Tissue samples
Approved by the Medical Ethics Committee of the First Affiliated Hospital of Shihezi University Medical School (Approval Number: 2019-017-01), female patients who were treated at the Friendship Hospital and the People's Hospital of Kashgar who were diagnosed with cervical lesions by pathologists, and all subjects signed informed consent. And the HPV16 E6 primer was used to screen samples from women with cervical lesions or women with cervical squaystos. A total of 66 cases of HPV16 infection in non-cancerous lesions or in squamous cell carcinoma were obtained. The samples were stored at -80°C for further processing. This study was conducted according to the guidelines of the Declaration of Helsinki.
DNA extraction and HPV16 identification
DNA was extracted using an DP304 Genomic DNA extraction kit (Beijing Tiangen biochemical technology Company, Beijing, China) according to the kit instructions. The HPV16 E6 primers were designed and polymerase chain reaction (PCR) was used to detect the HPV16 virus. The primer sequences for identification of HPV16 E6 were as follows: HPV16 E6-F, 5′-gacccagaaagttaccacag-3′ and HPV16 E6-R, 5′-cacaacggtttgttgtattg-3′ (F, forward primer; R, reverse primer)[16].
PCR amplification and sequencing
The HPV16 E6 and E7 gene fragments were amplified by PCR. A 50µl reaction mixture containing 20 pmoles of each primer, 50 mM KCl, 2.5 mM MgCl2, 100 mM Tris-HCl, pH 8.3, 0.1% Triton X-100, 50µM of each dNTP and, 1.8 U of HotStarTaq polymerase (Qiagen Inc.) and 5µl template DNA. The cycling program was 94ºC for 5 min; 30 cycles of 55°C for 45 s, 72°C for 60 s, 94°C for 15 s; 55°C for 45 s, 72ºC for 5 min. The sequencing primers are shown in Table 1 [16].
Cell culture and transfection
The E7 (prototype and mutant) and E6 + E7 (prototype and mutant) gene was cloned into GV144 recombinant vector, respectively and verified by sequencing. In addition, GV144(-) vectors were used as controls. C33A cells were seeded at 1×106 per well in a six-well plates 24 h before transfection. Subsequently, 2 µg E7 and E6 + E7 recombinant vector and the control vector were mixed with 5 µL of FuGENE HD (Roche), respectively. The FuGENE/DNA complexes were added to C33A cells. Transfected C33A cells were then incubated at 37°C in 5% CO2 for 24 h.
Western blotting
Cell lysates were prepared in RIPA buffer (50 mM Tris-Cl, pH 8.0, 150 mM NaCl, 5 mM EDTA, 0.1% SDS, 1% NP-40). Equal amounts of protein were fractionated by SDS-PAGE and blotted onto membranes. The membranes were incubated with primary antibodies against HPV16 E7 (bs-4623R, Bioss, 1:500), Caspase 3 Mouse Monoclonal antibody(#66470-2-Ig, Proteintech Group,1:1000), and antibodies against β-actin (66009-1-Ig, Abmart, 1:1,000), GAPDH (19F00412, Zhongshan Jinqiao Biotechnology, 1:1,000)were used as the loading control. HRP-conjugated anti-rabbit and anti-mouse secondary antibodies (Bio-Rad, Hercules, CA, USA) were then applied, and signals were detected using Western ECL Substrate (Bio-Rad).
Analysis of cell proliferation
Proliferation of C33A cells transfected by the E7 (prototype and mutant), E6 + E7 (prototype and mutant) GV144 construct and GV144 was determined using CCK-8 assays. C33A cells were seeded in 96-well plates at 3000 cells per well in DMEM(Gibco, USA)containing 10% FBS(Biological Industries, Israel). The cells were incubated for 24 h at 37°C. Then, 10 µL of CCK-8 solution(Dojindo, Japan) was added to each well and incubated for 4 h.
For analysis of clonal formation, C33A stably transfected cells, selected by G418, were inoculated into six-well plates, 1,000 cells per well, and after 14 d, colonies were fixed in 2 mL of 4% paraformaldehyde, followed by the addition of 0.4% crystalline purple staining dye. The number of clones with more than 50 cells were counted under a microscope.
Scratch wound healing assay
Cells were seeded onto six-well plates (1×106 cells per well). When cells reached 90% confluence, a scratch was made across the cell monolayer. The cells were washed with PBS for three times to remove detached cells and debris, and cultured in fresh medium without serums in an incubator of 5%CO2 at 37℃. Then, size of wounds were observed and measured at the indicated times and photographed using an inverted tissue culture microscope at 40× magnification. Assays were performed at least three times, and data are presented as means ± SD.
Analysis of Cell apoptosis
Apoptosis analysis was assessed with Annexin V-APC/7-AAD Apoptosis Detection kit (Joint Biology, Hangzhou). Cells were plated in a 6-well plate at a density of 1 × 106 per well. After incubation for 48 h post-transfection, cells were harvested. Apoptosis was induced in accordance with the experimental protocol, the cells were washed with precooling PBS for three times to remove detached cells and debris, and incubated with 5 µl Annexin V-APC and 10 µl 7-AAD Staining Solution.
5000 cells/ml were taken to prepare a cell drop tablet for Immunohistochemistry (IHC). The primary antibody was replaced with phosphate-buffered saline (PBS) as a negative control. The primary antibody (Caspase 3 Mouse Monoclonal antibody, #66470-2-Ig, Proteintech Group) was diluted to 1:400.
Model of xenotransplanted tumors in nude mice
For xenograft experiments, 7×106 C33A cells stably expressing NV-GV144, HPV16 E7 or E6 + E7 prototype, E7 mutation or E6 + E7 co-mutations from recombinant expression vectors were injected subcutaneously into 5-week-old female BALB/c Nude mice(Beijing Vital River Laboratory Animal Technology Co., Ltd.). The tumor volumes were measured using digital calipers every 3 days and calculated using the equation: length (mm) × width2 (mm) × 0.52. All animals were treated in accordance with institutional guidelines, and the experimental protocol was approved by the Ethics Committee guidelines of the First Affiliated Hospital, Shihezi University School of Medicine (approval number A2019-038-01).
GenBank accession number
The HPV16 prototype (European prototype, GenBank accession: NC_001526.2)
Statistical analysis
All data were analyzed using SPSS 22.0 software (IBM, Armonk, NY, USA). The measurement data is represented by means ± SD. The data were normally distributed, displayed homogeneous variance and was subsequently analyzed by ANOVA. A P-value < 0.05 was considered statistically significant.