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In This Article

  • Summary
  • Abstract
  • Introduction
  • Protocol
  • Representative Results
  • Discussion
  • Acknowledgements
  • Materials
  • References
  • Reprints and Permissions

Summary

Here, we present optimized tissue-clearing protocols to image the murine aorta in three dimensions (3D). We delineate state-of-the-art procedures for immunostaining, optical clearing, and imaging with the intent to define the anatomical proximity of the peripheral nervous system with atherosclerotic plaques and the adventitia in atherosclerosis.

Abstract

Recent research has advanced the understanding of atherosclerosis as a transmural chronic inflammatory disease involving all three layers of the arterial wall, including the intima plaque, the media, and the adventitia, which forms the outer connective tissue coat of arteries. Our recent studies have suggested that the adventitia is used by the peripheral nervous system as a conduit for reaching all tissue cells. We also found that the peripheral nervous system, that is, the sensory and sympathetic nervous system, undergoes major remodeling processes involving the neogenesis of axon networks adjacent to atherosclerotic plaques. In this context, understanding the structure of the neural network and its interactions with vascular components of diseased arteries holds major promises for a better understanding of cardiovascular disease pathogenesis. To achieve these objectives, methods to visualize the subcellular architecture of the intact healthy and diseased arteries together with their surrounding perivascular compartments are needed. Tissue clearing allows intact deep-tissue imaging of larger tissue compartments that are otherwise inaccessible. It allows volumetric imaging of intact arteries through the integration of labeling, clearing, advanced microscopic imaging, and image processing tools. Here, we describe two distinct but complementary passive tissue clearing approaches, that is, aqueous-based 2, 2-thiodiethanol (TDE) clearing and solvent-based immunolabeling-enabled three-dimensional imaging of solvent-cleared organ (iDISCO) clearing to image isolated aortic segments or whole aorta in-situ in the whole mouse.

Introduction

Histological techniques provide a basic understanding of biological samples through the sectioning of tissues/organs. However, delineation of complex anatomical cell/cell and tissue/tissue interactions in three dimansion (3D) has been - until recently - difficult to achieve. This unmet need was particularly evident in the context of the cardiovascular system in healthy and diseased conditions. Imaging intact tissues has been challenging in the past due to light absorption and light scattering, making them intrinsically opaque. Tissue clearing makes the intact biological sample transparent by minimizing these limitations. Recent developments in tissue-clearing techniqu....

Protocol

The present study was performed according to the guidelines of the local and national animal use and care committee. Hyperlipidemic male Apoe-/- mice on C57BL/6J background maintained on a standard rodent chow diet that spontaneously develop atherosclerosis during aging were used in the present study.

1. Whole-mount imaging of isolated aorta and TDE clearing

  1. Tissue preparation
    1. Prepare the anesthetic at 150 mg/kg of Ketamine and 30 mg/kg of Xy.......

Representative Results

To demonstrate the microanatomy of the intact healthy and diseased aorta and to reveal the physical connectivities between the immune system, the nervous system, and the cardiovascular system in mouse models of atherosclerosis, we used two complementary tissue clearing approaches: TDE clearing of the isolated aorta, and iDISCO clearing of the whole mouse (Figure 1). After whole-mount immunostaining, the enface aorta was cleared with a series of TDE working solutions. The RI is match.......

Discussion

Atherosclerosis can be viewed as a transmural inflammatory disease of arteries involving all three layers of the arterial wall. Moreover, arteries are surrounded by the perivascular adipose and neuronal tissues. During atherosclerosis progression, each of these tissues undergoes considerable cellular and structural alterations, which requires methods to acquire subcellular optical access to the intact tissues surrounding healthy and diseased arteries. These methods are provided here to better understand cell-cell and cel.......

Acknowledgements

This work was funded by the German Research Foundation (DFG) SFB1123/Z1, German Centre for Cardiovascular Research (DZHK) DZHK 81X2600282, and a Corona foundation grant (S199/10087/2022) to SKM; and ERA-CVD (PLAQUEFIGHT) 01KL1808 and a government grant to AJRH at Easemedcontrol R &D GmbH and Co. KG.

....

Materials

NameCompanyCatalog NumberComments
2,2’-thiodiethanol (TDE)Sigma 166782Clearing reagent
AmiraThermo Fisher Scientific3D visualization software; Image processing software used for manual segmentation and tracing in 3D images
Benzyl alcoholSigma W213713Clearing reagent
Benzyl benzoateSigmaB6630Clearing reagent
CD16/32eBioscience14-0161-82Blocking solution
Confocal laser scanning microscope Leica MicrosystemsTCS- SP8 3XImaging device for multidimensional high-resolution imaging of intact biological tissues or sections with high specificity at subcellular resolution.
DAPIInvitrogenD3571Nuclei marker
Dichloromethane (DCM)Sigma 270997Clearing reagent
Dissecting pan-black wax Thermo Scientific S17432Aorta dissection and fixation 
Dissection stereomicroscopeLeica Microsystems Stemi 2000Mouse organ dissection
Ethanol SigmaE7023Defection 
Ethylenediaminetetraacetic acid (EDTA)Roth 8040.1Perfusion buffer 
Fiji (ImageJ, NIH)Open source image processing software for 2D and 3D images
Goat anti-Hamster IgG, Cy3Dianova 127-165-099Secondary antibody
Goat anti-Rabbit IgG, Alexa Fluor 680Thermo Fisher Scientific / InvitrogenA-21109Secondary antibody 
Goat anti-Rat IgG, Cy5Dianova712-175-150Secondary antibody
Hamster Anti-CD3e BD Bioscience145-2C11 Pan-T cell marker
Huygens ProfessionalScientific Volume Imaging, The NetherlandsVersion 19.10Image restoration software; Image processing software used mainly for deconvolution of 2D and 3D images
Image processing workstationMIFCOM MIFCOM X5Image processing workstation equipped with all image processing software including Leica application suite X, Fiji, and Imaris for post-processing of images acquired by confocal, multiphoton and light sheet microscopes
ImarisBitplaneVersion 8.4Image analysis software; Image processing software used for automated segmentation of 3D images
Incubator and rotator Marshall Scientific Innova 4230Incubation and rotation device during tissue
clearing 
iSpacerSunjin LabIS4020Rectangular well as the sample holder
KetamineLivistoAnesthetic
Leica Application Suite X (LAS-X) Leica MicrosystemsVersion 3.5Image processing software for the images acquired with Leica microscope
Light microscopeLeica MicrosystemsDM LBImaging device for bright filed imaging
Light sheet  microscopeLaVision BioTechUltramicroscope IIImaging technique for fast, high-resolution imaging of large biological specimens or whole mouse with low light exposure by rapidly acquiring images of thin optical sections.
Multiphoton microscopyLeica MicrosystemsTCS-SP5II MP Imaging modality for multidimensional, high-resolution imaging of intact and viable biological tissues at sub-cellular and molecular level over prolonged periods of time, deep in the sample and with minimal invasion.
Normal goat serum SigmaG9023Blocking solution
Paraformaldehyde (PFA) Sigma P-6148 Fixation 
Phosphate-buffered saline (PBS)Sigma P4417-100TAB Washing buffer
Porcine skin gelatinSigma G1890Incubation buffer
QuadrolSigma122262CUBIC clearing reagent
Rabbit Anti-NF200SigmaN4142Pan-neuronal marker
Rat Anti-B220 BD BioscienceRA3-6B2Pan-B cell marker
SucroseSigma 90M003524V Dehydration 
SytoxThermo Fisher ScientificS11380Nuclei marker
TetrahydrofuranSigma 401757Clearing reagent 
Triton X-100Roth 3051.1Penetration
UreaSigma U5128CUBIC clearing reagent
Xylene Fisher Chemical x/0250/17 Anesthetic 

References

  1. Libby, P. The changing landscape of atherosclerosis. Nature. 592 (7855), 524-533 (2021).
  2. Mohanta, S., Yin, C., Weber, C., Hu, D., Habenicht, A. J. Aorta atherosclerosis lesion analysis in hyperlipidemic mice. Bio Pr....

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