This research was supported by NIH/NIDCD R21 DC016157 (X.Shi), NIH/NIDCD R01 DC015781 (X.Shi), NIH/NIDCD R01-DC010844 (X.Shi),&#160;and Medical Research Foundation from Oregon Health and Science University (OHSU) (X.Shi).

NOTE: This is a non-survival surgery. All procedures involving the use of animals were reviewed and approved by the Institutional Animal Care and Use Committee at Oregon Health &#38; Science University (IACUC approval number: TR01_IP00000968).
1. Preparation of the fluorescent-labeled blood cells
<ol>
	<li>Anesthetize the donor mice (male C57BL/6J mice aged ~6 weeks) with an intraperitoneal (i.p.) injection of ketamine/xylazine anesthetic solution (5 mL/kg, see the Table of Materials). 
	&#8203;NOTE: This anesthesia protocol is very reliable and maintains systemic blood pressure.</li>
	<li>Lay the mouse on its back, open&#160;the skin and expose the chest cavity using tweezers and dissecting scissors. Cut open the diaphragm, grab at the base of the sternum using clamp scissors, cut through the ribcage and lift to expose the heart.&#160;Collect 1 mL of blood in heparin (15 IU/mL blood) by cardiac puncture, and centrifuge at 3,000 &#215; g for 3 min at 4 &#176;C. Euthanize the mouse by cervical dislocation after blood collection.</li>
	<li>Remove the plasma, wash the blood cell pellet with 1 mL of phosphate-buffered saline (PBS), and centrifuge 3x at 3000 &#215; g for 3 min at 4 &#176;C.</li>
	<li>Label the blood cells with 1 mL of 20 mM DiO or Dil in PBS, and incubate in the dark for 30 min at room temperature23,24.</li>
	<li>Centrifuge and wash the labeled blood cells with 1 mL of PBS, centrifuge 3x at 3000 &#215; g for 3 min at 4 &#176;C, and resuspend the cell pellet in 30% hematocrit with ~0.9 mL of PBS (final volume ~1.3 mL) before injection.</li>
</ol>
2. Surgery to create an open window 25
<ol>
	<li>Prepare the sterile surgical instruments and imaging platform, and place a heating pad beneath the drape (Figure 1A). Anesthetize the mice (male C57BL/6J mice aged ~6 weeks) as described in step 1.1, and check the depth of the anesthesia by monitoring the paw reflex and general muscle tone. Place the animal on the warm heating pad, and maintain the rectal temperature at 37 &#176;C.</li>
	<li>Place the animal tail in the CODATM monitor system for monitoring blood pressure and heartbeat (see the Table of Materials). Record the animal&#39;s systolic blood pressure, diastolic blood pressure, and mean blood pressure (MBP) in the anesthetized condition. 
	NOTE: No difference is seen in animal MBP in the anesthetized and un-anesthetized state (107 &#177; 11 mmHg vs. 97 &#177; 7 mmHg). The animal heart rate is stable under anesthetization, though lower (still within normal range) than in the non-anesthetized condition (357 &#177; 12 bmp vs. 709 &#177; 3 bmp). A slightly increased heart beat should be expected in animals placed in restraint26.</li>
	<li>Open the left tympanic bulla via a lateral and ventral approach under a stereo microscope (see the Table of Materials), leaving the tympanic membrane and ossicles intact21.
	<ol>
		<li>Make an incision along the midline of the animal&#39;s neck with its head immobilized and positioned to minimize movement (Figure 1B). Remove the left submandibular gland and posterior belly of the digastric muscle and cauterize. 
		NOTE: Subcutaneously inject buprenorphine at 0.05 mg/kg to reduce the pain during surgery.</li>
		<li>Locate and expose the bony bulla by identifying the sternocleidomastoid muscle and facial nerve extending anterior toward the bulla.</li>
		<li>Open the bony bulla with a 30 G needle, and carefully remove the surrounding bone with surgical tweezers to provide a clear view of the cochlea and stapedial artery, with its medial margin lying over the edge of the round window niche, and coursing anterior-superior towards the oval window (Figure 1C, D). 
		NOTE: Tracheotomy is performed to keep the airway unobstructed and should&#160;only be done when the animal has a respiratory issue during surgery. In general, most of the animals under anesthesia have smooth breathing. However, if animals received a tracheotomy during surgery, the recorded blood flow should&#160;not be used for any comparison.</li>
	</ol>
	</li>
	<li>Use a small knife blade (custom-milled #16 scalpel) to scrape the lateral wall bone at the apex-middle turn of the mouse cochlea, approximately 1.25 mm from the apex until a thin spot is cracked. Remove the bone chips with small wire hooks (Figure 1E).</li>
	<li>Cover the vessel-window with a cut coverslip to preserve normal physiological conditions and provide an optical view for recording vessel images. 
	NOTE: All procedures are to be performed with caution. In addition to monitoring body temperature, the animal&#39;s vital signs, including blood pressure and heartbeat, should also be monitored throughout the surgery.</li>
</ol>
3. Imaging of CoBF under FIVM
<ol>
	<li>Make an ~1 cm incision along the right saphenous vein to expose the vessel (Figure 1F).</li>
	<li>Infuse 100 &#956;L of the FITC-dextran solution (2000 kDa, 40 mg/mL in PBS) and 100 &#956;L of a blood cell suspension (30% hematocrit) successively into the animal through the saphenous vein (Figure 1G) to enable visualization of the blood vessels and tracking of blood flow velocity.</li>
	<li>Observe the blood flow in real time directly on a video monitor 5 min after the injection. Image the blood vessels using a fluorescence microscope equipped with a long working distance (W.D.) objective (W.D. 30.5 mm, 10x, 0.26 numerical aperture) and a lamp-housing containing a multiple band excitation filter and compatible emission filter (Table of Materials). Record the video using a high-resolution digital black and white charge-coupled device camera (Table of Materials) at 2 frames/s). Acquire more than 350 images per video to ensure successful analysis of the flow velocity. 
	NOTE: Blood vessels of both the spiral ligament and stria vascularis can be imaged by adjusting the optical focus (Supplemental Video 1).</li>
</ol>
4. Video analysis
<ol>
	<li>Measure the vessel diameter using appropriate software (Table of Materials), and determine the distance between two fixed points across the vessel in the acquired images.</li>
	<li>Calculate the blood flow velocity from captured video frames by tracing the movement of labeled blood cellsin the spatial distance between image locations27.
	<ol>
		<li>Open the video of blood flow in the software (Fiji [ImageJ] was used in this protocol), and set the scale of the images.</li>
		<li>Track the selected DiO-stained blood cells using the tracking function. Use the distance the cells have moved and the interval of time between image frames in the video for auto-calculation of the flow velocity.</li>
	</ol>
	</li>
	<li>Calculate the volumetric flow (F) per the following equation: F = V &#215; A. (V: velocity; A: cross-sectional area of the vessel).</li>
</ol>
5. Noise Exposure
<ol>
	<li>Place the animals in wire mesh cages. Expose them to broadband noise at 120 dB sound pressure level in a sound exposure booth for 3 h and for an additional 3 h the next day. 
	NOTE: This noise exposure regime, routinely used in this laboratory, produces permanent loss of cochlear sensitivity28.</li>
</ol>

<ol>
	<li>Shi, X. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Physiopathology+of+the+cochlear+microcirculation.">Physiopathology of the cochlear microcirculation.</a> Hearing Research. 282 (1), 10-24 (2011).</li><li>Brown, J. N., Miller, J. M., Nuttall, A. L. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Age-related+changes+in+cochlear+vascular+conductance+in+mice.">Age-related changes in cochlear vascular conductance in mice.</a> Hearing Research. 86 (1), 189-194 (1995).</li><li>Gratton, M. A., Schmiedt, R. A., Schulte, B. A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Age-related+decreases+in+endocochlear+potential+are+associated+with+vascular+abnormalities+in+the+stria+vascularis+[corrected+and+republished+article+originallly+printed+in+Hearing+Research.">Age-related decreases in endocochlear potential are associated with vascular abnormalities in the stria vascularis [corrected and republished article originallly printed in Hearing Research.</a> Hearing Research. 94 (1-2), 181-190 (1996).</li><li>Le Prell, C. G., Yamashita, D., Minami, S. B., Yamasoba, T., Miller, J. M. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Mechanisms+of+noise-induced+hearing+loss+indicate+multiple+methods+of+prevention.">Mechanisms of noise-induced hearing loss indicate multiple methods of prevention.</a> Hearing Research. 226 (1-2), 22-43 (2007).</li><li>Miller, J., Ren, T. -. Y., Laurikainen, E., Golding-Wood, D., Nuttall, A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Hydrops-induced+changes+in+cochlear+blood+flow.">Hydrops-induced changes in cochlear blood flow.</a> The Annals of otology, rhinology, and laryngology. 104 (6), 476-483 (1995).</li><li>Miller, J. M., Ren, T. -. Y., Nuttall, A. L. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Studies+of+inner+ear+blood+flow+in+animals+and+human+beings.">Studies of inner ear blood flow in animals and human beings.</a> Otolaryngology-Head and Neck Surgery. 112 (1), 101-113 (1995).</li><li>Nakashima, T., 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=Disorders+of+cochlear+blood+flow.">Disorders of cochlear blood flow.</a> Brain Research Reviews. 43 (1), 17-28 (2003).</li><li>Nuttall, A. L. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Sound-induced+cochlear+ischemia/hypoxia+as+a+mechanism+of+hearing+loss.">Sound-induced cochlear ischemia/hypoxia as a mechanism of hearing loss.</a> Noise and Health. 2 (5), 17 (1999).</li><li>Trune, D. R., Nguyen-Huynh, A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Vascular+pathophysiology+in+hearing+disorders.">Vascular pathophysiology in hearing disorders.</a> Seminars in Hearing. , 242-250 (2012).</li><li>Nakashima, T., Hattori, T., Sone, M., Sato, E., Tominaga, M. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Blood+flow+measurements+in+the+ears+of+patients+receiving+cochlear+implants.">Blood flow measurements in the ears of patients receiving cochlear implants.</a> The Annals of otology, rhinology, and laryngology. 111 (11), 998-1001 (2002).</li><li>Ren, T., Brechtelsbauer, P. B., Miller, J. M., Nuttall, A. L. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Cochlear+blood+flow+measured+by+averaged+laser+Doppler+flowmetry+(ALDF).">Cochlear blood flow measured by averaged laser Doppler flowmetry (ALDF).</a> Hearing Research. 77 (1-2), 200-206 (1994).</li><li>Goodwin, P. C., Miller, J. M., Dengerink, H. A., Wright, J. W., Axelsson, A. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=The+laser+Doppler:+a+non-invasive+measure+of+cochlear+blood+flow.">The laser Doppler: a non-invasive measure of cochlear blood flow.</a> Acta Otolaryngologica. 98 (5-6), 403-412 (1984).</li><li>Le Floc'h, 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=Markers+of+cochlear+inflammation+using+MRI.">Markers of cochlear inflammation using MRI.</a> Journal of Magnetic Resonance Imaging. 39 (1), 150-161 (2014).</li><li>Axelsson, A., Nuttall, A. L., Miller, J. M. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Observations+of+cochlear+microcirculation+using+intravital+microscopy.">Observations of cochlear microcirculation using intravital microscopy.</a> Acta Otolaryngologica. 109 (3-4), 263-270 (1990).</li><li>Monfared, 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=In+vivo+imaging+of+mammalian+cochlear+blood+flow+using+fluorescence+microendoscopy.">In vivo imaging of mammalian cochlear blood flow using fluorescence microendoscopy.</a> Otology &amp; Neurotology. 27 (2), 144 (2006).</li><li>Kong, T. H., Yu, S., Jung, B., Choi, J. S., Seo, Y. J. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Monitoring+blood-flow+in+the+mouse+cochlea+using+an+endoscopic+laser+speckle+contrast+imaging+system.">Monitoring blood-flow in the mouse cochlea using an endoscopic laser speckle contrast imaging system.</a> PLoS One. 13 (2), 0191978 (2018).</li><li>Angelborg, C., Hillerdal, M., Hultcrantz, E., Larsen, H. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=The+microsphere+method+for+studies+of+inner+ear+blood+flow.">The microsphere method for studies of inner ear blood flow.</a> ORL. 50 (6), 355-362 (1988).</li><li>Choudhury, N., Chen, F., Shi, X., Nuttall, A. L., Wang, R. K. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Volumetric+imaging+of+blood+flow+within+cochlea+in+gerbil+in+vivo.">Volumetric imaging of blood flow within cochlea in gerbil in vivo.</a> IEEE Journal of Selected Topics in Quantum Electronics. 16 (3), 524-529 (2010).</li><li>Subhash, H. 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=Volumetric+in+vivo+imaging+of+microvascular+perfusion+within+the+intact+cochlea+in+mice+using+ultra-high+sensitive+optical+microangiography.">Volumetric in vivo imaging of microvascular perfusion within the intact cochlea in mice using ultra-high sensitive optical microangiography.</a> IEEE Transactions on Medical Imaging. 30 (2), 224-230 (2011).</li><li>Reif, R., 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=Monitoring+hypoxia+induced+changes+in+cochlear+blood+flow+and+hemoglobin+concentration+using+a+combined+dual-wavelength+laser+speckle+contrast+imaging+and+Doppler+optical+microangiography+system.">Monitoring hypoxia induced changes in cochlear blood flow and hemoglobin concentration using a combined dual-wavelength laser speckle contrast imaging and Doppler optical microangiography system.</a> PLoS One. 7 (12), 52041 (2012).</li><li>Nuttall, A. L. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Techniques+for+the+observation+and+measurement+of+red+blood+cell+velocity+in+vessels+of+the+guinea+pig+cochlea.">Techniques for the observation and measurement of red blood cell velocity in vessels of the guinea pig cochlea.</a> Hearing Research. 27 (2), 111-119 (1987).</li><li>Nuttall, A. L. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Cochlear+blood+flow:+measurement+techniques.">Cochlear blood flow: measurement techniques.</a> American Journal of Otolaryngology. 9 (6), 291-301 (1988).</li><li>Hanna, G., 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=Automated+measurement+of+blood+flow+velocity+and+direction+and+hemoglobin+oxygen+saturation+in+the+rat+lung+using+intravital+microscopy.">Automated measurement of blood flow velocity and direction and hemoglobin oxygen saturation in the rat lung using intravital microscopy.</a> American Journal of Physiology. Lung Cellular Molecular Physiology. 304 (2), 86-91 (2013).</li><li>Narciso, M. G., Nasimuzzaman, M. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Purification+of+platelets+from+mouse+blood.">Purification of platelets from mouse blood.</a> Journal of Visualized Experiments. (147), e59803 (2019).</li><li>Shi, X., 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=Thin+and+open+vessel+windows+for+intra-vital+fluorescence+imaging+of+murine+cochlear+blood+flow.">Thin and open vessel windows for intra-vital fluorescence imaging of murine cochlear blood flow.</a> Hearing Research. 313, 38-46 (2014).</li><li>Lorenz, J. N. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=A+practical+guide+to+evaluating+cardiovascular,+renal,+and+pulmonary+function+in+mice.">A practical guide to evaluating cardiovascular, renal, and pulmonary function in mice.</a> American Journal of Physiology. Regulatory, Integrative, and Comparative Physiology. 282 (6), 1565-1582 (2002).</li><li>Dai, M., Shi, X. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Fibro-vascular+coupling+in+the+control+of+cochlear+blood+flow.">Fibro-vascular coupling in the control of cochlear blood flow.</a> PloS One. 6 (6), 20652 (2011).</li><li>Shi, X. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Cochlear+pericyte+responses+to+acoustic+trauma+and+the+involvement+of+hypoxia-inducible+factor-1alpha+and+vascular+endothelial+growth+factor.">Cochlear pericyte responses to acoustic trauma and the involvement of hypoxia-inducible factor-1alpha and vascular endothelial growth factor.</a> American Journal of Pathology. 174 (5), 1692-1704 (2009).</li><li>Hou, Z., 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=Platelet-derived+growth+factor+subunit+B+signaling+promotes+pericyte+migration+in+response+to+loud+sound+in+the+cochlear+stria+vascularis.">Platelet-derived growth factor subunit B signaling promotes pericyte migration in response to loud sound in the cochlear stria vascularis.</a> Journal of the Association for Research in Otolaryngology. 19 (4), 363-379 (2018).</li><li>Hultcrantz, E., Nuttall, A. L. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Effect+of+hemodilution+on+cochlear+blood+flow+measured+by+laser-Doppler+flowmetry.">Effect of hemodilution on cochlear blood flow measured by laser-Doppler flowmetry.</a> American Journal of Otolaryngology. 8 (1), 16-22 (1987).</li></ol>

The authors have nothing to disclose.

This paper demonstrates how capillaries in the cochlear lateral wall (and in the stria vascularis) of a mouse model can be visualized with fluorophore labeling in an open vessel-window preparation under a FIVM system. Mouse model is widely used and preferred as a mammalian model for investigating&#160; human health and disease. The protocol described here is a feasible approach for imaging and investigating CoBF in the mouse lateral wall (particularly in the stria vascularis) using an open vessel-window under FIVM system...

Normal function of the microcirculation in the lateral cochlear wall (comprising the majority of the capillaries in the spiral ligament and stria vascularis) is critically important for maintaining hearing function1. Abnormal CoBF is implicated in the pathophysiology of many inner ear disorders including noise-induced hearing loss, ear hydrops, and presbycusis2,3,4,5,6,7,8,9.&#160;Visualization of intravital CoBF will enable a better understanding of the links between hearing function and cochlear vascular pathology.
Although the complexity and location of the cochlea within the temporal bone precludes direct visualization and measurement of CoBF, various methods have been developed for the assessment of CoBF including laser-doppler flowmetry (LDF)10,11,12, magnetic resonance imaging (MRI)13, fluorescence intravital microscopy (FIVM)14, fluorescence microendoscopy (FME)15, endoscopic laser speckle contrast imaging (LSCI)16, and approaches based on the injection of labeled markers and radioactively tagged microspheres into the bloodstream (optical microangiography, OMAG)17,18,19,20. However, none of these methods has enabled absolute real-time tracking of changes in CoBF in vivo, with the exception of FIVM. FIVM, in combination with a vessel-window in the lateral cochlear wall, is an approach that has been used and validated in guinea pig under different experimental conditions by various laboratories14,21,22.
An FIVM method was successfully established for studying the structural and functional changes in the cochlear microcirculation in mouse using fluorescein isothiocyanate (FITC)-dextran as a contrast medium and a fluorescence dye-either DiO (3, 3&#8242;-dioctadecyloxacarbocyanine perchlorate, green) or Dil (1,1-dioctadecyl-3,3,3,3-tetramethylindocarbocyanine perchlorate, red)-for prelabeling blood cells, visualizing vessels, and tracking blood flow velocity. In the present study, the protocol of this method has been described for imaging and quantifying changes in CoBF in mouse under normal and pathological conditions (such as after noise exposure). This technique gives the researcher the tools needed to investigate the underlying mechanisms of CoBF related to hearing dysfunction and pathology in the stria vascularis, especially when applied in conjunction with readily available transgenic mouse models.

<table><tbody><tr><td>0.9% Sodium Chloride</td><td>Hospira</td><td>NDC 0409-1966-02</td><td>0.6 mL (for 1 mL)</td></tr><tr><td>1,1&amp;prime;-Dioctadecyl-3,3,3&amp;prime;,3&amp;prime;-tetramethylindocarbocyanine perchlorate</td><td>Sigma Aldrich</td><td>468495</td><td>20 &amp;micro;M</td></tr><tr><td>3,3&amp;prime;-Dioctadecyloxacarbocyanine perchlorateDio (3,3&amp;prime;-Dioctadecyloxacarbocyanine perchlorate</td><td>Sigma Aldrich</td><td>D4292</td><td>20 &amp;micro;M</td></tr><tr><td>CODA Monitor system</td><td>Kent scientific</td><td></td><td>CODA Monitor, for monitoring blood pressure and heartbeat</td></tr><tr><td>Coverslip</td><td>Fisher Scientific</td><td>12-542A</td><td></td></tr><tr><td>DC Temperature Controller</td><td>FHC</td><td>40-90-8D</td><td></td></tr><tr><td>Fiji/ImageJ</td><td>NIH</td><td></td><td>Measurement of vessel diameter</td></tr><tr><td>FITC-dextran (2000 kDa)</td><td>Sigma Aldrich</td><td>FD2000s</td><td>40 mg/mL</td></tr><tr><td>Heparin Sodium Injection, USP MDV</td><td>Mylan</td><td>NDC 67457-374-12</td><td>5000 USP units/mL</td></tr><tr><td>Katathesia (100 mg/mL)</td><td>Henry Schein</td><td>NDC 11695-0702-1</td><td>0.2 mL (for 1 mL)</td></tr><tr><td>Microscope Objective</td><td>Mitutoyo</td><td>378-823-5</td><td>Model: M Plan Apo NIR 10x</td></tr><tr><td>ORCA-ER Camera</td><td>Hamamatsu</td><td></td><td>Model: C4742-80-12AG</td></tr><tr><td>PBS</td><td>Gibco</td><td>2085387</td><td></td></tr><tr><td>Xyzaine (100 mg/ml, 5x diluted for use )</td><td>Lloyd</td><td>LPFL04821</td><td>0.2 mL (for 1 mL)</td></tr><tr><td>Zoom Stereo Microscope</td><td>Olympus</td><td></td><td>Model: SZ61, fluorescent microscope</td></tr></tbody></table>

measurement of strial blood flow in mouse cochlea utilizing an open vessel-window and intravital fluorescence microscopy

Transduction of sound is metabolically demanding, and the normal function of the microvasculature in the lateral wall is critical for maintaining endocochlear potential, ion transport, and fluid balance. Different forms of hearing disorders are reported to involve abnormal microcirculation in the cochlea. Investigation of how cochlear blood flow (CoBF) pathology affects hearing function is challenging due to the lack of feasible interrogation methods and the difficulty in accessing the inner ear. An open vessel-window in the lateral cochlear wall, combined with fluorescence intravital microscopy, has been used for studying CoBF changes in vivo, but mostly in guinea pig and only recently in the mouse. This paper and the associated video describe the open vessel-window method for visualizing blood flow in the mouse cochlea. Details include 1) preparation of the fluorescent-labeled blood cell suspension from mice; 2) construction of an open vessel-window for intravital microscopy in an anesthetized mouse, and 3) measurement of blood flow velocity and volume using an offline recording of the imaging. The method is presented in video format to show how to use the open window approach in mouse to investigate structural and functional changes in the cochlear microcirculation under normal and pathological conditions.

After surgical exposure of the cochlear capillaries in the lateral wall (Figure 1), intravital high-resolution fluorescence microscopic observation of Dil-labeled blood cells in FITC-dextran-labeled vessels was feasible through an open vessel-window. Figure 2A is a representative image taken under FIVM that shows the capillaries of the mouse cochlear apex-middle turn lateral wall. The lumina of these vessels is made visible by th...

Watch this Scientific Journal Video about Measurement of Strial Blood Flow in Mouse Cochlea Utilizing an Open Vessel-Window and Intravital Fluorescence Microscopy at JoVE.com

Measurement of Strial Blood Flow in Mouse Cochlea Utilizing an Open Vessel-Window and Intravital Fluorescence Microscopy

An open vessel-window approach using fluorescent tracers provides sufficient resolution for cochlear blood flow (CoBF) measurement. The method facilitates the study of structural and functional changes in CoBF in mouse under normal and pathological conditions.

Transduction of sound is metabolically demanding, and the normal function of the microvasculature in the lateral wall is critical for maintaining ...

measurement-strial-blood-flow-mouse-cochlea-utilizing-an-open-vessel

Research

JoVE Journal

Medicine

2.4K Views.  Oregon Health & Science University. Normale bloedtoevoer naar slakkenhuis is van cruciaal belang voor cochlea De ziekte van Ménière, vooral voor het behoud van cochleair potentieel binnenshuis, wat de essentiële drijvende kracht is voor haarcellentransactie. Deze functie van de bloedcirculatie is nauw verbonden met verschillende vormen van gehoorverlies. Een beter begrip van de cochleaire bloedstroom zal een effectievere behandeling van gehoorstoornissen als gevolg van bloedstroomdisfunctie mogelijk maken.Directe bloe...

Video: Measurement of Strial Blood Flow in Mouse Cochlea Utilizing an Open Vessel-Window and Intravital Fluorescence Microscopy

In vivo Micro-circulation Measurement in Skeletal Muscle by Intra-vital Microscopy

BACKGROUND: Regulatory factors and detailed physiology of in vivo microcirculation have remained not fully clarified after many different modalities of imaging had invented. While many macroscopic parameters of blood flow reflect flow velocity, changes in blood flow velocity and red blood cell (RBC) flux does not hold linear relationship in the microscopic observations. There are reports of discrepancy between RBC velocity and RBC flux, RBC flux and plasma flow volume, and of spatial and temporal heterogeneity of flow regulation in the peripheral tissues in microscopic observations, a scientific basis for the requirement of more detailed studies in microcirculatory regulation using intravital microscopy. METHODS: We modified Jeff Lichtman's method of in vivo microscopic observation of mouse sternomastoid muscles. Mice are anesthetized,
ventilated, and injected with PKH26L-fluorescently labeled RBCs for microscopic observation.RESULT &amp; CONCLUSIONS: Fluorescently labeled RBCs are detected and distinguished well by a wide-field microscope. Muscle contraction evoked by electrical stimulation induced increase in RBC flux. Quantification of other parameters including RBC velocity and capillary density were feasible. Mice tolerated well the surgery, injection of stained RBCs, microscopic observation, and electrical stimulation. No muscle or blood vessel damage was observed, suggesting that our method is relatively less invasive and suited for long-term observations.

A new versatile method for observation of microcirculation is presented. It is considered suitable for long-term observation, and for combination with pharmacophysiological or molecular biological interventions.

BACKGROUND: Regulatory factors and detailed physiology of in vivo microcirculation have remained not fully clarified after many different modalities of ...

Biology

Intravital Microscopy of the Mouse Brain Microcirculation using a Closed Cranial Window

This experimental model was designed to assess the mouse pial microcirculation during acute and chronic, physiological and pathophysiological hemodynamic, inflammatory and metabolic conditions, using in vivo fluorescence microscopy. A closed cranial window is placed over the left parieto-occipital cortex of the mice. Local microcirculation is recorded in real time through the window using epi and fluorescence illumination, and measurements of vessels diameters and red blood cell (RBC) velocities are performed. RBC velocity is measured using real-time cross-correlation and/or fluorescent-labeled erythrocytes. Leukocyte and platelet adherence to pial vessels and assessment of perfusion and vascular leakage are made with the help of fluorescence-labeled markers such as Albumin-FITC and anti-CD45-TxR antibodies. Microcirculation can be repeatedly video-recorded over several days. We used for the first time the close window brain intravital microscopy to study the pial microcirculation to follow dynamic changes during the course of Plasmodium berghei ANKA infection in mice and show that expression of CM is associated with microcirculatory dysfunctions characterized by vasoconstriction, profound decrease in blood flow and eventually vascular collapse.

Intravital microscopy to follow temporal and spatial hemodynamic and inflammatory events in the pial microcirculation.

This experimental model was designed to assess the mouse pial microcirculation during acute and chronic, physiological and pathophysiological hemodynamic, ...

Neuroscience

A Polished and Reinforced Thinned-skull Window for Long-term Imaging of the Mouse Brain

In vivo imaging of cortical function requires optical access to the brain without disruption of the intracranial environment. We present a method to form a polished and reinforced thinned skull (PoRTS) window in the mouse skull that spans several millimeters in diameter and is stable for months. The skull is thinned to 10 to 15 &mu;m in thickness with a hand held drill to achieve optical clarity, and is then overlaid with cyanoacrylate glue and a cover glass to: 1) provide rigidity, 2) inhibit bone regrowth and 3) reduce light scattering from irregularities on the bone surface. Since the skull is not breached, any inflammation that could affect the process being studied is greatly reduced. Imaging depths of up to 250 &mu;m below the cortical surface can be achieved using two-photon laser scanning microscopy. This window is well suited to study cerebral blood flow and cellular function in both anesthetized and awake preparations. It further offers the opportunity to manipulate cell activity using optogenetics or to disrupt blood flow in targeted vessels by irradiation of circulating photosensitizers.

We present a method to form an imaging window in the mouse skull that spans millimeters and is stable for months without inflammation of the brain. This method is well suited for longitudinal studies of blood flow, cellular dynamics, and cell/vascular structure using two-photon microscopy.

In vivo imaging of cortical function requires optical access to the brain without disruption of the intracranial environment. We present a method to form ...

Intravital Video Microscopy Measurements of Retinal Blood Flow in Mice

Alterations in retinal blood flow can contribute to, or be a consequence of, ocular disease and visual dysfunction. Therefore, quantitation of altered perfusion can aid research into the mechanisms of retinal pathologies. Intravital video microscopy of fluorescent tracers can be used to measure vascular diameters and bloodstream velocities of the retinal vasculature, specifically the arterioles branching from the central retinal artery and of the venules leading into the central retinal vein. Blood flow rates can be calculated from the diameters and velocities, with the summation of arteriolar flow, and separately venular flow, providing values of total retinal blood flow. This paper and associated video describe the methods for applying this technique to mice, which includes 1) the preparation of the eye for intravital microscopy of the anesthetized animal, 2) the intravenous infusion of fluorescent microspheres to measure bloodstream velocity, 3) the intravenous infusion of a high molecular weight fluorescent dextran, to aid the microscopic visualization of the retinal microvasculature, 4) the use of a digital microscope camera to obtain videos of the perfused retina, and 5) the use of image processing software to analyze the video. The same techniques can be used for measuring retinal blood flow rates in rats.

Intravital microscopy can be used in animals to visualize and measure retinal vascular diameters, bloodstream velocities, and total retinal blood flow.

Alterations in retinal blood flow can contribute to, or be a consequence of, ocular disease and visual dysfunction. Therefore, quantitation of altered ...

Intravital Microscopy Imaging of the Liver following Leishmania Infection: An Assessment of Hepatic Hemodynamics

Intravital microscopy (IVM) is a powerful optical imaging technique that has made possible the visualization, monitoring and quantification of various biological events in real time and in live animals. This technology has greatly advanced our understanding of physiological processes and pathogen-mediated phenomena in specific organs.
In this study, IVM is applied to the mouse liver and protocols are designed to image in vivo the circulatory system of the liver and measure red blood cell (RBC) velocity in individual hepatic vessels. To visualize the different vessel subtypes that characterize the hepatic organ and perform blood flow speed measurements, C57Bl/6 mice are intravenously injected with a fluorescent plasma reagent that labels the liver-associated vasculature. IVM enables in vivo, real time, measurement of RBC velocity in a specific vessel of interest. Establishing this methodology will make it possible to investigate liver hemodynamics under physiological and pathological conditions. Ultimately, this imaging-based methodology will be important for studying the influence of L. donovani infection&#160;on hepatic hemodynamics.
This method can be applied to other infectious models and mouse organs and might be further extended to pre-clinical testing of a drug&#8217;s effect on inflammation by quantifying its effect on blood flow.

Intravital Microscopy Imaging of the Liver following Leishmania Infection: An Assessment of Hepatic Hemodynamics

This article reports on a detailed method for the dynamic measurement and quantification of blood flow velocity within individual blood vessels of the mouse liver vasculature using intravital microscopy imaging in combination with a specific methodology for image acquisition and analysis.

Intravital microscopy (IVM) is a powerful optical imaging technique that has made possible the visualization, monitoring and quantification of various ...

Immunology and Infection

Preparation Steps for Measurement of Reactivity in Mouse Retinal Arterioles Ex Vivo

Vascular insufficiency and alterations in normal retinal perfusion are among the major factors for the pathogenesis of various sight-threatening ocular diseases, such as diabetic retinopathy, hypertensive retinopathy, and possibly glaucoma. Therefore, retinal microvascular preparations are pivotal tools for physiological and pharmacological studies to delineate the underlying pathophysiological mechanisms and to design therapies for the diseases. Despite the wide use of mouse models in ophthalmic research, studies on retinal vascular reactivity are scarce in this species. A major reason for this discrepancy is the challenging isolation procedures owing to the small size of these retinal blood vessels, which is ~ &#8804; 30 &#181;m in luminal diameter. To circumvent the problem of direct isolation of these retinal microvessels for functional studies, we established an isolation and preparation technique that enables ex vivo studies of mouse retinal vasoactivity under near-physiological conditions. Although the present experimental preparations will specifically refer to the mouse retinal arterioles, this methodology can readily be employed to microvessels from rats.

Preparation Steps for Measurement of Reactivity in Mouse Retinal Arterioles Ex Vivo

Many vision-threatening ocular diseases are associated with dysfunctional retinal microvessels. Therefore, the measurement of retinal arteriole responses is important to investigate the underlying pathophysiological mechanisms. This article describes a detailed protocol for mouse retinal arteriole isolation and preparation to assess the effects of vasoactive substances on vascular diameter.

Vascular insufficiency and alterations in normal retinal perfusion are among the major factors for the pathogenesis of various sight-threatening ocular ...

Intravital Microscopy of the Microcirculation in the Mouse Cremaster Muscle for the Analysis of Peripheral Stem Cell Migration

In the era of intravascular cell application protocols in the context of regenerative cell therapy, the underlying mechanisms of stem cell migration to nonmarrow tissue have not been completely clarified. We describe here the technique of intravital microscopy applied to the mouse cremaster microcirculation for analysis of peripheral bone marrow stem cell migration in vivo. Intravital microscopy of the M. cremaster has been previously introduced in the field of inflammatory research for direct observation of leucocyte interaction with the vascular endothelium. Since sufficient peripheral stem and progenitor cell migration includes similar initial steps of rolling along and firm adhesion at the endothelial lining it is conceivable to apply the M. cremaster model for the observation and quantification of the interaction of intravasculary administered stem cells with the endothelium. As various chemical components can be selectively applied to the target tissue by simple superfusion techniques, it is possible to establish essential microenvironmental preconditions, for initial stem cell recruitment to take place in a living organism outside the bone marrow.

Intravital microscopy of the mouse M. cremaster microcirculation offers a unique and well-standardized in vivo model for the analysis of peripheral bone marrow stem cell migration.

In the era of intravascular cell application protocols in the context of regenerative cell therapy, the underlying mechanisms of stem cell migration to ...

Dynamic Measurement and Imaging of Capillaries, Arterioles, and Pericytes in Mouse Heart

Coronary arterial tone along with the opening or closing of the capillaries largely determine the blood flow to cardiomyocytes at constant perfusion pressure. However, it is difficult to monitor the dynamic changes of the coronary arterioles and the capillaries in the whole heart, primarily due to its motion and non-stop beating. Here we describe a method that enables monitoring of arterial perfusion rate, pressure and the diameter changes of the arterioles and capillaries in mouse right ventricular papillary muscles. The mouse septal artery is cannulated and perfused at a constant flow or pressure with the other dynamically measured. After perfusion with a fluorescently labeled lectin (e.g., Alexa Fluor-488 or -633 labeled Wheat-Germ Agglutinin, WGA), the arterioles and capillaries (and other vessels) in right ventricle papillary muscle and septum could be readily imaged. The vessel-diameter changes could then be measured in the presence or absence of heart contractions. When genetically encoded fluorescent proteins were expressed, specific features could be monitored. For examples, pericytes were visualized in mouse hearts that expressed NG2-DsRed. This method has provided a useful platform to study the physiological functions of capillary pericytes in heart. It is also suitable for studying the effect of reagents on the blood flow in heart by measuring the vascular/capillary diameter and the arterial luminal pressure simultaneously. This preparation, combined with a state-of-the-art optic imaging system, allows one to study the blood flow and its control at cellular and molecular level in the heart under near-physiological conditions.

Presented here is a protocol to study the coronary microcirculation in living murine heart tissue by ex vivo monitoring of the arterial perfusion pressure and flow that maintains the pressure, as well as vascular tree components including the capillary beds and pericytes, as the septal artery is cannulated and pressurized.

Coronary arterial tone along with the opening or closing of the capillaries largely determine the blood flow to cardiomyocytes at constant perfusion ...

Intravital Imaging of Fluorescent Protein Expression in Mice with a Closed-Skull Traumatic Brain Injury and Cranial Window Using a Two-Photon Microscope

The goal of this protocol is to demonstrate how to longitudinally visualize the expression and localization of a protein of interest within specific cell types of an animal's brain, upon exposure to exogenous stimuli. Here, the administration of a closed-skull traumatic brain injury (TBI) and simultaneous implantation of a cranial window for subsequent longitudinal intravital imaging in mice is shown. Mice are intracranially injected with an adeno-associated virus (AAV) expressing enhanced green fluorescent protein (EGFP) under a neuronal specific promoter. After 2 to 4 weeks, the mice are subjected to a repetitive TBI using a weight drop device over the AAV injection location. Within the same surgical session, the mice are implanted with a metal headpost and then a glass cranial window over the TBI impacting site. The expression and cellular localization of EGFP is examined using a two-photon microscope in the same brain region exposed to trauma over the course of months.

This study demonstrates delivery of a repetitive traumatic brain injury to mice and simultaneous implantation of a cranial window for subsequent intravital imaging of a neuron-expressed EGFP using two-photon microscopy.

The goal of this protocol is to demonstrate how to longitudinally visualize the expression and localization of a protein of interest within specific cell ...

Measuring Retinal Vessel Diameter from Mouse Fluorescent Angiography Images

It is important to study the development of retinal vasculature in retinopathies in which abnormal vessel growth can ultimately lead to vision loss. Mutations in the microphthalmia-associated transcription factor (Mitf) gene show hypopigmentation, microphthalmia, retinal degeneration, and in some cases, blindness. In vivo imaging of the mouse retina by noninvasive means is vital for eye research. However, given its small size, mouse fundus imaging is difficult and might require specialized tools, maintenance, and training. In this study, we have developed a unique software enabling analysis of the retinal vessel diameter in mice with an automated program written in MATLAB. Fundus photographs were obtained with a commercial fundus camera system following an intraperitoneal injection of a fluorescein salt solution. Images were altered to enhance contrast, and the MATLAB program permitted extracting the mean vascular diameter automatically at a predefined distance from the optic disk. The vascular changes were examined in wild-type mice and mice with various mutations in the Mitf gene by analyzing the retinal vessel diameter. The custom-written MATLAB program developed here is practical, easy to use, and allows researchers to analyze the mean diameter and mean total diameter, as well as the number of vessels from the mouse retinal vasculature, conveniently and reliably.

Mouse retinal vasculature is particularly interesting in understanding the mechanisms of vascular pattern formation. This protocol automatically measures the diameter of mouse retinal vessels from fluorescent angiography fundus images at a fixed distance from the optic disk.

It is important to study the development of retinal vasculature in retinopathies in which abnormal vessel growth can ultimately lead to vision loss. ...

Measurement of Strial Blood Flow in Mouse Cochlea Utilizing an Open Vessel-Window and Intravital Fluorescence Microscopy

Samenvatting

Meer video's verkennen

Hoofdstukken in deze video