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Common miRNA in     Common miRNA in culture
                                                                                    TB0021_CTR1
                                                                                                TB0012_CTR2
                                                         D283             D341
                   MB cells               medium
                                                                                       (348)
                                                                                                   (355)
                                                         (262)           (280)
                                   D283
              D283         D341                 D341
             (1787)                (1662)
                           (1394)               (1615)
                                                                  57
                                                            25           49
                                                                                               1
                                                                                         7
                                                                                                     10
                                                                  156
                     1347
                                          1083
                                                                                              329
                                                              24      18
                                                                                           11
                                                                                                  15
                                                                  75
                                                                                               86
                    DAOY                 DAOY
                    (1761)               (1199)
                                                                  DAOY
                               950
                       Common       Common                        (273)
                                                                                            TB0011_MB
                       miRNA in
                                    miRNA in
                                                                                              (441)
            a                                                 b                           c
                         cells
                                     medium
            Figure 4: MiRNAs expression spectrum in MB cell lines, their corresponding CM and in CSF (a) Quantitative Venn diagram showing miRNAs commonly
            expressed in indicated cell lines and their corresponding CM. Differences linked to the expression level rather than detection threshold; (b) Venn diagram
            showing that 156 miRNAs enriched in CM of MB cell lines compared to their cell lysates and 57 miRNAs enriched in CM of the MR D283 and D341 but
            not in DAOY. Fold change > 2; (c) Venn diagram demonstrating miRNAs with high expression in CSF of MB patient compared to controls. TB0021_CTR1:
            CSF of leukemia with no brain tumor (patient control 1); TB0012_CTR2: leukemia with no brain tumor (patient control 2); TB0011_MB: CSF of MB patient.
            MB: Medulloblastoma; CSF: Cerebral spinal fl uid; CM: Culture-medium; MiRNAs: MicroRNAs
            Table 1: Number of miRNAs detected in CSF         Validation of microarray data by qRT-PCR
            CSF                      Number of miRNA detected  In order to further verify the results of miRNA microarray
            CSF of MB patient                 1,254           analysis, we selected miR-486-3p, miR-572, miR-3918,
            CSF control 1                     1,004           miR-4476, and miR-615 for quantitative real-time PCR
            CSF control 2                     1,049           assays because of their over-representation in the CM of
            CSF: Cerebral spinal fluid; miRNAs: MicroRNAs;    the 3 MB cell lines and in MB-CSF.  TaqMan analysis
            MB: Medulloblastoma                               confi rmed the outcomes of miRNA microarray profi ling
                                                              for the 5 miRNAs tested and showed that the  fi ve  were
            Comparison between miRNA expressions in CM        enriched in the CM of the 3 cell lines [Figure 6a].
            vs. CSF samples                                   However, only miR-615 and miR-572 were also
                                                              accumulated in MB-CSF [Figure 6b].  We also chose
            An overlap of the spectra of ex-miRNA candidates   miR-1290, miR-125a, miR-125b, and miR-1298 as other
            detected in the CSF of the MB patient and those   candidates for qRT-PCR due to their over-representation
            excreted by MB cell lines into the CM would support   in CM of metastasis-related cell lines D283 and D341,
            our hypothesis of miRNA secretion by MB cells.    as well as in CSF of the MB patients. TaqMan analysis
            Indeed, Pearson correlations analysis showed that   showed an evidently increased expression level of
            ex-miRNAs profi les in MB-CSF displayed a good     the 4 cell line-derived miRNAs in both D283 and
            homogeneity with the profi le of miRNAs secreted in   D341 compared to DAOY [Figure 7a].  The levels of 3
            CM of MB cell lines [Figure 3a].  This conclusion   miRNAs (miR-1290, miR-125a, miR-1298) were also
            was confi rmed by PCA showing clear separation  of   markedly increased in MB-CSF, thus confi rming  the
            miRNAs derived from lysates of MB cell lines from   results of the miRNA microarray analysis for 3 out of 4
            those derived of MB-CSF samples or of CM derived   of these selected miRNAs [Figure 7b].
            from MB cells [Figure 3b], confi rming the conclusions   To further validate the  fi nding of selective enrichment
            from Pearson correlations. Compiling expression tables   of miR-1298 in MB-CSF, we tested it against an
            allowed identifi cation of 5 miRNAs (miR-486-3p,   additional 5 different CSF controls from one leukemia
            miR-572, miR-3918, miR-4476, and miR-615) that    patient, 3 ependymoma patients, and one glioblastoma
            were signifi cantly up-regulated in the CM of the 3 cell   patient (specifi cally chosen to control for brain surgery
            lines (D283, D341 and DAOY) and enriched in MB-CSF   as a possible factor infl uencing miRNA secretion).
            compared to control CSF [Figure 5a]. Moreover, 3 other   Consistently,  TaqMan analysis confi rmed  signifi cant
            miRNAs (miR-1290, miR-125a, miR-125b), known      enrichment of miR-1298 in MB-CSF compared to the 5
            to be associated with metastasis, and miR-1298, were   controls [Figure 8a]. Together, using TaqMan analysis, we
            over-represented in the CM of metastasis-related cell   confi rmed the microarray data result and demonstrated
            lines (D283 and D341), but not in DAOY and were   the feasibility of quantitative detection of miRNAs in
            signifi cantly over-represented in MB-CSF compared to   culture medium and CSF using qRT-PCR (popular gene
            control CSF [Figure 5b].                          expression assay and effi cient method for high-throughput

                Journal of Cancer Metastasis and Treatment  ¦  Volume 1 ¦ Issue 2 ¦ July 15, 2015 ¦        71
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