Support was provided, in part, by a Merit Review Award (101 BX003482) from the U.S. Department of Veteran Affairs Biomedical Laboratory R&#38;D Service, a NIH grant (5R01 HL123227), a Transformative Project Award (962204) from the American Heart Association, and by institutional funds awarded to Dr. Riess. Dr. Balzer received unrelated funding from the Deutsche Forschungsgemeinschaft (DFG, German Research Foundation), project number BA 6287/1-1. The authors would like to thank Matthew D. Olsen, Chun Zhou, Zhu Li, and Rebecca C. Riess for their valuable contributions to the study.

The in vivo portion of the experiments (from general anesthesia to euthanasia) requires prior approval by the respective Institutional Animal Care and Use Committee (IACUC). All procedures described herein were approved (protocol number M1700168) by the IACUC at Vanderbilt University Medical Center, Nashville, Tennessee, and were performed in compliance with the ARRIVE guidelines14. Prior to experimentation, all the rats were housed in the institute&#39;s animal care facility, with free a...

<ol>
	<li>Uhlig, S., Taylor, A. E. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=.">.</a> Methods in Pulmonary Research. , (1998).</li><li>Ghaidan, H., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Ten+year+follow-up+of+lung+transplantations+using+initially+rejected+donor+lungs+after+reconditioning+using+ex+vivo+lung+perfusion.">Ten year follow-up of lung transplantations using initially rejected donor lungs after reconditioning using ex vivo lung perfusion.</a> Journal of Cardiothoracic Surgery. 14 (1), 125 (2019).</li><li>Stone, M. L., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Ex+vivo+perfusion+with+adenosine+A2A+receptor+agonist+enhances+rehabilitation+of+murine+donor+lungs+after+circulatory+death.">Ex vivo perfusion with adenosine A2A receptor agonist enhances rehabilitation of murine donor lungs after circulatory death.</a> Transplantation. 99 (12), 2494-2503 (2015).</li><li>Valenza, F., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=The+consumption+of+glucose+during+ex+vivo+lung+perfusion+correlates+with+lung+edema.">The consumption of glucose during ex vivo lung perfusion correlates with lung edema.</a> Transplantation Proceedings. 43 (4), 993-996 (2011).</li><li>Sayner, S. L., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Paradoxical+cAMP-induced+lung+endothelial+hyperpermeability+revealed+by+Pseudomonas+aeruginosa+ExoY.">Paradoxical cAMP-induced lung endothelial hyperpermeability revealed by Pseudomonas aeruginosa ExoY.</a> Circulation Research. 95 (2), 196-203 (2004).</li><li>McAuley, D. F., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Clinical+grade+allogeneic+human+mesenchymal+stem+cells+restore+alveolar+fluid+clearance+in+human+lungs+rejected+for+transplantation.">Clinical grade allogeneic human mesenchymal stem cells restore alveolar fluid clearance in human lungs rejected for transplantation.</a> American Journal of Physiology. Lung Cellular and Molecular Physiology. 306 (9), L809-L815 (2014).</li><li>Pego-Fernandes, P. M., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Experimental+model+of+isolated+lung+perfusion+in+rats:+first+Brazilian+experience+using+the+IL-2+isolated+perfused+rat+or+guinea+pig+lung+system.">Experimental model of isolated lung perfusion in rats: first Brazilian experience using the IL-2 isolated perfused rat or guinea pig lung system.</a> Transplantation Proceedings. 42 (2), 444-447 (2010).</li><li>Noda, K., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Successful+prolonged+ex+vivo+lung+perfusion+for+graft+preservation+in+rats.">Successful prolonged ex vivo lung perfusion for graft preservation in rats.</a> European Journal of Cardio-Thoracic Surgery. 45 (3), e54-e60 (2014).</li><li>Nelson, K., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Method+of+isolated+ex+vivo+lung+perfusion+in+a+rat+model:+lessons+learned+from+developing+a+rat+EVLP+program.">Method of isolated ex vivo lung perfusion in a rat model: lessons learned from developing a rat EVLP program.</a> Journal of Visualized Experiments. (96), e52309 (2015).</li><li>Bassani, G. A., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Ex+vivo+lung+perfusion+in+the+rat:+detailed+procedure+and+videos.">Ex vivo lung perfusion in the rat: detailed procedure and videos.</a> PLoS One. 11 (12), e0167898 (2016).</li><li>Watson, K. E., Segal, G. S., Conhaim, R. L. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Negative+pressure+ventilation+enhances+acinar+perfusion+in+isolated+rat+lungs.">Negative pressure ventilation enhances acinar perfusion in isolated rat lungs.</a> Pulmonary Circulation. 8 (1), 2045893217753596 (2018).</li><li>Ohsumi, A., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=A+method+for+translational+rat+ex+vivo+lung+perfusion+experimentation.">A method for translational rat ex vivo lung perfusion experimentation.</a> American Journal of Physiology. Lung Cellular and Molecular Physiology. 319 (1), L61-L70 (2020).</li><li>Hozain, A. E., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Multiday+maintenance+of+extracorporeal+lungs+using+cross-circulation+with+conscious+swine.">Multiday maintenance of extracorporeal lungs using cross-circulation with conscious swine.</a> The Journal of Thoracic and Cardiovascular Surgery. 159 (4), 1640-1653 (2020).</li><li>Kilkenny, C., Browne, W. J., Cuthill, I. C., Emerson, M., Altman, D. G. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Improving+bioscience+research+reporting:+the+ARRIVE+guidelines+for+reporting+animal+research.">Improving bioscience research reporting: the ARRIVE guidelines for reporting animal research.</a> PLoS Biology. 8 (6), e1000412 (2010).</li><li>van Zanden, J. E., Leuvenink, H. G. D., Verschuuren, E. A. M., Erasmus, M. E., Hottenrott, M. C. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=A+translational+rat+model+for+ex+vivo+lung+perfusion+of+pre-injured+lungs+after+brain+death.">A translational rat model for ex vivo lung perfusion of pre-injured lungs after brain death.</a> PLoS One. 16 (12), e0260705 (2021).</li><li>Cleveland, W. J., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Implementation+of+LabVIEW+as+a+virtual+instrument+in+a+cost-effective+isolated+lung+setup.">Implementation of LabVIEW as a virtual instrument in a cost-effective isolated lung setup.</a> The FASEB Journal. 33 (1), 846 (2019).</li><li>Jamieson, S. W., Stinson, E. B., Oyer, P. E., Baldwin, J. C., Shumway, N. E. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Operative+technique+for+heart-lung+transplantation.">Operative technique for heart-lung transplantation.</a> The Journal of Thoracic and Cardiovascular Surgery. 87 (6), 930-935 (1984).</li><li>Liu, M., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Alterations+of+nitric+oxide+synthase+expression+and+activity+during+rat+lung+transplantation.">Alterations of nitric oxide synthase expression and activity during rat lung transplantation.</a> American Journal of Physiology. Lung Cellular and Molecular Physiology. 278 (5), L1071-L1081 (2000).</li><li>Riess, M. L., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Glucose+measurements+in+blood-free+balanced+salt+solutions+with+three+devices+(i-STAT&#174;,+glucose+test+strips+and+ACCU-CHEK&#174;+Aviva).">Glucose measurements in blood-free balanced salt solutions with three devices (i-STAT&#174;, glucose test strips and ACCU-CHEK&#174; Aviva).</a> Anesthesia and Analgesia. 128 (5), 924 (2019).</li><li>Menezes, A. Q., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Comparison+of+Celsior+and+Perfadex+lung+preservation+solutions+in+rat+lungs+subjected+to+6+and+12+hours+of+ischemia+using+an+ex-vivo+lung+perfusion+system.">Comparison of Celsior and Perfadex lung preservation solutions in rat lungs subjected to 6 and 12 hours of ischemia using an ex-vivo lung perfusion system.</a> Clinics. 67 (11), 1309-1314 (2012).</li><li>Riess, M. L., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Electrolyte+measurements+in+blood-free+balanced+salt+solutions+-+comparison+of+i-STAT&#174;+with+ABL80.">Electrolyte measurements in blood-free balanced salt solutions - comparison of i-STAT&#174; with ABL80.</a> Anesthesia and Analgesia. 130 (5), 984 (2020).</li></ol>

More than 100 experiments have been successfully performed in our lab using this setup. The modular design of this customized setup gave great flexibility to potential changes in experimental requirements. While other setups utilize a deoxygenator18 to mimic constant oxygen consumption and CO2 production by end organs, this simplified model did not employ this feature, due to the focus on studying the effects of different gas compositions on pulmonary vascular tone. This approach, in wh...

Ex vivo lung perfusion (EVLP) techniques1 have seen a rise in usage in the past decade as a means of studying lung transplantations2, ischemia/reperfusion3, lung metabolism4, and immune responses5. Isolated, but intact, ventilated and perfused lungs offer the critically important ability to directly assess the response of the lungs, including the pulmonary vasculature, to potential interventions and/or therapeutics without potential confounders, such as neuronal and hormonal input or changing hemodynamics in vivo. At the same time, they maintain the physiological interplay of ventilation and perfusion, in contrast to in vitro conditions. A proposal looking at immune responses in lungs5, for example, needs the same quality of data as a study focused on increasing the donor pool size6 for lung transplantations. EVLP can be used across a variety of species, including mice3, rats7,8,9,10,11,12, pigs13, and humans2. Therefore, it is necessary to establish a model that can produce reliable data from a variety of different experimental parameters. Clinical relevance will be generated in subsequent studies using the EVLP model as a tool.
While commercial setups are available for purchase for most species, they can often be cost-prohibitive and confine researchers to a specific brand of equipment and proprietary software. Any deviation from the out-of-the-box setup (e.g., going from one species to another) requires foresight and working around the provided setup, which may prove to be difficult or impossible. In the following, a DIY (do it yourself) setup for rat isolated lungs that is both modular and cost-effective, as well as the surgical procedure for isolating the lungs, are described.

<table border="1" fo:keep-together.within-page="1" fo:keep-with-next.within-page="always">
	<tbody>
		<tr>
			<td>1,000 mL Glass Beaker</td>
			<td>Pyrex, Chicago, IL</td>
			<td></td>
			<td></td>
		</tr>
		<tr>
			<td>1,500 mL Glass Beaker</td>
			<td>Pyrex, Chicago, IL</td>
			<td></td>
			<td></td>
		</tr>
		<tr>
			<td>Air Trap Compliance Chamber</td>
			<td>Radnoti</td>
			<td>130149</td>
			<td></td>
		</tr>
		<tr>
			<td>Bioamplifiers</td>
			<td>CWE Inc</td>
			<td>BPM-832</td>
			<td></td>
		</tr>
		<tr>
			<td>Clamps</td>
			<td>Fisher Scientific</td>
			<td>S02626</td>
			<td></td>
		</tr>
		<tr>
			<td>DAQ (Data Acquisition)</td>
			<td>National Instruments, Austin, TX</td>
			<td>NI USB-6343</td>
			<td></td>
		</tr>
		<tr>
			<td>Gas Mixer</td>
			<td>CWE Inc, Ardmore, PA</td>
			<td>GSM-4</td>
			<td></td>
		</tr>
		<tr>
			<td>Heating Coil</td>
			<td>Radnoti, Covina, CA</td>
			<td>158822</td>
			<td></td>
		</tr>
		<tr>
			<td>Heating Plate</td>
			<td>Thermo Fisher Scientific, Waltham, MA</td>
			<td>11-100-49SH</td>
			<td></td>
		</tr>
		<tr>
			<td>Heparin</td>
			<td>Pfizer</td>
			<td>W63422</td>
			<td></td>
		</tr>
		<tr>
			<td>LabVIEW Full Development System 2014</td>
			<td>National Instruments</td>
			<td></td>
			<td></td>
		</tr>
		<tr>
			<td>Pentobarbital</td>
			<td>Diamondback Drugs</td>
			<td>G2270-0235-50</td>
			<td></td>
		</tr>
		<tr>
			<td>pH700 Probe</td>
			<td>OAKTON, Vernon Hills, IL&#160;</td>
			<td>EW-35419-10</td>
			<td></td>
		</tr>
		<tr>
			<td>Polystat Water Bath</td>
			<td>Cole-Parmer</td>
			<td>EW-12121-02</td>
			<td></td>
		</tr>
		<tr>
			<td>Rodent Ventilator</td>
			<td>Harvard Apparatus, Holliston, MA</td>
			<td>Model 683</td>
			<td></td>
		</tr>
		<tr>
			<td>Roller Pump</td>
			<td>Cole-Parmer, Wertheim, Germany&#160;</td>
			<td>Ismatec REGLO Digital MS 2/8</td>
			<td></td>
		</tr>
		<tr>
			<td>Sprague Dawley Rat</td>
			<td>Charles River, Wilmington, MA</td>
			<td>Strain code 001</td>
			<td></td>
		</tr>
		<tr>
			<td>VetScan i-STAT</td>
			<td>Abraxis, Chicago, IL</td>
			<td>i-STAT 1</td>
			<td></td>
		</tr>
	</tbody>
</table>

design and implementation of a rat ex vivo lung perfusion model

Ex vivo lung preparations are a useful model that can be translated to many different fields of research, complementing corresponding in vivo and in vitro models. Laboratories wishing to use isolated lungs need to be aware of important steps and inherent challenges to establish a setup that is affordable, reliable, and that can be easily adapted to fit the topic of interest. This paper describes a DIY (do it yourself) model for ex vivo rat lung ventilation and perfusion to study drug and gas effects on pulmonary vascular tone, independent of changes in cardiac output. Creating this model includes a) the design and construction of the apparatus, and b) the lung isolation procedure. This model results in a setup that is more cost-effective than commercial alternatives and yet modular enough to adapt to changes in specific research questions. Various obstacles had to be resolved to ensure a consistent model that is capable of being used for a variety of different research topics. Once established, this model has proven to be highly adaptable to different questions and can easily be altered for different fields of study.

Following 10 min of stabilization and baseline readings, we randomized a first set of 10 male Sprague Dawley rats into five small groups: global no-flow ischemia for 5, 7.5, 8, 9, or 10 min (n = 2 per group) followed by reperfusion; these limited preliminary dose-finding experiments were conducted to identify the longest possible ischemia time to still allow sufficient ventilation and reperfusion before the eventual development of a precipitous and irreversible increase in airway pressure and edema formation. Importantly...

Watch this Scientific Journal Video about Design and Implementation of a Rat Ex Vivo Lung Perfusion Model at JoVE.com

Design and Implementation of a Rat Ex Vivo Lung Perfusion Model

Ex vivo lungs are useful for a variety of experiments to collect physiological data while excluding the confounding variables of in vivo experiments. Commercial setups are often expensive and limited in the types of data they can collect. We describe a method for building a fully modular setup, adaptable for various study designs.

Design and Implementation of a Rat Ex Vivo Lung Perfusion Model

Ex vivo lung preparations are a useful model that can be translated to many different fields of research, complementing corresponding in vivo and in vitro ...

We demonstrate a simple method for creating and implementing an ex vivo lung setup from scratch. This allows for an affordable and modular setup that can be implemented for a variety of setups. The technique presented here is affordable, modular, and adaptable to the labs setting up the protocol.The ex vivo operation can be used to complement in vivo models to help elucidate novel mechanisms. This DIY setup is designed to study the lungs in a controlled environment. It aligns with the main research focus of our lab, which is to investigate various approaches to improve the outcome after CPR.However, the setup can be adapted to suit different research aims, making it highly versatile, The surgery requires a basic knowledge of respiratory anatomy and physiology and can quickly be mastered by following the protocol. Nonetheless, it is vital to diligently follow the steps described in our protocol, and most of all, protect the lungs, especially when removing the ribs. To perform a tracheostomy, pinch the skin of an anesthetized rat above the trachea with forceps and cut the skin.Bluntly dissect the muscle and tissue to reach the trachea, ensuring no bleeding. Then pass curved forceps underneath the trachea and open them to allow room to pass 3-0 sutures underneath. Then pre-tie the sutures into a box knot.Make a small incision between the cartilage rings of the trachea and insert the tracheal cannula. Tie off the suture to prevent air from escaping the tracheal incision and to ensure the cannula is not putting strain on the trachea. Once the tracheal cannula is secured, begin ventilating the rat.Using large surgical scissors and forceps, remove the fur from the rat's abdomen. Grasp the xiphoid process with the forceps and make a small horizontal incision below the ribs, taking care to keep the diaphragm intact. Widen the horizontal cut to expose the entire diaphragm.With a 22 gauge syringe, inject heparin into the inferior vena cava, being careful not to puncture the lungs. Grasp the xiphoid process with forceps and cut cranially along the sternum, constantly visualizing the lungs to prevent cutting them. Spread the rib cage apart using two large forceps and cut the inferior vena cava to euthanize the rat by exsanguination.Trim any excess thymus to allow for easier visualization of the pulmonary vasculature. Locate the pulmonary artery and pass small curved forceps underneath. Again, pass a 3-0 suture underneath and pre-tie into a box knot.Then make a small incision into the right ventricle of the heart and insert the PA cannula. Secure the cannula using the suture and begin perfusing at 1.5 milliliters per minute. Immediately excise the apex of the heart to prevent pressure buildup in the lungs.Using small curved forceps, rupture the mitral valve and visually confirm that the forceps can enter the left atrium without obstruction. Tightly wrap a 3-0 suture around the heart below the atrium, and insert the PV cannula into the left atrium, ensuring that buffer can flow out of it before tying off the suture. Next, using blunt tip scissors, trim any excess tissue between the thoracic cavity and the tracheostomy incision to avoid damaging the trachea.Ensure the trachea below the tracheal cannula and the entire heart-lung bloc are visible. To remove the heart-lung bloc and trachea, hold the tracheal cannula and use curved blunt tip scissors to excise the connective tissue behind the trachea. Lung viability after ischemia and reperfusion is presented.The longest ischemia time to allow 150 minutes of reperfusion was eight minutes. It's crucial to properly cannulate the vasculature for the isolated lungs to remain viable throughout the experiment. The lungs remain intact after the procedure, allowing for basic measurements such as wet or dry weight or histology to be conducted post-experiment.

design-and-implementation-of-a-rat-ex-vivo-lung-perfusion-model

Research

JoVE Journal

Biology

629 ビュー.  Vanderbilt University Medical Center. ex vivo 肺のセットアップをゼロから作成および実装する簡単な方法を実演します。これにより、さまざまなセットアップに実装できる手頃な価格のモジュール式セットアップが可能になります。ここで紹介する手法は、手頃な価格でモジュール式で、プロトコルを設定するラボに適応できます。ex vivo操作は、in vivoモデルを補完するために使用できるため、新しいメ...

ビデオ: Design and Implementation of a Rat Ex Vivo Lung Perfusion Model

Ex vivo lungs are useful for a variety of experiments to collect physiological data while excluding the confounding variables of in vivo experiments. Commercial setups are often expensive and limited in the types of data they can collect. We describe a method for building a fully modular setup, adaptable for various study designs.

establishment of a novel ex vivo lung perfusion system for rat lungs after circulatory death

Author Spotlight: Improving Donor Lung Quality and Success Rates in Lung Transplantation Through Ex Vivo Lung Perfusion

The objective is to develop a new ex vivo lung perfusion (EVLP) model in rats that can sustain consistent lung function for 4 h throughout EVLP and furnish the industry with implementation specifics that will offer a sturdy method for applying EVLP to rodent models.

Establishment of a Novel Ex Vivo Lung Perfusion System for Rat Lungs After Circulatory Death

Evaluation of Apoptosis and Lung Injury in DCD Donor Lungs Preserved by EVLP

establishment of an ex vivo lung perfusion rat model for translational insights in lung transplantation

Establishment of an Ex Vivo Lung Perfusion Rat Model for Translational Insights in Lung Transplantation

Here, we describe the necessary steps for establishing a rat EVLP model and show the inflammatory profile associated with the perfused lungs. The aim is to propagate knowledge and experiences about the rat EVLP model, enabling the integral understanding of the biological responses associated with that revolutionary...

Establishment of an Ex Vivo Lung Perfusion Rat Model for Translational Insights in Lung Transplantation

method of isolated ex vivo lung perfusion in a rat model: lessons learned from developing a rat evlp program

Method of Isolated Ex Vivo Lung Perfusion in a Rat Model: Lessons Learned from Developing a Rat EVLP Program

Ex-Vivo Lung Perfusion (EVLP) has allowed lung transplantation in humans to become more readily available by enabling the ability to assess organs and expand the donor pool. Here, we describe the development of a rat EVLP program and refinements that allow for a reproducible model for future...

Method of Isolated Ex Vivo Lung Perfusion in a Rat Model: Lessons Learned from Developing a Rat EVLP Program

procurement and cannulation of donor rat lung block for ex vivo lung perfusion

Procurement and Cannulation of Donor Rat Lung Block for Ex Vivo Lung Perfusion

exploring alternative perfusion solutions using next-generation polymerized hemoglobin-based oxygen carriers in a model of rat ex vivo lung perfusion

Author Spotlight: Utilizing Next-Generation Polymerized Human Hemoglobin for Improved Donor Lung Evaluation and Preservation in Rats

Here, we describe the application of a polymerized human hemoglobin (PolyhHb)-based oxygen carrier as a perfusate and the protocol in which this perfusion solution can be tested in a model of rat ex vivo lung...

Exploring Alternative Perfusion Solutions Using Next-Generation Polymerized Hemoglobin-Based Oxygen Carriers in a Model of Rat Ex Vivo Lung Perfusion

ex vivo lung perfusion: a technique for pulmonary research in a rabbit model

This video shows an ex vivo technique for isolated lung perfusion. It is a tool for pulmonary research that will aid studies of various physiological and pathological mechanisms involved in lung transplantation...

Ex vivo Lung Perfusion: A Technique for Pulmonary Research in a Rabbit Model

After opening the two ventricles, introduce the pulmonary artery cannula through the right pulmonary artery, and the left atrium cannula through the mitral valve, into the left atrium. Fix the cannulae with a 4-0 silk suture, including the surrounding tissues in the ligatures of the pulmonary artery and left atrium, to avoid structural distension. Inject 250 milliliters of saline isotonic solution through the arterial cannulae to flush the remaining blood from the vascular...

Ex Vivo Lung Perfusion: A Technique for Pulmonary Research in a Rabbit Model

a small animal model of ex vivo normothermic liver perfusion

A Small Animal Model of Ex Vivo Normothermic Liver Perfusion

There is a significant liver donor shortage, and criteria for liver donors have been expanded. Normothermic ex vivo liver perfusion (NEVLP) has been developed to evaluate and modify organ function. This study demonstrates a rat model of NEVLP and tests the ability of pegylated-catalase, to mitigate liver preservation...

A Small Animal Model of Ex Vivo Normothermic Liver Perfusion

Advancing Lung Transplantation with PolyhHb-Based Perfusion in Rat EVLP Models

https://cloudfront.jove.com/CDNSource/teasers/66702_b.jpg

setup of an ex vivo lung perfusion (evlp) circuit with polyhhb for lung perfusion in rats

Setup of an Ex Vivo Lung Perfusion (EVLP) Circuit with PolyhHb for Lung Perfusion in Rats

normothermic negative pressure ventilation ex situ lung perfusion: evaluation of lung function and metabolism

Normothermic Negative Pressure Ventilation Ex Situ Lung Perfusion: Evaluation of Lung Function and Metabolism

This paper describes a porcine model of negative pressure ventilation ex situ lung perfusion, including procurement, attachment, and management on the custom-made platform. Focus is made on anesthetic and surgical techniques, as well as...

Normothermic Negative Pressure Ventilation Ex Situ Lung Perfusion: Evaluation of Lung Function and Metabolism

determination of cardiac output in a porcine model for ex vivo pulmonary perfusion

Author Spotlight: Assessment of Cardiac Output Calculation by Thermodilution in Pigs for Effective Perfusion Flow During EVLP

This protocol describes the surgical technique used for the placement of a thermodilution catheter through the jugular vein in pigs to estimate cardiac output and ensure adequate lung perfusion during ex vivo lung perfusion...

Determination of Cardiac Output in a Porcine Model for Ex Vivo Pulmonary Perfusion

ex vivo porcine experimental model for studying and teaching lung mechanics

Ex Vivo Porcine Experimental Model for Studying and Teaching Lung Mechanics

We present an ex vivo pig lung model for the demonstration of pulmonary mechanics and alveolar recruitment maneuvers for teaching purposes. The lungs can be used for more than one day (up to five days) with minimal changes in pulmonary mechanics...

Ex Vivo Porcine Experimental Model for Studying and Teaching Lung Mechanics

procurement and decellularization of rat hindlimbs using an ex vivo perfusion-based bioreactor for vascularized composite allotransplantation

Procurement and Decellularization of Rat Hindlimbs Using an Ex Vivo Perfusion-Based Bioreactor for Vascularized Composite Allotransplantation

We describe the surgical technique and decellularization process for composite rat hindlimbs. Decellularization is conducted using low-concentration sodium dodecyl sulfate through an ex vivo machine perfusion system.

Procurement and Decellularization of Rat Hindlimbs Using an Ex Vivo Perfusion-Based Bioreactor for Vascularized Composite Allotransplantation

normothermic ex vivo liver machine perfusion in mouse

Normothermic Ex Vivo Liver Machine Perfusion in Mouse

A normothermic ex vivo liver perfusion (NEVLP) system was created for mouse livers. This system requires experience in microsurgery but allows for reproducible perfusion results. The ability to utilize mouse livers facilitates the investigation of molecular pathways to identify novel perfusate additives and enables the execution of experiments focused on organ...

Normothermic Ex Vivo Liver Machine Perfusion in Mouse

ex vivo perfusion of the rodent placenta

Ex Vivo Perfusion of the Rodent Placenta

Here is presented a protocol of ex vivo maternal-fetal vascular perfusion to enable the administration of a test article into maternal vasculature and to evaluate placental transfer of xenobiotic particles or pharmacological agents in addition to alterations in placental...

isolated lung perfusion system in the rabbit model

Isolated Lung Perfusion System in the Rabbit Model

The isolated rabbit lung preparation is a gold standard tool in pulmonary research. This publication aims to describe the technique as developed for the study of physiological and pathological mechanisms involved in airway reactivity, lung preservation, and preclinical research in lung transplantation and pulmonary edema.

ex vivo live imaging of lung metastasis and their microenvironment

Ex vivo Live Imaging of Lung Metastasis and Their Microenvironment

We describe a relatively simple method for ex vivo live imaging of the tumor cell-stroma interactions within lung metastasis, utilizing fluorescent reporters in mice. Using spinning-disk confocal microscopy, this technique enables visualization of live cells for at least 4 hr and could be adapted to study other inflammatory lung...

Ex vivo Live Imaging of Lung Metastasis and Their Microenvironment

Method for Culture of Early Chick Embryos ex vivo (New Culture)

The chick embryo is a valuable tool in the study of early embryonic development. Its transparency, accessibility and ease of manipulation, make it an ideal tool for studying  the formation and patterning of brain, neural tube, somite and heart primordia. Applications of chick embryo culture include electroporation of DNA or RNA constructs in order to analyze gene function, grafts of growth factor coated beads such as FGFs and BMPs , as well as whole mount in situ hybridization and immunohistochemistry. This video demonstrates the different steps in chick embryo culture; First, the embryo is explanted in saline. Then, the embryo is centered on a glass ring. The membranes surrounding the embryo are lifted along the walls of the ring. The ring is then placed in a culture dish containing a pool of albumine. The culture dish is sealed and placed in a humid chamber, where the embryo is cultured for up to 24 hrs. Finally, the embryo is removed from the ring, fixed and processed for further applications. A troubleshooting guide is also presented.

Method for Culture of Early Chick Embryos ex vivo New Culture

This video demonstrates New culture, a method by which chick embryos are cultured outside the egg for up to 24 hr. This method enables one to study early development (primitive streak to 14 som.), a period corresponding to E7-9 in mouse. Applications of this technique include electroporation, in situ hybridization and immunohistochemistry.

The chick embryo is a valuable tool in the study of early embryonic development. Its transparency, accessibility and ease of manipulation, make it an ...

Isolation of Rat Portal Fibroblasts by In situ Liver Perfusion

Liver fibrosis is defined by the excessive deposition of extracellular matrix by activated myofibroblasts. There are multiple precursors of hepatic myofibroblasts, including hepatic stellate cells, portal fibroblasts and bone marrow derived fibroblasts 1. Hepatic stellate cells have been the best studied, but portal fibroblasts are increasingly recognized as important contributors to the myofibroblast pool, particularly in biliary fibrosis 2. Portal fibroblasts undergo proliferation in response to biliary epithelial injury, potentially playing a key role in the early stages of biliary scarring 3-5. A method of isolating portal fibroblasts would allow in vitro study of this cell population and lead to greater understanding of the role portal fibroblasts play in biliary fibrosis.
Portal fibroblasts have been isolated using various techniques including outgrowth 6, 7 and liver perfusion with enzymatic digestion followed by size selection 8. The advantage of the digestion and size selection technique compared to the outgrowth technique is that cells can be studied without the necessity of passage in culture. Here, we describe a modified version of the original technique described by Kruglov and Dranoff 8 for isolation of portal fibroblasts from rat liver that results in a relatively pure population of primary cells.

Isolation of Rat Portal Fibroblasts by In situ Liver Perfusion

A technique for isolating portal fibroblasts from rat liver is described. Livers are perfused and digested in situ with collagenase, followed by ex vivo digestion of the liver slurry and size selection of cells. This method provides a pure population of portal fibroblasts without the need for passage in culture.

Liver fibrosis is defined  by the excessive deposition of extracellular matrix by activated  myofibroblasts. There are multiple precursors of hepatic ...

A System for ex vivo Culturing of Embryonic Pancreas

The pancreas controls vital functions of our body, including the production of digestive enzymes and regulation of blood sugar levels1. Although in the past decade many studies have contributed to a solid foundation for understanding pancreatic organogenesis, important gaps persist in our knowledge of early pancreas formation2. A complete understanding of these early events will provide insight into the development of this organ, but also into incurable diseases that target the pancreas, such as diabetes or pancreatic cancer. Finally, this information will generate a blueprint for developing cell-replacement therapies in the context of diabetes.
 During embryogenesis, the pancreas originates from distinct embryonic outgrowths of the dorsal and ventral foregut endoderm at embryonic day (E) 9.5 in the mouse embryo3,4. Both outgrowths evaginate into the surrounding mesenchyme as solid epithelial buds, which undergo proliferation, branching and differentiation to generate a fully mature organ2,5,6. Recent evidences have suggested that growth and differentiation of pancreatic cell lineages, including the insulin-producing &beta;-cells, depends on proper tissue-architecture, epithelial remodeling and cell positioning within the branching pancreatic epithelium7,8. However, how branching morphogenesis occurs and is coordinated with proliferation and differentiation in the pancreas is largely unknown. This is in part due to the fact that current knowledge about these developmental processes has relied almost exclusively on analysis of fixed specimens, while morphogenetic events are highly dynamic.
 Here, we report a method for dissecting and culturing mouse embryonic pancreatic buds ex vivo on glass bottom dishes, which allow direct visualization of the developing pancreas (Figure 1). This culture system is ideally devised for confocal laser scanning microscopy and, in particular, live-cell imaging. Pancreatic explants can be prepared not only from wild-type mouse embryos, but also from genetically engineered mouse strains (e.g. transgenic or knockout), allowing real-time studies of mutant phenotypes. Moreover, this ex vivo culture system is valuable to study the effects of chemical compounds on pancreatic development, enabling to obtain quantitative data about proliferation and growth, elongation, branching, tubulogenesis and differentiation. In conclusion, the development of an ex vivo pancreatic explant culture method combined with high-resolution imaging provides a strong platform for observing morphogenetic and differentiation events as they occur within the developing mouse embryo.

A System for ex vivo Culturing of Embryonic Pancreas

Here, we describe a method for isolation, culture and manipulation of mouse embryonic pancreas. This represents an excellent ex vivo system for studying various aspects of pancreatic development, including morphogenesis, differentiation and growth. Pancreatic bud explants can be cultured for several days and used in a range of different applications, including whole-mount immunofluorescence and live imaging.

The pancreas controls vital functions of our body,  including the production of digestive enzymes and regulation of blood sugar  levels1. Although in the ...

A Novel Ex vivo Culture Method for the Embryonic Mouse Heart

Developmental studies in the mouse are hampered by the inaccessibility of the embryo during gestation. Thus, protocols to isolate and culture individual organs of interest are essential to provide a method of both visualizing changes in development and allowing novel treatment strategies. To promote the long-term culture of the embryonic heart at late stages of gestation, we developed a protocol in which the excised heart is cultured in a semi-solid, dilute Matrigel. This substrate provides enough support to maintain the three-dimensional structure but is flexible enough to allow continued contraction. In brief, hearts are excised from the embryo and placed in a mixture of cold Matrigel diluted 1:1 with growth medium. After the diluted Matrigel solidifies, growth medium is added to the culture dish. Hearts excised as late as embryonic day 16.5 were viable for four days post-dissection. Analysis of the coronary plexus shows that this method does not disrupt coronary vascular development. Thus, we present a novel method for long-term culture of embryonic hearts.

A Novel Ex vivo Culture Method for the Embryonic Mouse Heart

Developmental studies in the mouse are hampered by the inaccessibility of the embryo during gestation. To promote the long-term culture of the embryonic heart at late stages of gestation, we developed a protocol in which the excised heart is cultured in a semi-solid, dilute Matrigel.

Developmental studies in the mouse are hampered  by the inaccessibility of the embryo during gestation. Thus, protocols to  isolate and culture individual ...

The c-FOS Protein Immunohistological Detection: A Useful Tool As a Marker of Central Pathways Involved in Specific Physiological Responses In Vivo and Ex Vivo

Many studies seek to identify and map the brain regions involved in specific physiological regulations. The proto-oncogene c-fos, an immediate early gene, is expressed in neurons in response to various stimuli. The protein product can be readily detected with immunohistochemical techniques leading to the use of c-FOS detection to map groups of neurons that display changes in their activity. In this article, we focused on the identification of brainstem neuronal populations involved in the ventilatory adaptation to hypoxia or hypercapnia. Two approaches were described to identify involved neuronal populations in vivo in animals and ex vivo in deafferented brainstem preparations. In vivo, animals were exposed to hypercapnic or hypoxic gas mixtures. Ex vivo, deafferented preparations were superfused with hypoxic or hypercapnic artificial cerebrospinal fluid. In both cases, either control in vivo animals or ex vivo preparations were maintained under normoxic and normocapnic conditions. The comparison of these two approaches allows the determination of the origin of the neuronal activation i.e., peripheral and/or central. In vivo and ex vivo, brainstems were collected, fixed, and sliced into sections. Once sections were prepared, immunohistochemical detection of the c-FOS protein was made in order to identify the brainstem groups of cells activated by hypoxic or hypercapnic stimulations. Labeled cells were counted in brainstem respiratory structures. In comparison to the control condition, hypoxia or hypercapnia increased the number of c-FOS labeled cells in several specific brainstem sites that are thus constitutive of the neuronal pathways involved in the adaptation of the central respiratory drive.

The c-FOS Protein Immunohistological Detection: A Useful Tool As a Marker of Central Pathways Involved in Specific Physiological Responses In Vivo and Ex Vivo

Here, we present a protocol based on c-FOS protein immunohistological detection, a classical technique used for the identification of neuronal populations involved in specific physiological responses in vivo and ex vivo.

Many studies seek to identify and map the brain regions involved in specific physiological regulations. The proto-oncogene c-fos, an immediate early gene, ...

Isolation of CD146+ Resident Lung Mesenchymal Stromal Cells from Rat Lungs

Mesenchymal stromal cells (MSCs) are increasingly recognized for their therapeutic potential in a wide range of diseases, including lung diseases. Besides the use of bone marrow and umbilical cord MSCs for exogenous cell therapy, there is also increasing interest in the repair and regenerative potential of resident tissue MSCs. Moreover, they likely have a role in normal organ development, and have been attributed roles in disease, particularly those with a fibrotic nature. The main hurdle for the study of these resident tissue MSCs is the lack of a clear marker for the isolation and identification of these cells. The isolation technique described here applies multiple characteristics of lung resident MSCs (L-MSCs). Upon sacrifice of the rats, lungs are removed and rinsed multiple times to remove blood. Following mechanical dissociation by scalpel, the lungs are digested for 2-3 hr using a mix of collagenase type I, neutral protease and DNase type I. The obtained single cell suspension is subsequently washed and layered over density gradient medium (density 1.073 g/ml). After centrifugation, cells from the interphase are washed and plated in culture-treated flasks. Cells are cultured for 4-7 days in physiological 5% O2, 5% CO2 conditions. To deplete fibroblasts (CD146-) and to ensure a population of only L-MSCs (CD146+), positive selection for CD146+ cells is performed through magnetic bead selection. In summary, this procedure reliably produces a population of primary L-MSCs for further in vitro study and manipulation. Because of the nature of the protocol, it can easily be translated to other experimental animal models.

Isolation of CD146+ Resident Lung Mesenchymal Stromal Cells from Rat Lungs

This protocol describes an isolation technique for obtaining primary lung resident mesenchymal stromal cells from rats, through the use of enzymatic digestion, density gradient separation, plastic adherence and CD146+ magnetic bead selection.

Mesenchymal stromal cells (MSCs) are increasingly recognized for their therapeutic potential in a wide range of diseases, including lung diseases. Besides ...

Measuring the Stiffness of Ex Vivo Mouse Aortas Using Atomic Force Microscopy

Arterial stiffening is a significant risk factor and biomarker for cardiovascular disease and a hallmark of aging. Atomic force microscopy (AFM) is a versatile analytical tool for characterizing viscoelastic mechanical properties for a variety of materials ranging from hard (plastic, glass, metal, etc.) surfaces to cells on any substrate. It has been widely used to measure the stiffness of cells, but less frequently used to measure the stiffness of aortas. In this paper, we will describe the procedures for using AFM in contact mode to measure the ex vivo elastic modulus of unloaded mouse arteries. We describe our procedure for isolation of mouse aortas, and then provide detailed information for the AFM analysis. This includes step-by-step instructions for alignment of the laser beam, calibration of the spring constant and deflection sensitivity of the AFM probe, and acquisition of force curves. We also provide a detailed protocol for data analysis of the force curves.

Measuring the Stiffness of Ex Vivo Mouse Aortas Using Atomic Force Microscopy

We present detailed protocols for isolation of aortas from mouse and measurement of their elastic modulus using atomic force microscopy.

Arterial stiffening is a significant risk factor and biomarker for cardiovascular disease and a hallmark of aging. Atomic force microscopy (AFM) is a ...

An Ex Vivo Tissue Culture Model of Cartilage Remodeling in Bovine Knee Explants

Ex vivo culture systems cover a broad range of experiments dedicated to studying tissue and cellular function in a native setting. Cartilage is a unique tissue important for proper function of the synovial joint and is constituted by a dense extracellular matrix (ECM), rich in proteoglycan and type II collagen. Chondrocytes are the only cell type present within cartilage and are widespread and relatively low in number. Altered external stimuli and cellular signalling can lead to changes in ECM composition and deterioration, which are important pathological hallmarks in diseases such as osteoarthritis (OA) and rheumatoid arthritis.
Ex vivo cartilage models allow 1) profiling of chondrocyte mediated alterations of cartilage tissue turnover, 2) visualizing the cartilage ECM composition, and 3) chondrocyte rearrangement directly in the tissue. Profiling these alterations in response to stimuli or treatments are of high importance in various aspects of cartilage biology, and complement in vitro experiments in isolated chondrocytes, or more complex models in live animals where experimental conditions are more difficult to control.
Cartilage explants present a translational and easily accessible method for assessing tissue remodeling in the cartilage ECM in controllable settings. Here, we describe a protocol for isolating and culturing live bovine cartilage explants. The method uses tissue from the bovine knee, which is easily accessible from the local butchery. Both explants and conditioned culture medium can be analyzed to investigate tissue turnover, ECM composition, and chondrocyte function, thus profiling ECM modulation.

Here, we present a protocol describing isolation and culturing of cartilage explants from bovine knees. This method provides an easy and accessible tool to describe tissue changes in response to biological stimuli or novel therapeutics targeting the joint.

Ex vivo culture systems cover a broad range of experiments dedicated to studying tissue and cellular function in a native setting. Cartilage is a unique ...

Mass Spectrometry Analysis to Identify Ubiquitylation of EYFP-tagged CENP-A (EYFP-CENP-A)

Studying the structure and the dynamics of kinetochores and centromeres is important in understanding chromosomal instability (CIN) and cancer progression. How the chromosomal location and function of a centromere (i.e., centromere identity) are determined and participate in accurate chromosome segregation is a fundamental question. CENP-A is proposed to be the non-DNA indicator (epigenetic mark) of centromere identity, and CENP-A ubiquitylation is required for CENP-A deposition at the centromere, inherited through dimerization between cell division, and indispensable to cell viability.
Here we describe mass spectrometry analysis to identify ubiquitylation of EYFP-CENP-A K124R mutant suggesting that ubiquitylation at a different lysine is induced because of the EYFP tagging in the CENP-A K124R mutant protein. Lysine 306 (K306) ubiquitylation in EYFP-CENP-A K124R was successfully identified, which corresponds to lysine 56 (K56) in CENP-A through mass spectrometry analysis. A caveat is discussed in the use of GFP/EYFP or the tagging of high molecular weight protein as a tool to analyze the function of a protein. Current technical limit is also discussed for the detection of ubiquitylated bands, identification of site-specific ubiquitylation(s), and visualization of ubiquitylation in living cells or a specific single cell during the whole cell cycle.
The method of mass spectrometry analysis presented here can be applied to human CENP-A protein with different tags and other centromere-kinetochore proteins. These combinatory methods consisting of several assays/analyses could be recommended for researchers who are interested in identifying functional roles of ubiquitylation.

Mass Spectrometry Analysis to Identify Ubiquitylation of EYFP-tagged CENP-A EYFP-CENP-A

CENP-A ubiquitylation is an important requirement for CENP-A deposition at the centromere, inherited through dimerization between cell division, and indispensable to cell viability. Here we describe mass spectrometry analysis to identify ubiquitylation of EYFP-tagged CENP-A (EYFP-CENP-A) protein.

Studying the structure and the dynamics of kinetochores and centromeres is important in understanding chromosomal instability (CIN) and cancer ...

Isolation of Primary Rat Hepatocytes with Multiparameter Perfusion Control

Primary hepatocytes are widely used in basic research on liver diseases and for toxicity testing in vitro. The two-step collagenase perfusion procedure for primary hepatocyte isolation is technically challenging, especially in portal vein cannulation. The procedure is also prone to occasional contamination and variations in perfusion conditions due to difficulties in the assembly, optimization, or maintenance of the perfusion setup. Here, a detailed protocol for an improved two-step collagenase perfusion procedure with multiparameter perfusion control is presented. Primary rat hepatocytes were successfully and reliably isolated by taking the necessary technical precautions at critical steps of the procedure, and by reducing the operational difficulty and mitigating the variability of perfusion parameters through the adoption of a special intravenous catheter, standardized sterile disposable tubing, temperature control, and real-time monitoring and alarm system. The isolated primary rat hepatocytes consistently exhibit high cell viability (85%-95%), yield (2-5 x 108 cells per 200-300 g rat) and functionality (albumin, urea and CYP activity). The procedure was complemented by an integrated perfusion system, which is compact enough to be set up in the laminar flow hood to ensure aseptic operation.

This protocol details the use of a special intravenous catheter, standardized sterile disposable tubing, temperature control complemented by real-time monitoring, and an alarm system for two-step collagenase perfusion procedure to improve the consistency in the viability, yield, and functionality of isolated primary rat hepatocytes.

Primary hepatocytes are widely used in basic research on liver diseases and for toxicity testing in vitro. The two-step collagenase perfusion procedure ...