Background
Kidney cancer represents ~3% of cancer deaths worldwide and is the most deadly of the common urological diseases [
1]. While combined nephrectomy and immunotherapy are standard care for localized primary renal cell carcinoma (RCC) tumors, approximately 30% of these treated patients will eventually develop metastases [
2]. Additionally, one third of patients present with metastatic disease at time of diagnosis of the RCC primary tumor [
3]. Treatment of metastatic RCC remains difficult primarily due to the resistance of the tumors to adjuvant and immunotherapies [
4]. With the median survival of metastatic RCC patients being less than one year, investigation into more effective anti-metastatic therapies is clearly warranted [
3,
5‐
7].
Renal cell carcinoma is classified into four histological subtypes, including clear cell, papillary, chromophobe, and collecting duct [
2]. Almost 80% of sporadic RCC is of the clear cell subtype and results from inactivation of the tumor suppressor, von Hippel Lindau (VHL) [
8]. Loss of VHL function also manifests itself as a dominantly inherited familial cancer syndrome, impacting several organ systems [
8,
9]. Life expectancy is greatly reduced for ~40% of VHL patients who develop RCC, most commonly due to complications from metastatic disease [
5,
6,
10,
11].
The most well-characterized function of VHL is in controlling the oxygen-sensing mechanism of the cell through its regulation of hypoxia inducible factor (HIF) alpha subunits (1α,-2α,-3α) [
10,
12]. HIF is a heterodimeric transcription factor consisting of two subunits, HIF-α and HIF-β [
13]. While the β-subunit of HIF is constitutively expressed, the HIF-α protein is labile and detectable only under hypoxic conditions or when VHL is inactivated [
8,
13‐
15]. Under normoxic conditions, VHL negatively regulates the levels HIF-α subunit through ubiquitin-targeted protein degradation [
16,
17]. Thus, inactivation of VHL in RCC is associated with increased levels of HIF-α isoforms and a subsequent increase in hypoxia-inducible genes, such as those involved in angiogenesis (VEGF, PDGF), erythropoiesis (EPO), glycolysis (Glut1), cell growth and survival (Cyclin G2, TGF-α), and cell migration (CXCR4), suggesting that the genes upregulated by the VHL-HIF pathway are involved in the progression of renal cell carcinoma [
8,
13,
15].
Although the majority of VHL mutations abrogate the regulation of HIF-α protein, a few mutations exist that retain the ability for VHL to regulate HIF-α, and these mutations are not associated with the formation of RCC [
9,
18]. In fact, expression of such a VHL mutant, which retains the ability to negatively regulate HIF-2α, suppresses tumor formation of VHL null RCC cells
in vivo [
18]. These results demonstrate that successful tumor suppression in renal cells depends on the proper regulation of HIF-2α rather than on the presence of VHL. Further evidence suggests that HIF-2α, rather than HIF-1α, is the VHL target responsible for tumorigenesis [
19]. Indeed, inhibition of HIF-2α is required for tumor suppression by VHL in RCC
in vivo [
20‐
22]. These findings illustrate the importance of understanding the various roles that HIF-2α targets play in renal cell tumorigenesis.
Previously, we identified membrane-type 1 matrix metalloproteinase (MT1-MMP) as a target gene of HIF-2α in RCC cells mutant for VHL [
23]. MT1-MMP is a membrane bound member of the family of zinc-dependent endopeptidases known as the matrix metalloproteinases (MMPs), which function in remodeling the extracellular matrix (ECM) [
24,
25]. Due to their vast repertoire of substrates and functions in normal cellular processes, MMPs are strictly regulated to guarantee appropriate, homeostatic proteolytic events [
26,
27]. Elevated levels of MMPs have been linked to the invasive behavior of most human cancers as well as to other characteristics of tumors [
25,
26,
28]. In addition to pericellular proteolysis of type I collagen, MT1-MMP is known to control cell-ECM contacts, localize to the leading edge of invasive cells, cleave adhesion molecules, and activate latent MMP-2 and MMP-13 [
24]. As a result, MT1-MMP plays multiple roles in tumorigenesis, including tumor invasion, regulation of tumor cell growth, cell migration, and angiogenesis [
29,
30]. Our previous data suggest that the loss of the VHL tumor suppressor, and subsequent stability of HIF-2α, leads to the induction of MT1-MMP expression in RCC. Interestingly, MT1-MMP expression has been linked to advanced stages of RCC [
31,
32].
Given the important role of MT1-MMP in the progression of other cancers [
24], we hypothesized that as a HIF-2α target, MT1-MMP may play a role in the progression of VHL-/- RCC tumor invasion to metastatic disease. A metastatic tumor cell must invade through two main extracellular matrix barriers: interstitial collagen in the stromal environment (comprised mainly of type I collagen) and basement membrane (comprised primarily of type IV collagen) [
33]. Koochekpour
et al. showed
in vitro that VHL-/- RCC cell invasion of type IV collagen is enhanced by the addition of neutralizing antibodies to TIMPs (tissue inhibitors of matrix metalloproteinases), the natural inhibitors of MMP activity, thereby implicating a role of MMPs in this invasion [
34]. These authors also showed that VHL mutant RCC cells overexpress the gelatinases, MMP-2 and MMP-9, which function to degrade type IV collagen found in basement membrane. In our previous studies, we reported that MT1-MMP is the main type I collagenolytic enzyme expressed by VHL null RCC cells, suggesting that this enzyme may mediate RCC invasion of type I collagen [
23]. Therefore, in this report, we specifically investigated the role of MT1-MMP in VHL RCC tumor cell invasion using
in vitro assays to measure the ability of the cells to degrade type I collagen and to invade through a type I collagen matrix. Using gene overexpression studies and RNAi, our data directly link HIF-2α and MT1-MMP expression to an invasive phenotype of RCC cells, and targeted inhibition of MT1-MMP is required to block this invasion. We conclude that MT1-MMP is the primary mediator of both tumor cell invasion and degradation of type I collagen in these RCC cells and may represent an effective target for the treatment of invasive renal cell carcinoma.
Discussion
Renal cell carcinoma cells that have lost VHL tumor suppressor function lose the ability to negatively regulate HIF-2α protein levels, thereby allowing HIF-2α protein to accumulate and dimerize with HIF-β to form a functional transcription factor [
17]. Consequently, downstream targets of HIF, such as MT1-MMP, are constitutively transcribed, and activation of these targets causes RCC tumor formation in xenograph models [
20‐
22]. Defining the HIF-2 targets responsible for VHL null RCC tumor progression is important to understand the mechanisms of renal tumor development. It is not yet known whether elevated expression of MT1-MMP contributes to RCC tumorigenesis or progression to metastatic disease.
When compared to several of the secreted MMPs, MT1-MMP and MT2-MMP are the only MMPs able to confer collagen invasive capabilities to non-invasive cells, thereby suggesting that pericellular proteolysis is critical for tumor cell migration and invasion [
52]. Furthermore, specific inhibition of MT1-MMP in tumor cells overexpressing MT1-MMP is sufficient to suppress tumor cell migration, invasion, proliferation, and metastasis [
53‐
55]. Recently, the importance of MT1-MMP in cancer progression has been demonstrated by the finding that overexpression of MT1-MMP in non-malignant cells was sufficient to drive tumorigenicity [
56]. In keeping with these findings, we previously described a mechanism of MT1-MMP transcriptional upregulation in VHL mutant RCC cells and hypothesized that MT1-MMP may play a role in the invasion of renal cell carcinoma [
23].
Here, we provide evidence supporting the importance of MT1-MMP in the invasive properties of RCC cells. First, our data show that RCC cells null for VHL (pRc-9) have a greater propensity for collagen degradation and invasion than RCC cells wild-type for VHL (WT8), suggesting that the pRc-9 cells have increased invasive potential (Figure
1). Further, overexpression of HIF-2α or MT1-MMP was sufficient to confer increased degradative and invasive abilities to the WT8 cells in type I collagen (Figure
2). Finally, inhibition of collagen invasion by WT8 cells transfected to express either MT1-MMP or HIF-2α required specific inhibition of MT1-MMP expression (Figures
3,
4). Importantly, collagen invasion of the HIF-2α transfectants was almost completely abrogated (>90%) by the MT1-MMP siRNAs, suggesting that MT1-MMP is the HIF-2α target primarily responsible for collagen invasion by these cells.
The process of matrix invasion by a tumor cell requires both degradation of ECM components as well as cell migration [
39]. In the pRc-9 cells, migration may result from the lack of VHL, which regulates migration through various mechanisms, including the regulation of actin filaments [
42], integrin fibrillar adhesions [
57], and endocytosis of FGFR1 [
45]. By performing siRNA experiments in a wild-type VHL background, we determined that invasion of the RCC cells was dependent on MT1-MMP rather than on the dysregulation of other VHL targets, suggesting that MT1-MMP may be responsible for RCC tumor invasion in the stromal compartment.
Our siRNA studies showed that inhibition of MT1-MMP expression prevented the activation of pro-MMP-2 as a measure of functional inhibition of MT1-MMP (Figure
3B) [
46‐
48]. Thus, it is plausible that MT1-MMP may also contribute to RCC invasion of basement membrane through its regulation of pro-MMP-2 activation since MMP-2 degrades type IV collagen, the main component of basement membrane [
33]. Interestingly, expression MMP-2 has been correlated with advanced stages of RCC, and MMP-2 activity, along with histological grade, stage, and T classification, has been identified as a significant predictor of RCC clinical outcome [
58‐
60].
Since the expression of the MT1-MMP siRNAs inhibited the activation of pro-MMP-2 by MT1-MMP (Figure
3B), our data does not exclude the possibility that MMP-2 activity may be required for type I collagen invasion by these RCC cells. However, this situation seems unlikely. Although MMP-2 has been shown to cleave fibrillar type I collagen, its ability to do so is less effective than known collagenases and requires a cell-free, TIMP-free system [
71], which was not the condition under which we performed our experiments. In particular, the WT8 cells used in the siRNA studies (Figures
3,
4) express TIMP-1 and TIMP-2, as previously described [
34]; thus, MMP-2 may not cleave fibrillar type I collagen under our experimental conditions. Further, the intermediate form of MMP-2, a species generated only when MT1-MMP and TIMP-2 are present at specific ratios, is predominant in these cells (Figure
3C) [
49]. Thus, it is unlikely that in our system, MMP-2 is playing a substantial role in the type I collagen invasion by these cells. Nonetheless, since MMP-2 activity is dependent on MT1-MMP [
46‐
48], we conclude from our data that MT1-MMP is required for type I collagen invasion by these RCC cells. Thus, we posit that MT1-MMP may initiate local invasion by RCC tumors by promoting both cell migration and invasion through cleavage of adhesion molecules, such as CD44 and integrins, pro-MMP-2, and by pericellular proteolysis of type I collagen fibrils in the stromal environment [
30,
61]. Supporting this hypothesis, MT1-MMP mRNA expression is increased in invasive RCC tumors when compared to tumors that remain localized [
31].
Our experiments using HIF-2α expression in the WT8 cells demonstrate that HIF-2α increased type I collagen invasion despite the presence of wild-type VHL, and this increased invasion was dependent on MT1-MMP (Figure
4C). Kurban
et al. recently showed that HIF-2α expression in a VHL wild-type background does not promote invasion of Matrigel [
38], a reconstituted basement membrane mainly comprised of type IV collagen and laminin [
62]. The authors concluded from their studies that invasion by VHL mutant cells is mediated via a HIF-independent mechanism, namely, by the loss of ECM assembly. In their Matrigel invasion assays, Kurban
et al. used the RCC cell line, WTPA, which stably expresses a HIF-2α variant that is not degraded by VHL in a VHL wild-type background [
20]. In their study, WTPA cells did not invade Matrigel as effectively as VHL mutant cells. Importantly, the authors showed that the more invasive cell lines expressed MMP-2, whereas WTPA cells did not. In our previous studies, we showed that pRc-9 and WTPA cells have stabilized HIF-2α protein and high levels of MT1-MMP when compared to WT8 cells [
23]. Like Kurban
et al., we found that MMP-2 expression in WTPA cells was similar to WT8 cells and much lower than pRc-9 cells (data not shown), suggesting that the mechanism of MMP-2 overexpression in pRc-9 cells may not be HIF-2α dependent. Furthermore, invasion of Matrigel likely requires MMP-2 gelatinolytic activity through the degradation of type IV collagen, whereas type I collagen invasion, as in our assays, may not require MMP-2 activity. Taken together, we conclude that while RCC cell invasion of Matrigel may be HIF-independent, HIF-2α mediates type I collagen of RCC cells through the regulation of MT1-MMP.
Methods
Cell lines and cell culture
Cell lines were maintained in Dulbecco's Modified Eagle's Medium (Mediatech, Inc., Herndon, VA) supplemented with 10% fetal bovine serum (FBS) (Hyclone, Logan, UT), penicillin [100 U/mL], streptomycin [100 μg/mL], and L-glutamine and cultured at 37°C, 5%CO
2. For serum-free conditions, DMEM supplemented with lactalbumin hydrosylate (2%), penicillin [100 U/mL], streptomycin [100 μg/mL], and L-glutamine was used. The WT8 and pRc-9 cell lines (kindly provided by William Kaelin, Dana-Farber Cancer Institute, Boston, MA) represent stable subclones of the 786-0 renal cell carcinoma cell line transfected with pRc/CMV-HA-VHL or pRc/CMV-empty, respectively [
16]. The 786-0 cell line (American Type Culture Collection (Manassas, VA) has a single VHL allele harboring a frameshift mutation at codon 104 resulting in a truncated, non-functional protein [
16,
67]. The WT8 and pRc-9 cells were cultured under continuous selection with the addition of [1 mg/mL] G418 sulfate. Cells were washed with either Hank's Balanced Salt Solution (HBSS) (Mediatech, Inc.) or 1× PBS (13.7 mM NaCl, 0.27 mM KCl, 1.2 mM phosphate buffer, pH 7.4) (National Diagnostics, Atlanta, GA) as indicated in the different experimental procedures.
Reagents and plasmids
The pCMV-HIF-2α expression construct containing full-length cDNA of HIF-2α was a generous gift of Richard Bruick (University of Texas, Southwestern Medical Center, Dallas, TX) [
68]. The MT1-MMP expression construct, MTpc3SE, was a kind gift of Jouko Lohi (University of Helsinki, Helsinki, Finland), and contains full-length MT1-MMP cDNA downstream of a CMV promoter [
69]. The pCMV-eGFP expression construct is commercially available from BD Biosciences (San Jose, CA).
Transient transfections
WT8 cells were plated in 6-well dishes at a density of 1.5 × 10
5 cells/well in DMEM+10% FBS in the absence of antibiotics or selection. At this density, the cells were ~90% confluent the following day and ready for transfection. Cells were then transiently transfected with 1 μg of DNA using Lipofectamine 2000™ Transfection Reagent (Invitrogen, Carlsbad, CA) following manufacturer's instructions for at least 12 hours before being washed three times with HBSS and switched to serum-free conditions for additional time depending on the experiment. Transfection with an empty vector (pRc/CMV) was used as a control for mock transfected cells [
23]. All transfections were performed in triplicate. Separate plates of cells were transfected with pCMV-eGFP to control for transfection efficiency under the given conditions. Transfection efficiency was determined as a percentage of GFP-expressing cells counted from 3 fields of 3 separate transfections, and the average transfection efficiency was approximately 50% in all experiments. Cells were harvested for either 1) functional assays as described under 'Collagen invasion assays' or 'Collagen degradation assay', 2) total RNA using the RNeasy kit as described under 'Real-time RT-PCR', or 3) protein expression analyses as described under 'ELISA' or 'Immunoblotting'.
siRNA transfections
Three siRNA duplex oligoribonucleotides targeting the MT1-MMP coding region (NM_604995) were designed using the Block-iT™ RNAi Designer program from the Invitrogen website. The Stealth™ RNAi Negative Control Duplex (cat# 12935-300; Invitrogen, Carlsbad, CA) is a proprietary non-targeting sequence with medium G/C content, which is similar to the G/C content of the target Stealth™ siRNAs. The target siRNA sequences are as follows:
siRNA(1): 5'-AAUUUGCCAUCCUUCCUCUCGUAGG-3';
siRNA(2): 5'-AAGAGAGCAGCAUCAAUCUUGUCGG-3';
siRNA(3): 5'-AAUGAUGAUCACCUCCGUCUCCUCC-3'. WT8 cells were plated in 6-well dishes at a density of 1.5 × 10
5 cells/well as described under 'Transient transfections'. The following day, cells were transfected with 0.5 μg of pCMV-eGFP, 1 μg MTpc3SE or pCMV-HIF-2α, and 25 nM of either the control siRNA or one of the MT1-MMP target siRNAs using Lipofectamine 2000™ Transfection Reagent (Invitrogen) following manufacturer's instructions for co-transfection of plasmid DNA and siRNA oligos. Cells were transfected in the presence of serum for 24 hours before being washed three times with HBSS and switched to serum-free conditions for an additional 24 hours. Transfection efficiency was determined by GFP expression as described above before the cells were harvested for either protein expression or the collagen invasion assay as described under 'Fluoroblok™ invasion assay'. The average transfection efficiency was approximately 50% in all experiments. An empty vector control (pRc/CMV) was used to balance the amount of plasmid DNA in co-transfections [
23]. All transfections were performed in triplicate.
Real-time RT-PCR
Total cellular RNA was purified using the RNeasy kit with on-column DNase I treatment (Qiagen, Valencia, CA). Reverse transcription and real-time PCR reactions were performed using the Taqman Reverse Transcription Reagent Kit and Syber Green Master Mix, respectively, following the manufacturer's protocol and as described previously (Applied Biosystems, Foster City, CA) [
23]. For each experiment, triplicate samples were obtained, and the cDNA for each was assayed in duplicate using a MJ Research DNA Engine Opticon thermal cycler. Data are presented as the average pg of MT1-MMP mRNA per ng of GFP mRNA and are representative of three or more experiments. Standard curves were included in each assay. Standards were prepared from serial log dilutions of plasmids carrying the appropriate cDNA as follows: MTpc3SE plasmid, 10 pg-0.001 pg; pCMV-eGFP plasmid, 1 ng-0.001 ng. Primer sequences are as previously published for MT1-MMP [
23] and for eGFP [
41].
ELISA
The Matrix Metalloproteinase-14 (MMP-14) Biotrak Activity Assay System (GE Healthcare BioSciences Corp., Piscataway, NJ), a quantitative measure of MT1-MMP activity as a direct measure of MT1-MMP protein, was used to analyze MT1-MMP protein expression. The assay was conducted according to the manufacturer's protocol. A standard curve ranging from [0.125 ng/mL] to [8 ng/mL] was used to quantitate protein expression. Because the assay is colorimetric and does not require quenching, absorbance readings were taken at 6 hr, 9 hr, and 12 hrs after incubation with the substrate. The data presented represent the concentration of MT1-MMP in the samples at the timepoint at which the sample values fit the standard curve most appropriately. Total protein from the extracts was quantitated using the Bradford Assay (Bio-Rad, Hercules, CA) and used to normalize the MT1-MMP protein concentration in each sample.
Immunoblotting and antibodies
Whole cell lysates were harvested from transfection experiments by washing the cells twice with cold 1× PBS, adding 100 μL of SDS reducing buffer (60 mM Tris-HCl, pH 6.8, 2% SDS, 14.4 mM β-mercaptoethanol, 25% glycerol, 0.1% bromphenol blue), and boiling for 5 minutes. Proteins were resolved by SDS-PAGE and electrotransferred to Immobilon-P PVDF membranes (Millipore Corp., Bedford, MA). Membranes were blocked with 5% milk in Tris-buffered saline 0.1% Tween-20 at room temperature for 1–2 hours. Primary antibodies, HIF-2α polyclonal antibody, 1:1000 (Novus Biologicals, Littleton, CO) and actin monoclonal antibody, 1:5000 (Oncogene, Cambridge, MA), were diluted in blocking buffer and incubated with the membranes at room temperature for 2 hours. Appropriate secondary antibodies were diluted in blocking buffer and incubated with the membrane at room temperature for 1 hour. Proteins were visualized by Western Lightning Chemiluminescence Reagent (Perkin Elmer, Boston, MA).
Gelatin Zymography
Transfectants were cultured in serum-free media for 24 hours, and conditioned media was concentrated approximately 30 fold using BioMax 30 K NMWL membrane ultrafree filters (Millipore Corp., Bedford, MA) as per manufacturer's instructions. An equal volume of non-reducing buffer (60 mM Tris-HCl, pH 6.8, 25% glycerol, 0.1% bromphenol blue) was added to the concentrated media before being applied to a 10% SDS-PAGE gel impregnated with [2.8 mg/mL] gelatin. After electrophoresis, the gel was washed two times for 30 min in 50 mM Tris-HCl (pH 7.5), 5 mM CaCl2, 5 μM ZnCl2, plus 2.5% Triton X-100 followed by an overnight incubation at 37°C in the same buffer without Triton X-100. Gels were stained with Coomassie Brilliant Blue R-250 and then destained in 20% methanol, 10% glacial acetic acid. Activity was detected as transparent bands. Recombinant human pro-MMP-2 (R&D Systems, Minneapolis, MN) was used as a control for gelatinolytic activity at [1 ng/μL]. Active MMP-2 was obtained by incubation with 20 μM 4-Aminophenylmercuric acetate (APMA, Sigma, St. Louis, MO) at 37°C for 45 min.
Collagen invasion assays
Transwell® invasion assay
Cells were serum-starved overnight before being harvested for invasion assays. Transwell® inserts (Costar, 24 mm, Corning, NY) with 8.0 μm pore polycarbonate membranes were coated with 50 μL per cm2 growth area with type I collagen diluted to [1 mg/mL] in serum-free DMEM. Collagen was prepared from purified bovine type I collagen (Cohesion Technologies, Palo Alto, CA) following manufacturer's instructions. Briefly, collagen was neutralized to pH 7.4 with the addition of 10× PBS and 0.1 N NaOH. The collagen was allowed to gel on top of the membrane at 37°C for 1 hour. Next, either DMEM+10% FBS or serum-free DMEM was added to the lower chamber as a chemoattractant. Cells were plated on top of the collagen layer at a density of 3.0 × 105 cells per insert in serum-free media. Cells were allowed to invade for 4–6 hours. At time of harvest, media in the upper chamber was removed, and the upper surface of the membranes was scraped with a cotton swab to remove the collagen gel and remaining cells. The membranes were rinsed with 1× PBS and then removed from the inserts using a scalpel. The membranes were then stained with methylene blue and destained with water. Stained cells were viewed using an Olympus 1 × 50 inverted phase contrast microscope at 100× and counted from 3 fields. Pictures were taken with an Olympus Q Color 3 camera.
FluoroBlok™ invasion assay
siRNA transfected cells were serum-starved for 24 hours before being harvested for the invasion assay. HTS FluoroBlok™ inserts (BD Falcon Labware, 6.5 mm, Franklin Lakes, NJ) contain fluorescence blocking PET track-etched membranes with 8.0 μm pores. This invasion system allowed for real-time viewing of cell invasion without the need to end the experiment and process the membranes. The FluoroBlok™ membrane prevents the transmission of light to cells on top of the membrane; thus, only invaded, GFP-expressing cells invaded through the collagen-coated membrane can be viewed. FluoroBlok™ membranes were coated with 90 μL per cm2 growth area with type I collagen diluted to [0.8 mg/mL] in serum-free DMEM. Collagen was prepared from purified bovine type I collagen (Organogenesis, Inc., Canton, MA) and neutralized to pH 7.4 with a buffer containing 9.8% 10× EMEM, [200 nM] L-Glutamine, 2% lactalbumin hydrosylate, 7.5% sodium bicarbonate. The collagen was allowed to gel on top of the membrane at 37°C for 30 min. Next, DMEM+10% FBS was added to the lower chamber as a chemoattractant. Cells were plated on top of the collagen layer at a density of 2.1 × 104 cells per insert in serum-free DMEM. Invaded cells were viewed by GFP fluorescence using excitation from a 100 W Mercury lamp on an Olympus 1 × 50 inverted phase contrast microscope. Cells were counted from entire membranes at 40×.
Collagen degradation assay
Cells were serum-starved for at least 8 hours before being harvested for the assay. Cells were embedded as a mixture of fibrillar collagen and media in a 12-well assay format. Collagen was prepared from purified bovine type I collagen (Cohesion Technologies, Palo Alto, CA) following manufacturer's instructions. Briefly, collagen was neutralized to pH 7.4 with the addition of 10× PBS and 0.1 N NaOH. Next, 3.2 × 10
5 cells were mixed with 132 μL of neutralized collagen, and serum-free media was added to bring the total volume to 635 μL per well. The final concentration of collagen in the mixture was [0.5 mg/mL]. The collagen was allowed to gel for 1 hour at 37°C after which 635 μL of serum-free media was added to the top of the gel. Assays were harvested at 48 hours, and the overlying media was removed and weighed. The specific gravity of serum-free media was determined to be 1 mg/mL. Therefore, collagen degradation is reported as the volume of liberated media calculated by the difference of the weight of total media removed and weight of the original volume added (635 μg or 635 μL). This assay provides an accurate measure of collagen degradation
in vitro [
40,
41].
Statistical analysis
Statistical significance was calculated using the student's
t-test available online [
70] and are represented as +/- standard deviation (S.D.) of the mean. Significance was assigned to
P values < 0.05.
Competing interests
The author(s) declare that they have no competing interests.
Authors' contributions
B.L.P. contributed to the design of the study, acquisition of the data presented, data analysis, and the writing of the manuscript. C.E.B. contributed to the design of the study, data analysis, and critical reading of the manuscript.