Abstract
Background: Cryopreservation of ovarian tissue for patients with cancer comes with the concern for the existence of cancer cells in the grafts. Data about cancer cell viability after cryopreservation are currently lacking. For the experimental study of cryo-stability of cancer cells, different protocols of in vitro culture of various cell lines are used. The existing protocols are not able to mimic the effectiveness of in vivo/in situ development of cancer cells. This study aimed to test the new protocol for in vitro culture of breast cancer cells. Materials and Methods: ZR-75-1 and MDA-MB-231 cells were in vitro-cultured in standard [RPMI 1640 and Dulbecco's modified Eagle's medium (DMEM), respectively] and experimental (AIM V) medium. Cell phenotypes were tested by CCK-8 cell proliferation measurement, wound-healing assay, transmembrane cell migration and invasion assay and immunofluorescent staining. A 10-day in vitro culture without cell passaging was conducted on both cell lines in culture medium to observe the generation of a cell layer as a model of solid tumor tissue. The density of the cell layers was revealed by immunofluorescent staining. Results: AIM V significantly promoted continued proliferation of both cell lines. Cell motility of ZR-75-1 cells was increased considerably more in AIM V than in RPMI-1640. For MDA-MB-231 cells cultured in AIM V and DMEM, no significant differences in mobility and invasion were observed. Both cell lines maintained in AIM V medium generated a cell layer on day 7 and formed a compact structure on day 10 of in vitro culture. Conclusion: In vitro culture of ZR-75-1 and MDA-MB-231 cells in AIM V medium is more informative than culture in standard medium. The described protocol provides a means for the formation of compact structures from in vitro-cultured cancer cells as a model of solid tumor tissue.
- Breast neoplasm
- experimental model
- in vitro techniques
- cell proliferation
- cell motility
- neoplasm invasiveness
Along with the improvement of anticancer treatments, the 5-year survival rate of patients has increased over the past decades (1). Cryopreservation of ovarian tissue (freezing and thawing) and transplantation have become an established technique with promising results for preserving fertility in cancer survivors (2, 3). However, clinicians are concerned about the presence of neoplastic cells in the preserved tissues because these tissues were removed before anticancer treatment. After thawing and transplantation, neoplastic cells might be re-introduced to a cancer-free body. The risk is high not only for leukemic patients (4-6); cancer relapse was reported after transplantation of cryopreserved ovarian tissue in a patient with breast cancer (7).
A few studies mainly performed histological analysis combined with immunohistochemistry and reverse transcription polymerase chain reaction to detect the existence of metastatic breast cancer cells in ovarian tissue at three time points: (i) biopsy before freezing (8, 9); (ii) immediately after thawing (10, 11); (iii) after xenotransplantation following thawing (12, 13). The major controversy is that no evidence of primary disease recurrence was found in severe combined immunodeficient mice carrying ovarian fragments from patients with breast cancer although particular biomarkers were expressed (11, 13). Consequently, clinicians might overestimate the risk of cancer cell reintroduction and subsequent transplantation will be contraindicated for some patients (14). Cryopreservation affects the functional state of particular types of cells and results in their apoptosis (15-17). However, data about cancer cell viability after cryopreservation are currently lacking. For experimental study of cryo-stability of cancer cells, different protocols for in vitro culture of various cell lines are used. The existing protocols are not able to mimic the effectiveness of in vivo/in situ development of cancer cells.
Design of experiments.
In this study, we aimed to test a new protocol for in vitro culture of breast cancer cells.
Materials and Methods
Cell lines and culture conditions. Except where otherwise specified, all reagents were obtained from Sigma Chemical Co. (St. Louis, MO, USA).
The study design is presented in Figure 1. ZR-75-1 and MDA-MB-231 cell lines were purchased from American Type Culture Collection (Manassas, Virginia, USA) and grown in RPMI 1640 medium with GlutaMAX™ (Thermo Fisher Scientific, Waltham, MA, USA) and Dulbecco's modified Eagle's medium (DMEM) supplemented with 10% fetal bovine serum (FBS) (Biochrom GmbH, Berlin, Germany) and antibiotics at 37°C in a humidified chamber with 5% CO2, respectively. For all experiments, unless otherwise specified, AIM V medium (Thermo Fisher Scientific) supplemented with 10% FBS and amphotericin B was used for both cell lines after the culture became 60-70% confluent.
Cell proliferation measurement. ZR-75-1 and MDA-MB-231 cells were seeded both in the control medium and AIM V at a density of 1×104 cells/ml in 96-well plates. Cells were allowed to adhere overnight. Cell proliferation was measured by Cell Counting Kit-8 (CCK-8) solution consecutively for 7 days. From day 1 to 7, 10 μl CCK-8 solution was added to each well of one plate at a fixed time and incubated for 4 h, then the OD at 450 nm (reference 650 nm) was determined by a multimode reader machine (Tecan Group Ltd., Maennedorf, Zurich, Switzerland). Culture media were renewed every 48 h. Results were plotted with the time axis as the abscissa and the cell count as the vertical axis. Each experiment was repeated three times.
Wound-healing assay. Wound-healing assay was carried out to determine the cell mobility and migration of tumor cells. ZR-75-1 and MDA-MB-231 cell suspensions in initial medium and AIM V were adjusted to a density of 1×106 cells/ml and 70 μl was seeded into each well of a 35 mm μ-Dish ibidi Culture Insert (ibidi GmbH, Planegg, Bavaria, Germany) then incubated for 24 h to obtain a confluent cell layer. After removal of the insert, cells were washed with PBS twice to remove cell debris and non-attached cells. Then the μ-Dish was filled with 2 ml of 1% FBS-supplemented cell-free medium. Time-lapse measurement of the wound area of ZR-75-1 and MDA-MB-231 cell layer was performed every 24 h and every 2 h, respectively, in order to calculate cell front velocity until complete confluence. Experiments were carried out in triplicate at least three times.
Transmembrane cell migration and invasion. Cell invasion was determined in vitro to evaluate the ability of tumor cells to transmigrate a layer of reconstructed extracellular matrix. Corning transwell inserts were used to carry out the cell invasion assay. Polycarbonate filters (6.5 mm in diameter, 8 μm pore size) were coated with type I rat tail collagen (100 μg/ml; BD Biosciences, Franklin Lakes, NJ, USA) for 1 h at 37°C in accordance with the manufacturer's protocol. ZR-75-1 and MDA-MB-231 cells were resuspended and seeded into the upper compartment of the insert in serum-free culture medium. The lower chambers were filled with 600 μl of the appropriate culture medium supplemented with FBS as a chemoattractant. ZR-75-1 cells were seeded at 2×105 cells/well for 72 h at 37°C in a 5% CO2 incubator using 20% FBS as a chemoattractant; MDA-MB-231 cells were seeded 5×104 cells/well for 8 h using 10% FBS as a chemoattractant. After incubation, the upper inserts with cells were washed with PBS and fixed with 4% formaldehyde and permeabilized with methanol at room temperature. Cells were then stained with 0.1% crystal violet solution and were gently rinsed with PBS and wiped by cotton-tipped swabs then dried in the air. Invading cells went through the polymerized collagen layer to the bottom of the polycarbonate membranes and were counted in five different fields of view under a microscope. For the migration assay, cells were treated using the same procedure, except that the transwell membrane was not coated with collagen. Samples in each group ran in triplicate. Each experiment was performed at least three times.
Model formation. After three cell passages, ZR-75-1 and MDA-MB-231 cells maintained in respective medium were in vitro-cultured for 10 days without passaging. The culture medium was renewed every 24 h after a cell layer was formed. A cell scraper (Greiner Bio-one, Frickenhausen, Baden-Wuerttemberg, Germany) was used for harvesting the cell layer as a model of solid tumor tissue for subsequent experimental manipulations, e.g. cryopreservation.
Immunofluorescence of the cell layers. Both cell lines were cultured in a 6-well plate with a cover glass. After a dense cell layer was formed on the cover glass, the cells were fixed with 2% paraformaldehyde in PBS for 15 min at room temperature. After two washes with PBS, the cells were permeabilized with 0.5% Triton X-100 in PBS for 10 min. Cells were washed again twice with PBS and then blocked with Cell Staining Buffer (Biolegend, San Diego, CA, USA) for 30 min. The glass covers were transferred into a humidified chamber and then incubated with Alexa Fluor 488-conjugated Flash Phalloidin (Biolegend) in PBS (1:20) for 1 h. The glass covers were then washed twice with PBS and further counterstained with 4’,6-diamidino-2-phenylindole. The following day, the slides were visualized using a Leica SP8 confocal microscope and images were taken using LAS X software (Leica Microsystems, Wetzlar, Hesse, Germany).
Statistical analysis. Data analysis was executed with SPSS 23.0 software (IBM Corp., Armonk, NY, USA). Differences among the groups were tested by Student's t-test or two-way ANOVA. Data are expressed as mean±standard deviation (SD). The level of statistical significance was set at p<0.05.
Cell viability of ZR-75-1 and MDA-MB-231 cells in standard culture medium and AIM V. Graphical representations of cell viability data showing significant promotion of proliferation of ZR-75-1 (A) and MDA-MB-231 cells (B) when maintained in standard medium and AIM V. DMEM: Dulbecco's modified Eagle's medium. Significantly different at **p<0.01, ***p<0.001, and ****p<0.0001.
Results
AIM V medium promotes cell proliferation. Cells were seeded in seven 96-well culture plates at a consistent density and were adhered after incubating for 24 h at 37°C in a 5% CO2 incubator. From day 1 to day 7, 10 μl CCK-8 solution was added to each well of one plate at a fixed time and incubated for 4 h, then the OD was determined. As shown in Figure 2, AIM V significantly promoted cell proliferation of ZR-75-1 and MDA-MB-231 cells in a time-dependent fashion. Cells maintained in AIM V proliferated markedly faster after 5 days culture and reached a high density after 7-day in vitro culture (2.56×105 and 7.07×105 cells/ml, respectively), with significant differences compared to cells in the control media.
Wound healing of ZR-75-1 and MDA-MB-231 cells. Images of wound healing of ZR-75-1 cells in RPMI 1640 and AIM V (A) and of MDA-MB-231 cells in Dulbecco's modified Eagle's medium (DMEM) and AIM V (B) (left panel; magnification ×5) with graph for the comparative cell front velocities (right panel). ***Significantly different at p<0.001.
Transmembrane migration and invasion of ZR-75-1 cells. A: Images of transmembrane migration and invasion of ZR-75-1 cells in RPMI 1640 and AIM V (magnification, ×13.5). B: Graphical representation of transmembrane migration of ZR-75-1 cells in AIM V compared with cells in RPMI 1640. C: Graphical representation of transmembrane invasion of ZR-75-1 cells in AIM V compared with cells in RPMI 1640. ***Significantly different at p<0.001.
AIM V medium increases wound healing of ZR-75-1 cells. Active cell mobility is an essential step in tumor cell metastasis leading tumor cell migration to distant sites. Cell movement was measured using a well-established wound-healing assay. For ZR-75-1 and MDA-MB-231 cells, photographs were taken under a microscope at intervals until complete confluence. The data indicate that the wound area of ZR-75-1 cells in AIM V medium decreased much more than that in RPMI-1640 (p<0.01). For MDA-MB-231 cells, no significant difference was observed between cell migration in DMEM and AIM V, as shown in Figure 3.
Transmembrane migration and invasion of MDA-MB-231 cells. A: Images of transmembrane migration and invasion of MDA-MB-231 cells in Dulbecco's modified Eagle's medium (DMEM) and AIM V (magnification, ×13.5). B: Graphical representation of transmembrane migration of MDA-MB-231 cells in AIM V compared to cells in DMEM. C: Graphical representation of transmembrane invasion of MDA-MB-231 cells in AIM V compared to cells in DMEM.
The medium affects migration and invasion of ZR-75-1 and MDA-MB-231 cells. Invasion of the basement membranes is another critical event in tumor metastasis. In order to study cell motility and the invasive ability of tumor cells without the effect of serum-induced cell proliferation in different in vitro culture environments, we performed a transmembrane migration and invasion assay on both cell lines using FBS as a chemoattractant. Staining images of the invasive cells were obtained and presented as photographic evidence. Differences in cell migration and invasion were observed in this analysis. ZR-75-1 cells displayed a significantly increased transmembrane ability in AIM V compared with that in RPMI 1640 (Figure 4) (p<0.001). For MDA-MB-231 cells, the transmembrane ability slightly decreased in AIM V compared with that in DMEM, without statistical significance (p>0.05) (Figure 5).
Formation of the compact structured cell models. A: Representative images of the formation of the ZR-75-1 cell layer in AIM V supplemented with 10% fetal bovine serum (FBS) (upper blocks). Cells in RPMI 1640 did not become 100% confluent during 10 days of in vitro culture (lower blocks). B: Representative images of the formation of the MDA-MB-231 cell layer during 10 days of in vitro culture in AIM V supplemented with 10% FBS (upper blocks). We observed 100% confluence of the cells in DMEM, albeit the cell layer was loose (lower blocks). C: Immunofluorescence in ZR-75-1 (upper blocks) and MDA-MB-231 (lower blocks) cell layers before harvest and the compact structured cell model in AIM V. No cell adhered in the culture dishes. DAPI: 4’,6-Diamidino-2-phenylindole.
Formation of the cell model of solid tumor tissues. After the assessment of cellular properties in different medium, we found that ZR-75-1 and MDA-MB-231 cells maintained in AIM V showed significantly increased proliferation and reached a high cell density without loss of cell motility and metastatic ability. We observed the formation of a cell layer of both cell lines maintained in AIM V medium on day 7 and the generation of a compact structure from the cancer cells on day 10 of in vitro culture. The immunofluorescence images revealed the cell density before harvesting (Figure 6). ZR-75-1 and MDA-MB-231 in the primary standard medium did not form a dense cell layer after in vitro culture during the same period.
Discussion
Ductal carcinoma is the most common histological category of breast cancer and luminal A is the major molecular subtype (18-20). For our study, we used two representative cell lines derived from invasive ductal breast carcinoma. Differences can be characterized by the following peculiarities: ZR-75-1 cell line with luminal A molecular subtype has mass aggregate morphology, while MDA-MB-231 cells with basal molecular subtype has stellate aggregate morphology (21, 22). To our knowledge, we are the first to have constructed an experimental model of solid tumor tissues from in vitro-cultured breast cancer cells as an alternative of tumor tissue from patients. Our model can be widely applied because we obtained similar results after research of both cell lines.
AIM V is intended for human ex vivo tissue and cell culture processing applications and allows for high-density culture with no difference in cell viability. It is widely used for T-cells and dendritic cells, which showed better proliferation and migration when compared with culture in RPMI 1640 (23-25). In our study, we presupposed that the culture medium might affect the phenotype of cancer cells. It was demonstrated that viability, migration and invasion of ZR-75-1 cells maintained in AIM V were significantly promoted compared to that in the initial medium. Although AIM V did not have a similar effect on MDA-MB-231 cells, their cell motility did not significantly decline. We obtained the cell model of both cell lines after confluence to 100% with compact structures. This is the crucial factor in the subsequent experimental manipulation, e.g. programmed slow freezing to study cryo-stability of cancer cells.
Peek et al. made a model system by injecting cancer cells into ovarian cortex fragment, which led to the formation of small metastases in vitro (26). This model might facilitate the development of detection of isolated tumor cells or micrometastases in ovarian tissue or elimination of cancer cells. However, it is still difficult to explain the inconsistency between micro-and macro-level inspections. Moreover, it is vital to have a clear understanding of the effect of cryopreservation on cancer cell properties before purging such cells. It is optimal to eliminate malignant cells while leaving normal ovarian tissue unaffected (27). Our model could be applied to evaluate the effect of cryopreservation on cancer cells and to assess the risk of primary disease recurrence. Relevant tumor target treatments might be performed before ovarian tissue transplantation and thereby minimize side-effects on ovarian tissue viability (28, 29).
Breast cancer is the most frequent indication for cryopreservation of ovarian tissue and transplantation (30). However, the risk of ovarian metastasis of breast cancer in patients aged 21-30 years is 19.4% and reaches to 25.0% in the 31- to 39-year-old age group (31). Therefore, it is essential to assess the risk of primary disease recurrence when fertility preservation is considered for breast cancer survivors after treatment.
In summary, in vitro culture of ZR-75-1 and MDA-MB-231 cells in AIM V medium is more informative than their culture in standard medium. The described protocol provides a means for the formation of compact structures from in vitro-cultured cancer cells as a model of solid tumor tissues.
- Received October 1, 2018.
- Revision received October 16, 2018.
- Accepted October 24, 2018.
- Copyright© 2018, International Institute of Anticancer Research (Dr. George J. Delinasios), All rights reserved