe the tumor microenvironment, and to understand and capitalize upon biochemical signatures. This can allow passive uptake of drugs, linked to specific cell mechanisms. An example of this is systemic delivery of small interfering RNA (siRNA), also known as silencing RNA. This has proven to be an effective therapeutic measure, by interfering with gene expression for cells that have blocked apoptosis, oncogenes, and other undesirables. It uses a complementary nucleotide sequence, 20-25 nucleotides in length. The siRNA tricks the cell into translating its information to the proteins, in lieu of the undesirable nucleotides of the cells’ own mRNA [3]. Mesopourous silica is an example of a nanomaterial that has worked well in experimental drug delivery for mice with human tumor xenografts. This library of silica functions as a platform for controlled delivery through turbid suspension. Nanovalves can also be placed within the material, which open and close on demand, usually when encountering the signaling antibody. Some are magnetically activated, opening within an oscillating field [3]. The figure below shows the multifunctional platform of a nanoparticle with specified delivery systems. Figure 1. A schematic of nanovalves [5]. Yet, even if we can package a drug, can it be delivered? What is the therapeutic efficacy? In vitro we may study the drug uptake, localization, release, hazard screening, apoptosis, and intercellular payload. Does this compare to in vivo? Using nanoparticles to enhancepermeability improves biodistribution and enhances electron paramagnetic resonance (EPR) effects. 50-200 nanometers is the best size, with 100nm optimal. [3] Most cancer drugs are highly toxic. The animal’s liver enzymes increase, cardiac enzymes, etc. This has not been as severe with nanoparticle encapsulation. For example, SiO2 breaks down after 5 days in live mice, expelled by the body’s filtration system [3]. The graph and photograph on the following page shows how effective nanoparticles can be in shrinking a xenograft tumor in mice by delivering doxorubicin. Doxorubicin delivery in mice: Figure 2: Tumor growth inhibition of doxorubicin-loaded NP3 in tumor-bearing nude mice. (A) Comparison of the tumor inhibition effect of doxorubicin-loaded NP3 (Dox-NP3) versus free drug (free Dox), empty particles, and saline in the KB-31 xenograft model. The tumor-bearing mice were intravenously injected with 120 mg/kg doxorubicin-loaded NP3 weekly for 3 weeks. This particle dose is equivalent to 4 mg/kg doxorubicin being delivered to each animal. The animals receiving the free drug were injected with the same amount of doxorubicin weekly for 3 weeks. To compare the effect of NP3 alone, empty particles were intravenously injected at 120 mg/kg, weekly for 3 weeks. The saline group received intravenous saline administration at the same time points. Tumor size was accurately measured twice a week by the same observer. Tumor weight was calculated according to the formula Tumor weight (mg) = (length in mm) × (width in mm)2/2. *p< 0.05, compared to saline; $p< 0.05, compared to free doxorubicin. (B) Atthe end of this experiment, tumor tissue was collected from each sacrificed animal, and a photograph of the tumor tissue was obtained [6]. As discussed, targeted nanoparticles have the potential to overcome the toxicity and efficacy limitations associated with traditional cytotoxic agents and newer-generation molecularly targeted drugs by trafficking a greater fraction of the administered drug directly to cancer cells in a controllable and tunable manner [7]. The potential for the application of nanotechnology is intoxicating. There are far too many examples to cite in this paper. I have only begun to understand the very periphery of this expansion of human knowledge. I am fortunate in that my project for this summer has been not only to validate the clonogenic assay as a tool for analyzing the effects of radiation therapy of glioblastoma. I have also been attempting to understand the role of nanoparticles in alternate modalities for the treatment of cancers, as well as the reduction of collateral damage during radiation treatment to healthy surrounding tissues. B. Background In assays, cell survival curves are analyzed. When mammalian cells are irradiated, the cells are affected differently, depending on dose, dose rate, and the stage of the cell cycle [8]. The assays help to determine if the treated cells are able to reproduce. Treated cells are incubated and then examined for metabolic activity. In the clonogenic assays, the cell colonies typically form within 10-14 days [9]. The MTT assays would show metabolic activity within 2-4 days. The reason for comparing the two is to determine whether the MTT assays are a reliable and universal test. Clonogenic assays are a widely accepted practice in cancer research, but MTT assays would prove to be a quicker and very useful practice, if reliable. Cells that retain all reproductive as well as functional activities after irradiation are classified as having survived. Cells characterizeed as nonfunctional when Figure 3. Cell survival curve differentiated, or losing reproductive capacity when undifferentiated, are indicative of cell death [8]. On the previous page, Figure 3 is a classic example of in vivo cell survival illustrating the linear tail (on a log-linear plot) of the cell survival curve at high dose where cell killing becomes purely exponential [10]. The goal of my mentor is to use a linear-quadratic model or α/β model, instead of a log-linear graph of surviving colonies in vitro. The linear component of the curve is parameterized by α, which has units of inverse-dose. Single-hit survival is given by: SF1 = exp(-αD). The quadratic component of the curve is parametrized by β, which has units of inverse-dose-squared. The quadratic component of the curve is used to account for two-hit cell killing. Two-hit survival is given by SF2 = exp(-βD2). Assuming that the single-hit and two-hit mechanisms are independent, the overall expression for the curve is SF = (SF1)(SF2) = exp-(αD + βD2)… If α D = β D2, then D = α/β. Thus we can use this information to solve for D, or the optimal dose of radiation [11]. Interphase death refers to cell death in any phase of life cycle. We are interested in mitotic death, which is at a specific time of a cells reproductive phase. Immortality is a feature of cancer cells, due to the absence of apoptosis-inducing genes such as P53, also known as the kill switch. Apoptosis is the programmed cell death [12], which is a natural phase in a cell’s life cycle. Mitotic death is signified by the slow death of cell colonies because they have no future, or way to reproduce. Mitosis is shown in the figure below. Figure 4. A cell cycle [13] The schematics below show the interactions of chromosomes as they line up during mitosis, as well as the location of DNA within each chromosome. Figure 5. Mitosis [14] Figure 6. DNA [15] Genetic instability can be a part of this process. Exposure to free radicals and radiation can cause breakages of double strand DNA. This, as well as an incalculable number of carcinogenic factors, contributes to the beginnings of genetic mutations. Figure 7. DNA damage [16]. On the previous page, figure 10 shows damage to DNA from free radicals and other sources of radiation exposure [15]. As shown, chromosomes align during mitosis and attach at the centromere before dividing. DNA is contained within these chromosomes. Fragmentation and translocation of chromosomes results in deletion and inversion of genetic coding material. If P53, or another gene linked to programmed cell death is part of this fragment, it remains unexpressed. P53 is a gene linked to tumor suppression, and without genes such as P53, there is dynamic, unmediated cell reproduction, without apoptosis. Thus, there is rapid and chaotic evolution of immortal cells. This depletes precious oxygen and forms necrotic tumors, as cells in the interior die from lack of nourishment. [17] Above, figure 8. Acentric fragments of chromosome [18]. Left, figure 9. Dicentric chromosomal fragmentation, resulting in deletion and inversion of genetic material [19]. One way to arrest the unmediated growth is with doses of radiation. Figure 10 shows applied radiation damage to DNA. Figure 10. Radiation is used to break a strand of rapidly evolving DNA. [20] Post-treatment biomarkers then present themselves such as H2A.X – a repair gene which becomes ΓH2A.X once it phosphorylates to serine 139. Phosphorylation is the addition of a phosphate group to a protein, which occurs within DNA at the strand breaks [21]. ΓH2A.X is especially useful because it appears in the body within one hour of treatment, which is much faster than the usual 24 hours. Biomarkers are essential in metabolic control, signal transduction, gene regulation, etc. Antibodies acting as biomarkers are important due to their high affinity and high specificity, such as the epidermal growth factor receptor. There are 20-25,000 genes in human genome, but over 1,000,000 proteins in human proteome. Below, figure 8 shows the appearance of biomarkers at the site of DNA damage. Figure 11. The appearance of biomarkers [22]. In the following diagram, a tumor is exposed to multiple beams of radiation. Below this, brachytherapy is imaged using a radioactive source inside the lesion. But, tumors are not perfectly isolated and spherical. This diagram demonstrates damaged healthy tissue that surrounds the tumor, as well as undertreated lesions surrounding the target. Within a nanocontext, the crystals can be used to selectively target irregular tumors, thus reducing collateral damage. Radiation Therapy in Cancer Treatment External beam radiation therapy enters patient at several different angles. Tumors are not Spherical chickens! Damaged healthy tissue Under-treated Lesion Brachytherapy: Radioactive sources Placed inside lesion for Set time period. 14 Image courtesy of Nathan Withers Figure 12. A schematic of multiple beams of radiation (top) and brachytheraphy (bottom). The work of my graduate mentor has involved lanthanum fluoride nanocrystals in targeting tumors with irradiation. Due to the high atomic number of certain types of lanthanum, radiation energy is more efficiently absorbed by this. Gamma rays are photons, and usually shoot outside of the tumor volume when used in radiation therapy, occasionally even overshooting the patient body. When these photons are changed into electrons, there is a short and effective path length of energy [11]. This utilizes the photoelectric effect in lieu of Compton scattering or pair production. Thanks to the higher atomic number of the nanocrystals deposited into the tumor, more energy is deposited directly into the tumor. Nanoparticles act as a radio-attractor, utilizing the photoelectric effect. If radiation is absorbed, ionization and excitations occur that are not distributed at random, but localized along tracks of charged particles. This deposits more energy into target and preserves healthy tissue. Furthermore, the law of Bergonie and Tribondeau states that ionizing radiation is more effective against cells that are: 1. Undergoing a high division rate 2. Undifferentiated 3. Have a long dividing future [23] As cancer cells continue mutating without regulation or apoptosis, they lose their differentiation, enabling somatic mobility and spreading though a patient’s body. This lack of differentiation aids the cancer in becoming more radiosensitive, and radiation therapy can be enhanced through the use of nanoparticles. C. Research Objective a. List of Materials: ∙Biological Safety Cabinet (BSC), incubator, microscope, micropipetters, centrifuge; ∙Tyrpan blue for staining cells in order to count them with the hemocytometer; ∙6-well plates, glutaraldehyde and crystal violet for clonogenic assay; ∙MTT kit, including 96-well plates, 96-well plate reader; ∙Cell growth media, phosphate-buffered saline (PBS); Figure 13. Clonogenic Assay Plate [9] The assay comparison is to determine a level of consistency in these tests for radiation damage. In clonogenic assays, the question is whether the cells are able to reproduce. We looked for colonies within 10-14 days. In the MTT assays, the treated cells are incubated with a chemical and we would, in theory, have lookd for an absorption line using a spectrophotometer. These assays may be testing the same information, but how universal are the results? Right, Figure 14. MTT Assay Plate [4]. D. Methodology The first order of business for the summer was to get acquainted with a Biological Safety Cabinet (BSC). In order to properly feed and care for the cells, a tremendous amount of subtleties must be considered. After warming the growth media in the incubator and sterilizing all surfaces with a 70% ethanol spray, the spent media is carefully removed from the flasks and plates using a vacuum that only touches the side of the well. The glioblastoma cells adhere to the bottom of the vessels, and it is vital to not disturb them when changing media. The fresh media is then added in a similar fashion, without touching the bottom of the flasks and wells, in addition to a proportionate amount of antibiotic and antimycotic. Figure 15. A scientist using the BSC. The density of cells was determined by diluting cells to known concentrations. Using the cells/mL calculated via the hemocytometer, we calculated bow many mL of cells was to be mixed with cell growth media to arrive at a concentration of 0.25x105 cells/mL per 12mL of fluid. The following formula is used to make a 10mL stock solution: [ 24] Our formula was as follows: 0.25x10 Cells mL12mL 3x105 Cells _________ mL cell solution to add _____________ Cells mL _____________ Cells mL 5 Then, using a 75 cm2 culture flask, we added 78.72 mL of cell growth media and 480 μL of the 0.25x105 cells/mL stock solution to make a solution of 150 cells/mL. Then, using the 100-1000 μL pipette with a new tip, we added 800 μL of antibiotic solution to all of the wells of the 4 sixwell plates. E. Description of Experiment Once the cells were growing and stable at appropriate concentration, we drove them to the gamma irradiator and exposed the flasks to varying levels of radiation. The clonogenic assay is performed by removing the cell growth media after irradiation, and then washing the plate wells with phosphate buffered saline (PBS). Above, Figure 16. Cells being washed by PBS. The colonies were then stained with a dye and allowed to absorb it for 30 minutes. Figure 17. Colonies being stained with crystal violet. Figure 18. The plates are dipped into a water bath to rinse the crystal violet, after 30 minutes of sitting and absorbing the dye. Figure 19. The stained 6well plates after being washed by PBS, dyed with crystal violet, rinsed and air-dried. They are now ready for colony counting! Findings: F. Findings a. Results The majority of the ten weeks have been spent learning how to care for glioblastoma. There have been many details to attend to concerning using the cryogen for storing frozen cells, the process of thawing the cells to use in the lab, and plating them into wells or flasks. Above, Figure 20. The cryogen. We made our own growth media out of Eagle’s Essential Minimum and bovine fetal serum. My mentor and I learned that the best way to thaw the U-87 growth media is by taking it from the freezer and allowing it to sit at room temperature for ten minutes before placing it into the incubator . As it warms, it must be agitated every ten minutes in order to further prevent formation of precipitates [25]. When we added an intermediary step of thawing in the refrigerator, the salts in the growth media would crystallize and the pH would become unreliable. Learning how to handle the media was an important part of the project. We also noticed a significant leak in the incubator, which was using a full 25 kilogram tank of CO2. Since no other groups were sharing the incubator, and there were only 2-5 flasks or plates in the incubator at a time, this was an alarming amount of carbon dioxide. The incubator was able to keep the environment at 5% CO2, but was leaking gas out of the back of the machine. We also needed to update the way that the tank was connected to the hoses by using a silicon washer. Many details of the setup needed to be addressed before beginning to irradiate the cells. We also needed to order gluteraldehyde and crystal violet for the clonogenc assays, as well as a 96-well plate reader, and MTT assay kit for the MTT assays. From the protocols, I also wrote the procedures for the clonogenic and MTT assays, and ordered the required chemicals for the experiments. I learned how to subculture the flasks of cells, and to use the hemocytometer, in order to count the number of cells in a volume of growth media, and thus seed an appropriate concentration. It is important to have 80-90% confluence before irradiating the cells and performing a post-treatment assay. Our 6-well plates for the clonogenic assay were plated at 300 cells per well. b. Conclusions The plating efficiency (PE) is the ratio of colonies to cells. PE = x 100% The plating efficiency of our control group was 20%. PE = x 100% = 20%. The number of colonies that arise after treatment of cells is called surviving fraction (SF). SF = The surviving fraction after 3.33 Gray was = .5667 = 56.67% The surviving fraction after 6.66 Gray was = .1625 = 16.25% The surviving fraction after 9.99 Gray was = .0472 = 4.72% Below, figure 21 is the survival curve of irradiated glioblastoma cells. 2 SF= exp-(D+D ) Surviving Fraction 1 model fit: = 0.12 = 0.02 2 0.1 R fit = 0.992 0.01 0 2 4 6 8 10 Dose [Sv] Thus, the clonogenic assay works! The plating efficiency is useful information for future experiments in which the cell density will be manipulated. Also the 87 will be useful for future passages of the cells. c. Future work and β parameters for U- The direction that this project could continue in would be to confirm the reliability of the MTT assay as compared to the already widely used clonogenic assay. These tests can then be used to validate the use of nanoparticles in radiation enhancement and targeted drug delivery. The reproductive capacity of cells, both in vivo and in vitro, is known as the clonogenic potential.[10] The loss of clonogenic potential may be a very limited definition of cell death, but it is what defines cell survival in this case. Even if the cell can carry out protein synthesis and other functions after exposure to radiation therapy, sustained replication is the crucial aspect that signifies mitotic death. An improvement of the clonogenic assay would be through the use of agar when growing the colonies, in order to prevent diffusion. The counting of colonies can be a subjective endeavor, and this would potentially clarify any misgivings about what constitutes a colony under a microscope. The future applications of the clonogenic assay could also be used in conjunction with testing for cytotoxicity. Radiation is known to damage cells, thats why it is used to treat cancer. But how toxic are the nanoparticles used to attract the doses? Even if it allows for a lower, more effective dose rate, what is the effect of lanthanum fluoride on healthy glial cells? And for targeted drug delivery systems, how does the body process the nanoparticles? The lack of observable toxicity of the doxorubicin-laden particles in the liver and spleen is an interesting finding that has not been resolved as yet. One possibility is that the traditional biomarkers used for following liver injury are ineffective in reflecting RES [Reticuloendothelial system] damage, but another explanation is that the RES and organs like the liver are quite resilient in dealing with doxorubicin toxicity when the drug is encapsulated. This constitutes another important safety feature of a nanocarrier that either could be degraded in situ into cellular subcomponents or could be excreted from the body once the carrier has served its therapeutic purpose [6]. Even if a mesoporous silica nanoparticle can slip past the malformed blood vessel fenestrations of a xenograft tumor [6], studying cancer in vivo is a highly complex system in comparison to in vitro. Validation of the clonogenic assay is a part of a vast approach to the methodology of cancer research, and hopefully it will continue to prove an effective tool for analysis of treatments. 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