Figure 5. Combination of Cis-MPs and LDI effectively abrogates tumor-repopulating cells. (A) BALB/c mice were s.c. inoculated with 2 × 105 H22 tumor cells, followed by 2 × 2 Gy irradiation treatment when tumor reached 8 × 8 mm. Macrophages were analyzed for cell-surface expression of the indicated molecules 24 h later by flow cytometry. Data are representative of three independent experiments, and error bars represent means ± SEM, N.S., not statistically significant. (B) H22, CT26 and Lewis cell lines were incubated with Cisplatin, Cisplatin-MPs and different concentrations of Cisplatin-MPs, respectively. Apoptosis of tumor cells was analyzed by flow cytometry. Data are representative of three independent experiments, and error bars represent means ± SEM, ##p < 0.01, ###p < 0.001, compared with control. (C) H22 cell lines were irradiated with different dose, apoptosis of tumor cells was analyzed by flow cytometry, data are representative of three independent experiments, and error bars represent means ± SEM, ###p < 0.001, compared with control. H22 cell lines were incubated with Cisplatin-MPs after irradiated with 4 Gy, survival ratio of tumor cells was detected by CCK-8, data are representative of three independent experiments, and error bars represent means ± SEM, ###p < 0.001, LDI + Cisplatin-MPs group compared with other groups. (D) H22 cell lines were irradiated with 4 Gy, then incubated with Cisplatin, MPs and Cisplatin-MPs, respectively, apoptosis of tumor cells was analyzed by flow cytometry. Data are representative of three independent experiments, and error bars represent means ± SEM, ##p < 0.01, LDI + Cisplatin-MPs group compared with other groups. (E) Single H22 cell purified from tumor-bearing mice grew into a multicellular tumor spheroid in 3D fibrin on day 10. Scale bar, 20 μm. (F) Colony number (left) and the colony size (right) of TRCs derived from tumor-bearing mice were measured. Data are representative of three independent experiments, and error bars represent means ± SEM, ##p < 0.01, ###p < 0.001, LDI + Cisplatin-MPs group compared with other groups. (G) PKH67 (Green)-conjugated MPs were i.v. injected to H22 subcutaneous tumor-bearing mice alone or in combination with LDI treatment, 4 h later, tumor tissues were used for the analysis by fluorescence microscope. Scale bar, 200 μm. (H) Ten thousand isolated tumor cells were collected for flow cytometric analysis of PKH67-positive population. Data are representative of three independent experiments, and error bars represent means ± SEM, ##p < 0.01, ###p < 0.001, unlabelled MPs group compared with other groups.