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Research Article

Analysis of pluripotency marker expression in human glioblastoma multiforme cells treated with conditioned medium of umbilical cord-derived mesenchymal stem cells

[version 1; peer review: 2 not approved]
PUBLISHED 25 Jan 2018
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Abstract

Background: Glioblastoma multiforme (GBM) is the most aggressive form of malignant glioma and is also known as grade IV astrocytoma. This might be due to the presence of cancer stem cells with high pluripotency and ability of self-renewal. Recently, it has been reported that tumor stroma cells, including mesencyhmal stem cells (MSCs), secrete factors that affect cancer cell growth. Until now, the role of MSC secretomes in cancer stem cell pluripotency remains unclear. The aim of this study was to analyze the effect of MSC secretomes in conditioned medium (CM) on the expression of pluripotency markers of GBM cells.
Methods: Umbilical cord-derived MSCs (UCSCs) were grown on serum-free alphaMEM for 24 hours to prepare the UCSC-CM. Human GBM T98G cells were treated with UCSC-CM for 24 hours. Following this treatment, expression of pluripotency markers SOX2, OCT4 and NANOG genes was analyzed using quantitative RT-PCR.
Results: SOX2 and OCT mRNA expression was 4.7-fold (p=0.02) and 1.3-fold (p=0.03) higher in CM-treated cells compared to the control. However, there was no change in NANOG mRNA expression. This might be due to there being others factors regulating NANOG mRNA expression.
Conclusions: UCSC-CM could affect the expression of SOX2 and OCT4 in human glioblastoma multiforme T98G cells. Further research is needed to elucidate the mechanism by which pluripotency markers are expressed when induced by the UCSC secretome.

Keywords

conditioned medium, mesenchymal stem cells, glioblastoma multiforme, pluripotency expression

Introduction

Glioblastoma multiforme (GBM) is a primary brain tumor that arises from glial cells (glioma), and is the most aggressive form of malignant glioma. According to the WHO, GBM is also known as grade IV astrocytoma1. The life expectancy of patients with GBM is very low, usually less than 1 year despite available options such as surgery and chemoradiation. Failure of therapy might be due to the presence of cancer stem cells with high pluripotency and ability of self-renewal2. Cancer stem cells have an improved the ability to repair their own DNA3, and can be identified by the analysis of transcription factors found in embryonic stem cells such as OCT-4 (octamer-binding transcription factor 4), SOX2 [SRY (sex determining region Y)-box 2] and NANOG. Those transcription factors play an essential role in sustaining the pluripotency and self-renewal ability of embryonic stem cells4,5.

Recently, it has been reported that tumor stroma cells, including mesencyhmal stem cells (MSCs), secrete factors that affect cancer cell growth. Previous studies have demonstrated that MSCs were recruited from bone marrow and that they home around the cancer cells to support tumor growth and metastasis6. Other studies have shown that MSCs can trigger cancer growth by inducing angiogenesis, suppressing the immune system, forming cancer-associated fibroblasts (CAF) that contributing to the tumor growth, epithelial mesenchymal transition (EMT) and metastasis7. The role of MSCs in cancer growth has been widely investigated. Nevertheless, the role of MSC secretomes in cancer stem cell pluripotency remains unclear. The aim of this study was to analyze the effect of MSC secretomes in conditioned medium (CM) on the expression of pluripotency markers of GBM cells.

Methods

Cell culture

The Human Glioblastoma Multiforme T98G cell line was grown in high glucose Dulbecco’s Modified Eagle’s Medium (DMEM, Gibco) on T-25 cm2 culture flasks (Corning). Medium was added with sodium bicarbonate, 10% fetal bovine serum (FBS, Biowest), 1% streptomycin - penicillin and 1% amphotericine at 37°C in a humidified atmosphere of 95% air and 5% CO2. The medium was changed 2 times in a week. T98G cells were sub-cultured after being 70–80% confluent8.

Preparation of conditioned medium of umbilical cord-derived MSCs (UCSC-CM)

Umbilical cord-derived MSCs (UCSCs) were kindly provided by Prof. Jeanne Adiwinata Pawitan (Cell Medical Technology Integrated Service Unit, Cipto Mangunkusumo Central Hospital, Jakarta)9. 125,000 UCSCs were cultured in Minimum Essential Medium alpha (αMEM, Gibco) supplemented with 10% FBS (Biowest)/Glutamax (Gibco), 1% streptomycin-penicillin and 1% amphotericin on T-25 cm2 culture flasks (Corning) at 37°C in a humidified atmosphere of 95% air and 5% CO2. After the cells were 70–80% confluent, medium was removed and cells were washed 3 times using 1x Phosphate Buffer Saline (PBS). Then, cells were grown on serum free- αMEM for 24 hours to prepare the UCSC-CM. After 24 hours, UCSC-CM were collected, centrifuged to remove cell debris and passed through 0.22 µm filter. Concentration of UCSC-CM was 50%, diluting UCSC-CM in freshly high glucose DMEM.

UCSC-CM treatment of T98G cells

400,000 T98G cells were seeded in triplicate on a 12-well-plate in high glucose DMEM/10% FBS/1% streptomycin-penicillin/1% amphotericin and allowed to adhere overnight. The following day, medium of T98G cells was replaced by 50% (v/v) UCSC-CM and incubated for 24 hours.

Analysis of pluripotency marker expression

SOX2, OCT4 and NANOG genes expression was detected using quantitative reverse transcriptase polymerase chain reaction (qRT-PCR). First, total RNA was extracted from CM-treated T98G cells using Tripure RNA Isolation kit (Roche). Total RNA was amplified using qPCR (PCRmax Eco48, United Kingdom) with KAPA SYBR FAST One step qRT-PCR (KAPA Biosystem) and primers for SOX2, OCT4, and NANOG (Table 1). Reaction protocol was as follows: cDNA synthesis for 10 minutes at 42°C, inactivation with iScript Reverse transcriptase for 5 minutes at 95°C, then 40 PCR cycles for 10 seconds at 95°C, followed by 30 seconds at 57°C for OCT4, 59°C for SOX2, 60°C for NANOG; then 30 seconds at 72°C. Following the PCR cycles, the protocol was subsequently continued with the melting curve analysis, i.e. 1 minute on 95°C; 1 minute on 55°C; 10 seconds on 55°C (80 cycles, increase 0.5°C every cycles).

Table 1. Primer sequences.

HumanSense:5’-GAGGAGTCCCAGGACATCAAA-3’
OCT4Antisense:5’-AGCTTCCTCCACCCACTTCT-3’
HumanSense:5’-GGAGAGTAAGAAACAGCATGGA-3’
SOX2Antisense:5’-GTGGATGGGATTGGTGTTCT-3’
HumanSense:5’-ACAGAAATACCTCAGCCTCCAGCA-3’
NANOG10Antisense:5’-CTCCAGGTTGAATTGTTCCAGGTC-3’

Statistical analysis

All data were presented as means ± SD from triplicate experiments. Statistical analysis was performed using Student’s t-test using PASW 18 software, with p < 0.05 as a cut-off for determining a significant difference.

Results

Cell morphology

Cell morphology was observed under an inverted microscope (100X magnification) after 24 hours of the CM treatment. There was no difference in morphology between control and CM-treated T98G cells, as shown in Figure 1. Both control T98G cells and CM-treated T98G cells appear with fibroblast morphology, adhering to the plate. There was no change in cell shape and the cell membrane was still intact.

e5c269c5-6a7d-402f-840a-35825eb3ec8d_figure1.gif

Figure 1. T98G cell morphology.

About 4 × 105 cells were plated triplicate in a 12-well plate and grown in high glucose Dulbecco’s Modified Eagle’s Medium supplemented with 10% FBS/1% penicillin-streptomycin/1% amphotericin at 37°C, 5% CO2 for 1 day. Afterwards, the medium of treated cells was replaced with 50% (v/v) conditioned medium of umbilical cord stem cells, while medium of control cells was replaced with 50% (v/v) Minimum Essential Medium alpha. After 24-hour incubation, cell morphology was observed under inverted microscope (100X magnification). (A). Control cells; (B). Conditioned Medium-treated cells.

Pluripotency marker expression

Pluripotency marker expression was analyzed by measuring SOX2, OCT4 and NANOG mRNA expression. Relative mRNA expression was calculated using the Livak method (2-ΔΔCT) with 18S rRNA as the reference gene. SOX2 mRNA expression was significantly higher in CM-treated T98G cells compared to control (Figure 2). SOX2 mRNA expression was up-regulated 4.7-fold in CM-treated T98G cells. Moreover, OCT4 mRNA expression was also significantly increased in CM-treated T98G cells compared to the control (Figure 3). OCT4 mRNA expression increased 1.2 fold in CM-treated T98G cells. Nevertheless, there was no significant change in NANOG mRNA expression (Figure 4).

e5c269c5-6a7d-402f-840a-35825eb3ec8d_figure2.gif

Figure 2. SOX2 mRNA expression.

100 ng of total RNA was amplified using quantitative reverse transcriptase polymerase chain reaction to detect SOX2 mRNA expression. The expression was relatively calculated using Livak formula with 18S rRNA gene as a reference gene. All values are means ± SE, n = 9. Significant differences at *(p<0.05). SOX2 expression was 4.7-fold (p=0.02) higher in the conditioned medium-treated T98G cells compared to the control.

e5c269c5-6a7d-402f-840a-35825eb3ec8d_figure3.gif

Figure 3. OCT4 mRNA expression.

100 ng of total RNA was amplified using quantitative reverse transcriptase polymerase chain reaction to detect OCT4 mRNA expression. The expression was relatively calculated using Livak formula with 18S rRNA gene as a reference gene. All values are means ± SE, n = 9. Significant differences at *(p<0.05). OCT4 expression was 1.3-fold (p=0.03) higher in the conditioned medium-treated cells compared to the control.

e5c269c5-6a7d-402f-840a-35825eb3ec8d_figure4.gif

Figure 4. NANOG mRNA expression.

100 ng of total RNA was amplified using quantitative reverse transcriptase polymerase chain reaction to detect NANOG mRNA expression. The expression was relatively calculated using Livak formula with 18S rRNA gene as a reference gene.All values are means ± SE, n = 9. Significant differences at *(p<0.05).There was no significant difference in NANOG expression between control and conditioned medium-treated T98G cells.

Dataset1. Cq value of 18S rRNA gene. 18S rRNA Cq was used to calculate SOX2,OCT4 and NANOG mRNA expression using Livak formula (K: control cells; CM: condition medium treated cells)
WellSample NameAssay NameCqCq MeanCq Std. Dev.
A1K118sRNA19.054 19.123 0.080
A2K118sRNA19.210 19.123 0.080
A3K118sRNA19.104 19.123 0.080
A4K218sRNA17.071 17.104 0.038
A5K218sRNA17.146 17.104 0.038
A6K218sRNA17.096 17.104 0.038
A7K318sRNA17.202 17.175 0.247
A8K318sRNA16.915 17.175 0.247
B1K318sRNA17.406 17.175 0.247
B2CM118sRNA15.930 15.931 0.207
B3CM118sRNA15.724 15.931 0.207
B4CM118sRNA16.138 15.931 0.207
B5CM218sRNA19.439 19.406 0.260
B6CM218sRNA19.131 19.406 0.260
B7CM218sRNA19.648 19.406 0.260
B8CM318sRNA18.016 18.010 0.193
C1CM318sRNA18.201 18.010 0.193
C2CM318sRNA17.815 18.010 0.193
C3NTC18sRNA30.218 29.966 0.357
Dataset 1.18S rRNA Cq values.
18S rRNA Cq was used to calculate SOX2, OCT4 and NANOG mRNA expression using the Livak formula (K: control cells; CM: condition medium-treated cells).
Dataset2. Cq value of SOX2 gene. SOX2 Cq was used to calculate SOX2 mRNA expression using Livak formula as shown in figure 2 (K: control cells; CM: condition medium treated cells).
WellSample NameAssay NameCqCq MeanCq Std. Dev.
A1K1SOX224.218 24.213 0.304
A2K1SOX224.514 24.213 0.304
A3K1SOX223.906 24.213 0.304
A4K2SOX225.765 25.767 0.673
A5K2SOX225.096 25.767 0.673
A6K2SOX226.441 25.767 0.673
A7K3SOX226.032 26.026 0.208
A8K3SOX226.231 26.026 0.208
B1K3SOX225.815 26.026 0.208
B2CM1SOX222.087 22.108 0.413
B3CM1SOX222.532 22.108 0.413
B4CM1SOX221.706 22.108 0.413
B5CM2SOX225.865 25.908 0.311
B6CM2SOX225.620 25.908 0.311
B7CM2SOX226.238 25.908 0.311
B8CM3SOX225.334 25.316 0.403
C1CM3SOX225.710 25.316 0.403
C2CM3SOX224.905 25.316 0.403
C3NTCSOX227.151 26.621 0.749
Dataset 2.SOX2 Cq values.
SOX2 Cq was used to calculate SOX2 mRNA expression using the Livak formula (K: control cells; CM: condition medium-treated cells).
Dataset3. Cq value of OCT4 gene. OCT4 Cq was used to calculate OCT4 mRNA expression using Livak formula as shown in figure 3 (K: control cells; CM: condition medium treated cells).
WellSample NameAssay NameCqCq MeanCq Std. Dev.
A1K1OCT426.886 27.216 0.287
A2K1OCT427.380 27.216 0.287
A3K1OCT427.384 27.216 0.287
A4K2OCT424.684 24.938 0.302
A5K2OCT425.848 24.938 0.302
A6K2OCT425.272 24.938 0.302
A7K3OCT425.745 25.602 0.140
A8K3OCT425.596 25.602 0.140
B1K3OCT425.466 25.602 0.140
B2CM1OCT424.331 24.428 0.111
B3CM1OCT424.549 24.428 0.111
B4CM1OCT424.403 24.428 0.111
B5CM2OCT427.510 27.216 0.582
B6CM2OCT426.546 27.216 0.582
B7CM2OCT427.593 27.216 0.582
B8CM3OCT426.171 25.895 0.287
C1CM3OCT425.914 25.895 0.287
C2CM3OCT425.599 25.895 0.287
Dataset 3.OCT4 Cq values.
OCT4 Cq was used to calculate OCT4 mRNA expression using the Livak formula (K: control cells; CM: condition medium-treated cells).
Dataset4. Cq value of NANOG gene. NANOG Cq was used to calculate NANOG mRNA expression using Livak formula as shown in figure 4 (K: control cells; CM: condition medium treated cells).
WellSample NameAssay NameCqCq MeanCq Std. Dev.
D4K1NANOG32.057 32.490 1.056
D5K1NANOG33.694 32.490 1.056
D6K1NANOG31.720 32.490 1.056
D7K2NANOG30.950 30.393 0.871
D8K2NANOG29.389 30.393 0.871
E1K2NANOG30.840 30.393 0.871
E2K3NANOG31.850 30.982 1.043
E3K3NANOG29.825 30.982 1.043
E4K3NANOG31.272 30.982 1.043
E5CM1NANOG29.211 29.724 0.452
E6CM1NANOG30.064 29.724 0.452
E7CM1NANOG29.896 29.724 0.452
E8CM2NANOG33.018 32.678 0.373
F1CM2NANOG32.279 32.678 0.373
F2CM2NANOG32.738 32.678 0.373
F3CM3NANOG34.004 31.234 2.645
F4CM3NANOG28.736 31.234 2.645
F5CM3NANOG30.962 31.234 2.645
F6Blank36.637 N/A
F7Blank36.637 36.637 N/A
Dataset 4.NANOG Cq values.
NANOG Cq was used to calculate NANOG mRNA expression using the Livak formula (K: control cells; CM: condition medium-treated cells).
Dataset 5.Raw unedited images for Figures 1A and 1B.

Discussion

Similar to normal stem cells, stem cell-like properties such as pluripotency in glioma CSCs are maintained by a core set of transcription factors, including SOX2, OCT4, and NANOG. Up-regulation of this set of genes is associated with poor outcome in terms of tumor malignancy, recurrence and metastasis11. Here, we demonstrated that the pluripotency markers SOX2 and OCT4 were up-regulated in UCSC-CM-treated cells. This indicates that UCSCs secrete certain factors that support the self-renewal capacity of GBM cells. Liu et al showed that bone marrow-derived MSCs produce a cytokine meshwork that stimulates CSCs12.

There is accumulating evidence suggesting that the regulation of stem cell-like properties requires a two-way interaction between CSCs and their microenvironment, particularly the MSCs. For instance, secretion of interleukin-1 (IL-1) in colon cancer cells could stimulate MSCs to produce prostaglandin E2 (PGE2). Then, PGE2 collaborated with IL-1 to produce other cytokines and chemokines such as IL-6, CXCL1 & CXCL8 by MSCs, leading to enhancement of the cancer stem cell population13. Wu et al proved that cytokines (IL-6, CXCL-8) were detected in conditioned media from MSCs. Those cytokines stimulated the expression of pluripotency markers (SOX2, OCT4, cMyc), as well as NF-κB &AMPK/mTOR signaling pathways in colon cancer cells14. In another study by Luo et al., CCL5 secreted by recruited BM-MSCs were found to induce prostate CSCs via androgen receptor signaling15. Investigating the secreted components of our UCSC-CM could allow us to determine more targeted CSC therapy in GBM.

Unlike SOX2 and OCT4 expressions, NANOG mRNA expression in T98G cells was not affected by UCSC-CM in our study. This is might be due to the abundance of NANOG pseudogenes16,17 and also due to the way NANOG mRNA undergoes unique N6-methyladenosine (m6A) posttranscriptional modification as part of its regulation18. Furthermore, microRNA-134 has been reported to suppress proliferation and invasion of T98G cells by reducing NANOG expression19. Further studies are required to elucidate the involvement of UCSC secretomes in inducing the differential expression of pluripotency markers.

Conclusions

The conditioned medium of umbilical cord-derived mesenchymal stem cells could affect the expression of SOX2 and OCT4 as pluripotency markers in human glioblastoma multiforme T98G cells.

Data availability

Dataset 1: 18S rRNA Cq values. 18S rRNA Cq was used to calculate SOX2, OCT4 and NANOG mRNA expression using the Livak formula (K: control cells; CM: condition medium-treated cells). DOI, 10.5256/f1000research.13154.d19129620

Dataset 2: SOX2 Cq values. SOX2 Cq was used to calculate SOX2 mRNA expression using the Livak formula (K: control cells; CM: condition medium-treated cells). DOI, 10.5256/f1000research.13154.d19129721

Dataset 3: OCT4 Cq values. OCT4 Cq was used to calculate OCT4 mRNA expression using the Livak formula (K: control cells; CM: condition medium-treated cells). DOI, 10.5256/f1000research.13154.d19129822

Dataset 4: NANOG Cq values. NANOG Cq was used to calculate NANOG mRNA expression using the Livak formula (K: control cells; CM: condition medium-treated cells). DOI, 10.5256/f1000research.13154.d19129923

Dataset 5: Raw unedited images for Figures 1A and 1B. DOI, 10.5256/f1000research.13154.d19130024

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Hardiany NS, Huang P, Dewi S et al. Analysis of pluripotency marker expression in human glioblastoma multiforme cells treated with conditioned medium of umbilical cord-derived mesenchymal stem cells [version 1; peer review: 2 not approved]. F1000Research 2018, 7:106 (https://doi.org/10.12688/f1000research.13154.1)
NOTE: If applicable, it is important to ensure the information in square brackets after the title is included in all citations of this article.
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ApprovedThe paper is scientifically sound in its current form and only minor, if any, improvements are suggested
Approved with reservations A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit.
Not approvedFundamental flaws in the paper seriously undermine the findings and conclusions
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PUBLISHED 25 Jan 2018
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Reviewer Report 10 May 2018
Isabele C. Iser, Department of Basic Health Sciences, Laboratory of Cell Biology, Federal University of Health Sciences of Porto Alegre (UFCSPA), Porto Alegre, Brazil 
Not Approved
VIEWS 21
In the study titled “Analysis of pluripotency marker expression in human glioblastoma multiforme cells treated with conditioned medium of umbilical cord-derived mesenchymal stem cells”, the authors investigated the effects of UCSC on the expression of pluripotency factors in GBM cells. ... Continue reading
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HOW TO CITE THIS REPORT
Iser IC. Reviewer Report For: Analysis of pluripotency marker expression in human glioblastoma multiforme cells treated with conditioned medium of umbilical cord-derived mesenchymal stem cells [version 1; peer review: 2 not approved]. F1000Research 2018, 7:106 (https://doi.org/10.5256/f1000research.14268.r33378)
NOTE: it is important to ensure the information in square brackets after the title is included in all citations of this article.
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Reviewer Report 26 Mar 2018
Jie Sun, Department of Urology, Shanghai Children’s Medical Center, School of Medicine, Shanghai Jiao Tong University, Shanghai, China 
Not Approved
VIEWS 29
The present study mainly showed the effects of MSC conditioned medium in glioblastoma multiforme cells. Authors found that MSC-CM promote the expression of pluripotency markers in T98G cells, like SOX4 and OCT4, but not NANOG. The research has limited novelty ... Continue reading
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HOW TO CITE THIS REPORT
Sun J. Reviewer Report For: Analysis of pluripotency marker expression in human glioblastoma multiforme cells treated with conditioned medium of umbilical cord-derived mesenchymal stem cells [version 1; peer review: 2 not approved]. F1000Research 2018, 7:106 (https://doi.org/10.5256/f1000research.14268.r32142)
NOTE: it is important to ensure the information in square brackets after the title is included in all citations of this article.

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Version 1
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Alongside their report, reviewers assign a status to the article:
Approved - the paper is scientifically sound in its current form and only minor, if any, improvements are suggested
Approved with reservations - A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit.
Not approved - fundamental flaws in the paper seriously undermine the findings and conclusions
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