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1

Western Blot Analysis of Autophagy Proteins

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Cell lysates were scraped and dissolved in RIPA buffer (Beyotime, China) containing PMSF (1:100, Beyotime, China) on ice, followed by centrifugation at 12,000 g for 15 min to collect the protein in the supernatant. The protein concentration was standardized and mixed with Laemmli Sample Buffer (#4006028, Bio-Rad, United States) and DTT, followed by separation on a 10% discontinuous SDS-PAGE gel and transferred onto polyvinylidene difluoride membranes (Merck Millipore, GER). The membranes were blocked with 5% skim milk in Tris-buffered saline containing 0.05% Tween-20 for 1 h, and then incubated with specific primary antibodies overnight at 4°C. After that, the membranes were incubated with horseradish peroxidase-conjugated goat anti-mouse IgG or goat anti-rabbit IgG for 1 h at room temperature. Band densitometry was performed using the Quantity One System image analyzer (Bio-Rad, United States). The antibodies used in this study included ATG5 (1:1,000, ab108327, Abcam, United States), BECLIN1 (1:1,000, ab207612, Abcam, United States), LC3 (1:1,000, 14600-1-AP, Proteintech, China), P62 (1:1,000, ab109012, Abcam, United States), and β-Actin (1:1,000, Cell Signaling Technology, United States). All original gel images generated from Western blotting are included in Supplementary Figure S9.
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2

Protein Extraction and Western Blot Analysis

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ADO2-iPSCs and NC-iPSCs were homogenized in RIPA buffer (cat. no. KGP702–100; Changchun Keygen Biological Products Co., Ltd.) containing protease inhibitor at 4 °C, and then centrifuged at 16,000 x g for 15 min at 4 °C to extract soluble protein. Protein extracts were quantified using the BCA method and loaded on 12% SDS-gels (20 μg per lane), resolved using SDS-PAGE, and then transferred to nitrocellulose membranes. Following blocking (5% skim milk) for 2 h at room temperature, membranes were incubated overnight at 4 °C with primary antibodies against CLC-7 (1:1000), or α-tubulin (1:2000). Subsequently, the membranes were incubated with HRP-conjugated anti-rabbit secondary antibody (1:1000) at room temperature for 2 h. Signals were visualized using a Quantity One system image analyzer (Bio-Rad Laboratories, Inc.) and densitometry analysis was performed using Image J.
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3

Protein Expression Analysis in Liver Tissues

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The protein was extracted from liver tissues and cell harvests. Equal amounts of extracted protein (approximately 20 μg) were separated by using SDS‐PAGE gel and transferred onto polyvinylidene fluoride membrane (Bio‐Rad, CA). After 2 hours of blocking with 5% BSA, the membranes were incubated with primary antibodies (GAPDH, LC3, p62, cIAP1, cIAP2, XIAP, and survivin) at 4°C overnight, followed by incubation with secondary antibodies at 20‐25°C for 2 hours. Antibodies against GAPDH, cIAP1, cIAP2, LC3, and p62 were obtained from CST, while antibodies against XIAP and survivin were obtained from Abclonal. The immunoblots were visualized using electrochemiluminescent reagents (GE Healthcare, IL) following the manufacturer's instructions, and quantified using Quantity One System image analyzer (Bio‐Rad).
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4

FoxO3a Protein Expression Analysis

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Cellular protein from the transfected HTR8/SVneo cells was extracted using a RIPA lysis buffer (Beyotime Biotechnology, China) containing PMSF (1:100, Beyotime Biotechnology, China). The concentration of the extracted protein was determined by using a BCA assay kit (Beyotime Biotechnology, China). Each protein sample was loaded onto SDS-PAGE for electrophoresis and then transferred to a piece of PVDF membrane. TBST containing 5% skimmed milk was used to block the PVDF membrane for 1 h. Next, the membrane was incubated with various primary rabbit antibodies, including anti-FoxO3a (1:800, Catalog#: 12829, Cell Signaling Technology) and β-actin (1:5000, Catalog#: GB11001, Servicebio) at 4 °C overnight. After incubating with goat anti-rabbit IgG for 1 h, bands density was detected using the Quantity One System image analyzer (Bio-Rad, USA).
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5

Western Blot Analysis of Signaling Proteins

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Western blotting was performed as previously described. Polyvinylidene difluoride membranes (Merck Millipore, GER) were blocked for 1 h with 5% nonfat dried milk in Tris-buffered saline containing 0.05% Tween-20 (TBST) and then probed with rabbit polyclonal antibodies against 4HNE, VEGFR1, VEGFR2, AKT, pAKT, ERK, or pERK or mouse monoclonal antibodies specific for β-actin (1 : 1000, #3700, Cell Signaling Technology, USA) or GAPDH (1 : 1000, #ab8245, Abcam, UK) overnight at 4 °C. The membranes were then incubated with horseradish peroxidase-conjugated goat anti-mouse IgG (1 : 5000, #SA00001-1, Proteintech, USA) or goat anti-rabbit IgG (1 : 5000, #SA00001-2, Proteintech, USA) for 1 h at room temperature. Band densitometry was performed using the Quantity One System image analyzer (Bio–Rad, USA).
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6

Western Blot Analysis of Autophagy-Related Proteins

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Samples were homogenized in RIPA buffer (cat. no. KGP702-100; Changchun Keygen Biological Products Co., Ltd.) containing protease inhibitor at 4°C, and then centrifuged at 16,000 × g for 15 min at 4°C to extract soluble protein. Protein extracts were quantified using the Bradford method and loaded on 8 or 12% SDS-gels (20 µg per lane), resolved using SDS-PAGE, and then transferred to nitrocellulose membranes. Following blocking (5% skim milk) for 2 h at room temperature, membranes were incubated overnight at 4°C with primary antibodies against CLC-7 (1:500), p-mTOR (1:1,000), mTOR (1:800), LC3 (1:2,000), p62 (1:1,000), ATG5 (1:800), Beclin1 (1:800), cathepsin D (1:1,000) or α-tubulin (1:2,000). Subsequently, the membranes were incubated with HRP-conjugated anti-rabbit secondary antibody (1:5,000) at room temperature for 2 h. Signals were visualized using a Quantity One system image analyzer (Bio-Rad Laboratories, Inc.) and densitometry analysis was performed using imaging software (Quantity One 4.6.2; Bio-Rad Laboratories, Inc.).
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7

Protein Extraction and Western Blot Analysis

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Total proteins were extracted from placental tissues and HTR8/SVneo cells using RIPA lysis buffer (Beyotime, Shanghai, China) supplemented with 1% phenylmethanesulfonyl fluoride (PMSF) and 1% phosphatase inhibitors (Beyotime, Shanghai, China). Protein concentrations were measured using the BCA protein assay kit (Beyotime, Shanghai, China), and standardized to 1 μg/μL for each sample. The lysates were separated by SDS-PAGE (Bio-Rad, USA) and transferred to PVDF membranes (Roche, Germany). The blots were blocked with 5% nonfat milk (Bio-Rad, USA) in TBST and incubated with primary antibodies against DUSP6 (ab76310, Abcam, Cambridge, UK), p-ERK1/2 (28733-1-AP, Proteintech, China), ERK1/2 (sc-514302, Santa Cruz Biotechnology, TX, USA), α-tubulin (GB11200, Servicebio, Wuhan, China), or β-actin (66009-1-lg, Proteintech, China) overnight at 4°C. After washing with TBST, the membranes were incubated with horseradish peroxidaseconjugated goat anti-mouse IgG (ZB-2305, ZSGB-BIO, China) or goat anti-rabbit IgG (ZB-2301, ZSGB-BIO, China) at room temperature for 1 h. Protein bands were detected using the WesternBright™ ECL kit (K-12045-D10, Advansta, USA), and images were captured and analyzed using the Quantity One System image analyzer (Bio-Rad, USA).
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8

Western Blot Quantification of CLCN7

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Total proteins were extracted using RIPA lysis buffer (no. KGP702-100, KeyGEN BioTECH, Nanjing, Jiangsu, China), and the protein concentration was determined using BCA assay. The same amount of protein (20 µg) from each sample was loaded to SDS-PAGE and transferred to nitrocellulose membranes. Following blocking with 5% skimmed milk for 2 h at room temperature, the membranes were first incubated with primary antibodies against CLCN7 (no. DF3932, Affinity Biosciences, Melbourne, Victoria, Australia, dilution, 1:1000) or β-actin (no. AF5003, Beyotime Institute of Biotechnology, Shanghai, China, dilution, 1:2000) at 4 ℃ overnight and then with goat anti-rabbit IgG (H + L) secondary antibody (no. 31460100, Thermo Fisher Scientific, Waltham, MA, USA, dilution, 1:10,000) at room temperature for 2 h. Finally, the immunoblots were visualized using a Quantity One system image analyzer (Bio-Rad Laboratories, Hercules, CA, USA) and the bands of proteins were evaluated using Im-ageJ software (version 1.53t, National Institute of Mental Health, Bethesda, MD, USA, https://imagej.nih.gov/ij/).
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