22nd International Symposium on Plasma Chemistry July 5-10, 2015; Antwerp, Belgium Dynamic behaviour of glioblastoma cells in plasma-activated medium H. Tanaka1, M. Mizuno1, K. Ishikawa1, K. Takeda1, H. Hashizume1, K. Nakamura1, F. Utsumi1, H. Kajiyama1, H. Kano2, Y. Okazaki1, S. Toyokuni1, S. Maruyama1, T. Adachi3, H. Kaneko1, H. Terasaki1, Y. Kodera1, F. Kikkawa1 and M. Hori1 1 Nagoya University, JP- 464-8603 Nagoya, Japan 2 NU-Eco Engineering 3 Gifu Pharmaceutical University Abstract: Recently, we have reported that Plasma-activated medium (PAM) has antitumor effects on several cancers, and an anti-angiogenic effect on choroidal neovascularization. To gain insights into interactions between PAM and cells, we conducted time-lapse microscopy of glioblastoma cells. Time-lapse images revealed the dynamic behaviour of PAM-treated glioblastoma cells. Keywords: plasma-activated medium, cancer, time-lapse imaging 1. Introduction Plasma medicine is an emerging interdisciplinary field that involves not only plasma physicists and medical doctors but also biologists, chemists, and other experts who would like to understand the phenomena mediated by non-thermal plasma and apply for medicine. In these days, non-thermal plasma has been applied for wound healing, hemostasis, sterilization of medical instruments, and so on [1-3]. In the field of plasma medicine, plasma irradiated medium, what we call plasma-activated medium (PAM), is attracting interests because it extends application over a wide range. We have shown potential antitumor effects to glioblastoma, ovarian cancers, and gastric cancers by PAM [4-7]. We also have recently reported that PAM might be a new therapeutic method for age-related macular degeneration [8]. Plasma interacts with nitrogen, oxygen, components in solution, and water in gas phase and liquid phase to produce reactive nitrogen and oxygen species in liquid. Although plasma chemistry in these processes remains to be elucidated, the physiological outputs such as PAMmediated apoptosis and different sensitivities to PAM (ex. glioblastoma vs astrocyte) suggest that it is important to understand interactions between PAM and cells. Based on the understanding of intracellular molecular mechanisms of PAM-mediated apoptosis [5, 9], we might be able to propose how to produce effective and safe PAM for future clinical applications. 2. Materials and Methods U251SP cells (human glioblastoma brain tumor cell line) were grown in Dulbecco’s modified Eagle’s medium (DMEM; Sigma-Aldrich, MO, USA) supplemented with 10% fetal bovine serum (FBS),100 units/ml penicillin, and 100 µg/ml streptomycin (P/S) under an atmosphere of 5% CO 2 / 95% air at 37 °C. Plasma-activated medium was prepared as shown in Fig. 1. The flow rate of argon gas was set at 2.0 standard O-7-1 litter/minute (slm). Three mL of DMEM medium without FBS and P/S in a 6-well plate was treated with plasma (distance between the plasma head and the medium surface was 13 mm) for 5 minutes. Then, the plasma irradiated medium (PAM) was replaced with the medium on cultured cells. Fig. 1. Three mL of medium in a 6-well plate was treated with plasma (the distance between plasma source head and the medium surface was 13 mm). For time-lapse imaging, cells were plated on a glass base dish. On the following day, images were collected at 5 min intervals using a microscope with an incubator (OLYMPUS LCV110) immediately after PAM was replaced on the glass dish. 3. Results and Discussion We investigated the morphological effects of PAM against glioblastoma brain tumor cells. PAM treated cells were observed by microscope 4 hours after cells were treated with PAM (Fig. 2). 1 Glioblastoma cells have flat shape on the glass base dish in untreated medium, form lamellipodia, and move using cytoskeletal structures on the dish. Those cells formed protrusions within 60 minutes after the cells were treated with PAM. The cells formed some small balloons 210 minutes after PAM treatment, and those balloons grew and fused with other balloons. The cells finally (5~6 hours after PAM treatment) formed a big balloon. The formation of balloon of each cell was observed at the same time (3~5 hours after PAM treatment) (Fig. 3). Fig. 2. Glioblastoma cells were treated with PAM, and the morphology was observed by a microscope. PAM induced balloon-like morphology (black arrows) on glioblastoma cells. Cleaved Caspase3/7 (white arrows) was detected in these cells. Scale bar represents 50 µm. Most of PAM-treated cells have shown balloon-like morphology which is characteristic to apoptosis. To investigate whether cells underwent apoptosis, we labelled cells with an apoptotic marker, cleaved Caspase3/7. The apoptotic signals were detected in cells that bear balloon-like morphology. Morphological information gives us valuable insights into cellular interactions of surrounding environments. Cell surface is called plasma membrane which consists of lipid bilayer and several transmembrane proteins such as receptors that transduce intracellular signalling, ion channel molecules, and proteins that interact with extracellular matrix and neighbour cells. Cells respond to environmental stimuli and show physiological outputs such as apoptosis and morphological changes. Cytoskeleton is located under the plasma membrane, and cellular morphology is regulated by cytoskeleton regulatory proteins. Many researchers in plasma medicine have reported that non-thermal plasma induced cell death including apoptosis and necrosis. However, physiological outputs induced by plasma are complicated, and should be characterized based on cellular biological analyses. To understand interactions between PAM and cells in terms of cellular morphology, we conducted time-lapse microscopy. One hundred thousands of glioblastoma cells were plated on glass base dish. On the following day, the plasma-activated medium was prepared and replaced as described in Materials and Methods. Images were taken at 5 minutes intervals. 2 Fig. 3. Glioblastoma cells were treated with PAM, and the time-lapse images of glioblastoma cells were taken at 5 minutes intervals. Black arrows indicate balloon-like morphology. Scale bar represents 50 µm. 4. Conclusion It has been demonstrated that PAM might be powerful therapeutic methods for cancer therapy and age-related macular degeneration. In this study, we have shown that time-lapse imaging of PAM-treated cells might provide insights into interactions between cells and PAM. Characterization of PAM based on time-lapse imaging O-7-1 would help us to elucidate mechanisms of physiological outputs induced by PAM. 5. Acknowledgements This work was partly supported by a Grant-in-Aid for Scientific Research on Innovative Areas “Plasma Medical Innovation” Grant No. 24108002 and 24108008, and a Grant-in-Aid for Young Scientists (B) “Analyses of intracellular molecular mechanisms of cell death of cancer cells by plasma” Grant No. 25870307 from the Ministry of Education, Culture, Sports, Science and Technology of Japan. [9] T. Adachi, H. Tanaka, S. Nonomura, H. Hara, S.I. Kondo and M. Hori. "Plasma-activated medium induces A549 cell injury via a spiral apoptotic cascade involving the mitochondrial-nuclear network". Free Radic. Bio. Med., 79C, 28-44 (2014) 6. References [1] M. Laroussi. "Low-Temperature Plasmas for Medicine?" 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