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In This Article

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

Summary

We present a method for a fungal pathogenesis model that preserves the natural positioning of fungal spores in the lung airways for analysis via fluorescent microscopy.

Abstract

Fungi infect humans when environmental spores are inhaled into the lungs. The lung is a heterogeneous organ. Conducting airways, including bronchi and bronchioles, branch until terminating in the alveolar airspace where gas exchange occurs. Infections originating in the bronchioles or alveoli elicit distinct host responses and disease manifestations. Therefore, understanding precisely where spores naturally localize in the lungs, particularly soon after infection, expands opportunities for investigation of host-pathogen interactions. Herein, we detail an in-situ analysis of lungs from mice infected with Coccidioides posadasii cts2/ard1/cts3Δ arthroconidia. Conventional methods for histological preservation involve liquid inflation of the airways with a fixative solution, which displaces the natural location of aspirated fungal particles, pushing spores from proximal bronchioles to terminal airspaces.

Conversely, this method of air-inflation with blood vasculature perfusion-fixation preserves the physiologic position of fungal spores within the bronchioles. Moreover, we describe a simple approach to cryopreserving, embedding, and imaging lung specimens. We also share high-throughput computational techniques via the open-source QuPath program to analyze the spatial distribution of fungal spores within the lung. The method presented here is simple and quick, requires minimal equipment to perform, and can be easily adapted for use with many respiratory fungal infection models.

Introduction

Humans can inhale up to billions of spores per day from a variety of environmental fungi1. To understand our barrier defenses against these inhaled spores, we must appreciate the precise microanatomical environments where these spores land within the airways and lung parenchyma. The cellular composition of the airways (i.e., epithelial cells) significantly transforms along the trachea, bronchi, bronchioles, and alveoli. Each of these distinct regions is composed of different cell types with discrete functions which avails an arsenal of defenses to prevent pathologic infection.

The precise location of pulmonary fungal....

Protocol

All methods described in this protocol have been approved by the Institutional Animal Care and Use Committee (IACUC) of Rutgers Biomedical Health Sciences.

1. Label spores with intracellular fluorescence

  1. Stain 1 x 106 spores in carboxyfluorescein succinimidyl ester (CFSE), Cell Tracker Orange, or Cell Tracker Red (or intracellular dye of choice) at 5 µM for 30 min at 30 °C, then wash with PBS, and spin the spores at 12,000 x g. Repeat .......

Representative Results

This method ultimately produces immunofluorescent images of mouse lungs using physiologic air inflation to leave the airways undisturbed. Importantly, multiple checkpoints along the way will confirm that components of the protocol have been performed successfully. During the inoculation, it is important to confirm that the inoculum was aspirated by feeling for "crackles" on the posterior chest wall of the mouse that indicate the liquid has entered the airways. If there is no sensation of crackles, it is possible .......

Discussion

We have established a pipeline for spore inhalation and analysis of the spatial deposition of the inhaled spores. This pipeline provides valuable information to determine the relevant stromal regions of the lung affected by inhalation of Coccidioides posadasii cts2/ard1/cts3Δ arthroconidia. We have observed that Coccidioides spores and similarly sized inert particles (data not shown) accumulate in distal bronchiolar regions and broncho-alveolar junctions rather than fully dispersed throughout alve.......

Acknowledgements

Funding and support were acquired through NIH grant K22 AI153678-01 and Rutgers School of Graduate Studies. We thank Fawad Yousufzai and Luke Fritzky from the Rutgers Biomedical Health Sciences Cellular Imaging and Histology Core for their work and expertise in obtaining immunofluorescent images.

....

Materials

NameCompanyCatalog NumberComments
18 G, 1 1/2 needle (305185)Fisher305185
1 L  Screwtop Jar  (Nalgene)Fisher Scientific11-823-33
Air-Tite Bulk Unsterile Syringes 10 mL Luer LockFisher14-817-175
AnaSed Injection (xylazine sterile solution)Akorn59399-110-20
Animal-Free Blocker and Diluent, R.T.U.VectorSP-5035-100
BD Insyte Autoguard Winged Shielded IV Catheter with BD Vialon Catheter Material 18 G x 1.88 inBD381547
BD Pharmingen Purified Rat Anti-Mouse CD16/CD32 (Mouse BD Fc Block™)BD553142
CellTracker Orange CMRA DyeFisher ScientificNC0873640
CFSELabviva75003
Coccidioides posadasii cts2/ard1/cts3Δ BEI ResourcesNR-166
Corning 70 micron strainersVWR10054-456
EpCAM AlexaFluor647 monoclonal antibodyBiolegend118211
Exel International HYpodermic Needles 30 G x 1/2"LabvivaEN3012
Fisherbrand Sterile Syringes for Single Use (1mL, Leur Slip)Fisher14-955-462
Glucose MonohydrateAzer Scientific ES17530-500G
High Vacuum GreaseVWR59344-055
Hoechst 33342 Solution 20 mM (5 mL)ThermoFischer62249
Isoflurane USPCovetrus29405
Ketamine HydrochlorideDechra1000001250
KIMWIPES Delicate Task Wipers (4.4'' x 8.4")VWR21905-026
Lexer Baby ScissorsFST14078-10
Micro-Adson ForcepsFST11018-12
Neutral Buffered Formalin (10%) (Azer Scientific)Fisher22-026-350
Nunc EasYFlask tissue culture flasks, T75, filter capsVWR15708-134
PBSVWR45000-446
Peel-A-Way embedding moldsSigmaE6032-1CS
QuPath 0.5.1 SoftwareOpen-sourcehttps://qupath.github.io/
Silk Suture thread size 3/0FST18020-30
SlidesMicro Slides Superfrost Plus VWR48311-703
SlowFade Glass Soft-set Antifade Mountant (2 mL)ThermoFischerS36917
SucroseSigmaS0389-500G
Tissue-Tek O.C.T. Compound, Sakura FinetekVWR25608-930
Tween 20ThermoFischerJ20605.AP
Vector Laboratories ImmEDGE Hydrophobic Barrier Pen Set Of 2Fisher ScientificNC9545623
VWR Micro Cover Glasses, Rectangular (24 mm x 40 mm #1.5)VWR48393-230
White Plastic Wire MeshMAPORCH789862904922
Yeast ExtractFisherBP9727-500
Zeiss AxioScan 7 Carl Zeiss Microscopy GmbHhttps://www.zeiss.com/microscopy/us/products/imaging-systems/axioscan-for-biology.htmlmultichannel fluorescent microscope
ZEN 3.7 SoftwareCarl Zeiss Microscopy GmbHhttps://www.zeiss.com/microscopy/us/products/software/zeiss-zen.htmlmicroscopy software

References

  1. American Society for Microbiology. One Health: Fungal Pathogens of Humans, Animals, and Plants. Report on an American Academy of Microbiology Colloquium. , (2019).
  2. Crossen, A. J., et al. Human airw....

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