We thank Steve Finkbeiner and members of the Finkbeiner lab for pioneering robotic microscopy. We also thank Dan Peisach for building the initial software required for image processing and automated survival analysis. This work was funded by the National Institute for Neurological Disorders and Stroke (NINDS) R01-NS097542, the University of Michigan Protein Folding Disease Initiative, and Ann Arbor Active Against ALS.

All vertebrate animal work was approved by the Committee on the Use and Care of Animals at the University of Michigan (protocol # PRO00007096). Experiments are carefully planned to minimize the number of animals sacrificed. Pregnant female wild-type (WT), non-transgenic Long Evans rats (Rattus norvegicus) are housed singly in chambers equipped with environmental enrichment, and cared for by the Unit for Laboratory Animal Medicine (ULAM) at the University of Michigan, in accordance with the NIH-supported Guide for the Care and Use of Laboratory Animals. All rats were kept in routine housing for as little time as possible prior to euthanasia, consistent with the recommendations of the Guidelines on Euthanasia of the American Veterinary Medical Association and the University of Michigan Methods of Euthanasia by Species Guidelines.
1. Material Preparation
<ol>
	<li>Dissect cortical neurons from embryonic day 19&#8211;20 rat pups and culture rat cortical neurons at 0.5 x 106 cells per milliliter on poly-D-lysine coated plates for 4 days in vitro, as described previously13,14,15,16,17,18,19.</li>
	<li>Prepare the plasmid DNA of interest following the steps outlined by an endotoxin-free plasmid DNA isolation kit (see Table of Materials). Quantify the resultant DNA using a spectrophotometer.</li>
	<li>On in vitro day 4 (DIV4), aliquot, filter sterilize, and incubate the following media at 37 &#176;C: 6 mL reduced serum media (RSM; e.g., OptiMEM), 25 mL neuronal basal media (NBM), 40 mL NBKY (NBM + 1 mM kynurenic acid + 10 mM MgCl2, adjusted to a pH of 7.4), 10 mL NBC (NBM + 1x neuronal cell culture supplement + 1x L-glutamine supplement + 1x Pen Strep). 
	NOTE: Volumes listed are sufficient for transfecting one 96-well plate. Refer to the Table of Materials for specific reagents.</li>
</ol>
2. Transfection of Rat Cortical Neurons
<ol>
	<li>Modify the provided Example transfection sheet (see Supplemental File 1) by adjusting the plate type, plate map, number of DNAs, DNA concentration, and number of wells (green boxes). 
	NOTE: The total DNA sums to 0.2 &#181;g per well, regardless of whether one (e.g., DNA A) or multiple (e.g., DNA B and C) DNA constructs are added to each well.</li>
	<li>Working from the spreadsheet, combine the appropriate amount of RSM and DNA in one tube. Combine the appropriate amount of RSM and transfection reagent (e.g., Lipofectamine) in a separate tube.</li>
	<li>Incubate at room temperature (RT) for 5 min.</li>
	<li>Combine the DNA and transfection reagent RSM mixtures and incubate at RT for 20 min.</li>
	<li>During this incubation step, use a multichannel pipette and sterile plastic troughs to wash cells 2x with 100 &#181;L per well of NBM. Reserve the conditioned media (CM) and store at 37 &#176;C. For this and following steps, take care to minimize the amount of time neurons are exposed to air.</li>
	<li>Remove the NBM media and replace with 100 &#181;L per well of NBKY.</li>
	<li>After 20 min have passed, add 50 &#181;L of the transfection reagent/DNA mixture dropwise to each well.</li>
	<li>Incubate cells with the transfection reagent/DNA complexes for 20 min at 37 &#176;C.</li>
	<li>Rinse 2x with NBKY and replace with 100 &#181;L of CM and 100 &#181;L of NBC per well.</li>
	<li>Successfully transfected cells should be visible by fluorescence microscopy within 16&#8211;24 h of transfection. To gauge efficiency, use a fluorescent microscope to check the transfection after overnight incubation at 37 &#176;C. 
	NOTE: This technique results in an overall transfection efficiency of 5 to 10%.</li>
</ol>
3. Imaging
<ol>
	<li>Place the plate on a fluorescent microscope with a motorized stage, and establish a fiduciary (e.g., a mark on the bottom of the plate) that will allow the user to align the plate each time it is imaged. Save an image of this fiduciary for reference.</li>
	<li>Navigate to a field of interest and note the x-y coordinates relative to the fiduciary.</li>
	<li>Focus on transfected cells expressing a fluorescent label.</li>
	<li>Take fluorescent images in the appropriate channel or channels (e.g., red fluorescent protein [RFP], green fluorescent protein [GFP], 4&#8242;,6-diamidino-2-phenylindole [DAPI]), either manually or in an automated manner. By taking several images at regularly-spaced intervals, a montage of the well can be assembled during image processing (see step 4). 
	NOTE: The spacing depends on several factors, including magnification, the optics of the microscope, and the detector size. In general, the optical spacing between adjacent images will be between 90&#8211;95% of the size of each individual image, to allow for a small degree of image overlap and feature alignment.</li>
	<li>Repeat this process as often as required, aligning to the original fiduciary each time. For survival analysis, imaging takes place every 6&#8211;24 h, depending on the cell type and the purpose of the experiment.</li>
</ol>
4. Image Processing
NOTE: Following image acquisition, a series of processing steps are required prior to image analysis. These include, but are not limited to, stitching, stacking, and background subtraction (Figure 1). The goal of these steps is to produce an image stack, or time series, in which cells are clearly discernible from their background and easy to follow over multiple time points. A dedicated FIJI macro (Image_Processing.ijm, see Supplemental File 2), performs basic stitching, stacking, and background subtraction. An explanation of each step and the parameters to consider when performing image processing is provided in the discussion section.
<ol>
	<li>Adjust the raw data or input directory to match the formatting shown in Figure 2.</li>
	<li>If time points are not contiguous (i.e., T1, T2, T3), rename these folders so that they are. This step is critical to ensure that the Image_Processing macro does not crash during stacking.</li>
	<li>Double-click on the Fiji icon to open the program, then click and drag the Image_Processing macro onto the Fiji bar. This will open the macro within Fiji.</li>
	<li>Adjust lines 2-7 of the Image_Processing macro to specify the input directory containing images, the desired output directory for stitched and stacked images, the number of imaging timepoints, number of fluorescent channels and plate format.</li>
	<li>Determine the order in which the images were acquired. To test this, manually stitch a montage of images in FIJI by maneuvering to the Plugins drop down menu | Stitching | Grid/Collection stitching. Adjust the settings within the dropdown menus Type and Order until an accurately stitched image is produced.</li>
	<li>Adjust the GRID_TYPE and STITCH_ORDER variables in lines 8 and 9 of the Image_Processing macro to match these selections.</li>
	<li>Specify the number of images per well by adjusting line 10 in the Image_Processing macro. 
	NOTE: For a 2 x 2 montage of images, this line would read DIM = 2.</li>
	<li>If background subtraction is required, adjust line 14 in the Image_Processing macro to BGSUB = true.</li>
	<li>Set the rolling ball radius by adjusting line 15 in the Image_Processing macro. 
	NOTE: For optimal results, set the radius to at least the diameter of the largest foreground object in the image.</li>
	<li>Click Run to start the Image_Processing macro. Once started, Image_Processing will automatically advance through stitching, stacking, and background subtraction.</li>
</ol>
5. Scoring Cell Death
NOTE: See the Discussion section for more information on scoring cell death and censoring data.
<ol>
	<li>Locate the image stacks produced by the Image_Processing script. Open these in FIJI.</li>
	<li>Use the point tool within FIJI to individually label each cell with a number. Pressing t after each point will add the cell identifier to the ROI (region-of-interest) Manager. 
	NOTE: The identifiers can be visualized by clicking the labels and show all checkboxes in the ROI Manager.</li>
	<li>Progress through the timepoints in each image stack and record the timepoint when each cell either dies or needs to be censored in the file Survival_spreadsheet.csv (see Supplemental File 3).
	<ol>
		<li>Each cell occupies a single row in the spreadsheet, where a unique identifier (ID) for each cell consists of its corresponding well and ROI number within that well. tp_death is the last time point a cell is observed to be alive, while time_death represents the actual time of death in hours. For each cell, input these data. It is critical to maintain this structure for subsequent analysis using survival.R (see Supplemental File 4). 
		NOTE: The criteria for determining cell death are crucial and may vary depending on cell type. Three main criteria are used in the identification of dead neurons11,20 (Figure 3): loss of fluorescence intensity (e.g., Neuron 1 at 69 h), rounding of the cell body (e.g., Neuron 2 at 188 h), and the loss of neurite integrity or blebbing (e.g., Neuron 2 at 188 h).</li>
	</ol>
	</li>
	<li>Record the censor status of the cell in the last column. 
	NOTE: Here, due to the peculiar way censoring is handled by R, censored cells are marked by 0, while uncensored cells are marked by 1. Note that all cells that live to the last time point are censored, and therefore marked as 0.</li>
</ol>
6. Performing Cox Proportional Hazards Analysis and Visualizing Results
<ol>
	<li>If necessary, download R studio at https://cran.r-project.org/mirrors.html.</li>
	<li>Open R studio and double-click the icon for the survival.R script.</li>
	<li>Place the cursor on line 2 of survival.R and click the run button in the main R studio window in order to load the survival library.</li>
	<li>Change line 5 of the survival.R script to match the location of the file Survival_spreadsheet.csv. Click on run to load the survival data as a dataframe.</li>
	<li>Highlight lines 8 and 9 and click the run button in the R studio console window in order to perform Cox proportional hazards analysis. Results and output statistics appear in the console window of R studio.</li>
	<li>Highlight lines 12-16 of survival.R and hit the run button in order to produce a cumulative risk of death plot, which will appear in the plots tab in R studio. This file can be saved by clicking on the export button above the plot.</li>
	<li>If it is desirable to plot the survival data as a Kaplan-Meier curve, highlight lines 19-24 of survival.R and hit the run button.</li>
</ol>

<ol><li>Lockshin, R. A., Zakeri, Z. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Cell+death+in+health+and+disease%5BTitle%5D)+AND+%22Journal+of+Cellular+and+Molecular+Medicine%22%5BJournal%5D)">Cell death in health and disease.</a> Journal of Cellular and Molecular Medicine. 11, 1214-1224 (2007).</li>
<li>Kepp, O., Galluzzi, L., Lipinski, M., Yuan, J., Kroemer, G. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Cell+death+assays+for+drug+discovery%5BTitle%5D)+AND+%22Nature+Reviews+Drug+Discovery%22%5BJournal%5D)">Cell death assays for drug discovery.</a> Nature Reviews Drug Discovery. 10, 221-237 (2011).</li>
<li>Lemasters, J. J., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((The+mitochondrial+permeability+transition+in+cell+death%3A+a+common+mechanism+in+necrosis%2C+apoptosis+and+autophagy%5BTitle%5D)+AND+%22Biochimica+et+Biophysica+Acta+Bioenergetics%22%5BJournal%5D)">The mitochondrial permeability transition in cell death: a common mechanism in necrosis, apoptosis and autophagy.</a> Biochimica et Biophysica Acta Bioenergetics. , 177-196 (1998).</li>
<li>Vermes, I., Haanen, C., Steffens-Nakken, H., Reutelingsperger, C. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((A+novel+assay+for+apoptosis.+Flow+cytometric+detection+of+phosphatidylserine+expression+on+early+apoptotic+cells+using+fluorescein+labelled+Annexin+V%5BTitle%5D)+AND+%22Journal+of+Immunological+Methods%22%5BJournal%5D)">A novel assay for apoptosis. Flow cytometric detection of phosphatidylserine expression on early apoptotic cells using fluorescein labelled Annexin V.</a> Journal of Immunological Methods. 184, 39-51 (1995).</li>
<li>Chien, K. R., Abrams, J., Serroni, A., Martin, J. T., Farber, J. L. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Accelerated+phospholipid+degradation+and+associated+membrane+dysfunction+in+irreversible%2C+ischemic+liver+cell+injury%5BTitle%5D)+AND+%22Journal+of+Biological+Chemistry%22%5BJournal%5D)">Accelerated phospholipid degradation and associated membrane dysfunction in irreversible, ischemic liver cell injury.</a> Journal of Biological Chemistry. 253, 4809-4817 (1978).</li>
<li>Zwaal, R. F. A., Comfurius, P., Bevers, E. M. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Surface+exposure+of+phosphatidylserine+in+pathological+cells%5BTitle%5D)+AND+%22Cell+and+Molecular+Life+Sciences%22%5BJournal%5D)">Surface exposure of phosphatidylserine in pathological cells.</a> Cell and Molecular Life Sciences. 62, 971-988 (2005).</li>
<li>Mitchell, D. B., Santone, K. S., Acosta, D. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Evaluation+of+cytotoxicity+in+cultured+cells+by+enzyme+leakage%5BTitle%5D)+AND+%22Journal+of+Tissue+Culture+Methods%22%5BJournal%5D)">Evaluation of cytotoxicity in cultured cells by enzyme leakage.</a> Journal of Tissue Culture Methods. 6, 113-116 (1980).</li>
<li>Moran, J. H., Schnellmann, R. G. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((A+rapid+beta-NADH-linked+fluorescence+assay+for+lactate+dehydrogenase+in+cellular+death%5BTitle%5D)+AND+%22Journal+of+Pharmacological+and+Toxicological+Methods%22%5BJournal%5D)">A rapid beta-NADH-linked fluorescence assay for lactate dehydrogenase in cellular death.</a> Journal of Pharmacological and Toxicological Methods. 36, 41-44 (1996).</li>
<li>Mossman, T. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Rapid+colorimetric+assay+for+cellular+growth+and+survival%3A+Application+to+proliferation+and+cytotoxicity+assays%5BTitle%5D)+AND+%22Journal+of+Immunological+Methods%22%5BJournal%5D)">Rapid colorimetric assay for cellular growth and survival: Application to proliferation and cytotoxicity assays.</a> Journal of Immunological Methods. 65 (1-2), 55-63 (1983).</li>
<li>Guerzoni, L. P. B., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((In+Vitro+Modulation+of+TrkB+Receptor+Signaling+upon+Sequential+Delivery+of+Curcumin-DHA+Loaded+Carriers+Towards+Promoting+Neuronal+Survival%5BTitle%5D)+AND+%22Pharmaceutical+Research%22%5BJournal%5D)">In Vitro Modulation of TrkB Receptor Signaling upon Sequential Delivery of Curcumin-DHA Loaded Carriers Towards Promoting Neuronal Survival.</a> Pharmaceutical Research. 34 (2), 492-505 (2017).</li>
<li>Arrasate, M., Finkbeiner, S. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Automated+microscope+system+for+determining+factors+that+predict+neuronal+fate%5BTitle%5D)+AND+%22Proceedings+of+the+National+Academy+of+Science+of+the+United+States+of+America%22%5BJournal%5D)">Automated microscope system for determining factors that predict neuronal fate.</a> Proceedings of the National Academy of Science of the United States of America. 102, 3840-3845 (2005).</li>
<li>Christensen, E. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Multivariate+survival+analysis+using+Cox%E2%80%99s+regression+model%5BTitle%5D)+AND+%22Hepatology%22%5BJournal%5D)">Multivariate survival analysis using Cox’s regression model.</a> Hepatology. 7, 1346-1358 (1987).</li>
<li>Barmada, S. J., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Autophagy+induction+enhances+TDP43+turnover+and+survival+in+neuronal+ALS+models%5BTitle%5D)+AND+%22Nature+Chemical+Biology%22%5BJournal%5D)">Autophagy induction enhances TDP43 turnover and survival in neuronal ALS models.</a> Nature Chemical Biology. 10, 677-685 (2014).</li>
<li>Barmada, S. J., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Amelioration+of+toxicity+in+neuronal+models+of+amyotrophic+lateral+sclerosis+by+hUPF1%5BTitle%5D)+AND+%22Proceedings+of+the+National+Academy+of+Science+of+the+United+States+of+America%22%5BJournal%5D)">Amelioration of toxicity in neuronal models of amyotrophic lateral sclerosis by hUPF1.</a> Proceedings of the National Academy of Science of the United States of America. 112, 7821-7826 (2015).</li>
<li>Malik, A. M., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Matrin+3-dependent+neurotoxicity+is+modified+by+nucleic+acid+binding+and+nucleocytoplasmic+localization%5BTitle%5D)+AND+%22Elife%22%5BJournal%5D)">Matrin 3-dependent neurotoxicity is modified by nucleic acid binding and nucleocytoplasmic localization.</a> Elife. 7, (2018).</li>
<li>Archbold, H. C., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((TDP43+nuclear+export+and+neurodegeneration+in+models+of+amyotrophic+lateral+sclerosis+and+frontotemporal+dementia%5BTitle%5D)+AND+%22Scientific+Reports%22%5BJournal%5D)">TDP43 nuclear export and neurodegeneration in models of amyotrophic lateral sclerosis and frontotemporal dementia.</a> Scientific Reports. 8, 4606(2018).</li>
<li>Green, K. M., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((RAN+translation+at+C9orf72-associated+repeat+expansions+is+selectively+enhanced+by+the+integrated+stress+response%5BTitle%5D)+AND+%22Nature+Communications%22%5BJournal%5D)">RAN translation at C9orf72-associated repeat expansions is selectively enhanced by the integrated stress response.</a> Nature Communications. 8, 2005(2017).</li>
<li>Park, S. -K., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Overexpression+of+the+essential+Sis1+chaperone+reduces+TDP-43+effects+on+toxicity+and+proteolysis%5BTitle%5D)+AND+%22PLOS+Genetics%22%5BJournal%5D)">Overexpression of the essential Sis1 chaperone reduces TDP-43 effects on toxicity and proteolysis.</a> PLOS Genetics. 13, e1006805(2017).</li>
<li>Gupta, R., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((The+Proline%2FArginine+Dipeptide+from+Hexanucleotide+Repeat+Expanded+C9ORF72+Inhibits+the+Proteasome%5BTitle%5D)+AND+%22eNeuro%22%5BJournal%5D)">The Proline/Arginine Dipeptide from Hexanucleotide Repeat Expanded C9ORF72 Inhibits the Proteasome.</a> eNeuro. 4, (2017).</li>
<li>Angelov, B., Angelova, A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/pubmed?term=((Nanoscale+clustering+of+the+neurotrophin+receptor+TrkB+revealed+by+super-resolution+STED+microscopy%5BTitle%5D)+AND+%22Nanoscale%22%5BJournal%5D)">Nanoscale clustering of the neurotrophin receptor TrkB revealed by super-resolution STED microscopy.</a> Nanoscale. 9 (28), 9797-9804 (2017).</li>
</ol>

The authors have nothing to disclose.

Here, methodology to directly monitor neuronal survival on a single-cell basis is presented. In contrast to traditional assays for cell death that are limited to discrete time points and entire populations of cells, this method allows for the continuous assessment of a variety of factors such as cellular morphology, protein expression, or localization, and can determine how each factor influences cellular survival in a prospective manner.
This methodology can be modified to fit a wide array of...

Abnormal cell death is a driving factor in many diseases, including cancer, neurodegeneration, and stroke1. Robust and sensitive assays for cell death are essential to the characterization of these disorders, as well as the development of therapeutic strategies for extending or reducing cellular survival. There are currently dozens of techniques for measuring cell death, either directly or through surrogate markers2. For example, cell death can be assessed visually with the help of vital dyes that selectively stain dead or living cells3, or by monitoring the appearance of specific phospholipids on the plasma membrane4,5,6. Measurements of intracellular components or cellular metabolites released into the media upon cellular dissolution can also be used as proxies for cell death7,8. Alternatively, cellular viability can be approximated by assessing metabolic activity9,10. Though these methods provide rapid means of assessing cell survival, they are not without caveats. Each technique observes the culture as a single population, rendering it impossible to distinguish between individual cells and their unique rates of survival. Furthermore, such population-based assays are unable to measure factors that may be important for cell death, including cellular morphology, protein expression, or localization. In many cases, these assays are limited to discrete time points, and do not allow for the continuous observation of cells over time.
&#160;In contrast, longitudinal fluorescence microscopy is a highly flexible methodology that directly and continuously monitors the risk of death on a single-cell basis11. In brief, longitudinal fluorescence microscopy enables thousands of individual cells to be tracked at regular intervals for extended periods of time, allowing precise determinations of cell death and the factors that enhance or suppress cell death. At its base, the method involves the transient transfection or transduction of cells with vectors encoding fluorescent proteins. A unique fiduciary is then established, and the position of each transfected cell in relation to this landmark allows the user to image and track individual cells over the course of hours, days, or weeks. When these images are viewed sequentially, cell death is marked by characteristic changes in fluorescence, morphology, and fragmentation of the cell body, enabling the assignment of a time of death for each cell. The calculated rate of death, determined by the hazard function, can then be quantitatively compared between conditions, or related to select cellular characteristics using univariate or multivariate Cox proportional hazards analysis12. Together, these approaches enable the accurate and objective discrimination of rates of cell death among cellular populations, and the identification of variables that significantly predict cell death and/or survival (Figure 1).
Although this method can be used to monitor survival in any post-mitotic cell type in a variety of plating formats, this protocol will describe conditions for transfecting and imaging rat cortical neurons cultured in a 96-well plate.

<table><tbody><tr><td>Neurobasal Medium</td><td>GIBCO</td><td>21103-049</td><td></td></tr><tr><td>Opti-MEM</td><td>GIBCO</td><td>31985-070</td><td></td></tr><tr><td>CompactPrep Plasmid Maxi Kit</td><td>Qiagen</td><td>12863</td><td></td></tr><tr><td>Magnesium chloride Hexahydrate</td><td>Sigma</td><td>M9272</td><td></td></tr><tr><td>Kynurenic Acid Hydrate</td><td>TCI</td><td>H0303</td><td></td></tr><tr><td>Poly D-Lysine</td><td>Millipore</td><td>A-003-E</td><td></td></tr><tr><td>Glutamax</td><td>GIBCO</td><td>35050-061</td><td></td></tr><tr><td>Lipofectamine 2000</td><td>Invitrogen</td><td>52887</td><td></td></tr><tr><td>B27 supplement</td><td>Thermo Fisher</td><td>A3582801</td><td></td></tr><tr><td>Penicillin/Streptomycin</td><td>GIBCO</td><td>15140122</td><td></td></tr><tr><td>96 well plates</td><td>TPP</td><td>0876</td><td></td></tr></tbody></table>

monitoring neuronal survival via longitudinal fluorescence microscopy

Standard cytotoxicity assays, which require the collection of lysates or fixed cells at multiple time points, have limited sensitivity and capacity to assess factors that influence neuronal fate. These assays require the observation of separate populations of cells at discrete time points. As a result, individual cells cannot be followed prospectively over time, severely limiting the ability to discriminate whether subcellular events, such as puncta formation or protein mislocalization, are pathogenic drivers of disease, homeostatic responses, or merely coincidental phenomena. Single-cell longitudinal microscopy overcomes these limitations, allowing the researcher to determine differences in survival between populations and draw causal relationships with enhanced sensitivity. This video guide will outline a representative workflow for experiments measuring single-cell survival of rat primary cortical neurons expressing a fluorescent protein marker. The viewer will learn how to achieve high-efficiency transfections, collect and process images enabling the prospective tracking of individual cells, and compare the relative survival of neuronal populations using Cox proportional hazards analysis.

Using the transfection procedure described here, DIV4 rat cortical neurons were transfected with a plasmid encoding the fluorescent protein mApple. Beginning 24 h post-transfection, cells were imaged by fluorescence microscopy every 24 h for 10 consecutive days. The resultant images were organized as indicated in Figure 2, then stitched, stacked, and scored for cell death (Figure 1). Figure 3 shows a...

Watch this Scientific Journal Video about Monitoring Neuronal Survival via Longitudinal Fluorescence Microscopy at JoVE.com

Monitoring Neuronal Survival via Longitudinal Fluorescence Microscopy

Here, we present a protocol to monitor survival on a single-cell basis and identify variables that significantly predict cell death.

Standard cytotoxicity assays, which require the collection of lysates or fixed cells at multiple time points, have limited sensitivity and capacity to ...

monitoring-neuronal-survival-via-longitudinal-fluorescence-microscopy

Research

Education

JoVE Core

JoVE Journal

Statistics

Neuroscience

Unit 1

Survival Analysis

SCIENTISTS IN ACTION

6.4K Views.  University of Michigan School of Medicine. Dit protocol stelt onderzoekers in staat om de overleving te controleren op een eencellige basis en identificeren variabelen die aanzienlijk voorspellen celdood of overleving. Conventionele cytotoxiciteitstesten beoordelen populaties cellen en missen het vermogen om individuele cellen te discrimineren. Longitudinale microscopie maakt de toewijzing van het tijdstip van overlijden voor elke cel in een populatie mogelijk.Deze techniek is zeer geschikt voor het evalueren van nieuwe therapi...

Video: Monitoring Neuronal Survival via Longitudinal Fluorescence Microscopy

Long-term Live-cell Imaging to Assess Cell Fate in Response to Paclitaxel

Live-cell imaging is a powerful technique that can be used to directly visualize biological phenomena in single cells over extended periods of time. Over the past decade, new and innovative technologies have greatly enhanced the practicality of live-cell imaging. Cells can now be kept in focus and continuously imaged over several days while maintained under 37 &#176;C and 5% CO2 cell culture conditions. Moreover, multiple fields of view representing different experimental conditions can be acquired simultaneously, thus providing high-throughput experimental data. Live-cell imaging provides a significant advantage over fixed-cell imaging by allowing for the direct visualization and temporal quantitation of dynamic cellular events. Live-cell imaging can also identify variation in the behavior of single cells that would otherwise have been missed using population-based assays. Here, we describe live-cell imaging protocols to assess cell fate decisions following treatment with the anti-mitotic drug paclitaxel. We demonstrate methods to visualize whether mitotically arrested cells die directly from mitosis or slip back into interphase. We also describe how the fluorescent ubiquitination-based cell cycle indicator (FUCCI) system can be used to assess the fraction of interphase cells born from mitotic slippage that are capable of re-entering the cell cycle. Finally, we describe a live-cell imaging method to identify nuclear envelope rupture events.

Live-cell imaging provides a wealth of information on single cells or whole populations that is unattainable by fixed cell imaging alone. Here, live-cell imaging protocols to assess cell fate decisions following treatment with the anti-mitotic drug paclitaxel are described.

Live-cell imaging is a powerful technique that can be used to directly visualize biological phenomena in single cells over extended periods of time. Over ...

Cancer Research

Neuromodulation and Mitochondrial Transport: Live Imaging in Hippocampal Neurons over Long Durations

To understand the relationship between mitochondrial transport and neuronal function, it is critical to observe mitochondrial behavior in live cultured neurons for extended durations1-3. This is now possible through the use of vital dyes and fluorescent proteins with which cytoskeletal components, organelles, and other structures in living cells can be labeled and then visualized via dynamic fluorescence microscopy. For example, in embryonic chicken sympathetic neurons, mitochondrial movement was characterized using the vital dye rhodamine 1234. In another study, mitochondria were visualized in rat forebrain neurons by transfection of mitochondrially targeted eYFP5. However, imaging of primary neurons over minutes, hours, or even days presents a number of issues. Foremost among these are: 1) maintenance of culture conditions such as temperature, humidity, and pH during long imaging sessions; 2) a strong, stable fluorescent signal to assure both the quality of acquired images and accurate measurement of signal intensity during image analysis; and 3) limiting exposure times during image acquisition to minimize photobleaching and avoid phototoxicity.
Here, we describe a protocol that permits the observation, visualization, and analysis of mitochondrial movement in cultured hippocampal neurons with high temporal resolution and under optimal life support conditions. We have constructed an affordable stage-top incubator that provides good temperature regulation and atmospheric gas flow, and also limits the degree of media evaporation, assuring stable pH and osmolarity. This incubator is connected, via inlet and outlet hoses, to a standard tissue culture incubator, which provides constant humidity levels and an atmosphere of 5-10% CO2/air. This design offers a cost-effective alternative to significantly more expensive microscope incubators that don't necessarily assure the viability of cells over many hours or even days. To visualize mitochondria, we infect cells with a lentivirus encoding a red fluorescent protein that is targeted to the mitochondrion. This assures a strong and persistent signal, which, in conjunction with the use of a stable xenon light source, allows us to limit exposure times during image acquisition and all but precludes photobleaching and phototoxicity. Two injection ports on the top of the stage-top incubator allow the acute administration of neurotransmitters and other reagents intended to modulate mitochondrial movement. In sum, lentivirus-mediated expression of an organelle-targeted red fluorescent protein and the combination of our stage-top incubator, a conventional inverted fluorescence microscope, CCD camera, and xenon light source allow us to acquire time-lapse images of mitochondrial transport in living neurons over longer durations than those possible in studies deploying conventional vital dyes and off-the-shelf life support systems.

We describe a protocol that allows imaging of mitochondria in living neurons via fluorescence microscopy over long durations. Imaging over extended periods is accomplished through lentivirus-mediated expression of a mitochondrially targeted fluorescent protein and use of an inexpensive stage-top incubator that was designed and built in our laboratory.

To understand the relationship between mitochondrial transport and neuronal function, it is critical to observe mitochondrial behavior in live cultured ...

Monitoring Cleaved Caspase-3 Activity and Apoptosis of Immortalized Oligodendroglial Cells using Live-cell Imaging and Cleaveable Fluorogenic-dye Substrates Following Potassium-induced Membrane Depolarization

The central nervous system can experience a number of stresses and neurological insults, which can have numerous adverse effects that ultimately lead to a reduction in neuronal population and function. Damaged axons can release excitatory molecules including potassium or glutamate into the extracellular matrix, which in turn, can produce further insult and injury to the supporting glial cells including astrocytes and oligodendrocytes 8, 16. If the insult persists, cells will undergo programmed cell death (apoptosis), which is regulated and activated by a number of well-established signal transduction cascades 14. Apoptosis and tissue necrosis can occur after traumatic brain injury, cerebral ischemia, and seizures. A classical example of apoptotic regulation is the family of cysteine-dependent aspartate-directed proteases, or caspases. Activated proteases including caspases have also been implicated in cell death in response to chronic neurodegenerative diseases including Alzheimer's, Huntington's, and Multiple Sclerosis 4, 14, 3, 11, 7.
In this protocol we describe the use of the NucView 488 caspase-3 substrate to measure the rate of caspase-3 mediated apoptosis in immortalized N19-oligodendrocyte (OLG) cell cultures 15, 5, following exposure to different extracellular stresses such as high concentrations of potassium or glutamate. The conditionally-immortalized N19-OLG cell line (representing the O2A progenitor) was obtained from Dr. Anthony Campagnoni (UCLA Semel Institute for Neuroscience) 15, 5, and has been previously used to study molecular mechanisms of myelin gene expression and signal transduction leading to OLG differentiation (e.g.6, 10). We have found this cell line to be robust with respect to transfection with exogenous myelin basic protein (MBP) constructs fused to either RFP or GFP (red or green fluorescent protein) 13, 12. Here, the N19-OLG cell cultures were treated with either 80 mM potassium chloride or 100 mM sodium glutamate to mimic axonal leakage into the extracellular matrix to induce apoptosis 9. We used a bi-functional caspase-3 substrate containing a DEVD (Asp-Glu-Val-Asp) caspase-3 recognition subunit and a DNA-binding dye 2. The substrate quickly enters the cytoplasm where it is cleaved by intracellular caspase-3. The dye, NucView 488 is released and enters the cell nucleus where it binds DNA and fluoresces green at 488 nm, signaling apoptosis. Use of the NucView 488 caspase-3 substrate allows for live-cell imaging in real-time 1, 10. In this video, we also describe the culturing and transfection of immortalized N19-OLG cells, as well as live-cell imaging techniques.

Monitoring Cleaved Caspase-3 Activity and Apoptosis of Immortalized Oligodendroglial Cells using Live-cell Imaging and Cleaveable Fluorogenic-dye Substrates Following Potassium-induced Membrane Depola

Live-cell imaging of caspase-3 mediated apoptosis in immortalized N19-oligodendrocyte cell cultures using the NucView 488 caspase-3 substrate. This technique is applicable for programmed cell death assays in real-time in a variety of cell types and tissues.

The central nervous system can experience a number of stresses and neurological insults, which can have numerous adverse effects that ultimately lead to a ...

Lateral Diffusion and Exocytosis of Membrane Proteins in Cultured Neurons Assessed using Fluorescence Recovery and Fluorescence-loss Photobleaching

Membrane proteins such as receptors and ion channels undergo active trafficking in neurons, which are highly polarised and morphologically complex. This directed trafficking is of fundamental importance to deliver, maintain or remove synaptic proteins.
Super-ecliptic pHluorin (SEP) is a pH-sensitive derivative of eGFP that has been extensively used for live cell imaging of plasma membrane proteins1-2. At low pH, protonation of SEP decreases photon absorption and eliminates fluorescence emission. As most intracellular trafficking events occur in compartments with low pH, where SEP fluorescence is eclipsed, the fluorescence signal from SEP-tagged proteins is predominantly from the plasma membrane where the SEP is exposed to a neutral pH extracellular environment. When illuminated at high intensity SEP, like every fluorescent dye, is irreversibly photodamaged (photobleached)3-5. Importantly, because low pH quenches photon absorption, only surface expressed SEP can be photobleached whereas intracellular SEP is unaffected by the high intensity illumination6-10. 
FRAP (fluorescence recovery after photobleaching) of SEP-tagged proteins is a convenient and powerful technique for assessing protein dynamics at the plasma membrane. When fluorescently tagged proteins are photobleached in a region of interest (ROI) the recovery in fluorescence occurs due to the movement of unbleached SEP-tagged proteins into the bleached region. This can occur via lateral diffusion and/or from exocytosis of non-photobleached receptors supplied either by de novo synthesis or recycling (see Fig. 1). The fraction of immobile and mobile protein can be determined and the mobility and kinetics of the diffusible fraction can be interrogated under basal and stimulated conditions such as agonist application or neuronal activation stimuli such as NMDA or KCl application8,10. 
We describe photobleaching techniques designed to selectively visualize the recovery of fluorescence attributable to exocytosis. Briefly, an ROI is photobleached once as with standard FRAP protocols, followed, after a brief recovery, by repetitive bleaching of the flanking regions. This 'FRAP-FLIP' protocol, developed in our lab, has been used to characterize AMPA receptor trafficking at dendritic spines10, and is applicable to a wide range of trafficking studies to evaluate the intracellular trafficking and exocytosis.

This report describes the use of live cell imaging and photobleach techniques to determine the surface expression, transport pathways and trafficking kinetics of exogenously expressed, pH-sensitive GFP-tagged proteins at the plasma membrane of neurons.

Membrane proteins such as receptors and ion channels undergo active trafficking in neurons, which are highly polarised and morphologically complex. This ...

High-resolution Live Imaging of Cell Behavior in the Developing Neuroepithelium

The embryonic spinal cord consists of cycling neural progenitor cells that give rise to a large percentage of the neuronal and glial cells of the central nervous system (CNS). Although much is known about the molecular mechanisms that pattern the spinal cord and elicit neuronal differentiation1, 2, we lack a deep understanding of these early events at the level of cell behavior. It is thus critical to study the behavior of neural progenitors in real time as they undergo neurogenesis.
In the past, real-time imaging of early embryonic tissue has been limited by cell/tissue viability in culture as well as the phototoxic effects of fluorescent imaging. Here we present a novel assay for imaging such tissue for long periods of time, utilizing a novel ex vivo slice culture protocol and wide-field fluorescence microscopy (Fig. 1). This approach achieves long-term time-lapse monitoring of chick embryonic spinal cord progenitor cells with high spatial and temporal resolution.
This assay may be modified to image a range of embryonic tissues3, 4 In addition to the observation of cellular and sub-cellular behaviors, the development of novel and highly sensitive reporters for gene activity (for example, Notch signaling5) makes this assay a powerful tool with which to understand how signaling regulates cell behavior during embryonic development.

Imaging embryonic tissue in real-time is challenging over long periods of time. Here we present an assay for monitoring cellular and sub-cellular changes in chick spinal cord for long periods with high spatial and temporal resolution. This technique can be adapted for other regions of the nervous system and developing embryo.

The embryonic spinal cord consists of cycling neural progenitor cells that give rise to a large percentage of the neuronal and glial cells of the central ...

Fluorescence and Bioluminescence Imaging of Subcellular Ca2+ in Aged Hippocampal Neurons

Susceptibility to neuron cell death associated to neurodegeneration and ischemia are exceedingly increased in the aged brain but mechanisms responsible are badly known. Excitotoxicity, a process believed to contribute to neuron damage induced by both insults, is mediated by activation of glutamate receptors that promotes Ca2+ influx and mitochondrial Ca2+ overload. A substantial change in intracellular Ca2+ homeostasis or remodeling of intracellular Ca2+ homeostasis may favor neuron damage in old neurons. For investigating Ca2+ remodeling in aging we have used live cell imaging in long-term cultures of rat hippocampal neurons that resemble in some aspects aged neurons in vivo. For this end, hippocampal cells are, in first place, freshly dispersed from new born rat hippocampi and plated on poli-D-lysine coated, glass coverslips. Then cultures are kept in controlled media for several days or several weeks for investigating young and old neurons, respectively. Second, cultured neurons are loaded with fura2 and subjected to measurements of cytosolic Ca2+ concentration using digital fluorescence ratio imaging. Third, cultured neurons are transfected with plasmids expressing a tandem of low-affinity aequorin and GFP targeted to mitochondria. After 24 hr, aequorin inside cells is reconstituted with coelenterazine and neurons are subjected to bioluminescence imaging for monitoring of mitochondrial Ca2+ concentration. This three-step procedure allows the monitoring of cytosolic and mitochondrial Ca2+ responses to relevant stimuli as for example the glutamate receptor agonist NMDA and compare whether these and other responses are influenced by aging. This procedure may yield new insights as to how aging influence cytosolic and mitochondrial Ca2+ responses to selected stimuli as well as the testing of selected drugs aimed at preventing neuron cell death in age-related diseases.

Fluorescence and Bioluminescence Imaging of Subcellular Ca2+ in Aged Hippocampal Neurons

Intracellular Ca2+ remodeling in aging may contribute to excitotoxicity and neuron damage, processes mediated by Ca2+ overload. We aimed at investigating Ca2+ remodeling in the aging brain using fluorescence and bioluminescence imaging of cytosolic and mitochondrial Ca2+ in long-term cultures of rat hippocampal neurons, a model of neuronal aging.

Susceptibility to neuron cell death associated to neurodegeneration and ischemia are exceedingly increased in the aged brain but mechanisms responsible ...

Live Imaging Followed by Single Cell Tracking to Monitor Cell Biology and the Lineage Progression of Multiple Neural Populations

Understanding the mechanisms that control critical biological events of neural cell populations, such as proliferation, differentiation, or cell fate decisions, will be crucial to design therapeutic strategies for many diseases affecting the nervous system. Current methods to track cell populations rely on their final outcomes in still images and they generally fail to provide sufficient temporal resolution to identify behavioral features in single cells. Moreover, variations in cell death, behavioral heterogeneity within a cell population, dilution, spreading, or the low efficiency of the markers used to analyze cells are all important handicaps that will lead to incomplete or incorrect read-outs of the results. Conversely, performing live imaging and single cell tracking under appropriate conditions represents a powerful tool to monitor each of these events. Here, a time-lapse video-microscopy protocol, followed by post-processing, is described to track neural populations with single cell resolution, employing specific software. The methods described enable researchers to address essential questions regarding the cell biology and lineage progression of distinct neural populations.

A robust protocol to monitor neural populations by time-lapse video-microscopy followed by software-based post-processing is described. This method represents a powerful tool to identify biological events in a selected population during live imaging experiments.

Understanding the mechanisms that control critical biological events of neural cell populations, such as proliferation, differentiation, or cell fate ...

Modified Roller Tube Method for Precisely Localized and Repetitive Intermittent Imaging During Long-term Culture of Brain Slices in an Enclosed System

Cultured rodent brain slices are useful for studying the cellular and molecular behavior of neurons and glia in an environment that maintains many of their normal in vivo interactions. Slices obtained from a variety of transgenic mouse lines or use of viral vectors for expression of fluorescently tagged proteins or reporters in wild type brain slices allow for high-resolution imaging by fluorescence microscopy. Although several methods have been developed for imaging brain slices, combining slice culture with the ability to perform repetitive high-resolution imaging of specific cells in live slices over long time periods has posed problems. This is especially true when viral vectors are used for expression of exogenous proteins since this is best done in a closed system to protect users and prevent cross contamination. Simple modifications made to the roller tube brain slice culture method that allow for repetitive high-resolution imaging of slices over many weeks in an enclosed system are reported. Culturing slices on photoetched coverslips permits the use of fiducial marks to rapidly and precisely reposition the stage to image the identical field over time before and after different treatments. Examples are shown for the use of this method combined with specific neuronal staining and expression to observe changes in hippocampal slice architecture, viral-mediated neuronal expression of fluorescent proteins, and the development of cofilin pathology, which was previously observed in the hippocampus of Alzheimer's disease (AD) in response to slice treatment with oligomers of amyloid-&#946; (A&#946;) peptide.

Presented here is a modified roller tube method for culturing and intermittent high-resolution imaging of rodent brain slices over many weeks with precise repositioning on photoetched coverslips. Neuronal viability and slice morphology are well maintained. Applications of this fully enclosed system using viruses for cell-type specific expression are provided.

Cultured rodent brain slices are useful for studying the cellular and molecular behavior of neurons and glia in an environment that maintains many of ...

Imaging and Analysis of Neurofilament Transport in Excised Mouse Tibial Nerve

Neurofilament protein polymers move along axons in the slow component of axonal transport at average speeds of ~0.35-3.5 mm/day. Until recently the study of this movement in situ was only possible using radioisotopic pulse-labeling, which permits analysis of axonal transport in whole nerves with a temporal resolution of days and a spatial resolution of millimeters. To study neurofilament transport in situ with higher temporal and spatial resolution, we developed a hThy1-paGFP-NFM transgenic mouse that expresses neurofilament protein M tagged with photoactivatable GFP in neurons. Here we describe fluorescence photoactivation pulse-escape and pulse-spread methods to analyze neurofilament transport in single myelinated axons of tibial nerves from these mice ex vivo. Isolated nerve segments are maintained on the microscope stage by perfusion with oxygenated saline and imaged by spinning disk confocal fluorescence microscopy. Violet light is used to activate the fluorescence in a short axonal window. The fluorescence in the activated and flanking regions is analyzed over time, permitting the study of neurofilament transport with temporal and spatial resolution on the order of minutes&#160;and microns, respectively. Mathematical modeling can be used to extract kinetic parameters of neurofilament transport including the velocity, directional bias and pausing behavior from the resulting data. The pulse-escape and pulse-spread methods can also be adapted to visualize neurofilament transport in other nerves. With the development of additional transgenic mice, these methods could also be used to image and analyze the axonal transport of other cytoskeletal and cytosolic proteins in axons.

We describe fluorescence photoactivation methods to analyze the axonal transport of neurofilaments in single myelinated axons of peripheral nerves from transgenic mice that express a photoactivatable neurofilament protein.

Neurofilament protein polymers move along axons in the slow component of axonal transport at average speeds of ~0.35-3.5 mm/day. Until recently the study ...

A Scalable Method to Study Neuronal Survival in Primary Neuronal Culture with Single-cell and Real-Time Resolution

Neuronal loss is at the core of many neuropathologies, including stroke, Alzheimer's disease, and Parkinson's disease. Different methods were developed to study the process of neuronal survival upon cytotoxic stress. Most methods are based on biochemical approaches that do not allow single-cell resolution or involve complex and costly methodologies. Presented here is a versatile, inexpensive, and effective experimental paradigm to study neuronal survival. This method takes advantage of sparse fluorescent labeling of the neurons followed by live imaging and automated quantification. To this aim, the neurons are electroporated to express fluorescent markers and co-cultured with non-electroporated neurons to easily regulate cell density and increase survival. 
Sparse labeling by electroporation allows a simple and robust automated quantification. In addition, fluorescent labeling can be combined with the co-expression of a gene of interest to study specific molecular pathways. Here, we present a model of stroke as a neurotoxic model, namely, the oxygen-glucose deprivation (OGD) assay, which was performed in an affordable and robust homemade hypoxic chamber. Finally, two different workflows are described using IN Cell Analyzer 2200 or the open-source ImageJ for image analysis for semi-automatic data processing. This workflow can be easily adapted to different experimental models of toxicity and scaled up for high-throughput screening. In conclusion, the described protocol provides an approachable, affordable, and effective in vitro model of neurotoxicity, which can be suitable for testing the roles of specific genes and pathways in live imaging and for high-throughput drug screening.

Here, we present a simple, potent, and versatile methodology to investigate neuronal survival upon cytotoxic stress in primary cortical neurons with cellular resolution in real time or in fixed material.

Neuronal loss is at the core of many neuropathologies, including stroke, Alzheimer's disease, and Parkinson's disease. Different methods were developed to ...

Monitoring Neuronal Survival via Longitudinal Fluorescence Microscopy

Samenvatting

Meer video's verkennen