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1 Maxine Dunitz Neurosurgical Institute and 2 Ophthalmology Research Laboratories, Cedars-Sinai Medical Center, Los Angeles, CA; 3 Institute for Protein Research, Osaka University, Osaka, Japan; 4 Department of Pathology, Jubileum Institute, Lund University, Lund, Sweden; 5 Institute of Biomedicine/Anatomy, University of Helsinki, Helsinki, Finland
Requests for reprints: Julia Y. Ljubimova, Maxine Dunitz Neurosurgical Institute, Cedars-Sinai Medical Center, 8631 West Third Street, Suite 800-E, Los Angeles, CA 90048. Phone: (310) 423-0834; Fax: (310) 423-0810. E-mail: ljubimovaj{at}cshs.org
| Abstract |
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4 chain in human gliomas. The data were validated by semiquantitative reverse transcription-PCR for RNA expression and immunohistochemistry for protein expression. Moreover, increase of the
4 chain-containing laminin-8 correlated with poor prognosis for patients with brain gliomas. Therefore, we hypothesized that inhibition of laminin-8 expression by a new generation of highly specific and stable antisense oligonucleotides (Morpholino) against chains of laminin-8 could slow or stop the spread of glioma and its recurrence and thus might be a promising approach for glioma therapy. We next sought to establish an in vitro model to test the feasibility of this approach and to optimize conditions for Morpholino treatment. To develop a model, we used human glioblastoma multiforme cell lines M059K and U-87MG cocultured with normal human brain microvascular endothelial cells (HBMVEC). Using Western blot analysis and immunohistochemistry, we confirmed that antisense treatment effectively blocked laminin-8 protein synthesis. Antisense oligonucleotides against both
4 and ß1 chains of laminin-8 were able to block significantly the invasion of cocultures through Matrigel. On average, the invasion was blocked by 62% in cocultures of U-87MG with HBMVEC and by 53% in cocultures of M059K with HBMVEC. The results show that laminin-8 may contribute to glioma progression and recurrence not only as part of the neovascularization process but also by directly increasing the invasive potential of tumor cells. | Introduction |
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Attempts have been made to establish and characterize a number of glioma markers, such as glial fibrillary acidic protein, vimentin, synaptophysin, and nestin. Determination of differential expression of these markers (immunophenotyping) in gliomas, however, has not altered existing therapeutic approaches, treatment success rates, or disease outcome prediction (1, 2). Researchers then sought to identify novel glioma markers using powerful gene array technology (36). Recently, our group described a new molecular marker of glial tumors, laminin-8, which was differentially expressed in malignant tumors compared with benign tumors and normal brain tissues (4).
All laminins consist of three covalently linked chains,
, ß, and
. To date, 15 members of this family (isoforms) that are present in different basement membranes (BMs) and that may serve different functions (79) have been described. Laminins interact with cells through various receptors. Most of these receptors belong to the family of integrin heterodimers, although other molecules including dystroglycan complex and Lutheran blood group glycoprotein were also shown to bind to laminins. In different cell types, integrins
1ß1,
2ß1,
3ß1,
6ß1,
6ß4, and
7ß1 have been reported to have the capability to bind to laminins. Specific laminin isoforms bind some but not all of these different integrins, and each integrin can bind to more than one laminin isoform (9, 10).
Along with type IV collagens, nidogens, and perlecan, glycoproteins of the laminin family are the major constituents of brain microvessel BMs (7, 11, 12). These BMs have a complex structure and are produced by both endothelial and glial cells (12). Endothelial cells contribute laminins containing
4 and
5 chains to these BMs, whereas glial cells synthesize laminins containing
1 and
2 chains (12). In human brain capillary BMs, we have recently observed a weak expression of the
4 chain-containing laminin-9. Interestingly, during progression of human gliomas, the expression of capillary BM laminins containing
4 chain switches from the predominant laminin-9 (
4ß2
1) to laminin-8 (
4ß1
1; 4). Laminin-8 and its receptors, integrins
3ß1 and
6ß1, appear to be important to the functioning of endothelial cell BMs, which play a role in the maintenance of the blood-brain barrier (13, 14). Recently, the association of laminin
4 chain with angiogenesis has been demonstrated in vivo and in vitro (15). Some cultured glioma cell lines can also produce
4-containing laminins. Laminin-8 is thought to play a role in cell migration during development, wound healing, and angiogenesis (7, 9, 13).
Because laminin-8 appears to be associated with GBM recurrence in vivo, we hypothesized that it might play a role in tumor invasion. We explored this possibility in vitro using single cultures and cocultures of brain microvascular endothelial cells, normal fetal brain astrocytes, and several GBMs. We sought to analyze whether the patterns of laminin chain expression in cell culture would be similar to those seen in normal brain and in gliomas and whether inhibition of laminin-8 expression by an antisense approach would alter glioma invasiveness through a reconstituted BM (Matrigel).
Antisense oligonucleotides (oligos) that bind and inactivate specific RNA sequences may be the best tools for studying gene function, regulation of gene expression, and interactions between gene products. Highly specific antisense oligos that mimic the DNA template for RNA production are used to bind to the cRNA and to prevent protein translation (16, 17). Antisense oligos are the fastest, simplest, and most cost-effective tools for testing new therapeutic targets for drug development. The antisense approach was used in our present study to inhibit the expression of laminin-8 in cell culture.
Our results show that normal cultured astrocytes and endothelial cells mostly express laminin-9 as seen in normal brain tissue. Glioma cells predominantly express laminin-8, again similar to the in vivo situation. Most importantly, antisense blocking of laminin-8 chain expression resulted in the inhibition of glioma invasion through Matrigel. These data show that laminin-8 may be important for glioma invasion and could be a potential target for antitumor therapy.
| Material and Methods |
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Antisense Treatment of GliomaEndothelial Cocultures
Morpholino (phosphorodiamidate morpholino oligomer) oligos custom made by Gene Tools, Inc. (St. Louis, MO) for laminin
4 and ß1 chains were as follows:
4 antisense 5'AGCTCAAAGCCATTTCTCCGCTGAC 3',
4 sense 5'GTCAGCGGAGAAATGGCTTTGAGCT 3',
Gene Tools protocol was used according to the company's recommendations. The new special delivery formulation consisted of a prepaired duplex of Morpholino oligo and partially complimentary DNA oligo together with a weakly basic delivery reagent, ethoxylated polyethylenimine. Morpholino oligos are stable and totally nuclease resistant so there is no need for redelivery. Cocultures of glioma cells with normal brain endothelium were treated with antisense oligos to laminin-8
4 and ß1 chains for selected time intervals (3 and 6 days), alone or in combination. To make the delivery mixture, 0.5-mM antisense laminin
4 or ß1 chain or 0.5-mM sense oligos (negative control) and Morpholino/DNA stock solution (Gene Tools) were added to H2O and mixed. Two-hundred-micromolar ethoxylated polyethylenimine special delivery solution was added, vortexed, and incubated at room temperature for 20 min to generate the complete delivery solution. Medium was removed from a 24-h coculture and the solution with a specific oligo was added to cells, and placed into a CO2 incubator. After 3 h, the delivery solution was aspirated and replaced with fresh serum-containing medium. Medium was changed every 2 days. Each oligo was assessed at four incubation time points: 2, 4, 6, and 8 days (coculture time being 3, 5, 7, and 9 days, respectively). Another set of controls included endothelial or glioma cells alone.
Immunohistochemistry
Cells were incubated in culture with or without Morpholino and at selected times were fixed with 4% paraformaldehyde, permeabilized with 0.2% Triton X-100, and immunostained for laminin chains and endothelial cell markers. These markers included von Willebrand factor (Sigma Chemical Co., St. Louis, MO), CD31 (clone HC1/6, Cymbus Biotechnology/Chemicon International, Temecula, CA, and clone JC70A, DAKO Corp., Carpinteria, CA), CD34 (clone QBEnd 10, DAKO), and CD105 (clone P3D1, Chemicon). Uptake of Alexa Fluor 488-labeled acetylated low-density lipoprotein (Ac-LDL; Molecular Probes, Eugene, OR) was also used to identify endothelial cells. Briefly, cells were incubated for 24 h in medium with 5-µg/ml labeled Ac-LDL, washed, fixed, and permeabilized. Cells were then counterstained with 10-ng/ml 4',6-diamidino-2-phenylindole (DAPI; Sigma) to visualize nuclei and additionally immunostained for selected laminin chains. Primary monoclonal antibodies (mAb) and polyclonal antibody were used to the laminin
4 chain [mAb FC10 (18) and pAb 377 (4)], laminin ß1 chain (mAb LT3; Upstate Biotechnology, Inc., Lake Placid, NY), and laminin ß2 chain (mAb C4 obtained from the Developmental Studies Hybridoma Bank, Department of Biology, University of Iowa, Iowa City, IA).
Western Blot Analysis
Serum-free conditioned medium was obtained from the same number of cells in the same volume of medium from the cocultures that were cultured for the same periods. Conditioned media from cocultures were concentrated 10-fold by filtering through Centriplus filtration devices (Millipore, Bedford, MA) and proteins were separated using 38% gradient Tris-acetate SDS-PAGE (Invitrogen, Carlsbad, CA) under reducing conditions. Lysates of human glioma T98G, known to express laminin-8 (14), were used as a positive control. The gels were blotted onto nitrocellulose membrane (Invitrogen). The membranes were probed with mAbs followed by chemiluminescent detection using the enhanced chemiluminescence kit with alkaline phosphatase-conjugated secondary antibodies (Amersham, Piscataway, NJ). Antibodies were used to the laminin
4 chain [mAb 8B12 (14)] and ß1 chain (mAb LT3). Antibody to fibronectin eighth type 3 repeat [mAb 568 (19)] was used to control for equal loading of gel lanes.
Cell Viability Assay
Cell numbers were measured with the CellTiter 96 AQueous One Solution Cell Proliferation Assay kit (Promega, Madison, WI). It was designed for the determination of the number of viable cells using MTS dye [3-(4,5-dimethylthiazol-2-yl)-5-(3-carboxymethoxyphenyl)-2-(4-sulfophenyl)-2H-tetrazolium, inner salt]. According to the manufacturer's instructions, a small amount of the CellTiter 96 AQueous One Solution Reagent was added directly to culture wells, and after 3 h of incubation, the absorbance at 490 nm was recorded using an ELISA reader (Spectra Max Plus 384, Molecular Devices, Sunnyvale, CA). The quantity of formazan product as measured by the amount of 490-nm absorbance is directly proportional to the number of living cells in culture. All cell lines were treated exactly as described above in "Antisense Treatment of Glioma-Endothelial Cocultures." For viability assay, cells were incubated after treatment with Morpholino sense and antisense oligos and/or delivery factor for 3 days, the average time point that was used in our experiments. Each experiment was performed in triplicate and was repeated twice.
In Vitro Invasion Assay
Invasion studies were conducted using the Matrigel BM matrix assay developed for quantitative measurement of tumor cell invasiveness. Most tested cells characterized as invasive and metastatic in vivo are able to invade Matrigel in vitro (2022). We used BioCoat Matrigel invasion chambers (12-well cell culture inserts containing an 8.0-µm PET membrane with a uniform layer of Matrigel [Becton Dickinson, Bedford, MA]). The coated filters were rehydrated with warm serum-free DMEM (2 ml/chamber). The upper chamber was filled with 2.5 x 104 cells in serum-free medium. The lower chamber was filled with DMEM containing 5% FCS as a chemoattractant toward which the cells migrate. The chambers were incubated for 22 h at 37°C in a 5% CO2 atmosphere. Cells from the upper surface of the filters were removed by scrubbing with a cotton swab and those migrating to the lower surface of the filters were fixed and stained with H&E. The number of cells that penetrated the filter was counted in 10 microscopic fields of each filter under 200x magnification in both experimental and special control membranes using a Zeiss Axiophot microscope connected to an image processing and measuring system (Hamamatsu, Japan). Percent invasion is expressed as mean cell number from invasion chamber to mean cell number from control chamber according to the manufacturer's recommendation. Assays were carried out in triplicates. Four independent experiments were performed for each type of coculture with each treatment.
Statistical Analysis
The data from the cell viability assay and invasion experiments were statistically evaluated by ANOVA test using GraphPad Prism 3 software program (GraphPad Software, San Diego, CA). P < 0.05 was considered significant.
| Results |
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Uptake of fluorescent Ac-LDL was, therefore, used to identify endothelial cells in subsequent experiments with cocultures. In pure endothelial cultures, most if not all cells displayed predominantly punctate fluorescence with a perinuclear distribution (Fig. 1 ). Cultures of normal astrocytes and glioma cell lines were largely negative (Fig. 1), although some cells showed low background fluorescence. Ac-LDL uptake allowed identifying positive endothelial cells in cocultures as well (Fig. 1).
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4 and ß2 chains, compatible with the presence of laminin-9 (Fig. 2A
). At the same time, staining for laminin-8 ß1 chain was mostly negative (Fig. 2A). Normal fetal astrocytes did not appreciably stain for any tested laminin chain (Fig. 2A). In contrast, glioma U-87MG (data not shown) and M059K cells were positive for laminin-8
4 and ß1 chains but largely negative for laminin-9 ß2 chain (Fig. 2A). These results were fully confirmed by Western blot analysis of conditioned media from cultures with equal protein loading (Fig. 2B).
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4 and ß2 chains could be seen, with very little ß1 chain expression (Fig. 3
). However, in cocultures of glioma cells with HBMVEC,
4 and ß1 chains were predominantly expressed (Fig. 3). An important finding was that HBMVEC, when cocultured with malignant astrocytes, started expressing laminin ß1 chain in contrast with its absence in endothelial cells alone or in coculture with normal astrocytes (Fig. 3).
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Cell Viability Assay
To test the potential toxicity of sense and antisense Morpholino oligos and the delivery factor ethoxylated polyethylenimine, cell viability was measured using MTS-based CellTiter 96 assay. The relative numbers of viable cells of three cell lines U-87MG, M059K, and HBMVEC, which had been treated with oligos and/or delivery factor, were compared with cell numbers of replicate cultures of corresponding cell lines without any treatment (taken as 100%). Cell viability for each cell line after oligo treatment in two separate experiments was higher than 90% (Fig. 4
). This did not differ significantly from untreated controls (P > 0.05). Based on these data, we concluded that Morpholino oligos and/or delivery factor did not exert any significant toxic effect on any of the used cell lines.
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4 and ß1 chains (but not laminin-9 ß2 chain), antisense oligos were used only to block laminin-8 expression. Treatment with
4 antisense resulted in markedly decreased staining for this chain and a reduction of staining for the ß1 chain (Fig. 5
). The same result was seen with ß1 antisense treatment, compatible with the role of this chain in laminin trimer assembly. A combination of the two oligos dramatically reduced staining for
4 and ß1 chains at all time points.
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4 and ß1 chains were very weak and detectable only on days 57 of culture or coculture (data not shown). Therefore, the amounts of these chains were further analyzed in conditioned media after their substantial and equal fold concentration and normalization by total protein and fibronectin content.
As shown in Fig. 6
, both
4 and ß1 chains could be detected in sense-treated cultures at days 36 as well as in a positive control [T98G glioma cell lysate (14)]. Antisense treatment to either chain resulted in a decreased signal for both chains. Again, maximum inhibition for both chains was achieved by a combined
4 + ß1 antisense treatment in a concentration of 0.25 mM for each oligo. These results were in complete agreement with cell immunostaining data.
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4 and ß1 chains on the invasive parameters of cocultures. Corresponding sense oligos were used in control chambers. Another set of controls included endothelial or glioma cells alone.
Two glioma cell lines, U-87MG and M059K, alone had 91% and 76%, respectively, of invasion potential with or without treatment with either single or combined sense oligos against
4 and ß1 chains. HBMVEC cells demonstrated only 11% invasion. Each experiment was repeated thrice in triplicate.
In the next set of experiments, cocultures of glioma and endothelial cells were treated for 3 days with
4 and ß1 antisense oligos, alone or in combination. Each antisense used in this study significantly inhibited invasion of two different coculture types (Fig. 7
). In this study, 842 microscopic fields with a total of 64,276 cells were evaluated. Specific endothelial staining has demonstrated that both endothelial and glioma cells migrated through Matrigel, with clear prevalence of glioma cells (data not shown). Cocultures treated with sense oligos to the laminin-8
4 and ß1 chains were considered as controls equal to 100%. When cocultures were treated with
4 antisense oligo, invasion was blocked by 40% for U-87MG (Fig. 7, right; P < 0.02 versus control) and by 41% for M059K (Fig. 7, left; P < 0.03) cell lines compared with cultures treated with sense oligos (taken as 100%). ß1 antisense oligo also blocked the invasion by 40% for U-87MG (P < 0.04) and by about 47% for M059K (P < 0.001) cocultures. When cocultures were treated with both antisense oligos against
4 and ß1 chains, invasion was reduced on average by 62% for U-87MG (P = 0.0005) and by 53% for M059K (P < 0.0001) cocultures. In two of five experiments, the inhibition exceeded 75% (data not shown).
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4 + ß1 antisense was more efficient at blocking laminin expression than
4 or ß1 antisense in U-87MG cells and almost equal to ß1 antisense in M059K cells. Interestingly,
4 and ß1 chain expression was inhibited more efficiently with lower concentrations of antisense oligos (0.25 + 0.25 mM) than with higher ones (0.5 + 0.5 mM). This result calls for careful optimization of Morpholino oligo concentrations for future in vitro and in vivo studies. | Discussion |
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4 and ß2 chains. The expression of laminin-8 ß1 chain, however, was not detected. Normal astrocytes did not express any of these chains. This in vitro system is similar to in vivo normal brain, where there was a low expression of predominantly laminin-9 (4). At the same time, glioma cells expressed chains of laminin-8 in culture in accordance with our previous in vivo data (4). Moreover, in cocultures with glioma cells, brain endothelial cells also started expressing laminin ß1 chain (compatible with laminin-8 production) in agreement with the finding of laminin-8 overexpression in GBM in vivo (Fig. 3).
These data clearly show that normal and tumor in vivo patterns of
4 chain-containing laminin isoform expression were retained in the culture setting. Therefore, we were able to validate the respective cocultures for the patterns of laminin chain expression as a system similar to that observed in vivo, both in normal brain tissue and during glioma growth. This system thus could be used to study further the role of laminin-8 in glioma behavior and, especially, in tumor invasiveness. In combination with several new well-characterized proteins associated with glioma progression, such as tenascin-C, matrix metalloproteinase (MMP)-2, and MMP-9 (4, 11, 2428), laminin-8 may be an important tool for potential diagnosis or treatment of gliomas. Previously, only laminin-5 was shown to play a role in melanoma invasion (29). Our present data suggest that "vascular" laminin-8 also plays a significant role in glioma cell invasiveness. Because matrix-degrading proteinases are also important for glioma invasion (30), future research should explore whether proteolysis of laminin is required for glioma invasion.
To probe the role of laminin-8 in glioma invasion, we attempted to use antisense oligos to block its expression. The potential of antisense is widely recognized, but it remained largely unfulfilled since, until recently, the available oligos suffered from poor specificity, instability, and undesirable non-antisense effects (31, 32). These problems have been largely solved by the new generation of antisense oligos that offer the promise of safe and effective therapeutics for various diseases including cancer (32, 33). The most promising types of oligos are Morpholino and peptide nucleic acid (they have nucleobases attached to a neutral "peptide-like" backbone) oligos (31, 33). Morpholino oligos function independently of RNase H and are soluble in aqueous solutions. They work well in the presence or absence of serum, are totally resistant to nucleases, and remain intact in culture medium and in cells indefinitely. Morpholino oligos have a high affinity for RNA and efficiently invade even quite stable secondary structures in mRNAs. They have the highest sequence specificity of all antisense types over a very broad concentration range and appear to be free of non-antisense effects (33, 34). They have high activity in a cell-free translation system and can block target protein production in cultured cells (35). Morpholino are also effective in vivo (36). Given these properties, Morpholino oligos have been chosen here to inhibit the expression of laminin-8 chains in culture. Special experiments have shown that Morpholino treatment did not affect the viability of any cell line used.
Recently, promising data on the use of antisense technology in glioma cells were obtained. The blocking of MMP-9 reduced the invasiveness of glioma cells in vitro (30, 37). Glioma growth in vitro and in vivo (as xenotransplants in nude mice) could be inhibited by antisense to telomerase (38). A recent pilot study showed that antisense to the insulin-like growth factor-I receptor induced glioma cell apoptosis and resulted in clinical improvement in patients (39). Several clinical trials are currently using antisense oligos for the treatment of other cancers (40).
To examine the involvement of laminin-8 in glioma invasion, we needed reliable systems where it was possible to quantify invasion rates and to optimize the dosage of antisense laminin oligos. We used a cell culture system to meet these important needs. One could potentially use glioma cultures. To better mimic the in vivo situation, however, and because laminin-8 seems to be produced by both glioma and endothelial cells (14), we needed to combine glioma cells with brain endothelium in a coculture (43). In such a situation, endothelial cells can develop capillary-like structures, and this process is faster when endothelial cells are cultured with tumor astrocytes than with normal embryonic brain astrocytes (44). We hypothesized that in glioma-endothelium cocultures there would be more laminin-8 produced and that this laminin might increase glioma invasion in a Matrigel assay. Research into these issues could facilitate GBM diagnosis and prognosis and increase survival of brain cancer patients.
Matrigel invasion assay was developed for quantitative measurement of the invasiveness of tumor cells through a BM matrix. Most tested cells characterized as invasive and metastatic in vivo are able in vitro to invade Matrigel, which is a BM-like material from the mouse Engelbreth-Holm-Swarm tumor (20, 21).
When glioma-endothelial cocultures were treated by antisense, the inhibition of invasiveness on Matrigel was 62% for U-87MG + HBMVEC and 53% for M059K + HBMVEC of that seen in the control cells treated with corresponding sense oligos. In our experiments,
4 and ß1 expression was inhibited more efficiently with a lower concentration of antisense oligos (0.25 + 0.25 mM) than with a higher concentration (0.5 + 0.5 mM), although no apparent toxicity was noticed at either concentration. These data may be explained by previous findings, where oligo receptors on membranes of HepG2 cells were blocked. It was shown that at relatively high oligo concentrations, these receptors were saturated and the pinocytotic process assumed larger importance (45). A similar mechanism may occur in our system, which would explain the obtained results.
The use of antisense technology in vivo may offer an effective future tumor treatment because of its efficiency, specificity, and ease of delivery to tumor cells (41, 42). This technology is being continuously developed and refined not only for the drug validation and diagnostic purposes but also for the development of future treatments. The present data emphasize the feasibility of antisense approach using laminin-8 as a target for treatment of brain gliomas. Reduction of tumor invasion by antisense to laminin-8 may slow the growth and spread of aggressive GBMs. In combination with other treatment methods or with blocking of other targets as well (epidermal growth factor receptor and MMPs), it may prolong disease-free periods and increase survival of glioma patients. Future developments of laminin-8 blocking for therapeutic purposes may also include the use of specific mAbs and/or small interfering RNA that is an emerging and very promising approach for gene silencing.
It remains to be established how laminin-8 promotes glioma invasiveness. One possible mechanism may be stimulation of cell migration. It was previously shown that at least one form of laminin-8 containing
4A splice variant rather weakly supported cell adhesion and spreading compared with laminin-5 or laminin-10/11 (14, 46). At the same time, laminin-8 stimulated cell migration better than several other laminin isoforms (14). Increased expression of laminin-8 in both glioma cells and glioma-adjacent capillary endothelial cells (4, 14; this report) may reduce glial cell adhesion and enhance migration, which is necessary for local tumor invasiveness.
In summary, we developed a glioma-endothelial coculture model suitable for studying laminin-8 expression and its inhibition in vitro by antisense oligos. Morpholino proved to be efficient inhibitors of laminin-8 expression in cocultures. Antisense oligos to laminin-8 chains also significantly inhibited invasion of two different glioma cell lines in vitro. The results suggest that laminin-8 may play an important role in glioma invasion. Morpholino oligos may provide an efficient method to block laminin-8 expression for future therapeutic purposes.
| Acknowledgments |
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| Footnotes |
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Grant support: Maxine Dunitz Neurosurgical Institute, Cedars-Sinai Medical Center, and Arrogene, Inc.
2 American Cancer Society, Brain and Spinal Cord Tumors in Adults (http://www.cancer.org/eprise/main/docroot/CRI/content/CRI_2_4_1X_What_are_the_key_statistics_for_brain_and_spinal_cord_tumors_3?sitearea=C. RI). ![]()
Received 1/10/03; revised 6/18/03; accepted 7/22/03.
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