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Reagents and antibodies                           and then  fi ltered through a 70-μm  fi lter and analyzed
                                                              by  fl ow cytometry (FACScalibur  Becton Dickinson or
                                                                                          ®
            WS roots were purchased from a local market in the   C6 Accuri   fl ow cytometer). Data were analyzed with
                                                                       ®
            USA and dimethyl sulfoxide (DMSO) from Sigma (St.   CellQuest and CFlow software (BD).
            Louis, MO, USA).  Antibodies (anti-chemokine CCL2,
            CXCL1, CXCL2, CXCL3, PARP, and GAPDH) were        Immunocytochemistry
            from Cell Signaling (Beverly, MA, USA). Human breast   Breast cancer MDA-MB-231 cells were seeded in 4-well
            cancer MDA-MB-231 cell line and a normal breast cell   plates and grown for 16 h.  The cells were then treated
            line, MCF10A, were obtained from  ATCC (Manassas,
            VA, USA). The HCA-II human cytokine primer kit was   with DMSO (vehicle) or with 25 or 50  μg/mL of  WS
            obtained from   Real  Time Primers (Elkins Park, PA,   root extract for 18 h. After treatment, the culture medium
            USA).                                             was removed, and the cells were  fi xed with 10% neutral
                                                              buffered formalin. Xenograft tissues were placed in an
            Cell culture and treatment                        automatic tissue processor, embedded in paraffi n, sectioned
                                                              at 5-μm thickness, and stained with   hematoxylin and
            Breast cancer MDA-MB-231 cells were maintained
            in Dulbecco’s Modified Eagle’s Medium (ATCC)       eosin (HE). For immunohistochemistry, the fi xed cells and
            supplemented with 10% fetal bovine serum and      tissues from xenografted tumors were stained with CCL2
            penicillin/streptomycin. MCF10A cells were maintained   antibody because this cytokine is considered to be most
                                                                                                 [14]
            in complete MEGM (Lonza, Houston,  TX, USA).  All   responsible for metastasis of breast cancer.  The sections
            cell cultures were incubated at 37 °C with 5% CO  in a   were de-paraffi nized in xylene and rehydrated through a
                                                      2
            humidifi ed incubator.                             series of graded ethanol (100%, 95%, and 70%) and in
                                                              water for 5 min each. The sections were then washed three
            Assessment of cell viability                      times for 5 min each in PBS containing 0.05%  Tween
            To assess the effect of the  WS extract on regulation   80 (pH 7.4).  Antigen retrieval was achieved by heating
            of cell viability, cells were seeded into 96-well, 6-well   the sections in a microwave with 0.01 mol/L sodium
                                        3
            or 6-cm plates at densities of 10 , 10  or 10  cells per   citrate (pH 6.0) solution and subsequently cooling down
                                                  5
                                            4
            well, respectively. For experiments requiring longer than   to room temperature. Endogenous peroxidase activity
            48 h, cell numbers were reduced by one half.  Viability   was blocked by incubating the sections for 30 min in 1%
            was assessed by using the 3-(4,5-dimethylthiazol-2-yl)-5-  hydrogen peroxide in methanol. Non-specifi c binding was
            (3-carboxymethoxyphenyl)-2-(4-sulfophenyl)-2H-tetrazo  blocked by incubating the sections for 1 h with a normal
            lium assay in 96-well plates in triplicate with CellTiter   horse serum (Vector Laboratories, Inc., Burlingame, CA,
              ®
            96     AQueous One Solution cell proliferation kits from   USA).  The sections were then incubated with mouse
            Promega (Madison, WI) according to the manufacturer’s   anti-CCL2 (MCP-1, eBioscience, San Diego, CA, USA)
            instructions. Absorbance was recorded at 490 nm using   overnight at 4 °C. On the next day, the sections were
            a Synergy HT multimode plate reader or PowerWave   rinsed 3 times with PBS at room temperature and then
                       ®
            XS2 (BioTek ,  Winooski,  VT, USA) reader. DMSO   further incubated with goat anti-mouse IgG-FITC (Santa
            was used as a control.  To calculate the viability index,   Cruz Biotechnology, Santa Cruz, CA, USA) for 1 h at
            absorbance readings from DMSO-treated control wells   room temperature. The fl uorescence was then read using a
            were set at 100%, and the relative A490 was calculated   wide-fi eld fl uorescent microscope (Olympus, Center Valley,
            as a percentage of the control.                   PA, USA). Stained sections were reviewed and scored
                                                              according to the intensity of staining (0, +1, +2 or +3)
            Flow cytometry                                    and for the percentage of tumor cells staining positive for
            Cells treated with the  WS extract were harvested and   CCL2 (0%, 0.1-30%, +1; 31-70%, +2; or > 70%, +3). The
            prepared for  fl ow cytometry as described by Samuel   score of the intensity of immunostaining was multiplied by
                 [13]
            et  al.,  with some modifi cations.  WS treated and   the score of percentage of cell staining to obtain the fi nal
            untreated cells were harvested by trypsinization in   staining index.
            0.25% trypsin/ethylenediaminetetraacetic acid. Prior to   RNA  isolation  and  quantitative  reverse
            trypsinization,  fl oating or loose cells were harvested by   transcription-polymerase chain reaction
            gentle rocking of the culture dishes and transferring the
            culture medium containing the cells into centrifuge tubes.   Total RNA was isolated from treated and control samples
            Trypsinized and detached cells were then combined   with RNeasy Mini Kits (Qiagen,  Valencia, CA, USA)
            and centrifuged. Cell pellets were suspended in 300  μL   and reversely transcribed into cDNA using Quantitect
            of phosphate-buffered saline (PBS),  fi xed with 700  μL   Reverse  Transcriptase Kits (Qiagen) according to the
            of 100% ethanol with vortexing, and stored at -20 °C   manufacturer’s instructions.  All primers were from
            overnight. The  fi xed cells were centrifuged and stained   SABiosciences (Valencia, CA, USA); and quantitative
            in  fl uorescence-activated cell sorting staining solution   polymerase chain reaction (qPCR) amplifi cation  was
            (3 mg/mL RNase  A, 0.4 mg/mL propidium iodide) in   performed using 50 ng of cDNA, 10  μL of Brilliant
            PBS without calcium or magnesium for 30 min at 37 °C   III Ultra-Fast SYBR Green qPCR Master Mix

                Journal of Cancer Metastasis and Treatment  ¦  Volume 1 ¦ Issue 2 ¦ July 15, 2015 ¦        95
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