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2.1 Isolation of PMN and MNC from normal human peripheral blood

Heparinized venous blood obtained from normal individuals was mixed with

one-quarter volume of 2% dextran solution in 37℃ (molecular wight: 425000-575000)

and incubated at room temperature for 30 minutes. The cell suspension was gently

layered over Ficoll-Hypaque density gradient solution (specific gravity 1.077; GE

Healthcare, Waukesha, Wisconsin, USA) and centrifuged at 500 x g for 30 minutes. The

MNC were aspirated from the interphase whereas the PMN were collected from the

bottom. The residual RBC in PMN was lysed in cold 0.85% ammonium chloride

solution. These cells were then rinsed twice with PBS and re-suspended in RPMI 1640

(Gibco/BRL, Grand Island, New York, USA) supplemented with 10% (v/v) fetal bovine

serum (FBS), 2 mM L-glutamine (hereafter referred to as complete medium). The

viability of PMN and MNC were detected by trypan blue dye and the cell concentration

was adjusted to 2×106/ml in complete medium.

2.2 Cell culture

Human promyelocytic leukemia cell line (HL-60) was maintained in complete medium

at 37℃ in a humidified atmosphere containing 5% CO2. HL-60, MNC and PMN (2×106

cells/ml) were treated with LPS (20ng/ml), h-IgG (1μg/ml), anti-CD44 (1μg/ml),

anti-CD45 (1μg/ml), anti-CD3 (1μg/ml)/ anti-CD28 (1μg/ml), and hyaluronic acid (HA

1mg/ml and 2mg/ml) at 37℃, then cultured and harvested at the indicated time points.

Induction of differentiation was obtained by seeding the cells at a concentration of 5 x

105/ml in the presence of DMSO (Microbiological Associates, Rockville, Md.) at a final

concentration of 1.3% (v/v) for 5 days. After exposure, the cells were resuspended in

DMSO-free medium. Next, differentiated-HL60 were treated with LPS (20ng/ml),

anti-CD44 (1μg/ml), and hyaluronic acid (HA 1mg/ml and 2mg/ml) at 37℃, then

cultured and harvested at the indicated time points.

2.3 Detection of CD44 expression treated with inflammatory molecule by flow

cytometry

MNC and PMN were treated with anti-CD3 (1μg/ml)/ anti-CD28 (1μg/ml) or LPS

(20ng/ml) at 37℃, before being cultured and harvested at the indicated time points. The

cells were washed twice with PBS. The cells were then fixed with 4%

paraformaldehyde for 30 minutes at room temperature and incubated with

anti-CD44-FITC overnight to detect the CD44 expression. The percentage (%) and

mean fiuorescence intensity (MFI, denoted by mean channel number) of CD44

expression were determined by FACSort flow cytometry (Becton Dickinson) at wave

length 488nm excitation.

2.4 Cytokine measurements

After treatment with HA and pro-inflammatory molecule at indicated time points, the

cells were centrifuged at 800 x g for 10 minutes for the detectection of cytokine

concentrations in cell culture supernatant. The concentrations of cytokines including

IL-8 were quantified using their respective ELISA kits (R&D Systems, Minneapolis,

Minnesota, USA).

2.5 Detection of PMN phagocytosis-enhancing activity of HA by flow cytometry

Fluoresbrit carboxylate microspheres (0.75 μm in diameter, Polyscience Inc.) were

washed with PBS in advance twice and opsonized by incubation with fresh human

serum at 37℃ for 2 hours. Fresh prepared PMN (2×106 cells/ml) were treated with LPS

(20ng/ml), h-IgG (1μg/ml), anti-CD44 (1μg/ml), anti-CD45 (1μg/ml), and HA (1mg/ml

and 2mg/ml) at 37℃ for 1 hours. The mixture was let reacting with opsonized beads

(1×108 beads/ml) at 37℃ for 1 hour in 5% CO2-95% air. After incubation and wash by

PBS twice, the percentage (%) and mean fluorescence intensity (MFI, denoted by mean

channel number) of PMN phagocytosis were determined by FACSort flow cytometry

(Becton Dickinson) at wave length of 488nm excitation.

2.6 Preparation of whole cell extraction

After treatment with HA or control medium at different time points at 37℃, the cells

were centrifuged at 800 x g for 10 minutes followed by wash with cold PBS. After

centrifugation at 800 x g for 10 minutes, the pelleted cells were lysed with cold RIPA

buffer (25 mM Tris-HCl pH 7.6, 150 mM NaCl, 1%NP-40, 1% sodium deoxycholate,

0.1% SDS ) containing protease inhibitor cocktail and phosphatase inhibitor cocktail

(Roche) and kept on ice for 30 minutes. The cell lysates were centrifuged at 10,000 x g

at 4℃ for 20 minutes to remove the debris and the supernatants were applied for

Western blot. The protein concentration of the cell extraction was measured using the

BCA Protein Assay (Pierce).

2.7 Western blotting

Proteins were separated by 10% SDS-PAGE and transfer to polyvinylidene fluoride

(PVDF) membrane (Millipore Inc.) in a Mini Trans-Blot cell (Bio-Rad) for 2 hours at

350 mA. The PVDF membranes were blocked with Tris-buffered saline and Tween 20

(TBST, 50 mM Tris, 150 mM NaCl, 0.05% Tween 20, pH 7.6) containing 1% BSA at

room temperature for 30 minutes, and probed with a specific antibody overnight at 4℃.

After washing the membrane three times with TBST buffer each for 5 minutes, the

complexes were detected by HRP-conjucated-secondary antibody (Jackson ImmunoLab)

and ECL Western Blotting Substrate (Pierce) chemifluorescence detecting system.

2.8 Immunofluorescence microscopic observation of cytoskeleton change in

activated-PMN

After stimulation at 37℃ by HA or LPS for 2 hours, the activated-PMN were wash with

PBS and then fixed for 30 minutes at room temperature with a solution of 4%

paraformaldehyde followed by washing with PBS. Then mixture was centrifuged and

the supernatant was discarded. The cells were resuspended in 200 μL of PBS. 5 to 10

μL of the cell suspension was smeared above a gelatin-coated slide. Placed the slide on

a hot plate (low heat setting), and allowed the liquid to evaporate. The PMN were

permeabilized with 0.1% Triton X-100 for 15 minutes at room temperature, and washed

three times with PBS. The blocking solution (10% FBS in PBS) was added to inhibit the

non-specific binding. PMNs were stained with fluorescent phalloidin (1:200) for

visualization of actin filament at room temperature for 30 to 60 minutes. The slides

were washed three times with PBS and stained with DAPI

(4’,6-diamidino-2-phenylindole, 1:1000) at room temperature for 5 minutes. After three

times washes with PBS, the slides were mounted with glycerol and gently covered the

cover slip avoiding producing the air bubbles. The cells were visualized the

cytoskeleton was observed using a fluorescence microscope (Olympus, Japan).

2.9 Statistical analysis

The statistical analyses were performed using the analysis of variance (ANOVA).

Statistical significance was defined as p<0.05.

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