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Sambucus williamsii induced embryonic stem cells differentiated into neurons

Shih-Ping Liu1,2,3, Chien-Yu Hsu2, Ru-Huei Fu1,4, Yu-Chuen Huang5,6, Shih-Yin Chen5,6, Shinn-Zong Lin1,4,7,8, Woei-Cherng Shyu1,4

1Center for Neuropsychiatry, China Medical University Hospital, Taichung, Taiwan

2Graduate Institute of Basic Medical Science, China Medical University, Taichung, Taiwan

3Department of Social Work, Asia University, Taichung, Taiwan

4Graduate Institute of Immunology, China Medical University, Taichung, Taiwan

5Genetics Center, Department of Medical Research, China Medical University Hospital, Taichung, Taiwan

6Graduate Institute of Chinese Medical Science, College of Chinese Medicine, China Medical University, Taichung, Taiwan

7Department of Neurosurgery, China Medical University Beigan Hospital, Yunlin, Taiwan

8Department of Neurosurgery, Tainan Municipal An-Nan Hospital-China Medical University,

Tainan, Taiwan

Address correspondence to Shih-Ping Liu, PhD, No. 2, Yuh-Der Road, Taichung, Taiwan 40447, Republic of China. Phone: 886-4-2205-2121 ext. 7828; Fax: 886-4-2205-2121 ext. 7810;

[email protected].

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Abstract

The pluripotent stem cells, including embryonic stem cells (ESCs), are capable of self-

renewal and differentiation into any cell type, thus making them the focus of many

clinical application studies. However, the efficiency of ESCs differentiated into neurons

needs to improve. In this study, we tried to increase efficiently to a neural fate in the

presence of various transitional Chinese medicines through a three-step differentiation

strategy. From extracts of 10 transitional Chinese medicine candidates, we determined

that Sambucus williamsii (SW) extract triggers the up-regulation of Nestin and Tuj1

(neuron cells markers) gene expression levels. After determining the different

concentrations of SW extract, the number of neurons in the 200 μg/ml SW extract group

was higher than the control, 50, 100, and 400μg/ml SW extract groups. In addition, the

number of neurons in the 200 μg/ml SW extract group was higher and higher after each

time passage (three times). We also detected the Oct4, Sox2 (stem cells markers),

Tuj1, and Nestin genes expression levels by RT-PCR. In the differentiated process,

Oct4 and Sox2 genes decreased while the Tuj1 and Nestin genes expression levels

increased. In summary, we demonstrated that SW could induce pluripotent stem cells

differentiated into neurons. Thus, SW might become a powerful material for neurons–

differentiating strategies .

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1. Introduction

Embryonic stem cells (ESCs) have the ability to differentiate into ectodermal,

endodermal, and mesodermal derivatives, giving them significant potential for clinical

cell therapy applications. A lot of neurodegenerative diseases, including Parkinson’s

disease and Alzheimer disease, do not have effective therapeutic methods. Cell therapy

may become a powerful strategy to future clinical applications. However, neurons are

hard to isolate and culture for clinical applications. For this reason, one of the sources to

get neurons for future cell therapeutic applications for neurodegenerative diseases is

ESC. Highly efficient approaches to differentiate ESCs into functional neurons are

critical for modeling neurological disorders and testing potential therapies [1]. Previous

studies have shown that a virus could be used to over-express neural-related genes to

increase the differentiation efficiency [2, 3], but such a method is difficult to use in

clinical applications. Protein transduction-based methods or small compounds can be

efficient, safe alternatives to overcome this challenge [4]. In this study, we tried to

discover if the extract of traditional Chinese medicine could increase the neurons-

differentiation efficiency from ESCs. After we tested ten traditional Chinese medicines,

we found that Sambucus williamsii had the potential to enhance neural-related genes

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(Nesin and TuJ1) expression levels. For this reason, we used Sambucus williamsii as

our candidate extract to increase the differentiation efficiency of ESCs.

Sambucus williamsii is widely distributed in the North of China, Korea, and Japan

[5]. In China, it has been used as a medicine for the treatment of bone and joint

diseases for thousands of years [5]. Previous studies have shown that the compounds

isolated from Sambucus williamsii can stimulate effects on osteoblastic UMR106 cell

proliferation [6]. This research also showed that Sambucus williamsii could increase

bone mass and bone strength in ovariectomized rats [7]. However, the correlation

between Sambucus williamsii and stem cells differentiation is unclear.

In this study, we used the ethanol extract of Sambucus williamsii to test the

neurons differentiation ability of ESCs. We used a three-step differentiation strategy to

differentiate ESCs into neurons (Figure 1). The genes expression levels of neural

related genes were determined after Sambucus williamsii treatment by real-time PCR.

After differentiating, immunefluoresce analysis and RT-PCR were used to test the

optimal Sambucus williamsii concentrations for differentiating ESCs into neurons. In the

end, we demonstrated that Sambucus williamsii could increase the neurons- differentiated efficiency of ESCs.

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2. Materials and methods

2.1 Mouse embryonic fibroblast (MEF) cultures

Approval for all experimental protocols was applied for and received from the

Institutional Animal Care and Use Committee of China Medical University. MEF isolation

was performed as previously described [8]. Cells were collected from 13.5-day-old

C57BL/6 mouse embryos retrieved by Cesarean section from mice purchased from the

Taiwan National Laboratory Animal Center. Internal organs, legs, and heads were

removed and remaining embryo parts digested with Trypsin. Cells were cultured in

Dulbecco’s modified Eagle’s medium (DMEM) containing 10% heat-inactivated fetal

bovine serum (FBS), penicillin (100 U/ml), streptomycin (100 μg/ml), non-essential

amino acids (0.1 mM), and L-glutamine (2 mM) in a humidified incubator (37°C) with 5%

CO2 (all chemicals and solutions from GIBCO BRL). MEF was treated with 10 μg/ml

mitomycin C to become the feeder layers for the stem cell culture.

2.2 Mouse ESC cultures

Mouse ESCs (from the Taiwan Bioresource Collection and Research Center) were

cultured in DMEM with 15% FBS (Hyclone, UT, USA), non-essential amino acids (0.1

mM), L-glutamine (2 mM), β-mercaptoethanol (0.2 mM) (GIBCO BRL), and LIF (4 ng/ml)

(Millipore) in a humidified incubator at 37°C with 5% CO2. 2.3 The strategy of ESC differentiated into neurons

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All three-step differentiation procedures were modified from standard protocols

previously described [9, 10] and shown in Figure 1. Briefly, ESCs were transferred to

Ultra-Low attached culture dishes in ES medium without LIF to generate embryoid

bodies (EB). After 4 days, the embryoid bodies were transferred to normal dishes

containing medium with or without the extract of Sambucus williamsii for neurons

selection (P1). After 4 days, cells were subcultured to P2 generation. P3 generation also

followed the same strategy. Immunefluoresces analysis was used for P1, P2, and P3

neurons .

2.4 Real-time PCR and reverse transcription PCR

Total RNA was extracted from ESCs, EB, P1, P2, and P3 neurons using TRIzol

(Invitrogen) [11], with concentrations determined by spectrophotometry. Complementary

DNA was produced from mRNA (5 mg) using a SuperScript III Reverse Transcriptase

Kit (Invitrogen). Real-time PCR was used to determine Nestin and Tuj1 gene expression

levels as previously described [11]. PCR conditions were predenatured at 94°C for 5

min followed by 28 cycles of amplification at 94°C for 30 s, 60°C for 30 s, and 72°C for 1

min, followed by a 10-min extension step at 72°C. PCR was performed with ExTaq

(Takara) to detect the expression levels of the Oct4, Sox2, Tuj1, Nestin and β-actin

genes.

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2.5 Immunofluorescent (IF) antibody assays

IF antibody assays were performed as previously described [8]. Cultured cells were

placed on slides, treated with fixing solution I (4% paraformaldehyde plus 400 mM

sucrose in PBS) and held at 37°C for 30 min. Slides were then treated with fixing

solution II (fixing solution I plus 0.5% Triton X-100) and held at room temperature for 15

min. After washing with PBS, slides were treated with a blocking buffer (0.5% BSA in

PBS) at room temperature for 1 h and washed three additional times with PBS prior to

reacting with various primary antibodies (anti-Nestin [abcam] or anti-Tuj1 [GeneTex]) at

1:100 dilutions, either overnight at 4°C or for 1 h at 37°C. Slides were washed five times

with cold PBS before reacting with FITC-conjugated anti-mouse IgG or TRITC-

conjugated anti-rabbit IgG (Sigma-Aldrich). After four more washes with cold PBS,

slides were mounted and observed using a fluorescence microscope. DNA was stained

with DAPI (Sigma-Aldrich) to localize nuclei.

3. Results

3.1 Neural related gene expression levels increased after Sambucus williamsii

treatment

In order to determine that Sambucus williamsii could induce the neural related gene

expression levels and increase the efficiency of ESCs differentiation into neurons, we

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measured Nestin and Tuj1 expression levels in the P3 generation after 50, 100, 200 and

400μg/ml Sambucus williamsii treatment. As shown in Figure 2, Nestin expression

levels increased after the 50, 100 and 200μg/ml Sambucus williamsii treatment

compared with the control group, especially in the 50μg/ml. The Tuj1 expression levels

also increased in the 50, 100 and 200μg/ml Sambucus williamsii treatment group

compared with the control group. This data indicates that Sambucus williamsii has the

potential to induce the ESCs toward neuron differentiation.

3.2 Neural related protein expression levels increased after Sambucus williamsii

treatment

After we determined the neural related genes expression levels increased after

Sambucus williamsii treatment, we turned our attention to detecting the real

differentiating ability of Sambucus williamsii. The differentiating strategy shown in Figure

1 and the P3 generation neurons was neural-related protein levels detected by IF

analysis. In Figure 3, the results show that Nestin and Tuj1 protein expression levels in

the 50, 100 and 200μg/ml Sambucus williamsii treatment groups are higher than the

control group and have the dose-response effect. Interestingly, Nestin and Tuj1 protein

expression levels in the 400μg/ml Sambucus williamsii treatment group were not higher

than the control group. Nestin and Tuj1 expression mean the cells were neurons.

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Furthermore, this data shows the 200μg/ml Sambucus williamsii treatment to have the

optimal concentration to differentiate ESCs into neurons.

3.3 Neurons differentiation efficiency higher and higher though passage the cells In our differentiating strategy, after passing through EB in normal dishes, cells cultured

in a medium containing Sambucus williamsii passed to the P3 generation. If the

Sambucus williamsii could induce ESCs to neurons, the percentage of neurons should

increase during the passage times. In order to test this hypothesis, we used Nestin and

Tuj1 as the neuron markers to detect the expression levels during the passage times. In

Figure 4, Nestin and Tuj1 expression levels increased from the P1 to the P3 generation

by IF assay. In addition, RT-PCR results also show that Nestin and Tuj1 gene

expression levels increased from the P1 to the P3 generation. The whole stem cell

markers’, Oct4 and Sox2, gene expression levels decreased during the P1 to theP3

generations (Figure 5). These data indicate that the medium containing Sambucus

williamsii leads the ESCs toward neuron differentiation.

4. Discussion

Cell therapy will become a highly potential therapeutic method for many diseases that

do not currently have efficient therapeutic methods, especially neurodegenerative

diseases. However, neurons are hard to obtain and isolate. An efficient strategy to

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differentiate ESCs into neurons is very important in future cell therapy. Previous studies

have shown that a virus could be used to over-express neural-related genes to increase

the differentiation efficiency [2, 3] but such a method is hard to use for clinical

applications. Protein transduction-based methods can be efficient, safe alternatives to

overcome this challenge [4]. However, it is difficult for protein to cross cell membranes

and so there is a need to use fusion proteins ( Tat proteins [12-14], for example). Fusion

proteins still have some problems that involve injuring cell membranes. For these

reasons, small molecules may be a better candidate for neurons differentiation.

In this study, we used a three-step differentiation strategy to determine that Sambucus

williamsii could induce ESCs to differentiate into neurons. Most of studies have shown

the application of Sambucus williamsii in bone and osteoblastic research [6, 7]. This is

the first study to investigate the correlation between Sambucus williamsii and stem cells

differentiation. In the end, we are confident we found a new applicationfor Sambucus

williamsii.

In conclusion, this study discovered a traditional Chinese medicine that could

potentially be used to increase the differentiation efficiency of ESCs into neurons. In

addition, a simple method to differentiate ESCs into neurons was also developed. It

should prove helpful in future neurons therapy from the pluripotent stem cells, including

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induced pluripotent stem (iPS) cells. We hope it will also be helpful in the future clinical

application of cell therapy.

Acknowledgments

This study is supported in part by the Taiwan Ministry of Health and Welfare Clinical

Trial and Research Center of Excellence (MOHW103-TDU-B-212-113002), and China

Medical University (CMU101-NSC-06). The authors declare no conflicts of interest.

Figure captions

Figure 1. The three-step strategy to differentiate ESCs into neurons.

Figure 2. Nestin and Tuj1 gene expression levels in the P2 generation treated with various concentrations of Sambucus williamsii extract (real-time PCR).

Figure 3. Nestin and Tuj1 expression levels after immunofluorescent staining in the P3 generation treated with various concentrations of Sambucus williamsii extract. Nuclei

were stained with DAPI (blue).

Figure 4. Comparison of Nestin and Tuj1 expression levels after immunofluorescent staining in the P1, P2 and P3 generations treated with various concentrations of

Sambucus williamsii extract. Nuclei were stained with DAPI (blue).

Figure 5. Gene expression levels of Oct4, Sox2, Tuj1, and Nestin in ESCs, EB, P1, P2

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and P3 generations as measured by reverse transcription (RT)-PCR.

References

[1] Sagal J, Zhan X, Xu J, Tilghman J, Karuppagounder SS, Chen L, et al. Proneural transcription factor Atoh1 drives highly efficient differentiation of human pluripotent stem cells into dopaminergic neurons. Stem Cells Transl Med 2014;3:888-98.

[2] Studer L. Derivation of dopaminergic neurons from pluripotent stem cells. Prog Brain Res 2012;200:243-63.

[3] Hegarty SV, Sullivan AM, O'Keeffe GW. Midbrain dopaminergic neurons: a review of the molecular circuitry that regulates their development. Dev Biol 2013;379:123-38.

[4] Fathi A, Rasouli H, Yeganeh M, Salekdeh GH, Baharvand H. Efficient Differentiation of Human Embryonic Stem Cells Toward Dopaminergic Neurons Using Recombinant LMX1A Factor. Mol Biotechnol 2014.

[5] Xiao HH, Dai Y, Wong MS, Yao XS. New lignans from the bioactive fraction of Sambucus williamsii Hance and proliferation activities on osteoblastic-like UMR106 cells. Fitoterapia 2014;94:29-35.

[6] Yang XJ, Wong MS, Wang NL, Chan SC, Yao XS. Lignans from the stems of Sambucus williamsii and their effects on osteoblastic UMR106 cells. J Asian Nat Prod Res 2007;9:583-91.

[7] Xie F, Wu CF, Zhang Y, Yao XS, Cheung PY, Chan AS, et al. Increase in bone mass and bone strength by Sambucus williamsii HANCE in ovariectomized rats. Biol Pharm Bull 2005;28:1879-85.

[8] Liu SP, Harn HJ, Chien YJ, Chang CH, Hsu CY, Fu RH, et al. n-Butylidenephthalide (BP) maintains stem cell pluripotency by activating Jak2/Stat3 pathway and increases the efficiency of iPS cells generation. PLoS One 2012;7:e44024.

[9] Kawasaki H, Mizuseki K, Nishikawa S, Kaneko S, Kuwana Y, Nakanishi S, et al. Induction of midbrain dopaminergic neurons from ES cells by stromal cell-derived inducing activity.

Neuron 2000;28:31-40.

[10] Lee SH, Lumelsky N, Studer L, Auerbach JM, McKay RD. Efficient generation of midbrain and hindbrain neurons from mouse embryonic stem cells. Nat Biotechnol 2000;18:675-9.

[11] Liu SP, Fu RH, Wu DC, Hsu CY, Chang CH, Lee W, et al. Mouse-induced pluripotent stem cells generated under hypoxic conditions in the absence of viral infection and oncogenic factors and used for ischemic stroke therapy. Stem Cells Dev 2014;23:421-33.

[12] Gump JM, Dowdy SF. TAT transduction: the molecular mechanism and therapeutic

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prospects. Trends Mol Med 2007;13:443-8.

[13] Dietz GP, Bahr M. Synthesis of cell-penetrating peptides and their application in neurobiology. Methods Mol Biol 2007;399:181-98.

[14] Dietz GP, Bahr M. Delivery of bioactive molecules into the cell: the Trojan horse approach.

Mol Cell Neurosci 2004;27:85-131.

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