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* School of Pharmacy, University of Nottingham, Nottingham, NG7 2RD, United Kingdom;
School of Human Development, Queens Medical Centre, Nottingham, NG7 2UH, United Kingdom; and
School of Biomedical Science, University of Nottingham, Nottingham, NG7 2RD, United Kingdom
To whom requests for reprints should be addressed at 3 Boots Building, University Park, Nottingham, Nottinghamshire NG7 2RD, United Kingdom. E-mail: martin.garnett@nottingham.ac.uk
| Abstract |
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Key Words: biodegradable nanoparticles medulloblastoma organotypic culture
| Introduction |
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The interaction between brain tumors and host tissue is likely to be of significance in therapy, particularly in defining differences between tumor and normal tissues that could be effectively exploited for therapy. In setting up such models we should be aware of and ensure that models have appropriate possibilities for tissue interaction, of which invasion is a principal component. The most valuable models are thus likely to be models which have been well characterized in terms of invasion properties. Numerous laboratory in vivo and in vitro models have been developed for the study of brain tumor invasion mechanisms (2–4).
In vivo models of brain tumor invasion currently use xenografts of primary human tumor cells transplanted to host rodent brains or use chemically induced primary tumors in animals. There are several disadvantages to the use of these animal models, such as a long latent period between administration of carcinogen and overt signs of neural neoplasia, the relatively low incidence of intracranial neoplasms (1, 3), and the obvious need to use immunosup-pressed rats in transplanted brian tumors. In vitro models have a number of advantages, including easy accessibility for manipulation and study, and they do not raise as many experimental and ethical issues as in situ brain tumor models in animals. Therefore, in vitro models have been widely developed. The following brain tumor invasion models are commonly used as in vitro models: (i) 3-D spherical fetal brain aggregates or organotypic slice invaded by single brain tumor cells (4); (ii) 3-D confrontational spheroid brain tumor cultures (3, 5, 6); and (iii) organotypic brain slice cultures used to host astrocytoma spheroids (7). Here we report the use of medulloblastoma-derived cell (DAOY) spheroids co-cultured with rat organotypic cerebellum slice cultures
Uptake of rodamine B isothiocyanate (RBITC)-labeled nanoparticles (NPs) have been studied in DAOY cells and brain cells in monolayer cultures and 3-D cultures (8, 9). Those studies indicated that cell culture dimension played an important role in the uptake and penetration of NPs. Thus, the invasion model design is important, because cell culture microenvironment has an effect not only on the invasive behavior of brain tumor cells (10), but it may also have an effect on the NP uptake behavior of brain tumor cells and normal brain cells. These drug delivery issues have not been studied previously due both to the lack of suitable labeled particles and lack of an appropriate 3-D in vitro model.
An optimal model to study tumor cell invasion may be an organotypic model, since the interaction between tumor cells and host tissue and interaction between NPs and brain tumor cells/normal brain cells should be similar to the in vivo situation. In the present work we describe a co-culture model based on organotypic neonatal rat brain slices and 3-D spherical medulloblastoma cell line aggregates initially as a means of assessing the behavior of NPs for drug delivery. Medulloblastoma arises in the cerebellum and brainstem but not the cerebral cortex in situ (11, 12); therefore, organo-typic cerebellum was chosen as the principal host tissue, but a comparison was made with cortical brain slices.
| Materials and Methods |
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Methods.
NP Preparation for Cellular Uptake.
NPs were prepared and characterized as described in our previous study (8). Briefly, NPs were formed by a nanoprecipitation method. Particle sizes were measured by photon correlation spectroscopy, and surface charges of NPs were determined by laser Doppler anemometry. For all experiments of NPs in the study of cellular uptake, PGA NPs were coated by incubation in 0.1% polysorbate-80 and passed through a syringe filter (0.2 µm; Vivascience, Hanover, Gemany) to sterilize the NP suspension.
Monolayer Cell Culture.
DAOY cells, a human cerebellar medulloblastoma cell line, were maintained on minimum essential medium (MEM) supplemented with 15% fetal bovine serum (FBS), 200 mM L-glutamine, 0.1 mM nonessential amino acids, 1.0 mM sodium pyruvate, and 7.5% sodium bicarbonate solution at 37°C and 5% CO2.
Aggregate Culture.
DAOY cells were grown in monolayer culture and detached from the substratum, as described above. The individual cells (2 ml, 1 x106 cells/ ml) were cultured in DAOY culture medium in 25-ml screw-top culture flasks (Scientific Laboratory Supplies, Wilford, UK) and maintained at a constant rotation of 70 rev/min on an orbital shaker (Cole-Palmer, Vernon Hills, IL) at 37°C. Cultures were observed and medium was exchanged after 24 hrs of culture.
Organotypic Slice Culture.
Organotypic brain slices were prepared from 2-day-old Wistar rats. After the brain was rapidly removed and immersed in ice-cold Hanks balanced salt solution (HBSS), including 10 mM HEPES, cerebellum and cerebral cortex were cut into 400-µm–thick slices with a tissue chopper (McIlwain Tissue Chopper; Mickle Laboratory Engineering Co. Ltd., Surrey, UK) under sterile conditions in a laminar flow hood. Three slices then were laid down on a Millicell-CM membrane insert (Millipore, Carrigtwohill, Ireland), and the insert was placed in individual wells of six-well plates (Fig. 1
). Medium (1 ml) was added to the bottom of culture plate (14). Slices were cultured in the same culture medium as mixed brain cells at 37°C in a 5% CO2 incubator. The slices were cultured for 10 days to allow for macrophage removal of cell debris. Use of animals for tissue samples was carried out in accordance with appropriate UK legislation, guidelines, and Home Office license.
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Morphologic Studies.
Aggregates and co-culture models were incubated with DAPI (300 nM) for 30 mins after samples were fixed. Samples were subsequently rinsed with PBS three times and visualized and imaged under a Leica SP2 MP confocal microscope (Leica Microsystems, Milton Keynes, UK) using 488-nm filter (fluorescein), 543-nm filter (RBITC), and UV laser (DAPI).
TEM.
After DAOY aggregates were cultured on the organotypic cerebellum or cortex slices for 2, 4, or 6 days, they were rinsed with PBS three times. The slices were fixed in 2% PFA and 3% glutaraldehyde in 0.1 M cacodylate buffer for 1 hr and then were postfixed in 1% osmium tetroxide for 1 hr. The slices were dehydrated in a graded series of ethanol solutions (60%, 80%, and 100%). They were then soaked in a mixture of 100% 1,2-epoxypropane and agar-embedding resin at a 1:1 ratio overnight at 4°C, after which they were soaked three times in fresh neat agar resin for 2 hrs. The slices were placed in embedding wells with fresh neat agar resin, and wells were placed in a vacuum oven at 60°C for at least 48 hrs for polymerization of the resin. The polymerized blocks were cut into thin sections (80–100 nm thick). Then sections were placed on Formvar-coated copper grids (Agar Scientific Ltd., Stansted, UK), stained with an aqueous solution of 2% uranyl acetate for 15 mins, washed briefly in water, stained with Reynolds lead citrate for 5 mins, and finally washed in water before visualization. Samples were imaged under TEM (JEOL JEM1010, Jeol UK Ltd., Welwyn, UK) with magnifications ranging from x20,000 to x300,000.
| Results |
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Co-Culture Model of DAOY Aggregates and Organotypic Cerebellum Slices.
Evaluation of Co-Culture Model Using Fluorescence Microscopy.
Fluorescence microscopy images illustrated trends in the invasive behaviour of DAOY aggregates over time in vitro with cerebellum slices (Fig. 4
). Individual DAOY cells invaded cerebellum slices over time by varying amounts and distances. (i) Individual DAOY cells started to invade cerebellum slices over 2 days. Only one single DAOY cell showing green fluorescence in the image was found in host tissue, and it had invaded over a relatively short distance (210 µm) from the DAOY aggregate margin (Openlab 3.1.7 package; Improvision, UK). (ii) Invasion of individual DAOY cells into slices appeared more clearly after 4 days of co-culture time, with a longer invasion distance. Most individual DAOY cells reached 109 to 136 µm, and a few DAOY cells were up to 427 µm away from the DAOY aggregate margin after 4 days of co-culture. (iii) After 6 days of incubation, DAOY cells had massively invaded the cerebellum slices. The invasion distance of most cells was within 455 µm, but some of the DAOY cells reached 972 µm away from the aggregate margin.
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Microscopic Investigation of RBITC-Labeled NPs in Tumor Aggregates and Organotypic Cerebral Cortex Slices Co-Culture Model.
To investigate DAOY aggregate invasive behavior in organotypic cerebral cortex slices, co-culture models of DAOY aggregates and cerebral cortex were cultured under the same conditions as the cerebellum slice co-culture model. TEM micrographs of the co-culture model were taken from the same areas as described in the cerebellum slice co-culture model. DAOY aggregates attached to the cerebral cortex slices after a 2-day co-culture (Fig. 7Ia
). With an increase of co-culture time, DAOY aggregates invaded into cerebral cortex slices (Fig. 7IIa through IIIa
). Cortex slices under DAOY aggregate were destroyed by DAOY cells, and the majority of normal brain cells were gradually replaced by the DAOY aggregate. Even after a 6-day co-culture time, no DAOY individual cells could be found in the area close to the brain-tumor border (Fig. 7IIb through IIIb
).
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| Discussion |
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A previously reported model (7) has used 1.0-mm brain slices, but sections of this thickness become necrotic and lose neuronal function relatively rapidly. In contrast, the 0.4-mm slices selected for this study can be cultured for months without necrosis or loss of viability and represent a true organotypic system (16).
The labeling of tumor cells was another important consideration. The work described by Jung et al. (7) used cells labeled by transfection with green fluorescent protein; however, we chose to used FITC-labeled iron microparticles so that we could monitor cell invasion by both confocal fluorescence microscopy and TEM within the same experiment. This also meant that the cancer cells used in the study were not further genetically transformed.
Our primary therapeutic interest is in medulloblastoma, so we chose DAOY cells as a well-characterized cultured cell line. There are some doubts about the lineage and background of this line, but is both metastatic and conforms to the genetic fingerprint of native medulloblastoma cells (17).
Assessment of Tumor Spherical Aggregates and Organotypic Brain Slice Co-Culture Models.
Invasion is defined as the destruction of host cell extracellular matrix (ECM) and active translocation of tumor cells through the ECM. It is not simply due to expansion of tumor by growth or by a passive distribution of tumor cells (18). Medulloblastoma arises in the cerebellum and brainstem but not the cerebral cortex in situ (19). This growth pattern, together with previous work by us with different invasion models (15) led to the expectation that DAOY aggregates would invade organotypic cerebellum slices but may not invade cortex slices so readily.
Fluorescence microscopy and TEM studies not only confirmed that DAOY cells invade into organotypic cerebellum slices but also showed the invasion behavior of DAOY aggregates (Figs. 4
and 6
). DAOY aggregates as a unit adhered to adjacent cerebellum slices after 2 days of co-culture and gradually destroyed and invaded into normal cerebellum slice from the tumor-brain border. Individual DAOY cells spread widely and invaded almost the whole cerebellum slices over a relatively long distance after 6 days of co-culture (Fig. 4
). Terzis et al. (6) reported a similar invasion pattern of DAOY aggregates after 7 days of co-culture of DAOY aggregates and normal whole-brain aggregates.
Invasion of tumor cells into normal tissue is a complicated process, and invasion follows a three-step model (1, 20, 21): tumor cells (i) detach from the growing primary tumor mass; (ii) adhere to the ECM via specific receptors; and (iii) locally degrade ECM of adjacent cells and migrate into adjacent host tissue. The results reported in the present organotypic co-culture tumor invasion model have the features defined above associated with a true invasion by cancer cells and are similar to the invasive behavior of medulloblastoma in vivo (22).
TEM studies also showed that DAOY aggregate invasion into cerebral cortex slices occurred, but DAOY cell invasion was relatively limited compared with the co-culture model of DAOY aggregates and cerebellum slices (Fig. 7
). Tumor invasion is a complicated process, governed by molecular cross-talk between DAOY cells and DAOY cells, DAOY aggregates and normal brain cells, and DAOY cells and normal brain cells; by types and amount of lytic enzymes produced by DAOY aggregates and DAOY cells; and by fine regulation of adhesion to and detachment from ECM (23). Histologic differences between cerebellum slices and cerebral cortex slices result in biologic differences. Therefore, the microenvironment created by cerebellar and DAOY aggregates differed from the corresponding micro-environment created by cerebral cortex slices and DAOY aggregates, resulting in the different invasion patterns observed.
TEM results of DAOY cells invading cerebral cortex slices were different from those in a previous report, in which it was found that DAOY aggregates did not attach to brain cortex aggregates (15). As mentioned in previous discussion, cell culture dimension plays a critical role in cytoarchitecture of regional brain cultures, in turn affecting types of brain cell, ratio between each brain cell, composition of ECM, and subsequent invasive behavior of DAOY cells. Several co-culture models have been used to investigate the role of dimension on medulloblastoma invasion, including: (i) co-culture of DAOY single cells and brain monolayer cells from cerebellum or cerebral cortex; (ii) co-culture of DAOY single cells and spherical aggregates dissociated from different parts of the brain; and (iii) co-culture of DAOY aggregates and regional brain aggregates. Parker et al. reported that invasion occurred in the first two culture models but not in the third one (15). Very little is known about the mechanisms involved in medulloblastoma cell invasion so far; therefore, the discrepancy in results between ours and Parkers could be attributed to the difference in culture model resulting in different culture histology and microenvironment created by tumor cells and regional brain cells (24).
Microscopic Investigation of RBITC-Labeled NPs in Tumor Aggregate and Organotypic Cerebellum Slice Co-Culture Model.
Other studies by us using aggregates have demonstrated that the number of NPs taken up by DAOY aggregates was five times higher than that taken up by mixed whole fetal brain aggregates after 24 hrs of incubation time, whereas in 2-D culture the foetal brain cells took up more NPs than the DAOY cells (9). The majority of the NPs were taken up by the invading DAOY cells at the periphery of the aggregate, where it had become integrated with the normal brain slice, with many fewer particles associated with the brain slice. The few particles seen associated with the middle of DAOY aggregates compared with the massive uptake of NPs by DAOY cells in the periphery of DAOY aggregates could possibly be attributed to the "fried egg" pattern of the co-culture model seen in Figure 6
Ia, IIa, and IIIa. With increased co-culture incubation time, DAOY cells in the periphery of the aggregate invaded into the cerebellum slice, whereas DAOY aggregates in the middle still kept a humped shape raised above the tissue slice. Thus, at the periphery the cells were at the same level as the tissue slice cells, but the center of the aggregate the cells were at a higher elevation. The liquid interface is at the bottom of the slide, so once NP suspension was added from the top of the co-culture model it would then drain to the liquid level. The brain slice and DAOY cells in the periphery of aggregates, therefore, had more chance and longer incubation time with NP suspension than DAOY cells in the middle of aggregate. Despite this artefact, it is seen that this model does still show the high NP uptake ratio of brain tumor cells to brain cells. Thus, it is suggested that culture models of 3-D spheroids and organotypic slices would be a useful tool to determine the specificity of NP uptake by target cells in vitro.
Relevance to Drug Delivery.
There is now a substantial body of evidence that untargeted drug delivery systems in the NP size range, such as liposomes, can accumulate in tumor tissues both in experimental animals and patients (25) due to differences in vascularity and vascular (dis)organization (26). However, there is little information in the literature on how materials of NP size behave in tissues in terms of uptake into tumor cells once they have accumulated in the tumor. It has been suggested in the older literature that uptake of macromolecules is very high in tumor cells (Ref. 27 and references therein) and that this differential rate of endocytosis could be exploited therapeutically.
Other in vitro experiments by us show that there is a differential uptake both between tumor and normal tissue but only in 3-D culture, and these also suggest a difference between different normal cell types (9). The results of the present NP uptake study were in concordance and showed that in a co-culture model more representative of tumor growth in vivo there is a still a selective uptake advantage, even for untargeted NPs. The present work, therefore, suggests that because PGA NPs were preferentially distributed in the brain tumor tissue, this could lead to better therapeutic benefit of NP delivery systems by localizing the drug in the vicinity of the cancer cells and reducing side effects.
Invasion Studies—Future Work.
The preliminary characterization of this model using TEM suggests that this may also be further developed as a useful model for invasion studies. However, further work still needs to be carried out regarding characterization of the tissues and details of the invasion process. The work on conversion of this model to use human brain tissue slices as host and use of primary human tumor material to make it a more representative model of human cancer invasion is underway.
| Conclusion. |
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The next stage was to begin to investigate the uptake of NPs in this co-culture model.
Confocal micrographs demonstrated that tumor cells had higher rates of NP uptake than normal host cells, which corresponds to results of NP uptake in DAOY and mixed brain aggregates reported elsewhere (9).
All of the results presented in this study suggest that this novel 3-D in vitro co-culture model could be used to effectively evaluate the selectivity of a drug delivery system between tumor cells and brain cells, which can provide a greater chance to evaluate anticancer therapeutic potential of a drug delivery system in vitro. The model could also be further characterized and developed as a model of tumor invasion.
The poly(glycerol-adipate) polymers were generated through a BBSRC-funded collaborative project in collaboration between the University of Nottingham and Liverpool John Moores University. We would like to thank Dr. S. Higgins and Dr. G. Hutcheon for the synthesis and provision of these polymers. We also thank the Childrens Brain Tumour Research Trust in Nottingham for funding for consumables and instrumentation of the NP uptake and release studies.
| Footnotes |
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2 Current address: Medway School of Pharmacy, Universities of Kent/Greenwich, Chatham Maritime, Kent ME4 4TB, United Kingdom. ![]()
Received for publication December 19, 2006. Accepted for publication April 25, 2007.
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