Ravi Alluri and Hilliard L. Kutscher are supported by Ruth L. Kirschstein National Research Service Award (NRSA) Institutional Research Training Grant 1T32GM099607.

所有的材料和设备需要收集和适当前程序组织的。该过程是要以无缝转换从一个步骤到下一个，以便提供一致的，可重现的数据进行的。该协议遵循的机构动物护理和使用委员会在水牛城退伍军人医疗中心设置机构政策。 注意:两个雄性和雌性C57BL / 6小鼠用于这个协议。有两性之间白蛋白漏出无显著差异。 1.盐酸准备<ol><li>使56.2毫盐酸无菌加入1N盐酸281微升至4.72毫升的无菌生理盐水（SNS）。滴定至pH值为1.25用1N盐酸（≈0 - 50μL）。 </li><li>使这个准备新鲜之前受伤。由于低pH SNS是不是缓冲它保证了盐酸伤害侮辱是短暂的。 </li></ol> 2.麻醉气管曝光技术注意:确保受伤过程与麻醉气体清除木炭过滤通风橱内进行。的无菌条件保养是必要的，因为这是一个生存手术。使用无菌手套和消毒的玻璃珠手术器械消毒所有仪器手术对每个动物之前。利用窗帘来隔离手术部位的建议保持无菌。使用异氟醚作为麻醉气体，因为它提供一个相对低的血液气体溶解度允许麻醉快速诱导，以及损伤后迅速恢复。 <ol><li>通过与在以2升/分钟的流速氧2.75％的异氟醚的室诱导麻醉开始。 </li><li>一旦老鼠被麻醉充分（不响应脚趾捏强大到足以不会破坏皮肤或引起深部组织损伤），暂停用1-0编织丝线缝合15厘米长的门牙优越鼠标在60仰卧位Ø倾斜的夹层板。&lt;/ LI&gt; <li>确保麻醉是通过鼻锥递送异氟烷在整个手术保持。对小鼠的眼睛适用兽医药膏，以防止干燥。 </li><li>用电动修剪剃颈部的腹侧部分和应用局部消毒剂溶液（ 即 ，聚维酮碘）。用纱布去除多余的防腐剂，让干燥（约15 - 30秒）。 </li><li>渗透颈部从胸骨切迹到颚的劣部分与100μL的0.5％布比卡因中线（以提供预，围，和手术后止痛）。 </li><li>做一个1 - 用手术刀或弯曲精剪颈部1.5厘米纵向正中切口。有2个弯曲的锯齿状钳穿透钝性分离唾液腺之间的筋膜膜，露出气管（由白色软骨环标识）。 </li><li>依然采用了2锯齿钳，把握气管旁肌肉的一侧，它拉边，而亩之间解剖第一百纤维气管纵向下一步。 </li><li>一旦切割平面的建立，继续缩回气管旁肌肉作为第二钳子是气管下工作。使用这些镊子1-0编织丝线缝合的15厘米的链放置到钳子的前端与拉通过放置气管背后的缝合。 </li></ol> 3.气管内滴入程序<ol><li>通过填写附着到22克针用0.2毫升的空气的0.5毫升的注射器接着3.6毫升/公斤的盐酸制备损伤滴注注射器。空气将充当在车辆的分散，以及一个肺泡复张，以帮助对麻醉给药期间可能经历肺不张的肺泡。 注:按照有关手术后镇痛当地IACUC的指导方针，并与当地兽医咨询。请小心使用任何止痛药与雇用前抗发炎的特性ING无菌肺损伤的这种模式。 </li><li>要管理受伤，第一停止异氟醚管理。让鼠标的麻醉深度上涨约10 - 15秒，直到它开始镊脚趾捏反应。 </li><li>立即开始伤害滴注步骤。如果麻醉深度太深动物不会损伤滴注，这是含有盐酸损伤尤其如此后自发呼吸。 </li><li>有一个助理挤压胸腔驱逐肺活量。 </li><li>使用1-0编织丝线缝合围绕气管以前放置的优用它拉来牵引，然后将注射器针头插入1 和第 2 次喉软骨下方环之间气管。针斜面应面对医生和推进，直到斜面是刚刚过去的针与气管尽可能平行气管。 </li><li>只是单次给药前释放胸部盐酸以保证分散和沉积到远端气道和肺泡。存款丸大致0.5 - 0.75秒。保持针在气管直到第一自发呼吸取为保证整个损伤丸药体积被吸入到肺部。 </li><li>关闭切口使用是1 - 2皮肤钉或缝线。 </li></ol> 4.恢复<ol><li>用5毫升注射器用＆G针，注射1毫升SNS皮下脖子颈背液体复苏。虽然过程中最小的液体流失，手术后的鼠标往往不喝酒，并有可能脱水。可替代地， 通过腹膜内注射提供的SNS。 </li><li>在加热腔鼠标放置在37℃灌注100％O 2。确保鼠标被放回外壳之前充分的恢复。监测动物在此期间，直到门诊和充分R请勿不闻不问ecovered。 </li></ol> 5.支气管肺泡灌洗和肺处理<ol><li>诱发和按步骤2.1中所述维持异氟醚麻醉和步骤2.2。确认使用步骤2.2中所述脚趾捏法麻醉足够平面。 </li><li>固定在解剖板仰卧位置并使用钩在优越门齿1-0编织丝线缝合的一个循环来延伸颈部。对眼睛应用兽医药膏，以防止干燥。 </li><li>去除颈部皮肤钉后，请通过从下腹壁皮肤正中纵形切口，通过前面的颈部切开用剪刀下颌骨。 </li><li>使用剪刀腹腔肌肉正中切口，并收回与海绵腹腔脏器暴露腹膜后间隙。如果需要的血液，收集此时腹主动脉或下腔静脉。 </li><li>由横断abdom通过安乐死放血的动物INAL主动脉和下腔静脉。通过利用在下面的步骤双边开胸安乐死的二次验证方法，通过IACUC准则，将建立以人道完成。 </li><li>穿孔隔膜造成肺萎陷。然后使用骨骼切割剪刀切掉膜片，并通过笼平行肋切割和胸骨的两侧。使用的锁定止血缩回胸骨襟翼以方便注射5毫升温暖（37℃）的Hank平衡盐与钙和镁溶液进入右心室冲洗肺脉管。 <ol><li>作为得到从主动脉血液之前本文中描述的方法评估周边细胞因子水平，使得在左心室的小切口，以提供必要的流出血液离开循环到足够冲洗肺脉管系统如果不能获得血。 </li></ol></li><li>道具夹层板60°倾斜，并使用日E工作步骤步骤描述2.2，以方便插入20国祥½"不锈钢在气管插管，安全的以1-0缝线。 </li><li> 水平放置的夹层板，并进行支气管肺泡灌洗（BAL）。 <ol><li>要执行BAL连接两个5毫升注射器到3路阀。填写一个针筒5毫升的SNS，然后拧入活塞的端口。安装一个空的5毫升注射器到第二端口，最后附上活塞的开放端口放置在步骤5.6气管内插管。灌输1毫升生理盐水到肺和灌洗第二注射器。 </li><li>重复5总共1毫升生理盐水灌注小心了气管插管保持安全且平行于气管，因此它不会撕裂气管。 </li></ol></li><li>用于组织学分析，导管插入气管如步骤5.7。通过在20 cm H2O的，用10％中性福尔马林缓冲液吹入24小时修复肺。 </li><li>删除每个肺叶carefully用剪刀和镊子由横断支气管肺门附近。在组织学盒各肺叶（共5个）将被石蜡包埋之前。切割5微米组织切片用切片机，并用苏木精和曙红使用标准组织学技术染色。 6形态特征也可以在组织学载玻片进行量化的严重性炎症。 4 </li><li>通过在4℃以1500 xg离心离心3分钟处理回收的BAL。分装在等效量的无细胞BAL上清液到2.0毫升离心管以供将来分析。存储在-80℃。 </li><li>分析通过ELISA白蛋白浓度，或感兴趣的任何其它生物产品的BAL。 11从BAL的沉淀的细胞进行计数，生成cytoslide标本，并与基于赖特-吉姆萨染色对白血球分类计数测定来评估肺&#39;染色炎症反应。 </li></ol>

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The authors have no competing financial interests to disclose.

<html>其目的是通过胃酸的愿望是非常类似于酸肺炎和急性呼吸窘迫综合征后续开发过程中发生在人类的病理生理发展的ALI动物模型。在开发的模型，我们选择了提供高吞吐量数据采集动物物种，由于其低成本，短生殖周期，并用大量的调查工具（ 即 ，单克隆抗体，转基因的菌株）一个很好的理解免疫系统。 ALI继人类尖刻地损害肺泡上皮细胞和血管内皮屏障功能产生?...

急性呼吸窘迫综合征的特点是广泛的肺部炎症和临床上被视为呼吸短促急性低氧血症。这些症状通常是煽动事件发生后不到24小时，如外伤，败血症，输血相关反应或愿望。它被定位于肺泡上皮细胞和血管内皮细胞，导致蛋白质漏出，随后透明膜形成中性粒细胞肺泡炎（ 即广泛的炎症）组织病理学特点。吸入被归类为化学性肺炎或吸入性肺炎。 1胃吸出的酸性成分有助于肺炎和偏好都制定了继发性细菌性肺炎。吸入性肺炎是ALI和ARDS的后续发展的主要风险因素之一。 2 胃愿望是定义为从T物料吸入急性事件他带或不带口咽部菌群到气管超出声带胃。在抽吸内容物可以包含低pH的胃流体，细菌，血液或食品颗粒。胃吸出患者常发生在重症监护病房（ICU），其中通常是在空腹状态，因此放置在一个质子泵抑制剂限制酸化胃内容物误吸。比起一般患者群高5倍 - 急性肺损伤在美国ICU的人口的发病率是2.5。 3遗憾的是，这些易患因素往往会导致胃内细菌过度生长的状态，可能会导致下面的一个愿望事件肺部更严重的后遗症，如胃的愿望是继发细菌性肺炎发展的一个独立危险因素（SBP） ，ALI和急性呼吸窘迫综合征。 胃抽吸具有两个主要部分组成:盐酸和胃内容物，其可以或可以不含有细菌或食物颗粒。在啮齿动物模型单独胃抽吸的酸成分产生一个初始炎症应答作为对气道上皮低pH的直接苛性损伤的结果。这之后是中性粒细胞浸润，并在4炎性反应 - 6小时。 4这两个因素最终导致的肺微血管完整性从而导致流体和蛋白质外渗进入肺泡和呼吸道破坏。要理解本病理生理学和进一步研究可能的治疗干预，开发和表征即阐明涉及的基本机制的动物模型是重要的。单独的酸性抽吸必须庞大或具有足够低的pH值以绕过呼吸树的缓冲能力和到达肺泡。如果这不发生，只发生瞬态上，传导气道损伤，从而不太可能导致ARDS的严重后遗症。 5 &lt;/ SUP&gt; 为了准确地与受伤的肺泡上皮仿真抽吸事件，绕过动物的天然防御很重要。利用小鼠模型的愿望，产生ALI模仿人类看到的胃酸的伤害，必须占气管支气管树的差异。开气管切开术，该方法利用绕过损伤重现ALI既生理学和组织学的方式鼠和人的呼吸的树木和模型之间的差异。从历史上看，气管内插管用于生成ALI，然而它被认为是困难的小鼠未经喉损伤来执行。因此，这种方法提供了已取得在多个研究人员和以最小的过程归因死亡率一致的结果的潜在替代。

<table border="1" fo:keep-together.within-page="1" fo:keep-with-next.within-page="always">
	<tbody>
		<tr>
			<td>syringe, 1cc</td>
			<td>Becton Dickinson</td>
			<td>309628</td>
			<td></td>
		</tr>
		<tr>
			<td>syringe, 5cc</td>
			<td>Becton Dickinson</td>
			<td>309646</td>
			<td></td>
		</tr>
		<tr>
			<td>needle, 22 ga x 1 1/2&#34;</td>
			<td>Becton Dickinson</td>
			<td>305159</td>
			<td></td>
		</tr>
		<tr>
			<td>needle, 26 ga x 1 1/2&#34;</td>
			<td>Becton Dickinson</td>
			<td>305111</td>
			<td></td>
		</tr>
		<tr>
			<td>1-O Braided Silk Suture</td>
			<td>Harvard Apparatus</td>
			<td>517730</td>
			<td></td>
		</tr>
		<tr>
			<td>3&#34; Curved tissue serrated forceps</td>
			<td>Fine Science Tools</td>
			<td>11065-07</td>
			<td></td>
		</tr>
		<tr>
			<td>3&#34; Curved tissue &#34;toothed&#34; forceps, 1x2 teeth</td>
			<td>Fine Science Tools</td>
			<td>11067-07</td>
			<td></td>
		</tr>
		<tr>
			<td>4&#34; curved micro dissecting scissors</td>
			<td>Fine Science Tools</td>
			<td>14061-10</td>
			<td></td>
		</tr>
		<tr>
			<td>bone cutting spring scissors</td>
			<td>Fine Science Tools</td>
			<td>16144-13</td>
			<td></td>
		</tr>
		<tr>
			<td>3 1/2&#34; curved locking hemostat</td>
			<td>Fine Science Tools</td>
			<td>13021-12</td>
			<td></td>
		</tr>
		<tr>
			<td>Disposable Skin Stapler</td>
			<td>3M</td>
			<td>DS-25</td>
			<td></td>
		</tr>
		<tr>
			<td>tracheal cannula (20 ga x 1/2&#34; stainless steal tubing adapter)</td>
			<td>Becton Dickinson</td>
			<td>408210</td>
			<td></td>
		</tr>
		<tr>
			<td>60-degree Incline Dissection Board</td>
			<td></td>
			<td></td>
			<td></td>
		</tr>
		<tr>
			<td>0.5% Bupivacaine</td>
			<td></td>
			<td></td>
			<td></td>
		</tr>
		<tr>
			<td>Isoflurane</td>
			<td></td>
			<td></td>
			<td></td>
		</tr>
		<tr>
			<td>Betadine and &#34;Q-tip&#34; cotton applicator</td>
			<td></td>
			<td></td>
			<td></td>
		</tr>
	</tbody>
</table>

open tracheostomy gastric acid aspiration murine model of acute lung injury results in maximal acute nonlethal lung injury

酸肺炎是无菌的急性肺损伤（ALI）的主要原因在人类。酸肺炎跨越临床谱从无症状到急性呼吸窘迫综合征（ARDS），其特征在于嗜中性肺泡炎，和伤害到两个肺泡上皮和血管内皮。在临床上，急性呼吸窘迫综合征是由低氧血症急性起病，双侧斑片状肺浸润和非心源性肺水肿定义。人类研究为我们提供了有关引起ARDS肺中的生理和炎性变化，这导致了对下属机制各种假说有价值的信息。不幸的是，在确定ARDS的病因，以及广泛的病理生理学的困难导致缺乏可能是在开发治疗策略有用的关键信息。 平移动物模型是有价值的，当他们发病机制和病理生理学准确reproducEA概念在体外和临床证实。虽然大动物模型（ 如羊）人的气管，支气管树的解剖结构的共同特征，小鼠模型提供的其他优势，包括主机:成本低;繁殖周期短借贷本身更大的数据采集;一个很好的理解免疫系统;和充分表征的基因组，导致的各种基因缺失和转基因的菌株的可用性。低pH诱导的急性呼吸窘迫综合征的鲁棒模型需要鼠ALI靶向主要肺泡上皮，其次的血管内皮，以及小气道导致肺泡。此外，不同的伤害性和非伤害性的侮辱之间的巨大差异可重复的伤害是很重要的。 用盐酸这里介绍的鼠胃酸误吸模型采用开放式气管切开术，并再现了致病场景，再现低pH pneumonITIS在人体的伤害。此外，该模型可用于研究低pH损伤与其它肺损害的实体（ 例如 ，食物颗粒，致病菌）的相互作用。

酸吸入性肺炎的小鼠模型的肺组织病理如上所述，并取出肺24小时后的低pH侮辱，切片，H＆E染色（ 图1）小鼠受伤。坏死细胞，肺实质结构，细胞和碎片空域内和显著PMN浸润的损失被清楚地观察到。类似于临床心愿，我们在产生斑片状浸润中性粒细胞和纤维蛋白蛋白沉积的区域远端肺空气空间的异质性损伤模型的结?...

Watch this Scientific Journal Video about Open Tracheostomy Gastric Acid Aspiration Murine Model of Acute Lung Injury Results in Maximal Acute Nonlethal Lung Injury at JoVE.com

Open Tracheostomy Gastric Acid Aspiration Murine Model of Acute Lung Injury Results in Maximal Acute Nonlethal Lung Injury

This protocol induces acute lung injury in a mouse that has close fidelity to the pathogenesis of acid pneumonitis observed in humans. We generate a maximal acute nonlethal low pH lung injury and account for differences in rodent-human anatomic respiratory structure using an open tracheostomy coupled with circumferential pressure release.

急性肺损伤开放气管切开胃酸吸入小鼠模型结果在急性最大非致命性肺损伤

Acid pneumonitis is a major cause of sterile acute lung injury (ALI) in humans. Acid pneumonitis spans the clinical spectrum from asymptomatic to acute ...

open-tracheostomy-gastric-acid-aspiration-murine-model-acute-lung

Research

JoVE Journal

Medicine

9.7K 次观看.  University at Buffalo, State University of New York. This protocol induces acute lung injury in a mouse that has close fidelity to the pathogenesis of acid pneumonitis observed in humans. We generate a maximal acute nonlethal low pH lung injury and account for differences in rodent-human anatomic respiratory structure using an open tracheostomy coupled with circumferential pressure release.

视频: Open Tracheostomy Gastric Acid Aspiration Murine Model of Acute Lung Injury Results in Maximal Acute Nonlethal Lung Injury

Expired CO2 Measurement in Intubated or Spontaneously Breathing Patients from the Emergency Department

Carbon dioxide (CO2) along with oxygen (O2) share the role of being the most important gases in the human body. The measuring of expired CO2 at the mouth has solicited growing clinical interest among physicians in the emergency department for various indications: (1) surveillance et monitoring of the intubated patient; (2) verification of the correct positioning of an endotracheal tube; (3) monitoring of a patient in cardiac arrest; (4) achieving normocapnia in intubated head trauma patients; (5) monitoring ventilation during procedural sedation. The video allows physicians to familiarize themselves with the use of capnography and the text offers a review of the theory and principals involved. In particular, the importance of CO2 for the organism, the relevance of measuring expired CO2, the differences between arterial and expired CO2, the material used in capnography with their artifacts and traps, will be reviewed. Since the main reluctance in the use of expired CO2 measurement is due to lack of correct knowledge concerning the physiopathology of CO2 by the physician, we hope that this explanation and the video sequences accompanying will help resolve this limitation.

Expired CO2 Measurement in Intubated or Spontaneously Breathing Patients from the Emergency Department

This video describes how to perform CO2 measurement in intubated as well as spontaneously breathing patients. The main clinical indications refer to emergency situations: (1) verifying adequate positioning of an endotracheal tube; (2) achieving normocapnia in trauma patients; (3) monitoring ventilation in the case of procedural sedation.

过期的CO 2测量气管插管或自主呼吸的病人从急诊科

Carbon dioxide (CO2) along with oxygen (O2) share the role of being the most important gases in the human body. The measuring of expired CO2 at the mouth ...

科研

医学

Pressure Controlled Ventilation to Induce Acute Lung Injury in Mice

Murine models are extensively used to investigate acute injuries of different organs systems (1-34). Acute lung injury (ALI), which occurs with prolonged mechanical ventilation, contributes to morbidity and mortality of critical illness, and studies on novel genetic or pharmacological targets are areas of intense investigation (1-3, 5, 8, 26, 30, 33-36). ALI is defined by the acute onset of the disease, which leads to non-cardiac pulmonary edema and subsequent impairment of pulmonary gas exchange (36). We have developed a murine model of ALI by using a pressure-controlled ventilation to induce ventilator-induced lung injury (2). For this purpose, C57BL/6 mice are anesthetized and a tracheotomy is performed followed by induction of ALI via mechanical ventilation. Mice are ventilated in a pressure-controlled setting with an inspiratory peak pressure of 45 mbar over 1 - 3 hours. As outcome parameters, pulmonary edema (wet-to-dry ratio), bronchoalveolar fluid albumin content, bronchoalveolar fluid and pulmonary tissue myeloperoxidase content and pulmonary gas exchange are assessed (2). Using this technique we could show that it sufficiently induces acute lung inflammation and can distinguish between different treatment groups or genotypes (1-3, 5). Therefore this technique may be helpful for researchers who pursue molecular mechanisms involved in ALI using a genetic approach in mice with gene-targeted deletion.

A murine model for ventilator induced lung injury is an important tool to study an acute lung injury in vivo. Here, we report an easy applicable in situ model for acute lung injury using high-pressure mechanical ventilation to induce acute failure of the lung.

压力控制通气诱导小鼠急性肺损伤

Murine models are extensively used to investigate acute injuries of different organs systems (1-34). Acute lung injury (ALI), which occurs with prolonged ...

Acute and Chronic Tactile Sensory Testing after Spinal Cord Injury in Rats

Spinal cord injury (SCI) impairs sensory systems causing allodynia1-8. To identify cellular and molecular causes of allodynia, sensitive and valid sensory testing in rat SCI models is needed. However, until recently, no single testing approach had been validated for SCI so that standardized methods have not been implemented across labs. Additionally, available testing methods could not be implemented acutely or when severe motor impairments existed, preventing studies of the development of SCI-induced allodynia3. Here we present two validated sensory testing methods using von Frey Hair (VFH) monofilaments which quantify changes in tactile sensory thresholds after SCI4-5. One test is the well-established Up-Down test which demonstrates high sensitivity and specificity across different SCI severities when tested chronically5. The other test is a newly-developed dorsal VFH test that can be applied acutely after SCI when allodynia develops, prior to motor recovery4-5. Each VFH monofilament applies a calibrated force when touched to the skin of the hind paw until it bends. In the up-down method, alternating VFHs of higher or lower forces are used on the plantar L5 dermatome to delineate flexor withdrawal thresholds. Successively higher forces are applied until withdrawal occurs then lower force VFHs are used until withdrawal ceases. The tactile threshold reflects the force required to elicit withdrawal in 50% of the stimuli. For the new test, each VFH is applied to the dorsal L5 dermatome of the paw while the rat is supported by the examiner. The VFH stimulation occurs in ascending order of force until at least 2 of 3 applications at a given force produces paw withdrawal. Tactile sensory threshold is the lowest force to elicit withdrawal 66% of the time. Acclimation, testing and scoring procedures are described. Aberrant trials that require a retest and typical trials are defined. Animal use was approved by Ohio State University Animal Care and Use Committee.

We describe two tactile sensory testing methods for acute or chronic periods of spinal cord injury in rats. These validated procedures can detect the development and maintenance of allodynia-like sensations.

在大鼠脊髓损伤后的急性和慢性触觉测试

Spinal cord injury (SCI) impairs sensory systems causing allodynia1-8. To identify cellular and molecular causes of allodynia, sensitive and valid sensory ...

Ischemia-reperfusion Model of Acute Kidney Injury and Post Injury Fibrosis in Mice

Ischemia-reperfusion induced acute kidney injury (IR-AKI) is widely used as a model of AKI in mice, but results are often quite variable with high, often unreported mortality rates that may confound analyses. Bilateral renal pedicle clamping is commonly used to induce IR-AKI, but differences between effective clamp pressures and/or renal responses to ischemia between kidneys often lead to more variable results. In addition, shorter clamp times are known to induce more variable tubular injury, and while mice undergoing bilateral injury with longer clamp times develop more consistent tubular injury, they often die within the first 3 days after injury due to severe renal insufficiency. To improve post-injury survival and obtain more consistent and predictable results, we have developed two models of unilateral ischemia-reperfusion injury followed by contralateral nephrectomy. Both surgeries are performed using a dorsal approach, reducing surgical stress resulting from ventral laparotomy, commonly used for mouse IR-AKI surgeries. For induction of moderate injury BALB/c mice undergo unilateral clamping of the renal pedicle for 26 min and also undergo simultaneous contralateral nephrectomy. Using this approach, 50-60% of mice develop moderate AKI 24 hr after injury but 90-100% of mice survive. To induce more severe AKI, BALB/c mice undergo renal pedicle clamping for 30 min followed by contralateral nephrectomy 8 days after injury. This allows functional assessment of renal recovery after injury with 90-100% survival. Early post-injury tubular damage as well as post injury fibrosis are highly consistent using this model.

We describe models of moderate and severe ischemia-reperfusion-induced kidney injury in which the mice undergo unilateral renal pedicle clamping followed by simultaneous or delayed contralateral nephrectomy, respectively. These models consistently give rise to renal dysfunction and post-injury fibrosis, but injury severity and survival are dependent on mouse background, age and surgical equipment.

急性肾损伤和伤后纤维化小鼠缺血再灌注模型

Ischemia-reperfusion induced acute kidney injury (IR-AKI) is widely used as a model of AKI in mice, but results are often quite variable with high, often ...

A Murine Model of Myocardial Ischemia-reperfusion Injury through Ligation of the Left Anterior Descending Artery

Acute or chronic myocardial infarction (MI) are cardiovascular events resulting in high morbidity and mortality. Establishing the pathological mechanisms at work during MI and developing effective therapeutic approaches requires methodology to reproducibly simulate the clinical incidence and reflect the pathophysiological changes associated with MI. Here, we describe a surgical method to induce MI in mouse models that can be used for short-term ischemia-reperfusion (I/R) injury as well as permanent ligation. The major advantage of this method is to facilitate location of the left anterior descending artery (LAD) to allow for accurate ligation of this artery to induce ischemia in the left ventricle of the mouse heart. Accurate positioning of the ligature on the LAD increases reproducibility of infarct size and thus produces more reliable results. Greater precision in placement of the ligature will improve the standard surgical approaches to simulate MI in mice, thus reducing the number of experimental animals necessary for statistically relevant studies and improving our understanding of the mechanisms producing cardiac dysfunction following MI. This mouse model of MI is also useful for the preclinical testing of treatments targeting myocardial damage following MI.

We introduce a surgical method to induce experimental ischemia/reperfusion (I/R) injury to simulate myocardial infarction (MI) in mouse models that allows for more clarity in positioning of the ligation on the left anterior descending artery (LAD) to increase the reproducibility of MI experiments in mice.

心肌缺血再灌注损伤的通过左前降支结扎小鼠模型

Acute or chronic myocardial infarction (MI) are cardiovascular events resulting in high morbidity and mortality. Establishing the pathological mechanisms ...

Murine Model of Intestinal Ischemia-reperfusion Injury

Intestinal ischemia is a life-threatening condition associated with a broad range of clinical conditions including atherosclerosis, thrombosis, hypotension, necrotizing enterocolitis, bowel transplantation, trauma and chronic inflammation. Intestinal ischemia-reperfusion (IR) injury is a consequence of acute mesenteric ischemia, caused by inadequate blood flow through the mesenteric vessels, resulting in intestinal damage. Reperfusion following ischemia can further exacerbate damage of the intestine. The mechanisms of IR injury are complex and poorly understood. Therefore, experimental small animal models are critical for understanding the pathophysiology of IR injury and the development of novel therapies.
Here we describe a mouse model of acute intestinal IR injury that provides reproducible injury of the small intestine without mortality. This is achieved by inducing ischemia in the region of the distal ileum by temporally occluding the peripheral and terminal collateral branches of the superior mesenteric artery for 60 min using microvascular clips. Reperfusion for 1 hr, or 2 hr after injury results in reproducible injury of the intestine examined by histological analysis. Proper position of the microvascular clips is critical for the procedure. Therefore the video clip provides a detailed visual step-by-step description of this technique. This model of intestinal IR injury can be utilized to study the cellular and molecular mechanisms of injury and regeneration.

Here we describe the detailed procedure of intestinal ischemia-reperfusion in mice which results in reproducible injury without mortality to encourage the standardization of this technique across the field. This model of intestinal ischemia-reperfusion injury can be utilized to study the cellular and molecular mechanisms of injury and regeneration.

肠缺血再灌注损伤的小鼠模型

Intestinal ischemia is a life-threatening condition associated with a broad range of clinical conditions including atherosclerosis, thrombosis, ...

Induction and Phenotyping of Acute Right Heart Failure in a Large Animal Model of Chronic Thromboembolic Pulmonary Hypertension

The development of acute right heart failure (ARHF) in the context of chronic pulmonary hypertension (PH) is associated with poor short-term outcomes. The morphological and functional phenotyping of the right ventricle is of particular importance in the context of hemodynamic compromise in patients with ARHF. Here, we describe a method to induce ARHF in a previously described large animal model of chronic PH, and to phenotype, dynamically, right ventricular function using the gold standard method (i.e., pressure-volume PV loops) and with a non-invasive clinically available method (i.e., echocardiography). Chronic PH is first induced in pigs by left pulmonary artery ligation and right lower lobe embolism with biological glue once a week for 5 weeks. After 16 weeks, ARHF is induced by successive volume loading using saline followed by iterative pulmonary embolism until the ratio of the systolic pulmonary pressure over systemic pressure reaches 0.9 or until the systolic systemic pressure decreases below 90 mmHg. Hemodynamics are restored with dobutamine infusion (from 2.5 &#181;g/kg/min to 7.5 &#181;g/kg/min). PV-loops and echocardiography are performed during each condition. Each condition requires around 40 minutes for induction, hemodynamic stabilization and data acquisition. Out of 9 animals, 2 died immediately after pulmonary embolism and 7 completed the protocol, which illustrates the learning curve of the model. The model induced a 3-fold increase in mean pulmonary artery pressure. The PV-loop analysis showed that ventriculo-arterial coupling was preserved after volume loading, decreased after acute pulmonary embolism and was restored with dobutamine. Echocardiographic acquisitions allowed to quantify right ventricular parameters of morphology and function with good quality. We identified right ventricular ischemic lesions in the model. The model can be used to compare different treatments or to validate non-invasive parameters of right ventricular morphology and function in the context of ARHF.

We present a protocol to induce and phenotype an acute right heart failure in a large animal model with chronic pulmonary hypertension. This model can be used to test therapeutic interventions, to develop right heart metrics&#160;or to improve the understanding of acute right heart failure pathophysiology.

慢性血栓栓塞性肺动脉高压大型动物模型中急性右心衰竭的诱导和表型分析

The development of acute right heart failure (ARHF) in the context of chronic pulmonary hypertension (PH) is associated with poor short-term outcomes. The ...

Inducing Acute Lung Injury in Mice by Direct Intratracheal Lipopolysaccharide Instillation

Airway administration of lipopolysaccharide (LPS) is a common way to study pulmonary inflammation and acute lung injury (ALI) in small animal models. Various approaches have been described, such as the inhalation of aerosolized LPS as well as nasal or intratracheal instillation. The presented protocol describes a detailed step-by-step procedure to induce ALI in mice by direct intratracheal LPS instillation and perform FACS analysis of blood samples, bronchoalveolar lavage (BAL) fluid, and lung tissue. After intraperitoneal sedation, the trachea is exposed and LPS is administered via a 22 G venous catheter. A robust and reproducible inflammatory reaction with leukocyte invasion, upregulation of proinflammatory cytokines, and disruption of the alveolo-capillary barrier is induced within hours to days, depending on the LPS dosage used. Collection of blood samples, BAL fluid, and lung harvesting, as well as the processing for FACS analysis, are described in detail in the protocol. Although the use of the sterile LPS is not suitable to study pharmacologic interventions in infectious diseases, the described approach offers minimal invasiveness, simple handling, and good reproducibility to answer mechanistic immunological questions. Furthermore, dose titration as well as the use of alternative LPS preparations or mouse strains allow modulation of the clinical effects, which can exhibit different degrees of ALI severity or early vs. late onset of disease symptoms.

Presented here is a step-by-step procedure to induce acute lung injury in mice by direct intratracheal lipopolysaccharide instillation and to perform FACS analysis of blood samples, bronchoalveolar lavage fluid, and lung tissue. Minimal invasiveness, simple handling, good reproducibility, and titration of disease severity are advantages of this approach.

通过直接内切内脂多糖灌输诱导小鼠急性肺损伤

Airway administration of lipopolysaccharide (LPS) is a common way to study pulmonary inflammation and acute lung injury (ALI) in small animal models. ...

Inducing Acute Liver Injury in Rats via Carbon Tetrachloride (CCl4) Exposure Through an Orogastric Tube

Acute liver injury (ALI) plays a crucial role in the development of hepatic failure, which is characterized by severe liver dysfunction including complications such as hepatic encephalopathy and impaired protein synthesis. Appropriate animal models are vital to test the mechanism and pathophysiology of ALI and investigate different hepatoprotective strategies. Due to its ability to perform chemical transformations, carbon tetrachloride (CCl4) is widely used in the liver to induce ALI through the formation of reactive oxygen species. CCl4 exposure can be performed intraperitoneally, by inhalation, or through a nasogastric or orogastric tube. Here, we describe a rodent model, in which ALI is induced by CCl4 exposure through an orogastric tube. This method is inexpensive, easily performed, and has minimal hazard risk. The model is highly reproducible and can be widely used to determine the efficacy of potential hepatoprotective strategies and assess markers of liver injury.

Inducing Acute Liver Injury in Rats via Carbon Tetrachloride CCl4 Exposure Through an Orogastric Tube

This protocol describes a common and feasible method of inducing acute liver injury (ALI) via CCl4 exposure through an orogastric tube. CCl4 exposure induces ALI through the formation of reactive oxygen species during its biotransformation in the liver. This method is used to analyze the pathophysiology of ALI and examine different hepatoprotective strategies.

通过四氯化碳诱导大鼠急性肝损伤 （CCl4） 通过奥罗胃管暴露

Acute liver injury (ALI) plays a crucial role in the development of hepatic failure, which is characterized by severe liver dysfunction including ...

Acute Kidney Injury Model Induced by Cisplatin in Adult Zebrafish

Cisplatin is commonly used as chemotherapy. Although it has positive effects in cancer-treated individuals, cisplatin can easily accumulate in the kidney due to its low molecular weight. Such accumulation causes the death of tubular cells and can induce the development of Acute Kidney Injury (AKI), which is characterized by a quick decrease in kidney function, tissue damage, and immune cells infiltration. If administered in specific doses cisplatin can be a useful tool as an AKI inducer in animal models. The zebrafish has appeared as an interesting model to study renal function, kidney regeneration, and injury, as renal structures conserve functional similarities with mammals. Adult zebrafish injected with cisplatin shows decreased survival, kidney cell death, and increased inflammation markers after 24 h post-injection (hpi). In this model, immune cells infiltration and cell death can be assessed by flow cytometry and TUNEL assay. This protocol describes the procedures to induce AKI in adult zebrafish by intraperitoneal cisplatin injection and subsequently demonstrates how to collect the renal tissue for flow cytometry processing and cell death TUNEL assay. These techniques will be useful to understand the effects of cisplatin as a nephrotoxic agent and will contribute to the expansion of AKI models in adult zebrafish. This model can also be used to study kidney regeneration, in the search for compounds that treat or prevent kidney damage and to study inflammation in AKI. Moreover, the methods used in this protocol will improve the characterization of tissue damage and inflammation, which are therapeutic targets in kidney-associated comorbidities.

This protocol describes the procedures to induce Acute Kidney Injury (AKI) in adult zebrafish using cisplatin as a nephrotoxic agent. We detailed the steps to evaluate the reproducibility of the technique and two techniques to analyze inflammation and cell death in the renal tissue, flow cytometry and TUNEL, respectively.

成人斑马鱼中西斯铂诱导的急性肾损伤模型

Cisplatin is commonly used as chemotherapy. Although it has positive effects in cancer-treated individuals, cisplatin can easily accumulate in the kidney ...

急性肺损伤开放气管切开胃酸吸入小鼠模型结果在急性最大非致命性肺损伤

摘要

探索更多视频

此视频中的章节

过期的CO₂测量气管插管或自主呼吸的病人从急诊科

压力控制通气诱导小鼠急性肺损伤

在大鼠脊髓损伤后的急性和慢性触觉测试

急性肾损伤和伤后纤维化小鼠缺血再灌注模型

心肌缺血再灌注损伤的通过左前降支结扎小鼠模型

肠缺血再灌注损伤的小鼠模型

慢性血栓栓塞性肺动脉高压大型动物模型中急性右心衰竭的诱导和表型分析

通过直接内切内脂多糖灌输诱导小鼠急性肺损伤

通过四氯化碳诱导大鼠急性肝损伤（CCl₄）通过奥罗胃管暴露

成人斑马鱼中西斯铂诱导的急性肾损伤模型

急性肺损伤开放气管切开胃酸吸入小鼠模型结果在急性最大非致命性肺损伤

摘要

探索更多视频

此视频中的章节

过期的CO 2测量气管插管或自主呼吸的病人从急诊科

压力控制通气诱导小鼠急性肺损伤

在大鼠脊髓损伤后的急性和慢性触觉测试

急性肾损伤和伤后纤维化小鼠缺血再灌注模型

心肌缺血再灌注损伤的通过左前降支结扎小鼠模型

肠缺血再灌注损伤的小鼠模型

慢性血栓栓塞性肺动脉高压大型动物模型中急性右心衰竭的诱导和表型分析

通过直接内切内脂多糖灌输诱导小鼠急性肺损伤

通过四氯化碳诱导大鼠急性肝损伤 （CCl4） 通过奥罗胃管暴露

成人斑马鱼中西斯铂诱导的急性肾损伤模型

过期的CO₂测量气管插管或自主呼吸的病人从急诊科

通过四氯化碳诱导大鼠急性肝损伤（CCl₄）通过奥罗胃管暴露