MC e avdp dottorandi sono supportati da finanziamenti dell&#39;Istituto per la promozione dell&#39;innovazione attraverso la scienza e la tecnologia nelle Fiandre (IWT-Vlaanderen). JT ha una part-time Clinical Research Fellowship (KOOR) da UZ Leuven. DV è un collega di dottorato sostenuto da una borsa di KU Leuven, DBOF/10/062. MMDC è un collega di dottorato sostenuto da una borsa di studio Conselho Nacional de Pesquisa e Desenvolvimento (CNPq) ed Erasmus Mundus. La ricerca è stata finanziata da IWT-Vlaanderen, tramite la concessione CE DIMI (LSHB-CT-2005-512146) e dal vivo in Molecular Imaging Research Group (IMIR) dalla KU Leuven. Vorremmo riconoscere il Nucleo UPenn Vector fondata da James M. Wilson per la loro gentile dono della confezione AAV6.2 plasmide per la produzione di vettori rAAV.

<ol>
	<li>Willson, D. F., Notter, R. H. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=The+future+of+exogenous+surfactant+therapy.">The future of exogenous surfactant therapy.</a> Respir. Care. 56, 1369-1388 (2011).</li><li>Abdel-Latif, M. E., Osborn, D. A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Intratracheal+Clara+cell+secretory+protein+(CCSP)+administration+in+preterm+infants+with+or+at+risk+of+respiratory+distress+syndrome.">Intratracheal Clara cell secretory protein (CCSP) administration in preterm infants with or at risk of respiratory distress syndrome.</a> Cochrane Database Syst. Rev. CD008308, (2011).</li><li>Thebaud, B. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Vascular+endothelial+growth+factor+gene+therapy+increases+survival,+promotes+lung+angiogenesis,+and+prevents+alveolar+damage+in+hyperoxia-induced+lung+injury:+evidence+that+angiogenesis+participates+in+alveolarization.">Vascular endothelial growth factor gene therapy increases survival, promotes lung angiogenesis, and prevents alveolar damage in hyperoxia-induced lung injury: evidence that angiogenesis participates in alveolarization.</a> Circulation. 112, 2477-2486 (2005).</li><li>Griesenbach, U., Alton, E. W. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Gene+transfer+to+the+lung:+lessons+learned+from+more+than+2+decades+of+CF+gene+therapy.">Gene transfer to the lung: lessons learned from more than 2 decades of CF gene therapy.</a> Adv. Drug Deliv. Rev. 61, 128-139 (2009).</li><li>Aneja, M. K., Rudolph, C. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Gene+therapy+of+surfactant+protein+B+deficiency.">Gene therapy of surfactant protein B deficiency.</a> Curr. Opin. Mol. Ther. 8, 432-438 (2006).</li><li>Flotte, T. R., Mueller, C. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Gene+therapy+for+alpha-1+antitrypsin+deficiency.">Gene therapy for alpha-1 antitrypsin deficiency.</a> Hum. Mol. Genet. 20, R87-R92 (2011).</li><li>Roybal, J. L., Santore, M. T., Flake, A. W. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Stem+cell+and+genetic+therapies+for+the+fetus.">Stem cell and genetic therapies for the fetus.</a> Semin Fetal Neonatal Med. 15, 46-51 (2010).</li><li>Peebles, D. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Widespread+and+efficient+marker+gene+expression+in+the+airway+epithelia+of+fetal+sheep+after+minimally+invasive+tracheal+application+of+recombinant+adenovirus+in+utero.">Widespread and efficient marker gene expression in the airway epithelia of fetal sheep after minimally invasive tracheal application of recombinant adenovirus in utero.</a> Gene Ther. 11, 70-708 (2004).</li><li>Deprest, J., Gratacos, E., Nicolaides, K. H. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Fetoscopic+tracheal+occlusion+(FETO)+for+severe+congenital+diaphragmatic+hernia:+evolution+of+a+technique+and+preliminary+results.">Fetoscopic tracheal occlusion (FETO) for severe congenital diaphragmatic hernia: evolution of a technique and preliminary results.</a> Ultrasound Obstet. Gynecol. 24, 121-126 (2004).</li><li>Buckley, S. M. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Intra-amniotic+delivery+of+CFTR-expressing+adenovirus+does+not+reverse+cystic+fibrosis+phenotype+in+inbred+CFTR-knockout+mice.">Intra-amniotic delivery of CFTR-expressing adenovirus does not reverse cystic fibrosis phenotype in inbred CFTR-knockout mice.</a> Mol. Ther. 16, 819-824 (2008).</li><li>Davies, L. A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Adenovirus-mediated+in+utero+expression+of+CFTR+does+not+improve+survival+of+CFTR+knockout+mice.">Adenovirus-mediated in utero expression of CFTR does not improve survival of CFTR knockout mice.</a> Mol. Ther. 16, 812-818 (2008).</li><li>Mitchell, M., Jerebtsova, M., Batshaw, M. L., Newman, K., Ye, X. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Long-term+gene+transfer+to+mouse+fetuses+with+recombinant+adenovirus+and+adeno-associated+virus+(AAV)+vectors.">Long-term gene transfer to mouse fetuses with recombinant adenovirus and adeno-associated virus (AAV) vectors.</a> Gene Ther. 7, 1986-1992 (2000).</li><li>Henriques-Coelho, T. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Targeted+gene+transfer+to+fetal+rat+lung+interstitium+by+ultrasound-guided+intrapulmonary+injection.">Targeted gene transfer to fetal rat lung interstitium by ultrasound-guided intrapulmonary injection.</a> Mol. Ther. 15, 340-347 (2007).</li><li>Toelen, J. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Fetal+gene+transfer+with+lentiviral+vectors:+long-term+in+vivo+follow-up+evaluation+in+a+rat+model.">Fetal gene transfer with lentiviral vectors: long-term in vivo follow-up evaluation in a rat model.</a> Am J Obstet Gynecol. 196, e1-e6 (2007).</li><li>Waddington, S. N. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Long-term+transgene+expression+by+administration+of+a+lentivirus-based+vector+to+the+fetal+circulation+of+immuno-competent+mice.">Long-term transgene expression by administration of a lentivirus-based vector to the fetal circulation of immuno-competent mice.</a> Gene Ther. 10, 1234-1240 (2003).</li><li>Waddington, S. N. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Permanent+phenotypic+correction+of+hemophilia+B+in+immunocompetent+mice+by+prenatal+gene+therapy.">Permanent phenotypic correction of hemophilia B in immunocompetent mice by prenatal gene therapy.</a> Blood. 104, 2714-2721 (2004).</li><li>Senoo, M. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Adenovirus-mediated+in+utero+gene+transfer+in+mice+and+guinea+pigs:+tissue+distribution+of+recombinant+adenovirus+determined+by+quantitative+TaqMan-polymerase+chain+reaction+assay.">Adenovirus-mediated in utero gene transfer in mice and guinea pigs: tissue distribution of recombinant adenovirus determined by quantitative TaqMan-polymerase chain reaction assay.</a> Mol. Genet. Metab. 69, 269-276 (2000).</li><li>Carlon, M. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Efficient+gene+transfer+into+the+mouse+lung+by+fetal+intratracheal+injection+of+rAAV2/6.2.">Efficient gene transfer into the mouse lung by fetal intratracheal injection of rAAV2/6.2.</a> Mol. Ther. 18, 2130-2138 (2010).</li><li>Schmiedl, A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Lipopolysaccharide-induced+injury+is+more+pronounced+in+fetal+transgenic+ErbB4-deleted+lungs.">Lipopolysaccharide-induced injury is more pronounced in fetal transgenic ErbB4-deleted lungs.</a> Am. J. Physiol. Lung Cell Mol Physiol. 301, L490-L499 (2011).</li><li>Buckley, S. M. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Factors+influencing+adenovirus-mediated+airway+transduction+in+fetal+mice.">Factors influencing adenovirus-mediated airway transduction in fetal mice.</a> Mol. Ther. 12, 484-492 (2005).</li></ol>

Nessun conflitto di interessi dichiarati.

Passaggi critici <ul><li> Il ceppo di topi che abbiamo scelto di lavorare con i topi è NMRI perché hanno un numero abbondante di cuccioli (dimensione della cucciolata media 14,4 ± 1,8, dati personali), tollerano bene gli interventi e hanno buone caratteristiche materne. </li><li> Posizionare la stringa borsa attraverso la parete uterina e delle membrane fetali è un passaggio fondamentale, come si desidera solo esporre la testa fetale e non le spalle, altrimenti riposizionamento è quasi impossibile senza causare tr...

<table border="1"><tbody><tr><td> Nome del reagente </td><td> Azienda </td><td> Numero di catalogo </td><td> Commenti (opzionale) </td></tr><tr><td> NMRI topi </td><td> Janvier, Le St Genest Isle, Francia </td><td></td><td></td></tr><tr><td> Isoflurano </td><td> Isoba, Intervet / Schering-Plough Animal Health, Milton Keynes, Regno Unito </td><td></td><td></td></tr><tr><td> Prolene 6-0 </td><td> Ethicon, Groot Bijgaarden, Belgio </td><td></td><td></td></tr><tr><td> Vicryl 5-0 </td><td> Ethicon, Groot Bijgaarden, Belgio </td><td></td><td></td></tr><tr><td> 50 microlitri Hamilton Vetro Siringa, modello 1710,5 TLLX SYR </td><td> Hamilton, Reno, NV, Stati Uniti d&#39;America </td><td> 5495-20 </td><td></td></tr><tr><td> 30G ago appuntito </td><td> Hamilton, Reno, NV, Stati Uniti d&#39;America </td><td> 7762-03 </td><td></td></tr><tr><td> 2% Xylocaine </td><td> AstraZeneca, Zoetermeer, Paesi Bassi </td><td></td><td></td></tr></tbody></table>

a novel surgical approach for intratracheal administration of bioactive agents in a fetal mouse model

Prenatale somministrazione polmonare di cellule, geni o agenti farmacologici potrebbe fornire la base per nuove strategie terapeutiche per una varietà di malattie genetiche e acquisite. Oltre anomalie congenite o ereditaria con il requisito di lungo termine espressione del gene espresso, parecchi non-ereditate condizioni perinatali, dove a breve termine espressione genica o intervento farmacologico è sufficiente per ottenere effetti terapeutici, sono considerati potenziali indicazioni future per questo tipo di approccio. Malattie candidati per l&#39;applicazione della terapia a breve termine prenatale potrebbe essere la carenza transitoria neonatale di B surfattante neonatale proteina che causa la sindrome da distress respiratorio 1,2 o lesioni hyperoxic del polmone neonatale 3. Malattie candidati per la correzione permanente terapeutica sono la fibrosi cistica (CF) 4, varianti genetiche di carenze tensioattivi 5 e α1-antitripsina 6. &lt;p class = &quot;jove_content&quot;&gt; In generale, un importante vantaggio della terapia genica prenatale è la capacità di avviare l&#39;intervento terapeutico precoce in sviluppo, o addirittura a prima manifestazioni cliniche della paziente, evitando così danni irreparabili alla persona. Inoltre, gli organi fetali hanno un aumentato tasso di proliferazione cellulare rispetto ad organi adulti, che potrebbe consentire un gene più efficiente o cellule staminali trasferimento nel feto. Inoltre, in gene delivery utero viene eseguita quando il sistema immunitario dell&#39;individuo non è completamente maturo. Pertanto, il trapianto di cellule eterologhe o integrazione di una proteina non funzionale o assente con una versione corretta non dovrebbe causare sensibilizzazione immune alla cella, vettore o prodotto transgene, che è stato recentemente dimostrato di essere il caso con terapie sia cellulari e genetici 7 . In questo studio, abbiamo studiato la possibilità di indirizzare direttamente la trachea fetale in un m topoodello. Questa procedura è in uso in modelli animali più grandi come conigli e pecore e 8, anche in un ambiente clinico 9, ma ha per il momento non sono state realizzate prima in un modello murino. Quando si studia il potenziale della terapia genica fetale per malattie genetiche come la fibrosi cistica, il modello di mouse è molto utile come primo proof-of-concept per l&#39;ampia disponibilità di diversi ceppi di topi transgenici, l&#39;embriogenesi ben documentato e lo sviluppo del feto, meno rigorosi norme etiche, gestazione breve e la prole di grandi dimensioni. Diverse vie di accesso sono stati descritti per indirizzare il polmone fetale roditore, anche intra-amniotico iniezione 10-12, (eco-guidata) intrapolmonare iniezione 13,14 e somministrazione per via endovenosa nei vasi sacco vitellino 15,16 o vena ombelicale 17. La nostra nuova procedura chirurgica consente ai ricercatori di iniettare il farmaco di scelta direttamente nella trachea del mouse fetale che consenteper una consegna più efficiente per le vie respiratorie rispetto alle tecniche esistenti 18.

Watch this Scientific Journal Video about A Novel Surgical Approach for Intratracheal Administration of Bioactive Agents in a Fetal Mouse Model at JoVE.com

A Novel Surgical Approach for Intratracheal Administration of Bioactive Agents in a Fetal Mouse Model

Abbiamo sviluppato un nuovo approccio chirurgico per somministrazione endotracheale di agenti bioattivi nel feto mouse. Il percorso di consegna è più efficiente in termini di orientamento dei polmoni fetali del mouse rispetto al comunemente usato intra-amniotico iniezione. Questa procedura deve momento non è stata descritta in un modello murino.

Un nuovo approccio chirurgico per somministrazione endotracheale di agenti bioattivi in ​​un modello murino fetale

Prenatal pulmonary delivery of cells, genes or pharmacologic agents could provide the basis for new therapeutic strategies for a variety of genetic and ...

a-novel-surgical-approach-for-intratracheal-administration-bioactive

Research

JoVE Journal

Medicine

16.3K Views.  KU Leuven. Abbiamo sviluppato un nuovo approccio chirurgico per somministrazione endotracheale di agenti bioattivi nel feto mouse. Il percorso di consegna è più efficiente in termini di orientamento dei polmoni fetali del mouse rispetto al comunemente usato intra-amniotico iniezione. Questa procedura deve momento non è stata descritta in un modello murino.

Video: A Novel Surgical Approach for Intratracheal Administration of Bioactive Agents in a Fetal Mouse Model

Assessing Teratogenic Changes in a Zebrafish Model of Fetal Alcohol Exposure

Fetal alcohol syndrome (FAS) is a severe manifestation of embryonic exposure to ethanol. It presents with characteristic defects to the face and organs, including mental retardation due to disordered and damaged brain development. Fetal alcohol spectrum disorder (FASD) is a term used to cover a continuum of birth defects that occur due to maternal alcohol consumption, and occurs in approximately 4% of children born in the United States. With 50% of child-bearing age women reporting consumption of alcohol, and half of all pregnancies being unplanned, unintentional exposure is a continuing issue2. In order to best understand the damage produced by ethanol, plus produce a model with which to test potential interventions, we developed a model of developmental ethanol exposure using the zebrafish embryo. Zebrafish are ideal for this kind of teratogen study3-8. Each pair lays hundreds of eggs, which can then be collected without harming the adult fish. The zebrafish embryo is transparent and can be readily imaged with any number of stains. Analysis of these embryos after exposure to ethanol at different doses and times of duration and application shows that the gross developmental defects produced by ethanol are consistent with the human birth defect. Described here are the basic techniques used to study and manipulate the zebrafish FAS model.

In order to understand the molecular mechanisms of the ethanol-induced developmental damage, we have developed a zebrafish model of ethanol exposure and are exploring the physical, cellular, and genetic alterations that occur after ethanol exposure1. We then seek to find potential interventions and rapidly test them in this animal model.

Valutare i cambiamenti teratogeni in un modello di Zebrafish di esposizione alcolica fetale

Fetal alcohol syndrome (FAS) is a severe manifestation of embryonic exposure to ethanol. It presents with characteristic defects to the face and organs, ...

Ricerca

Medicina

A Mouse Tumor Model of Surgical Stress to Explore the Mechanisms of Postoperative Immunosuppression and Evaluate Novel Perioperative Immunotherapies

Surgical resection is an essential treatment for most cancer patients, but surgery induces dysfunction in the immune system and this has been linked to the development of metastatic disease in animal models and in cancer patients. Preclinical work from our group and others has demonstrated a profound suppression of innate immune function, specifically NK cells in the postoperative period and this plays a major role in the enhanced development of metastases following surgery. Relatively few animal studies and clinical trials have focused on characterizing and reversing the detrimental effects of cancer surgery. Using a rigorous animal model of spontaneously metastasizing tumors and surgical stress, the enhancement of cancer surgery on the development of lung metastases was demonstrated. In this model, 4T1 breast cancer cells are implanted in the mouse mammary fat pad. At day 14 post tumor implantation, a complete resection of the primary mammary tumor is performed in all animals. A subset of animals receives additional surgical stress in the form of an abdominal nephrectomy. At day 28, lung tumor nodules are quantified. When immunotherapy was given immediately preoperatively, a profound activation of immune cells which prevented the development of metastases following surgery was detected. While the 4T1 breast tumor surgery model allows for the simulation of the effects of abdominal surgical stress on tumor metastases, its applicability to other tumor types needs to be tested. The current challenge is to identify safe and promising immunotherapies in preclinical mouse models and to translate them into viable perioperative therapies to be given to cancer surgery patients to prevent the recurrence of metastatic disease.

A mouse tumor model of surgical stress is used to explore how postoperative immune suppression promotes metastatic disease and to evaluate immunostimulatory perioperative therapies.

Un tumore modello murino di stress chirurgico per esplorare i meccanismi di immunosoppressione post-operatorio e valutare Novel perioperatoria Immunoterapie

Surgical resection is an essential treatment for most cancer patients, but surgery induces dysfunction in the immune system and this has been linked to ...

A Mouse Fetal Skin Model of Scarless Wound Repair

Early in utero, but not in postnatal life, cutaneous wounds undergo regeneration and heal without formation of a scar. Scarless fetal wound healing occurs across species but is age dependent. The transition from a scarless to scarring phenotype occurs in the third trimester of pregnancy in humans and around embryonic day 18 (E18) in mice. However, this varies with the size of the wound with larger defects generating a scar at an earlier gestational age. The emergence of lineage tracing and other genetic tools in the mouse has opened promising new avenues for investigation of fetal scarless wound healing. However, given the inherently high rates of morbidity and premature uterine contraction associated with fetal surgery, investigations of fetal scarless wound healing in vivo require a precise and reproducible surgical model. Here we detail a reliable model of fetal scarless wound healing in the dorsum of E16.5 (scarless) and E18.5 (scarring) mouse embryos.

During mammalian development, early gestational skin wounds heal without a scar. Here we detail a reliable and reproducible model of fetal scarless wound healing in the cutaneous dorsum of E16.5 (scarless) and E18.5 (scarring) mouse embryos.

Un Mouse fetale Modello Skin of Wound Repair scarless

Early in utero, but not in postnatal life, cutaneous wounds undergo regeneration and heal without formation of a scar. Scarless fetal wound healing occurs ...

The Mouse Round-window Approach for Ototoxic Agent Delivery: A Rapid and Reliable Technique for Inducing Cochlear Cell Degeneration

Investigators have utilized a wide array of animal models and investigative techniques to study the mammalian auditory system. Much of the basic research involving the cochlea and its associated neural pathways entails exposure of model cochleae to a variety of ototoxic agents. This allows investigators to study the effects of targeted damage to cochlear structures, and in some cases, the self-repair or regeneration of those structures. Various techniques exist for delivery of ototoxic agents to the cochlea. When selecting a particular technique, investigators must consider a number of factors, including the induction of inadvertent systemic toxicity, the amount of cochlear damage produced by the surgical procedure itself, the type of lesion desired, animal survivability, and reproducibility/reliability of results. Currently established techniques include parenteral injection, intra-peritoneal injection, trans-tympanic injection, endolymphatic sac injection, and cochleostomy with perilymphatic perfusion. Each of these methods has been successfully utilized and is well described in the literature; yet, each has various shortcomings. Here, we present a technique for topical application of ototoxic agents directly to the round window niche. This technique is non-invasive to inner ear structures, produces rapid onset of reliably targeted lesions, avoids systemic toxicity, and allows for an intra-animal control (the contra-lateral ear). Results stemming from this approach have helped deeper understanding of auditory pathophysiology, cochlear cell degeneration, and regenerative capacity in response to an acute injury. Future investigations may use this method to conduct interventional studies involving gene therapy and stem cell transplantation to combat hearing loss.

Various methods exist for introducing ototoxic agents to the cochleae of animal models. Presented is a surgical protocol for delivery of ototoxic agents to the round window niche. The procedure is reliable, creates targeted intra-cochlear lesions, and avoids mechanical damage to the microarchitecture. Examination of cochlear self-repair/regeneration is possible.

L&#39;approccio del mouse Round-finestra per ototossico Delivery Agent: Una rapida e tecnica affidabile per indurre la degenerazione delle cellule Cochlear

Investigators have utilized a wide array of animal models and investigative techniques to study the mammalian auditory system. Much of the basic research ...

A Novel Murine Model of Arteriovenous Fistula Failure: The Surgical Procedure in Detail

The arteriovenous fistula (AVF) still suffers from a high number of failures caused by insufficient remodeling and intimal hyperplasia from which the exact pathophysiology remains unknown. In order to unravel the pathophysiology a murine model of AVF-failure was developed in which the configuration of the anastomosis resembles the preferred situation in the clinical setting. A model was described in which an AVF is created by connecting the venous end of the branch of the external jugular vein to the side of the common carotid artery using interrupted sutures. At a histological level, we observed progressive stenotic intimal lesions in the venous outflow tract that is also seen in failed human AVFs. Although this procedure can be technically challenging due to the small dimensions of the animal, we were able to achieve a surgical success rate of 97% after sufficient training. The key advantage of a murine model is the availability of transgenic animals. In view of the different proposed mechanisms that are responsible for AVF failure, disabling genes that might play a role in vascular remodeling can help us to unravel the complex pathophysiology of AVF failure.

Here we present a murine model of arteriovenous fistula (AVF) failure in which a clinically relevant anastomotic configuration is incorporated. This model can be used to study the pathophysiology and to test possible therapeutic interventions.

A Novel Modello murino di fistola artero-venosa Fallimento: la procedura chirurgica in dettaglio

The arteriovenous fistula (AVF) still suffers from a high number of failures caused by insufficient remodeling and intimal hyperplasia from which the ...

Surgical Approach for Middle Cerebral Artery Occlusion and Reperfusion Induced Stroke in Mice

Stroke is a leading cause of death worldwide and continues to be one of the major causes of long-term adult disabilities. About 87% of strokes are ischemic in origin and occur in the territory of the middle cerebral artery (MCA). Currently the only Food and Drug Administration (FDA) approved drug for the treatment of this devastating disease is tissue plasminogen activator (tPA). However, tPA has a small therapeutic window for administration (3 - 6 hr), and is only effective in 4% of the patients who actually receive it. Current research focuses on understanding the pathophysiology of stroke in order to find potential therapeutic targets. Thus, reliable models are crucial, and the MCA occlusion (MCAo) model (also termed the intraluminal filament or suture model) is deemed to be the most clinically relevant surgical model of ischemic stroke, and is fairly non-invasive and easily reproducible. Typically the MCAo model is used with rodents, especially with mice due to all the genetic variations available for this species. Here we describe (and present in the video) how to successfully perform the MCAo model (with reperfusion) in mice to generate reliable and reproducible data.

In order to understand the pathophysiology of stroke, it is important to use reliable models. This paper will describe one of the most frequently used stroke models in mice, termed the middle cerebral artery occlusion (MCAo) model (also termed the intraluminal filament or suture model) with reperfusion.

Approccio chirurgico per occlusione dell&#39;arteria cerebrale media e riperfusione indotta ictus nei topi

Stroke is a leading cause of death worldwide and continues to be one of the major causes of long-term adult disabilities. About 87% of strokes are ...

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

The available routes of administration commonly used for medications and fluids in the acute care setting are generally limited to oral, intravenous, or intraosseous routes, but in many patients, particularly in the emergency or critical care settings, these routes are often unavailable or time-consuming to access. A novel device is now available that offers an easy route for administration of medications or fluids via rectal mucosal absorption (also referred to as proctoclysis in the case of fluid administration and subsequent absorption). Although originally intended for the palliative care market, the utility of this device in the emergency setting has recently been described. Specifically, reports of patients being treated for dehydration, alcohol withdrawal, vomiting, fever, myocardial infarction, hyperthyroidism, and cardiac arrest have shown success with administration of a wide variety of medications or fluids (including water, aspirin, lorazepam, ondansetron, acetaminophen, methimazole, and buspirone). Device placement is straightforward, and based on the observation of expected effects from the medication administrations, absorption is rapid. The rapidity of absorption kinetics are further demonstrated in a recent report of the measurement of phenobarbital pharmacokinetics. We describe here the placement and use of this device, and demonstrate methods of pharmacokinetic measurements of medications administered by this method.

This study presents a novel device that offers an easy route to quickly provide medications and fluids in patients with limited or difficult IV access. This small-diameter device is placed in the distal third of the rectum, allowing for ongoing medication and fluids administration.

Un nuovo approccio per la somministrazione di farmaci e fluidi in scenari di emergenza e impostazioni

The available routes of administration commonly used for medications and fluids in the acute care setting are generally limited to oral, intravenous, or ...

Use of a Central Venous Line for Fluids, Drugs and Nutrient Administration in a Mouse Model of Critical Illness

This protocol describes a centrally catheterized mouse model of prolonged critical illness. We combine the cecal ligation and puncture method to induce sepsis with the use of a central venous line for fluids, drugs and nutrient administration to mimic the human clinical setting. Critically ill patients require intensive medical support in order to survive. While the majority of patients will recover within a few days, about a quarter of the patients need prolonged intensive care and are at high risk of dying from non-resolving multiple organ failure. Furthermore, the prolonged phase of critical illness is hallmarked by profound muscle weakness, and endocrine and metabolic changes, of which the pathogenesis is currently incompletely understood. The most widely used animal model in critical care research is the cecal ligation and puncture model to induce sepsis. This is a very reproducible model, with acute inflammatory and hemodynamic changes similar to human sepsis, which is designed to study the acute phase of critical illness. However, this model is hallmarked by a high lethality, which is different from the clinical human situation, and is not developed to study the prolonged phase of critical illness. Therefore, we adapted the technique by placing a central venous catheter in the jugular vein allowing us to administer clinically relevant supportive care, to better mimic the human clinical situation of critical illness. This mouse model requires an extensive surgical procedure and daily intensive care of the animals, but it results in a relevant model of the acute and prolonged phase of critical illness.

This protocol describes a centrally catheterized mouse model of prolonged critical illness. We combine the cecal ligation and puncture method to induce sepsis with the use of a central venous line for fluids, drugs and nutrient administration to mimic the human clinical setting.

L&#39;uso di un venoso Central Line per fluidi, farmaci e nutrienti Administration in un modello murino di malattia critica

This protocol describes a centrally catheterized mouse model of prolonged critical illness. We combine the cecal ligation and puncture method to induce ...

Cardiopulmonary Bypass in a Mouse Model: A Novel Approach

As prolonged cardiopulmonary bypass becomes more essential during cardiac interventions, an increasing clinical demand arises for procedure optimization and for minimizing organ damage resulting from prolonged extracorporal circulation. The goal of this paper was to demonstrate a fully functional and clinically relevant model of cardiopulmonary bypass in a mouse. We report on the device design, perfusion circuit optimization, and microsurgical techniques. This model is an acute model, which is not compatible with survival due to the need for multiple blood drawings. Because of the range of tools available for mice (e.g., markers, knockouts, etc.), this model will facilitate investigation into the molecular mechanisms of organ damage and the effect of cardiopulmonary bypass in relation to other comorbidities.

This paper describes how to perform cardiopulmonary bypass in mice. This novel model will facilitate the investigation of the molecular mechanisms involved in organ damage.

Esclusione cardiopolmonare in un modello murino: un nuovo approccio

As prolonged cardiopulmonary bypass becomes more essential during cardiac interventions, an increasing clinical demand arises for procedure optimization ...

A Rat Model of Orthotopic Liver Transplantation Using a Novel Magnetic Anastomosis Technique for Suprahepatic Vena Cava Reconstruction

The rat model of orthotopic liver transplantation (OLT) is essential for transplant research. It is a very sophisticated animal model and requires a steep learning curve. The introduction of the cuff technique for anastomosis of the portal vein (PV) and infrahepatic vena cava (IHVC) has significantly simplified the transplant procedure in rats. However, due to the short anterior wall of the recipients' suprahepatic vena cava (SHVC), the cuff technique is very difficult to use for the reconstruction of the SHVC. Most researchers in this field still use the hand-suture technique for SHVC reconstruction, which makes it the bottleneck step in rat orthotopic liver transplantation. The magnetic anastomosis technique (i.e., magnamosis) is a method of connecting two vessels using the attractive force between two magnets. Our recent study has shown that the magnetic anastomosis technique is superior to the hand-suture technique for SHVC reconstruction in rats. In this article, we show a step-by-step protocol for SHVC reconstruction in rats using the novel magnetic anastomosis technique. In this model, the reconstruction of the PV and IHVC was performed by the standard cuff technique, while the reconstruction of the bile duct (BD) was performed by a stent technique. The hepatic re-arterialization was not performed. The magnetic anastomosis technique made SHVC reconstruction much easier and significantly shortened the anphepatic phase. After a reasonable learning curve, even researchers without advanced microsurgical skills can produce reliable and reproducible results using this rat model of OLT.

The reconstruction of the suprahepatic vena cava (SHVC) remains a difficult step in rat orthotopic liver transplantation. In this article, we show a step-by-step protocol for SHVC reconstruction in rats using a novel magnetic anastomosis technique.

Un modello del ratto di orthotopic del trapianto del fegato usando una tecnica novella dell'anastomosi magnetico per la ricostruzione della Vena Cava Suprahepatic

The rat model of orthotopic liver transplantation (OLT) is essential for transplant research. It is a very sophisticated animal model and requires a steep ...

Un nuovo approccio chirurgico per somministrazione endotracheale di agenti bioattivi in ​​un modello murino fetale

Un nuovo approccio chirurgico per somministrazione endotracheale di agenti bioattivi in un modello murino fetale