Bellicum offloads cell therapy plant in switch to outsourced production – OutSourcing-Pharma.com

When Bellicum Pharmaceuticals built the cell therapy plant in Houston, Texas, it planned to use the US site to support its early-phase chimeric antigen receptor (CAR)-T trials and late-phase development and commercialization of Rivo-cel (rivogenlecleucel), a drug designed to improve hematopoietic stem cell transplantation outcomes.

A registrational trial of Rivo-cel met its primary endpoint in July 2019, leading Bellicum to start looking for a partner for the asset. However, the search for a partner did not go as well as Bellicum hoped.

By November, Bellicum CEO Rick Fair was warning investors that it's unclear if an agreement [for Rivo-cel] will be reached. Bellicum responded to the uncertainty by pausing work in the area.

That decision about Rivo-cel had a knock-on effect on the viability of Bellicums manufacturing facility.

Fair said, Given our decisions on Rivo-cel, our facility is substantially underutilized with a significant fixed cost base. We are actively pursuing a partner for the facility with the goals of reducing operating costs while maintaining critical viral vector and cell therapy development capabilities and dedicated manufacturing capacity.

Bellicums pursuit of a partner led it to The University of Texas MD Anderson Cancer Center. In return for $15m (13.5m), MD Anderson is set to buy the 60,000-square-foot facility, giving it production capacity to support its own cell therapies and those of its strategic partners.

The deal features a master services agreement intended to ensure Bellicum can access cell therapy manufacturing capacity despite no longer having an in-house facility. MD Anderson will make CAR-Ts and other cell therapies for use in Bellicums clinical trials, plus potentially early commercial supply, from the Houston facility on a service basis.

To smooth the transition, around 35 Bellicum employees based at the facility are set to start working for MD Anderson once the deal goes through. Bellicum expects to close the deal in the first quarter.

MD Anderson will use the capacity not taken up by Bellicums assets to support its own programs and those of its partners. The US cancer center has been at the forefront of efforts to develop and deploy cell therapies, creating a need for manufacturing capacity to support the work of its discovery division.

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Dodge Elementary rallies around beloved therapy dog – Amherst Bee

Students at Dodge Elementary School hold up colored portraits of Yeti, the schools therapy dog, in the classroom.

Dodge Elementary students have been missing one of their favorite faculty members; Yeti the therapy dog has been absent as he heals from hip dysplasia complications.

Dan Steck, head custodian at Dodge Elementary, rescued Yeti from a puppy mill near Lancaster, Pennsylvania, on March 19, 2016. Little did he know then that soon, Yeti would become a certified therapy dog, complete with his own office at Dodge.

Steck originally rescued Yeti in the hope that a sibling would calm down his other rambunctious malamute, Luna. While the adoption didnt quite have the desired effect, Steck soon realized that Yeti was special he was kind, gentle and always happy, a perfect candidate to become a therapy dog.

Since his certification through the SPCAs Paws for Love program, Yeti has worked at Dodge, a friendly face for struggling children or a non-judgmental listener for children practicing their reading. Steck said that teachers and students make requests to have Yeti in their classrooms left and right.

They adore Yeti, said Dodge principal Charlie Smilinich. Its cool to see how a dog can impact students. Its very unique. Hes been here for two years and has built a relationship with everyone. Hes a Dodger. The dog has his own office.

Yeti is what his owners call a tripaw, meaning that one of his legs was amputated due to a neglected infection he sustained under the care of his previous owners. As a result of walking on only three legs, the 4-year-old Alaskan malamute struggles with hip dysplasia.

Originally, Yeti was prescribed hydrotherapy, though he struggled to keep up with the treatment and would come home exhausted. Now, veterinarians are considering acupuncture, stem cell treatment or even a total hip replacement.

Hopefully, hell live a long life, but hes got some real challenges already, said Steck. At age 4, hes nowhere near as playful as he was, and he sleeps a lot. Eventually, he may even need a wheelchair.

Stecks family has dutifully supported Yeti through all of his medical trials, but the bills are racking up quickly. A wheelchair alone would cost them between $1,200 and $1,500.

To help with the costs, the Stecks have a GoFundMe page where they provide medical updates and receive encouraging messages from the elementary students.

To support their beloved therapy dog, Dodge students and the surrounding community have contributed $3,845 thus far, with a goal of $10,000. All of the money raised goes directly into an account at Amherst Small Animal Hospital.

To support the GoFundMe campaign, visit http://www.gofundme.com and search for Throw Kindness Around Like Confetti For Yeti.

To learn more about Yeti and his work at Dodge, search for Yeti Steck on Facebook.

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Study shows huge fluctuations in the cost of orthobiologics – The Mix

UAB orthopaedic surgeons report that the cost of orthobiologics, promising but not fully proven therapies, can vary widely across the nation.

UAB orthopaedic surgeons report that the cost of orthobiologics, promising but not fully proven therapies, can vary widely across the nation.The use of orthobiologics is a hot trend in orthopaedics, but new research from the University of Alabama at Birmingham shows wide variability in cost for these therapies. The UAB study, published in Sports Health, Oct. 2019, looked at two orthobiologic therapies; platelet-rich plasma injections and stem cell injections, and found dramatic cost variability ranging from a few hundred dollars to as much as $12,000. That is troublesome, say UAB researchers, especially for therapies that are yet to be conclusively proven effective.

Research into the efficacy of these therapies is mixed at best, said Amit Momaya, M.D., assistant professor in the Department of Orthopaedic Surgery at the UAB School of Medicine and the studys first author. Some studies show benefit, others dont. More research is needed to definitively determine their effectiveness, but in the meantime consumers can find themselves paying a lot of money for something that may or may not work.

Orthobiologics such as platelet-rich plasma injections and stem cell injections have been suggested to improve healing and manage pain following orthopaedic injury. They are autologous therapies, meaning they are derived from the patients own blood or cells. Because they are autologous, their use is not highly regulated by the government and there is minimal oversight from the public health community.

Platelet-rich plasma injections are FDA approved for bone grafts, but not for other uses for which they are now marketed, said Brent Ponce, M.D., professor of orthopaedics and senior author of the paper. As physicians, we think there is cause for concern when an experimental therapy can cost hundreds of dollars at one health care provider and thousands at another. There is a tremendous need for consumer education and for more regulatory oversight.

Momaya and Ponces team surveyed 1,345 orthopaedic sports medicine practices around the United States, asking if orthobiologics were offered and at what cost. Roughly two thirds of the responding practices offered one or both of the therapies. In general, costs were higher in affluent areas of larger cities. Geographically, costs were higher in the western regions of the country and lower in the south. Large orthopaedic practices were more likely to have higher prices than smaller practices.

The mean cost of the platelet-rich plasma injection was $707, with a range of $175 to $4,973. Stem cell injections had a mean cost of $2,728, ranging from $300 to $12,000. In most cases, insurance does not cover the cost of the injections.

The differences in cost are significant and you could certainly ask if these differences are unethical, Momaya said. We understand that there are patients willing to pay for a therapy they hope will stave off major surgery such as joint replacement, but we are concerned whether patients are getting the facts about what these therapies can and cannot do. Do they have accurate expectations? Just because a desperate patient has the means to pay thousands of dollars, is it right for medical professionals to charge that much?

Full disclosure: UABs Department of Orthopaedics offers platelet-rich plasma injections and stem cell injections for some conditions. UABs charges are at the low end of the cost range; platelet-rich plasma injections are $350, for example. UAB physicians who offer orthobiologics are following their patients over time to learn more about their effectiveness.

Drs. Momaya (pictured) and Ponce say orthobiologic therapies are promising, but that the cost for the treatments varies widely across the nation. There is reason to think that orthobiologics might be beneficial and it is incumbent on the medical profession to study their effectiveness and determine how best to utilize these therapies, Ponce said. As that process continues, consumers need to be better educated. We fear there is misleading information circulating about orthobiologics, which helps create an environment with widely fluctuating costs.

Ponce and Momaya suggest that patients interested in orthobiologics should shop around. They recommend using a directory of sports medicine surgeons from the American Orthopaedic Society for Sports Medicine to find appropriate medical professionals. They further suggest consider enrolling in a clinical trial or at least work with the medical team to follow and track outcomes.

We are not against the use of orthobiologics, Momaya said. We use them ourselves as we work to understand which conditions and which patients are most likely to benefit from these therapies. But until we can say with confidence that these are effective, we have to urge patients to use caution and get as much information as possible about effectiveness and cost before pursuing orthobiologic therapy.

Co-authors of the study along with Momaya and Ponce are Eugene Brabston, M.D., Andrew McGee, Alexander Dornbrowsky, Raymond Waldrop and Jun Kit He from UAB; Alan Wild, Alabama College of Osteopathic Medicine and Naqeeb Faroqui, Mercer University School of Medicine.

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What are Progenitor Cells? Exploring Neural, Myeloid and Hematopoietic Progenitor Cells – Technology Networks

What are progenitor cells?

Every cell in the human body, and that of other mammals, originates from stem cell precursors. Progenitor cells are descendants of stem cells that then further differentiate to create specialized cell types.There are many types of progenitor cells throughout the human body. Each progenitor cell is only capable of differentiating into cells that belong to the same tissue or organ. Some progenitor cells have one final target cell that they differentiate to, while others have the potential to terminate in more than one cell type.

Stem cells share two qualifying characteristics. Firstly, all stem cells have the potential to differentiate into multiple types of cells. Secondly, stem cells are capable of unlimited self-replication via asymmetric cell division, a process known as self-renewal.There are two broad categories of stem cells found in all mammals. The first are embryonic stem cells. These cells arise from the inner cell mass of the blastocyst in an early-stage embryo. Embryonic stem cells are the blueprint used to create every cell in the body. Because they can be used to create any type of cell, they are known as pluripotent.

The second type of stem cells found in mammals are adult stem cells (or somatic stem cells). Unlike pluripotent embryonic stem cells, adult stem cells are more limited in relation to the type of cells that they become. Unlike embryonic stem cells that could be used to create any cell, adult stem cells are limited to generating cell types within a specific lineage, such as blood cells or cells of the central nervous system. This level of differentiation potential is termed multipotent.

Stem cells create two types of progeny: more stem cells or progenitor cells. All progenitor cells are descendants of stem cells. When it comes to cell differentiation, they fall on the spectrum between stem cells and fully differentiated (mature) cells.

Whilst stem cells have indefinite replication (left) progenitor cells can at most differentiate into multiple types of specialized cell (right).

Function:

Cellular repair or maintenance

Cell Potency:

Multipotent, oligopotent, or unipotent

Self-renewal:

Limited

Origin:

Stem cells

Creates:

Further differentiated cells (either progenitor cells of mature/fully differentiated cells)

Progenitor cells are an intermediary step involved in the creation of mature cells in human tissues and organs, the blood, and the central nervous system.

The human central nervous system (CNS) contains three types of fully differentiated cells: neurons, astrocytes and oligodendrocytes. The latter two are collectively known as glial cells.Every neuron, oligodendrocyte and astrocyte in the CNS evolves from the differentiation of neural progenitor cells (NPCs). NPCs themselves are produced by multipotent neural stem cells (NSCs). Both NPCs and NSCs are termed neural precursor cells.Before the 1990s, it was believed that neurogenesis terminated early in life. More recent studies demonstrate that the brain contains stem cells that are capable of regenerating neurons and glial cells throughout the human lifecycle. These stem cells have only been found in certain brain regions, including the striatum and lateral ventricle.

Hematopoietic progenitor cells (HPCs) are an intermediate cell type in blood cell development. HPCs are immature cells that develop from hematopoietic stem cells, cells that can both self-renew and differentiate into hematopoietic progenitor cells. HPCs eventually differentiate into one of more than ten different types of mature blood cells.Hematopoietic progenitor cells are categorized based upon their cell potency, or their differentiation potential. As blood cells develop, their potency decreases.

First, hematopoietic stem cells differentiate into multipotent progenitor cells. Multipotent progenitor cells are those with the potential to differentiate into a subset of cell types. These cells then differentiate into either the common myeloid progenitor (CMP) or common lymphoid progenitor (CLP). Both CMPs and CLPs are types of oligopotent progenitor cells (progenitor cells that differentiate into only a few cell types).

CMPs and CLPs continue to differentiate along cell lines into lineage-restricted progenitor cells that become final, mature blood cells.Myeloid progenitor cells are precursors to the following types of blood cells:

Lymphoid progenitor cells (also known as lymphoblasts) are precursors to other mature blood cell types, including:

The primary role of progenitor cells is to replace dead or damaged cells. In this way, progenitor cells are necessary for repair after injury and as part of ongoing tissue maintenance. Progenitor cells also replenish blood cells and play a role in embryonic development.

Neural progenitor cells (NPCs) are being explored alongside neural stem cells for their potential to treat diseases of or injury to the central nervous system. A deeper understanding of how these cells function on a cellular and molecular basis is needed to progress from early experimental research to therapeutic use.NPCs are currently utilized in research conducted on CNS disorders, development, cell regeneration and degeneration, neuronal excitability, and therapy screening. When compared to induced pluripotent stem cells, which are cells reprogrammed into a pluripotent state, NPCs can cut down on time in some experiments.Hematopoietic progenitor cells and stem cells are being researched for their capacity to treat blood cell disorders. They are also currently used to help treat patients with a variety of malignant and non-malignant diseases via bone marrow transplants that deliver bone marrow and peripheral blood progenitor cells to patients. These procedures can assist patients in recovering from the damage caused by chemotherapy.Additionally, researchers are examining the potential of using progenitor cells to create a variety of tissues, such as blood vessels, heart valves, and electrically conductive tissue for the cardiovascular system.

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Lab-Grown Heart Muscles Have Been Transplanted Into a Human For The First Time – ScienceAlert

On Monday, researchers from Japan's Osaka University announced the successful completion of a first-of-its-kind heart transplant.

Rather than replacing their patient's entire heart with a new organ, these researchers placed degradable sheets containing heart muscle cells onto the heart's damaged areas - and if the procedure has the desired effect, it could eventually eliminate the need for some entire heart transplants.

To grow the heart muscle cells, the team started with induced pluripotent stem (iPS) cells. These are stem cells that researchers create by taking an adult's cells - often from their skin or blood - and reprogramming them back into their embryonic-like pluripotent state.

At that point, researchers can coax the iSP cells into becoming whatever kind of cell they'd like. In the case of this Japanese study, the researchers created heart muscle cells from the iSP cells before placing them on small sheets.

The patient who received the transplant suffers from ischemic cardiomyopathy, a condition in which a person's heart has trouble pumping because its muscles don't receive enough blood.

In severe cases, the condition can require a heart transplant, but the team from Osaka University hopes that the muscle cells on the sheet will secrete a protein that helps regenerate blood vessels, thereby improving the patient's heart function.

The researchers plan to monitor the patient for the next year, and they hope to conduct the same procedure on nine other people suffering from the same condition within the next three years.

If all goes well, the procedure could become a much-needed alternative to heart transplants - not only is sourcing iPS cells far easier than finding a suitable donor heart, but a recipient's immune system is more likely to tolerate the cells than a new organ.

"I hope that (the transplant) will become a medical technology that will save as many people as possible, as I've seen many lives that I couldn't save," researcher Yoshiki Sawa said at a news conference, according to The Japan Times.

This article was originally published by Futurism. Read the original article.

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Lab-Grown Heart Muscles Have Been Transplanted Into a Human For The First Time - ScienceAlert

Antibodies recognizing the C terminus of PP2A catalytic subunit are unsuitable for evaluating PP2A activity and holoenzyme composition – Science

Know thy antibodies

Knowing whether a given antibody is specific for its intended target or is sensitive to posttranslational modifications of that target is critical for interpreting experimental data generated with antibody reagents. Two Research Resources from the Ogris group highlight the importance of knowing the capabilities and limitations of antibody reagents. Frohner et al. found that various antibodies raised against the catalytic (C) subunit of protein phosphatase 2A (PP2A) were sensitive to methylation and phosphorylation of PP2A C, cross-reacted with related phosphatases, and failed to immunoprecipitate major subsets of trimeric holoenzymes. This implies that findings using a common commercial phosphatase assay kit that relies on one of these antibodies should be reevaluated. Schchner et al. found that the recognition of Myc-tagged proteins by a widely used Myc-specific antibody varied depending on sequences adjacent to the tag. A Focus by Janes highlights the importance of systemic validation of research antibodies.

The methyl-esterification of the C-terminal leucine of the protein phosphatase 2A (PP2A) catalytic (C) subunit is essential for the assembly of specific trimeric PP2A holoenzymes, and this region of the C subunit also contains two threonine and tyrosine phosphorylation sites. Most commercial antibodiesincluding the monoclonal antibody 1D6 that is part of a frequently used, commercial phosphatase assay kitare directed toward the C terminus of the C subunit, raising questions as to their ability to recognize methylated and phosphorylated forms of the enzyme. Here, we tested several PP2A C antibodies, including monoclonal antibodies 1D6, 7A6, G-4, and 52F8 and the polyclonal antibody 2038 for their ability to specifically detect PP2A in its various modified forms, as well as to coprecipitate regulatory subunits. The tested antibodies preferentially recognized the nonmethylated form of the enzyme, and they did not coimmunoprecipitate trimeric holoenzymes containing the regulatory subunits B or B, an issue that precludes their use to monitor PP2A holoenzyme activity. Furthermore, some of the antibodies also recognized the phosphatase PP4, demonstrating a lack of specificity for PP2A. Together, these findings suggest that reinterpretation of the data generated by using these reagents is required.

Protein phosphatase 2A (PP2A) is a major phosphoserine and phosphothreonine protein phosphatase present in all eukaryotic cells. It is involved in the regulation of diverse cellular processes including signaling cascades, cell cycle regulation, apoptosis, and development. Mutations in PP2A subunits are associated with human diseases, including cancer and neurodegenerative diseases (1, 2). PP2A exists as multimeric complexes consisting of a catalytic C subunit (PPP2CA or PPP2CB, also called PP2A C or PP2A C ), a structural A subunit (PPP2R1A or PPP2R1B, also called PP2A A or PP2A A ), and one of many B-type regulatory subunits. B subunits are encoded by different genes, some with multiple splice variants, and are classified into four groups: B (PPP2R2A, PPP2R2B, PPP2R2C, and PPP2R2D; also known as B55, B55, B55, and B55), B (PPP2R5A, PPP2R5B, PPP2R5C, PPP2R5D, and PPP2R5E; also known as B56, B56, B56, B56, and B56), B (PPP2R3A, PPP2R3B, and PPP2R3C; also known as PR130, PR70, PR72, and G5PR), and B (STRN, striatin family). The binding of certain B subunits to the core dimer composed of PP2A A and PP2A C (PP2A A/C) determines enzyme activity, substrate specificity, and subcellular localization (3).

PP2A C has a highly conserved C terminus that plays an important role in regulating the phosphatase activity. The terminal six residues, TPDYFL, are identical from yeast to human and can undergo various posttranslational modifications that activate or inhibit the function of PP2A (Fig. 1A) (4). Methyl-esterification of the carboxyl group of the C-terminal leucine at position 309 in mammalian PP2A (Leu309) is catalyzed by the S-adenosylmethioninedependent enzyme leucine carboxyl methyl transferase-1 (LCMT-1) (5, 6) and reversed by protein phosphatase methylesterase-1 (PME-1) (7). In a mammalian cell, more than 90% of PP2A C is present in the carboxymethylated state (8). The major function of PP2A C carboxyl methylation is thought to be the stimulation of PP2A activity and the promotion of PP2A heterotrimeric complex assembly (812). For example, methylation is required for formation of B subunitcontaining heterotrimers in mammalian cells (13). Methylation similarly facilitates mammalian B (B56) and B (PR72) trimer assembly in cells, although it does not seem to be strictly required for complex assembly in vitro (1417). C-terminal methylation is, however, dispensable for trimer formation with striatin and the viral B-type subunits, SV40 small and polyomavirus small and middle tumor antigens (Fig. 1A) (8, 18, 19). The interaction with other PP2A regulatory proteins such as 4, PTPA, and Tiprl is negatively affected by posttranslational modifications of the C terminus of PP2A C, pointing to its central role in PP2A holoenzyme biogenesis (2024).

(A) Posttranslational modifications of the PP2A C-terminal tail and schematic of PP2A holoenzyme maturation. The PP2A core enzyme consists of a structural A subunit and a catalytic C subunit. LCMT-1 methylates PP2A C. The methylated PP2A core enzyme associates with B, B, or B regulatory subunits. The unmethylated core enzyme associates with striatin, SV40 ST, PyST, or MT regulatory subunits. (B) Quantification of monoclonal antibody 1D6 binding to the peptides Leu309 (Ac-HVTRRTPDYFL) and meLeu309 (Ac-HVTRRTPDYFL-Me) by ELISA. Antibody binding data are shown as the average and SD of n = 4 independent ELISA experiments. The signals were normalized to Leu309 peptide, which was arbitrarily set to 1. (C) Immunoblotting of lysates from untreated or NaOH-treated HAP1 (HAP) and HEK293Trex (HEK) cells using the indicated antibodies. The panel originates from two different blotting membranes used for the C subunit antibodies (1D6 and H8). The 1D6 blot was incubated with a pan-actin antibody as a loading control. The blots are representative of n = 5 (HAP) or n = 3 (HEK) independent immunoblotting experiments. The blots were quantified using a dilution series of the NaOH-treated sample (fig. S1B). (D) Immunoblotting of lysates from untreated or NaOH-treated HAP1 cells using the indicated antibodies. The panel originates from seven different blotting membranes used for the C subunitspecific antibodies. The H8 blot was reincubated with pan-actin antibody as a loading control. The blots are representative of n = 3 or n = 4 independent immunoblotting experiments. The blots were quantified using a dilution series of the NaOH-treated sample and normalized to the H8 signal. Statistical significance of ELISA and immunoblotting quantifications were assessed using Students t test. *P < 0.05, **P < 0.01, ****P < 0.001; a.u., arbitrary units.

Dysregulation of PP2A methylation has important biological consequences. Reduced PP2A methylation is associated with an increased risk of Alzheimers disease (25) because it leads to a loss of PP2A Bcontaining trimers and, consequently, to reduced PP2A-mediated tau dephosphorylation (26). In addition, PME overexpression sensitizes mice to -amyloidinduced neurodegenerative impairments, whereas LCMT-1 overexpression protects the mice from neurodegenerative impairments (27). In addition, PP2A C methylation appears to be important for the tumor-suppressive role of PP2A because reduction in LCMT-1 (or overexpression of PME-1) enhances the transformation of human cells in an Akt-dependent manner (19). Thus, studies of PP2A need to take this critical posttranslational modification into account.

The analysis of PP2A C subunit methylation is complicated by the fact that PP4 and PP6 are structurally closely related to PP2A and share four or three , respectively, identical amino acids at their C termini. Both phosphatases are also carboxymethylated by LCMT-1 (28). Methylation of the PP4 catalytic subunit is also crucial for complex formation with the PP4 regulatory subunit PP4R1 but not for complex formation with PP4R2, whereas PP6 complex formation has not been shown to be affected by methylation (28). The PP2A C subunit also has additional important posttranslational modification sites. In addition to the methylation of Leu309, the C terminus of PP2A C has two reported phosphorylation sites at Thr304 and Tyr307, which have mainly been associated with the inactivation of PP2A and the regulation of holoenzyme assembly (Fig. 1A) (18, 29, 30), indicating that the highly conserved C terminus of PP2A C is a major regulatory hub for PP2A holoenzyme maturation.

Antibodies are among the most important tools in the biological sciences. They are used to identify and isolate proteins and are supposed to be highly specific for the protein of interest. Unfortunately, it is becoming clear that many commercial antibodies are not sufficiently validated and may cross-react with other proteins or even detect entirely different proteins than what the label suggests (31). Therefore, it is not surprising that antibodies have been identified as one of the most common causes for the misinterpretation of results and the lack of reproducibility. Antibodies are frequently raised against the N and C termini of proteins because these termini are thought to be often surface exposed and therefore accessible for antibody binding (32). Many of the currently used and commercially available antibodies specific for the PP2A C subunit were originally raised against synthetic nonmethylated peptides from the C terminus of the protein. In the meantime, however, it has become clear that up to 90% of total PP2A C is methylated on its C terminus in vivo (8, 19). Thus, many of the currently used antibodies might therefore not efficiently detect the carboxymethylated C subunit. Two antibodies, 1D6 and 7A6, have already been shown to be methyl sensitive and have been used to detect nonmethylated C subunit (11, 19, 33). In addition, potential cross-reactivity of these antibodies with PP4 or PP6, or both, cannot be ruled out because the last four or three amino acids, respectively, are identical to those in PP2A (28).

Here, we set out to systematically examine the methylation sensitivity of antibodies raised against the C terminus of PP2A C. In particular, we focused on clone 1D6, which is used in a commercial phosphatase assay kit, to immunoprecipitate PP2A and to determine PP2A activity from cell lysates. Our analysis revealed that 1D6 and several other antibodies raised against the C terminus of PP2A C were not suited to analyze PP2A holoenzyme activity because of their preference for the nonmethylated C subunit, their sensitivities to phosphorylated Thr304 or Tyr307, their cross-reactivity with PP4 or PP6, and their inability to immunoprecipitate B and B holoenzymes. For the analysis of these PP2A holoenzymes, antibodies that target and immunoprecipitate specific regulatory PP2A subunits in complex with the A and C subunit, such as the B-specific monoclonal 2G9, should be used.

To determine the catalytic activity of PP2A but no other phosphoserine and threonine phosphatases, PP2A needs to be immunoprecipitated from cell lysates using subunit-specific antibodies. The enzymatic activity of immunoprecipitated PP2A is then measured either by colorimetric phosphatase assays using, for example, para-nitrophenyl phosphate (pNPP) or phosphorylated substrate peptides and malachite green, or by assays using 32P-labeled protein substrates, such as phosphorylase a and histone H1 (12, 34). The antibody most commonly used to immunoprecipitate PP2A for activity assays is the mouse monoclonal antibody 1D6, which was raised against a 15-residue nonmethylated PP2A C subunit C-terminal peptide (RGEPHVTRRTPDYFL) and has already been shown to have a preference for nonmethylated PP2A C (11). To confirm the methyl sensitivity of 1D6, we performed an enzyme-linked immunosorbent assay (ELISA) on a methylated versus a nonmethylated PP2A C-terminal undecapeptide. 1D6 detected the nonmethylated peptide with a 5.6-fold higher signal than it did the methylated peptide (Fig. 1B). Two control antibodiesan antibody specific for the methylated C terminus, clone 7C10, and an antibody that preferentially detects nonmethylated PP2A C, clone 1D7detected the corresponding peptides with 42- and 15-fold higher signals than they did their nonmethylated or methylated counterparts, respectively (fig. S1A). To confirm this result with methylated and nonmethylated full-length protein, we chemically removed the methyl group from cellular PP2A by treating lysates of two different human cell lines, HAP1 and human embryonic kidney (HEK) 293Trex (HEK) with NaOH (35). The 1D6 signals for PP2A C increased fivefold (HAP1) or sixfold (HEK) in NaOH-treated compared with untreated cell lysates, confirming the methyl sensitivity of 1D6 observed in the ELISA (Fig. 1C). The nonmethylated Cspecific antibody, 1D7, gave an 8.9 times higher PP2A signal on the NaOH-treated lysates of HAP1 cells, suggesting that almost 90% of the PP2A C subunit was methylated in these cells (fig. S1, B and C). In HEK cells, the PP2A signal in the untreated lysate was even lower than that in the HAP1 cells, suggesting that more than 90% of the PP2A C subunit was methylated in these cells (fig. S1, B and C). The methyl-PP2Aspecific antibody 7C10 only detected methylated PP2A in the untreated cell lysates but not in the NaOH-treated lysates, whereas actin and total C subunit abundances were unchanged by NaOH treatment (Fig. 1C and fig. S1B). These results raised concerns that other antibodies generated against the C terminus of the PP2A C subunit might be similarly hampered by methylation at Leu309. Using the same experimental setup with NaOH-treated versus untreated HAP1 cell lysates, we found that the mouse monoclonal antibody 7A6, which was generated by our laboratory and has been licensed to several companies, rabbit polyclonal antibody 2038 (Cell Signaling Technology), and the mouse monoclonal antibody G-4 (Santa Cruz Biotechnology) were four to fivefold worse in detecting methylated PP2A C, whereas the rabbit monoclonal antibody 52F8 (Cell Signaling Technology) was only hampered by methylation 1.6-fold (Fig. 1D).

Additional posttranslational modifications to the C terminus of PP2A include phosphorylation at two reported sites, Thr304 and Tyr307. To test whether methylation-sensitive antibodies directed against the C terminus were affected by modifications at these residues, we performed ELISAs on nonmethylated PP2A C-terminal undecapeptides either nonphosphorylated, phosphorylated on Thr304 (pThr304), or phosphorylated on Tyr307 (pTyr307). Signals from the 1D6, G-4, and 7A6 antibodies decreased to about 70, 45, or 65%, respectively, on the nonmethylated pThr304 peptide compared with the nonmethylated, nonphosphorylated peptide and gave almost no signal on the nonmethylated pTyr307 peptide (fig. S2A), indicating that phosphorylation at Tyr307 blocked PP2A detection by these antibodies. 52F8 and 2038 did not recognize any of the undecapeptides in ELISAs and were therefore not included in this analysis. The nonmethyl-specific antibody 1D7 was hardly affected by phosphorylation of Tyr307 but severely impaired (4.7-fold) when Thr304 was phosphorylated (fig. S2B). In contrast, detection by the methyl-specific antibody 7C10 was not impaired but increased 1.6-fold by the phosphorylation of Thr304. A slight increase observed with the pTyr307 peptide was not statistically significant (fig. S2C).

1D6 is used in a commercial kit to assess PP2A activity from cellular lysates. Given the methylation sensitivity of this antibody and the requirement for methylation for the assembly and/or activity of certain PP2A holoenzymes, we sought to determine which PP2A holoenzymes could be immunoprecipitated by 1D6. Methylation of the C terminus of PP2A C is an important prerequisite for the assembly of PP2A holoenzymes containing B and B regulatory subunits but not for holoenzymes containing the B regulatory subunit (striatin) (8). All of these PP2A holoenzymes, however, can efficiently be isolated by N-terminal epitope tagging of the PP2A C subunit subsequent immunoprecipitation of the tag (18, 36). We therefore expressed N-terminally hemagglutinin (HA)tagged PP2A C subunit isoform in HEK cells and analyzed the immunoprecipitates by Western blotting. The preference of 1D6 and 7A6 for the nonmethylated PP2A C subunit was less pronounced in the immunoprecipitation than in the ELISA and immunoblotting experiments. 1D6 immunoprecipitated 146%, and 7A6 immunoprecipitated 228% of the amount of nonmethylated PP2A C immunoprecipitated by the HA tag antibody and 68 or 34% of the amount of methylated PP2A C, respectively (Fig. 2A). The amounts of the structural PP2A A subunit decreased to 56% in the 1D6 and to 18% in the 7A6 immunoprecipitates. Critically, the B-type subunits B and B were almost undetectable in the 1D6 and 7A6 immunoprecipitates (Fig. 2A). Conversely, 1D6, but not 7A6, copurified ninefold increased amounts of striatin complexes compared with HA tag immunoprecipitates (Fig. 2A and fig. S3B). The general PP2A C antibody H8, which binds to a fragment encompassing amino acids 46 to 90, did not immunoprecipitate PP2A C, probably because large parts of its epitope on PP2A C are not surface exposed or are masked by A subunit binding and therefore not accessible to the antibody (fig. S3A) (1517). The rabbit monoclonal 52F8 immunoprecipitated exclusively nonmethylated PP2A C but coimmunoprecipitated hardly any A subunit and no B and B subunits (fig. S3A). The methyl-PP2Aspecific antibody 7C10 weakly immunoprecipitated methylated PP2A C and A subunits but no trimers containing B and B (fig S3A). 2G9, the antibody specific for and B subunits, efficiently coimmunoprecipitated trimeric PP2A holoenzymes consisting of PP2A B, PP2A A, and exclusively the methylated form of PP2A C subunit, reflecting the requirement of methylation for B subunitcontaining holoenzymes (fig. S3, A and B).

(A) Immunoblotting of HA, 1D6, 7A9, and IgG (immunoglobulin G; control) immunoprecipitates (IP) and lysates (1/10 of input) from HEK293Trex cells transfected with either empty vector (control) or vector encoding HA-PP2A C subunit using antibodies H8, 1D7, or 7C10 or antibodies directed against the indicated A and B subunits. The panels originate from three different blotting membranes. The blots are representative of n = 3 independent immunoprecipitation experiments. The A subunit and striatin coimmunoprecipitations were quantified from three independent experiments relative to the amount of immunoprecipitated PP2A C, and the HA-PP2A C IP was arbitrarily set to 1. (B) Quantification of the catalytic activity of HA, 1D6, or 2G9 immunoprecipitates from lysates of HEK293Trex cells transfected with either vector encoding HA-PP2A C subunit (for HA-PP2A immunoprecipitation) or control vector (for 1D6 and 2G9 immunoprecipitations) analyzed by phosphatase assays toward phosphorylase a or CDK1-phosphorylated histone H1. The measured activity was normalized to the amount of immunoprecipitated PP2A C subunit, and the specific activity of HA-PP2A C IP was set to 100%. n = 4 independent immunoprecipitation and phosphatase assay experiments. (C) Alignment of the C termini of mammalian C subunits of PP2A, PP4, and PP6. (D) Immunoblotting of HA immunoprecipitates from lysates of NIH3T3 cells infected with either retroviral supernatants (control) or retrovirus carrying HA-PP2A C, HA-PP4 C, or HA-PP6 C using the indicated antibodies. To equilibrate HA amounts, two times more of the HA-PP4 and three times more of the HA-PP6 C immunoprecipitates were loaded compared with HA-PP2A. The panel originates from 11 different blotting membranes that are representative of n = 3 independent immunoprecipitation experiments. Statistical significance of immunoblotting and phosphatase assay quantifications was assessed using ANOVA followed by Tukeys HSD as a post hoc test. *P < 0.05, **P < 0.01, ***P < 0.005, ****P < 0.001; C, PP2A C subunit; B, PP2A B subunit.

B-type regulatory subunits determine the activity and specificity of PP2A toward its substrates (37). The inability of 1D6 to efficiently immunoprecipitate two major PP2A holoenzyme classes, the B and B trimers, and the fact that 1D6 is used to determine PP2A activity from cell extracts made us wonder about the PP2A activity present in 1D6 immunoprecipitates. Therefore, we determined the catalytic activity of HA-PP2A C, 1D6 PP2A C, and 2G9 PP2A B immunoprecipitates toward two different in vitro substrates, phosphorylase a and histone H1 (Fig. 2B). Phosphorylase a is a general substrate for mono-, di-, and trimeric PP2A complexes, with the monomeric C subunit showing the highest activity and B and B trimers showing the lowest activity but highest affinity toward this substrate (38). In contrast, histone H1 that has been phosphorylated by the cyclin-dependent kinase CDK1 has been shown to be specifically dephosphorylated by heterotrimeric complexes containing a B subunit (18, 3942). Compared with the HA-PP2A C immunoprecipitate, 1D6-precipitated PP2A showed a 5.5-fold reduction in activity toward CDK1-phosphorylated histone H1, reflecting the nearly complete absence of B-containing trimers (Fig. 2B and fig. S3), whereas the activity toward the general substrate phosphorylase a increased 1.4-fold. As expected, 2G9-immunoprecipitated B holoenzymes had 360% of activity toward its specific substrate histone H1 compared with HA-PP2A C immunoprecipitates (of which only a fraction represents B-containing holoenzymes) and 50% of activity toward phosphorylase a (Fig. 2B).

PP4 and PP6 are also type 2A phosphatases and share about 50% sequence identity with PP2A. The C termini of the PP2A, PP4, and PP6 catalytic subunits share the DYFL (PP2A and PP4) or YFL (PP6) motif (Fig. 2C). We therefore asked whether antibodies raised against the PP2A C terminus would cross-react with PP4 C and/or PP6 C. We immunoprecipitated HA-tagged human PP2A C , HA-tagged mouse PP4 C, or HA-tagged mouse PP6 C from NIH3T3 mouse fibroblasts stably expressing each of these HA-tagged proteins individually and analyzed the precipitated proteins by immunoblotting using several antibodies purportedly specific for PP2A. We used three antibodies raised in our laboratory against sequences unique to PP2A, PP4, and PP6 as specific control antibodies. 1D6, 7A6, and G-4 all cross-reacted with PP4 C, but not with PP6 C (Fig. 2D). The rabbit polyclonal antibody, 2038 (Cell Signaling Technology), detected primarily PP2A C and only weakly detected PP6 C (Fig. 2D). The rabbit monoclonal antibody, 52F8 (Cell Signaling Technology), only recognized PP2A C (Fig. 2D). We also tested two antibodies generated in our laboratory against the methylated PP2A C subunit: Whereas clone 7C10 was specific for methylated PP2A, clone 2A10 (available from Millipore since 1999) also recognized PP4 C (43) and even weakly recognized PP6 C (Fig. 2D). Consistent with what we observed for the PP2A C subunit, both antibodies recognized their targets in a methylation-dependent manner (fig. S4).

To determine whether the methylation sensitivity of 1D6 might influence the results and interpretation of experiments in studies using 1D6-immunoprecipitated PP2A, we analyzed PP2A complex assembly and activity in wild-type HAP1 cells and HAP1 cells, in which LCMT-1 was knocked out. It was already reported that deletion of LCMT-1 in mouse embryonic fibroblasts decreases methylation of PP2A C by >95%, methylation of PP4 C by ~93%, and methylation of PP6 C by ~87% (28). Furthermore, deletion of LCMT-1 in mammalian cells, or of its ortholog (PPM1) in yeast, reduces the formation of PP2A C/A/B heterotrimers, impairs catalytic activity, and reduces the steady-state abundance of the PP2A B, A, and C subunits (1013).

We used HAP1 wild-type cells, which are near-haploid derivates of the chronic myelogenous leukemia cell line KBM-7, and HAP1 Lcmt-1 cells and measured the PP2A activity using the PP2A immunoprecipitation assay kit as directed by the manufacturer. The activity of PP2A in the Lcmt-1 cells appeared to be unchanged compared with the wild-type cells (Fig. 3A, left panel), although these cells contained about 40% less PP2A C (Figs. 3B and 4A). However, because of its preference for nonmethylated PP2A C, 1D6 immunoprecipitated 2.5 times higher amounts of PP2A C from Lcmt-1 cells than it did from wild-type cells (Fig. 3B). When we normalized the measured activity to the amount of immunoprecipitated PP2A C subunit, the specific activity of PP2A C from Lcmt-1 cells was reduced to 35% (Fig. 3A, right panel), indicating that the activity of PP2A C was hampered in the absence of the PP2A methyltransferase, which is consistent with data obtained in yeast lacking the LCMT-1 homolog PPM1 (12). Without methylation of the C subunit, certain trimeric PP2A complexesin particular, those exerting tumor-suppressive functions such as B- and B-containing trimersdo not assemble efficiently and are very much reduced in Lcmt-1/ cells (8, 19, 28). This difference between wild-type and Lcmt-1 cells was not detectable by 1D6 because it immunoprecipitated almost no B subunitcontaining trimers from wild-type or Lcmt-1 cells (Fig. 4A). In contrast to the high preference for nonmethylated C observed by ELISA and Western blot analyses, we detected substantial amounts of methylated PP2A C in the 1D6 immunoprecipitates from wild-type cells, suggesting that methylated PP2A C can be precipitated by ID6 but is not accessible for antibody binding when it is associated with B subunits. The B subunitspecific antibody 2G9 immunoprecipitated high amounts of B-containing trimers from wild-type cells. These contained exclusively methylated C subunits, but these amounts were greatly reduced in Lcmt-1 cells, confirming defective holoenzyme biogenesis in these cells. The almost complete absence of B-containing trimers in Lcmt-1 cells was also evident when we measured the specific activity of immunoprecipitated PP2A C toward the B-specific substrate CDK1-phosphorylated histone H1. The specific activity of 2G9-immunoprecipitated PP2A C from wild-type cells was 21-fold higher toward this B-specific substrate compared with 1D6-precipitated PP2A C from wild-type as well as Lcmt-1 cells, both of which displayed low activities. Unfortunately, in Lcmt-1 cells, we could not normalize the 2G9-precipitated activity to the precipitated C subunit amounts (and therefore could not compare to the activity in a wild-type cell) because the amounts of PP2A C subunit were below the detection range of the general PP2A C antibody H8 (Fig. 4A). However, even without normalization, we could only detect very little activity in the 2G9 immunoprecipitates from Lcmt-1 cells compared with wild-type cells (Fig. 4B, right panel).

(A) The catalytic activity of 1D6 immunoprecipitates from wild-type and Lcmt-1 HAP1 cells was analyzed with the PP2A immunoprecipitation phosphatase assay kit (Millipore). The activity of wild type was set to 100% and was calculated both without normalization to the immunoprecipitated PP2A C subunit and with normalization to the immunoprecipitated PP2A C subunit. n = 3 independent experiments. (B) 1D6 immunoprecipitates (IP) from the PP2A phosphatase activity kit on wild-type and Lcmt-1 HAP1 cells were immunoblotted using the indicated antibodies. The panels that are shown originate from the same blotting membrane and are representative of three independent experiments. Statistical significance of immunoblotting and phosphatase assay quantifications was assessed using Students t test. *P < 0.05.

(A) Lysates and 1D6 and 2G9 immunoprecipitates (IP) of wild-type or Lcmt-1 HAP1 cells were analyzed by immunoblotting with the indicated antibodies. IgG immunoprecipitates are the control. Blots that are shown originate from three different blotting membranes and are representative of n = 5 (1D6) or n = 3 (2G9) independent immunoprecipitation experiments. The PP2A C and PP4 C immunoprecipitation was quantified from n = 5 independent experiments, and the immunoprecipitations from wild-type cells were set to 1. (B) The catalytic activities of 1D6 and 2G9 immunoprecipitates from wild-type and Lcmt-1 HAP1 cells were analyzed by phosphatase activity toward histone H1. The measured activity was normalized to activity immunoprecipitated with 1D6 from wild-type cells, which was arbitrarily set to 100% and was calculated by either normalization to the immunoprecipitated PP2A C subunit or normalization to activity immunoprecipitated with 2G9 from wild-type cells without normalization to PP2A C abundance. Statistical significance of immunoblotting and phosphatase assay quantifications was assessed using Students t test. *P < 0.05, **P < 0.01, ***P < 0.005; ND, not determined.

Another factor complicating the interpretation of the catalytic activity measurements with 1D6 is its cross-reactivity with PP4. We detected substantial amounts of the PP4 catalytic subunit in the 1D6 immunoprecipitates (Fig. 4A). Eight percent of total PP4 (8 2%) was coimmunoprecipitated from wild-type cells, and 3.5-fold higher amounts from Lcmt-1 cells, suggesting a nonmethyl preference of 1D6 also for the PP4 catalytic subunit.

In summary, the 1D6-based PP2A immunoprecipitation phosphatase assay kit did not accurately measure total PP2A activity because trimers containing B and B were minimally coimmunoprecipitated with PP2A C by 1D6. In addition, 1D6 showed a preference for the nonmethylated forms of the PP2A and PP4 catalytic subunits. Hence, measuring PP2A activity with the PP2A immunoprecipitation phosphatase assay measured a combined activity of PP2A and PP4, which, in addition to failing to precipitate major holoenzyme classes, makes the meaningful interpretation of the obtained results nearly impossible.

In this study, we tested several PP2A C subunitspecific antibodies for their usefulness as PP2A analysis tools. Our study revealed that antibodies directed against the C terminus of PP2A C were hampered to various extents by methylation and phosphorylation of this region (Table 1) and were incapable of immunoprecipitating the majority of PP2A holoenzymes. A further complication with some of the C-terminal PP2A C antibodies is their cross-reactivity with the catalytic subunits of PP4 and, to a lesser extent, PP6. Considering that 1D6 was and still is used in a commercial PP2A immunoprecipitation assay kit, this cross-reactivity is particularly concerning. The phosphorylated peptide substrate KRpTIRR used in the assay kit is not PP2A specific and is dephosphorylated by PP4 as well (44, 45). Thus, with this peptide, the activity measured in the 1D6 immunoprecipitates cannot be assigned to PP2A only. One would have to assess and compare the catalytic efficiencies of PP4 and PP2A toward the KRpTIRR peptide, and these differences would have to be considered in all the activity measurements using this substrate. With phosphorylase a as the substrate, PP4 activity can be neglected in activity measurements because PP4 C has an about 85-fold lower phosphatase activity toward this substrate than does PP2A C (46). All these considerations are very complex and make the interpretation of results achieved through the use of the 1D6-based immunoprecipitation assay kit nearly impossible. Our analyses of other commercial PP2A antibodies directed against the C terminus of PP2A C revealed that almost all of these antibodies also have limitations and are not well suited for analyses of PP2A holoenyzmes or their activity. Even 7C10, the antibody that is highly specific for methylated PP2A C, did not immunoprecipitate holoenzymes, probably because the methylated C terminus is masked by the interaction of the PP2A C subunit with the A and B subunits (17).

This table shows an overview of the properties of the tested C-terminal PP2A C antibodies. For details, please see results and figures. ND, not determined

Given these findings, we suggest that alternative approaches be used to measure PP2A activity. The simplest approach relies on the ectopic expression of N-terminally epitope-tagged C, A, and B subunits, followed by tag antibody immunoprecipitation, and the analysis of the immunoprecipitate by Western blot (to determine the amount of precipitated PP2A subunits) and activity measurements toward general phosphatase substrates such as phosphorylase a. One caveat of this approach is that ectopic overexpression of PP2A subunits disturbs the endogenous subunit homeostasis [although high overexpression of PP2A C cannot be achieved due to an autoregulatory control mechanism (47)]; another is the undefined holoenzyme composition of the C or A subunit immunoprecipitates. For example, the types and amounts of holoenzymes present in tagged C subunit immunoprecipitates may differ markedly between cell types and cell states, but the measured activity might seemingly be equal because the substrate used in the assay is not holoenzyme specific and, thus, cannot detect increased or decreased abundance or activity of certain PP2A holoenzymes. Major alterations in PP2A holoenzyme assembly, such as that in LCMT-1 knockout cells, can be detected with tagged C subunit immunoprecipitation assays, but more subtle changes in holoenzyme homeostasis will be missed. Here, more laborious assays are necessary, such as consecutive immunoprecipitations, which, however, require coexpression of tagged A and B subunits in the same cells (48). Alternatively, B subunitspecific immunoprecipitating antibodies, such as the 2G9 monoclonal antibody used in our study, and B-specific substrates such as CDK1-phosphorylated histone H1 or a CDK1-phosphorylated peptide from retinoblastoma protein (pRb) can be used (41). The limitations of such assays are the availability of B-type isoformspecific antibodies that are capable of immunoprecipitating the specific B holoenyzme, as well as the limited knowledge on the B subunitspecific substrates and the kinases involved in the phosphorylation of these substrates. One possiblealthough elaboratesolution to antibody limitations is epitope tagging of the N- or C-terminal domains of endogenous individual B subunits using CRISPR-Cas9 technology. This could be done in standard cell lines that could then be shared between laboratories or in embryonic stem cells to generate knock-in mice that express tagged PP2A subunits in all tissues. The discovery of short linear binding motifs in the substrates of B holoenzymes (4951) will facilitate the identification of B-type specific substrates that can be used in B-type subunitspecific catalytic assays.

Dysregulation of PP2A is detrimental for cells and organisms. A potential tumor suppressor function was first described for PP2A in a study linking missense mutations in the PP2A A subunit to colorectal cancer (52). Since then, extensive evidence has been provided for the tumor-suppressive function of PP2A, in particular those holoenzymes that depend on methylation for assembly and negatively regulate the RAS-Akt, Myc, and Wnt signaling (19, 53, 54). However, many studies that had reported PP2A activity changes in cancer cells relied on the 1D6 PP2A immunoprecipitation kit to determine total PP2A activity (>150 papers by March 2019) (5558). In the light of our results, these published PP2A activity data need to be revisited because any changes in PP2A methylation may have markedly affected the assay results and their interpretation. For example, a decrease in methylated C subunitand therefore a decrease in tumor-suppressive PP2A holoenzymesconcomitant with an increase in nonmethylated C subunit would be read out by the 1D6 assay as increased PP2A total activity because of the antibodys strong preference for nonmethylated C subunit. Conversely, an increase in methylated Cand therefore an increase in tumor-suppressive PP2A holoenzymeswould be measured by the 1D6 assay as decreased PP2A activity. In conclusion, our data with 1D6 and other PP2A C-terminal antibodies strongly suggest that researchers must be very careful in using these antibodies for PP2A detection in whole-cell extracts, immunoprecipitation, and measurement of phosphatase activity.

HAP1 wild-type and leucine carboxyl methyltransferase 1 (Lcmt-1) CRISPR-Cas9 deletion cells (Horizon Discovery, #C631 and #HZGHC004373c001) were grown in Iscoves modified Dulbeccos medium (Thermo Fischer Scientific, Life Technologies, #12440053) supplemented with 10% (v/v) fetal bovine serum (FBS; Sigma, #F7524, lot 104M3333), GlutaMAX (Thermo Fischer Scientific, Life Technologies, #35050-38, lot 1895829), and penicillin-streptomycin solution (Sigma, #P4333, lot 125M4781V). HEK293Trex, HEK293, NIH3T3, and BOSC-23 cells were grown in Dulbeccos modified Eagles medium (Sigma, #D5671, lot RNBG4527) supplemented with 10% (v/v) FCS, GlutaMAX, and penicillin-streptomycin solution. NIH3T3 cells were infected using a viral supernatant produced in BOSC-23 cells. Cells were transfected using Lipofectamine 2000 (Invitrogen). Puromycin (Sigma) was used at a concentration of 5 g/ml, blasticidin (GE Healthcare) at 5 g/l, and G418-sulfate (MedChemExpress) at 300 g/ml. Cells were tested for mycoplasma infections using the MycoAlert Mycoplasma Detection kit (Lonza, #LT07-418); cell lines were free of mycoplasma or other contaminations.

pcDNA3 puro (this study) was derived by substituting in the pcDNA3 neo plasmid (Thermo Fisher, Invitrogen) the neo cassette, which was removed by cutting with Bst BI and Sma I, with the puro cassette from pBabe puro (59) also cut with Bst BI/Sma I. This resulted in a doubled SV40 promoter, of which one copy was removed by cutting with Avr II. pcDNA3 puro HA-PP2A C (this study) was generated by inserting the HA-PP2A C subunit cassette, derived from pGRE5 HA p36 (7) by cutting with Hind III/Xho I, into pcDNA3 puro, which was cut with Hind III/Xho I (59). pBabe hygro new polylinker (NP) (this study) was generated by destroying the Hind III site in pBabe hygro (59) by cutting with Hind III and filling up the 5 overhangs with Klenow. An NP consisting of Bam HI, Hind III, Nde I, Xho I, Apa I, Eco RI, Sna BI, and Sal I was inserted into the pBabe hygro by cutting with Bam HI/Sal I. pBabe hygro HA-PP2A (this study) was generated by inserting the HA-PP2A C subunit cassette from pGRE5 HA p36 (7) into the Hind III/Xho I cut pBabe hygro NP plasmid. pBabe hygro HA-PP4 (this study) was generated by amplifying PP4 from NIH3T3 cDNA with primers: PP4sense (5-CGGGATCCACCATGGCGGAGATCAGCG-3) adding a Bam HI site 5 to the start codon, and PP4antisense (5-GCCGCTCGAGATCACAGGAAATAGTCGGCCACTG-3) adding an Xho I site 3 to the stop codon. The digested polymerase chain reaction (PCR) fragment was cloned into pBabe hygro HA, by cutting with Bam HI and Xho I. pBabe hygro HA-PP6 (this study) was derived by amplifying PP6 from NIH3T3 cDNA with primers: mPP6 sense (5-CGGGATCCACCATGGCGCCGCTGGATCTG-3) adding a Bam HI site 5 to the start codon, and mPP6 antisense (5-GCCGCTCGAGTCAAAGGAAATACGGCGTCGTG-3) adding an Xho I site 3 to the stop codon. The digested PCR fragment was cloned into pBabe hygro HA by cutting with Bam HI and Xho I. The exact DNA sequences can be obtained upon request.

Antibodies used in this study are listed in table S1.

Cells were lysed in IP Lyse [1% NP-40, 10% (v/v) glycerol, 135 mM NaCl, 20 mM tris (pH 8.0), 1 mM phenylmethylsulfonyl fluoride (PMSF), aprotinin (0.03 U/ml; Sigma) and 1 Complete (Roche)] for 15 min with rocking at 4C. Lysates were scraped and cleared at 13,000g and normalized for total protein concentration. For alkaline treatment, 100 l of lysate was mixed with NaOH to a final concentration of 0.2 M and incubated for 10 min at room temperature (RT). The reaction was neutralized by adding HCl to a final concentration of 0.2 M and diluted to 200 l with IP Lyse. The control reaction was treated with preneutralization solution (0.2 M NaOH and 0.2 M HCl) and diluted to 200 l with IP Lyse. The samples were boiled with protein sample buffer (Laemmli) for immunoblot analysis.

Whole-cell protein lysates of cell lines were incubated either with 12CA5 antibody cross-linked to bovine serum albumin (BSA)coated protein ASepharose beads (GE Healthcare) to immunoprecipitate HA epitopetagged PP2A C, with 4 g of clone 1D6 to immunoprecipitate endogenous C subunits, or with 50 l of clone 2G9 hybridoma supernatant to immunoprecipitate B for 1 hour and subsequently incubated with 20 l of protein GSepharose beads (GE Healthcare) for 1 hour. The immune complexes were washed once with IP Lyse, three times with tris-buffered saline [25 mM tris, 135 mM NaCl, 2.6 mM KCl (pH 7.4) with HCl]. A tenth of the immunoprecipitate was used for the phosphatase assays (for more details, see phosphatase assays section below), and the rest of the immunoprecipitate was boiled for 5 min at 95C in protein sample buffer for immunoblot analysis.

Proteins were separated by 10% SDSpolyacrylamide gel electrophoresis (PAGE) and transferred to nitrocellulose. Membranes were blocked with 3% nonfat dry milk (NFDM) in PBST (phosphate-buffered saline supplemented with Tween 20) for 1 hour at RT and probed with primary antibody diluted in 0.5% NFDM in PBST overnight at 4C. After incubation with horseradish peroxidasecoupled secondary antibody, signals were visualized by enhanced chemiluminesence (GE Healthcare) and exposure of x-ray films. X-ray films of two to three exposures were scanned using a CanoScan LiDE220 scanner (Canon), and ImageJ was used for quantification of Western blot signals. For lysate quantifications, a 3 twofold dilution series of the strongest signal was fit to a linear or logarithmic trend line by Excel. The equation of the scan with the best R2 value was used to calculate the values of the Western blot signals (fig. S1B).

All experiments were performed at least three times (n), and the values were presented as means SD; n in the figure panels and/or figure legend indicates the number of independent experiments. Statistical significance of immunoblotting and ELISA data were assessed using Students t test for pairwise comparisons and one way analysis of variance (ANOVA) and a Tukeys honestly significantly different (HSD) post hoc test for threefold comparisons. In all cases, P values of <0.05 were considered to be statistically significant and are indicated with *P < 0.05, **P < 0.01, ***P < 0.005, ****P < 0.001. Statistical analysis was performed in Excel using the data analysis and real statistics add-ins.

Phosphatase activity of PP2A immunoprecipitates was assayed toward 32P-labeled phosphorylase a and 32P-labeled histone H1. 32P-labeled phosphorylase a was prepared according to a protocol provided by D. Brautigan. First phosphorylase kinase was activated using PKA buffer [New England Biolabs (NEB)] [0.2 mM adenosine triphosphate (ATP), 24 U of phosphorylase kinase (Sigma, #P2014), 2 l of PKA (NEB, #P6000)] in a total volume of 25 l at 30C for 20 min. For the phosphorylase b kinase reaction, the reagents were added in the following order: 50 mM tris-HCl (pH 8.5), 100 M CaCl2, 0.1 M -glycerophosphate, 2% -mercaptoethanol, 1 mM ATP, 10 mM Mg acetate, H2O, cOmplete tablet EDTA free (Roche, #11873580001), 1 M microcystin-LR (Alexis, #350-012-C100), 25 l of 32P ATP (250 Ci) (PerkinElmer, #NEG 002A), 5.5 mg of phosphorylase b (provided by D. Brautigan), and activated phosphorylase kinase. The total reaction volume of 250 l was incubated at 30C for 2 hours, and afterward, 50 mM natriumfluorid was added for 10 min. The reaction was stopped by adding 262.5 l of cold 90% ammonium sulfate (saturated), incubated on ice for 30 min, and centrifuged at 14,000g at 4C for 10 min. After centrifugation, the pellet was washed six times with 45% ammonium sulfate. The final pellet was dissolved in 500 l of solubilization buffer and dialyzed with Slide-A-Lyzer (Dialysis Kit, 10,000 MWKO, 0.5- to 3-ml capacity; Thermo Scientific, #66382) against 1 liter of solubilization buffer [50 mM Mops (pH 7.0), 0.1 mM EDTA, 15 mM caffeine, 0.1% (v/v) -mercaptoethanol]. The next day, the substrate was removed from the Slide-A-Lyzer, and the membrane was washed four times with 250 l of prewarmed solubilization buffer, pooled in a 2-ml tube, and stored at 4C.

To test catalytic activity of PP2A complexes toward phosphorylase a, 1/10 of the immunoprecipitate was used. The beads were resuspended in 40 l of phosphorylase assay buffer [0.1 mM EDTA and BSA (1 mg/ml)], and 20 l of 32P-labeled phosphorylase a solution (final concentration in the reaction was 10 M) was added. Each reaction was incubated for exactly 15 min at 30C on a thermo shaker with 1100rpm agitation. The phosphatase reactions were stopped by adding 180 l of ice-cold 20% (w/v) trichloroacetic acid. The tubes were vortexed and placed on ice for at least 10 min and then centrifuged at 18,000g for 10 min at 4C. Last, 200 l of the clear supernatants was directly transferred to Scintillation Counter Vials (Greiner Bio-One) containing 5 ml of Ecoscint H Scintillation Solution (National Diagnostics). Last, the cpm (counts per minute) values of the released 32Pi from the histone HI and the phosphorylase a assays were normalized to the amount of immunoprecipitated HA-tagged or endogenous C subunits. The amounts of immunoprecipitated C subunits were determined by analyzing an aliquot of the immunoprecipitates by SDS-PAGE and immunoblotting as described above.

32P-labeled histone HI was phosphorylated by cdc2 protein kinase (NEB). A detailed description can be found in (60). To test catalytic activity of PP2A complexes toward 32P-histone HI, 1/40 of the immunoprecipitate was transferred to fresh 1.5-ml tubes containing 10 l of protein ASepharose in tris-buffered saline (TBS) 1:1 slurry because 1/40 of the C subunit beads is hardly visible and, thus, would easily be lost during further steps of the experiment. The tubes were centrifuged at 120g for 1 min in a tabletop centrifuge (Eppendorf, 5417C) using a swing-bucket rotor (Eppendorf, A-12-11), and the supernatants were removed. The beads were resuspended in 10 l of histone assay buffer [50 mM tris-HCl (pH 7.5), 150 mM NaCl, BSA (1 mg/ml), 0.1% -mercaptoethanol, 0.1 mM EDTA] and 10 l of phosphatase reaction buffer [50 mM tris-HCl (pH 7.5), BSA (1 mg/ml), 0.1% -mercaptoethanol, and 0.1 mM EDTA]. To start the phosphatase reaction, 10 l of 32P-labeled histone HI (final concentration in the reaction was 10 M) was added to the reaction tubes. Each reaction was shortly vortexed and incubated for exactly 15 min at 30C on a thermo shaker with 1100rpm agitation. The reaction was stopped by adding 100 l of ice-cold 20% (w/v) trichloroacetic acid. The precipitates were incubated on ice for at least 10 min and then centrifuged at 18,000g for 10 min at 4C. One hundred microliters of the clear supernatants was transferred to fresh 1.5-ml tubes containing 700 l of a 1:1 (v/v) toluene/isobutanol solution, 467 l of 5 mM tungstosilicic acid hydrate (Fluka) in 1 mM H2SO4, and 93 l of 5% (w/v) ammonium heptamolybdate (Merck) in 2 M H2SO4. The extractions were thoroughly vortexed and centrifuged at 18,000g for 4 min at RT in a tabletop centrifuge. Five hundred microliters of the upper phase was lastly transferred to scintillation counter vials (Greiner Bio-One) containing 5 ml of Ecoscint H Scintillation Solution (National Diagnostics) and counted in a Tri-Carb Liquid Scintillation Analyzer 1900CA (Packard) to determine the amount of radioactivity released in the assay as 32Pi. Last, the assay values were analyzed in the same manner as for the phosphorylase a assay described above.

We measured phosphate release as an index of phosphatase activity according to the manufacturers instructions (Millipore, #17-313). Briefly, cells were lysed with imidazole buffer [20 mM imidazole-HCL (pH 7.0), 2 mM EDTA, 2 mM EGTA, 1 mM PMSF, aprotinin (0.03 U/ml; Sigma), and 1 Complete (Roche)] with 2 5 s of sonication. Protein lysate (200 g) was combined with 4 g of 1D6 and 50 l of protein Aagarose beads in 500 l of TBS. The mixture was shaken for 2 hours at 4C, and then beads were collected by centrifugation. After three washes with TBS, 60 l of phosphopeptide KRpTIRR (750 M) and 20 l of Ser/Thr assay buffer were added to the beads and incubated on a shaking incubator at 30C for 10 min. After a brief centrifugation, 25 l of the reaction was added to a half-area microtiter plate, and 100 l of Malachite Green Phosphate Detection Solution was added. After 15 min of incubation, the absorbance at OD600 was read with a 96-well plate reader (Victor3).

ELISA 96-well plates (Thermo Scientific, Medisorb) were coated with 50 l of peptides (2 g/ml in TBS) at 4C overnight. The plate was blocked with 2% BSA in TBS for 1 hour at RT and incubated with primary antibodies (1D6 200 ng/ml, G-4 200 ng/ml, me C sub, 7C10 1:200 and nonme C sub, 1D7 1:500, and 7A6 1:100) in TBS for 2 hours at RT. Incubation with secondary peroxidaseconjugated anti-mouse was performed for 1 hour at RT followed by detection with TMB (3,5,5,5-tetramethylbenzidine; Sigma, catalog no. T2885) and H2O2 in a sodium acetate buffer (pH 6). The reaction was stopped by the addition of 1 N H2SO4, and the absorbance was measured at 450 nm; for background correction, the absorption of 560 nm was subtracted. For ELISA quantification, the signals of the antibodies were normalized to the signal of the cognate target peptide of the antibody, which was artificially set to 1.

Peptides were purchased from piCHEM. The sequences of the peptides used in this study were as follows: Leu309, Ac-His-Val-Thr-Arg-Arg-Thr-Pro-Asp-Tyr-Phe-Leu-OH; meLeu309, Ac-His-Val-Thr-Arg-Arg-Thr-Pro-Asp-Tyr-Phe-Leu-OMe; pThr304Leu309, Ac-His-Val-Thr-Arg-Arg-pThr-Pro-Asp-Tyr-Phe-Leu-OH; pThr304meLeu309, Ac-His-Val-Thr-Arg-Arg-pThr-Pro-Asp-Tyr-Phe-Leu-OMe; pTyr307Leu309, Ac-His-Val-Thr-Arg-Arg-Thr-Pro-Asp-pTyr-Phe-Leu-OH; pTyr307meLeu309, Ac-His-Val-Thr-Arg-Arg-Thr-Pro-Asp-pTyr-Phe-Leu-OMe.

The maintenance of mice and rabbits and the experimental procedures have been conducted according to the Austrian Animal Experiments Act and have been approved by the Austrian Federal Ministry of Science and Research GZ 66.009/34-BrGT/2004, GZ 66.009/0040II/3b/2011, GZ 66.009/0091II/3b/2011, and BMWFW-66.009/0211-WF/V3b/2015, and the animal experiments ethics committee of the Medical University of Vienna.

stke.sciencemag.org/cgi/content/full/13/616/eaax6490/DC1

Fig. S1. 1D6 preferentially recognizes nonmethylated PP2A C subunit.

Fig. S2. Phosphorylation of Thr304 or Tyr307 influences epitope recognition by PP2A C-terminal antibodies.

Fig. S3. 1D6 and other C-terminal antibodies do not immunoprecipitate two major PP2A holoenzyme families.

Fig. S4. 7C10 specifically recognizes methylated PP2A C, and 2A10 also recognizes methylated PP4 C.

Table S1. Antibodies used in this study.

Acknowledgments: We thank G. Narla, J. Veis, and D. Virshup for critically reading the manuscript; the biostatistician of the Vienna BioCenter Core Facilities GmbH; A. Aszodi for statistical advice; and D. Brautigan (University of Virginia, Charlottesville, USA) for materials. Funding: This study was funded by royalty and service fees from antibody licensing agreements and our monoclonal antibody service facility. Author contributions: I.E.F. conceived, performed, and analyzed the experiments; prepared the figures; and wrote the manuscript. S.S., S.K., and I.M. performed and analyzed the experiments. E.O. conceived and analyzed the experiments and wrote the manuscript. Competing interests: E.O. serves as a consultant to Millipore Corporation. The Medical University of Vienna on behalf of the author E.O. is filing a patent on the PP2A methylC subunitspecific monoclonal antibody 7C10. The other authors declare that they have no competing interests. Monoclonal antibodies 7A6, 2A10, and 10C11 directed against the PP2A C subunit, as well as monoclonal antibodies 7B5-G4 against PP4, 7G7-A7 against PP6 C subunit, 2G9 against PP2A B, and 2A3 against pan-actin are licensed to biotech companies including Abcam, BioLegend, BioTechne/Novus, Cell Signaling Technology, EMD Millipore, ImmuQuest, Santa Cruz Biotechnology, and Sigma. Data and materials availability: All the data needed to evaluate the conclusions in the paper are present in the paper or the Supplementary Materials. Plasmids, cell lines, and antibodies used in this publication will be made available upon completion of a material transfer agreement to the Medical University of Vienna.

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Antibodies recognizing the C terminus of PP2A catalytic subunit are unsuitable for evaluating PP2A activity and holoenzyme composition - Science

Combining art and science in a medical practice – Coast Mountain News

Words by Kathy Michaels Photographs by Phil McLachlan

My life has been simple run fast, turn left, Dr. Andrew Dargie said over coffee one day in late fall, offering up one last thought on his work in the Okanagan and the path he took to get here.

It was an endearing understatement from someone who is clearly more comfortable with taking on big tasks than boasting about how he completed them. As a former All-American sprinter who earned a full-ride scholarship at Stanford University, speed is certainly one of the defining points of Andrews life. He competed for Team Canada numerous times, turning left over and over again as he rounded a track with some of the fastest people on the planet.

Simple, however, is where the sports metaphor falls apart.

For all his athletic abilities, academics were a priority for Andrew, who, after Stanford, obtained his medical doctor designation from the University of Calgary. In a newspaper article about him from that time in his life, a third dimension of his personality became clear. He is a compassionate individual. During medical school he found time to take on a meaningful volunteer commitment with the schools aboriginal health program. For this work he was awarded the Canadian Student Athlete Community Service Award.

His next step was entering vascular surgery residency in Manitoba.

Ultimately, he said, I realized that I loved acute care medicine, but I didnt love the operating room. So I transferred residency programs and obtained my CCFP designation and moved to the Okanagan.

Since arriving, hes worked as an emergency room physician at Penticton Regional Hospital as well as South Okanagan General Hospital. At the latter location, he is the department head of Emergency Medicine.

While in the Okanagan, Andrew took on another passion and is bringing to it the same focus and dedication he has for everything else. This passion is medical aesthetics. In addition to his ER work, he now practises advanced medical aesthetics in both Kelowna and Vernon.

I decided I love performing procedures and found something to help balance working in emergency, he said. Its personally satisfying. Im able to offer procedures that are a blend of art and science and people are appreciative and happy.

Its an interesting time in a rapidly expanding industry. Not so long ago, cosmetic surgery was the clear-cut facial rejuvenation strategy.

This can be a definitive solution to reduce the signs of aging, albeit an invasive, sometimes painful experience typically reserved for the socially elite and requiring significant down time for recovery.

Now, more people are seeking anti-aging services that are less invasive, have less down time and are more affordable. Just a few facial rejuvenation techniques that Andrew offers are botox, dysport, fillers and platelet-rich plasma injections. The clinics he works at offer lasers, CoolSculpting, microdermabrasions and chemical peels, amongst numerous other procedures and skin-care treatments.

While minimally invasive rejuvenation procedures are in high demand, the relative newness of the industry has created some issues and it is not as closely regulated as it perhaps should be. This was made plain in recent months as a non-medical civilian in the Vancouver area passed herself off as a doctor and injected dermal fillers into countless unwitting clients at a spa. She used an altered photocopy of a College Certificate of Licensure to convince medical suppliers that she had a medical licence and was certified to practise in British Columbia. In any other field of medicine it would sound ludicrous, but that it happened at all lays bare the fact that checks and balances are lacking.

Thats something Andrew worries about. And this is why he founded Aesthetics Training Canada, which offers the botox course and the filler course.

Ensuring medical professionals are properly trained is of the utmost importance. There are people injecting without any formal training in facial anatomy or rejuvenation. I said, how can I change this and provide a safe and standardized way for medical professionals to expand their scope of practice to include medical aesthetics? That was the impetus for offering these new comprehensive courses.

There are also clear gaps in proper medical care.

We have patients come in who have been getting procedures elsewhere for years, and when I go to take them through the consent process, they say, Wait, there are risks with these procedures? I was told there were zero risks, Andrew said. This shocks me. Thats not proper medicine and it really bothers me. Some people think about patients in terms of syringes or units. Or some prioritize how fast they can get a patient in and out of the door. This type of practice doesnt warn patients that there are, in fact, risks to consider.

To start creating the change he wants to see in the industry, each of Andrews treatment rooms has anatomy cards so he can take patients through what hes doing, what the risks are and how they can be mitigated.

There are all sorts of things we can do to optimize patient care, he said. If Im in emergency, whether its something as simple as cutting out a mole, or something more complicated like a cardioversion, we always take people through the risks and benefits, and it should be no different in medical aesthetics. Patients must consent and they must be educated that these are not completely harmless procedures and should be performed by experienced medical professionals only.

Adverse events can occur and these can be devastating, Andrew said. The results of shoddy, haphazardly conducted work can be disfiguring or worse even blinding and he wants to prevent this.

He also wants to bring back a more natural look.

People that come to see me get full transparency, and a natural look, he said.

The day before the interview, Andrew said he had turned away four patients who had come in seeking lip filler treatment.

Hed told them, I think your lips are already full enough and we want you to look natural.

They may go down the street and get that duck lip. But our patients arent getting that. Theyre going to get an honest and fair assessment and can expect a refreshed, natural look.

Interestingly, the four who were turned away were receptive to feedback and appreciated hearing his honest and clear communication.

Andrew has accomplished a lot in his life and is bound to take on more. What makes him different than others, however, is that he makes things look easy. He has a light and pleasant demeanour that puts people speaking to him at ease. If you didnt know better, it would be possible to believe that he did have a simple life, remarkable only by his ability to go fast and turn left.

More info at http://www.drdargie.com

Story courtesy of Boulevard Magazine, a Black Press Media publication

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Combining art and science in a medical practice - Coast Mountain News

Know About the Latest & Best Non-Surgical Ways To Regrow Hair by Dr. Debraj Shome, Cosmetic Surgeon & Director, The Esthetic Clinics – APN…

Published on January 27, 2020

By Sachin Murdeshwar

Mumbai: It is a no brainer that hair fall is a common condition prevailing in both men and women. However, when the hair fall is out of control and bald patches start to appear on your head then it is a matter of concern as it can spoil your appearance, and give you a tough time. Here are some effective non-surgical solutions to help you regrow your hair.

Do you spot your hair strands all over your pillow? Is that constant hair fall embarrassing for you? Did you stop combing your hair owing to the hair loss? Then, it is time you consult an expert as this can be worrisome. Hair fall or alopecia is a sensitive issue in both, men and women. It can be described as a common, genetically driven disorder, causing hair loss and baldness. Pollution, stress, faulting eating habits, usage of chemical shampoos and products are some of the culprits that can induce hair fall. There are a few non-surgical treatments that can work wonders for you, as they can help arrest the hair fall. Here is a list of few of the latest and the best research-backed remedies you must opt for.

Mesotherapy: This process of intra-dermal scalp injections of solution can help encourage natural hair regeneration. Yes, you have heard it right! Microinjections are being made just under the epidermis to help stimulate the mesoderm layer. Furthermore, did you know? It is a dual-action process that tends to involve both chemical and mechanical stimulation. The solution that is injected is loaded with chemicals, minerals, amino acids, vitamins and coenzymes that is suitable to ones needs. Thus, if you are opting for it then get it done from a certified expert. The trick though is to understand that it is not the mesotherapy that causes hair growth, but the choice of the solution used in mesotherapy which makes all the difference.

Hair concealers: Do you want to make your hair appear fuller? Then, you can try this option. Hair concealers can be used on scalp or hair itself and can help you get a fuller appearance. It is suitable for people who are in the early stages of hair thinning, and also for the ones having bald patches. Concealers can be used in the form of creams and powders as recommended by the expert.

Platelet-rich plasma therapy (PRP): In this method, ones own blood is injected into the affected areas. Now, this treatment is helpful in hair regrowth as the motto behind using it is that the growth factors help create or stimulate new hair follicles.

QR 678 hair fall and hair regrowth therapy: It has acquired the US and Indian patent is Indian FDA approved. The formulation has been named QR678 to signify a quick response to a disease which earlier had no solution. This therapy curbs hair fall and increase the thickness and number and density of existing hair follicles, offering a greater overage to the ones with alopecia.

Moreover, the polypeptides and hair growth factors used in the QR 678 Neo therapy are anyways present in a scalp full of hair (they tend to get decreased in scalps which have hair fall). Thus, it is the enrichment of the scalp skin with these polypeptides which cause hair growth. Since these hair growth polypeptides are normally present in the scalp and are derived from plant sources, replenishing the scalp with these is not artificial and doesnt result in side-effects. It is a non-invasive, non-surgical, safer and affordable. The procedure will take 6-8 sessions and the hair follicles which are dying or dead are revived with this therapy. Research has shown more than a 83% hair regrowth in people who have lost hair. Research has also shown that mesotherapy with the QR 678 Neo solution is far more effective than traditional mesotherapy and more than 5 times more effective than PRP. Thus, the QR 678 neo hair growth factor injections are the latest inventions in the hair growth sector and easily amongst the best inventions for hair growth and stopping hair fall.

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Know About the Latest & Best Non-Surgical Ways To Regrow Hair by Dr. Debraj Shome, Cosmetic Surgeon & Director, The Esthetic Clinics - APN...

Global Joint Pain Injections Market Size 2020 | Key Players, Growth Insights, Demand Analysis and 2029 Forecast Research – Sound On Sound Fest

The Global Joint Pain Injections Market Research Report presents comprehensive information linked to the market. The updated market report assists clients to analyze better and predicts the Joint Pain Injections market growth pattern at the global as well as regional level. Joint Pain Injections Market 2020-2029 covers market characteristics, size, and growth, segmentation, regional divisions, Joint Pain Injections competitive landscape, market shares, trends and plans for this market. Joint Pain Injections market report provides an analysis of Joint Pain Injections industry on the basis of popular market trends, types, top Organizations and variety of applications.

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Segmentation by Injection type:

Corticosteroid InjectionsHyaluronic Acid InjectionsOthers (include, Platelet-rich plasma (PRP), Placental tissue matrix (PTM), etc.)Segmentation by joint type:

Knee & AnkleHip JointShoulder & ElbowFacet Joints of the SpineOthers (include, Ball and socket, etc.)Segmentation by end-user:

Hospital PharmaciesRetail PharmaciesOnline Pharmacies

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North America: US, Canada

Latin America: Brazil, Mexico, Rest of Latin America

Europe: Germany, UK, France, Italy, Spain, Russia, Rest of Europe

Asia Pacific: China, India, Japan, Australia, South Korea, Rest of Asia Pacific

The Middle East and Africa: GCC, South Africa, Rest of Middle East and Africa

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Global Joint Pain Injections Market Size 2020 | Key Players, Growth Insights, Demand Analysis and 2029 Forecast Research - Sound On Sound Fest

If you want to ban fetal tissue research, sign a pledge to refuse its benefits – USA TODAY

Irving Weissman and Joseph McCune, Opinion contributors Published 7:00 a.m. ET Jan. 24, 2020

Severe Trump administration restrictions mean millions of Americans of all political and religious stripes won't benefit from fetal tissue research.

Last summer the Trump administration curtailed federal funding of medical research using human fetal tissue; the new rulestook effect Oct. 1. More recently, the administration addedrestrictions that are even more severe.

Immediately, important work at two NIH-supported labs in Montana and California that are fighting the AIDS epidemic stopped because they were testing new medications against HIV using mice with human immune systems derived from human fetal tissue. In the near term, all National Institutes of Health (NIH) funding of research using fetal tissuewill likely cease.

More than 30years ago, we invented SCID-hu mice for biomedical research on diseases affecting humans, by implanting human fetal blood-forming and immune system tissuesinto mice whose immune systems had been silenced. The implanted immune tissues came from an aborted fetus, and allowed our otherwise immune-deficient mice to exist and be vulnerable to viruses that infect humans.

Tissues from living infants would not have worked;they are too far along in development and nearly impossible to obtain. This mouse model (and later versions of it) became the only living system, outside of a human, in which advanced therapies for diseases like AIDS and other viral infections could be evaluated before they were given to people.

Our work with human fetal tissue proceeded with the highest level of caution and vigilance. We received advice from bioethicists, clergyand government officials, which led to the establishment of strict guidelines that are still used today. No woman was asked or paid to terminate a pregnancy, the termination process was unaltered, and the women were asked for donation of the organs only after they had decided to terminate the pregnancy. Thus, obtaining the fetal tissue for medical research had no impact on ending pregnancies.

Since then, mice with transplanted human fetal tissues have been successfully used by scientists to identify blood stem cells and to devise treatments now availableor in clinical trialsfor cancer, various viral infections, Alzheimers disease, spinal cord injuries, and other diseases of the nervous system. Such diseases kill or cripple many Americans including pregnant women, fetusesand newborn infants. Many of them have only a short window of opportunity wherein a new therapy can treat them, and a delay can be fatal.

National Institutes of Health in Bethesda, Maryland, on Oct. 21, 2013.(Photo: *, Kyodo)

The Trump administration's new rules are tantamount to a funding ban. In academic labs, the experiments are done by students and fellows in training, and the new rules block any NIH-funded students or fellows from working with human fetal tissue. Those who imposed the banmust bear responsibility for the consequences: People will suffer and die for lack of adequate treatments.

Americans pay the price:Trump administration's 'scientific oppression' threatens US safety and innovation

At a December 2018 meeting at NIH,after hearing scientific evidence about alternative research methods such as the use of adult cells, experts concluded that the use of fetal tissue is uniquely valuable. Nonetheless, the administration severely restricted the use of fetal tissue, thereby denying millions of Americans the fruits of such research Americans of all political stripes, since deadly viruses and cancers do not care who you vote for.

These restrictions subvert the NIH mission, which is to advance medicine and protect the nations health. To the extent that it was motivated by the religious beliefs of those in charge, it bluntly transgresses the American principle of separation of church and state. As a result, both believers and non-believers will die.

Of course, all who take the Hippocratic Oathto "do no harm,"which includes all medical doctors, will always offer and deliver all types of therapies that are available.

Restricting science: Trump EPA's cynical 'transparency' ploy would set back pollution science and public health

However, we believe that thoseresponsible forthis de facto ban, and perhapsthose who agree with them, should personally accept its consequences. We challenge them tobe true to their beliefs. They should pledge to never accept any cancer therapy, any AIDS medication, any cardiac drug, any lung disease treatment, any Alzheimers therapy, or any other medical advance that was developed using fetal tissue including our mice. Its a long list, one that you can learn about from us here. Should this apply to you, be faithful and be bold: Take the pledge.

Irving Weissman is a Professor of Pathology and Developmental Biology and the Director of the Stanford Institute of Stem Cell Biology and Regenerative Medicine and Ludwig Center for Cancer Stem Cell at Stanford University School of Medicine. Joseph McCune is Professor Emeritus of Medicine from the Division of Experimental Medicine at the University of California, San Francisco. The views expressed here are solely their own.

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If you want to ban fetal tissue research, sign a pledge to refuse its benefits - USA TODAY