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ADAMTS-4 in human herniated disc Appendix Western blot analysis for ADAMTS-4 protein The expression level of ADAMTS-4 protein was examined in 8 herniated intervertebral 5 disc tissues of two cases each of protrusion, subligamentous extrusion, transligamentous extrusion, and sequestration types. RA synovial tissues were used as a positive control. Proteins were extracted from the specimens using lysis buffer containing 50 mM Tris-HCl (pH 7.6), 10% glycerol, 5 mM magnesium acetate, 0.2 mM ethylenediamine tetraacetic acid, 1 mM phenylmethylsulfonyl fluoride, and 1% sodium dodecylsulfate. 10 The concentrations of the extracted proteins were determined by Bradford method (Bio-Rad, Hercules, CA). The extracted protein (10 µg/lane) was electrophoresed using 15% polyacrylamide gel, and transferred onto nitrocellulose membranes (Atoh, Tokyo, Japan). After blocking with 5% of non-fat milk, in Tris-buffered saline (TBS) containing 0.05% Tween 20, the membranes were reacted overnight with anti-human ADAMTS-4 15 monoclonal antibody (clone 247-3F6) at a concentration of 0.5 µg/ml at 4˚C. They were washed and incubated with peroxidase-labeled rabbit anti-mouse immunoglobulin G (IgG) for 1 hour at room temperature. Then, the membranes were incubated with chemiluminescence Luminol Reagent (Supersignal, Pierce, Rockford, IL) and immunoreactive bands were visualized by radiography. 20 Mouse monoclonal antibody against human ADAMTS4 was developed by using a synthetic peptide corresponding to the amino acid sequence of part of the spacer domain (residues 767-778,C-ASETLSGHGPLA for 247-3F6) as an antigen according to the 1 ADAMTS-4 in human herniated disc methods described previously.40 After screening candidate clones by enzyme-linked immunosorbent assay with synthetic peptide, 247-3F6 was selected. Specific recognition 25 of ADAMTS4 by the monoclonal antibody was determined by immunoblotting with culture media of Cos-7 cells transfected with FLAG-tagged ADAMTS4.41 Isolation of total RNA and RT-PCR of ADAMTS-4 The tissue specimens were kept in liquid nitrogen, and ground into powder with a hand 30 mill. The powdery samples were transferred into 1 ml Isogen (Nippon Gene, Toyama, Japan) and 200 μl chloroform. Following centrifugation (12,000 x g, 15 min, 4˚C), the aqueous phase was precipitated with an equal volume of 100% ethanol and then centrifuged (7,500 x g, 5 min, 4˚C). After washing with 70% ethanol, the precipitate was dried in evaporator and resuspended with diethylpyrocarbonate (DEPC)-treated water. 35 Because of shortage of the sample volume, examination of the ADAMTS4 mRNA expression was possible in four herniated intervertebral disc tissues (each two samples of subligamentous extrusion and transligamentous extrusion types). Three samples of RA synovial tissues were used as a control. After DNase (Promega Biotec, Oakland, CA) treatment of the extracted total RNA, it was reverse transcribed with reverse transcriptase 40 (Promega Biotech) and Oligo–dTs (Applied Biosystems, Foster city, CA). The cDNA was amplified using a cDNA amplifier (MJ Research, Watertown, MA). The sense-primer was 5’-GCTCTAGAGACACACGCCT CCGATACAGCTTCTTCGTG-3’ and the anti-sense primer was 5’-CGGAATTCTACCCTTGACTTTTCTTTTCCCAAAAAATA-3’ (GenBank NM 2 ADAMTS-4 in human herniated disc 45 005099). TaqEx DNA polymerase and the substrate for cDNA were mixed, and the PCR reaction was carried out for 35 cycles under the following conditions: 94˚C for 60 seconds, 60˚C for 60 seconds, and 72˚C for 60 seconds. As internal positive control, the mRNA expression of glyceraldehyde phosphodehydrogenase (GAPDH) gene was analyzed. The primer sequences of GAPDH gene were sense primer 50 5’-ACCACAGTCGCCATCAC-3’ and anti-sense primer 5’-TCCACCACCCTGTTGCTGTA-3’ (GenBank NM 002046). The PCR product was subsequently electrophoresed using 2% agarose gel and observed under ultraviolet light after staining with ethidium bromide. The sequence of the PCR product was analyzed by the dye terminator method using Big DyeTM Terminator Cycle Sequencing Ready 55 Reaction (Applied Biosystems) and automatic sequencer ABI PRISMTM 310 Genetic Analyzer (Applied Biosystems) and sequence homology was compared with the human ADAMTS-4 gene (GenBank NM 005099). 3