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Barreto et al. | Journal of Clinical and Translational Research 2024; 10(6): 325-333   327
        establishment. Large quantities of the three cell lines were then   2.6. Tumor histopathology
        routinely frozen at −80°C in FBS supplemented with 10% (v/v)
        dimethyl sulfoxide (DMSO; #D2650; Sigma-Aldrich, USA) and   Tumor pieces designated for tissue analysis were immersed
        stored long-term in a cryogenic freezer within liquid nitrogen   in PFA for 24 h. Thereafter, the tissue pieces were washed with
                                                               distilled water 3 times (10 min each) to remove any residual
        vapor (biobank). For the immunofluorescence assay, cells were   PFA.  The samples were then dehydrated through an ethanol
        thawed, cultured, and allowed to reach 90% confluence before
        being carefully scraped into 48-well plates (Corning Costar ,   gradient and embedded in Paraplast (#P3558; Sigma-Aldrich,
                                                         ®
        USA).  In addition, 3 × 10   cells were also obtained for the   USA). Sections of 5 µm were obtained and stained with H&E
                              5
                                                               before evaluation under a microscope.
        tumorigenicity assay as described below.
                                                               2.7. Morphological evaluation
        2.4. Immunofluorescence
                                                                 For evaluation of morphology, the three established
          Characterization and authentication of the three established
        cell lines were assessed using immunostaining for glial fibrillary   cell lines (obtained from patients) and those acquired after
                                                               tumor excision from mice were seeded in 6-well plates
        acidic protein (GFAP), an astrocyte marker. Cell morphology   (2  ×  10   cells/well) and incubated at 37°C, 5% CO for
                                                                      5
        was also assessed using phalloidin  to selectively  label  actin   48  h.  The cells were then photographed under an inverted
                                                                                                              2
        filaments. This assay was based on a standardized protocol in   microscope (Nikon Eclipse  Ts2; Nikon, Japan) and the
        our laboratory, which was described in a previous study [13].   NIS-Elements D software to analyze their general morphology.
        Cells were initially seeded in 48-well plates (2 × 10  cells/well)   The entire methodology used in this work is summarized and
                                                 5
        with a complete medium. At 90% confluence, the medium was   exemplified in Figures 1A and B.
        removed from the wells and replaced with fresh medium. Cells
        were  then  fixed  with  4%  paraformaldehyde  (PFA)  (15  min),   3. Results
        washed three times with phosphate-buffered saline (PBS)
        (pH 7.4), and incubated with a permeabilization solution (0.1%   3.1. Establishment and biobanking of the three high-grade
        Triton X-100 in PBS) for 10 min at room temperature. After, the   glioma cell lines from patient tumor tissues and morphological
        wells were washed with PBS and then treated with a blocking   evaluation
        solution (1% bovine serum albumin [BSA] 467 supplemented   A tumor mass was observed in the MRI of the patient before
        0.2% Tween 20 in PBS) for 1 h. Subsequently, the cells were   surgery (Figures  2A,  3A,  and  4A). Using  in vitro patient-
        incubated  with a Phalloidin  probe (1:200, P5282; Sigma-  derived specimens, the three HGG cell lines (C03, N07, and
        Aldrich, USA) diluted in 0.3% BSA solution (supplemented with   L09) were successfully established. From the primary culture,
        0.1% Tween 20 in PBS) for 2 h at room temperature. Following   it was possible to freeze, thaw, and subculture cells, allowing
        this, the wells were washed with PBS and incubated overnight   the creation of a biobank and the performance  of  in vitro
        with anti-GFAP (1:500; #16825-I-AP; Proteintech, USA) in the   characterization (GFAP labeling), as described below. During
        same dilution solution. A negative control group without anti-  the first 2 weeks of culture, the GB (N07) cell line grew faster
        GFAP incubation was also prepared. The next day, cells were   than the astrocytoma (C03 and L09) cell lines. Later, growth
        washed again with PBS and incubated with rhodamine (TRITC)   was similar for all three HGG cell lines. All of them reached the
        –  conjugated  goat  anti-rabbit  IgG  (1:100;  #SA00007-2;   tenth passage in about 2 months. Under light microscopy, all
        Proteintech, USA) for 1 h, and then counterstained with a drop   three cell lines grew in monolayer and most of them exhibited
        of the nucleus dye DAPI (#P36971; ThermoFisher, USA). Cell   spindle-shaped  and polygonal  morphologies;  some of them
        imaging was performed using Apotome.2 (Zeiss, Germany) and   exhibited long protrusions (Figures 2B, 3B, and 4B).
        analyzed with Zen 2.6 and Image J software.
                                                               3.2. Tumorigenicity of the three high-grade glioma cell lines in
        2.5. Tumorigenicity in RAG  black mice                 C57BL/6 RAG −/−  mice and morphological evaluation
                              −/−
          To investigate tumorigenicity, 3 × 10  cells from each of the   To assess whether the three cell lines retained their
                                        5
        three  cell  lines  were  suspended  in  0.1  mL  PBS and  injected   tumor-forming ability, a tumorigenicity assay was
        subcutaneously into the dorsal flank of adult immunodeficient   conducted.  In  vivo,  xenograft tumors were developed after
        C57BL/6 RAG  female or male mice (12  months old). The   subcutaneous implantation of all three established cell lines
                    −/−
        animals were monitored weekly during tumor development.   (Figures 2C and D; 3C and D; and 4C; and D). After 22 days
        After 22 days of cell implantation, the mice were anesthetized   of inoculation, the animals were anesthetized and the tumor
        with ketamine  (80  mg/kg) and xylazine  (10  mg/kg) and   masses were excised.  The tumors reached a volume of
        euthanized. Tumors were excised and divided into two parts for   2.5, 0.7, and 2.02 cm , with weights of 1.6, 0.8, and 1.5 g,
                                                                                 3
        different processing methods. One part was fixed in 4% PFA   respectively (for C03, N07, and L09). The morphology of the
        and embedded in paraffin for tissue analysis by hematoxylin and   xenograft tumors during subculture resembled the cell line
        eosin (H&E) staining. The other part was placed in a falcon tube   characteristics  of  the  three cell  lines  before  implantation,
        containing a complete medium for subculture, morphological   displaying spindle-shaped and polygonal morphologies
        analysis, and creation of a biobank.                   (Figures 2E, 3E, and 4E).

                                               DOI: http://doi.org/10.36922/jctr.24.00028
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