Patients and samples
This study has been approved by the Institutional Review Board of the Children’s Hospital of Chongqing Medical University. Parents were given informed consent after the approval of the Institutional Review Board. Foreskin tissues were collected from children who underwent hypospadias repair surgery and circumcision at the Children’s Hospital of Chongqing Medical University. Children with phimosis were included in the normal group. The classification of hypospadias was not performed in this study.
Animals
Rab25 KO mice were provided by Shanghai Model Organisms Center, Inc. The CRISPR/Cas9 approach was used to construct Rab25−/− mice in a C57BL/6J background. The C57BL/6J WT mice were obtained from the Experimental Animal Center of the Chongqing Medical University (Chongqing, China; SPF, License No.: SYXK (YU) 2022-0016). The mice were housed overnight (male: female ratio = 1:1), and their vaginal plugs were examined at 8:00 the next morning. The detection of a vaginal plug was designated GD 0.5, and the pups were dissected on GD 18.5. Male mice were identified using Sry PCR, and Rab25 genotype identification was performed using PCR. The primer sequences (5’→3’): P1: forward, TTGGAACGATGCCAGCAGAT, P2: reverse, ATGGTGGGCAGATCACATGG; P3: forward, TTGGAACGATGCCAGCAGAT, P4: reverse, GCAGTGAACCACATGAGGGA. All animals were maintained at the Experimental Animal Center of the Children’s Hospital of Chongqing Medical University (SPF, License No.: SYXK (YU) 2022-0002). All animal experiments were reviewed and approved by the Animal Ethics Committee of the Children’s Hospital of Chongqing Medical University (file number.: CHCMU-20220318).
Foreskin fibroblast isolation, culture, and lentivirus transfection
Foreskin tissue was obtained after circumcision in children and digested with 0.25% trypsin at 4°C overnight. The epidermis and dermis were separated using ophthalmic forceps. The dermis was washed three times with sterile PBS and cut into 1 mm3 tissue blocks. Tissue blocks were transferred into a centrifuge tube containing 0.2% type I collagenase solution and digested in a 5%CO2 incubator at 37°C for 4h. The digestive solution was collected and centrifuged at 1000 rpm for 5 min. The supernatant was discarded and the cells were centrifuged again in the same manner. The cells were resuspended in F12/DMEM (GIBCO, Burlington, ONT, Canada) containing 10% fetal bovine serum (GIBCO) and 1% penicillin/streptomycin (Beyotime Biotechnology Co. Ltd, Shanghai, China) and seeded at 2.5×105 cells/ml in 6 cm culture dishes in a 5%CO2 incubator at 37°C. Lentivirus transfection was conducted and the cells were divided into negative control (NC) and shRab25 groups. To generate Rab25 knockdown cell lines, lentiviral shRNA targeting Rab25 (HBLV-h-RAB25 shRNA1-ZsGreen-PURO) and control empty vector (HBLV-ZsGreen-PURO NC) were synthesized by Hanheng Company (Hanheng Biotechnology Co. Ltd. Shanghai, China). The target sequence (5’→3’) of Rab25 used to construct lentiviral shRNA was GCCTTTGAGACTGTCCTGAAA. Lentivirus transfection of the fibroblasts was performed according to the manufacturer’s instructions. The stably transfected cells were cultured under puromycin (7 µg/mL) (Beyotime) selection for 2 weeks, at which point polymerase chain reaction (PCR) and western blotting were used to detect the expression levels of Rab25 mRNA/protein.
Polymerase chain reaction (PCR)
Total ribonucleic acid (RNA) was extracted from cell samples according to the instructions of the Simply P Total RNA Extraction Kit (Bioer Technology). RNA purity and concentration were measured using an ultraviolet spectrophotometer (ND2000; Thermo Fisher Scientific, Carlsbad, CA, USA). The extracted RNA was reverse-transcribed for mRNA analysis using RT Master Mix for qPCR II (HY-K0511A, MCE, Monmouth Junction, NJ, USA). SYBR Green qPCR Master Mix (HY-K0523, MCE) was used for this reaction. mRNA quantity was analyzed using a CFX96 Real-Time PCR detection system (Bio-Rad, Richmond, CA, USA). Primer sequences (5’→3’) were designed by Sangon Biotech and synthesized by Tsingke Biotechnology. Rab25: forward, CTAACCAAGCACCAGACCTAT; reverse, CTGAGGTCACTTTTGTTACCCA. β1-integrin: forward, TTGACCCTAATACCAACCTTCCT; reverse, CCCATAGTACAGCCCTTGATGTT. EGFR: forward, AGGCACGAGTAACAAGCTCAC; reverse, ATGAGGACATAACCAGCCACC. PCNA: forward, GAGACCAGCCAGAGCGACATAG; reverse, TACTCACTGCCACCTCCAACTTC. CDK2: forward, AGTATGCGTCTGAGAGGTGATCC; reverse, TGACATCCAGCAGCCTAGAGAAG. Cyclin D: forward, GATGGCTGGAGGCTGAGGAG-3'; reverse, GGAGGGCGGATTGGAAATGAAC. Bcl-2: forward, GTCTTCGCTGCGGAGATCAT; reverse, CATTCCGATATACGCTGGGAC. Bax: forward, CGTCCCTGATCCCGCCTCTG; reverse, GAGCACTCCCGCCACAAAGATG. Caspase 3: forward, GCCGAGACCACGCCACTG; reverse, AGGGAGGGAGACAGCACAGAG. GAPDH: forward, GACTTCAACAGCGACACCCACTC; reverse, CCCAGCCACATACCAGGAAATGAG. The conditions were as follows: denaturation at 95℃ for 5 min, denaturation at 95℃ for 10s, and annealing at 60℃ for 30s, a total of 40 cycles. The relative expression of target genes relative to GAPDH was calculated using the 2−ΔΔCt method.
Western blotting
Proteins were extracted from foreskin tissues or transfected cells using RIPA lysis buffer (HY-101032, MCE) containing 1% Protease Inhibitor Cocktail (HY-B0496, MCE). The protein concentration was measured using the bicinchoninic acid (BCA) method, and the samples were added to 10% SDS-PAGE gels for electrophoresis. The loading volume for cells was 10 µg/well, and that for tissues was 15 µg/well. After electrophoresis, the proteins were transferred onto polyvinylidene fluoride (PVDF) membranes (Millipore, Billerica, MA, USA). The membranes were blocked in NcmBlot blocking buffer (NCM Biotech) and incubated with the primary antibody (1:1000) overnight at 4°C. The primary antibodies used were as follows: Rab25 (A12275, ABclonal Technology), EGFR (A11351, ABclonal Technology), Integrin-β1 (A19072, ABclonal Technology), PCNA (60097-1-Ig, proteintech), CDK2 (60312-1-Ig, proteintech), Cyclin D (A19038, ABclonal Technology), Bax (50599-2-Ig, proteintech), Bcl-2 (381702, Zen BioScience), Caspase3 (66470-2-Ig, proteintech), β-actin (AM1829B, abcepta). Finally, the membranes were incubated with secondary antibody (1:10000) at room temperature for 1h. Chemiluminescence reagents A and B (1:1) (Biotech) were mixed and added to the PVDF membranes. Protein signals were detected using the Bio-Rad imaging laboratory system (Bio-Rad). The band density was analyzed using the Image Lab software.
Immunohistochemistry
Before slicing, the foreskin tissue was processed as follows: 4% paraformaldehyde-fixed, dehydrated, paraffin-embedded, sliced (4µm). Slices were baked at 60°C for at least 3 h or 37°C for at least 1 day. After baking at 60°C for 2 h, the slices were dewaxed, hydrated, and repaired with sodium citrate solution. After antigen retrieval, the slices were washed with phosphate buffer (PBS) (3 times × 10 min). The slices were blocked with BSA solution after the addition of endogenous peroxidase inhibitor (reagent Ⅰ) (Zhongshan, Beijing, China). Primary antibodies (1:200) (ABclonal Technology) were incubated overnight at 4°C. After washing three times, the slices were added to a reaction-enhancing solution (reagentⅡ) and incubated with the corresponding secondary antibodies (reagentⅢ) (Zhongshan, Beijing, China). For staining, the slices were added to a DAB chromogenic solution (Zhongshan, Beijing, China). The coloration times of the other groups were consistent with the estimated coloration times of the positive group. Finally, the slices were counterstained with hematoxylin and sealed. The data were processed using BioRadCFXManager software.
Cell Counting Kit-8 (CCK-8) assay
Transfected cells were seeded in 96-well plates at a density of 3x103 cells/well. At specified time points (0, 24, 48, and 72h), 10 µl of the CCK-8 (MCE) solution was added to each well. After 1 h incubation at 37°C, the absorbance was measured at 450 nm using a microplate reader. This experiment was conducted thrice with three replicates for both the NC and shRab25 groups. The cell-free background absorbance of the medium was subtracted from all absorbance measurements. The cell growth curve was sketched using the time on the horizontal axis and OD value on the vertical axis.
Flow cytometry analysis of cell cycle and apoptosis
The supernatant from the 10-cm culture dishes was placed in a centrifuge tube. The dishes were washed twice with calcium- and magnesium-free PBS. The washing liquid was then placed in the corresponding centrifuge tube. The attached cells were digested with 0.25% trypsin (without EDTA) (PWL061, Meilunbio) for 5 min, and the reaction was terminated with the medium. The cells digested from the culture dishes were transferred to the corresponding centrifuge tube, centrifuged at 1000 rpm for 5 min, washed, and centrifuged twice. Cells (1×106) were resuspended in 500 µL of Binding Buffer and placed in a 1.5 mL EP tube. After incubation with 10µl Annexin V-APC, EP tubes were incubated at room temperature in the dark for 10 min and centrifuged at 1000 rpm for 5 min. After discarding the supernatant, EP tudes were added to 500 µL Binding Buffer containing 10 µL PI. To detect cell cycle distribution, transfected cells were collected, fixed with 75% ethanol at 4°C overnight, and resuspended in PBS after centrifugation. Cell samples were treated with RNase (50 µg/ml) and stained with phycoerythrin (PE, 50 µg/ml). After incubation at room temperature for 30 min in the dark, the samples were analyzed. Finally, the cells in the EP tudes were dispensed into flow tubes and detected using a flow cytometer CytoFLEX. CytExpert_2.4. software was used to process the data.
Wound-healing assay
Cells (2 × 105 cells/well) were inoculated into 6-well plates, and a wound-healing assay was conducted until the cells covered the 6-well plates. The plates were wounded with 10ul short shotgun tips and washed 3 times with PBS. The 10% serum medium was replaced with 1% serum medium and cleaned before photography. Photographs were obtained every 12 h (0, 12, 24, and 36h). The migration rate was calculated as follows: migration rate (%) = (Area0–AreaN)/Area0 × 100%, where Area0 represents the area at 0 h, and AreaN represents the area at the indicated time. Each experiment was repeated thrice.
Scanning Electron Microscopy
Penile tissues were washed with saline, fixed with 3% glutaraldehyde, dehydrated in alcohol, and sputtered with gold before SEM examination (JSM-IT700HR/LV, Tokyo, Japan).
Statistical analysis
All quantitative data are presented as the mean ± standard deviation (SD) or rate (%). GraphPad Prism software (version 9.0) was used for the statistical analysis of each group. The ANOVA (One-way ANOVA) was used to analyze multiple groups of data, and data from the two groups were analyzed using an unpaired t-test. P < 0.05 was considered statistically significant.