Page 87 - JCTR-11-5
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Journal of Clinical and
            Translational Research                                                  ROCK inhibition in chronic rejection



            USA) at 50  ng/mL, at 37°C and 5% carbon dioxide.   phenylmethanesulfonyl fluoride (#8553, Cell Signaling,
            A total of 2 × 10  cells were seeded in each T75 flask. After   USA), and prepared for Western blotting as described
                         7
            24 h, the medium was changed to remove non-adherent   previously.  Western blot bands were normalized to
                                                                       10
            cells, leaving only monocytes (adherent cells). Cells were   glyceraldehyde 3-phosphate dehydrogenase (GAPDH),
            differentiated into macrophages  (human monocyte-  which was used as a loading control (protein of interest
            derived macrophages [HMDM]) over 6 days. On day 6, the   vs. GAPDH), and each experiment was repeated three
            HMDM were treated with inhibitors.                 times to reduce technical noise. Statistical analysis was
                                                               performed to ensure data significance.
            2.5. Treatment with inhibitors
            At 70% confluency, cells were  treated for  24  h with   2.9. Antibodies
            Rezurock (HY-15307, MedChem Express, United States of   The  following  primary  antibodies  were  used:
            America [USA]) at a concentration of 10 µM, fingolimod   ROCK2  (8236s, Cell Signaling, USA), Notch1  (3608s,
            (S5002, Selleckchem, USA) at 300 nM, or Rezurock and   Cell Signaling, USA), pentraxin 3 (PTX3; PA5-36156,
            fingolimod in combination. For HMDM, Rezurock      Invitrogen,  China),  collagen  Type1  (14695-1-AP,
            alone or in combination with fingolimod was used at a   Proteintech, USA), chemokine (C-C motif) ligand 2 (CCL2;
            concentration of 5 µM. Dimethyl sulfoxide (DMSO; Sigma,   MA5-17040, Invitrogen, China), C-C motif chemokine
            USA) was used as a control, and its volume matched the   receptor 2 (CCR2; MA5-42780, Invitrogen, China), and
            volume used for the highest drug concentration to ensure   transforming growth factor beta 1 (TGF-β1; 21898-1-
            consistent DMSO levels across all samples.         AP,  Proteintech,  USA),  all  at  1:1,000  dilution.  ROCK1
            2.6. RNA isolation                                 antibody (ab199899, Abcam, USA; currently discontinued;
                                                               https://www.abcam.com/en-us/products/unavailable/
            Mouse peritoneal macrophages were pelleted and sent   rock1-antibody-c-terminal-ab199899) was used at 1:2,000
            to Active Motif, Inc. (USA) for RNA isolation, library   dilution, and GAPDH (14C10, Cell Signaling, USA) at
            preparation, and sequencing analysis.              1:3,000 dilution. For secondary antibodies, anti-rabbit

            2.7. RNA sequencing and analysis                   immunoglobulin G (IgG; 7074P2, Cell Signaling, USA)
                                                               and anti-mouse IgG (7076, Cell Signaling, USA) were used
            Next-generation sequencing was performed using the   at 1:5,000 dilutions.
            Illumina platform, and Venn diagrams were generated as
            described previously.  Genes selected for the Metascape   2.10. Statistics
                             10
            Gene Ontology (GO) analysis had a p≤0.05 and log  fold   For western blotting (protein expression) analysis, three
                                                      2
            change‖ > 0. All genes considered differentially expressed   biological replicates were used to ensure statistical power,
            in the treated samples, compared to the control, had a   as  described previously.   Differentially expressed  genes
                                                                                   10
            p≤0.05 and ‖log  fold change‖ > 0. For RNA sequencing   (DEGs) were selected using a p-value cutoff of < 0.05, and
                         2
            (RNA-seq) analysis, two biological replicates were used for   a log  fold-change > 0. These thresholds were applied when
            each treatment condition. In our gene expression analysis,   generating volcano plots for each treatment group.
                                                                   2
            sequencing quality was ensured by filtering raw reads to
            obtain clean reads. This was followed by alignment to the   The  protein expression changes after  drug  treatment
            reference genome using HISAT2 and STAR tools. Gene   were  consistent  with  the  transcriptomic  findings,
            expression levels were normalized using the “Fragments Per   supporting the reliability of the DEG selection. Pathway
            Kilobase of exon per Million mapped reads” method, and   enrichment and GO analyses were carried out using the
            principal component analysis plots were used to visualize   Metascape platform based on DEGs with p≤0.05 and a log
                                                                                                             2
            sample clustering and assess potential batch effects. All   fold change > 0. Results were interpreted using bar plots
            samples  were  processed  under  identical conditions  to   and clustering analyses to identify significantly enriched
            minimize technical variability.                    biological processes. RNA-seq data were analyzed using
                                                               DESeq2, which includes internal normalization and applies
            2.8. Cell lysis and western blots                  the Wald test followed by Benjamini–Hochberg correction

            Control,  Rezurock-,  fingolimod-, and Rezurock/   to control the false discovery rate (FDR). All pathway
            fingolimod-treated RAW 264.7 and HMDM macrophages   enrichment analyses (e.g., GO and Kyoto Encyclopedia of
            were lysed in radioimmunoprecipitation assay cell lysis   Genes and Genomes [KEGG]) were likewise corrected for
            buffer (#9806, Cell Signaling, USA) supplemented with 1×   multiple hypothesis testing using FDR-adjusted p-values.
            protease inhibitor (cOmplete™, Mini, EDTA-free Protease   Statistical significance thresholds (adjusted  p<0.05) were
            Inhibitor Cocktail, #11836170001, Roche, USA) and 1×   applied consistently across all analyses.


            Volume 11 Issue 5 (2025)                        81                         doi: 10.36922/JCTR025270036
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