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Supplementary method section: Tsuchida R and Das B et al. Side population (SP) analysis. The protocol was based on that described by Montanaro et al (Montanaro et al., 2004). Briefly, 1-2 million cells in suspension (medium plus 10% serum) were treated with Hoechst 33342 dye (4.5ug/ml) for 45 minutes at 370C with intermittent mixing, with and without verapamil (50M). Following this incubation, cells were washed with ice-cold PBS, and kept on ice. Propidium iodide was added (1g/ml), and cells were analyzed for a SP fraction using fluorescence-activated cell sorting (FACS). A Coulter Epics Flow cytometer was used, and the Hoechst dye was excited with the UV laser at 351 to 364nm, and its fluorescence measured with a 515-nm side population filter (Hoechst blue) and a 608 EFLP optical filter (Hoechst red). A 540 DSP filter was used to separate the emission wavelengths. Western Blot Analysis: The overall method has been previously described in detail (Das et al., 2005). We used the following antibodies: phopho-ERK1/2, ERK1/2, phopho-AKT and survivin (Cell-signaling, USA), Flt1 (Chemicon International, CA, USA), and phospho-tyrosine kinase (Santa-Cruz Biotechnology, CA, USA). -tubulin (Neomarkers, Fremont, CA), -actin and vinculin (Santa-Cruz Biotechnology, CA, USA) were used as loading controls. Immunoblotting was detected by enhanced chemiluminescence (ECL; Amersham Bioscience, Buckinghamshire, UK) according to the manufacturer’s instructions. Immunoprecipitation: We used a crude membrane preparation technique to detect the phosphorylated form of Flt1 membrane receptor (Das et al., 2005). A total of g of the membrane protein was immunoprecipitated using a phosphotyrosine antibody (Santa Cruz) as previously described (Das et al., 2005). Immunocomplexes were recovered by centrifugation, pellets were washed in solubilization buffer, boiled and resolved on a 10% SDS-PAGE gel. Western blot was performed as described above, and membranes were probed with a Flt1 monoclonal antibody. Reverse transcriptase (RT) PCR: PCR conditions for all genes was 94 ℃ for 10 minutes for denaturing, followed by 35 cycles for 1 minute at 94 ℃, 56 ℃ for annealing and 72 ℃ for extension. Primer used were: VEGF: Sense: 5'-CGAAGTG GTGA AGTTCATGGATG-3'; Anti-sense: 5'-TTCTGTATCAGTCTTTCCTGGTGAG-3'. Flt1: Sense: 5'-AAATAAGCACACCACGC-3‘; anti-sense: 5'-ACCTGCT GTTTTCGAT GTTTC-3'. BCRP-1 5’-CCAGTTCCATGGCACTGGCCATA-3’; reverse: 5’-CAGGG CCAC ATGA TT CTTCCACA-3’; GAPDH: 5’-AACGGGG AAGCT CACTG GCATG-3’, reverse:5’-TCCACCACCCTGTTGCTGTAG-3’ Real-Time qantitative RT-PCR (qPCR). Real-time quantitative PCR was performed using TaqMan® Gene Expression Assays (Applied Biosystems, Foster City, USA) at 40 cycles with 100 ng of starting cDNA. RNA was quantified with the ∆∆Ct method as described (Livak and Schmittgen, 2001) using SDS software version 2.2.1 (Applied Biosystems, Foster City, USA).Amplification reactions were performed as specified by the manufacturer using TaqMan® Universal Master Mix without AmpErase® UNG and a 7900 Real Time PCR System (Applied Biosystems, Foster City, USA). RNA was quantified with the ∆∆Ct method as described (Livak and Schmittgen, 2001) using SDS software version 2.2.1 (Applied Biosystems, Foster City, USA). RNA levels were normalized to GAPDH as an endogenous control. Each reaction was performed in quadrireplicates. TaqMan primer used in this study and their respective assay identification number in the Applied Biosystem catalogue were: Oct-4 (NM_002701.4), nanog (NM_024865), Flt1 (NM_002019.2), VEGF ( applied biosystem catalogue number: Hs 00900054; 7 refseqs including NM_003376.4) BCRP1( NM_004827) and GAPDH (both human and mouse). Small Interfering RNA (siRNA): All siRNA reagents were obtained from Dharmacon Research Inc, Chicago, USA. Flt1 siRNA SMART-pool-R reagent was used to knockdown Flt1 expression in HOS cells. In vitro transfection was performed with Lipofectamine-2000 (Invitrogen). Non-targeting siRNAs, pool (siCONTROL) were used as a siRNA control. Cells were grown to 30-50% confluence in 24-well plates and treated with 100 nM siRNA, according to manufacturer’s instructions, and experiments were conducted 24hrs after transfection. ELISA analysis: The measurements of VEGF was carried out using an ELISA kit (R&D) according to the manufacturer’s protocols. Samples consisted of conditioned media harvested after treatment with or without CDDP (2M) for 3 days in serum free media. Fluorescence activity was converted to actual concentration by a standard curve and divided by cell number. Immunofluorescence and Immunohistochemistry: For the immunofluorescence detection, the cells grown on coverslips were fixed with 4% paraformaldehyde for 10-20 minutes, permeabilized in 0.3% Triton-x100 in 10% goat serum for 1hr, and then incubated overnight with primary antibodies, and then appropriate secondary antibody was used. Images were obtained using confocal microscopy. Antibodies that were used in this study included Flt1 Immunohistochemistry of and phospho-ERK1,2 (Cell Signaling Inc, USA). nanog and CD-34(Chemicon International, Millipore, Billerica, MA) were performed in paraffin section according to standard procedure. In vivo tumorigenicity assay: Tumorigenicity of the HOS cells was measured by tumor incidence (number of tumors/number of injection of 2-10 million cells), and latency as time required to form palpable tumors of more than 0.05 cc. Briefly, HOS tumor cells were treated with 2M CDDP (with and without siRNA Flt1 treatment) for 3 days, and then 2 million viable cells mixed with matrigel (100µl of matrigel mixed with 100µl of cell suspension) were injected subcutaneously into both flanks of female nude mice (Balb/c, nude/nude). Tumor size was measured with calipers on a weekly basis as described (Patrawala et al., 2005). 4-6 mice were used for each set of experiments. Das B, Yeger H, Tsuchida R, Torkin R, Gee MF, Thorner PS et al (2005). A hypoxiadriven vascular endothelial growth factor/Flt1 autocrine loop interacts with hypoxiainducible factor-1alpha through mitogen-activated protein kinase/extracellular signalregulated kinase 1/2 pathway in neuroblastoma. Cancer Res 65: 7267-75. Livak KJ, Schmittgen TD (2001). Analysis of relative gene expression data using realtime quantitative PCR and the 2(-Delta Delta C(T)) Method. Methods 25: 402-8. Montanaro F, Liadaki K, Schienda J, Flint A, Gussoni E, Kunkel LM (2004). Demystifying SP cell purification: viability, yield, and phenotype are defined by isolation parameters. Exp Cell Res 298: 144-54. Patrawala L, Calhoun T, Schneider-Broussard R, Zhou J, Claypool K, Tang DG (2005). Side population is enriched in tumorigenic, stem-like cancer cells, whereas ABCG2+ and ABCG2- cancer cells are similarly tumorigenic. Cancer Res 65: 6207-19.