Page 16 - JCTR-10-6
P. 16

326                       Barreto et al. | Journal of Clinical and Translational Research 2024; 10(6): 325-333
        brain tumors in adults [1]. According to the 2021 World Health   and opens perspectives for studies aimed at developing new
        Organization (WHO) Classification of Tumors of the Central   treatments against these tumors.
        Nervous System (WHO CNS5), adult  diffuse gliomas  are
        classified into: (i) Astrocytoma, IDH-mutant (grades 2, 3, or 4),   2. Methods
        (ii)  oligodendroglioma,  IDH-mutant,  and 1p/19q-codeleted   2.1. Ethical considerations
        (grades 2 or 3); and (iii)  glioblastoma  (GB), IDH-wildtype
        (grade 4) [2]. CNS WHO Grades 1 – 4 are related to the degree   Tissue samples were obtained from the department of
        of malignancy, with a higher grade corresponding to a poorer   neurosurgery and imaging examinations were acquired from
        prognosis  [2-4]. Standard treatments for HGGs  involve a   the department of radiology, both at the Central Hospital of
        combination of maximal surgical resection, radiotherapy, and   Santa Casa (Brazil) after informed patient consent (Termo de
        chemotherapy  [5,6]. However, these treatments  have limited   Consentimento Livre e Esclarecido [TCLE]).  Tumor samples
        efficacy  in  preventing  glioma  progression.  GB  is  the  most   were acquired following the ethical guidelines of the Research
        common and highly malignant type of brain tumor in adults,   Ethics Committee of the University of Campinas (UNICAMP,
        with a median  survival of <2  years for most patients  [7,8].   Brazil; CAAE: 15215219.5.0000.5404) and the Central Hospital
        Given the poor outcomes associated with HGGs, there is a need   of Santa Casa (Brazil; CAAE: 15215219.5.3001.5479). Animal
        to explore new therapeutic  approaches or even improve the   experiments were performed in accordance with the Ethical
        efficacy of conventional therapies against these tumors.  Principles in Animal Research, adopted by the Brazilian College of
          Patient-derived cancer cell lines are the most commonly used   Animal Experimentation (Colégio Brasileiro de Experimentação
        models to study tumor biology and discover novel therapeutics,   Animal [COBEA]); all procedures were previously approved by
        not only in vitro but also in murine in vivo assays [9,10]. Once   the Animal Use Ethics Committee (CEUA/UNICAMP; 6200-
        established,  malignant  cell  cultures  provide  excellent  and   1/2023). The animals were carefully monitored and cared for
        permanent materials for studying tumor biology and behavior.   daily  to  ensure  their  well-being.  They  were  kept  in  standard
        They facilitate the analysis of bioactive components produced by   filter-top cages with unrestricted access to sterile water and food
        tumors, the determination of cell viability and proliferation, and   in the Animal Facility of the Institute of Biology, Department of
        the assessment of cell migration and invasion under treatment   Functional and Structural Biology (UNICAMP).
        conditions [11]. Therefore,  in vitro assays are a fundamental   2.2. Specimen collection
        step in drug development, as they permit screening for agents
        that  selectively  target  tumors.  For example,  the  successful   After surgical resection, tissue samples were obtained from
        establishment of a human GB cell line (named NG97) [11,12]   three different patients: a 55-year-old male (specimen designated
        allowed our research group to identify spider venom molecules   C03), a 56-year-old male (N07), and a 36-year-old male (L09).
        with antitumor effects [3,13-16]. These studies emphasize the   Under aseptic conditions, a portion of the samples from each
        importance  of establishing  cancer  cell  lines.  However, their   patient was placed in separate falcon tubes containing Iscove’s
        focus primarily remained on one glioma cell type (GB-NG97).   Modified Dulbecco´s Medium (IMDM; #l7633; Sigma-Aldrich,
        Considering  the heterogeneity  of gliomas,  trials  involving   United States of America [USA]) supplemented with 10% fetal
        multiple cell types from different patients could provide a more   bovine serum (FBS) and penicillin-streptomycin-amphotericin B
        comprehensive understanding of the effects of animal venom   solution (10.000 U/mL; #A5955; Sigma-Aldrich, USA) (pH 7.4)
        molecules on these tumors.                             (referred to as complete medium). These samples were intended
          Despite being an excellent  model for cancer  research and   for the preparation of primary cell cultures. The remaining portions
        drug development,  establishing  cell  lines from fresh tissue   were placed in other falcon tubes containing 10% formaldehyde
        obtained from patients is time-consuming and challenging. In   and sent to a histopathology laboratory, where the tumors were
        contrast  to  established  cell  lines,  primary  cells  are  sensitive   characterized immunohistochemically and molecularly according
        to new environments and more susceptible to contamination.   to  WHO CNS5  2021, as follows: astrocytoma IDH-mutant,
        Bian  et al. [17] reported  that  the success rate of cell  line   WHO Grade 3 (C03); GB IDH-wildtype, WHO grade 4 (N07);
        establishment from fresh tumor tissues is around 10%. In the   and astrocytoma IDH-mutant, WHO Grade 3 (L09).
        present study, we aimed to establish and characterize three new   2.3. Cell lines establishment
        human cell lines derived from fresh tissue samples of three male
        patients diagnosed with HGGs. Through a simple yet carefully   Tumor specimens were maintained in a complete medium,
        optimized process, we aimed to establish the cell lines after only   minced into 1 – 2 mm  fragments, and centrifuged (1500 rpm,
                                                                                 3
        a few passages, ensuring they became stable while remaining   4°C, 5  min) to remove  debris.  The supernatant  was then
        as close as possible to the original tumor tissue. These newly   discarded, and the cells (pellet) were seeded into 25 cm  culture
                                                                                                           2
        established  cell  lines will facilitate  future studies related  to   bottles. Primary cells were cultured (IMDM) and maintained
        the  understanding of glioma  biology, especially  due to  their   at 37°C in a 5% CO humidified atmosphere until they reached
                                                                               2
        distinct  histological  and molecular  characteristics.  These cell   the  tenth  passage. Each  passage involves  releasing  the  cells
        lines will also enable our research group to conduct new tests   from the bottle using a cell scraper and transferring them to a
        investigating the effects of animal venom molecules. A well-  larger bottle or two other bottles. By the tenth passage, the cells
        established tumor cell bank provides heterogeneous cell lines   were observed to be stable after thawing, indicating successful

                                               DOI: http://doi.org/10.36922/jctr.24.00028
   11   12   13   14   15   16   17   18   19   20   21