DNA aptamers acquire oligonucleotides’ tertiary structures that allow them to bind to various target macromolecules, such as proteins, via noncovalent binding. Aptamer binding affinity to cell surface epitopes is in the range of monoclonal antibodies.1,2 When designed to bind to the whole cell, it is assumed that aptamers bind either to specific proteins or other complex molecular structures. The tight binding aptamers are selected by an
Although basic mechanisms of aptamer target binding are known, theoretic prediction of individual oligonucleotide binding to cellular surfaces cannot be done. However, novel bioinformatics tools have been developed recently that can discriminate among an already selected set of aptamers with the lowest dissociation constant and the highest binding energy. In cancer, aptamers have been suggested to replace the antibodies mostly for diagnostic purposes, as they are more reliable in terms of reproducibility, stability, and costs of production7.
The detection of circulating tumour cells (CTC) in body fluids prior to, or at the first medical intervention, would represent a particular challenge for the prediction of disease progression8. The two technologies used for CTC enumeration, the Cell Search System® based on the detection of cancer cell membrane protein markers by antibodies9 and the platform ISET (Isolation by Size of Epithelial Tumour cells), based on cell size exclusion, are neither by themselves, nor used complementarily sufficient for CTC based diagnosis9, therefore new approaches are needed. Lung cancer incidence and death rates are still increasing. The subgroup of NSCLC appears to have the highest incidence rates and is mostly locally advanced or metastatic at the time of diagnosis.10 Therefore we have used the cell line A549, established from the primary tumour of a NSCLC patient, to raise the aptamers. There have been several successful attempts so far to target NSCL cells in the blood circulation (lung CTC) by specific aptamers.11,12,13 However, these did not address the potential stemness of CTC, which appeared to discriminate among cells with the highest tumorigenic potential and is thus more relevant for aggressive progression and worse prognosis of lung cancer. These lung cancer stem cells (CSC) express high levels of CD44high and CD90+ protein.14 Furthermore, it has been shown that CD90+ A549 cells also express CSC markers, such as Oct4, Sox2 and some others.14 These cells had higher proliferation rates and tumorigenic capacities, and Yan
Human lung carcinoma cell line A549 (ATCC® CCL-185™, ATCC, Manassas, VA) at passage 60 was cultured in DMEM (Millipore Sigma, Burlington, USA) supplemented with 10% foetal bovine serum until they reached about 80% confluence. Cells were washed to remove residuals of medium and then detached from the bottles with 2mM EDTA solution (Millipore Sigma, Burlington, MA). The cell line authentication was performed with IdentiCell STR allele protocol and showed a 100% match with A549 cells (IdentiCell, Department of Molecular Medicine, Aarhus, Denmark).
A random library (5’-FITC- GCC TGT TGT GAG CCT CCT-N34-CGC TTA TTC TTG TCT CCC-3’) containing 34 random bases flanked by constant regions for the binding of primers during the PCR amplification reactions was used.15 The forward primer was 5’-BBB-GCC TGT TGT GAG CCT CCT-3’, where BBB indicates 3 subsequent biotin moieties, while the reverse primer was labelled with a 6-FAM or Fluorescein Isothiocyanate (FITC- 5’-GGG AGA CAA GAA TAA GCG-3’). Before the first selection cycle, the library was amplified by a PCR reaction (PCR Conditions described in Supplementary material), subjected to denaturation and the fluorescence single-stranded DNA was purified by denaturation PAGE. At the beginning of the SELEX cycle, the aptamer pool in selection buffer was denatured at 95°C for 10 min and then placed immediately on ice for 10 min followed by 20 min incubation at room temperature.
The incubation of cells with the aptamers was followed by the BRAZIL technique with a centrifugation of a mixture of cells and oligonucleotides through a dibutyl phthalate: cyclohexane (9:1 [v: v]; d=1.03 g.ml-1) layer16.
Briefly, the cells with bound aptamers were collected from the pellet of the organic phase and separated by centrifugation (13,000 g for 10 min (Hettich Universal 32R centrifuge, HETTICH Instruments LP, Beverly, MA). The pellet containing aptamers was extracted by phenol/chloroform (1:1) for purification of obtained DNA followed by PCR as detailed above and strand separation for the next cycle of SELEX. To perform selection of ligands with higher affinity, the stringency of the selection was gradually increased in each cycle by adding 0.3 – 3 mg/ml tRNA for reducing nonspecific binding and increasing the ratio of DNA molecules over cells (106 – 105 cells).
In the seventh cycle the first negative selection with human blood cells (erythrocytes, leukocytes, and thrombocytes in the amount of 107 cells) was performed, followed by a positive selection step against 105 A549 cells. Blood cells were separated from plasma by density gradient separation.17 A selection step against a CD90+ A549 cells was done following cell sorting purification of this subpopulation.
These assays were performed with live A549 cells, which not been treated with fixation agents according to Nascimento
The pool from the seventh cycle contained aptamers with enhanced binding to the subpopulation of A549 cells, expressing CD90, as was detected by increased fluorescence signals. Since the identified subpopulation demonstrated stem-like cells characteristics13, cell sorting was used to isolate the identified fraction of cells. A fraction of 2,500 cells was successfully collected and aptamers were purified for PCR amplification (data not shown).
Selection pool aptamers obtained in each cycle were tested with restriction analysis (RFLP – Restriction Fragment Length Polymorphism) for the presence of conserved restriction sites. Different bands were obtained representing fragments of DNA with conserved restriction sites, thus showing selective enrichment of specific groups of oligonucleotides during SELEX (Suppl. Figure S1).
The sequences from last three cycles were used for Sanger and Next generation sequencing (Supplementary material). Selected sequences were further analysed with different bioinformatics approaches.
Three different
We have compared molecular evolutionary relations (with MEGA6 program20 ) and motif similarity (with MEME suite 19) of chosen four best binding candidates (A155_18, A452_3, A373_4, A218_12) and already published aptamer S6 binding to A549 cells (5’- GTG GCC AGT CAC TCA ATT GGG TGT AGG GGT GGG GAT TGT GGG TTG-3’).11
Aptamers were dissolved at 0.5 µM final concentration in binding buffer, containing 25mM HEPES (Millipore Sigma) 5.4 mM KCl, 2.8 mM CaCl2, 3.2 mM MgCl2 and 144 mM NaCl in ddH2O and denaturated at 95°C and renatured at room temperature, each for 20 min. Further, the cells were incubated for 20 min at 25°C with 0.5 μM 6-Carboxyfluorescein (6-FAM) labelled aptamer solution in 200 µl of binding buffer with gentle agitation. Then the cells were washed twice with binding buffer before flow cytometry analysis of A459 cell-aptamer bindings. For determination of unspecific binding, we used a 6’-FAM oligonucleotide with a random region of 34 nucleotides. To determine whether binding between aptamer and the target cells would depend on temperature, binding assays were also carried out at 4°C and 37°C.
To determine CD90 protein expression in A549 cells, they were incubated with the anti-CD90/Thy1 antibody (PE/Cy5) (ab95698) and for negative control assays with Isotype Control Mouse IgG1, Kappa monoclonal (PE/Cy5) (ab67435) obtained from AbCam (Cambridge, UK). The cells were detached by 0.02% EDTA and filtered through a 70µm sieve to avoid doublets. Cells – 300,000 per assay were washed three times with ice cold phosphate-buffered saline (PBS) and incubated for 30 min at 4°C and then re-suspended in 500µl ice cold PBS before flow cytometry analysis.
As the aim of aptamer developments was to detect NSCL cells in the blood as CTC, the blood cells were isolated from a healthy donor (male, 40 years) lysed with buffer, containing 150 mM NH4Cl, 10mM NaHCO3 and 0.1mM EDTA and centrifuged at 300×g for 5 min at room temperature. The blood cells were resuspended in binding buffer and used as binding target for the negative selection step with previously eluted SELEX pool DNA to separate aptamers with affinity to the tumour cell target and to discard sequences also binding to control blood cells. The remaining target cell specific sequences were further PCR amplified to form the starting pool for the final round of positive selection.
We measured 30,000 events per sample using the flow cytometry device MACSQuant Analyser 10 (Miltenyi Biotec GmbH, Bergisch Gladbach, Germany) or the Attune flow cytometer (Thermo Fisher Scientific Inc., Waltham, MA). For setting the gates we used unlabelled A459 cells.
To determine the equilibrium dissociation constants (Kd) of aptamer binding to A549 cells, mean fluorescence emissions were calculated for each of seven different concentrations (50, 100, 300, 500, 800, 1,000 and 1,200 nM). The dissociation constants were calculated using one-site non-competitive binding; nonlinear curve regression was performed using GraphPad Prism 5 (GraphPad Software, Inc., San Diego, CA). Cell sorting was performed on the FACSAria I/II equipment (Becton & Dickinson, Franklin Lakes, NJ).
Here we aimed to develop aptamer probes targeting NSCLC circulating tumour cells due to their potential diagnostic, prognostic and predictive capacity. For the development of NSCLC specific aptamers, we have chosen the most commonly used human lung adenocarcinoma A549 cells as target for cell-SELEX. Human blood cells were adopted as a negative control for cell SELEX to increase the selectivity of generated aptamers to A459 cells.
In the selection process, the cultured A549 cells were first incubated with a 70-base synthetic single stranded DNA library. The DNA sequences that bound to the A549 cells were then eluted and separated with the BRAZIL technique, as described in Material and Methods.
We have compared aptamer pools from the original library, the sixth cycle and the negative selection. Regarding the percentage of labelled cells for each pool, no significant difference was observed. We observed that the population of cells that were positive for the aptamer pool from negative selection had higher fluorescence, as shown by the shift to the right in the density plot and the overlap of the histograms (Figure 1A). Furthermore, we performed flow cytometry using antibody for CD90 detection in A549 cells and we observed a well-defined population that was positive for CD90 and aptamers (Figure 1A). This population of cells was sorted out and bound aptamers were eluted and amplified by PCR. Figure 1B reports the increase in cell labelling of the sixth selection pool following a negative selection against blood cells.
The obtained aptamer pool after the negative selection against blood cells and sorting out aptamers binding to the CD90+ subpopulation was used for further sequencing in order for identification aptamer candidates with conserved structural motifs.
The sequencing of the seventh cycle pool by Ion Torrent PGM next generation sequencing technology resulted in 239,713 reads, from which 151,814 reads were unique.
Using CLC Genomics Workbench software, the starting pool of 239,713 reads was narrowed down to 16 representative sequences having the highest number of sequence members, ranging from 1 080 to 142 copies per representative sequence. They were subjected to further selection based on the presence of conserved sequence motifs. Aptamers A786_1, A574_ 2, A278_8 were selected for
In the second
In the third
The selected aptamer candidates were additionally compared with aptamer S6. The constructed dendrogram (Supplementary material, Figure S1) shows clusters of aptamer sequence candidates, where aptamer A155_18 and positive control S6 clustered together. Among the selected aptamer candidates, A155_18 and S6 are also the only two sharing two same motifs: GGTGG/CG and GCCAGT; according to the UnaFold-predicted secondary structure, the motifs are placed into the comparable structural sequences between the loops (Supplementary material). The possibility of cross-contamination was excluded as the seventh SELEX pool was sequenced before the positive control S6 was purchased.
The selected and fluorescence-labelled four candidates, A155_18, A452_3, A373_4, A218_12, together with known binder S6 and the negative control sequence (the sequence with an unknown random region with the length of 34 nucleotides, and flanked by known primers) were used in an
In comparison with control random aptamer, highest specific binding rates of 26% to A549 cells was obtained with A155_18. Flexible binding of aptamers at different temperatures can expand their repertoire of applications. Since the selection was performed at room temperature (25°C), we performed binding assays also at 4°C and 37°C. There was observed no difference in binding of aptamer A155_18 (data not shown). This is particularly important as the clinical application of aptamers will be carried out under physiological conditions.
During the cell selection aptamers are interacting specifically with the outer plasma cell membranes of targeted cells. In our cell-SELEX selection the targeted cell line A549 was enriched by the expression of the stemness marker, the membrane-bound protein CD90. This subpopulation was selected by flow sorting against CD90 in A549 cell population. The latter indicates aptamer ability of recognizing CD90-positive cells, which may be part of the tumor-initiating circulating cells.
Cancer treatment is based on surrogate markers reflecting tumour progression and, after medical intervention, also the response to therapy. Another problem that hinders the development of new therapeutic approaches for lung cancer patients relates to the sampling of the representative (lung) tumour specimens.22,23,24 Circulating tumour cells (CTC) are promising as they provide an easily accessible liquid biopsy sample for real-time detection of the presence of micro-metastases. Besides their enumeration and characterization, CTC analysis offers the opportunity of mechanistic studies of malignant cancer progression7. It has only recently been recognized that cancer stem cells (CSC), residing in peri-arteriolar niches, undergo epithelial-mesenchymal like transition, and from there invade vascular basement membrane entering blood circulation and become CTC. In addition, a large body of evidence has accumulated on the plasticity of CSCs and the intra-tumour heterogeneity, due mainly to the presence of CSC of different subtypes and degrees of differentiation. It would thus be a nearly impossible task to target all these sub-clones by a single event. Thus, the aptamers that we developed here as biomarkers of NSCLC CTC would recognize at least one NSLC stem cell marker, and we have succeeded in designing an aptamer recognizing a subpopulation of A459 NSCLC, expressing the CD90/Thy-1 CSC marker13. Indeed, following the last cycle of SELEX and sorting for CD90 positive cells, we have shown about 30 % cells are positive for this marker among the A549 cell population.
All previous aptamers developed to target NSCLC have been selected on the basis of the cell- SELEX procedure, starting with a single-stranded DNA library and proceeding with 25, 18, and 11 rounds by Zhao
We have chosen the published aptamer S6, specific for A549 cells binding with low Kd value, as the positive binding control11, having high selectivity for NSCLC with no binding potential against SCLC and squamous cell carcinoma cells. Its structure is similar to our selected aptamer, with 45 nucleotides in a random region, flanked by 20 nucleotide-long constant regions on both sites. As expected, aptamer S6 showed good binding potential for A549 cells also when using our protocol. The aptamer S6 was selected after 25 rounds, whereas in our SELEX procedure only seven rounds were needed. Therefore, we improved the selection process by reducing the number of selection rounds, using the bioinformatics approach. The aptamer S6 was used as a control, not only with respect to the nucleotide sequence, but also the structural motifs present, as these are crucial for binding to the selected target cell.
The
In conclusion, we have selected the aptamer A155_18, binding to a A549 lung adenocarcinoma cell line subpopulation, expressing stemness markers, such as CD90. This aptamer sequence, with two very similar motifs indicating overlapping activity with the positive control (aptamer S6), provides the proof of principle of novel approaches. Methodologically, we highly improved the reproducibility of cell-SELEX methodology when paired with bioinformatics tools. We have also shown that the use of bioinformatics reduced the number of selection cycles, thus indicating the great potential of computational biology.