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80 protocols using dexamethasone (dex)

1

Evaluating BMSC and HUVEC Proliferation

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Cell counting kits (CCK-8, Dojindo, Kumamoto, Japan) were also used to test cell proliferation, to estimate the proliferation of BMSCs and HUVECs in different culture situations. We seeded 5000 cells per well of one 96-well plate and cultured cells with the following different treatments: saline, 10 μM dexamethasone (DEX; Solarbio, Beijing, China), DEX+CD34+-Exos, DEX+miR-26a-CD34+-Exos, CD34+-Exos, or miR-26a-CD34+-Exos (50 μg/mL). OD values were measured on days 0, 1, 3, 5, and 7 of culture.
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2

Osteogenic and Adipogenic Differentiation of PDLSCs

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The differentiation assay was performed according to published methods (33 (link)). Briefly, PDLSCs were induced with osteogenic medium containing 10% FBS, 5 mM L-glycerophosphate (Solarbio Co., Ltd.,), 100 nM dexamethasone (Solarbio Co., Ltd.) and 50 mg/ml ascorbic acid (Solarbio Co., Ltd.) for 21 days. Then, the cells were fixed in 4% paraformaldehyde and stained with 0.2% alizarin red solution (Solarbio Co., Ltd.). For adipogenic differentiation, PDLSCs were cultured in α-MEM supplemented with 10% FBS, 2 mM insulin (Solarbio Co., Ltd.), 0.5 mM isobutylmethylxanthine (Solarbio Co., Ltd.), and 10 nM dexamethasone (Solarbio Co., Ltd.) for 14 days. The cells were fixed and stained with Oil Red O solution (Solarbio Co., Ltd.). The control cells were cultured in α-MEM with 10% FBS. Images were acquired under a phase-contrast inverted microscope (Nikon Corporation, Tokyo, Japan).
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3

Osteogenic and Adipogenic Differentiation of Cells

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Osteogenic induced medium contained complete culture medium supplemented with 100 nM dexamethasone (Solarbio, Beijing, China), 10 mM β-glycerophosphate (Solarbio) and 50 mg/l ascorbic acid (Solarbio). Adipogenic medium contained complete culture medium supplemented with 1 μM dexamethasone (Solarbio), 0.2 mM indomethacin (Solarbio), 0.01 g/l insulin (Solarbio) and 0.5 mM isobutyl-methylxanthine (Solarbio). Cells were cultured in 24-well plates with osteogenic differentiation medium or adipogenic differentiation medium. The medium was replaced every other day. Osteogenic differentiation was evaluated with alkaline phosphatase (ALP) and alizarin red (AR) staining (Sigma-Aldrich). Adipogenic differentiation was evaluated with Oil Red O staining (Solarbio). All methods followed protocols recommended by the manufacturers.
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4

Adipogenic and Osteogenic Differentiation of Porcine MSCs

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For adipogenic differentiation, porcine MSCs (1 × 105/well) at P4 were seeded in 6-well plates until they reached 70%–80% confluence. These cells were first cultured in adipogenic induction medium for 3 days and sequentially in maintenance medium for another 3 days. Next, the two media were replaced alternately until 21 days. Adipogenic induction medium is composed of DMEM/F-12 supplemented with 10% FBS, 10 μM of dexamethasone (Solarbio, Beijing, China), 200 μM of indomethacin (Solarbio, Beijing, China), and 10 μM of insulin (Solarbio, Beijing, China), while maintenance medium is composed of basal medium supplemented with 0.2 nM of insulin. After 21 days, the cells were fixed with 4% paraformaldehyde and then stained with oil red O (Solarbio, Beijing, China).
For osteogenic differentiation, porcine MSCs (1 × 105/well) at P4 were seeded in 6-well plates until they reached 80–90% confluence. The medium was replaced with osteogenic induction medium. Osteogenic induction medium is composed of basal medium supplemented with 0.1 μM of dexamethasone (Solarbio, Beijing, China), 10 μM of β-glycerophosphate (Coolaber, Beijing, China), and 50 μM of vitamin C (Solarbio, Beijing, China). The media were changed every 2–3 days. After 21 days, the cells were fixed with 4% paraformaldehyde and then stained with alizarin red S (Solarbio, Beijing, China).
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5

Adipocyte Differentiation Protocol

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Cells were kept in a growth medium (GM) containing 10% fetal bovine serum (FBS; Gibco, Grand Island, NY, USA), which was stored in an incubator (Thermo Fisher Scientific, Waltham, MA, USA) at 37 °C and 5% CO2 environment. We used a differentiation medium (DM) containing Dulbecco’s modified Eagle’s medium (DMEM; VivaCell, Shanghai, China) supplemented with 10% FBS, 1 μmol/L dexamethasone (DEX; Solarbio, Beijing, China), 0.5 mmol/L 3-isobutyl-1-methylxanthine (IBMX; Solarbio, Beijing, China), and 10 μg/mL insulin (Solarbio, Beijing, China). The maintenance medium (MM) consisted of DMEM with 10% FBS and 10 μg/mL insulin. According to the manufacturer’s instructions, transfection was carried out using the lipofectamine 3000 reagent (Invitrogen, Carlsbad, CA, USA). The transfection reagent was mixed with RNA oligo (let-7a-5p mimic, inhibitor, negative control (NC), inhibitor negative control (INC)) and siRNA (si-Srebf2, si-Thbs1, and si-NC), and then the mixture was transfected into the cells. The concentration of transfection was 50 uM for the mimic and NC, and 100 uM for the inhibitor, INC, siRNA, and si-NC. The above RNA oligo and siRNA were purchased from Sangon Biotech Co., Ltd. (Shanghai, China) and Tsingke Biotechnology Co., Ltd. (Beijing, China), respectively, and Table S5 displays the sequence information.
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6

Osteogenic and Adipogenic Differentiation of hDPSCs and hUCMSCs

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The hDPSCs and hUCMSCs were seeded in 6-well dishes at 1 × 10^5 cells/well and cultured in complete culture medium. When cells reached 90% confluence, the medium was changed to induced medium. For osteogenic differentiation assays, cells were exposed to osteogenic medium (DMEM/F12 containing 10% FBS [BI], 100 U/ml penicillin G and 0.1 mg/ml streptomycin [Beyotime], 10nmol/l dexamethasone [Solarbio], 10 mmol/l β-glycerophosphate [Biosharp], 50 mg/l ascorbic acid [Solarbio]) 6 (link). The medium was refreshed every 3 d. After 4 weeks, Alizarin Red staining (Sigma) was used to detect the formation of mineralized nodule. For adipogenic differentiation assays, cells were exposed to adipogenic medium (DMEM/F12 containing 10% FBS [BI], 100 U/ml penicillin G and 0.1 mg/ml streptomycin [Beyotime], 2 μmol/l dexamethasone [Solarbio], 0.2 mmol/l indomethacin [Sigma], 0.01g/l insulin [Sigma], 0.5 mmol/l isobutyl-methylxanthine [IBMX] [Sigma]) 30 (link). The medium was refreshed every 3 d. After 2 weeks, the cells were stained with oil red O (Cyagen).
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7

Osteogenic and Adipogenic Differentiation of PDLSCs

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For the osteogenic differentiation assay, PDLSCs were cultured in osteogenic medium containing α-MEM (BI), 10% FBS (BI), 10 nM dexamethasone (Solarbio), 10 mM β-glycerophosphate (Solarbio) and 50 mg/L ascorbic acid (Solarbio). After 4 weeks, the cells were fixed with paraformaldehyde and stained with Alizarin Red solution (Sigma, St. Louis, MO, USA) to detect mineralized nodules. To analyse the intensity of Alizarin red staining, mineralized nodules were dissolved in 10% cetylpyridinium chloride (Solarbio) and quantified using a microplate reader at 562 nm. When necessary, Ly294002 (#9901, CST) (an inhibitor of Akt phosphorylation) or SC79 (HY-18749, MCE, USA) (a promoter of Akt phosphorylation) was added to the osteogenic medium at concentration of 10 µmol/L or 5 µg/mL, respectively.
For the adipogenic differentiation assay, PDLSCs were cultured in adipogenic medium containing α-MEM (BI), 10% FBS (BI), 1 µM dexamethasone (Solarbio), 0.2 mM indomethacin (Solarbio), 0.01 g/L insulin (Solarbio) and 0.5 mM isobutyl-methylxanthine (Solarbio). Four weeks later, the cells were fixed with paraformaldehyde and stained with oil red O (Solarbio) to detect lipid droplets.
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8

Multidirectional Differentiation of PDLSCs

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Osteogenesis and lipogenesis induction were used to detect the multidirectional differentiation ability of PDLSCs. The osteogenic induction solution formulation consisted of D-MEM (Hyclone, USA), 10% FBS, 10 mmol/L sodium β-glycerate (Macklin, Shanghai, China), 0.1 μmol/L dexamethasone (Solarbio, Beijing, China), and 50 mg/L vitamin C (Solarbio, Beijing, China). Osteogenic induction solution was changed every 3 days and maintained for 28 days. Then, cells were fixed by paraformaldehyde and stained by alizarin red solution (Solarbio, Beijing, China). The lipogenic induction solution was formulated with D-MEM, 10% FBS, 10 μmol/L dexamethasone (Solarbio, Beijing, China), 200 μmol/L indomethacin (Solarbio, Beijing, China), 0.5 mmol/L 3-isobutyl-1-methylxanthine (IBMX) (Sigma, USA), and 10 mg/L insulin (Solarbio, Beijing, China). Cultured for 28 days, the cells were fixed and stained by oil red O solution (Solarbio, Beijing, China). Calcium nodules and lipid droplets were observed under a fluorescent inverted microscope (Olympus, Japan).
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9

Osteogenic and Adipogenic Differentiation of hPDLSCs

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The hPDLSCs were incubated in 6-well dishes at 1×105 cells/well with CM. At 80-90% density, the corresponding culture medium was replaced to examined osteogenesis and adipogenesis.
For osteogenesis, cells were exposed to an osteogenic induction medium (OIM) containing α-MEM with 10% FBS, β-glycerophosphate (10 mM), dexamethasone (10 nM) and ascorbic acid (50 mg/l; Beijing Solarbio Science & Technology Co., Ltd.) for 21 days. The cells were then incubated with Alizarin Red solution (Sigma-Aldrich; Merck KGaA) at 22°C for 10 min to observe the mineralization.
For adipogenesis, cells were treated in an adipogenic induction medium containing α-MEM with 10% FBS, insulin (10 mg/l), dexamethasone (1 μM), indomethacin (0.2 mM) and isobutyl-methylxanthine (0.5 mM; Beijing Solarbio Science & Technology Co., Ltd.) for 28 days. Subsequently, the hPDLSCs were incubated with Oil Red O solution at 22°C for 20 min to observe lipid droplets.
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10

Osteogenic and Adipogenic Differentiation

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Osteogenic induced medium contained complete culture medium supplemented with 100 nM dexamethasone (Solarbio, Beijing, China), 10 mM βglycerophosphate (Solarbio) and 50 mg/l ascorbic acid (Solarbio). Adipogenic medium contained complete culture medium supplemented with 1 µM dexamethasone (Solarbio), 0.2 mM indomethacin (Solarbio), 0.01 g/l insulin (Solarbio) and 0.5mM isobutyl-methylxanthine (Solarbio). Cells were cultured in 24-well plates with osteogenic differentiation medium or adipogenic differentiation medium. The medium was replaced every other day. Osteogenic differentiation was evaluated with Alkaline phosphatase (ALP) and Alizarin red (AR) staining (Sigma-Aldrich). Adipogenic differentiation was evaluated with Oil Red O staining (Solarbio). All methods followed protocols recommended by the manufacturer.
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