This work was supported by the National Natural Science Foundation of China (No.: 81903902), the China Postdoctoral Science Foundation (No.: 2019M663457), the Sichuan Science and Technology Program (No.: 2020YJ0172), and the Xinglin Scholar Research Premotion Project of Chengdu University of TCM (No.: QJRC2022053).

The animal experiment protocol was reviewed and approved by the Management Committee of Chengdu University of Traditional Chinese Medicine (Record No. 2021-11). Male C57/BL mice (20-25 g, 6-8 weeks old) were used for the present study. The mice were kept in an animal chamber and were free to drink and eat during the experiment.
1. Preparation
<ol>
	<li>Ensure that the intubation platform consists of a base, a riser, a paper clip, two rubber bands, and some strings. Take a string, pass the string through the two holes at the top of the riser, and tie the two ends of the string, respectively, to the small protrusions at the top of the riser. 
	NOTE: Leave room for the mouse&#39;s head to pass through between the string and the two holes.</li>
	<li>Tie two rubber bands to each end of the paper clip, and tape the paper clip with the rubber bands to the back of the riser. Finally, fix the riser to the base at 90&#176; (Figure 1).</li>
	<li>Select a cannula of the appropriate size and length. For a 20&#8722;30 g mouse, a 22 G catheter (2.5&#8722;3.8 cm long) can be used11. Assemble the cannula onto a cannula pen, and turn on the pen&#39;s light (Figure 2).</li>
	<li>Prepare small surgical forceps and a Pasteur pipette by disinfecting them with 70% alcohol.</li>
</ol>
2. Preparation of the test compound
<ol>
	<li>Weight and dissolve 3 mg of LPS in 1 mL of phosphate-buffered saline (PBS, pH 7.2) to form an LPS solution with a concentration of 3 mg/mL.</li>
	<li>Weigh and dissolve 10 mg of pentobarbital sodium in 1 mL of normal saline to form a 1% pentobarbital sodium solution. Filter-sterilize the solution using a 0.45 &#181;m syringe filter.</li>
</ol>
3. Noninvasive oropharyngeal instillation
<ol>
	<li>Anesthetize the mice with an intraperitoneal injection of 1% pentobarbital sodium at a dose of 50 mg/kg12,13. Determine the depth of anesthesia by a lack of response to the righting reflex.</li>
	<li>Place the anesthetized mouse on the intubation platform. Fix the top front teeth with the thread and the two forefeet with the rubber bands (Figure 3).</li>
	<li>Pull the tongue out with tweezers, and hold it with the left hand. Push the cannula slowly, along the mouth, with the right hand up, to the mandibular epiglottis. Use the light of the cannula pen to find the trachea, and slowly insert it into the trachea (Figure 4).</li>
	<li>After the cannula has been inserted into the trachea, withdraw the intubation pen slowly, and leave the cannula inside. Insert the Pasteur pipette into the cannula joint, and press the head (Figure 5). 
	NOTE: If the chest of the mouse bulges, then the intubation is successful (Figure 6).</li>
	<li>After successful endotracheal intubation, instill the mice with 3 mg/mL LPS at 3 mg/kg through the cannula using a flat-head microsyringe14,15 (Figure 7).</li>
	<li>Once done, remove the cannula and the microsyringe. Remove the mouse from the scaffold, and place it in a cage separately to recover. Observe the respiratory state of the mouse until it has recovered and regained conciousness. 
	NOTE: At 12 h after LPS tracheal instillation, euthanize the mice following the procedure approved by the animal ethics committee. Serum TNF-&#945; assays and dry-wet lung weight measurements were performed using standard procedures.</li>
</ol>

<ol>
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The authors have nothing to disclose.

Initially, we looked inside the oral cavity to find the location of the trachea19. However, during this process, we discovered that the trachea of C57/BL mice is narrow, which makes it difficult to find the correct location by this method without the help of equipment such as an endoscope20. Upon further exploration, we found that the light from the intubator lamp could penetrate the surface of the body, allowing the operator to determine the position of the cannula<sup cla...

Acute lung injury (ALI) is a common clinical syndrome. Under a variety of pathogenic factors, the disruption of the physiological barrier of the lung epithelial cells and vascular endothelial cells leads to increased alveolar permeability, thereby causing decreased lung compliance, pulmonary edema, and severe hypoxemia1. Acute respiratory distress syndrome (ARDS) is the most severe form of ALI. Uncontrolled inflammation and oxidative stress damage are considered to be the main causes of ALI and the more severe ARDS2. When alveolar epithelial cells are directly injured due to trauma, the inflammatory response chain of alveolar macrophages is activated, leading to inflammation in the lung3. Globally, there are more than 3 million patients with acute ARDS per year, and they account for approximately 10% of intensive care unit admissions; additionally, the mortality rate in severe cases is as high as 46%4,5,6. Therefore, there is a need to establish a suitable animal model of ALI to study its pathogenesis. The mouse is the most commonly used experimental animal in the study of ALI since its respiratory tract can simulate the human respiratory tract well for ALI studies. Furthermore, ALI manifests as massive inflammatory cell infiltration, increased pulmonary vascular permeability, and pulmonary edema. The changes in inflammatory cytokines in serum and the lung dry-wet weight ratio reflect the degree of ALI7.
At present, the main methods for modeling LPS-induced ALI in mice include intranasal and surgical tracheal intubation8,9. Here, we propose a new method to deliver LPS into the trachea via noninvasive oropharyngeal intubation. This method uses an illuminated intubator to find the trachea of the mouse and then delivers LPS into the trachea and lung. This method delivers LPS to the lungs more accurately than the intranasal method of delivery. Compared with surgical tracheal intubation, this method does not require surgery, avoids causing wounds, and reduces pain in mice10. Therefore, this method can be used to establish a more convincing mouse model of ALI.

<table><tbody><tr><td>Lipopolysaccharide</td><td>MERK</td><td>L4130</td><td>LPS</td></tr><tr><td>Microliter Syringes</td><td>SHANGHAI GAOGE INDUSTRY AND TRADE CO., LTD</td><td>10028505008124</td><td>To deliver LPS</td></tr><tr><td>Mouse cannula</td><td>RWD Life Science</td><td>803-03008-00</td><td>Mouse cannula</td></tr><tr><td>Mouse intubation kit</td><td>RWD Life Science</td><td>903-03027-00</td><td>Including a base, a riser, a intubator, a surgical forceps and some strings</td></tr><tr><td>Pasteur pipette</td><td>Biosharp life science</td><td>BS-XG-03</td><td>To verify the success of intubation</td></tr><tr><td>Pentobarbital sodium</td><td>Beijing Chemical Co., China</td><td>20220918</td><td>To anesthetize mice</td></tr></tbody></table>

noninvasive intratracheal lipopolysaccharide instillation in mice

The acute lung injury (ALI) mouse model induced by lipopolysaccharide (LPS) or endotoxin is still among the most commonly used models in animal studies of acute lung injury or acute inflammation. The current most commonly used methods in acute lung injury mouse models are an intraperitoneal injection of LPS and tracheostomy for the tracheal infusion of LPS. However, the former method lacks lung targeting and damages other organs, and the latter method induces operative trauma, infection risk, and a low survival rate. Here, we recommend a noninvasive oropharyngeal endotracheal intubation method for LPS instillation in mice. In this method, LPS is noninvasively introduced into the trachea through the oropharyngeal cavity to be instilled into the lung with the help of an apparatus for endotracheal intubation. This method not only assures lung targeting but also avoids damage and the risk of death in the animals. We expect that this approach will become widely used in the field of acute lung injury.

The proposed method for LPS instillation in mice was verified by evaluating the expression of the inflammatory cytokine TNF-α and the lung dry-wet weight ratio 12 h after LPS instillation. There were four groups in the experiment: blank control (without any treatment), surgical intubation16, intranasal17,18, and noninvasive oropharyngeal intubation (n = 6). Compared with the blank control group, the serum ...

Watch this Scientific Journal Video about Noninvasive Intratracheal Lipopolysaccharide Instillation in Mice at JoVE.com

Noninvasive Intratracheal Lipopolysaccharide Instillation in Mice

Here, we propose a protocol for intratracheal lipopolysaccharide (LPS) delivery via noninvasive oropharyngeal endotracheal intubation. This method minimizes the trauma of the surgical procedure for the animal and accurately delivers LPS to the trachea and then to the lungs.

The acute lung injury (ALI) mouse model induced by lipopolysaccharide (LPS) or endotoxin is still among the most commonly used models in animal studies of ...

noninvasive-intratracheal-lipopolysaccharide-instillation-in-mice

Research

JoVE Journal

Biology

4.2K Views.  Chengdu University of Traditional Chinese Medicine. Ons protocol stelt een nieuwe niet-invasieve toedieningsmethode van LPS voor van de luchtpijp naar de longen, nauwkeuriger. Mensen die deze methode voor de eerste keer proberen, moeten veel moeite doen om de positie van de luchtpijp te vinden. Om het intubatieplatform voor te bereiden, passeert u het touw door de twee gaten en bindt u de uiteinden vast aan de kleine uitsteeksels aan de bovenkant van de riser.Bevestig vervolgens twee elastiekjes aan elk uiteinde van de paperclip en plak...

Video: Noninvasive Intratracheal Lipopolysaccharide Instillation in Mice

Non-surgical Intratracheal Instillation of Mice with Analysis of Lungs and Lung Draining Lymph Nodes by Flow Cytometry

Phagocytic cells such as alveolar macrophages and lung dendritic cells (LDCs) continuously sample antigens from the alveolar spaces in the 
lungs. LDCs, in particular, are known to migrate to the lung draining lymph nodes (LDLNs) where they present inhaled antigens to T cells initiating an 
appropriate immune response to a variety of immunogens1,2. To model interactions between the lungs and airborne antigens in mice, antigens can be 
administered intranasally1,3,4, intratracheally5 or as aerosols6. Delivery by each route involves distinct technical skills and limitations that need to be 
considered before designing an experiment. For example, intranasal and aerosolized exposure delivers antigens to both the lungs and the upper respiratory 
tract. Hence antigens can access the nasal associated lymphoid tissue (NALT)7, potentially complicating interpretation of the results. In addition, swallowing, 
sneezing and the breathing rate of the mouse may also lead to inconsistencies in the doses delivered. Although the involvement of the upper respiratory tract may 
be preferred for some studies, it can complicate experiments focusing on events specifically initiated in the lungs. In this setting, the intratracheal (i.t) 
route is preferable as it delivers test materials directly into the lungs and bypasses the NALT. Many i.t injection protocols involve either blind intubation of the 
trachea through the oral cavity or surgical exposure of the trachea to access the lungs. Herein, we describe a simple, consistent, non-surgical method for i.t 
instillation. The opening of the trachea is visualized using a laryngoscope and a bent gavage needle is then inserted directly into the trachea to deliver the 
innoculum. We also describe procedures for harvesting and processing of LDLNs and lungs for analysis of antigen trafficking by flow cytometry.

We illustrate non-surgical delivery of test materials into the lungs of anesthetized mice via the trachea. This method permits lung exposure to bacterial and viral pathogens, cytokines, antibodies, beads, chemicals, or dyes. We further describe harvesting and processing of lungs and lung draining lymph nodes (LDLNs) for flow cytometry.

Phagocytic cells such as alveolar macrophages and lung dendritic cells (LDCs) continuously sample antigens from the alveolar spaces in the 
lungs. LDCs, ...

Immunology and Infection

Endotracheal Intubation in Mice via Direct Laryngoscopy Using an Otoscope

Mice, both wildtype and transgenic, are the principal mammalian model in biomedical research currently. Intubation and mechanical ventilation are necessary for whole animal experiments that require surgery under deep anesthesia or measurements of lung function. Tracheostomy has been the standard for intubating the airway in these mice to allow mechanical ventilation. Orotracheal intubation has been reported but has not been successfully used in many studies because of the substantial technical difficulty or a requirement for highly specialized and expensive equipment. Here we report a technique of direct laryngoscopy using an otoscope fitted with a 2.0 mm speculum and using a 20 G&#160;intravenous catheter as an endotracheal tube. We have used this technique extensively and reliably to intubate and conduct accurate assessments of lung function in mice. This technique has proven safe, with essentially no animal loss in experienced hands. Moreover, this technique can be used for repeated studies of mice in chronic models.

Endotracheal Intubation in Mice via Direct Laryngoscopy Using an Otoscope

We have developed a simple, reliable, and relatively inexpensive method for endotracheal intubation in mice via direct laryngoscopy using an otoscope with a 2.0 mm speculum. This technique is atraumatic and can be used for repeated measurements in chronic experiments. We find it superior to tracheostomy or previously reported nonsurgical techniques.

Mice, both wildtype and transgenic, are the principal mammalian model in biomedical research currently. Intubation and mechanical ventilation are ...

Medicine

Noninvasive Intratracheal Intubation to Study the Pathology and Physiology of Mouse Lung

The use of a model that mimics the condition of lung diseases in humans is critical for studying the pathophysiology and/or etiology of a particular disease and for developing therapeutic intervention. With the increasing availability of knockout and transgenic derivatives, together with a vast amount of genetic information, mice provide one of the best models to study the molecular mechanisms underlying the pathology and physiology of lung diseases. Inhalation, intranasal instillation, intratracheal instillation, and intratracheal intubation are the most widely used techniques by a number of investigators to administer materials of interest to mouse lungs. There are pros and cons for each technique depending on the goals of a study. Here a noninvasive intratracheal intubation method that can directly deliver exogenous materials to mouse lungs is presented. This technique was applied to administer bleomycin to mouse lungs as a model to study pulmonary fibrosis.

The use of a model that mimics the condition of lung diseases in humans is critical for studying the pathophysiology and/or etiology of a particular disease and for developing therapeutic intervention. Here a noninvasive intratracheal intubation method that can directly deliver exogenous materials to mouse lungs is presented.

The use of a model that mimics the condition of lung diseases in humans is critical for studying the pathophysiology and/or etiology of a particular ...

The Utilization of Oropharyngeal Intratracheal PAMP Administration and Bronchoalveolar Lavage to Evaluate the Host Immune Response in Mice

The host immune response to pathogens is a complex biological process. The majority of in vivo studies classically employed to characterize host-pathogen interactions take advantage of intraperitoneal injections of select bacteria or pathogen associated molecular patterns (PAMPs) in mice. While these techniques have yielded tremendous data associated with infectious disease pathobiology, intraperitoneal injection models are not always appropriate for host-pathogen interaction studies in the lung. Utilizing an acute lung inflammation model in mice, it is possible to conduct a high resolution analysis of the host innate immune response utilizing lipopolysaccharide (LPS). Here, we describe the methods to administer LPS using nonsurgical oropharyngeal intratracheal administration, monitor clinical parameters associated with disease pathogenesis, and utilize bronchoalveolar lavage fluid to evaluate the host immune response. The techniques that are described are widely applicable for studying the host innate immune response to a diverse range of PAMPs and pathogens. Likewise, with minor modifications, these techniques can also be applied in studies evaluating allergic airway inflammation and in pharmacological applications.

The host immune response to pathogen infection is a tightly regulated process. Utilizing a lipopolysaccharide lung exposure model in mice, it is possible to conduct high resolution evaluations of the complex mechanisms associated with disease pathogenesis.

The host immune response to pathogens is a complex biological process. The majority of in vivo studies classically employed to characterize host-pathogen ...

Direct Tracheal Instillation of Solutes into Mouse Lung

Intratracheal instillations deliver solutes directly into the lungs. This procedure targets the delivery of the instillate into the distal regions of the lung, and is therefore often incorporated in studies aimed at studying alveoli. We provide a detailed survival protocol for performing intratracheal instillations in mice. Using this approach, one can target delivery of test solutes or solids (such as lung therapeutics, surfactants, viruses, and small oligonucleotides) into the distal lung. Tracheal instillations may be the preferred methodology, over inhalation protocols that may primarily target the upper respiratory tract and possibly expose the investigator to potentially hazardous substances. Additionally, in using the tracheal instillation protocol, animals can fully recover from the non-invasive procedure. This allows for making subsequent physiological measurements on test animals, or reinstallation using the same animal. The amount of instillate introduced into the lung must be carefully determined and osmotically balanced to ensure animal recovery. Typically, 30-75 &mu;L instillate volume can be introduced into mouse lung.

Intratracheal instillations deliver solutes directly into the lungs. This procedure targets the delivery of the instillate into the distal regions of the lung, and is therefore often incorporated in studies aimed at studying alveoli. We provide a detailed survival protocol for performing intratracheal instillations in mice.

Intratracheal instillations deliver solutes directly into the lungs.  This procedure targets the delivery of the instillate into the distal regions of the ...

Intubation-mediated Intratracheal (IMIT) Instillation: A Noninvasive, Lung-specific Delivery System

Respiratory disease studies typically involve the use of murine models as surrogate systems. However, there are significant physiologic differences between the murine and human respiratory systems, especially in their upper respiratory tracts (URT). In some models, these differences in the murine nasal cavity can have a significant impact on disease progression and presentation in the lower respiratory tract (LRT) when using intranasal instillation techniques, potentially limiting the usefulness of the mouse model to study these diseases. For these reasons, it would be advantageous to develop a technique to instill bacteria directly into the mouse lungs in order to study LRT disease in the absence of involvement of the URT. We have termed this lung specific delivery technique intubation-mediated intratracheal (IMIT) instillation. This noninvasive technique minimizes the potential for instillation into the bloodstream, which can occur during more invasive traditional surgical intratracheal infection approaches, and limits the possibility of incidental digestive tract delivery. IMIT is a two-step process in which mice are first intubated, with an intermediate step to ensure correct catheter placement into the trachea, followed by insertion of a blunt needle into the catheter to mediate direct delivery of bacteria into the lung. This approach facilitates a &#62;98% efficacy of delivery into the lungs with excellent distribution of reagent throughout the lung. Thus, IMIT represents a novel approach to study LRT disease and therapeutic delivery directly into the lung, improving upon the ability to use mice as surrogates to study human respiratory disease. Furthermore, the accuracy and reproducibility of this delivery system also makes it amenable to Good Laboratory Practice Standards (GLPS), as well as delivery of a wide range of reagents which require high efficiency delivery to the lung.

Intubation-mediated Intratracheal IMIT Instillation: A Noninvasive, Lung-specific Delivery System

Intubation-mediated intratracheal (IMIT) instillation of reagents is an excellent, noninvasive method for studying respiratory disease, as well as a method for instilling therapeutic reagents directly into the lung. It is a rapid and highly reproducible method which is suitable for preclinical testing.

Respiratory disease studies typically involve the use of murine models as surrogate systems. However, there are significant physiologic differences ...

Intra-tracheal Administration of Haemophilus influenzae in Mouse Models to Study Airway Inflammation

Here, we describe a detailed procedure to efficiently and directly deliver Haemophilus influenzae into the lower respiratory tracts of mice. We demonstrate the procedure for preparing H. influenzae inoculum, intra-tracheal instillation of H. influenzae into the lung, collection of broncho-alveolar lavage fluid (BALF), analysis of immune cells in the BALF, and RNA isolation for differential gene expression analysis. This procedure can be used to study the lung inflammatory response to any bacteria, virus or fungi. Direct tracheal instillation is mostly preferred over intranasal or aerosol inhalation procedures because it more efficiently delivers the bacterial inoculum into the lower respiratory tract with less ambiguity.

Intra-tracheal Administration of Haemophilus influenzae in Mouse Models to Study Airway Inflammation

We demonstrate the procedure for intra-tracheal inoculation of Haemophilus influenzae into the lower respiratory tracts of mice. This is a very useful tool to study signaling pathways that regulate airway inflammation in mouse models.

Here, we describe a detailed procedure to efficiently and directly deliver Haemophilus influenzae into the lower respiratory tracts of mice. We ...

A Non-invasive and Technically Non-intensive Method for Induction and Phenotyping of Experimental Bacterial Pneumonia in Mice

Although community-acquired pneumonia remains a major public health problem, murine models of bacterial pneumonia have recently facilitated significant preclinical advances in our understanding of the underlying cellular and molecular pathogenesis. In vivo mouse models capture the integrated physiology and resilience of the host defense response in a manner not revealed by alternative, simplified ex vivo approaches. Several methods have been described in the literature for intrapulmonary inoculation of bacteria in mice, including aerosolization, intranasal delivery, peroral endotracheal cannulation under &#39;blind&#39; and visualized conditions, and transcutaneous endotracheal cannulation. All methods have relative merits and limitations. Herein, we describe in detail a non-invasive, technically non-intensive, inexpensive, and rapid method for intratracheal delivery of bacteria that involves aspiration (i.e., inhalation) by the mouse of an infectious inoculum pipetted into the oropharynx while under general anesthesia. This method can be used for pulmonary delivery of a wide variety of non-caustic biological and chemical agents, and is relatively easy to learn, even for laboratories with minimal prior experience with pulmonary procedures. In addition to describing the aspiration pneumonia method, we also provide step-by-step procedures for assaying the subsequent in vivo pulmonary innate immune response of the mouse, in particular, methods for quantifying bacterial clearance and the cellular immune response of the infected airway. This integrated and simple approach to pneumonia assessment allows for rapid and robust evaluation of the effect of genetic and environmental manipulations upon pulmonary innate immunity.

Several methods have been described in the literature for modeling bacterial pneumonia in mice. Herein, we describe a non-invasive, inexpensive, rapid method for inducing pneumonia via aspiration (i.e., inhalation) of a bacterial inoculum pipetted into the oropharynx. Downstream methods for assessment of the pulmonary innate immune response are also detailed.

Although community-acquired pneumonia remains a major public health problem, murine models of bacterial pneumonia have recently facilitated significant ...

An Improved Method for Rapid Intubation of the Trachea in Mice

Despite some anatomical and physiological differences, mouse models continue to be an essential tool for studying human lung disease. Bleomycin toxicity is a commonly used model to study both acute lung injury and fibrosis, and multiple methods have been developed for administering bleomycin (and other toxic agents) into the lungs. However, many of these approaches, such as transtracheal instillation, have inherent drawbacks, including the need for strong anesthetics and survival surgery. This paper reports a quick, reproducible method of intratracheal intubation that involves mild inhaled anesthesia, visualization of the trachea, and the use of a surrogate spirometer to confirm exposure. As a proof of concept, 8-12 week old C57BL/6 mice were administered either 2.0 U/kg of bleomycin or an equivalent volume of PBS, and both damage and fibrotic endpoints were measured post-exposure. This procedure allows researchers to treat a large cohort of mice in a relatively short period with little expense and minimal post-procedure care.

This article presents a rapid and simple method for administering bleomycin directly into the mouse trachea via intubation. Key advantages of this method are that it is highly reproducible, easy to master, and does not require specialized equipment or lengthy recovery times.

Despite some anatomical and physiological differences, mouse models continue to be an essential tool for studying human lung disease. Bleomycin toxicity ...

Inducing Acute Lung Injury in Mice by Direct Intratracheal Lipopolysaccharide Instillation

Airway administration of lipopolysaccharide (LPS) is a common way to study pulmonary inflammation and acute lung injury (ALI) in small animal models. Various approaches have been described, such as the inhalation of aerosolized LPS as well as nasal or intratracheal instillation. The presented protocol describes a detailed step-by-step procedure to induce ALI in mice by direct intratracheal LPS instillation and perform FACS analysis of blood samples, bronchoalveolar lavage (BAL) fluid, and lung tissue. After intraperitoneal sedation, the trachea is exposed and LPS is administered via a 22 G venous catheter. A robust and reproducible inflammatory reaction with leukocyte invasion, upregulation of proinflammatory cytokines, and disruption of the alveolo-capillary barrier is induced within hours to days, depending on the LPS dosage used. Collection of blood samples, BAL fluid, and lung harvesting, as well as the processing for FACS analysis, are described in detail in the protocol. Although the use of the sterile LPS is not suitable to study pharmacologic interventions in infectious diseases, the described approach offers minimal invasiveness, simple handling, and good reproducibility to answer mechanistic immunological questions. Furthermore, dose titration as well as the use of alternative LPS preparations or mouse strains allow modulation of the clinical effects, which can exhibit different degrees of ALI severity or early vs. late onset of disease symptoms.

Presented here is a step-by-step procedure to induce acute lung injury in mice by direct intratracheal lipopolysaccharide instillation and to perform FACS analysis of blood samples, bronchoalveolar lavage fluid, and lung tissue. Minimal invasiveness, simple handling, good reproducibility, and titration of disease severity are advantages of this approach.

Airway administration of lipopolysaccharide (LPS) is a common way to study pulmonary inflammation and acute lung injury (ALI) in small animal models. ...

Noninvasive Intratracheal Lipopolysaccharide Instillation in Mice

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