Assessment and Characterization of Hyaloid Vessels in Mice

Podsumowanie

This protocol describes both in vivo and ex vivo methods to fully visualize and characterize hyaloid vessels, a model of vascular regression in mouse eyes, using optical coherence tomography and fundus fluorescein angiography for the live imaging and ex vivo isolation and subsequent flat mount of hyaloid for quantitative analysis.

Streszczenie

In the eye, the embryonic hyaloid vessels nourish the developing lens and retina and regress when the retinal vessels develop. Persistent or failed regression of hyaloid vessels can be seen in diseases such as persistent hyperplastic primary vitreous (PHPV), leading to an obstructed light path and impaired visual function. Understanding the mechanisms underlying the hyaloid vessel regression may lead to new molecular insights into the vascular regression process and potential new ways to manage diseases with persistent hyaloid vessels. Here we describe the procedures for imaging hyaloid in live mice with optical coherence tomography (OCT) and fundus fluorescein angiography (FFA) and a detailed technical protocol of isolating and flat-mounting hyaloid ex vivo for quantitative analysis. Low-density lipoprotein receptor-related protein 5 (LRP5) knockout mice were used as an experimental model of persistent hyaloid vessels, to illustrate the techniques. Together, these techniques may facilitate a thorough assessment of hyaloid vessels as an experimental model of vascular regression and studies on the mechanism of persistent hyaloid vessels.

Wprowadzenie

The blood supply in the eye is essential to ensure the normal development of the retina and surrounding ocular tissues and to equip a proper visual function. There are three vascular beds in the eye: the retinal vasculature, the choroid, and a transient embryonic circulatory network of hyaloid vessels. The development of the ocular vasculature requires spatial and temporal coordination throughout embryogenesis and tissue maturation. Among the three vascular beds, the hyaloid vasculature is the first functional blood supply system to provide nutrition and oxygen to the newly formed embryonic lens and the developing retina. Hyaloid vessels regress at the same time that the retina vasculatures develop and mature¹. The regression of hyaloid vasculature is pivotal to allow a clear visual pathway for the development of visual function; hence, this vascular regression process is as important as the growth of retinal vasculature. Impaired hyaloid regression may lead to eye diseases. Moreover, the regression of hyaloid vessels provides a model system to investigate the cellular and molecular mechanisms involved in the regulation of vascular regression, which may have implications for the angiogenic regulation in other organs as well.

The hyaloid vasculature, derived from the hyaloid artery (HA), is composed of vasa hyaloidea propria (VHP), tunica vasculosa lentis (TVL), and pupillary membrane (PM). It provides nourishment to the developing retina, the primary vitreous, and the lens during embryonic development². Arising from the HA, VHP branches anteriorly through the vitreous to the lens. The TVL cups the posterior surface of the lens capsule, and anastomoses to the PM, which connects to the anterior ciliary arteries, covering the anterior surface of the lens^2,3, resulting in the formation of a network of vessels in the PM^3,4,5. Interestingly, there are no veins in the hyaloid vasculature, and the system makes use of choroidal veins to accomplish venous drainage.

In the human embryo, the hyaloid vasculature is nearly complete at approximately the ninth week of gestation and starts to regress when the first retinal vessels appear, during the fourth month of gestation². Beginning with atrophy of the VHP, regression of the capillary networks of the TVL, the PM, and lastly, the HA occurs subsequently^2,3. Meanwhile, the primary vitreous retracts and the secondary vitreous starts to form, composed of the extracellular matrix components, including collagen fibers. By the sixth month of gestation, the primary vitreous is reduced to a small transparent canal extending from the optic nerve disc to the lens, called the Cloquet’s canal or hyaloid canal, and the secondary vitreous becomes the main component of the posterior segment^2,3. The hyaloid circulation vanishes mostly at 35 to 36 weeks of gestation, just before birth³.

Unlike humans, in whom hyaloid vasculature is completely regressed at birth, the mouse hyaloid vascular system starts to regress after birth. As the mouse retina is born avascular and retinal vessels develop postnatally, hyaloid vessels regress concurrently from postnatal day (P) 4 and are mostly completely regressed by P21⁶ (Figure 1). The PM disappears first between P10 and P12, and the VHP disappears between P12 and P16, while a small number of TVL and HA cells remain even at P16, and by P21 the hyaloid vascular system regression is almost complete⁶. In the meantime, retinal vasculature begins developing after birth. The superficial layer of vascular plexus fully extends to the peripheral retina at P7–P8, the deep layer (located in the outer plexiform layer) develops from P7–P12, and finally, the intermediate plexus in the inner plexiform layer develops between P12 and P15⁷. As the retinal vasculature develops, it gradually replaces the function of concomitantly regressing hyaloid vessels, providing nutrition and oxygen to the developing eye. The postnatal occurrence of hyaloid vessel regression in mice provides an easily accessible experimental model to observe and study the hyaloid vasculature, as well as the molecular basis governing vascular regression processes under both physiological and pathological conditions⁸.

Failure of hyaloid regression can be seen in diseases such as PHPV, which is a rare congenital developmental anomaly of the eye resulting from a failed or incomplete regression of the embryological, primary vitreous and hyaloid vasculature⁹. The mechanisms regulating the regression process of hyaloid vasculature are complicated and broadly studied. One major molecular pathway essential for the normal regression of hyaloid vessels is the Wnt signaling pathway¹⁰, as genetic mutations in this pathway affecting both Wnt ligand and receptors have been linked with PHPV in humans⁹. Experimental studies identified a Wnt ligand, Wnt7b, which is produced by macrophages around hyaloid vessels in the developing eye to mediate this regression process. Wnt7b activates Wnt signaling by binding with the receptors frizzled4 (FZD4)/LRP5 in adjacent endothelial cells to initiate cell apoptosis, leading to the regression of hyaloid vessels¹⁰. As a result, Wnt7b-deficient mice show a persistence of hyaloid vessels¹⁰. Similarly, a nonconventional Wnt ligand, Norrin (encoded by the Ndp gene), also binds to FZD4/LRP5 to induce the hyaloid vessel regression during development. Ndp^y/-, Lrp5^-/-, and Fzd4^-/- mice all display postponed hyaloid vessel regression, supporting a critical regulatory role of Wnt signaling^{11,12,13,14,15,16}. Moreover, another Wnt coreceptor LRP6 overlaps with LRP5 in their function on modulating the Wnt signaling pathway in hyaloid vascular endothelial cells¹⁷. Other factors that may also contribute to hyaloid regression include the hypoxia-inducible factor^18,19, vascular endothelial growth factor^20,21, collagen-18^22,23, Arf²⁴, angiopoietin-2²⁵, and bone morphogenetic protein-4²⁶. In this paper, we use Lrp5^-/- mice as a model of persistent hyaloid vessels to demonstrate the techniques of assessing and characterizing hyaloid vasculature through both in vivo and ex vivo methods.

The visualization of hyaloid vasculature in vivo and ex vivo is essential for studying the mechanisms of hyaloid vessel regression. Current methods to observe hyaloid vasculature mainly focus on visualizing and analyzing the VHP and HA, through OCT and FFA images, eye cross sections, and the hyaloid flat mount. OCT and FFA are powerful in vivo imaging tools, allowing longitudinal observation in live animals after they have opened their eyes. Moreover, isolated hyaloid flat mount provides visualization of the whole hyaloid vasculature and a means to achieve an accurate quantification of the vessel numbers. Yet the delicate and fragile nature of hyaloid vessels and the resulting technical difficulties of its isolation may have limited its use in eye research somewhat^10,17,27. In this paper, we provide a detailed protocol of the visualization of hyaloid vessels, combining both in vivo live retinal imaging and ex vivo isolated hyaloid flat mount to enhance the feasibility of these techniques. This protocol has been adapted with modification and expansion from previous publications on the in vivo method of live fundus and OCT imaging²⁸ and the ex vivo method of isolated hyaloid flat mount¹¹.

Protokół

All animals were treated in accordance with the Association for Research in Vision and Ophthalmology (ARVO) Statement for the Use of Animals in Ophthalmic and Vision Research for animal experiments, following the Guidelines of the National Institutes of Health (NIH) regarding the care and use of animals for experimental procedures and the regulations set forth by the Institutional Animal Care and Use Committee (IACUC) at Boston Children’s Hospital. Lrp5^-/- mice (stock no. 005823; Jackson Laboratory) and its wild-type (WT) control C57BL/6J mice (stock no. 000664; Jackson Laboratory) were used for this study.

1. Part I: In vivo imaging of hyaloid vessels using a rodent retinal imaging system

1. Preparation of the mice anesthesia and pupil dilation
   1. Select the mice.
      1. Use mice that are older than P12 (after they have opened their eyes) for retinal imaging; both sexes are suitable.
      2. As desired, image mutant mice with delayed hyaloid regression (and their WT controls) throughout adulthood. WT mice older than 3 weeks may not exhibit much detectable remaining hyaloid vessels, hence P12–P21 is ideal for imaging remaining visible WT hyaloid.
   2. Prepare a ketamine/xylazine mixture for anesthesia.
      1. Take 2.3 mL of ketamine stock solution (100 mg/mL) and 0.7 mL of xylazine stock solution (20 mg/mL) and add 20 mL of sterile saline (0.9% sodium chloride) to make a working solution of a ketamine/xylazine mixture (10 mg/mL ketamine and 0.6 mg/mL xylazine).
   3. Anesthetize the mice by intraperitoneally injecting ketamine/xylazine mixture in a volume of 8x the mouse’s body weight (e.g., a 20 g mouse needs 160 μL of ketamine/xylazine working solution mixture to achieve a working dose of ketamine [80 mg/kg body weight] and xylazine [4.8 mg/kg body weight] mixture).
   4. Apply one drop of pupil-dilating drug solution (see Table of Materials) to each eye to dilate the mouse’s pupils immediately following anesthesia.
   5. Assess the level of anesthesia by pedal reflex (firm hindlimb toe pinch). Wait until the mouse is sufficiently anesthetized (no pedal reflex) and its pupils are widely dilated.
2. Optical coherence tomography imaging of hyaloid vessels
   1. Moisturize the mouse’s corneas with artificial tears, and then, place the mouse on the positioning stage.
   2. Gently contact the mouse’s cornea with the lens of the OCT probe. Adjust the mouse and probe so that the optic nerve head is in the center of the visual field in the fundus image, to guide the OCT imaging.
      NOTE: For more details on the general setup of a rodent retinal imaging system (see Table of Materials) and adjusting the mouse’s position, please refer to Gong et al.²⁸.
   3. Adjust the focus to achieve the optimal images of OCT.
   4. Adjust the angle of the indicated line in the OCT imaging software (see Table of Materials) to reveal persistent hyaloid vessels and, then, take images.
3. Fundus fluorescein angiography imaging of hyaloid vessels
   1. Prepare a fluorescein solution: add 9 mL of sterile phosphate-buffered saline (PBS) to 1 mL of fluorescein solution (stock concentration: 100 mg/mL). The concentration of the final working solution is 10 mg/mL.
   2. Intraperitoneally inject the fluorescein working solution (5 μL/g body weight).
   3. Moisturize the mouse’s cornea with artificial tears, and then, place the mouse on the positioning stage.
   4. Position the lens of the Micron IV retinal imaging microscope to make direct gentle contact with the mouse cornea. Adjust the alignment slightly to position the optic nerve head in the center of the view field.
   5. Change the microscope filter to a green fluorescent channel.
   6. Focus on persistent hyaloid vessels to take images.
   7. Take multiple images after 1 min, 3 min, 5 min, and 10 min (no more than 10 min) post-injection to determine the best time point (signal-to-background ratio) for observing hyaloid vessels. Complete the FFA procedure within 10 min, after which the fluorescein may become too diffused and make vessels invisible.
4. Recovery of the mice from anesthesia
   1. After the procedures, keep the mice on a warm heating pad.
   2. Wait until the mice are mobile again to return them to the mouse cage.

2. Part II: Ex vivo visualization of hyaloid vessels

1. Preparation of fixed mouse eyes
   1. Select mice of the right age.
      NOTE: Neonatal mice are typically sacrificed at P8 for hyaloid dissection. Both sexes are suitable. Mutant mice with a delayed hyaloid regression (and their respective WT controls) may be dissected and analyzed throughout adulthood.
   2. Euthanize the mice by exposure to CO₂.
   3. Enucleate the mouse’s eyes by blunt dissection.
   4. Open the eyelids wide with microsurgery forceps to allow access to the eyeball. Place curved microsurgery forceps under the globe in the orbit to grasp the optic nerve without squeezing the eyeball. Gently pull and remove the eyeball with the forceps.
   5. Alternatively, dissect the eyeball by using microsurgery scissors to carefully cut parallel to the globe from the four sides toward the back of orbit and separating the globe from surrounding connective tissues.
   6. Immerse the eyes in 4% paraformaldehyde in PBS buffer for 30 min at room temperature for fixation.
   7. Transfer the fixed eyeballs to ice-cold PBS buffer.
      NOTE: The eyeballs may be stored in PBS at 4 °C for up to 1 week.
2. Embedding of hyaloid vessels with gelatin injection
   1. Prepare a 5% (w/v) gelatin solution.
      1. Weigh out 50 mg of gelatin.
      2. Dissolve the gelatin in 1 mL of distilled water.
      3. Incubate the gelatin solution in a 37 °C water bath until fully dissolved. Keep the solution in 37 °C water until use.
         NOTE: A larger batch of solution may be prepared and stored at 4 °C as aliquots. Every time before use, the solution needs to be warmed in 37 °C water bath to achieve a clear consistency.
   2. Under a dissection microscope, inject 50 μL of gelatin solution into the vitreous body at the limbus; repeat the injection 3x at different sites to make a total of four injections, evenly spaced around the limbus (Figure 2A).
   3. Incubate the eyeballs in a 4 °C refrigerator or on ice for 30 min to solidify the injected gelatin in the vitreous space.
3. Dissection and isolation of hyaloid vessels
   NOTE: See Figure 2B-E.
   1. Place the eyeballs in a Petri dish containing PBS to keep the tissue from drying. Make an incision with microsurgery scissors at the limbus and remove the cornea.
   2. Snip and remove the optic nerve.
   3. Under a dissection microscope, use two pairs of forceps to peel off and discard the sclera, choroid, and retinal pigment epithelium (RPE) layers and remove the iris.
   4. With the optic-nerve side of the retina facing up and the lens side down, inject 50 μL of PBS just beneath the retina cup to allow accumulation of the PBS buffer between the gelatinized vitreous body and the retina.
   5. Gently peel off and remove the retina cup and ciliary body from the vitreous body with microsurgery forceps.
   6. Using a transfer pipette, transfer the gelatin cup containing the hyaloid tissue immersed in PBS to a microscope slide
   7. Turn the rest of the tissue (lens/hyaloid) over, so the lens side is facing up.
   8. Lift the lens and gently loosen the connection between the lens/TVL and VHP, and then, cut the HA with microsurgery scissors to remove the lens-TVL. Keep the VHP-part of the hyaloid cup for the flat mount.
4. Flat mounting and staining of hyaloid vessels
   1. Gently rinse the hyaloid cup with PBS on the slide to remove all dissection debris.
   2. Make sure the hyaloid cup is floating on the slide in adequate PBS solution.
   3. Gently arrange and adjust the position of the gelatinized hyaloid cup with microsurgery forceps, with the rim of the cup facing down on the slide, to achieve optimal appearance after melting.
   4. Place the slide with the hyaloid cup immersed in PBS onto a slide warmer at 37 °C, wait until the gelatin melts and the hyaloid flattens, and remove the slide when it is barely dry (do not over-dry).
   5. (Optional) Immunostain the hyaloid vessels
      1. Make blocking and penetrating buffer (e.g., 5% bovine serum albumin [BSA] and 0.1% Triton X-100 in PBS buffer). Add 50 μL of blocking buffer onto a flat-mounted hyaloid isolation and incubate it at room temperature for 30 min.
      2. Apply 50 μL of primary antibody (e.g., CD31) (1:100 dilution in blocking buffer) onto a flat mount of hyaloid isolation, and then, incubate it in a wet box at 4 °C overnight.
      3. Gently rinse 3x, for 5 min each time, with PBS.
      4. Apply 50 μL of secondary antibody (e.g., goat anti-rabbit secondary antibody-Alexa 488, 1:100 dilution) onto the hyaloid flat mount and incubate it at room temperature for 1 h.
      5. Gently rinse 3x, for 5 min each time, with PBS.
   6. Add a drop of anti-fade mounting medium with DAPI (4’, 6-diamidino-2-phenylindole) to stain the nuclei in the hyaloid vessels.
   7. Gently place a coverslip on the hyaloid to complete the flat mount.
5. Imaging and quantification of flat-mounted hyaloid vessels
   1. Image the DAPI staining of hyaloid vessels with a fluorescent microscope and make sure the central HA is visible (exclude the samples without the HA).
   2. Identify vessel branches directly derived from the HA and manually count the number of vessel branches for quantification.
6. Visualization of hyaloid vessels in the cross section of eyes
   1. Embed fixed eyeballs into optimal cutting temperature compound in a suitable tissue mold, and then, freeze the embedded eyes on dry ice or store them in a -20 °C freezer.
   2. Use a cryostat microtome to make a cross section of the embedded eyes into sections of 12 μm thickness at -20 °C.
   3. Collect the eye cross sections onto a microscope slide room temperature by gently touching the tissue sections, which will adhere to the slide.
   4. Air-dry to dehydrate the tissue sections for ~30 min, which can then be stored in a -20 °C freezer until ready for staining.
   5. Rinse the slide 1x with PBS to remove the remaining optimal cutting temperature compound on the slide.
   6. (Optional) Immerse the slide into an appropriate fixative buffer (e.g., 4% paraformaldehyde in PBS) for 15 min at room temperature for additional fixation, if needed.
   7. Permeabilize the tissue with 0.1% Triton X-100 in PBS for 30 min at room temperature.
   8. Prepare isolectin-IB4 staining buffer for blood vessel staining.
   9. Dissolve and reconstitute isolectin-IB4 (500 μg) powder with 50 mL of PBS in a 50 mL centrifuge tube.
   10. Slowly add 50 μL of 1 M CaCl₂ solution, drop by drop, into the 50 mL of PBS/isolectin-IB4 mixture. This step needs to be performed slowly to avoid precipitation. The final concentration of CaCl₂ is 1 μM. The presence of Ca²⁺ is required for isolectin-IB4 staining.
   11. Apply 30 μL of isolectin-IB4 staining buffer onto the eye cross sections on the slide and incubate it in a wet box at 4 °C overnight.
   12. Rinse 3x, for 5 min each time, with PBS.
   13. Add a drop of anti-fade mounting medium with DAPI to stain the nuclei in the sections.
   14. Gently place a coverslip on the tissue sections to complete the flat mount.
   15. Check the tissue under a microscope to visualize the presence of hyaloid vessels within the eyecup.

Wyniki

In vivo imaging of hyaloid vessels in live mice
Figure 3A reveals cross-sectional views of OCT images for the retina and hyaloid tissues in 3-month-old WT and Lrp5^-/- mice, an animal model with persistent hyaloid. The WT eye shows the absence of hyaloid tissue, whereas the Lrp5^-/- eye shows two persistent hyaloid vessels derived from the optic nerve head. Figure 3B d...

Dyskusje

Techniques to assess and characterize hyaloid vessels are intuitive and necessary procedures to observe the hyaloid vessel regression in animal models, to allow studies on the mechanisms underlying the vascular regression during development. While the in vivo retinal imaging allows the longitudinal observation of hyaloid regression in the same animal, access to a rodent fundus imaging system for OCT and FFA may be a limiting factor. In addition, in vivo imaging in live mice is not feasible before they open their eyes. Th...

Materiały

Name	Company	Catalog Number	Comments
AK-Fluor (fluorescein injection, USP)	Akorn	17478-253-10
Anti-CD31 antibody	Abcam	ab28364
Antifade mounting medium	Thermo Fisher	S2828
Antifade Mounting Medium with DAPI	Vector Laboratories	H-1200
Artificial tear eyedrop	Systane	N/A
Bovine serum albumin (BSA)	Sigma-Aldrich	A2058
C57BL/6J mice	The Jackson Laboratory	Stock NO: 000664
Calcium chloride (CaCl2)	Sigma-Aldrich	C1016
Cryostat	Leica	CM3050S
Cryostat	Leica	CM3050 S
Cyclopentolate hydrochloride and phenylephrine hydrochloride eyedrop	Cyclomydril	N/A
Gelatin	Sigma-Aldrich	G9382
Goat anti-Rabbit IgG (H+L) Cross-Adsorbed Secondary Antibody, Alexa Fluor 488	ThermoFisher Scientific	A-11008
Heating board	Lab-Line Instruments Inc.	N/A
Isolectin GS-IB4, 594 conjugate	ThermoFisher Scientific	I21413
Ketamine hydrochloride injection	KetaVed	NDC 50989-996-06
Lrp5-/- mice	The Jackson Laboratory	Stock NO. 005823	Developed by Deltagen Inc., San Mateo, CA
Micron IV and OCT	Phoenix Research Labs	N/A	Imaging software: InSight
Microscope	Zeiss	discovery v8
Microsurgery forceps	Scanlan International	4004-05
Microsurgery scissors	Scanlan International	6006-44
Optimal cutting temperature compound	Tissue-Tek	4583
Optimal cutting temperature compound	Agar Scientific	AGR1180
Paraformaldehyde (16%)	Electron Microscopy Sciences	15710
Peel-A-Way disposable embedding molds (tissue molds)	Fisher Scientific	12-20
Phosphate-buffered saline (PBS) buffer (10X)	Teknova	P0496
Slide cover glass	Premiere	94-2222-10
Superfrost microscope slides	Fisherbrand	12-550-15
Triton X-100	Sigma-Aldrich	X100
Xylazine sterile solution	Akorn: AnaSed	NDC: 59399-110-20