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ReklamaThe use of mixed collagen-Matrigel matrices of increasing complexity recapitulates the biphasic role of cell adhesion in cancer cell migration: ECM sensing, remodeling and forces at the leading edge of cancer invasion
Authors: María Anguiano aff001; Xabier Morales aff001; Carlos Castilla aff001; Alejandro Rodríguez Pena aff001; Cristina Ederra aff001; Martín Martínez aff002; Mikel Ariz aff001; Maider Esparza aff001; Hippolyte Amaveda aff003; Mario Mora aff003; Nieves Movilla aff003; José Manuel García Aznar aff003; Iván Cortés-Domínguez aff001; Carlos Ortiz-de-Solorzano aff001
Authors place of work: IDISNA, Ciberonc and Solid Tumours and Biomarkers Program, Center for Applied Medical Research, University of Navarra, Pamplona, Spain aff001; Neuroimaging Laboratory, Division of Neurosciences, Center for Applied Medical Research, University of Navarra, Pamplona, Spain aff002; Department of Mechanical Engineering, Multiscale in Mechanical and Biological Engineering (M2BE), Aragon Institute of Engineering Research (I3A), University of Zaragoza, Zaragoza, Spain aff003
Published in the journal: PLoS ONE 15(1)
Category: Research Article
doi: https://doi.org/10.1371/journal.pone.0220019Summary
The migration of cancer cells is highly regulated by the biomechanical properties of their local microenvironment. Using 3D scaffolds of simple composition, several aspects of cancer cell mechanosensing (signal transduction, EMC remodeling, traction forces) have been separately analyzed in the context of cell migration. However, a combined study of these factors in 3D scaffolds that more closely resemble the complex microenvironment of the cancer ECM is still missing. Here, we present a comprehensive, quantitative analysis of the role of cell-ECM interactions in cancer cell migration within a highly physiological environment consisting of mixed Matrigel-collagen hydrogel scaffolds of increasing complexity that mimic the tumor microenvironment at the leading edge of cancer invasion. We quantitatively show that the presence of Matrigel increases hydrogel stiffness, which promotes β1 integrin expression and metalloproteinase activity in H1299 lung cancer cells. Then, we show that ECM remodeling activity causes matrix alignment and compaction that favors higher tractions exerted by the cells. However, these traction forces do not linearly translate into increased motility due to a biphasic role of cell adhesions in cell migration: at low concentration Matrigel promotes migration-effective tractions exerted through a high number of small sized focal adhesions. However, at high Matrigel concentration, traction forces are exerted through fewer, but larger focal adhesions that favor attachment yielding lower cell motility.
Keywords:
Collagens – extracellular matrix – Gels – Cell migration – Microfluidics – Anisotropy – Cancer cell migration – Integrins
Introduction
Metastasis is a hallmark of cancer. During the cascade of events that lead to the formation of a metastasis, migrating cancer cells interact with their local microenvironment to sense its biomechanical properties, and adapt in response their migration phenotype. Classically, cancer cell migration dynamics and guidance have been mostly associated with soluble cues such as chemokines [1,2]. Recently, the mechanical factors have been shown to be a key factor in cell migration as well. Consequently, cancer cells adapt their migration phenotype to the properties of the surrounding ECM, or remodel it to exercise a particular form of migration. Indeed, cancer cells remodel their local microenvironment to facilitate the invasion of their surrounding tissue [3]. To this end, cancer cells compact, degrade, cross-link, and align the fibers that form their surrounding local ECM network. Indeed, fiber alignment has been shown to provide directional cues to the cells, directing migration through the anisotropy of the ECM [4], and the alignment of ECM fibers perpendicular to the boundary of a solid tumor has been associated with enhanced invasion in colorectal [5] and breast cancer [6].
Furthermore, deposition and cross-linking of collagens in solid tumors causes increased stiffness of the ECM and is associated with a higher incidence of metastasis [7,8]. Mechanistically, this increased ECM stiffness is linked to both an up-regulation of integrin signaling and increased metalloproteinase activity, which favors the migration of cancer cells, and therefore the spread of the disease. Increased stiffness can also enhance the magnitude of the traction forces exerted by the cells during mesenchymal migration, but the role played by the composition and the structural properties of the matrix in how these forces become effective during cell migration is still unclear.
The role of cell to ECM integrin-dependent interactions, ECM remodeling and traction forces during cancer cell migration has been qualitatively or separately studied, mostly in 2D in vitro setups of limited physiological relevance, or in 3D environments devoid of many of the structural proteins and growth factors commonly found in the tumor microenvironment. Here we use a microfluidic 3D platform and mixed collagen-Matrigel hydrogels to quantitatively describe some of the mechanobiological factors that regulate H1299 lung cancer cell migration within a highly physiological environment. The use of increasing concentrations of sarcoma-derived Matrigel, mixed with a fixed concentration of structural collagen, allows us to study the mechanobiology of cancer cell migration in different environments that mimic a normal connective tissue and increasing levels of confinement at the leading edge of tumor invasion [9,10]. In summary, we explain the migratory capacity of these highly metastatic cells [11] in the context of the ECM properties, remodeling and cell-ECM interactions to provide a comprehensive approach to the problem of cancer cell migration.
Material and methods
Fabrication of microfluidic devices
Microfluidic devices used to perform H1299 cell migration experiments and ECM remodeling assays were fabricated in polydimethylsiloxane (PDMS) Sylgard 184 by conventional replica-molding process. The master mold was built on 4’ silicon wafers by patterning on negative photoresist (SU8-100, MicroChem Co) using standard UV-lithography techniques. The design of the devices is shown in Fig 1. The device consists of a main central channel where hydrogels and cells are embedded and two lateral channels that can be used to supply culture medium.
Fig. 1. Microdevice design. (A) 2D schematic of the design. (B) PDMS device loaded with blue dye. Collagen I labeling
Rat tail collagen type I (BD Biosciences, San Jose, USA) was labeled with 5-(and-6)-Carboxytetramethylrhodamine, Succinimidyl Ester (5(6)-TAMRA, SE) (Life Technologies, Barcelona, Spain) following the method described by Geraldo et al. [12]. Briefly, we injected 1 ml of high concentration collagen (BD Biosciences, San Jose, USA) into a 3 ml dialysis cassette (10,000 MWCO Slide-A-Lyzer TM Dialysis Cassettes) and dialyzed it overnight against a 0.25M sodium bicarbonate buffer (labeling buffer) (Sigma Aldrich, Steinheim, Germany), containing 0.4M sodium chloride at pH 9.5. Then, 100 μl of 10 mg/ml TAMRA solution were mixed with 900 μl of labeling buffer and incubated overnight with rotation with the dialyzed collagen, previously removed from the dialysis cassette. The collagen+TAMRA solution was then dialyzed against the labeling buffer to remove the excess of free dye. The following day, the cassette was dialyzed once more against a solution of 0.2% (v/v) acetic acid (Sigma Aldrich, Steinheim, Germany) in deionized water at pH 4. The concentration of dyed collagen stock was quantified after labeling. The resulting labeled collagen was stored at 4°C protected from light to prevent photobleaching.
Hydrogel preparation
Hydrogels were prepared using a stock of rat tail collagen type I (BD Biosciences, San Jose, USA) at a final collagen concentration of 2 mg/ml with deionized water, 10x phosphate buffered saline (PBS) (1/10 of the final volume), and NaOH 0.5N, at pH 7. Three types of hydrogels were fabricated; one made of collagen type I and two others made of collagen type I mixed with Matrigel at two increasing concentrations. We refer to them as hydrogels type C (2 mg/ml collagen, no Matrigel), CM (2 mg/ml of collagen, 2 mg/ml of Matrigel), and CM+ (2 mg/ml of collagen, 4 mg/ml of Matrigel), based on the increasing ratio of Matrigel to collagen. TAMRA-labeled hydrogels were prepared using TAMRA-labeled collagen as the collagen.
Hydrogel microstructural characterization
Image acquisition: TAMRA-labeled hydrogel images were acquired with a 561 nm laser on a Zeiss LSM 800 confocal microscope (Carl Zeiss, Jena, Germany) using a GaAsP PMT detector. 1024x1024x50 voxel image stacks were acquired using an oil-immersion Plan-Apochromatic 63x (1.4 NA) objective lens, for a final resolution of 0.099x0.099x0.42 μm3/voxel. Images were acquired using Zen 2.3 software (Carl Zeiss, Jena, Germany).
Image quantification: Collagen fiber network geometry was analyzed following a method previously described [13,14], which involves a preprocessing filtering step, binarization using local Otsu thresholding, and the use of the FIRE fiber extraction algorithm [15] to obtain a 3D reconstruction of the collagen networks that allows the quantification of the following morphological parameters: average fiber length, persistence length, and network pore size.
Nine representative images, corresponding to three image stacks acquired from three independent replicas of each of the hydrogel types (C, CM, CM+), were analyzed as described above. The comparison of the parameter values obtained for the three types of hydrogels was statistically analyzed using a one-way ANOVA followed by Bonferroni corrected post-hoc test.
Hydrogel rheological characterization
The mechanical properties of the hydrogels were characterized by rheological assays using a stress-controlled 35 mm diameter rotational rheometer of plate-cone geometry HAAKE Rheostress 1 (Thermo Fisher Scientific, Waltham, MA, USA), following the protocol described by Valero et al. [16]. Briefly, 300 μl of hydrogel prepolymer were prepared and pipetted on the lower plate of the rheometer. Then, the upper plate descended until the gap between both plates was the required by the sensor specifications (0.051 mm) The hydrogel was surrounded by low viscosity oil (0.1 Pa.s) to avoid hydrogel dehydration. Then, the hydrogel prepolymer was allowed to polymerize and stabilize at 37°C for several hours while applying cyclic strain of amplitude 0.5% and frequency 0.1 Hz before oscillatory stress sweep assay while instantly recording the shear modulus of the sample. After hydrogel stabilization, a torque of 5 μNm (at a frequency γ = 0.1 Hz) was applied to the sample and stepped up until hydrogel failure.
Three hydrogels of each type (C, CM, CM+) were independently characterized. The storage G’ and loss moduli G” of each hydrogel were measured over time. The measurements obtained were averaged per hydrogel type. The obtained G’ and G” values were compared between hydrogels using a Kruskal-Wallis test.
Cell culture, maintenance, and transfection
The H1299 non-small lung cancer cell line was purchased from the American Type Culture Collection (ATCC, LGC-Promochem SL, Barcelona, Spain). Cells were cultured in RPMI medium (GIBCO, Barcelona, Spain) supplemented with 10% fetal bovine serum (FetalClone III, Thermo Fisher Scientific, Madrid, Spain) and 1% of a combination of penicillin and streptomycin (100 units/ml).
When required, H1299 cells were transfected with the pLE-GFP-C1 plasmid (Mountain View, CA, USA) or the mCherry-vinculin-23 plasmid (gently donated by Michael Davidson, Addgene plasmid#55159) using lipofectamine reagent (Life Technologies, Barcelona, Spain) according to the manufacturers’ protocols. After transfection, positive cells were selected in the presence of G418 antibiotic (Sigma Aldrich, Steinheim, Germany) at a 1 mg/ml concentration.
Cell migration assays in microfluidic devices
To perform cell migration experiments, cells were centrifuged and resuspended in the hydrogels at a concentration of 1000 cells/μL. Before hydrogel filling, the microdevices were coated using Poly-D-lysine and sterilized under UV light during 20 minutes. Then, 10 μl of the cell-containing hydrogel prepolymer was pipetted in one of the inlets of the hydrogel channel and gently pushed until the central device chamber was completely filled. Then, the device was incubated at 37°C and 5% CO2 for 40 minutes to allow hydrogel polymerization. Afterward, the lateral channels were filled with 20% FBS medium, and the video sequence acquisition started.
For the MMP-blocking experiments, cells were pre-incubated with GM6001 metalloproteinase inhibitor (Millipore, Billerica, MA, USA) at a concentration of 25μM for 2 hours in serum-free cell culture medium before embedding the cells in the hydrogels. After that the microdevices lateral channels were filled using serum-free medium or 20% FBS medium with GM6001 25μM to maintain MMP blockade during image acquisition.
Microdevices were imaged in fluorescence and phase contrast microscopy using a Zeiss CellObserver SD spinning disc confocal microscope (Carl Zeiss, Jena, Germany) equipped with a dry Plan-Apochromatic 5x (0.12 NA) objective lens. 2D time-lapse videos of migrating cells fully embedded in the hydrogels were obtained by capturing images every 15 minutes for 12 hours. To quantify cell motility, 2D tracks of migrating cells were calculated, using the acquired fluorescence time-lapse videos as described by Anguiano et al. [11]. First, a contrast limited adaptive histogram equalization filter was applied to enhance image contrast [17]. Then, the cells were segmented using the graph cut approach by Maska et al. [18], which segments objects based on their mean intensity. The segmented cells were associated between successive frames using a constrained nearest-neighbor approach, implemented in the CellTracker system [19].
We calculated the mean accumulated distance (MAD) and the average speed of at least 200 cells in 4 independent videos of each hydrogel type and treatment (Control or GM6001). The comparison between the MAD migration results obtained with and without GM6001 treatment, for a given hydrogel type, was performed using a U-Mann-Whitney test.
Invasion assays in Boyden chambers
Cells were embedded in the hydrogel at a concentration of 1000 cells/μl, and placed in the upper compartment of an 8 μm pore sized Boyden chamber insert (Corning, New York, USA). Afterward, hydrogel was incubated at 37°C for one hour to polymerize. Cell invasion was stimulated by filling the lower compartment of the chamber with 20% serum supplemented cell culture medium. After 48 hours at 37°C in the incubator, cells were fixed in 4% formaldehyde for 15 minutes and the upper side of the insert was thoroughly wiped off using cotton swabs. The cells in the lower part of the membrane were stained with 0.5% Crystal Violet dye for 20 minutes at room temperature (Sigma Aldrich, Steinheim, Germany).
To perform invasion assays under matrix metalloproteinase (MMP) blocking, cells were pre-treated with the MMP inhibitor GM6001 (Millipore, Billerica, MA, USA) for 2 hours at a concentration of 25μM in serum-free medium before being embedded in the hydrogels. After that, MMP blockade was maintained during cell invasion by placing serum free medium containing GM6001 in the upper compartment of the Boyden chamber.
After staining, 2D images were acquired using a Leica DMIL led inverted microscope (Leica Microsystems, Wetzlar, Germany), with a HI Plan 10x (0.22 NA) objective lens and equipped with a Leica EC3 digital camera. Five (5) hydrogels of each type and treatment were used, in which four representative fields were acquired per Boyden membrane (n = 20 images). Invasion assays were quantified by counting and normalizing the number of stained cells per experiment. The obtained values were compared using a one-way ANOVA followed by Bonferroni post-hoc test.
Fiber alignment and ECM compaction assays
To determine the ability of migrating H1299 cells to align and compact their surrounding collagen fibers, microfluidic devices were filled with TAMRA-labeled hydrogels seeded with CellBrite-labeled cells at a density of 1000 cell/ul. After polymerization, one lateral channel was filled with serum free culture medium and the other one with RPMI medium supplemented with 20% FBS. Hydrogel remodeling was imaged using an inverted confocal microscope ZEISS LSM 800 (Carl Zeiss, Jena, Germany) equipped with a 40x immersion oil objective lens, 24 hours after loading the microfluidic devices. Z-stacks of 512x512 pixels image size of the cells and their surrounding collagen fibers were acquired at a resolution of 0.312x0.312x0.49 μm.
Fiber anisotropy was quantified in 512x512 pixel images of the hydrogels. The anisotropy index, an indicator of fiber alignment, was measured in a control alignment ROI of 100x100 pixels located in a non-cellular region of the image, and in a 100x100 pixel ROIs in-between cells or in close vicinity of cells. To obtain the anisotropy index, the Fourier Transform Method described by Sander et al. [20] was used: an isotropic network made of randomly oriented fibers has an anisotropy coefficient value of zero, while a completely aligned network has the maximum value of anisotropy which is one.
For each hydrogel type (C, CM, CM+), three independent hydrogels were analyzed. To this end, seven representative images were acquired per hydrogel, from which one measurement of the control and alignment anisotropy indices was computed (n = 21 images). The comparison of the anisotropy index between hydrogels was analyzed using a one-way ANOVA followed by Bonferroni corrected post-hoc test.
ECM densification was assessed by comparing the fiber to background ratio in binarized ROIs of the images. The percentage of pixels occupied by collagen fibrils in the areas of interest was used as the indicator of collagen fibril density. Images were binarized using the Moments threshold algorithm in Fiji. Fiber to background ratio was calculated in a control density ROI of 100x100 pixels located in a non-cellular region of the image, in a 100x100 pixel ROI of fiber alignment in-between cells or in close vicinity of cells, and in “Doughnut” shape ROIs of 7 μm thickness in the surrounding area of each cell. “Doughnut ROIs” were selected using the Fiji command Make Band Selection, by specifying the desired thickness of the ROI at the boundary of cells.
For each hydrogel type (C, CM, CM+), three independent hydrogels were analyzed. To this end, seven representative images were acquired per hydrogel, from which one measurement of the control, alignment and surrounding collagen density measurements was computed (n = 21 images). The comparison of the collagen densification values between hydrogels was performed using a one-way ANOVA followed by Bonferroni corrected post-hoc test.
DQ-collagen I degradation assays
To study hydrogel remodeling, hydrogels were prepared with a cell density of 1000 cells/μl and DQ-collagen type I (Life Technologies, Invitrogen, Barcelona, Spain) at 25 μg/ml following the protocol described by Pelaez et al. [21]. Cells were labeled with CellBrite before seeded in the hydrogel. Once prepared, the hydrogel was delivered into the central channel of a microfluidic device and was incubated for 40 minutes at 37°C to allow hydrogel polymerization. Then, the microdevice’s lateral channels were filled with cell culture medium; one channel was filled with serum-free culture medium and the other one with RPMI medium supplemented with 20% FBS. Hydrogel remodeling was imaged using an inverted confocal microscope ZEISS LSM 800 (Carl Zeiss, Jena, Germany), 24 hours after loading the device. A 40x immersion oil objective lens was used to acquire Z-stacks of the cells and their surrounding collagen fibers and DQ-collagen degradation signal in two different emission channels.
Proteolytic degradation of hydrogels during cell migration was quantified as the volume of the dye-quenched protein substrate (DQ-collagen type I). To calculate this volume, image stacks were first binarized using the Moments threshold algorithm that implements Tsai’s moment preserving approach [22]. This method selects a threshold such that the binary image has the same first three moments as the grey level image. Following binarization, a morphological closing operator was applied to the images, and they were then filtered with a median filter to remove unwanted noise.
Three independent hydrogels were analyzed per type of hydrogel and treatment. DQ-collagen degradation was then measured in ten representative images of each hydrogel (n = 30 images). DQ-volume results with and without GM6001 treatment were compared using a one-way ANOVA followed by Bonferroni corrected post-hoc test.
Vinculin labeling
To quantify cell adhesions onto 2D hydrogels, H1299 cells were seeded on top of the hydrogels in 8-well slides (Labteck, Nunc, Denmark). After hydrogel polymerization, RPMI medium (GIBCO, Barcelona, Spain) supplemented with 20% FBS was added to the wells and they were allowed to adhere for 6 hours. Afterward, samples were rinsed off with PBS and fixed in 4% PFA at 37°C for 15 minutes. Cells were permeabilized with 0.005% Triton X-100 in PBS, washed with PBS, and incubated overnight at 4°C with the primary antibody Anti-Vinculin (clone H-Vin 1, Sigma-Aldrich, Steinheim, Germany) at a dilution 1 : 200. The following day, samples were washed with PBS and subsequently incubated for one hour at room temperature with a secondary Donkey Anti-Mouse antibody conjugated with AlexaFluor 488 (1 : 400, Thermo Fisher, Waltham, MA, USA). Finally, 2D images were acquired with an oil immersion 63x Plan-Apochromat objective (1.4 NA) on a Zeiss LSM 800 laser-scanning confocal microscope (Carl Zeiss, Jena, Germany). Images were acquired using Zen 2.3 software (Carl Zeiss, Jena, Germany).
The location and distribution of focal adhesions within 3D hydrogels was assessed using the H1299 cell line stably transfected with a mCherry-vinculin plasmid. Briefly, cells were embedded in each hydrogel (C, CM, CM+) at a concentration of 1000 cells/μl, and placed onto 8-well Labtek chambers (Labtek, Nunc, Denmark). After polymerization, cell migration was stimulated by placing FBS-containing cell culture medium on top of the hydrogel. Then hydrogels were then incubated overnight at 37°C. The following day, the clusters of mCherry-vinculin at cell protrusions were acquired with an oil immersion 63x Plan-Apochromat objective (1.4 NA) equipped on a Zeiss LSM 800 laser-scanning confocal microscope (Carl Zeiss, Jena, Germany). Images were acquired using Zen 2.3 software (Carl Zeiss, Jena, Germany) and 3D renderings were performed using Amira 5.2v (Thermo Fisher Scientific, Waltham, MA, USA).
Quantification of vinculin-stained focal adhesions in H1299 cells
2D images of vinculin stained cells were processed and quantified using the Fiji software [23], following the method described by Horzum et al. [24]. Prior to image processing, coarse binary masks of the cells were obtained to roughly define the areas where to search for focal adhesions (FAs) in the images. The raw images were processed as follows: first, a median filter was applied and the background was subtracted using the subtract background tool with the sliding paraboloid option. Then, contrast was enhanced by running the CLAHE (Contrast Limited Adaptive Histogram Equalization) plugin [17] and the background was further reduced by applying the mathematical exponential function (EXP). Subsequently, the brightness and contrast of the images were automatically adjusted and an edge-enhancing Laplacian of Gaussian filter [25] was applied. Images were automatically thresholded within the cell mask to detect FAs, followed by a morphological closing to merge loosely separated FA fragments. Finally, the analyze particles command was used to identify and automatically measure the size of the detected focal adhesions. All these steps were included in an in-house developed plugin that automates the quantification. The parameters used in the quantification are listed in Table 1.
Tab. 1. Parameters used for 2D FA quantification. Three independent hydrogels of each type of hydrogel were fabricated, and a total of 21 representative images containing at least one cell were acquired and analyzed as described above. The comparison of the mean area of focal adhesions between 2D substrates was performed using a Krustal-Walllis test. FA detection and quantification in H1299-mCherry-vinculin cells embedded in the 3D hydrogels was carried out following a home-made plugin developed for Fiji. Briefly, the 3D image stacks were denoised by applying a 3D median filter (1-voxel radius). Then background subtraction was performed by applying a rolling ball algorithm with a 10-pixel radius to the entire stack. Afterward, the contrast of the FAs was enhanced by applying a non-linear contrast adjustment with a gamma value of 2.1. The FAs in the resulting stack were segmented using a fixed manual threshold that selects the hyperintense FAs, followed by a grayscale watershed segmentation of the Euclidian Distance Map (EDM) with adjustable sensitivity to split clustered FA.
The resulting 3D segmentation mask was analyzed using MorphoLibJ [26], which implements a 3D component analysis and quantifies the number of FAs and their individual volumes. Please note that the vinculin expression associated with the Golgi apparatus and reticulum was subtracted from the segmentation mask before FA quantification, by applying a fixed size 5-micron band around each nucleus.
Three independent hydrogels of each type of hydrogel were analyzed, and a total of 25 representative images containing one cell were acquired and analyzed as described above. The comparison of the average number of FAs per cell, between cells embedded in the different 3D substrates was performed using a one-way ANOVA followed by Bonferroni corrected post-hoc test. The comparison of the mean area of focal adhesions between cells embedded in the different 3D hydrogels was performed using a Krustal-Wallis test.
In vivo cell labeling
H1299 wild-type cells were labeled using the cytoplasmic membrane dye CellBriteTM Red 644/665 nm (Biotium) following manufacturer’s staining protocol. Cells were suspended in complete medium at a density of 106 cells/ml. Then, 1 μl of CellBrite was added to the cells in suspension and thoroughly mixed by flicking the tube. After 20 minutes of incubation at 37°C, the labeled suspension was centrifuged for 5 minutes at 1500 rpm at 37°C. The supernatant was discarded, and cells were gently resuspended in 1 ml pre-warmed complete medium. The washing procedure involving centrifugation and resuspension in complete medium was repeated two more times before using the cells.
Flow cytometry assays
To determine H1299 expression of β1 and β3 integrins at the membrane in hydrogels C, CM, and CM+, cells were embedded in the hydrogels at a concentration of 1000 cells/μl. The hydrogel prepolymer were loaded to each well of an 8-well Labtek chambers (Lab-Tek, Nunc, Roskilde, Denmark). Then, the hydrogel was allowed to polymerize for 40 minutes at 37°C and afterward, cell migration was stimulated by adding 20% serum supplemented cell culture medium and incubated overnight at 37°C. The following day, cells were recovered from the hydrogels using cell recovery solution (Corning, Bedford, MA, USA) by following manufacturer's instructions.
To quantify β1 and β3 integrin surface expression, cells were placed in a 96-well round-bottom microwell (Sigma Aldrich, Steinheim, Germany) and were incubated with primary antibody at 4°C for 20 minutes. β1 expression was assessed using Anti-Integrin β1 antibody (Abcam, AB7168), whereas β3 expression was analyzed using Anti-Integrin β3 antibody (Millipore, MAB2023Z, Billerica, MA, USA). Both primary antibodies were diluted at 1 μg/ml in PBS prior to incubation. Isotype control was performed using Anti-Mouse IgG1 antibody (1 : 100, Biolegend, San Diego, USA).
After primary antibody incubation, cells were washed with cold PBS and incubated with the secondary antibody AlexaFluor 488 (1 : 400, Invitrogen, Barcelona, Spain) for 10 minutes at 4°C. Subsequently, the excess of secondary antibody was washed with PBS and cells were resuspended in 500 μl of PBS at 4°C containing 5mM EDTA (Lonza, Barcelona, Spain). Fluorescence measurements and data analysis were performed using BD FACSCalibur (BD Biosciences, San Jose, USA) cytometer and FlowJo software, respectively. Three independent hydrogels of each type (C, CM, CM+) were fabricated and at least 50.000 cells were analyzed per condition.
Cell adhesion assays to ECM proteins
H1299 cell adhesion assays were performed in 96-well flat-bottom cell culture plates (Sigma Aldrich, Steinheim, Germany). Wells were coated with type I collagen at 50 μg/ml, fibronectin at 50 μg/ml, collagen IV at 50 μg/ml and 3% BSA (w/v), used as negative adhesion control (Sigma Aldrich, Steinheim, Germany). After adding the coating solutions plate was incubated for 2 hours at 37°C to polymerize. Then, wells were rinsed with PBS and subsequently blocked with 1% (w/v) BSA for 1 hour at room temperature. Afterward, excess BSA was removed from the wells and 20.000 cells were added to each coated well in adhesion cell culture medium, consisting of RPMI medium supplemented with 0.5% (w/v) BSA and HEPES 20mM. Cells were allowed to adhere to the wells for 30 minutes at 37°C and then the wells were washed with PBS to remove the cells that had not adhered to the bottom of the wells. Cells were fixed with 4% paraformaldehyde (PFA) (AppliChem, Darmstadt, Germany) for 20 minutes at room temperature and stained with 0.5% (w/v) Crystal Violet dye (Sigma Aldrich, Steinheim, Germany) for 20 minutes at room temperature.
After Crystal Violet staining, samples were rinsed off with water to remove excess of dye and dried at room temperature. Cells were lysed using 2% SDS (v/v) in water for 30 minutes under agitation. Finally, to determine the percentage of adhesion to the different ECM proteins, the absorbance at 490 nm was measured using a 96-well plate reader (TecanSunrise, Tecan, Männedorf, Switzerland). Results were corrected against the absorbance obtained in the BSA coated wells. To determine 100% adhesion for each ECM protein, absorbance was measured at 490 nm in their control wells that contain the original 20.000 cells. Four wells were analyzed per ECM protein and experiment. The experiment was performed three times (n = 12 wells).
Traction force microscopy assays
C, CM, and CM+ hydrogels were seeded with cells at a density of 15.000 cells/well and plated onto 8-well Labtek chambers (Labtek, Nunc, Roskilde, Denmark). Hydrogels were incubated overnight with FBS-containing cell culture medium to allow cell adherence. Each well was loaded with 300 μl of hydrogel, and FBS-containing medium was added after polymerization. Then, the embedded cells were treated with a drug mix that contained 1mM Nocodazole (Sigma Aldrich, Steinheim, Germany), an antimitotic drug that disrupts microtubules and inhibits microtubule dynamics, causing cell protrusions to retract, and 50μM Blebbistatin (Sigma Aldrich, Steinheim, Germany), a non-muscle myosin-II inhibitor that impairs actin cytoskeletal tension, causing cell relaxation.
Starting at the time of treatment, cell-containing hydrogel volumes were imaged every 20 minutes for 2 hours, until reaching the force-free relaxed state of the hydrogel, using a Zeiss LSM 880 AxioObserver laser scanning microscope (Zeiss, Germany) and a 40x Plan-Apochromat 0.95 NA objective. Label-free confocal reflection images of the hydrogel collagen fibers were acquired using a 633 nm laser, and the H1299 GFP cells were imaged using the 488 nm laser. The acquired Z-stacks had a FOV of 212x212x~50 microns (depending on its size and protrusions length), with a voxel size of 0.42x0.42x0.50 μm3. The microscope was equipped with a motorized stage placed on an anti-vibration table, located in a room kept at a constant temperature of 21°C. Cells were kept at 37°C and 5% CO2 in the microscope incubation chamber during the entire length of the experiments.
For each hydrogel type and cell analyzed, the unconstrained force-induced deformation was measured using the SAENO software [27]. SAENO takes as input the images of the pre-treatment (time 0) and post-treatment, relaxed hydrogels. We measured traction forces exerted by H1299 GFP cells embedded in C, CM, and CM+ hydrogels, with a shear elastic modulus ranging from 11 Pa in C hydrogels to 32 Pa in CM+ hydrogels. The parameters used to calculate cell contractility are listed in S1 Table, where K_0 (bulk modulus of the material), D_0 (buckling coefficient), L_S (onset of strain stiffening) and D_S (strain stiffening) are the main parameters that describre the properties of the collagen network. At least 5 cells (from independent hydrogel samples) were analyzed per hydrogel type. The comparison of contractility values between cells embedded in the three different hydrogels was perfomed using a one-way ANOVA followed by Bonferroni corrected post-hoc tests.
Actin cytoskeleton labeling
H1299 wild-type cells were transiently transfected to express the F-actin protein conjugated with the green fluorescence protein (GFP). The transfection was done with the expression vector LifeAct-GFP (Ibidi, Martinsried, Germany) using lipofectamine reagent (Life Technologies, Barcelona, Spain) following the manufacturer instructions. LifeAct-GFP readout started after 24 to 48 hours from transfection.
High-resolution analysis of filopodial protrusions in migrating H1299 cells
LifeAct transfected H1299 cells were mixed up with any of the three different hydrogel types (C, CM, and CM+) at a concentration of 1000 cells/μl. Then, 200 μl of the hydrogel-cells mix was gently inserted into an 8 well chamber and incubated for 45 minutes at 37°C and 5% CO2. Once the hydrogel was polymerized, cells were treated with 1mM Nocodazole to arrest the tubulin cytoskeleton. Then, the Nocodazole solution was removed and 20% serum was placed over the hydrogel to promote microtubule polymerization and cell protrusions formation. Samples were placed in the incubation chamber of the Zeiss LSM 880 laser-scanning confocal microscope (Carl Zeiss, Jena, Germany) using an oil immersion 63x Plan-Apochromat (1.40 NA) objective lens, a GaAsP and two PMT detectors. 3D time-lapse videos of migrating cells were acquired every 2 minutes for 1 hour resulting in 30-frames videos. Cells were excited with the 488 nm laser line, and fluorescence images were acquired with a 63x objective lens. The cells were captured with a fine Z-axis spacing of 0.5 μm being the total Z-stack size adjusted to each cell, depending on its size and protrusions length (~70 μm).
Cell protrusions were confirmed of filopodial nature by co-staining with phalloidin, a classical F-actin marker, and fascin, an actin-adaptor protein specifically localized at filopodia. To that aim, cells were embedded within the three hydrogels types and treated as described above to stimulate cell protrusions formation. Afterward, cells were fixed in 4% PFA at 37°C for 30 minutes and permeabilized with 0.005% Triton X-100 for 15 minutes at room temperature. Non-specific interactions were blocked with 3% BSA and subsequently were incubated overnight at 4°C with the primary antibody Anti-Fascin (clone 55k2, Millipore, Billerica, MA, USA) at a dilution 1 : 200. The following day, samples were rinsed with PBS and incubated for two hours at room temperature with a secondary Donkey Anti-Mouse antibody conjugated with AlexaFluor 488 (1 : 400, Thermo Fisher, Waltham, MA, USA) and rhodamine-labeled phalloidin (1 : 75, Sigma Aldrich, Steinheim, Germany). Finally, Z-stack images were acquired with an oil immersion 63x Plan-Apochromat objective (1.4 NA) on a Zeiss LSM 800 laser-scanning confocal microscope (Carl Zeiss, Jena, Germany). Images were acquired using Zen 2.3 software (Carl Zeiss, Jena, Germany).
Results
Matrigel increases the pore size and heterogeneity of the underlying mesh
The quantification of the morphology of the TAMRA-stained collagen mesh in all three hydrogel types (Fig 2) is shown in Table 2. These values show larger pore sizes in hydrogels with the highest Matrigel concentration (CM+) compared to collagen only hydrogels (C) or hydrogels with an intermediate Matrigel concentration (CM) (p<0.01). Fiber length was also longer in CM+ than in C or CM hydrogels (p<0.05, p<0.01, respectively). This seems to indicate that Matrigel favors the formation of collagen fiber bundles during hydrogel polymerization, which in turn causes fewer, but larger pores and a heterogeneous collagen mesh.
Fig. 2. Hydrogel morphology. Representative confocal fluorescence microscopy images obtained from C, CM, and CM+ hydrogels labelled with TAMRA. White insets show representative magnified areas of the collagen mesh. (Scale bar = 10 μm). Tab. 2. Morphological characterization of hydrogels. Matrigel addition produces stiffer hydrogels and stronger strain-hardening behavior in mixed collagen-Matrigel hydrogels
The oscillatory stress sweep assays (Fig 3) revealed a strain-stiffening phenomenon in all three hydrogels. This effect is however clearly stronger in hydrogels CM+ compared to C or CM hydrogels. The G' and G" values measured right after hydrogel polymerization and the maximum values reached at the end of the stress sweep assay are shown in Table 3. The G' values measured immediately after polymerization show that CM+ hydrogels are stiffer than CM and C hydrogels (p<0.05). In summary, Matrigel contributes to hydrogel stiffening and favors a strong non-linear strain-hardening phenomenon in our collagen-based hydrogels.
Fig. 3. Hydrogel rheological characterization. Rheological assays performed on C, CM, and CM+ hydrogels. (A) Shear modulus during stress sweep rheological assays. (B) Loss modulus during the stress sweep rheological assays. (Number of experiments, n = 3). Tab. 3. Rheological characterization of hydrogels. Metalloproteinase-blocking reduces cell migration in Matrigel-containing hydrogels
To measure the extent of H1299 lung cancer cell migration in environments of different composition, cell migration experiments were performed in microfluidic devices containing our hydrogels C, CM, and CM+, free or under the effect of metalloproteinase-blockade. The results are shown in Fig 4 and Table 4. As previously reported by us [11], our experiments confirmed that cancer cells with normal metalloproteinase activity, embedded in CM hydrogels, migrate longer distances than in hydrogels of C or CM+ type (p<0.05). We now show also reduction in cell migration in Matrigel containing hydrogels CM (p<0.05) and CM+ (p<0.05) when cells are treated with the GM6001 MMP inhibitor, pointing at a relevant role of proteolytic matrix degradation during H1299 cancer cell migration in Matrigel containing hydrogels.
Fig. 4. Cell migration assays within microfluidic devices. Quantification of cell migration (MAD) in hydrogels C, CM, and CM+ in not treated experiments (Control) and with MMP-blocking treatment (GM6001). *Indicates statistically significant difference between groups (p<0.05). (Number of videos for each type of hydrogel, n = 4). Tab. 4. H1299 migration experiments inside the microfluidic devices. Metalloproteinase-blocking reduces invasion in Matrigel-containing hydrogels
We next looked at the role of metalloproteinases in H1299 lung cancer cell invasion using Boyden chambers filled with the three hydrogels under study. The invasion results using cells free or under the effect of MMP inhibitor GM6001 are presented in Fig 5 and Table 5. These findings confirm the results of our cell migration experiments. Indeed, reduced invasion, caused by MMP-blockade, was observed both in hydrogels CM and CM+ (p<0.001), pointing at a relevant role of metalloproteinases in cancer cell migration within hydrogels of complex composition.
Fig. 5. Cell invasion assays within Boyden chambers. Boyden invasion assays in control experiments and with GM6001 MMP-blocking treatment. (A) Diagram of the Boyden invasion assay. Cells migrate through the hydrogel and pores of the transwell membrane in response to 20% FBS cell culture medium. (B) Representative images used to quantify cell invasion. (C) Box-plot of the number of invading cells in control and GM6001 invasion experiments. *** Indicates highly statistically significant difference between groups (p<0.001). (Number of images, n = 20). Tab. 5. Hydrogels invasion assays within Boyden chambers. Matrigel induces strong hydrogel remodeling, measured as the alignment and densification of the collagen mesh surrounding H1299 cancer cells
We looked quantitatively at the amount of hydrogel remodeling caused by migrating H1299 cells, as a function of hydrogel composition. A schematic representation and one example of the images and regions used to calculate fiber alignment and collagen densification are shown in Fig 6A and Fig 6D, respectively. The anisotropy index α, which quantifies fiber alignment, was first measured in control ROIs, located at non-cell containing regions of the images. Then it was also measured in areas of fiber alignment located between cells (alignment ROIs). Both the control and alignment ROI anisotropy values are shown in Table 6 and in Fig 6B. The control anisotropy index was similar in all three hydrogels, being always less than 0.2. The alignment anisotropy was higher than the control anisotropy in all hydrogels (p<0.001), indicating that cells, to migrate, align the collagen fibers in their surroundings. However, the level of alignment anisotropy was higher in Matrigel-containing hydrogels CM and CM+ compared to collagen only, C hydrogels (p<0.001).
Fig. 6. Quantification of hydrogel remodeling. (A) Schematic diagram showing cells (orange), collagen fibers (blue), and the location of theControl, Alignment and Surrounding areas used in the quantification. (B) Control and alignment anisotropy (α) measured in each hydrogel type. (Number of images, n = 21). (C) Densification results in control, alignment and surrounding areas of cells. (Number of images, n = 21). *** Indicates highly statistically significant difference between groups (p<0.001). (D) Representative images of hydrogels C, CM, and CM+. Scale bar = 10 microns. (E) Polar plots and anisotropy coefficients of the representative images shown in D. Tab. 6. Quantification of hydrogel fiber alignment. Matrix densification results are presented in Table 7 and Fig 6C. The density of collagen fibers in control areas was similar in all three hydrogels, being always less than 0.25. The density measured in the surrounding area of cells (Doughnut ROIs) was higher than the density measured in control areas in all hydrogels (p<0.001), demonstrating that cells compact the collagen fibers in the three types of hydrogels. Furthermore, in hydrogels CM and CM+, the compaction of collagen around cells was higher than in the alignment areas (p<0.001), being also higher than the values measured around cells in collagen only, C hydrogels (p<0.001). These values show that ECM remodeling, measured by the compaction and alignment of fibers exists in all hydrogels, but is more prevalent in Matrigel containing than in collagen only hydrogels.
Tab. 7. Quantification of hydrogel fiber densification. H1299 cells cause strong matrix degradation in Matrigel-containing hydrogels
Matrix degradation caused by migrating H1299 cancer cells was measured using DQ-collagen I assays. Representative 2D and 3D images of the confocal Z-stacks used to measure collagen degradation are shown in Fig 7B–7E. The quantification of collagen degradation (μm3/cell) in all three hydrogel types, with and without the effect of Metalloproteinase inhibitor GM6001 is shown in Fig 7A. Our results show that the level of collagen degradation by proteolytic activity was larger in CM+ hydrogels compared to CM and C hydrogels (p<0.001). CM hydrogels also showed stronger degradation than C hydrogels (p<0.001), highlighting that H1299 cancer cell migration in Matrigel containing hydrogels requires higher levels of MMP activity. Consistently, treatment of cells with GM6001 reduced the volume of DQ-collagen degradation in hydrogels CM and CM+ (p<0.001) but not in hydrogel C (p>0.05), indicating that cells in collagen-only C scaffolds migrate using a low MMP-dependent mechanism. In summary, in pure collagen hydrogels, H1299 cells barely degrade the surrounding matrix, whereas, the presence of Matrigel in these hydrogels induces larger proteolytic activity and generation of microtracks that facilitate cell mobility.
Fig. 7. Quantification of hydrogel degradation. (A) Quantification of DQ-collagen degradation in hydrogels C, CM, and CM+ with and without GM6001 treatment. (Number of images, n = 30). *** Indicates highly statistically significant difference between groups (p<0.001). (B) 2D and (C) 3D representative images showing DQ-collagen degradation and CellBrite labeled H1299 cells (no GM6001 treatment). (D) 2D and (E) 3D representative images showing DQ-collagen degradation and CellBrite labeled H1299 cells under GM6001 treatment. Scale bar = 10 microns. H1299 cells display a higher number of larger focal adhesions in Matrigel - containing hydrogels compared to collagen only hydrogels
Focal adhesions (FAs) were first quantified in H1299 cells adhered to hydrogels C, CM, and CM+. Representative images of the vinculin immunostaining of H1299 cells are shown in Fig 8A. The number and area of the FAs is shown in Fig 8B and 8C. As shown, the number of FAs was higher for cells on hydrogel CM, that contains an intermediate concentration of Matrigel, compared to hydrogels C and CM+ (p<0.001, p<0.01 respectively). However, the average area of the focal adhesions increased with increasing Matrigel content, being the highest in CM+ hydrogels (p<0.001). Therefore, both the number and size of FAs increases due to the presence of Matrigel, although a different behavior is seen regarding the number and size of the adhesions as Matrigel concentration increases. An intermediate concentration seems to favor a higher number of smaller FAs, while at high concentrations favors fewer but larger, more mature FAs as shown in magnified boxes (Fig 8A). The trend measured in cells laying on top of the hydrogels was also quantitatively measured in H1299 cells migrating within 3D hydrogels (Fig 8D and 8E), where the number and the volume of FA clusters was higher in cells migrating within hydrogels containing Matrigel than in those migrating in collagen-only matrices (p<0.01). Namely, vinculin clusters were barely visible at the protrusions of cells embedded in collagen-only, C hydrogels (Fig 8F), whereas, in mixed matrices the presence of Matrigel promoted the expression of vinculin at FA sites. This suggests a similar role of focal adhesions in 2D and 3D environments related to hydrogel composition and matrix stiffness.
Fig. 8. Quantification of focal adhesions. (A) Representative images of vinculin stained H1299 cells seeded on top of 2D hydrogels. Scale bar = 10 microns. Binary masks show automatically segmented vinculin patches. White insets show representative, zoomed-in views of FAs. (Scale bar = 5 microns). (B) Number of focal adhesions per cell, quantified on cells seeded on 2D substrates (Number of images, n = 20). (C) Mean area of focal adhesions (Number of images, n = 20). (D) Number of FAs per cell, quantified in H1299 cells embedded in 3D hydrogels (Number of images, n = 25). (E) Average volume of FAs measured in 3D environments (Number of images, n = 25). (F) Representative maximum intensity projection images of 3D H1299 cells stably transfected with mCherry-vinculin plasmid embedded in hydrogels (C, CM, CM+). Scale bar = 10 microns. White insets show representative FA magnified areas at cell protrusions. (Scale bar = 5 microns). 3D renders show vinculin clusters at the protrusion structures resulting from FA segmentation using Fiji and rendering with Amira. *** Indicates highly statistically significant difference between groups (p<0.001). ** Indicates statistically significant difference between groups (p<0.01). * Indicates statistically significant difference between groups (p<0.05). H1299 cells express higher levels of β1 and β3 in Matrigel-containing hydrogels compared to collagen only hydrogels
Our measurement of the expression level of integrins β1 and β3 in H1299 cells retrieved from hydrogels C, CM, and CM+ were obtained by flow cytometry (Fig 9). Our ANOVA test determined a significant interaction between integrin and hydrogel type (p<0.004) on the expression level and also significant main effects of protein (p<0.002) and of hydrogel type (p<0.002). Furthermore, Bonferroni corrected post-hoc analyses revealed that the expression level was significantly higher for integrin β1 than for β3 and also that the expression of both integrins was also significantly higher for hydrogels CM and CM+ than for hydrogel C. In the case of β1, the expression level for hydrogel CM was also significantly higher than for CM+. H1299 cells cultured in flasks were also analyzed by flow cytometry in order to determine the basal expression of integrins and were further compared by means of a U-Mann-Whitney test. Results are shown in Fig 9A–9C. We found that integrin β1 and β3 surface expression was not increased in hydrogels of type C (p>0.05) compared to control cells cultured in flasks. Contrarily, integrin β1 expression increased in cells embedded in hydrogels CM and CM+ (p<0.05) compared to control cells grown on flasks, and also compared to cells embedded in hydrogel C (p<0.05). Finally, β3 integrin expression seemed to be higher in cells embedded in hydrogels CM and CM+ compared to cells grown on flasks although the differences were not statistically significant (p>0.05).
Fig. 9. Flow cytometry-based quantification of integrin expression. (A) H1299 β3 surface integrin expression in cell culture flask and embedded in hydrogels C, CM, and CM+. (B) H1299 β1 surface integrin expression in cell culture flask and embedded in hydrogels C, CM, and CM+. (C) H1299 β1 and β3 surface integrin expression comparison in cell culture flask and embedded in hydrogels C, CM, and CM+. Number of experiments, n = 3). * Indicates statistically significant difference between groups (p<0.05). (D), (E), (F) H1299 surface β1 and β3 integrin expression compared per hydrogel type (C, CM, and CM+, respectively). The ability of H1299 cells to adhere to the major components of the hydrogels, collagen I and IV and fibronectin, is shown in S1 Fig. Notably, the percentage of cell adhesion was higher in the case of collagen I and collagen IV compared with fibronectin (p<0.001). These results are in line with the integrin expression profile observed by flow cytometry (Fig 9), where the expression of integrin β1, the main ligand of collagen, was higher compare to β3, the main receptor of fibronectin.
H1299 cells exert larger forces in hydrogels containing higher concentration of Matrigel
Five cells were imaged using confocal fluorescence microscopy, along with their surrounding fiber mesh, imaged using confocal reflection microscopy, while embedded in each hydrogel type (C, CM, and CM+). Z-stacks where acquired before and after force relaxation using a drug mix based on Nocodazole 1mM, a depolymerizing drug of the tubulin cytoskeleton, and Blebbistatin 50μM, which inhibits the actomyosin contractility. Then the displacement and force fields caused by cell relaxation were calculated using the SAENO software, along with the contractility of the cell, estimated as the total projected force pointing toward the cell center. Representative images containing cells surrounded by a fiber collagen mesh before (Normal) and after cell relaxation (Relaxed) are shown in Fig 10B. Representative examples of the displacement field of the collagen network and the corresponding traction force reconstructions, for the three hydrogel types, are displayed in Fig 10C. The average contractility is shown in Table 8 and Fig 10A. Summarizing our results, cell traction forces and contractility increased significantly with Matrigel concentration in our hydrogels. These cell traction forces point towards the center of the cells, following the direction of the retraction of the protrusions.
Fig. 10. Quantification of traction forces exerted by H1299 cells embedded in 3D hydrogels. Tab. 8. Traction force microscopy-based quantification of cell contractility. H1299 Cells in Matrigel-containing hydrogels display thicker, dynamic filopodia
Fig 11A shows representative examples of maximum intensity projections (MIPs) of serum stimulated LifeAct-GFP transfected H1299 cells embedded in the three hydrogels used in this study. As clearly seen from the images, H1299 cells in collagen only, C hydrogels display relatively long, thin filopodia. Cells embedded in hydrogels of type CM display few but prominent -i.e. thick, and long - filopodia. Cells embedded in hydrogels of type CM+ display a mixed phenotype, combining thin protrusions similar to those seen in C hydrogels but of shorter length, with thicker, prominent protrusions as those displayed in CM hydrogels. These filopodia-like protrusions were confirmed as filopodia by the co-localization of the actin-bundling protein fascin, with these actin enriched structures (Fig 11B). The analysis of the dynamics of the filopodia (S1–S9 Videos) show that the long, thin filopodia seen in C hydrogels (S1–S3 Videos) are almost static during the duration of the experiment (1 hour), while most filopodia in CM (S4–S6 Videos) and especially in CM+ (S7–S9 Videos) hydrogels show a fast pattern of filopodial elongation and retraction.
Fig. 11. Filopodial morphology. H1299 cells displayed different filopodial morphology within the three hydrogels types. (A) Representative maximum intensity projections of H1299-LifeAct transfected cells embedded in the three hydrogel types (C, CM, CM+) after Nocodazole removal and 20% serum stimulation (1 hour). Scale bar = 10 microns. (B) Representative images of H1299 cells embedded within the three hydrogel types stained with phalloidin (red) and fascin (green) after serum stimulation. Scale bars = 10 microns. White insets shown magnified areas with strong F-actin and fascin co-localization at protrusion sites. Scale bars = 5 microns. Discussion
We have presented a comprehensive analysis of H1299 lung cancer cell to ECM interactions within mixed collagen-Matrigel hydrogels that mimic different microenvironments, ranging from normal connective tissue (C hydrogels) to the leading edge of tumor invasion, at the boundary between the connective tissue and an increasingly disorganized basement membrane (CM and CM+ hydrogels) [9–11]. This study provides a meaningful explanation of our previous observation that collagen mixed with Matrigel, at an intermediate concentration (CM), favors cell migration compared to collagen only (C) or collagen mixed with Matrigel at high concentration (CM+) [11]. To properly interpret our results, we first characterized the morphology and mechanical properties of our hydrogels. Our measurements confirmed the increased pore size and heterogeneity of Matrigel-containing hydrogels. Compared to our previous work [11], the use of confocal scanning microscopy imaging of TAMRA labelled collagen provides a more accurate quantification of the pore size and fiber length compared to the one obtained using confocal reflection microscopy on unstained hydrogels. The mechanical characterization of the hydrogels, performed using oscillatory stress sweep assays, confirmed the increased rigidity caused by Matrigel, being significantly higher in hydrogels with the highest concentration of Matrigel (CM+). Moreover, we show for the first time a nonlinear -strain stiffening - behavior in Matrigel-containing hydrogels that had been previously shown in collagen only, C hydrogels [28]. This behavior is significantly more pronounced in hydrogels with high concentration of Matrigel (CM+) than in hydrogels with intermediate concentration (CM) or no Matrigel (C). In summary Matrigel causes larger pore sizes and heterogeneity on the underlying collagen mesh and increases the rigidity of the hydrogel while enhancing a nonlinear strain stiffening effect.
Our quantification of DQ-collagen I cleavage caused by H1299 proteolytic activity during cell migration showed increased matrix degradation with increasing Matrigel concentration. This can be explained by the higher matrix stiffness, which is known to trigger MMP activity in most tumor cell types [29], although it cannot be discarded that the presence of soluble growth factors found in Matrigel may also stimulate MMP activity [30]. Consequently, DQ-collagen I degradation, in the presence of the GM6001 metalloproteinase inhibitor, decreased sharply in Matrigel-containing hydrogels, compared to collagen I-only hydrogels, and MMP-blockade using GM6001 produced a significant reduction of H1299 cell migration speed, as well as a reduction in H1299 cell invasive capabilities in Matrigel-containing hydrogels, not seen in collagen only hydrogels. Interestingly, the increased migration rates observed in Matrigel-containing hydrogels, could be explained by the generation of tunnel-like paths that facilitate collective cell migration through these hydrogels. In line with these results, Wolf et al. reported how malignant cells migrating through 3D matrices can proteolytically remodel the ECM and generate microtracks that trigger collective cell invasion [31]. Summarizing, H1299 cells respond to the increased rigidity of Matrigel-containing hydrogels by enhancing MMP-based degradation of the surrounding matrix.
Integrin expression at the cell surface is related to the ability of the cells to attach to and remodel the surrounding ECM, which in turn affects their migration capacity. Indeed, it has been shown that ECM stiffness triggers the expression of integrins and the assembly of FA at the cell surface [32]. In our flow cytometry assays, β1 integrin expression was found at higher levels in H1299 cells previously embedded in hydrogels CM and CM+ compared to cells embedded in hydrogel C. The fact that the expression of β1, a known ligand for collagen I and collagen IV, increases with increasing stiffness is in accordance with previous studies that demonstrate that soft substrates induce integrin internalization and subsequent proteasomal degradation [32,33]. No significant differences in the level of integrin β3 expression were found among the cells cultured inside the three types of hydrogels. These results indicate that H1299 integrin expression profile is modulated by hydrogel composition, being Matrigel-containing hydrogels (CM and CM+) the ones displaying the highest levels of β1 integrin expression. In this sense, our adhesion to ECM protein substrates experiments confirmed that H1299 cells adhere primarily to collagen I and collagen IV, but not significantly to fibronectin. These results agree with the enhanced β1 integrin expression found in Matrigel-containing hydrogels (CM and CM+), since collagen I and collagen IV are important components of these hydrogels. This supports the idea that Matrigel containing hydrogels suffer increased ECM degradation caused by their high levels of β1 integrin expression In agreement with this, several groups have reported in other cell types that β1 integrin co-clusters at the cell membrane with several MMPs and drives ECM degradation [34,35].
The increased cancer cell integrin expression found in Matrigel-containing hydrogels nicely correlates with our analysis of focal adhesions in H1299 cells, which showed higher number of FAs in cells cultured on Matrigel containing hydrogels. This agrees with previous studies that show how, in tumor cells, vinculin is required for FA formation and regulates the clustering of integrin at cell membrane [36]. Furthermore, the area of the FAs increased with increasing Matrigel content. Previous migration studies done on 2D substrates have shown that there is a biphasic relationship between the size of FAs and cell speed [37], i.e. cell speed steadily increases until a threshold value in FA size is reached, beyond which cells slow down. This points at a balance between adhesion and migration speed, which indicates that larger, mature FAs lean favor attachment while small, less mature FAs promote cell migration. This is supported by our quantification of migration speed in our hydrogels, where we found a similar relationship between cell speed and the size of FAs. According to this, the size of FAs in our high-concentration CM+ hydrogels may be above the threshold between both migration phases. Supporting this interpretation, Palecek et al. reported that substrates with a high concentration of ligands elicit stronger bonds between cells and matrix that hinder cell migration [38,39].
Our quantification of ECM remodeling showed that collagen fiber alignment was higher in Matrigel-containing hydrogels (CM and CM+) compared to collagen only hydrogels (C), indicating that hydrogel composition and stiffness are crucial determinants of the extent of matrix remodeling. Indeed, H1299 cells were able to align the collagen fibers in all three hydrogels, a phenomenon that has been associated with malignancy and cell invasiveness [40]. These results are similar to previous studies reported for different types of cancer including glioblastoma (U87 tumor spheroids) [41] and breast cancer (tumors in vivo) [42]. Similar to what occurs with fiber alignment, the densification of the matrices in the surrounding region of the cells was higher in Matrigel-containing hydrogels. In agreement with the relationship found between the size of FAs and the extent of ECM remodeling, previous studies using fibroblast have demonstrated how "super-mature" FAs are involved in a strong remodeling of ECM, as well as in an efficient fiber contraction by providing a strong adhesion to the mesh [43].
To confirm that both the alignment and densification of the ECM at the cell-matrix boundary are caused by forces exerted by the cells [44], we performed 3D TFM assays to quantify cellular forces exerted by H1299 cells within our hydrogels. The magnitude of the obtained forces was similar to what had been previously reported using TFM [27] and optical methods [45]. Furthermore, we found a linear relationship between H1299 cell contractility and matrix stiffness. This trend agrees with previous studies on cell-exerted forces over 2D substrates reporting that cell tractions increase with higher substrate stiffness [46]. Contradicting these results, Steinwachs et al. quantified MDA-MB-231 3D traction forces within collagen I hydrogels of increasing concentration, where the Young Modulus increased from 44 Pa to 513 Pa and the average pore size decreased [27]. They reported similar traction forces across all hydrogels. To save the apparent contradiction with the expected behavior seen in 2D [46], they explained their results by the increasingly smaller pore size found in denser 3D matrices. The argument used was that cells in small pore matrices spread less and generate thinner protrusions than in larger pore sized matrices, thus exerting lower magnitude traction forces. The fact that our Matrigel-containing hydrogels display the opposite relationship between stiffness and pore size seems to support this argument. Indeed, the increased forces exerted by the cells, caused by the increased stiffness of our Matrigel-containing hydrogels, favors migration due to the existence of larger pores.
The stronger cell forces exerted by H1299 cells in our Matrigel-containing hydrogels (CM and CM+) are in accordance with the highest degree of remodeling seen in these hydrogels as well as with the increased expression of β1 integrin and larger FA clusters at the cell membrane. Previous studies have described how vinculin expression at FAs engages the actin cytoskeleton with the ECM at protrusion sites in order to exert tensile forces and contract the cell body during cell migration [36,47]. Thereby, the lower number and size of FAs found in collagen-only C hydrogels yields a reduced cytoskeletal contraction and a speed reduction during cell migration. Likewise, Goffin et al. described a linear relationship between the size and the force exerted by the FAs on 2D substrates [43], where larger, mature FAs yielded higher tensile forces. This evidence agrees with our results obtained within C, CM, and CM+ hydrogels, in which cell contractility increases as the size of the vinculin clusters increases. In our view, the fact that H1299 cells are able to move much faster in CM hydrogels than in CM+ hydrogels relates back to the biphasic relationship between the size of FAs and speed seen in 2D [37]. This indicates that large, mature FAs more effectively promote cell attachment forces while tractions exerted through small, less mature FAs promote cell migration. This is also supported by studies [48] that show that cell migration within 3D environments depends on an optimal balance between cell adhesion and contraction. Accordingly, in our CM+ hydrogels the cells seem to be exerting strong forces that are more functionally related to attachment than to cell traction.
Finally, the qualitative analysis of the filopodia morphology and dynamics of H1299 cells seems also consistent with our previous observations. In collagen only C hydrogels, the cells’ larger, thin and mostly static filopodia seem just appropriate given the lower number of FAs and reduced cell-ECM remodeling activity. In CM and CM+ hydrogels however, thick filopodia with faster dynamic properties appear more appropriate for the increased degradation seen in those hydrogels and to promote effective cell migration. Supporting these results, Liou et al. reported a similar behavior in lung cancer cells where soft substrates elicited long and dense filopodia, used to explore the surrounding environment, whereas stiffer ones promoted shorter protrusions that seem to be involved in tumor transformation [49].
Bearing all our findings in mind, H1299 lung cancer cell migration inside CM hydrogels that recapitulate the microenvironment at the leading edge of tumor invasion is favored by increased integrin expression and metalloproteinase activity, which in turn is mainly stimulated by the architecture and the mechanical properties of the hydrogels. It should be kept in mind that the presence of soluble growth factors found in Matrigel may have an influence on different cellular processes studied in this work, such as cell adhesion to ECM or cell migration. However, the concentration of these factors in our hydrogels is far from the experimental doses reported in the literature, as well as with the effective dose (ED50) recommended by research companies (S2 Table).
Our results quantitatively show the role of hydrogel composition in promoting cell migration, since, in pure collagen matrices (C hydrogels), cell migration decreases, possibly due to reduced pore size as well as due to a fewer number of focal adhesions and weaker traction forces to sustain an effective migration. Contrarily, cell motility in hydrogels containing the highest Matrigel concentration (CM+ hydrogels) is hindered by an excessive attachment which is not sufficiently compensated by the increased remodeling and forces exerted. These results nicely relate to our previous cancer cell migration results [11], providing important information about the role of the ECM properties, the remodeling capacity of the cells, including the quantification of cell-exerted forces.
Supporting information
S1 Table [docx]
Main SAENO software parameter used for TFM acquisition.S2 Table [docx]
Main growth factors presented in Matrigel and its concentrations.S1 Fig [tif]
Adhesion assay to ECM protein substrates.S1 Video [avi]
Representative video of a sequences of maximum intensity projection of a Z-stack containing a H1299-LifeAct cell within hydrogel type C.S2 Video [avi]
Representative video of a sequences of maximum intensity projection of a Z-stack containing a H1299-LifeAct cell within hydrogel type C.S3 Video [avi]
Representative video of a sequences of maximum intensity projection of a Z-stack containing a H1299-LifeAct cell within hydrogel type C.S4 Video [avi]
Representative video of a sequences of maximum intensity projection of a Z-stack containing a H1299-LifeAct cell within hydrogel type CM.S5 Video [avi]
Representative video of a sequences of maximum intensity projection of a Z-stack containing a H1299-LifeAct cell within hydrogel type CM.S6 Video [avi]
Representative video of a sequences of maximum intensity projection of a Z-stack containing a H1299-LifeAct cell within hydrogel type CM.S7 Video [avi]
Representative video of a sequences of maximum intensity projection of a Z-stack containing a H1299-LifeAct cell within hydrogel type CM+.S8 Video [avi]
Representative video of a sequences of maximum intensity projection of a Z-stack containing a H1299-LifeAct cell within hydrogel type CM+.S9 Video [avi]
Representative video of a sequences of maximum intensity projection of a Z-stack containing a H1299-LifeAct cell within hydrogel type CM+.
Zdroje
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- Novel broad-spectrum activity-based probes to profile malarial cysteine proteases
- Health-related quality of life in cancer patients treated with immune checkpoint inhibitors: A systematic review on reporting of methods in randomized controlled trials
- Environmental tobacco smoke (ETS) and hyperlipidemia modified by perceived work stress
- Association between opioid analgesic therapy and initiation of buprenorphine management: An analysis of prescription drug monitoring program data
- Effect of a community-based approach of iron and folic acid supplementation on compliance by pregnant women in Kiambu County, Kenya: A quasi-experimental study
- Radiocarbon dating of two old African baobabs from India
- Improvement project in higher education institutions: A BPEP-based model
- An updated evaluation of serum sHER2, CA15.3, and CEA levels as biomarkers for the response of patients with metastatic breast cancer to trastuzumab-based therapies
- Genome-wide association study of metabolic syndrome in Korean populations
- The diagnostic accuracy of liver fibrosis in non-viral liver diseases using acoustic radiation force impulse elastography: A systematic review and meta-analysis
- Drug therapy problems and treatment satisfaction among ambulatory patients with epilepsy in a specialized hospital in Ethiopia
- Short- & long-term effects of monetary and non-monetary incentives to cooperate in public good games: An experiment
- Niche modeling reveals life history shifts in birds at La Brea over the last twenty millennia
- Morphological consequences of artificial cranial deformation: Modularity and integration
- Distributed flux balance analysis simulations of serial biomass fermentation by two organisms
- Plasma kynurenines and prognosis in patients with heart failure
- Occurrence and distribution of anthropogenic persistent organic pollutants in coastal sediments and mud shrimps from the wetland of central Taiwan
- Intensified visual clutter induces increased sympathetic signalling, poorer postural control, and faster torsional eye movements during visual rotation
- Restoration of cortical symmetry and binaural function: Cortical auditory evoked responses in adult cochlear implant users with single sided deafness
- A smartphone-enabled wireless and batteryless implantable blood flow sensor for remote monitoring of prosthetic heart valve function
- Gut microbiota composition alterations are associated with the onset of diabetes in kidney transplant recipients
- Shock index and TIMI risk index as valuable prognostic tools in patients with acute coronary syndrome complicated by cardiogenic shock
- Merit overrules theory of mind when young children share resources with others
- Economic burden of maternal morbidity – A systematic review of cost-of-illness studies
- Comparison of balance changes after inspiratory muscle or Otago exercise training
- Correction: Escherichia coli and Salmonella spp. isolated from Australian meat chickens remain susceptible to critically important antimicrobial agents
- Metabolic analysis of amino acids and vitamin B6 pathways in lymphoma survivors with cancer related chronic fatigue
- Cell-free DNA donor fraction analysis in pediatric and adult heart transplant patients by multiplexed allele-specific quantitative PCR: Validation of a rapid and highly sensitive clinical test for stratification of rejection probability
- Immunopathogenesis of canine chronic ulcerative stomatitis
- Correction: Quantification of speech and synchrony in the conversation of adults with autism spectrum disorder
- Efficacy and safety of ultrasonic circular cyclocoagulation with second-generation probe in glaucoma: A retrospective study
- Generalizing findings from a randomized controlled trial to a real-world study of the iLookOut, an online education program to improve early childhood care and education providers’ knowledge and attitudes about reporting child maltreatment
- Self-selection of food ingredients and agricultural by-products by the house cricket, Acheta domesticus (Orthoptera: Gryllidae): A holistic approach to develop optimized diets
- Machine learning detection of Atrial Fibrillation using wearable technology
- Comparative proteomic analysis of different stages of breast cancer tissues using ultra high performance liquid chromatography tandem mass spectrometer
- A cross-sectional study of psychopathy and khat abuse among prisoners in the correctional institution in Jimma, Ethiopia
- Head impulse compensatory saccades: Visual dependence is most evident in bilateral vestibular loss
- Complementarity of empirical and process-based approaches to modelling mosquito population dynamics with Aedes albopictus as an example—Application to the development of an operational mapping tool of vector populations
- Pepsin promotes laryngopharyngeal neoplasia by modulating signaling pathways to induce cell proliferation
- When and what to test for: A cost-effectiveness analysis of febrile illness test-and-treat strategies in the era of responsible antibiotic use
- Comparison of effects and safety in providing controlled hypotension during surgery between dexmedetomidine and magnesium sulphate: A meta-analysis of randomized controlled trials
- The gene encoding the ketogenic enzyme HMGCS2 displays a unique expression during gonad development in mice
- Seroepidemiological study of rubella in Vojvodina, Serbia: 24 years after the introduction of the MMR vaccine in the national immunization programme
- Efficacy of a mitochondrion-targeting agent for reducing the level of urinary protein in rats with puromycin aminonucleoside-induced minimal-change nephrotic syndrome
- Association of endothelial nitric oxide synthase (NOS3) gene polymorphisms with primary open-angle glaucoma in a Saudi cohort
- Antitrust analysis with upward pricing pressure and cost efficiencies
- Machine learning models for identifying preterm infants at risk of cerebral hemorrhage
- Natural selection contributes to food web stability
- Pyramiding QTLs controlling tolerance against drought, salinity, and submergence in rice through marker assisted breeding
- Diversity and plant growth-promoting functions of diazotrophic/N-scavenging bacteria isolated from the soils and rhizospheres of two species of Solanum
- Sustainability effects of motor control stabilisation exercises on pain and function in chronic nonspecific low back pain patients: A systematic review with meta-analysis and meta-regression
- Sofosbuvir-based regimen for genotype 2 HCV infected patients in Taiwan: A real world experience
- The virulence domain of Shigella IcsA contains a subregion with specific host cell adhesion function
- Sequencing artifacts derived from a library preparation method using enzymatic fragmentation
- Analysis of the Rdr1 gene family in different Rosaceae genomes reveals an origin of an R-gene cluster after the split of Rubeae within the Rosoideae subfamily
- Concomitant phytonutrient and transcriptome analysis of mature fruit and leaf tissues of tomato (Solanum lycopersicum L. cv. Oregon Spring) grown using organic and conventional fertilizer
- Quantitative analysis of adsorption and desorption of volatile organic compounds on reusable zeolite filters using gas chromatography
- Comparing bioinformatic pipelines for microbial 16S rRNA amplicon sequencing
- TMEM98 is a negative regulator of FRAT mediated Wnt/ß-catenin signalling
- Modeling migration patterns in the USA under sea level rise
- Quo vadis Pantanal? Expected precipitation extremes and drought dynamics from changing sea surface temperature
- Cloud-computing and machine learning in support of country-level land cover and ecosystem extent mapping in Liberia and Gabon
- An exploratory study on the quality of patient screening and counseling for hypertension management in Tanzania
- Relation of fibroblast growth factor receptor 2 expression to hepatocellular carcinoma recurrence after liver resection
- The Brief Measure of Emotional Preoperative Stress (B-MEPS) as a new predictive tool for postoperative pain: A prospective observational cohort study
- The impact of diabetes mellitus medication on the incidence of endogenous endophthalmitis
- Correction: Chl1 DNA helicase and Scc2 function in chromosome condensation through cohesin deposition
- Clinical and pathological features of thrombotic microangiopathy influencing long-term kidney transplant outcomes
- Multidisciplinary investigation of two Egyptian child mummies curated at the University of Tartu Art Museum, Estonia (Late/Graeco-Roman Periods)
- Occupational exposure to particulate matter from air pollution in the outdoor workplaces in Almaty during the cold season
- Morphological adjustment in free-living Steinernema feltiae infective juveniles to increasing concentration of Nemafric-BL phytonematicide
- Murine Surf4 is essential for early embryonic development
- Using mHealth to improve health care delivery in India: A qualitative examination of the perspectives of community health workers and beneficiaries
- Algorithmic handwriting analysis of the Samaria inscriptions illuminates bureaucratic apparatus in biblical Israel
- Key necroptotic proteins are required for Smac mimetic-mediated sensitization of cholangiocarcinoma cells to TNF-α and chemotherapeutic gemcitabine-induced necroptosis
- Concurrent lipidomics and proteomics on malignant plasma cells from multiple myeloma patients: Probing the lipid metabolome
- Short treatment with antalarmin alters adrenal gland receptors in the rat model of endometriosis
- Is it really always only the others who are to blame? GP’s view on medical overuse. A questionnaire study
- Serum visfatin and vaspin levels in hepatocellular carcinoma (HCC)
- Retraction: SDR9C7 Promotes Lymph Node Metastases in Patients with Esophageal Squamous Cell Carcinoma
- iTRAQ proteomics reveals the regulatory response to Magnaporthe oryzae in durable resistant vs. susceptible rice genotypes
- A smartphone-based test for the assessment of attention deficits in delirium: A case-control diagnostic test accuracy study in older hospitalised patients
- Association between tuberculosis and depression on negative outcomes of tuberculosis treatment: A systematic review and meta-analysis
- Incidence and predictors of loss to follow up among adult HIV patients on antiretroviral therapy in University of Gondar Comprehensive Specialized Hospital: A competing risk regression modeling
- Point-of-care diagnostic (POCD) method for detecting Bursaphelenchus xylophilus in pinewood using recombinase polymerase amplification (RPA) with the portable optical isothermal device (POID)
- Bioluminescent imaging of Arabidopsis thaliana using an enhanced Nano-lantern luminescence reporter system
- Biosynthetic pathway of indole-3-acetic acid in ectomycorrhizal fungi collected from northern Thailand
- Clinical implications of elevated serum interleukin-6 in IgG4-related disease
- Downscaling NLDAS-2 daily maximum air temperatures using MODIS land surface temperatures
- Sex-specific and opposite modulatory aspects revealed by PPI network and pathway analysis of ischemic stroke in humans
- Plasma Trimethylamine-N-oxide and impaired glucose regulation: Results from The Oral Infections, Glucose Intolerance and Insulin Resistance Study (ORIGINS)
- Self-esteem and other risk factors for depressive symptoms among adolescents in United Arab Emirates
- Control of the microsporidian parasite Nosema ceranae in honey bees (Apis mellifera) using nutraceutical and immuno-stimulatory compounds
- The effect of storage conditions on microbial communities in stool
- Role of donor genotype in RT-QuIC seeding activity of chronic wasting disease prions using human and bank vole substrates
- Influence of flow on phosphorus-dynamics and particle size in agricultural drainage ditch sediments
- A prospective, randomized, double-blind trial to compare body weight-adjusted and fixed doses of palonosetron for preventing postoperative nausea and vomiting in obese female patients
- Application of computerized 3D-CT texture analysis of pancreas for the assessment of patients with diabetes
- Predictive validation and forecasts of short-term changes in healthcare expenditure associated with changes in smoking behavior in the United States
- An information-based approach to handle various types of uncertainty in fuzzy bodies of evidence
- Oral magnesium supplementation for leg cramps in pregnancy—An observational controlled trial
- Health care professionals’ knowledge of commonly used sedative, analgesic and neuromuscular drugs: A single center (Rambam Health Care Campus), prospective, observational survey
- Campylobacter portucalensis sp. nov., a new species of Campylobacter isolated from the preputial mucosa of bulls
- OGG1 deficiency alters the intestinal microbiome and increases intestinal inflammation in a mouse model
- Transgenic interleukin 11 expression causes cross-tissue fibro-inflammation and an inflammatory bowel phenotype in mice
- Novel method to measure temporal windows based on eye movements during viewing of the Necker cube
- Whole blood transcriptomic analysis of beef cattle at arrival identifies potential predictive molecules and mechanisms that indicate animals that naturally resist bovine respiratory disease
- Effects of smoke flavoring using different wood chips and barbecuing on the formation of polycyclic aromatic hydrocarbons and heterocyclic aromatic amines in salmon fillets
- Sleep quality and sex modify the relationships between trait energy and fatigue on state energy and fatigue
- The role of peer, parental, and school norms in predicting adolescents’ attitudes and behaviours of majority and different minority ethnic groups in Croatia
- Filtered beauty in Oslo and Tokyo: A spatial frequency analysis of facial attractiveness
- The impact of rehabilitation frequency on the risk of stroke in patients with rheumatoid arthritis
- Availability, prices and affordability of selected antibiotics and medicines against non-communicable diseases in western Cameroon and northeast DR Congo
- The effect of mutations derived from mouse-adapted H3N2 seasonal influenza A virus to pathogenicity and host adaptation
- Detection of posttraumatic pneumothorax using electrical impedance tomography—An observer-blinded study in pigs with blunt chest trauma
- Educators’ perceptions of organisational readiness for implementation of a pre-adolescent transdisciplinary school health intervention for inter-generational outcomes
- Beyond the heterodimer model for mineralocorticoid and glucocorticoid receptor interactions in nuclei and at DNA
- The effects of sport expertise and shot results on basketball players’ action anticipation
- Framework and algorithms for identifying honest blocks in blockchain
- Efficacy and safety of anti-viral therapy for Hepatitis B virus-associated glomerulonephritis: A meta-analysis
- Selective transmission of some HIV-1 subtype C variants might depend on Envelope stimulating dendritic cells to secrete IL-10
- Noise reduction and quantification of fiber orientations in greyscale images
- Exploring the impact of terminology differences in blood and organ donor decision making
- Ontogenetic similarities between giraffe and sauropod neck osteological mobility
- Load transfer mechanism and critical length of anchorage zone for anchor bolt
- Income inequalities in stroke incidence and mortality: Trends in stroke-free and stroke-affected life years based on German health insurance data
- Community’s perception, experiences and health seeking behavior towards newborn illnesses in Debre Libanos District, North Shoa, Oromia, Ethiopia: Qualitative study
- Platelet indices significantly correlate with liver fibrosis in HCV-infected patients
- Reanalysis of the Bridge et al. study of suicide following release of 13 Reasons Why
- Validation of the easyscreen flavivirus dengue alphavirus detection kit based on 3base amplification technology and its application to the 2016/17 Vanuatu dengue outbreak
- The nitrate content of fresh and cooked vegetables and their health-related risks
- Bioreactor for mobilization of mesenchymal stem/stromal cells into scaffolds under mechanical stimulation: Preliminary results
- Serotonin transporter dependent modulation of food-seeking behavior
- Implicit task switching in Parkinson’s disease is preserved when on medication
- Root treatment with oxathiapiprolin, benthiavalicarb or their mixture provides prolonged systemic protection against oomycete foliar pathogens
- Real-world effectiveness and safety of ranibizumab for the treatment of myopic choroidal neovascularization: Results from the LUMINOUS study
- Non-gradient and genotype-dependent patterns of RSV gene expression
- Multiplex real-time PCR for the detection of Clavibacter michiganensis subsp. michiganensis, Pseudomonas syringae pv. tomato and pathogenic Xanthomonas species on tomato plants
- The 24-hour urinary cortisol in post-traumatic stress disorder: A meta-analysis
- Parasites modulate the gut-microbiome in insects: A proof-of-concept study
- The dynamics of shapes of vesicle membranes with time dependent spontaneous curvature
- Vascularization and biocompatibility of poly(ε-caprolactone) fiber mats for rotator cuff tear repair
- The shield of self-compassion: A buffer against disordered eating risk from physical appearance perfectionism
- Disease-specific out-of-pocket healthcare expenditure in urban Bangladesh: A Bayesian analysis
- Advanced biofilm analysis in streams receiving organic deicer runoff
- Upregulation of long non-coding RNA ROR1-AS1 promotes cell growth and migration in bladder cancer by regulation of miR-504
- Method development and validation for rapid identification of epigallocatechin gallate using ultra-high performance liquid chromatography
- Neonatal sepsis in Iran: A systematic review and meta-analysis on national prevalence and causative pathogens
- Drug-eluting versus bare-metal stents for first myocardial infarction in patients with atrial fibrillation: A nationwide population-based cohort study
- Same-day antiretroviral therapy initiation for HIV-infected adults in South Africa: Analysis of routine data
- Health-related quality of life among patients with type 2 diabetes mellitus in Eastern Province, Saudi Arabia: A cross-sectional study
- Photocatalytic biocidal effect of copper doped TiO2 nanotube coated surfaces under laminar flow, illuminated with UVA light on Legionella pneumophila
- The interoceptive hippocampus: Mouse brain endocrine receptor expression highlights a dentate gyrus (DG)–cornu ammonis (CA) challenge–sufficiency axis
- Educational attainment and HIV testing and counselling service utilisation during antenatal care in Ghana: Analysis of Demographic and Health Surveys
- Dissection of flag leaf metabolic shifts and their relationship with those occurring simultaneously in developing seed by application of non-targeted metabolomics
- Centromeres of Cucumis melo L. comprise Cmcent and two novel repeats, CmSat162 and CmSat189
- Acute high-intensity and moderate-intensity interval exercise do not change corticospinal excitability in low fit, young adults
- “I like the way I am, but I feel like I could get a little bit bigger”: Perceptions of body image among adolescents and youth living with HIV in Durban, South Africa
- Nanoparticle-based ‘turn-on’ scattering and post-sample fluorescence for ultrasensitive detection of water pollution in wider window
- The relationship of moral sensitivity and patient safety attitudes with nursing students’ perceptions of disclosure of patient safety incidents: A cross-sectional study
- Insights into the strategy of micro-environmental adaptation: Transcriptomic analysis of two alvinocaridid shrimps at a hydrothermal vent
- Thirty-day readmission after medical-surgical hospitalization for people who experience imprisonment in Ontario, Canada: A retrospective cohort study
- The effect of long-term brine discharge from desalination plants on benthic foraminifera
- Hyper-spectral response and estimation model of soil degradation in Kenli County, the Yellow River Delta
- Prescribing trends of glaucoma drugs in six major cities of China from 2013 to 2017
- Significant changes in synovial fluid microRNAs after high tibial osteotomy in medial compartmental knee osteoarthritis: Identification of potential prognostic biomarkers
- Reassortment and adaptive mutations of an emerging avian influenza virus H7N4 subtype in China
- Ischemia and reperfusion injury in superficial inferior epigastric artery-based vascularized lymph node flaps
- High failure rates of protease inhibitor-based antiretroviral treatment in rural Tanzania – A prospective cohort study
- Switchable resolution in soft x-ray tomography of single cells
- Mitochondrial DNA variations and mitochondrial dysfunction in Fanconi anemia
- Extended-spectrum beta-lactamase (ESBL)-producing and non-ESBL-producing Escherichia coli isolates causing bacteremia in the Netherlands (2014 – 2016) differ in clonal distribution, antimicrobial resistance gene and virulence gene content
- Molecular characterization of blaKHM-1 encoding plasmid in an Enterobacter hormaechei subsp. hoffmannii isolate from blood culture
- PR3 levels are impaired in plasma and PBMCs from Arabs with cardiovascular diseases
- Sex differences in self-regulation in early, middle and late adolescence: A large-scale cross-sectional study
- Interaction between elevated temperature and different types of Na-salicylate treatment in Brachypodium dystachion
- A highway crash risk assessment method based on traffic safety state division
- A brain connectivity characterization of children with different levels of mathematical achievement based on graph metrics
- Quantifying the level of difficulty to treat major depressive disorder with antidepressants: Treatment Resistance to Antidepressants Evaluation Scale
- Occupational gender segregation and economic growth in U.S. local labor markets, 1980 through 2010
- The association of telomere length and telomerase activity with adverse outcomes in older patients with non-ST-elevation acute coronary syndrome
- Construction of a high-density genetic map and fine mapping of a candidate gene locus for a novel branched-spike mutant in barley
- Alterations of aqueous humor Aβ levels in Aβ-infused and transgenic mouse models of Alzheimer disease
- Parameters impacting the live birth rate per transfer after frozen single euploid blastocyst transfer
- Deep2Full: Evaluating strategies for selecting the minimal mutational experiments for optimal computational predictions of deep mutational scan outcomes
- Economic compensation interventions to increase uptake of voluntary medical male circumcision for HIV prevention: A systematic review and meta-analysis
- Distinctive effect of anesthetics on the effect of limb remote ischemic postconditioning following ischemic stroke
- Natural hybridization between Phyllagathis and Sporoxeia species produces a hybrid without reproductive organs
- Preliminary evaluation of a novel nine-biomarker profile for the prediction of autism spectrum disorder
- The impact of peer attachment on prosocial behavior, emotional difficulties and conduct problems in adolescence: The mediating role of empathy
- Spatial and climatic variables independently drive elevational gradients in ant species richness in the Eastern Himalaya
- What is the qualitative evidence concerning the risks, diagnosis, management and consequences of gastrointestinal infections in the community in the United Kingdom? A systematic review and meta-ethnography
- Naringenin protects AlCl3/D-galactose induced neurotoxicity in rat model of AD via attenuation of acetylcholinesterase levels and inhibition of oxidative stress
- Key barriers and enablers associated with uptake and continuation of oral pre-exposure prophylaxis (PrEP) in the public sector in Zimbabwe: Qualitative perspectives of general population clients at high risk for HIV
- Characterizing the University of California’s tenure-track teaching position from the faculty and administrator perspectives
- Restoration of Mal overcomes the defects of apoptosis in lung cancer cells
- Patient preferences for maintenance therapy in Crohn’s disease: A discrete-choice experiment
- Diagnostic performance of serum interferon gamma, matrix metalloproteinases, and periostin measurements for pulmonary tuberculosis in Japanese patients with pneumonia
- Hesperidin improves insulin resistance via down-regulation of inflammatory responses: Biochemical analysis and in silico validation
- Accuracy of intraocular lens power calculation formulas using a swept-source optical biometer
- Characterization of black patina from the Tiber River embankments using Next-Generation Sequencing
- Comparison of blood lactate and perceived exertion responses in two matched time-under-tension protocols
- Fibrin hydrogels are safe, degradable scaffolds for sub-retinal implantation
- Post-translational modifications of Drosophila melanogaster HOX protein, Sex combs reduced
- Problem gambling, associations with comorbid health conditions, substance use, and behavioural addictions: Opportunities for pathways to treatment
- Liganded T3 receptor β2 inhibits the positive feedback autoregulation of the gene for GATA2, a transcription factor critical for thyrotropin production
- Characterization of METTL16 as a cytoplasmic RNA binding protein
- Impact of long-term storage and freeze-thawing on eight circulating microRNAs in plasma samples
- Nanosheet wrapping-assisted coverslip-free imaging for looking deeper into a tissue at high resolution
- Assessment of dynamic cerebral autoregulation in humans: Is reproducibility dependent on blood pressure variability?
- Early diagnosis of sepsis in emergency departments, time to treatment, and association with mortality: An observational study
- Validity of cerebrovascular ICD-9-CM codes in healthcare administrative databases. The Umbria Data-Value Project
- Tuberculoid leprosy: An in vivo microvascular evaluation of cutaneous lesions
- Neuromuscular blockers in the acute respiratory distress syndrome: A meta-analysis
- Identification of putative Type-I sex pheromone biosynthesis-related genes expressed in the female pheromone gland of Streltzoviella insularis
- Redefining transcriptional regulation of the APOE gene and its association with Alzheimer’s disease
- Disease-relevant mutations alter amino acid co-evolution networks in the second nucleotide binding domain of CFTR
- A bushel of viruses: Identification of seventeen novel putative viruses by RNA-seq in six apple trees
- Torque teno virus viral load is related to age, CMV infection and HLA type but not to Alzheimer's disease
- The variability of bacterial communities in both the endosphere and ectosphere of different niches in Chinese chives (Allium tuberosum)
- Tripartite factors leading to molecular divergence between human and murine smooth muscle
- Characterization of dermal skin innervation in fibromyalgia syndrome
- A neonatal nonhuman primate model of gestational Zika virus infection with evidence of microencephaly, seizures and cardiomyopathy
- A scoping review of importation and predictive models related to vector-borne diseases, pathogens, reservoirs, or vectors (1999–2016)
- Assessment of climate change impact on the malaria vector Anopheles hyrcanus, West Nile disease, and incidence of melanoma in the Vojvodina Province (Serbia) using data from a regional climate model
- Associations of cigarette smoking and burden of thoracic aortic calcification in asymptomatic individuals: A dose-response relationship
- Healthcare utilization of Mexican-American Medicare beneficiaries with and without Alzheimer’s disease and related dementias
- Evaluation of questionnaire as an instrument to measure the level of nutritional and weight gain knowledge in pregnant women in Poland. A pilot study
- TranCEP: Predicting the substrate class of transmembrane transport proteins using compositional, evolutionary, and positional information
- Non-Invasive Functional-Brain-Imaging with an OPM-based Magnetoencephalography System
- Expression of acyl-CoA-binding protein 5 from Rhodnius prolixus and its inhibition by RNA interference
- Transforming assessment of speech in children with cleft palate via online crowdsourcing
- High prevalence of off-label and unlicensed paediatric prescribing in a hospital in Indonesia during the period Aug.—Oct. 2014
- General practice management of rotator cuff related shoulder pain: A reliance on ultrasound and injection guided care
- Estimating the population size of female sex workers and transgender women in Sri Lanka
- Can helmet decrease mortality of craniocerebral trauma patients in a motorcycle accident?: A propensity score matching
- Obesity, smoking habits, and serum phosphate levels predicts mortality after life-style intervention
- Treatment of children under 4 years of age with medulloblastoma and ependymoma in the HIT2000/HIT-REZ 2005 trials: Neuropsychological outcome 5 years after treatment
- Can a semi-quantitative method replace the current quantitative method for the annual screening of microalbuminuria in patients with diabetes? Diagnostic accuracy and cost-saving analysis considering the potential health burden
- A two-arm parallel double-blind randomised controlled pilot trial of the efficacy of Omega-3 polyunsaturated fatty acids for the treatment of women with endometriosis-associated pain (PurFECT1)
- Association of benzodiazepines, opioids and tricyclic antidepressants use and falls in trauma patients: Conditional effect of age
- Burden and risk factors of cutaneous leishmaniasis in a peri-urban settlement in Kenya, 2016
- Predicting strike susceptibility and collision patterns of the common buzzard at wind turbine structures in the federal state of Brandenburg, Germany
- Embryonic thermal manipulation has short and long-term effects on the development and the physiology of the Japanese quail
- High-order radiomics features based on T2 FLAIR MRI predict multiple glioma immunohistochemical features: A more precise and personalized gliomas management
- Human-raptor conflict in rural settlements of Colombia
- Regional adaptations and parallel mutations in Feline panleukopenia virus strains from China revealed by nearly-full length genome analysis
- Long-term ecological research in southern Brazil grasslands: Effects of grazing exclusion and deferred grazing on plant and arthropod communities
- Assessment of peritoneal microbial features and tumor marker levels as potential diagnostic tools for ovarian cancer
- Survival analysis of 230 patients with unresectable hepatocellular carcinoma treated with bland transarterial embolization
- Adverse drug reaction reporting practice and associated factors among medical doctors in government hospitals in Addis Ababa, Ethiopia
- TaWAK6 encoding wall-associated kinase is involved in wheat resistance to leaf rust similar to adult plant resistance
- Deficiency syndromes in top predators associated with large-scale changes in the Baltic Sea ecosystem
- The inhibitor of apoptosis proteins antagonist Debio 1143 promotes the PD-1 blockade-mediated HIV load reduction in blood and tissues of humanized mice
- Allele specific expression of Dof genes responding to hormones and abiotic stresses in sugarcane
- Perceived relative social status and cognitive load influence acceptance of unfair offers in the Ultimatum Game
- Quantitative evaluation of choriocapillaris using optical coherence tomography and optical coherence tomography angiography in patients with central serous chorioretinopathy after half-dose photodynamic therapy
- Structure-function analyses of candidate small molecule RPN13 inhibitors with antitumor properties
- Extracting lung function measurements to enhance phenotyping of chronic obstructive pulmonary disease (COPD) in an electronic health record using automated tools
- Multiple fragmented habitat-patch use in an urban breeding passerine, the Short-toed Treecreeper
- Histological and immunohistochemical characterization of the porcine ocular surface
- Household environmental tobacco smoke exposure in healthy young children in Hong Kong: Prevalence and risk factors
- Wind energy development and wildlife conservation in Lithuania: A mapping tool for conflict assessment
- Characteristics and prognosis of primary treatment-naïve oral cavity squamous cell carcinoma in Norway, a descriptive retrospective study
- Effect of epoch length on intensity classification and on accuracy of measurement under controlled conditions on treadmill: Towards a better understanding of accelerometer measurement
- Peer distribution of HIV self-test kits to men who have sex with men to identify undiagnosed HIV infection in Uganda: A pilot study
- Error rates of human reviewers during abstract screening in systematic reviews
- Faecal analyses and alimentary tracers reveal the foraging ecology of two sympatric bats
- Urethral realignment with maximal urethral length and bladder neck preservation in robot-assisted radical prostatectomy: Urinary continence recovery
- Error metrics determination in functionally approximated circuits using SAT solvers
- Spatial movement pattern recognition in soccer based on relative player movements
- A novel visual ranking system based on arterial spin labeling perfusion imaging for evaluating perfusion disturbance in patients with ischemic stroke
- Prospective Validation of the Laboratory Risk Indicator for Necrotizing Fasciitis (LRINEC) Score for Necrotizing Fasciitis of the Extremities
- The importance of transporters and cell polarization for the evaluation of human stem cell-derived hepatic cells
- Incidence, trends, and outcomes of infection sites among hospitalizations of sepsis: A nationwide study
- Morphological and functional characteristics of mitral annular calcification and their relationship to stroke
- And the nominees are: Using design-awards datasets to build computational aesthetic evaluation model
- Service delivery interventions to increase uptake of voluntary medical male circumcision for HIV prevention: A systematic review
- Multidimensional Scales of Perceived Self-Efficacy (MSPSE): Measurement invariance across Italian and Colombian adolescents
- Diversity of Mycobacteriaceae from aquatic environment at the São Paulo Zoological Park Foundation in Brazil
- A graph-based algorithm for RNA-seq data normalization
- Parents’ underestimation of their child’s weight status. Moderating factors and change over time: A cross-sectional study
- Pharmacokinetics, absolute bioavailability and tolerability of ketamine after intranasal administration to dexmedetomidine sedated dogs
- Spatial variation in fertilizer prices in Sub-Saharan Africa
- Knowledge, beliefs, and concerns about bone health from a systematic review and metasynthesis of qualitative studies
- Successful isolation of Treponema pallidum strains from patients’ cryopreserved ulcer exudate using the rabbit model
- Effects of size and elasticity on the relation between flow velocity and wall shear stress in side-wall aneurysms: A lattice Boltzmann-based computer simulation study
- Pupil response to noxious corneal stimulation
- Incidence, risk factors and healthcare costs of central line-associated nosocomial bloodstream infections in hematologic and oncologic patients
- The impact of computed radiography and teleradiology on patients’ diagnosis and treatment in Mweso, the Democratic Republic of Congo
- Differential effects of synthetic psychoactive cathinones and amphetamine stimulants on the gut microbiome in mice
- Hepatitis B and C virus infection among HIV patients within the public and private healthcare systems in Chile: A cross-sectional serosurvey
- Increased episodes of aspiration on videofluoroscopic swallow study in children with nasogastric tube placement
- Obstructive sleep apnea and hypopnea syndrome in patients admitted in a tertiary hospital in Cameroon: Prevalence and associated factors
- Association of single nucleotide polymorphisms with dyslipidemia in antiretroviral exposed HIV patients in a Ghanaian population: A case-control study
- Sonic Hedgehog upregulation does not enhance the survival and engraftment of stem cell-derived cardiomyocytes in infarcted hearts
- The pharmacokinetic parameters and the effect of a single and repeated doses of memantine on gastric myoelectric activity in experimental pigs
- Blind method for discovering number of clusters in multidimensional datasets by regression on linkage hierarchies generated from random data
- Predictive factors of first dosage intravenous immunoglobulin-related adverse effects in children
- Description and characterization of the artisanal elasmobranch fishery on Guatemala’s Caribbean coast
- Individual and community level determinants of short birth interval in Ethiopia: A multilevel analysis
- Effects of rejection intensity and rejection sensitivity on social approach behavior in women
- The impact of IoT security labelling on consumer product choice and willingness to pay
- The development and validation of a measurement instrument to investigate determinants of health care utilisation for low back pain in Ethiopia
- Validity of the French version of the Autonomy Preference Index and its adaptation for patients with advanced cancer
- The epidemiological characteristics and spatio-temporal analysis of childhood hand, foot and mouth disease in Korea, 2011-2017
- Exponential random graph model parameter estimation for very large directed networks
- The implementation of community-based diabetes and hypertension management care program in Indonesia
- Effect of temperature variation on hospital admissions and outcomes in dogs with myxomatous mitral valve disease and new onset pulmonary edema
- The development of the Police Practices Scale: Understanding policing approaches towards street-based female sex workers in a U.S. City
- A capability approach to assess aquaculture sustainability standard compliance
- Pre-collecting lymphatic vessels form detours following obstruction of lymphatic flow and function as collecting lymphatic vessels
- Construct validity and reliability of the Talent Development Environment Questionnaire in Caribbean youth track and field athletes
- Optimization of cytotoxic activity of Nocardia sp culture broths using a design of experiments
- Tissue-resident macrophages can be generated de novo in adult human skin from resident progenitor cells during substance P-mediated neurogenic inflammation ex vivo
- Microbiota in foods from Inuit traditional hunting
- Investigating Italian disinformation spreading on Twitter in the context of 2019 European elections
- In vivo expression of peptidylarginine deiminase in Drosophila melanogaster
- Modelling zero-truncated overdispersed antenatal health care count data of women in Bangladesh
- Detection and density of breeding marsh birds in Iowa wetlands
- A lineage-specific rapid diagnostic test (Chagas Sero K-SeT) identifies Brazilian Trypanosoma cruzi II/V/VI reservoir hosts among diverse mammalian orders
- Aromatase deficiency in hematopoietic cells improves glucose tolerance in male mice through skeletal muscle-specific effects
- If host is refractory, insistent parasite goes berserk: Trypanosomatid Blastocrithidia raabei in the dock bug Coreus marginatus
- Antimicrobial resistance patterns and molecular resistance markers of Campylobacter jejuni isolates from human diarrheal cases
- Protective role of brain derived neurotrophic factor (BDNF) in obstructive sleep apnea syndrome (OSAS) patients
- An IL-18-centered inflammatory network as a biomarker for cerebral white matter injury
- Prevalence of antiphospholipid antibodies in Behçet's disease: A systematic review and meta-analysis
- Chemical analysis of snus products from the United States and northern Europe
- Effect of prednisolone on glyoxalase 1 in an inbred mouse model of aristolochic acid nephropathy using a proteomics method with fluorogenic derivatization-liquid chromatography-tandem mass spectrometry
- Impact of early-onset persistent stunting on cognitive development at 5 years of age: Results from a multi-country cohort study
- Aggregation of CAT tails blocks their degradation and causes proteotoxicity in S. cerevisiae
- Expression of concern: Compensatory increase of transglutaminase 2 is responsible for resistance to mTOR inhibitor treatment
- Common mental illness among epilepsy patients in Bahir Dar city, Ethiopia: A cross-sectional study
- Staging dementia based on caregiver reported patient symptoms: Implications from a latent class analysis
- Health-related quality of life and its determinants among ambulatory patients with epilepsy at Ambo General Hospital, Ethiopia: Using WHOQOL-BREF
- In silico analysis and high-risk pathogenic phenotype predictions of non-synonymous single nucleotide polymorphisms in human Crystallin beta A4 gene associated with congenital cataract
- Fungal diversity in canopy soil of silver beech, Nothofagus menziesii (Nothofagaceae)
- Referral decisions and its predictors related to orthopaedic care. A retrospective study in a novel primary care setting
- Readiness to prescribe: Using educational design to untie the Gordian Knot
- Influence of gelation on the retention of purple cactus pear extract in microencapsulated double emulsions
- Factors related to met needs for rehabilitation 6 years after stroke
- Association of cataract and sun exposure in geographically diverse populations of India: The CASE study. First Report of the ICMR-EYE SEE Study Group
- Investigation of injury severity in urban expressway crashes: A case study from Beijing
- Clinical outcomes of incident peritoneal dialysis patients coming from kidney transplantation program: A case-control study
- Evaluation of the factors influencing the housing safety awareness of residents in Shanghai
- Morphometric study of the diaphragmatic surface of the liver in the human fetus
- Food insecurity and dietary diversity among lactating mothers in the urban municipality in the mountains of Nepal
- Genetic characterization of Bacillus anthracis strains circulating in Italy from 1972 to 2018
- Promising antifungal activity of new oxadiazole against Candida krusei
- An atlas of personality, emotion and behaviour
- Long-term effects of intracranial islet grafting on cognitive functioning in a rat metabolic model of sporadic Alzheimer's disease-like dementia
- Compartmentalized profiling of amniotic fluid cytokines in women with preterm labor
- Comparison of the myometrial transcriptome from singleton and twin pregnancies by RNA-Seq
- Adverse reproductive effects of S100A9 on bovine sperm and early embryonic development in vitro
- Functional dynamics of bacterial species in the mouse gut microbiome revealed by metagenomic and metatranscriptomic analyses
- Astrocyte senescence promotes glutamate toxicity in cortical neurons
- Primary ciliary dyskinesia and psychological well-being in adolescence
- Dipeptidyl peptidase-4 is increased in the abdominal aortic aneurysm vessel wall and is associated with aneurysm disease processes
- Primary care physician knowledge, attitudes, and diagnostic testing practices for norovirus and acute gastroenteritis
- Microfluidic-prepared DOTAP nanoparticles induce strong T-cell responses in mice
- Intraocular scattering as a predictor of driving performance in older adults with cataracts
- Reduced bone mineral density among HIV infected patients on anti-retroviral therapy in Blantyre, Malawi: Prevalence and associated factors
- Correction: Extraversion personality, perceived health and activity participation among community-dwelling aging adults in Hong Kong
- A rainwater control optimization design approach for airports based on a self-organizing feature map neural network model
- Influence of inflammasome NLRP3, and IL1B and IL2 gene polymorphisms in periodontitis susceptibility
- 18F-FDG-PET/MRI in the diagnostic work-up of limbic encephalitis
- The socioeconomic impact of orthopaedic trauma: A systematic review and meta-analysis
- Treatment patterns among patients with moderate-to-severe ulcerative colitis in the United States and Europe
- City to city learning and knowledge exchange for climate resilience in southern Africa
- Nuclear translocation of Atox1 potentiates activin A-induced cell migration and colony formation in colon cancer
- Activity-dependent switches between dynamic regimes of extracellular matrix expression
- Molecular sequencing and morphological identification reveal similar patterns in native bee communities across public and private grasslands of eastern North Dakota
- A mathematical model for assessing the effectiveness of controlling relapse in Plasmodium vivax malaria endemic in the Republic of Korea
- Cryo-focused ion beam preparation of perovskite based solar cells for atom probe tomography
- Physiological and transcriptomic responses of Lanzhou Lily (Lilium davidii, var. unicolor) to cold stress
- Unusual genome expansion and transcription suppression in ectomycorrhizal Tricholoma matsutake by insertions of transposable elements
- Estimating associations between antidepressant use and incident mild cognitive impairment in older adults with depression
- The use of telephone communication between nurse navigators and their patients
- CNP mediated selective toxicity on melanoma cells is accompanied by mitochondrial dysfunction
- HIV RNA measurement in dried blood spots of HIV-infected patients in Thailand using Abbott m2000 system
- Retraction: Oncogenic Fibulin-5 Promotes Nasopharyngeal Carcinoma Cell Metastasis through the FLJ10540/AKT Pathway and Correlates with Poor Prognosis
- Ultra-rapid cooling of ibex sperm by spheres method does not induce a vitreous extracellular state and increases the membrane damages
- Some animals are more equal than others: Validation of a new scale to measure how attitudes to animals depend on species and human purpose of use
- Observation and quantification of the morphological effect of trypan blue rupturing dead or dying cells
- The visual perception of emotion from masks
- Hexavalent chromium removal and total chromium biosorption from aqueous solution by Quercus crassipes acorn shell in a continuous up-flow fixed-bed column: Influencing parameters, kinetics, and mechanism
- The predictive value of anthropometric indices for cardiometabolic risk factors in Chinese children and adolescents: A national multicenter school-based study
- Lean back and wait for the alarm? Testing an automated alarm system for nosocomial outbreaks to provide support for infection control professionals
- Regional disparities in health care resources in traditional Chinese medicine county hospitals in China
- Analysis on hydraulic characteristics of improved sandy soil with soft rock
- Development and use of a scale to assess gender differences in appraisal of mistreatment during childbirth among Ethiopian midwifery students
- Factors for starting biosimilar TNF inhibitors in patients with rheumatic diseases in the real world
- Correction: Force field generalization and the internal representation of motor learning
- Prevalence and foetomaternal effects of iron deficiency anaemia among pregnant women in Lagos, Nigeria
- Socioeconomic risk factors for fatal opioid overdoses in the United States: Findings from the Mortality Disparities in American Communities Study (MDAC)
- Microbiome signatures in neonatal central line associated bloodstream infections
- Interventions for incarcerated adults with opioid use disorder in the United States: A systematic review with a focus on social determinants of health
- Opening gap width influences distal tibial rotation below the osteotomy site following open wedge high tibial osteotomy
- The impact of lowbush blueberry (Vaccinium angustifolium Ait.) and cranberry (Vaccinium macrocarpon Ait.) pollination on honey bee (Apis mellifera L.) colony health status
- Surveys of knowledge and awareness of antibiotic use and antimicrobial resistance in general population: A systematic review
- Managerial capacity among district health managers and its association with district performance: A comparative descriptive study of six districts in the Eastern Region of Ghana
- Knee joint distraction in regular care for treatment of knee osteoarthritis: A comparison with clinical trial data
- Reconstruction of a regulated two-cell metabolic model to study biohydrogen production in a diazotrophic cyanobacterium Anabaena variabilis ATCC 29413
- Cochlear dysfunction is associated with styrene exposure in humans
- Intra-individual variation of particles in exhaled air and of the contents of Surfactant protein A and albumin
- Revisits, readmissions, and outcomes for pediatric traumatic brain injury in California, 2005-2014
- Enhanced handover mechanism using mobility prediction in wireless networks
- Association between regular exercise and asthma control among adults: The population-based Northern Finnish Asthma Study
- Pharyngeal microbiome alterations during Neisseria gonorrhoeae infection
- Assessment of the clinical utility of four NGS panels in myeloid malignancies. Suggestions for NGS panel choice or design
- Assessment of time management practice and associated factors among primary hospitals employees in north Gondar, northwest Ethiopia
- Genetic diversity and population structure of feral rapeseed (Brassica napus L.) in Japan
- Are the current gRNA ranking prediction algorithms useful for genome editing in plants?
- Difference between physical therapist estimation and psychological patient-reported outcome measures in patients with low back pain
- Heterogeneity in the distribution of 159 drug-response related SNPs in world populations and their genetic relatedness
- Metabolic and lipidomic profiling of steatotic human livers during ex situ normothermic machine perfusion guides resuscitation strategies
- Investigating cumulative effects of pre-performance routine interventions in beach volleyball serving
- Dispensing of antibiotics without prescription and associated factors in drug retail outlets of Eritrea: A simulated client method
- MicroRNA expression and DNA methylation profiles do not distinguish between primary and recurrent well-differentiated liposarcoma
- Assessment of acyl-CoA cholesterol acyltransferase (ACAT-1) role in ovarian cancer progression—An in vitro study
- Cytoplasmic factories, virus assembly, and DNA replication kinetics collectively constrain the formation of poxvirus recombinants
- The wavelet power spectrum of perfusion weighted MRI correlates with tumor vascularity in biopsy-proven glioblastoma samples
- Agreement between cardiovascular disease risk assessment tools: An application to the United Arab Emirates population
- Constructing HLM to examine multi-level poverty-contributing factors of farmer households: Why and how?
- Patterns of symptoms possibly indicative of cancer and associated help-seeking behaviour in a large sample of United Kingdom residents—The USEFUL study
- An automated alarm system for food safety by using electronic invoices
- Neural effects of acute stress on appetite: A magnetoencephalography study
- Use of magnetic resonance imaging to determine laterality of meniscal size in healthy volunteers
- Co-prevalence of extracranial carotid aneurysms differs between European intracranial aneurysm cohorts
- Thermal biology of two tropical lizards from the Ecuadorian Andes and their vulnerability to climate change
- When weight is an encumbrance; avoidance of stairs by different demographic groups
- Non-mycosis fungoides cutaneous lymphomas in a referral center in Taiwan: A retrospective case series and literature review
- From the host's point of view: Effects of variation in burying beetle brood care and brood size on the interaction with parasitic mites
- Kernel-based Gaussian process for anomaly detection in sparse gamma-ray data
- Unmet care needs of children with ADHD
- Accelerometer-assessed outdoor physical activity is associated with meteorological conditions among older adults: Cross-sectional results from the OUTDOOR ACTIVE study
- Identification of Korean cancer survivors’ unmet needs and desired psychosocial assistance: A focus group study
- Evaluation of inactivated Bordetella pertussis as a delivery system for the immunization of mice with Pneumococcal Surface Antigen A
- The role of moral reasoning & personality in explaining lyrical preferences
- Would you like to participate in this trial? The practice of informed consent in intrapartum research in the last 30 years
- Correction: Mutation spectrums of TSC1 and TSC2 in Chinese women with lymphangioleiomyomatosis (LAM)
- Forward lunge before and after anterior cruciate ligament reconstruction: Faster movement but unchanged knee joint biomechanics
- Challenges associated with homologous directed repair using CRISPR-Cas9 and TALEN to edit the DMD genetic mutation in canine Duchenne muscular dystrophy
- Integrated targeted serum metabolomic profile and its association with gender, age, disease severity, and pattern identification in acne
- A prospective case-control study on miRNA circulating levels in subjects born small for gestational age (SGA) evaluated from childhood into young adulthood
- Polymer-fiber-coupled field-effect sensors for label-free deep brain recordings
- Global depth perception alters local timing sensitivity
- How to detect a polytrauma patient at risk of complications: A validation and database analysis of four published scales
- Module for SWC neuron morphology file validation and correction enabled for high throughput batch processing
- Reduced gray matter volume and cortical thickness associated with traffic-related air pollution in a longitudinally studied pediatric cohort
- Recombinant human soluble thrombomodulin is associated with attenuation of sepsis-induced renal impairment by inhibition of extracellular histone release
- Human and climatic drivers affect spatial fishing patterns in a multiple-use marine protected area: The Galapagos Marine Reserve
- Correction: Leisure-time physical activity and sports in the Brazilian population: A social disparity analysis
- Application of the mixture item response theory model to the Self-Administered Food Security Survey Module for Children
- Numerical simulation of atmospheric CO2 concentration and flux over the Korean Peninsula using WRF-VPRM model during Korus-AQ 2016 campaign
- Feline irradiated diet-induced demyelination; a model of the neuropathology of sub-acute combined degeneration?
- Improved multi-parametric prediction of tissue outcome in acute ischemic stroke patients using spatial features
- Genome-wide association and epistatic interactions of flowering time in soybean cultivar
- Correction: Association between workplace bullying and burnout, professional quality of life, and turnover intention among clinical nurses
- Correction: Estimation of membrane bending modulus of stiffness tuned human red blood cells from micropore filtration studies
- Correction: Limited indirect effects of an infant pneumococcal vaccination program in an aging population
- Correction: Targeting of the Plzf Gene in the Rat by Transcription Activator-Like Effector Nuclease Results in Caudal Regression Syndrome in Spontaneously Hypertensive Rats
- Fieldwork-based determination of design priorities for point-of-use drinking water quality sensors for use in resource-limited environments
- Young women’s reproductive health conversations: Roles of maternal figures and clinical practices
- Correction: Differential recordings of local field potential: A genuine tool to quantify functional connectivity
- Survival of medial versus lateral unicompartmental knee arthroplasty: A meta-analysis
- Novel MscL agonists that allow multiple antibiotics cytoplasmic access activate the channel through a common binding site
- Is it time to stop sweeping data cleaning under the carpet? A novel algorithm for outlier management in growth data
- Changes in oak (Quercus robur) photosynthesis after winter moth (Operophtera brumata) herbivory are not explained by changes in chemical or structural leaf traits
- Mutual interaction between motor cortex activation and pain in fibromyalgia: EEG-fNIRS study
- Evaluation of liposomal ciprofloxacin formulations in a murine model of anthrax
- Analysis of cholesterol in mouse brain by HPLC with UV detection
- Sugar, amino acid and inorganic ion profiling of the honeydew from different hemipteran species feeding on Abies alba and Picea abies
- Exploring prior diseases associated with incident late-onset Alzheimer’s disease dementia
- Hypertension prevalence in patients attending tertiary pain management services, a registry-based Australian cohort study
- SRL pathogenicity island contributes to the metabolism of D-aspartate via an aspartate racemase in Shigella flexneri YSH6000
- Correction: Comprehensive genome-wide analysis of the pear (Pyrus bretschneideri) laccase gene (PbLAC) family and functional identification of PbLAC1 involved in lignin biosynthesis
- Epilepsy in a melanocyte-lineage mTOR hyperactivation mouse model: A novel epilepsy model
- Water consumption and prevalence of irritable bowel syndrome among adults
- Mixed evidence for the relationship between periodontitis and Alzheimer’s disease: A bidirectional Mendelian randomization study
- Correction: Health conditions associated with overweight in climacteric women
- Correction: Determining Glomerular Filtration Rate in Homozygous Sickle Cell Disease: Utility of Serum Creatinine Based Estimating Equations
- Modelling the number of antenatal care visits in Bangladesh to determine the risk factors for reduced antenatal care attendance
- Correction: Cumulative viral load as a predictor of CD4+ T-cell response to antiretroviral therapy using Bayesian statistical models
- Dominant negative effects by inactive Spa47 mutants inhibit T3SS function and Shigella virulence
- ICOS-deficient and ICOS YF mutant mice fail to control Toxoplasma gondii infection of the brain
- Diel patterns in swimming behavior of a vertically migrating deepwater shark, the bluntnose sixgill (Hexanchus griseus)
- Life history of northern Gulf of Mexico Warsaw grouper Hyporthodus nigritus inferred from otolith radiocarbon analysis
- Physiology education for intensive care medicine residents: A 15-minute interactive peer-led flipped classroom session
- Strengthening capacity for natural sciences research: A qualitative assessment to identify good practices, capacity gaps and investment priorities in African research institutions
- Systematic scoping review of the concept of ‘genetic identity’ and its relevance for germline modification
- Height of overburden fracture based on key strata theory in longwall face
- Laboratory strains of Bacillus anthracis lose their ability to rapidly grow and sporulate compared to wildlife outbreak strains
- Improvement of classification performance of Parkinson’s disease using shape features for machine learning on dopamine transporter single photon emission computed tomography
- Comparative pharmacokinetics and pharmacodynamics of the advanced Retinol-Binding Protein 4 antagonist in dog and cynomolgus monkey
- Correction: A handy method to remove bacterial contamination from fungal cultures
- Correction: Effect of statin on life prognosis in Japanese patients undergoing hemodialysis
- Retraction: Outer Membrane Protein A (OmpA) of Shigella flexneri 2a Induces TLR2-Mediated Activation of B Cells: Involvement of Protein Tyrosine Kinase, ERK and NF-κB
- Retraction: Biofabrication of streptomycin-conjugated calcium phosphate nanoparticles using red ginseng extract and investigation of their antibacterial potential
- Receiver operating characteristic curve analysis of clinical signs for screening of convergence insufficiency in young adults
- Correction: Drivers of deforestation in the basin of the Usumacinta River: Inference on process from pattern analysis using generalised additive models
- Efficacy of fertilizing method for different potash sources in cotton (Gossypium hirsutum L.) nutrition under arid climatic conditions
- Podocyte autophagy is associated with foot process effacement and proteinuria in patients with minimal change nephrotic syndrome
- Effect of Lactobacillus acidophilus D2/CSL (CECT 4529) supplementation in drinking water on chicken crop and caeca microbiome
- Retraction: MiR-30a-5p Antisense Oligonucleotide Suppresses Glioma Cell Growth by Targeting SEPT7
- Correction: Dynamics of plasma micronutrient concentrations and their correlation with serum proteins and thyroid hormones in patients with paracoccidioidomycosis
- Impact of lower limb osteoarthritis on health-related quality of life: A cross-sectional study to estimate the expressed loss of utility in the Spanish population
- Correction: Prevalence of damaged and missing teeth among women in the southern plains of Nepal: Findings of a simplified assessment tool
- Correction: Tissue-Specific Expressed Antibody Variable Gene Repertoires
- Retraction: Immunoglobulin G Expression in Lung Cancer and Its Effects on Metastasis
- Correction: Causal knowledge promotes behavioral self-regulation: An example using climate change dynamics
- Retraction: Use of Granulocyte Colony-Stimulating Factor for the Treatment of Thin Endometrium in Experimental Rats
- Correction: Dynamic mechanical and nanofibrous topological combinatory cues designed for periodontal ligament engineering
- Correction: Evaluating the foundations that help avert antimicrobial resistance: Performance of essential water sanitation and hygiene functions in hospitals and requirements for action in Kenya
- From seed to flour: Sowing sustainability in the use of cantaloupe melon residue (Cucumis melo L. var. reticulatus)
- Core Scientific Dataset Model: A lightweight and portable model and file format for multi-dimensional scientific data
- Accounting for measurement error to assess the effect of air pollution on omic signals
- Leucine zipper transcription factor-like 1 binds adaptor protein complex-1 and 2 and participates in trafficking of transferrin receptor 1
- Barriers for tuberculosis case finding in Southwest Ethiopia: A qualitative study
- Genetic predisposition to celiac disease in Kazakhstan: Potential impact on the clinical practice in Central Asia
- A lower psoas muscle volume was associated with a higher rate of recurrence in male clear cell renal cell carcinoma
- Two angles of overqualification-the deviant behavior and creative performance: The role of career and survival job
- Cost-utility analysis of de-escalating biological disease-modifying anti-rheumatic drugs in patients with rheumatoid arthritis
- Efficient estimation of stereo thresholds: What slope should be assumed for the psychometric function?
- Learning efficient haptic shape exploration with a rigid tactile sensor array
- Effects of dietary supplementation with a microalga (Schizochytrium sp.) on the hemato-immunological, and intestinal histological parameters and gut microbiota of Nile tilapia in net cages
- Regional versus local wind speed and direction at a narrow beach with a high and steep foredune
- Fragmented QRS complex in patients with systemic lupus erythematosus at the time of diagnosis and its relationship with disease activity
- Severe thiamine deficiency in eastern Baltic cod (Gadus morhua)
- Transfer entropy as a variable selection methodology of cryptocurrencies in the framework of a high dimensional predictive model
- Psychometric validation of Czech version of the Sport Motivation Scale
- Correction: Multiple innate antibacterial immune defense elements are correlated in diverse ungulate species
- Recognition of personality disorder and anxiety disorder comorbidity in patients treated for depression in secondary psychiatric care
- Correction: Strategies for achieving high sequencing accuracy for low diversity samples and avoiding sample bleeding using illumina platform
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- Chemical analysis of snus products from the United States and northern Europe
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