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Journal of Translational Medic<strong>in</strong>e 2008, 6:13http://www.translational-medic<strong>in</strong>e.com/content/6/1/13Bisulphite treatment <strong>and</strong> methylation-specific polymerasecha<strong>in</strong> reaction (MSP)DNA from primary tumours <strong>and</strong> <strong>no</strong>rmal mucosa sampleswas bisulphite treated as previously described [11,20],whereas DNA from colon cancer cell l<strong>in</strong>es was bisulphitetreated us<strong>in</strong>g the EpiTect bisulphite kit (Qiagen Inc.,Valencia, CA, USA). The promoter methylation status ofMAL was analyzed by methylation-specific polymerasecha<strong>in</strong> reaction (MSP) [21], us<strong>in</strong>g the HotStarTaq DNApolymerase (Qiagen). All results were confirmed with asecond <strong>in</strong>dependent round of MSP. Human placentalDNA (Sigma Chemical Co, St. Louis, MO, USA) treated <strong>in</strong>vitro with Sss1 methyltransferase (New Engl<strong>and</strong> BiolabsInc., Beverly, MA, USA) was used as a positive control forthe methylated MSP reaction, whereas DNA from <strong>no</strong>rmallymphocytes was used as a positive control for unmethylatedalleles. Water was used as a negative control <strong>in</strong> bothreactions. The primers were designed with MethPrimer[22] <strong>and</strong> their sequences are listed <strong>in</strong> Table 2, along withthe product fragment lengths <strong>and</strong> primer locations.Bisulphite sequenc<strong>in</strong>gAll colon cancer cell l<strong>in</strong>es (n = 20) were subjected to directbisulphite sequenc<strong>in</strong>g of the MAL promoter [23]. Twofragments were amplified: fragment A, cover<strong>in</strong>g bases -68to 168 relative to the transcription start po<strong>in</strong>t (overlapp<strong>in</strong>gwith our MSP product), <strong>and</strong> fragment B cover<strong>in</strong>gbases -427 to -23. Fragment A covered altogether 24 CpGsites <strong>and</strong> was amplified us<strong>in</strong>g the HotStarTaq DNApolymerase <strong>and</strong> 35 PCR cycles. Fragment B covered altogether32 CpG sites <strong>and</strong> was amplified us<strong>in</strong>g the samepolymerase <strong>and</strong> 36 PCR cycles. The primer sequences arelisted <strong>in</strong> Table 2. Excess primer <strong>and</strong> nucleotides wereremoved by ExoSAP-IT treatment follow<strong>in</strong>g the protocolof the manufacturer (GE Healthcare, USB Corporation,Ohio, USA). The purified products were subsequentlysequenced us<strong>in</strong>g the dGTP BigDye Term<strong>in</strong>ator CycleSequenc<strong>in</strong>g Ready Reaction kit (Applied Biosystems, FosterCity, CA, USA) <strong>in</strong> an AB Prism 3730 sequencer(Applied Biosystems). The approximate amount ofmethyl cytos<strong>in</strong>e of each CpG site was calculated by compar<strong>in</strong>gthe peak height of the cytos<strong>in</strong>e signal with the sumTable 2: PCR primers used for MSP <strong>and</strong> bisulphite sequenc<strong>in</strong>g.of the cytos<strong>in</strong>e <strong>and</strong> thym<strong>in</strong>e peak height signals, as previouslydescribed [24]. CpG sites with ratios rang<strong>in</strong>g from 0– 0.20 were classified as unmethylated, CpG sites with<strong>in</strong>the range 0.21 – 0.80 were classified as partially methylated,<strong>and</strong> CpG sites rang<strong>in</strong>g from 0.81 – 1.0 were classifiedas hypermethylated.cDNA preparation <strong>and</strong> real-time quantitative geneexpressionTotal RNA was extracted from cell l<strong>in</strong>es (n = 46), tumours(n = 16), <strong>and</strong> <strong>no</strong>rmal tissue (n = 3) us<strong>in</strong>g Trizol (Invitrogen,Carlsbad, CA, USA) <strong>and</strong> the RNA concentration wasdeterm<strong>in</strong>ed us<strong>in</strong>g ND-1000 Na<strong>no</strong>drop (Na<strong>no</strong>Drop Tech<strong>no</strong>logies,Wilm<strong>in</strong>gton, DE, USA). For each sample, totalRNA was converted to cDNA us<strong>in</strong>g a High-Capacity cDNAArchive kit (Applied Biosystems), <strong>in</strong>clud<strong>in</strong>g r<strong>and</strong>omprimers. MAL (Hs00242749_m1 <strong>and</strong> Hs00360838_m1)<strong>and</strong> the endoge<strong>no</strong>us controls ACTB (Hs99999903_m1)<strong>and</strong> GUSB (Hs99999908_m1) were amplified separately<strong>in</strong> 96 well fast plates follow<strong>in</strong>g the recommended protocol(Applied Biosystems), <strong>and</strong> the real time quantitativegene expression was measured by the 7900 HT SequenceDetection System (Applied Biosystems). All samples wereanalyzed <strong>in</strong> triplicate, <strong>and</strong> the median value was used fordata analysis. The human universal reference RNA (conta<strong>in</strong><strong>in</strong>ga mixture of RNA from ten different cell l<strong>in</strong>es;Stratagene) was used to generate a st<strong>and</strong>ard curve, <strong>and</strong> theresult<strong>in</strong>g quantitative expression levels of MAL were <strong>no</strong>rmalizedaga<strong>in</strong>st the mean value of the two endoge<strong>no</strong>uscontrols.Tissue microarrayFor <strong>in</strong> situ detection of prote<strong>in</strong> expression <strong>in</strong> colorectalcancers, a tissue microarray (TMA) was constructed, basedon the tech<strong>no</strong>logy previously described [25]. Embedded<strong>in</strong> the TMA are 292 cyl<strong>in</strong>drical tissue cores (0.6 mm <strong>in</strong>diameter) from etha<strong>no</strong>l-fixed <strong>and</strong> paraff<strong>in</strong> embeddedtumour samples derived from 281 <strong>in</strong>dividuals. Samplesfrom the same patient series has been exam<strong>in</strong>ed for variousbiological variables <strong>and</strong> cl<strong>in</strong>ical end-po<strong>in</strong>ts [18,26-28]. In addition, the array conta<strong>in</strong>s <strong>no</strong>rmal tissues fromkidney, liver, spleen, <strong>and</strong> heart as controls. Etha<strong>no</strong>l-fixedPrimer set Sense primer Antisense primer Frg. Size, bp An. Temp Fragment location*MAL MSP-M TTCGGGTTTTTTTGTTTTTAATT GAAAACCATAACGACGTACTAA 139 56 -71 to 68CCGTMAL MSP-U TTTTGGGTTTTTTTGTTTTTAAT ACAAAAACCATAACAACATACT 142 56 -72 to 70TTAACATCMAL BS_A GGGTTTTTTTGTTTTTAATT ACCAAAAACCACTCACAAACTC 236 53 -68 to 168MAL BS_B GGAAAAATGAAGGAGATTTAAATTTAATAACCTAAACRCCCCC 404 50 -427 to -23Abbreviations: MSP, methylation-specific polymerase cha<strong>in</strong> reaction; BS, bisulphite sequenc<strong>in</strong>g; M, methylated-specific primers; U, unmethylatedspecificprimers; Frg. Size, fragment size; An. Temp, anneal<strong>in</strong>g temperature (<strong>in</strong> degrees celsius). *Fragment location lists the start <strong>and</strong> end po<strong>in</strong>t (<strong>in</strong>base pairs) of each fragment relative to the transcription start po<strong>in</strong>t provided by NCBI (RefSeq ID NM_002371).Page 4 of 11(page number <strong>no</strong>t for citation purposes)

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