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Optimization of the electrophoresis voltage for the HTP ACA
Human keratinocytes (HaCaTs; Table of Materials) were irradiated with different doses of ultraviolet A radiation (UVA) (5 or 10 J/cm2; Figure 6A), UVB (0.5 or 1 J/cm2; Figure 6B), or treated with 50 µM H2O2 (Figure 6C) to induce damage. Three different voltages of the electrophoresis were tested to determine the optimal voltage for electrophoresis. The results from all three DNA damaging treatments revealed that, while all voltages generated linear dose-responses, the most sensitive response was obtained with 1.19 V/cm. HaCaTs showed the highest baseline DNA damage using 1.19 V/cm during electrophoresis compared to 1 V/cm and 1.09 V/cm (Figure 6A-C). In addition, using 1.19 V/cm, the greatest % tail DNA is seen, following all damaging treatments (Figure 6)31.
Detection of DNA damage in human whole blood using Fpg modified HTP ACA
Human whold blood (Table of Materials) was irradiated with different doses of 10 J/cm2 UVA to induce damage. Four different concentrations of Fpg (1, 2, 4 or 8 U/mL) were used to determine the optimal concentration for enzyme treatment in HTP ACA. The results showed that the optimal levels of DNA damage were revealed with 4 U/mL Fpg (Figure 7A). Representative comet images from UVA irradiated blood samples (Figure 7B).
Detection of DNA ICL in a representative ovarian cancer cell line using the ICL-modified HTP ACA
An ovarian cancer cell line (SKOV-3; Table of Materials) was treated with combinations of 200 µM cisplatin and/or subsequent treatment with 50 µM H2O2 for 30 min on ice. No appreciable damage was noted in the unexposed cells (Figure 8A). Exposure to H2O2 alone generated a significant MOTM (Figure 8B). In contrast, the cells in which ICL were induced showed a decreased MOTM (Figure 8C)28.
Formation and repair of cisplatin-induced DNA ICL in a representative, ovarian cancer cell line
The ICL-modified HTP ACA was used to determine the time course for DNA ICL formation and repair induced by cisplatin in an ovarian cancer cell line (A2780; Table of Materials). The cells were treated with 100 µM cisplatin for 1 h, and then incubated in cisplatin-free media (RPMI 1640 medium supplemented with 10% (v/v) fetal bovine serum (FBS)) for a subsequent time course. At various time points, the ICL-modified HTP ACA was performed to establish the levels of ICL (Figure 9)28. No ICL were detected prior to cisplatin treatment. However, after a single treatment with 100 µM cisplatin, ICL levels increased significantly, peaking at 12 h, after which levels decreased back to zero after 30 h.
Correlation between DNA ICL and DNA platinum levels
Three ovarian cancer cells were treated with 100 µM cisplatin to induce different levels of DNA-ICL, prior to analysis by the ICL-modified HTP ACA and inductively-coupled mass spectrometry (ICP-MS; see Supplementary File for details). As shown in Figure 10, differing levels of DNA-ICL were induced in the three cell lines, together with differing levels of Pt in DNA. A positive correlation (R2 = 0.9235) was observed between DNA ICL levels and platinum concentrations, indicating the association between DNA platinum levels and the corresponding ICL28.
Base excision repair in Mycoplasma-infected and uninfected BE-M17 cells
Mycoplasma infected and uninfected BE-M17 cells were treated with 50 µM H2O2 for 30 min and incubated with complete medium (Dulbecco's modified Eagle's medium supplemented with 10% (v/v) FBS) for different durations (0 min, 30 min, 1 h, 2 h, 6 h, 24 h, or 30 h) during which cells were allowed to repair. At each time point, cells were collected and frozen at -80 ˚C, in a 10% DMSO-containing medium, before performing the hOGG1-modified HTP ACA (step 6). After 30 min, levels of SB/ALS had decreased to 21% TD (percentage tail DNA) in the uninfected cells, whereas the infected cells showed 49% TD (Figure 11A). After ~15 h, levels of SB/ALS had returned to baseline in both infected and uninfected cells. For the oxidized purines, the uninfected BE-M17 initially showed a small increase in damage, before returning to baseline within 30 h (Figure 11B). In contrast, the infected cells showed a sustained, significant increase in oxidized purines, which remained elevated, and did not return to baseline levels even after 30 h (Figure 11B)23.

Figure 1: Overview of the conventional alkaline comet assay procedure. (i) A single-cell suspension of cultured cells or a sample of whole blood is mixed with 0.6% (w/v) LMP agarose. (ii) The cell/agarose mixture is applied to pre-coated microscope slides and covered with coverslip until solidified. (iii) The cells are lysed using a high pH lysis buffer overnight, forming nucleoid bodies, before (iv) washing with ddH2O. (v) The cellular DNA unwinds in the high pH electrophoresis buffer. The presence of strand breaks allows the DNA to relax and unwind, and under electrophoresis, the DNA is drawn out of the nucleoid body, forming a tail. The slides are then (vi) drained, dried, (vii) neutralized, and (viii) washed with ddH2O before (ix) being dried overnight. Slides are then (x) rehydrated with ddH2O, (xi) stained, (xii) washed, and finally (xiii) scored and analyzed, typically using fluorescent microscopy and image analysis software. This figure is reproduced from a previous publication20. Please click here to view a larger version of this figure.

Figure 2: The materials comprising the high-throughput comet electrophoresis system. HTP electrophoresis tank, HTP racks, and the dishes for lysis, wash, neutralization, and staining are shown. Please click here to view a larger version of this figure.

Figure 3: Representative images of a comet assay slide and HTP rack (microscope slide carrier). (A) For correct orientation, the pre-coated face of the microscope slide is recognized by a black dot in the right-hand corner of a microscope slide. (B) The image of the HTP rack illustrates how the slides are kept in a tight vertical orientation, with tabs on the carrier to fix its orientation within the electrophoresis tank. Each carrier can accommodate up to 25 slides. Please click here to view a larger version of this figure.

Figure 4: Representation of the chilling plate with sample slides and freezer packs in place. Please click here to view a larger version of this figure.

Figure 5: Screenshot of representative comets taken during scoring. HaCaTs (A) without treatment and (B) treated with 1 J/cm2 UVB prior to performing HTP ACA. Most software packages can calculate a variety of comet endpoints, but the most common ones are the % tail DNA (preferred) or tail moment based upon these images (blue: start of the head, green: middle of the head, and purple: end of tail). The scale bar is 10 µm. Please click here to view a larger version of this figure.

Figure 6: Representative graphs illustrating the effect of electrophoresis voltage on percentage tail DNA, determined using the HTP ACA. Cells were exposed to (A) 5 or 10 J/cm2 UVA, (B) 0.5 or 1.0 J/cm2 UVB, or (C) 50 µM H2O2 prior to the HTP ACA, with the electrophoresis voltage at either 1, 1.09, or 1.19 V/cm. Data represent the mean of 200 determinations from n = 2 duplicate experiments31. Please click here to view a larger version of this figure.

Figure 7: Representative graph and comet images of human blood analysed by the Fpg modified HTP ACA. Human blood samples were irradiated with 10 J/cm2 UVA or sham irradiated ('ctrl') on ice prior to the lysis step. Different concentrations of Fpg (1, 2, 4, or 8 U/mL) were used for the enzyme treatment prior to electrophoresis. (A) Data represent the mean ± SEM of 300 determinations from n=3 experiments. (B) Representative images of comets for each concentration of Fpg in 10 J/cm2 UVA irradiated blood samples. The scale bar is 10 µm. Please click here to view a larger version of this figure.

Figure 8: Representative comet images illustrating ICL detection following cisplatin treatment. (A) Control cells without any treatment, (B) cells which were treated with H2O2 (50 µM) only, (C) cells which were treated with H2O2 (50 µM) and cisplatin (200 µM), illustrating the tail to be shorter than in (B), due to the presence of ICL28. The scale bar is 10 µm. Please click here to view a larger version of this figure.

Figure 9: Demonstration of the kinetics of cisplatin-induced ICL formation and repair. A2780 cells were treated with 100 µM of cisplatin in the culture medium for 1 h. The cisplatin-containing medium was then removed, and the cells were cultured for various time points, before analysis by ICL-modified HTP ACA. Data represent mean ± SEM from n = 3 experiments28. **** P < 0.0001. Please click here to view a larger version of this figure.

Figure 10: Correlation between DNA ICL and platinum concentration. DNA ICL were determined by the ICL-modified HTP ACA and platinum levels were measured by ICP-MS (with Single Quad-Kinetic Energy Discrimination, SQ-KED), in three ovarian cancer cell lines. R2 = 0.9235. See Supplementary File for ICP-MS methodology to quantify platinum levels in DNA28. Please click here to view a larger version of this figure.

Figure 11: A representative graph illustrating DNA damage and repair, determined by the hOGG1-modified comet assay, in Mycoplasma infected versus uninfected BE-M17 cells. After treatment with 50 µM H2O2 for 30 min, cells were allowed to repair for different durations (0, 30 min, 1 h, 2 h, 6 h, 24 h, or 30 h). The hOGG1-modified HTP ACA was used to measure (A) SB/ALS and (B) oxidized purines in infected (red data points) and uninfected (black data points) BE-M17 cells. Data represent the mean of 200 determinations from n = 2 duplicate experiments. This figure is reproduced with permission from a previous publication23. Please click here to view a larger version of this figure.
| Reagent | Stock Solution | Working solution |
| Lysis buffer | 100 mM Na2EDTA, 2.5 M NaCl, and 10 mM Tris Base in ddH2O; adjust pH to 10 with 10 M NaOH | 1% Triton X-100 in lysis stock solution |
| Electrophoresis buffer | 10 M NaOH and 200 mM Na2EDTA in ddH2O | 300 mM NaOH and 1 mM Na2EDTA; pH > 13 |
| Neutralization buffer | 0.4 M Tris Base in ddH2O; adjust pH to 7.5 with HCl | |
| Staining buffer | 1 mg/mL propidium iodide | 2.5 µg/mL propidium iodide in ddH2O |
Table 1: Composition of reagents used in HTP ACA. The stock and working concentrations of lysis, electrophoresis, neutralization, and staining buffers are shown.
Supplementary File. Please click here to download this File.