8/6/2013 4:55:00 PM 1 2 Materials and Methods (details) 3 4 5 6 7 8 9 10 11 Chemicals cells and cell-culture conditions 12 13 14 15 16 17 18 19 20 21 were prepared from blood bank of the Transfusion Department, Oita University Hospital 22 23 24 25 26 27 28 29 30 31 Proteasome inhibitor MG-132, caspase inhibitor zVAD-fmk, autophagy inhibitors 3-methyladenine (3MA) and 5-amino-4-imidazole carboxamide riboside (AICAR) were were purchased from Sigma. Geldanamycine and its water-soluble and less-toxic derivative 17-DMAG25 were purchased from Invivogen. ATL transformed cell lines C8166 and MT4, Jurkat and HEK293 cell lines were obtained from the ATCC. ATL cell lines established from ATL patient’s PBL (HUT-102, ED, S1T, SU9T, ATL4 and ATL9) and Non-ATL leukemic cell lines (HL-60, MOLT-4 and HUT-78) are laboratory stocks of KM and HI. PBLs from ATL patents (Pat1 to Pat4), or healthy donors (PBL1, PBL2 and PBL3) in accordance with the guidelines of the Ethical Committee of the Oita University Faculty of Medicine. Suspension cells were cultured in complete RPMI-1640 supplemented with 10% FBS. Each medium contains the appropriate amount of antibiotics. Tumor cells from ATL patients were maintained in RPMI 1640 medium supplemented with 15% FBS (Equitech-Bio), penicillin G (50 U/mL), and streptomycin (50 μg/mL; Sigma-Aldrich). Ethical permission for use of patient-derived cells and pathologic materials was approved by the Ethical Committee of the Oita University Faculty of Medicine, and informed consent was obtained in accordance with the Declaration of Helsinki. Adherent cells were cultured in complete DMEM/high glucose with 10% fetal bovine serum (FBS). Co-Immunoprecipitation (Co-IP) and Immunoblot (IB) One million cells of MT-4, C8166 treated with or without 17-DMAG and HEK293 cells transfected with each plasmid (maximum 1 μg) by FugeneHD (Roche) for 40 hours were lysed with Co-IP buffer [0.5% Nonidet P-40, 20mM 4-(2-hydroxyethyl)-1-piperazineethanesulfonic acid (HEPES, pH 7.3), 150mM NaCl, 2mM EDTA, 1mM phenylmethylsulfonyl fluoride (PMSF), 0.1mM sodium orthovanadate (Na3VO4), 1mM sodium fluoride (NaF), 10% glycerol and protease inhibitor mix (Roche)]. In all, 200 μg of lysates were precleared with 30 μl of protein G agarose (CalBiochem) for 2 hours and incubated with 2 μg of rabbit polyclonal anti-Hsp90 (Stressgen) or rabbit 32 33 34 35 36 37 38 39 anti-FLAG antibody (Sigma) and 30 μl of protein G agarose for at least 3 hours at 4 40 Real-time quantitative reverse transcriptase-polymerase chain reaction degree C. Antibody–agarose complexes were washed four times with 500μl of Co-IP buffer, resolved by 12 or 15% SDS–poly acrylamide gel electrophoresis (SDS–PAGE) and transferred onto a PVDF membrane (Millipore) using semi-dry TRANS-BLOT SD (BioRad) under the manufacture’s instructions. Specific proteins were detected by specific monoclonal Tax, Hsp90 (Stressgen), Flag and Tubulin (Sigma) or polyclonal IKKβ (Cell Signaling Technology), antibodies respectively. 41 42 (RT-qPCR) by LightCycler system 43 44 45 46 47 48 49 50 51 (Wako) and contaminated DNA was removed. cDNA was constructed by the 52 53 54 55 56 57 to the level of glucose-6-phosphate 1-dehydrogenase (G6PD) measured in the same 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 Total RNA from MT-4 cells treated with or without 17-DMAG was isolated using ISOGEN Thermoscript reverse transcriptase-polymerase chain reaction system (Invitrogen) according to the manufacturer’s instructions. Real-time quantitative PCRs (RT-qPCR) for Tax and glyceraldehyde glucose-6-phosphate 1-dehydrogenase (G6PD) were performed on a Roche LC480 (Roche) set-up according to the directions. The set of primers and universal probe for Tax were as follows: Left primer: 5’–TTCCGAAATG GATACATGGA A-3’; Right primer: 5’–TCTGGAAAAG ACAGGGTTGG-3’; and LightCycler Universal Probe Library (UPL) #44: 6FAM- TTCCGAAATG GATACATGGA ACCCACCCTT GGGCAGCACC TCCCAACCCT GTCTTTTCCA GA-TA MRA. All data were normalized sample with Left primer: 5’– AACAGAGTGA GCCCTTCTTC A-3’; Right primer: 5’–GGAGGCTGCA TCATCGTACT-3’; and LightCycler UPL #6: 6FAM- AACAGAGTGA GCCCTTCTTC AAGGCCACCC CAGAGGAGAA GCTCAAGCTG GAGGACTTCT TTGCCCGCAA CTCCTATGTG GCTGGCCAGT ACGATGATGC AGCCTCC-TA MRA and plotted the averages of three independent results. Cell viability assay One million cells from each ATL cell lines established from ATL patient’s PBL (HUT-102, ED, S1T, SU9T, ATL4 and ATL9) or ATL cell lines established by co-culture of chord blood and ATL patient’s PBL (C8166 and MT4), PBLs from ATL patent (Pat1 to Pat4), Non-ATL leukemic cell lines (Jurkat, HL-60, MOLT-4 and HUT-78) or healthy donors (PBL1 to PBL3) were incubated in 2 ml of RPMI1640 and treated with 2.5 μM of 17-DMAG for 1 to 4 days. After every 24 hours’ incubation, 5 x 103 of cells were transferred to each well of a 96 well plate, and 1/10 volume of Cell Counting Kit solution (Dojindo) was added to each fraction. Thirty minutes after incubation, the absorbance at 465 nm was measured using an E-max precision microplate reader (Molecular Divices). Caspase3/7 assay Same cells used in the ‘Cell viability assay’ were also utilised for apoptosis activity measurement. After every 24 hours’ incubation, 5 x 103 of cells were transferred to each well of 96 well plate and an 1/2 volume of Cappase3/7 assay solution (Promega) was added to each fraction. 60 minutes after incubation, the chemical luminescense was measured by GLOMAX 96. Plasmids Plasmid pSG5-Tax is kind gift from Dr. Claudine Pique at Université Paris-Descartes, Institut Cochin, Paris, France24 and Hsp90 cDNA was a kind gift from Dr. Kyosuke Nagata at University of Tsukuba.25 Hsp90 and Cdc3726 were amplified from templates previously 81 82 described, and cloned into pcDNA3 (Invitrogen). CMV-Tax was constructed by cloning of 83 84 85 86 87 88 89 90 91 recognition sites at both ends and the Kozak sequence (-GCCACC-) was placed prier to 92 93 upon request. All the plasmid constructs used in this study were verified by nucleotide 94 95 96 97 98 99 100 101 the PCR amplified Tax open reading flame (ORF) with HindIII-EcoRI restriction enzyme the first ATG codon of Tax. Purified HindIII-Kozak-Tax-EcoRI DNA fragment was cloned into the same sites of pcDNA3. LTR-Tax which expresses Tax under the control of the Tax response element in the U3 region of HTLV-1 proviral DNA was constructed by replacing BglII-HindIII fragment of CMV-Tax with the HTLV-1 LTR amplified from HpX.11 Tax and Cdc37 cDNA were amplified by PCR and cloned into CoralHue vectors (MBL, Japan) phmKGN-MC and phmKGC-MN respectively to evaluate their physical interaction by Kusabira GFP-two hybrid system.27 Hsp90 and NEMO containing plasmids were also constructed for validation of this system. The details of plasmid vectors will be provided sequencing analysis. Luciferase assay Five hundred thousand HEK293 cells were transfected with plasmid DNA mixture containing the reporter plasmids (50 ng of NF-κB-Luc or HTLV1-LTR-Luc11 and 50 ng of RSV-b-galactosidase as a transfection indicator) and 250 ng of Tax expression vectors (pSG5-Tax, CMV-Tax or LTR-Tax) by HugeneHD. The same amount of pcDNA3 was used for transfection control. After 24 hours incubation of the transfection, where indicated, 17-DMAG at concentrations listed in figures were added and further incubated 102 103 104 105 106 107 108 109 110 for 16 hour. Cells were removed from 12 well dishes with 1mM-EDTA/PBS and 111 112 113 114 115 116 117 118 Microscopic observation of cells 119 120 transfered to 1.5 ml microtube and washed once with PBS then cells were lysed with 100 μl of Lysis Buffer (Promega) and the luciferase activity was measured with a luciferase assay kit (Promega) in GLOMAX 96 microplate luminometer (Promega). The beta-galactosidase activity of the same cell extracts used for the luciferase assays was quantitated by Galacto-Star (Tropix) for normalization. Protein concentration of cell extracts was measured by Protein Assay reagents (BioRad) and used for SDS-PAGE and IB analysis. Five hundred thousand HEK293 cells seeded on the six-well plates were transfected with phmKGN-MC-Tax and phmKGC-MN-Cdc37 or its mutant-Cdc37(N200) and-Cdc37(N180) by FugeneHD as described in the ‘Luciferase assay’. After 48 hours incubation, the transfected HEK293 cells were treated with Hoecst34442 (Sigma) at the final concentration of 1 μM. Light and fluorescent (GFP and Hoecst34442) microscopic observation and photography was performed by BZ-9000 Biorevo all-in-one fluorescence microscope (Keyence). Preparation of leukemic Lck-Tax cells and injection to SCID mice 121 122 SCID mice were obtained from Clea Japan Inc, Japan. Tumor cells from spleens of 123 124 125 126 127 128 129 130 131 lymphomatous cells, were isolated using a Lymphoprep kit (Axis-Shield ProC As), and 132 (Miltenyi Biotec). 133 134 135 136 137 138 139 140 141 142 143 144 145 146 147 148 149 150 HTLV-I Tax-transgenic mice, in which normal splenocytes were replaced with suspended in RPMI 1640 medium. Thereafter, lymphomatous cells (106/mL) were intraperitoneally injected into SCID mice. At 28 days after injection, tumor cells were again isolated from ascites and spleens of the injected SCID mice. The isolated tumor cells from SCID mice (primary murine lymphoblastoid [pML] cells) were harvested and kept frozen until use. The pML cells were cultured in RPMI 1640 medium supplemented with 10% fetal bovine serum (FBS; Hyclone), antibiotics, and 2 mM L-glutamine, and maintained at 37°C in 5% CO2 and investigated after 1 or 2 days in culture. As a control, T cells were isolated from spleens of C57BL/6 mice with a Pan T-cell Isolation Kit NOG mice Female 6-weeks-old NOD/Shi-scid/IL-2Rgncull (NOG) mice were purchased from the Central Institute of Experimental Animals (Kawasaki, Japan). All mice were handled under sterile conditions and were maintained in germ-free isolators. The animal experiments were approved by the Animal Care Committees of Kansai Medical University. Purification of human CD133+ cells from cord blood Cord blood samples from full-term human deliveries with signed informed consent were obtained from Keihan Cord Blood Bank (Osaka, Japan) for research use due to the shortage of stem cell number for transplantation to human patients. Mononuclear cells (MNCs) were isolated using Ficoll-Conray (Lymphosepar I, Fujioka, Japan) density gradient centrifugation. After collecting MNCs, CD133 MicroBead Kit (Miltenyi Biotec Inc, Auburn, CA) was used to isolate human CD133+ cells according to the manufacturer's instructions. The purity of collected cells was evaluated by FACS analysis using anti-human CD133-PE (Miltenyi Biotec) and CD34-FITC (BD Biosciences) antibodies (≧95%). 151 152 153 154 155 156 157 Generation of huNOG 158 159 160 HTLV-1 infection to huNOG NOG mice were transplanted with human CD133+ cells by intra-bone marrow injection. Briefly, 7-weeks-old mice were sublethally irradiated with 250 cGy from a 137Cs source (GAMMACELL). After irradiation within 24 hours, 5Å~104 human CD133+ cells were injected to each mouse. The HTLV-1 producing Jurkat cell line, JEX, was irradiated with 10 Gy from a 137Cs source (GAMMACELL). Suspension of irradiated 1Å~106 JEX cells intraperitoneally into 161 162 huNOG mice at age of between 24 and 28 weeks. The body weights of mice were 163 164 165 166 their maximum weight. Peripheral blood smears were prepared by May-Grunwald 167 168 169 170 171 172 173 174 175 176 177 178 179 180 routinely measured, and the mice were euthanized when the weights decreased <70% of Giemsa staining and examined with light microscopy. Infection was performed in a Biosafety Level P2A laboratory in accordance with the guidelines of Kansai Medical University. Flow cytometry Peripheral blood cells were routinely collected every 2 weeks after infection. When mice sacrificed, the spleen, bone marrow and lymph node were collected and gently homogenized using a 70μm Nylon Cell Strainer (BD Falcon) to generate single cell suspensions in PBS with 2.5% FCS. To stain surface markers, anti-human CD45-PerCP or APC-Cy7, CD3-FITC or PE-Cy7, CD4-PE, CD8-PerCP-Cy5.5, CD19-PE, CD25-FITC, CCR4-APC antibodies and mouse IgG1-FITC for isotypecontrol were used (all BD Biosciences). For PB analysis, AccuCount Ultra Rainbow Fluorescent Particles (Spherotech) was employed to determine absolute cell number according to manufacturer’s protocol. Flow cytometric analysis was performed on BD FACSCan for 3-color staining and BD FACSCant II (BD Biosciences) for 7-color staining.23 Data acquisition used with CellQuest and Diva software respectively (BD Biosciences). Collected data was analysed by FCS express 3 (De Novo software). 181 182 183 184 185 186 187 188 189 190 191 DNA isolation and quantification of proviral load (PVL) 192 193 194 195 196 TGGTCTCCTTAAACCTGTCTTG-3’, 197 Genomic DNA was extracted from single cell suspension of tissue or PB followed by conventional phenol extraction method. PVL were measured by quantitative PCR using MyiQ or CFX96 real-time PCR system (Bio-Rad). The primers and probe for HTLV-1 pX region were as follows: forward primer 5 ’ - ACAAAGTTAACCATGCTTATTATCAGC-3 ’ , reverse primer 5 ’ - TCTCCAAACACGTAGACTGGGT-3 ’ , and FAM-labeled probe 5 ’ -FAM-TTCCCAGGGTTTGGACAGAGTCTTCT-BHQ-3’. A target region for human β-globin (HBB) was used to measure the copy number of human genome. The primers and probe for HBB region TGAGGAGAAGTCTGCCGTTAC-3’, were as reverse and follows: forward primer FAM-labeled primer 5’5’- probe 5’-FAM-AAGGTGAACGTGGATGAAGTTGGTGG-BHQ-3’. A plasmid containing PCR products for HTLV-1 pX region and HBB was constructed using T-Vector pMD20 (TaKaRa) and was used as quantified control template for real-time PCR24. The PVL was calculated as: [(copy number of pX) / (copy number of β-globin / 2)] × 100. 198 199 200 201 202 203 204 205 206 207 208 209 210 211 212 213 214 215 216 217 218 Supplement Figures Supplement 1. Tax degradation and I-κBα stabilization by 17-DMAG but not by Dexamethasone treatment of ATL cells. Two million C8166 cells were treated with 2.5 μM of 17-DMAG or 2.5 μM of Dexamethasone for 48 hours and photographed (lower panels a, b: untreated controls; c, d: 17-DMAG treated; e, f: Dexamethasone treated) and then harvested. Cells were lysed and fractionated into nuclear (N) or cytoplasmic (C) fractions by NE-PER reagent (Promega). Ten μg of nuclear fraction or 20 μg of cytoplasmic fraction of each sample was applied for IB. Monoclonal anti-Tax: Tax(M) (upper panel), polyclonal anti-I-κBα: I-κBα(R) (middle panel), and monoclonal anti-tubulin: Tubulin(M) (lower panel), were applied for each IB. Supplement 2. IC50 of 17-DMAG against ATL cells and PBLs. Two million cells from ATL cell lines established from ATL patient’s PBL (ATL4, red line); established by co-culture of chord blood and ATL patient’s PBL (C8166 and MT4, orange lines) and PBLs from healthy donors (PBL1, PBL2 and PBL3, blue lines) were treated with 17-DMAG at the indicated concentrations for 2 days. After 48 hours’ incubation, triplicated 104 cells from five different lineages were transferred to each well of a 96 well plate. One-tenth volume of Cell Counting Kit 8 (CCK8)-solution (Dojindo) was added to each fraction. Thirty minutes after incubation, the absorbance at 465 nm was measured using an E-max precision microplate reader (Molecular Divices). IC50 of 17-DMAG 219 220 concentration values of leukemic cell lines were indicated in the right table. 221 222 223 224 225 226 227 228 Supplement 3. Schematic representation of Hsp90/Cdc37/Tax ternary complex. (A) 229 230 and function, we speculate that Hsp90’s role is limited to a scaffolding of the Cdc37-Tax 231 232 233 234 235 236 237 Schematic modeling of Hsp90/Cdc37/CDK6 (Roe et al., 2001). Roe and his coworkers analyzed the architecture of Hsp90-Cdc37 core protein complex by X-ray crystallography and visualized hypothetical Hsp90/Cdc37/CDK6 complex structure. They described that the client protein kinase (PK) is folded by the kinase binding domain (KBD) of Cdc37 and middle domain (M) of Hsp90 equally. (B) Our proposed model of Hsp90/Cdc37/Tax ternary complex. We demonstrated the crucial role of client binding domain (CBD) of Cdc37 for Tax-binding and stbilization. Since Hsp90 mutants did not affect Tax’s stability complex. Supplement 4. Experimental scheme of 17-DMAG oral treatment for HTLV-1 infected mice. huNOG mice (established by transplantation of CD133+ human hematopoietic stem cells) on 24 weeks age were inoculated with 106 of JEX (HTLV-1 producing Jurkat) cells. Two weeks after inoculation, two groups of mice (YZ12, YZ13, YZ14 and YZ17, Experiment 1; Z617, Z618, Z619 and Z620: Experiment 2 ) were treated with 500 or 300 microgram of 17-DMAG (25 or 15 mg/kg respectively) for 4 weeks (20 238 239 times total) and other three (YZ15, YZ18 and YZ20: Experiment 1; Z611, Z612 and Z616: 240 241 242 after infection and analyzed by FACS and real-time PCR (details in Materials and 243 244 245 246 247 248 Supplement 5. siRNA transduction against Cdc37 or Hsp90 in ATL cells did not 249 250 251 252 lysed and samples were applied for IB. (B) siRNAs against Luciferase (lane1), Cdc37-1 253 254 255 256 257 258 Experiment 2) had PBS. Peripheral blood cells were routinely collected every 2 weeks Methods). . induce Tax-degradation. (A) siRNAs against Cdc37-1 and the control Luciferase (Sigma) were introduced into 3x105 MT4 cells by electroporation (Microporator, DigitalBio) according to manufacutures instruction with modification. Briefly, cells were pulsed at the indicated intensity (lane 1 and 3, 1,500 V, 10 mili seconds, 10 times; lane 2, 1,700 V, 10 mili seconds, 6 times). After 60 hours of incubation, cells were harvested and (lane2), Cdc37-2 (lane3), Hsp90a (lane4) and Hsp90b (lane5) were introduced into 3x105 MT4 cells by electroporation method with intensity of 1,500 V, 10 mili seconds, 10 times. After 60 hours of incubation, cells were harvested and lysed samples were applied for IB. Supplement 6. Anti-ATL cell effects by the combined dosage of 17-DMAG and LSG15. ATL cell lines C8166, MT-4, ATL4 and ATL9 were treated with either sub-optimal single dose of 17-DMAG (0.1 μM) or LSG15 without prednisolone (vincristine, 37 ng/ml; cyclophosphamide, 15 μg/ml; doxorubicin, 1.5μg/ml). Caspase/CCK values were obtained as in Figure 7.