Fabrication of Tongue Extracellular Matrix and Reconstitution of Tongue Squamous Cell Carcinoma In Vitro

Summary

A method is shown here for the preparation of the tongue extracellular matrix (TEM) with efficient decellularization. The TEM can be used as functional scaffolds for the reconstruction of a tongue squamous cell carcinoma (TSCC) model under static or stirred culture conditions.

Abstract

In order to construct an effective and realistic model for tongue squamous cell carcinoma (TSCC) in vitro, the methods were created to produce decellularized tongue extracellular matrix (TEM) which provides functional scaffolds for TSCC construction. TEM provides an in vitro niche for cell growth, differentiation, and cell migration. The microstructures of native extracellular matrix (ECM) and biochemical compositions retained in the decellularized matrix provide tissue-specific niches for anchoring cells. The fabrication of TEM can be realized by deoxyribonuclease (DNase) digestion accompanied with a serious of organic or inorganic pretreatment. This protocol is easy to operate and ensures high efficiency for the decellularization. The TEM showed favorable cytocompatibility for TSCC cells under static or stirred culture conditions, which enables the construction of the TSCC model. A self-made bioreactor was also used for the persistent stirred condition for cell culture. Reconstructed TSCC using TEM showed the characteristics and properties resembling clinical TSCC histopathology, suggesting the potential in TSCC research.

Introduction

The tongue has various important functions, such as deglutition, articulation, and tasting. Thus, the impairment of tongue function has great impact on patients' quality of life¹. The most common malignancy in the oral cavity is tongue squamous cell carcinoma (TSCC), which usually occurs in people who drink alcohol or smoke tobacco².

In recent years, little progress has been achieved in fundamental research on TSCC. The lack of efficient in vitro research models remains to be one of the biggest problems. Thus, the extracellular matrix (ECM) turns out to be a potential solution. Since ECM is a complex network frame composed of highly organized matrix components, scaffold materials having an ECM-like structure and composition would be competent for cancer research. Decellularized ECM can perfectly provide the niche for the cells from the same origin in vitro, which turns out to be the most significant advantage of ECM.

ECM can be retained with cellular components being removed from the tissues through the decellularization using detergents and enzymes. Various ECM components, including collagen, fibronectin, and laminin in decellularized matrix provide a native-tissue-like microenvironment for cultured cells, promoting the survival, proliferation, and differentiation of the cells³. Moreover, the immunogenicity for transplantation can be reduced to a minimal level with the absence of cellular components in ECM.

So far, fabrication methods for decellularized ECM have been tried in different tissues and organs, such as heart^4,5,6,7, liver^8,9,10,11, lung^{12,13,14,15,16,17}, and kidney^18,19,20. However, no relevant research has be found on similar work in the tongue to the best of our knowledge.

In this study, decellularized tongue extracellular matrix (TEM) was fabricated both efficiently and cheaply by a series of physical, chemical, and enzymatic treatment. Then the TEM was used to recapitulate TSCC in vitro, showing an appropriate simulation for TSCC behavior and development. TEM has good biocompatibility as well as the ability to guide the cells to the tissue-specific niche, which indicates that TEM may have great potential in TSCC research³. The protocol shown here provides a choice for researchers studying on either pathogenesis or clinical therapies of TSCC.

Protocol

All animal work was performed in accordance with animal welfare act, institutional guidelines and approved by Institutional Animal Care and Use Committee, Sun Yat-sen University.

1. Preparation of TEM

1. Execute mice by cervical dislocation and remove the tongues using sterile surgical scissors and tweezers.
2. Immerse the tongues in 75% ethanol for 3 min, then put each tongue into a 1.5 mL Eppendorf (EP) tube with 1 mL of 10 mM sterile phosphate buffered solution (PBS).
   NOTE: The concentration of PBS in all the following steps is same as the concentration in this step.
3. Cell lysis by freeze thaw: Freeze the tongues in EP tubes at -80 °C for 1 h, and then thaw the tongues at room temperature for 45 min for 3 cycles.
4. Load each tongue onto a piece of surgical suture using a surgical needle and wrap the end of the suture with a small piece of sterile tinfoil. Perform the operation in a 3.5 cm or 6 cm culture dish containing 75% ethanol in sterile conditions.
   NOTE: The appropriate length of each piece of surgical suture is about 20 cm, and the appropriate size of each piece of tinfoil is about 0.3 cm² (1 cm × 0.3 cm). The tongue should be loaded near the tinfoil.
5. Rinse each tongue with 3 mL of sterile PBS in a 3.5 cm or 6 cm culture dish for 30 s. Perform this operation in sterile conditions.
6. Wash the tongues with ultrapure water: Add ampicilin into a wide-mouth bottle with 250 mL of sterile ultrapure water to a final concentration of 90 µg/mL. Put the tongues into the bottle containing a stir bar. Tighten the bottle cap with part of the suture remaining outside the bottle. Perform this operation in sterile conditions.
   NOTE: Up to 5 tongues can be put into the same bottle in consideration of twining of the suture. The tinfoil is at the end of the suture in the bottle to prevent the tongue from slipping off. The tongues should be placed 2 cm high from the bottom of the bottle by adjusting the length of the suture remaining inside the bottle. This note is also for steps 1.8, 1.10, 1.12, and 1.16.
7. Put the bottle on a magnetic stirrer for 12 h.
8. Wash the tongues with NaCl: Add ampicilin into a wide-mouth bottle with 250 mL of sterile 1 M NaCl to a final concentration of 90 µg/mL. Move the tongues and the stir bar into the bottle. Tighten the bottle cap with part of the suture remaining outside the bottle. Perform this operation in sterile conditions.
9. Put the bottle on a magnetic stirrer for 24 h.
10. Cell lysis by Triton X-100: Add ampicilin to a final concentration of 90 µg/mL into a wide-mouth bottle with 250 mL of sterile 2% Triton X-100 in PBS. Move the tongues and the stir bar into the bottle. Tighten the bottle cap with part of the suture remaining outside the bottle. Perform this operation in sterile conditions.
11. Put the bottle on a magnetic stirrer for 48 h.
12. Wash tongues with CaCl₂/MgCl₂: Add ampicilin into a wide-mouth bottle with 250 mL of sterile 5 mM CaCl₂/MgCl₂ to a final concentration of 90 µg/mL. Move the tongues and the stir bar into the bottle. Tighten the bottle cap with part of the suture remaining outside the bottle. Perform this operation in sterile conditions.
13. Put the bottle on a magnetic stirrer for 24 h.
14. Digestion by DNase: Add 1 mL of Hank's balanced salt solution (HBSS) to each EP tube. Add DNase into HBSS respectively to a final concentration of 300 µM. Move each tongue into each EP tube, with part of the suture outside the tube. Perform this operation in sterile conditions.
    NOTE: Make sure that the part of suture which remains inside the bottles in previous steps also remains inside the EP tube in this step, and make sure that the part of suture which remains outside the bottles in previous steps also remains outside the EP tube in this step.
15. Incubate the tongues in EP tubes at 37 °C for 24 h.
16. Wash the tongues with PBS: Add ampicilin into a wide-mouth bottle with 250 mL of sterile PBS to a final concentration of 90 µg/mL. Move the tongues and the stir bar into the bottle. Tighten the bottle cap with part of the suture remaining outside the bottle. Perform this operation in sterile conditions.
17. Put the bottle on a magnetic stirrer for 24 h.
18. Store the prepared TEM in sterile PBS at 4 °C until use.

2. Three-dimensional (3D) Reconstitution of TSCC

1. Static TSCC model construction
   1. Seed 1.0 x 10⁶ single TSCC cells (Cal27) into a 3.5 cm culture dish. Add 3 mL of Dulbecco's modified Eagle's medium/F12 (DF12) containing 10% fetal bovine serum (FBS), 90 µg/mL ampicilin, and 90 µg/mL kanamycin.
   2. Culture the Cal27 cells at 37 °C for 2 to 3 days. Make sure that the cells cover at least 60% area of the dish bottom.
   3. Load TEM onto the Cal27 monolayer in the culture dish.
   4. Put the dish into a CO₂ incubator at 37 °C for 28 days.
   5. Refresh the culture medium every day during the cell culture process. The CO₂ concentration in the incubator is 5%.
2. Stirred TSCC model construction
   1. Preparation of a self-made stirred minibioreactor
      1. Take out the plunger from a 10 mL syringe.
      2. Dig a hole (diameter of 1 cm) near the lower terminal of the rod and load a stir bar in the hole.
      3. Dig a hole (diameter of 0.5 cm) at the center of the bottle cap of a plastic wide-mouth bottle and put the piston rod through the cap.
      4. Cut half of a 50 mL centrifuge tube and weld it on the outer side of the bottle cap.
      5. Attach fishhooks to the rod by wrapping the rod with fishing lines which are tied to the fishhooks.
         NOTE: Up to 4 fishhooks can be attached to a rod.
      6. Autoclave the self-made complex before use.
         NOTE: Do not autoclave the plastic wide-mouth bottle. Use a new sterile plastic wide-mouth bottle while culturing cells.
3. Dynamic cell culture
   1. Seed 1.0 x 10⁶ single Cal27 cells in the self-made minibioreactor. Add 150 mL of DF12 medium which contains 10% FBS, 90 µg/mL ampicilin, and 90 µg/mL kanamycin.
   2. Load TEM onto the minibioreactor using the fishhooks attached to the rod.
   3. Tighten the bottle cap and put the minibioreactor on a magnetic stirrer. Activate the minibioreactor at 200 rpm in a CO₂ incubator at 37 °C for 7 to 14 days.
      NOTE: The concentration of CO₂ in the CO₂ incubator is 5%.

Results

This protocol for the preparation of TEM turns out to be efficient and appropriate. The TEM showed perfect decellularization compared with native tongue tissues. The efficacy of decellularization was confirmed by hematoxylin-eosin (HE) staining (Figure 1A-B). The HE staining results revealed complete disappearance of nuclear staining in TEM (Figure 1B). Moreover, DNA content quantification from p...

Discussion

A well-established protocol for decellularized ECM fabrication should retain the native ECM composition while removing cellular components in tissues nearly completely²¹. Despite currently reported decellularization protocols which require perfusion through the vasculature to remove cellular materials by convective transport, mechanical agitation was adopted here, known as a traditional simple and cheap method^22,23,

Materials

List of materials used in this article

Name	Company	Catalog Number	Comments
C57-BL/6J mice	Sun Yat-sen University Laboratory Animal Center
Ethanol	Guangzhou Chemical Reagent Factory	HB15-GR-2.5L
Sodium chloride	Sangon Biotech	A501218
Potassium chloride	Sangon Biotech	A100395
Dibasic Sodium Phosphate	Guangzhou Chemical Reagent Factory	BE14-GR-500G
Potassium Phosphate Monobasic	Sangon Biotech	A501211
1.5 mL EP tube	Axygen	MCT-150-A
Ultra-low temperature freezer	Thermo Fisher Scientific
3.5 cm cell culture dish	Thermo Fisher Scientific	153066
6 cm cell culture dish	Greiner	628160
Triton X-100	Sigma-Aldrich	V900502
Calcium chloride	Sigma-Aldrich	746495
Magnesium chloride	Sigma-Aldrich	449164
DNase	Sigma-Aldrich	D5025
Magnesium sulphate	Sangon Biotech	A601988
Glucose	Sigma-Aldrich	158968
Sodium bicarbonate	Sigma-Aldrich	S5761
Ampicillin	Sigma-Aldrich	A9393
Kanamycin	Sigma-Aldrich	PHR1487
Surgical suture	Shanghai Jinhuan
250 mL wide-mouth bottle	SHUNIU	1407
Magnetic stirrer	AS ONE	1-4602-32
CO2 incubator	SHEL LAB	SCO5A
10 mL syringe	Hunan Pingan
50 mL centrifuge tube	Greiner	227270
Cal27 cell	Chinese Academy of Science, Shanghai Cell Bank		Tongue squamous cell carcinoma cell line
U2OS cell	Chinese Academy of Science, Shanghai Cell Bank		Human osteosarcoma cell line
DMEM/F12	Sigma-Aldrich	D0547
Sodium pyruvate	Sigma-Aldrich	P5280
Hepes free acid	BBI	A600264
FBS	Hyclone	SH30084.03
4 °C fridge	Haier
Water purifier	ELGA
Hemocytometer	BLAU	717805