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46 ARTICLES PUBLISHED IN JoVE

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Medicine

Microsurgical Venous Pouch Arterial-Bifurcation Aneurysms in the Rabbit Model: Technical Aspects
Camillo Sherif *1,2,3, Javier Fandino *2,4, Salome Erhardt 2,4, Antonio di Ieva 5, Monika Killer 6, Guenther Kleinpeter 1, Serge Marbacher 2,4
1Department of Neurosurgery, Hospital Rudolfstiftung, 2Department of Neurosurgery, Kantonsspital Aarau, 3Cerebrovascular Research Group, Department of Biomedical Research, Medical University of Vienna, 4Cerebrovascular Research Group, Department of Intensive Care Medicine, University of Berne, 5Centre for Anatomy and Cell Biology, Department of Systematic Anatomy, Medical University of Vienna, 6Department of Neurology, Paracelsus University Salzburg

An optimized technique for the microsurgical creation of arterial bifurcation aneurysms mimicking bifurcation human cerebral aneurysms is described. A venous pouch is sutured into an artificially created true bifurcation of both common carotid arteries. Facilitated microsurgical techniques and aggressive postoperative anticoagulation and analgesia lead to minimized morbidity rates and high aneurysm patency rates.

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Bioengineering

Preparation of Intact Bovine Tail Intervertebral Discs for Organ Culture
Samantha C.W. Chan 1, Benjamin Gantenbein-Ritter 1
1ARTORG Center for Biomedical Engineering, University of Bern

This protocol illustrates a harvesting technique for coccygeal bovine intervertebral discs for organ culture for in vitro organ culture.

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Immunology and Infection

Diagnosing Pulmonary Tuberculosis with the Xpert MTB/RIF Test
Thomas Bodmer 1, Angelika Ströhle 2
1Institute for Infectious Diseases, University of Bern, 2MCL Laboratories Inc.

The Xpert MTB/RIF test integrates sample decontamination, hands-free operation, on-board sample processing, and ultra-sensitive hemi-nested PCR for the simultaneous detection of Mycobacterium tuberculosis and rifampicin resistance, either in expectorated sputum or concentrated sputum sediments, in approximately two hours. Testing is standardized and requires only moderate laboratory infrastructure and training.

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Medicine

Bioluminescent Orthotopic Model of Pancreatic Cancer Progression
Ming G. Chai 1, Corina Kim-Fuchs 1,2, Eliane Angst 2, Erica K. Sloan 1,3
1Monash Institute of Pharmaceutical Sciences, Monash University, 2Department of Visceral Surgery and Medicine, University of Bern, 3Cousins Center for Neuroimmunology, University of California Los Angeles

Improved understanding of pancreatic cancer biology is critically needed to enable the development of better therapeutic options to treat pancreatic cancer. To address this need, we demonstrate an orthotopic model of pancreatic cancer that permits non-invasive monitoring of cancer progression using in vivo bioluminescence imaging.

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Bioengineering

Determination of the Transport Rate of Xenobiotics and Nanomaterials Across the Placenta using the ex vivo Human Placental Perfusion Model
Stefanie Grafmüller 1,2,3, Pius Manser 2, Harald F. Krug 2, Peter Wick 2, Ursula von Mandach 1
1Department of Obstetrics, Perinatal Pharmacology, University Hospital Zurich, 2Laboratory for Materials - Biology Interactions, EMPA Swiss Federal Laboratories for Materials Testing and Research, 3Graduate School for Cellular and Biomedical Sciences, University of Bern

The ex vivo dual recirculating human placental perfusion model can be used to investigate the transfer of xenobiotics and nanoparticles across the human placenta. In this video protocol we describe the equipment and techniques required for a successful execution of a placenta perfusion.

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Immunology and Infection

Isolation of Myeloid Dendritic Cells and Epithelial Cells from Human Thymus
Christina Stoeckle 1,2, Ioanna A. Rota 1, Eva Tolosa 3, Christoph Haller 4, Arthur Melms 5, Eleni Adamopoulou 1
1Department of General Neurology, Hertie Institute for Clinical Brain Research, 2Institute of Pharmacology, University of Bern, 3Department of Immunology, University Medical Center Hamburg-Eppendorf, 4Department of Thoracic and Cardiovascular Surgery, University Clinic Tuebingen, 5Department of Neurology, University Hospital Erlangen

This protocol details a method to isolate antigen presenting cells from human thymus via different steps of enzymatic digestion of the tissue followed by density centrifugation of the single cell suspension and finally magnetic and/or FACS sorting of the cell populations of interest.

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Medicine

The Helsinki Rat Microsurgical Sidewall Aneurysm Model
Serge Marbacher 1, Johan Marjamaa 1, Essam Abdelhameed 1, Juha Hernesniemi 1, Mika Niemelä 1, Juhana Frösen 1
1Neurosurgery Research Group, University of Helsinki, Helsinki, Finland

Microsurgical sidewall aneurysms in rats are created by end-to-side anastomosis of an aortic graft to the abdominal aorta. We present step-by-step instructions and discuss anatomical and surgical details for successful experimental saccular aneurysm creation.

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Chemistry

Nucleoside Triphosphates - From Synthesis to Biochemical Characterization
Marcel Hollenstein 1, Christine Catherine Smith 1, Michael Räz 1
1Department of Chemistry and Biochemistry, University of Bern

The protocol described herein aims to explain and abridge the numerous obstacles in the way of the intricate route leading to modified nucleoside triphosphates. Consequently, this protocol facilitates both the synthesis of these activated building-blocks and their availability for practical applications.

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Medicine

A Next-generation Tissue Microarray (ngTMA) Protocol for Biomarker Studies
Inti Zlobec 1, Guido Suter 1, Aurel Perren 1, Alessandro Lugli 1
1Institute of Pathology, University of Bern

The protocol aims at optimizing the construction and quality of tissue microarrays for biomarker research. It includes aspects of planning and design, digital pathology, virtual slide annotation, and automated tissue arraying.

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Biology

Methylnitrosourea (MNU)-induced Retinal Degeneration and Regeneration in the Zebrafish: Histological and Functional Characteristics
Ellinor Maurer 1, Markus Tschopp 1,2, Christoph Tappeiner 1, Pauline Sallin 3, Anna Jazwinska 3, Volker Enzmann 1
1Department of Ophthalmology, Inselspital, University of Bern, 2Department of Ophthalmology, University Hospital of Basel, 3Department of Biology, University of Fribourg

Herein we demonstrate quantification of retinal de- and regeneration and its impact on visual function using N-methyl-N-nitrosourea in the adult zebrafish. Loss of visual acuity and decreased photoreceptor numbers were followed by proliferation in the inner nuclear layer. Complete morphological and functional regeneration occurred 30 days after the initial treatment.

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Medicine

The Rabbit Blood-shunt Model for the Study of Acute and Late Sequelae of Subarachnoid Hemorrhage: Technical Aspects
Lukas Andereggen 3,4,5, Volker Neuschmelting 1,6, Michael von Gunten 7, Hans Rudolf Widmer 5, Jukka Takala 1, Stephan M. Jakob 1, Javier Fandino 1,2, Serge Marbacher 1,2
1Department of Intensive Care Medicine, University and Bern University Hospital (Inselspital), 2Department of Neurosurgery, Kantonsspital Aarau, 3Laboratories for Neuroscience Research in Neurosurgery, Boston Children's Hospital, 4Harvard Medical School, Boston Children's Hospital, 5Department of Neurosurgery, University and Bern University Hospital (Inselspital), 6Department of Neurosurgery, University Hospital Cologne, 7Institute of Pathology, Länggasse Bern

The experimental intracranial pressure-controlled blood shunt subarachnoid hemorrhage (SAH) model in the rabbit combines the standard procedures — subclavian artery cannulation and transcutaneous cisterna magna puncture, which enables close mimicking of human pathophysiological conditions after SAH. We present step-by-step instructions and discuss key surgical points for successful experimental SAH creation.

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Neuroscience

Investigating Functional Regeneration in Organotypic Spinal Cord Co-cultures Grown on Multi-electrode Arrays
Martina Heidemann 1, Jürg Streit 1, Anne Tscherter 1
1Department of Physiology, University of Bern

Here we present a protocol that is based on spinal cord slices cultured on multi-electrode arrays to study functional regeneration of propriospinal connections in vitro.

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Behavior

Concurrent Electroencephalography Recording During Transcranial Alternating Current Stimulation (tACS)
Kristoffer D. Fehér 1, Yosuke Morishima 1,2
1Division of Systems Neuroscience of Psychopathology, Translational Research Center, University Hospital of Psychiatry, University of Bern, 2Japan Science and Technology Agency, PRESTO

In this article we explain how to set up a concurrent transcranial alternating current stimulation and EEG experiment.

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Neuroscience

Spiral Ganglion Neuron Explant Culture and Electrophysiology on Multi Electrode Arrays
Stefan Hahnewald 1,2, Marta Roccio 1,2, Anne Tscherter 3, Jürg Streit 3, Ranjeeta Ambett 1,2, Pascal Senn 1,2,4
1Department of Otorhinolaryngology, Inselspital and University of Bern, 2Department of Clinical Research, Inselspital and University of Bern, 3Department of Physiology, University of Bern, 4Department of Clinical Neurosciences, Service ORL & HNS, University Hospital Geneva

We present a protocol to culture primary murine spiral ganglion neuron explants on multi electrode arrays to study neuronal response profiles and optimize stimulation parameters. Such studies aim to improve the neuron-electrode interface of cochlear implants to benefit hearing in patients as well as the energy consumption of the device.

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JoVE Core

High-resolution Respirometry to Assess Mitochondrial Function in Permeabilized and Intact Cells
Siamak Djafarzadeh 1, Stephan M. Jakob 1
1Department of Intensive Care Medicine, Inselspital, Bern University Hospital, University of Bern

High-resolution respirometry is used to determine mitochondrial oxygen consumption. This is a straightforward technique to determine mitochondrial respiratory chain complexes' (I-IV) respiratory rates, maximal mitochondrial electron transport system capacity, and mitochondrial outer membrane integrity.

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Biology

Xenopus Oocytes: Optimized Methods for Microinjection, Removal of Follicular Cell Layers, and Fast Solution Changes in Electrophysiological Experiments
Maria C. Maldifassi *1, Nisa Wongsamitkul *1, Roland Baur 1, Erwin Sigel 1
1Institute of Biochemistry and Molecular Medicine, University of Bern

Optimized procedures for the isolation of single follicles, cytoplasmic RNA microinjections, the removal of surrounding cell layers, and protein expression in Xenopus oocytes are described. In addition, a simple method for fast solution changes in electrophysiological experiments with ligand-gated ion channels is presented.

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Biology

Isolation of Intact Mitochondria from Skeletal Muscle by Differential Centrifugation for High-resolution Respirometry Measurements
Siamak Djafarzadeh 1, Stephan Mathias Jakob 1
1Department of Intensive Care Medicine, Inselspital, Bern University Hospital

Here, a quadriceps muscle specimen is taken from an anaesthetized pig and mitochondria are isolated by differential centrifugation. Then, the respiratory rates of mitochondrial respiratory chain complexes I, II and IV are determined using high-resolution respirometry.

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Medicine

Assessment of the Anticoagulant and Anti-inflammatory Properties of Endothelial Cells Using 3D Cell Culture and Non-anticoagulated Whole Blood
Riccardo Sfriso 1,2, Anjan Bongoni 3, Yara Banz 4, Nikolai Klymiuk 5, Eckhard Wolf 5, Robert Rieben 1
1Department of Clinical Research, University of Bern, 2Graduate School for Cellular and Biomedical Sciences, University of Bern, 3Immunology Research Centre, St. Vincent's Hospital Melbourne, 4Institute of Pathology, University of Bern, 5Institute of Molecular Animal Breeding and Biotechnology, Ludwig-Maximilian University

We present an in vitro model which allows the study and analysis of coagulation in whole, non-anticoagulated blood. Anticoagulation in the system depends on the natural anticoagulation effect of healthy endothelial cells and endothelial cell activation will result in clotting.

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Neuroscience

Müller Glia Cell Activation in a Laser-induced Retinal Degeneration and Regeneration Model in Zebrafish
Federica M. Conedera 1,2,3, Petra Arendt 1, Carolyn Trepp 1,2,3, Markus Tschopp 1, Volker Enzmann 1,2
1Department of Ophthalmology, University Hospital of Bern, University of Bern, 2Department of Clinical Research, University of Bern, 3Graduate School for Cellular and Biomedical Sciences, University of Bern

The zebrafish is a popular animal model to study mechanisms of retinal degeneration/regeneration in vertebrates. This protocol describes a method to induce localized injury disrupting the outer retina with minimal damage to the inner retina. Subsequently, we monitor in vivo the retinal morphology and the Müller glia response throughout retinal regeneration.

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Neuroscience

Biodegradable Magnesium Stent Treatment of Saccular Aneurysms in a Rat Model - Introduction of the Surgical Technique
Edin Nevzati 1,2, Jeannine Rey 2, Daniel Coluccia 1,2, Donato D'Alonzo 1,2, Basil Grüter 1,2, Luca Remonda 3, Javier Fandino 1,2, Serge Marbacher 1,2
1Department of Neurosurgery, Kantonsspital Aarau, 2Neuro Lab, Research Group for Experimental Neurosurgery and Neurocritical Care, Department of Intensive Care Medicine, University Hospital and University of Bern, 3Division of Neuroradiology, Department of Radiology, Kantonsspital Aarau

Reproducable experimental animal models are needed for the testing of novel embolization materials, which have been designed to treat endovascular occlusion of intracranial aneurysms (IA). The present study aims to develop a safe and standardized surgical technique for stent assisted embolization of saccular aneurysms in a rat animal model.

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Medicine

Discovering Middle Ear Anatomy by Transcanal Endoscopic Ear Surgery: A Dissection Manual
Lukas Anschuetz 1,2, Livio Presutti 2, Daniele Marchioni 3, Marco Bonali 2, Wilhelm Wimmer 1,4, Domenico Villari 2, Marco Caversaccio 1,4
1Department of Otorhinolaryngology, Head and Neck Surgery, Inselspital, Bern University Hospital, University of Bern, 2Department of Otorhinolaryngology, Head & Neck Surgery, University Hospital of Modena, 3Department of Otorhinolaryngology, Head & Neck Surgery, University Hospital of Verona, 4Artificial Hearing Research, Artorg Center for Biomedical Engineering, University of Bern

The aim of this article is to describe the methodology of exclusively endoscopic cadaveric middle ear dissection. Moreover, we aim to provide a comprehensive guide to endoscopic middle ear anatomy.

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Medicine

Improvement of a Closed Chest Porcine Myocardial Infarction Model by Standardization of Tissue and Blood Sampling Procedures
Mai M. Abdelhafez 1,2, Jane Shaw 1, Jonas Wilbs 3, Alain Despont 1, Robert Rieben 1
1Department for Biomedical Research, University of Bern, 2Graduate School for Cellular and Biomedical Sciences, University of Bern, 3Institute of Chemical Sciences and Engineering, Ecole Polytechnique Fédérale de Lausanne (EPFL)

Here we demonstrate a protocol to standardize sampling procedures of an established porcine model of acute myocardial infarction in order to increase its translational value in the understanding of the pathophysiology of myocardial ischemia/reperfusion injury and to test novel drug candidates.

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Environment

On the Preparation and Testing of Fuel Cell Catalysts Using the Thin Film Rotating Disk Electrode Method
Masanori Inaba 1, Jonathan Quinson 1, Jan Rudolf Bucher 2, Matthias Arenz 1,2
1Nano-Science Center, Department of Chemistry, University of Copenhagen, 2Department of Chemistry and Biochemistry, University of Bern

Preparing and testing Pt/C fuel cell catalysts is subject to continuous discussion in the scientific community with respect to reproducibility and best practice. With the presented work, we intend to present a step-by-step tutorial to make and test Pt/C catalysts, which can serve as benchmark for novel catalyst systems.

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Immunology and Infection

Preparation of Murine Submandibular Salivary Gland for Upright Intravital Microscopy
Xenia Ficht *1, Flavian Thelen *1, Bettina Stolp *1,2, Jens V. Stein 1
1Theodor-Kocher Institute, University of Bern, 2Center for Infectious Diseases, Integrative Virology, University Clinic of Heidelberg

We describe a protocol to surgically expose and stabilize the murine submandibular salivary gland for intravital imaging using upright intravital microscopy. This protocol is easily adaptable to other exocrine glands of the head and neck region of mice and other small rodents.

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Immunology and Infection

Imaging Cell Interaction in Tracheal Mucosa During Influenza Virus Infection Using Two-photon Intravital Microscopy
Miguel Palomino-Segura *1,2, Tommaso Virgilio *1,2, Diego Morone 1, Diego U. Pizzagalli 1,3, Santiago F. Gonzalez 1
1Faculty of Biomedical Sciences, Institute for Research in Biomedicine, Università della Svizzera italiana (USI), 2Graduate School of Cellular and Molecular Sciences, Faculty of Medicine, University of Bern, 3Institute of Computational Science, Università della Svizzera italiana (USI)

In this study, we present a protocol to perform two-photon intravital imaging and cell interaction analysis in the murine tracheal mucosa after infection with influenza virus. This protocol will be relevant for researchers studying immune cell dynamics during respiratory infections.

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Environment

Detection of Tilapia Lake Virus Using Conventional RT-PCR and SYBR Green RT-qPCR
Pamela Nicholson 1, Pattarasuda Rawiwan 2, Win Surachetpong 2
1Institute of Veterinary Bacteriology Vetsuisse Faculty, University of Bern, 2Department of Veterinary Microbiology and Immunology and Center for Advanced Studies for Agriculture and Food, Kasetsart University Institute for Advanced Studies, Kasetsart University

This protocol diagnoses Tilapia Lake Virus (TiLV) in tilapia tissues using RT-PCR methodologies. The entire method is described from tissue dissection to total RNA extraction, followed by cDNA synthesis and detection of TiLV by either conventional PCR or quantitative PCR using dsDNA binding a fluorescent binding dye.

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Immunology and Infection

Visualizing Impairment of the Endothelial and Glial Barriers of the Neurovascular Unit during Experimental Autoimmune Encephalomyelitis In Vivo
Silvia M. Tietz 1, Britta Engelhardt 1
1Theodor Kocher Institute, University of Bern

Here, we present protocols to investigate impairment of the neurovascular unit during experimental autoimmune encephalomyelitis in vivo. We specifically address how to determine blood-brain barrier permeability and gelatinase activity involved in leukocyte migration across the glia limitans. 

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Neuroscience

Targeting Alpha Synuclein Aggregates in Cutaneous Peripheral Nerve Fibers by Free-floating Immunofluorescence Assay
Elena Vacchi 1, Sandra Pinton 1, Alain Kaelin-Lang 1,2,3,4, Giorgia Melli 1,2
1Laboratory for Biomedical Neurosciences, Neurocenter of Southern Switzerland, 2Neurology Department, Neurocenter of Southern Switzerland, 3Department of Neurology, Inselspital, Bern University Hospital, University of Bern, 4Faculty of Biomedical Sciences, Università della Svizzera Italiana

Here, we present a protocol for a free-floating indirect immunofluorescence assay on skin biopsy sections that allows for the identification of disease specific conformation variants of alpha synuclein involved in Parkinson disease and multiple proteins of the peripheral nervous system.

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Neuroscience

Fluorescence Angiography for Evaluation of Aneurysm Perfusion and Parent Artery Patency in Rat and Rabbit Aneurysm Models
Fabio Strange 1,2, Sivani Sivanrupan 2, Basil E. Gruter 1,2, Jeannine Rey 2, Dominik Taeschler 2, Javier Fandino 1,2, Serge Marbacher 1,2
1Department of Neurosurgery, Kantonsspital Aarau, 2Cerebrovascular Research Group, Department for BioMedical Research (DBMR), University of Bern

We present a protocol to efficiently evaluate aneurysm perfusion and vessel patency of sidewall aneurysm in rats and rabbits, using fluorescein-based fluorescence video angiography (FVA). With a positive predictive value of 92.6%, it is a simple but very effective and economical method with no special equipment required.

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Neuroscience

Muscle Velocity Recovery Cycles to Examine Muscle Membrane Properties
Agnes Witt 1, Hugh Bostock 2, Werner J. Z'Graggen 3, S. Veronica Tan 4, Alexander Gramm Kristensen 1, Rikke Søgaard Kristensen 1, Lotte Hardbo Larsen 1, Zennia Zeppelin 1, Hatice Tankisi 1
1Department of Clinical Neurophysiology, Aarhus University Hospital, 2UCL Queen Square Institute of Neurology, Queen Square House, 3Departments of Neurology and Neurosurgery, Inselspital, Bern University Hospital, University of Bern, 4MRC Centre for Neuromuscular Diseases, UCL Institute of Neurology, The National Hospital for Neurology and Neurosurgery

Presented here is a protocol for the recording of muscle velocity recovery cycles (MVRCs), a new method of examining muscle membrane properties. MVRCs enable in vivo assessment of muscle membrane potential and alterations in muscle ion channel function in relation to pathology, and it enables the demonstration of muscle depolarization in neurogenic muscles.

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Neuroscience

Arterial Pouch Microsurgical Bifurcation Aneurysm Model in the Rabbit
Stefan Wanderer 1,2, Claudia Waltenspuel 2, Basil E. Grüter 1,2, Fabio Strange 1,2, Sivani Sivanrupan 2, Luca Remonda 3, Hans Rudolf Widmer 4, Daniela Casoni 5, Lukas Andereggen 1,2, Javier Fandino 1,2, Serge Marbacher 1,2
1Department of Neurosurgery, Kantonsspital Aarau, 2Cerebrovascular Research Group, Department for BioMedical Research, University of Bern, 3Division of Neuroradiology, Department of Radiology, Kantonsspital Aarau, 4Department of Neurosurgery, Neurocenter and Regenerative Neuroscience Cluster, Inselspital, Bern University Hospital, University of Bern, 5Department for Biomedical Research, Faculty of Medicine, University of Bern

Developing and testing endovascular devices for intracranial aneurysm treatment is still of great importance. Most aneurysm models used today miss either the important characteristics of an arterial degenerated wall or the hemodynamics of a true bifurcation. Therefore, we aimed to design a novel arterial pouch bifurcation model in rabbits.

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Medicine

Creation of Two Saccular Elastase-Digested Aneurysms with Different Hemodynamics in One Rabbit
Gwendoline Boillat 1,2, Tim Franssen 2, Basil Grüter 1,2, Stefan Wanderer 1,2, Kristina Catalano 2, Daniela Casoni 3, Lukas Andereggen 1,2, Serge Marbacher 1,2
1Department of Neurosurgery, Kantonsspital Aarau, 2Cerebrovascular Research Group, Department for BioMedical Research, University of Bern, 3Experimental Surgery Facility, Department for Biomedical Research, Faculty of Medicine, University of Bern

This protocol describes the steps for the creation of a rabbit model with two elastase-digested aneurysms with different hemodynamics (stump and bifurcation constellation). This allows the testing of novel endovascular devices in aneurysms with different angioarchitecture and hemodynamic conditions within a single animal.

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Biology

5-Ethynyl-2'-Deoxyuridine/Phospho-Histone H3 Dual-Labeling Protocol for Cell Cycle Progression Analysis in Drosophila Neural Stem Cells
Rohan Chippalkatti 1,2, Beat Suter 1
1Cell Biology, University of Bern, 2Department of life sciences and medicine, University of Luxembourg

Cell cycle analysis with 5-ethynyl-2'-deoxyuridine (EdU) and phospho-histone H3 (pH3) labeling is a multi-step procedure that may require extensive optimization. Here, we present a detailed protocol that describes all steps for this procedure including image analysis and quantification to distinguish cells in different cell cycle phases.

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Medicine

Multiphoton Intravital Imaging for Monitoring Leukocyte Recruitment during Arteriogenesis in a Murine Hindlimb Model
Manuel Lasch 1,2,3, Mykhailo Vladymyrov 4, Dominic van den Heuvel 1,5, Philipp Götz 1,3, Elisabeth Deindl 1,3, Hellen Ishikawa-Ankerhold 1,5
1Walter-Brendel-Centre of Experimental Medicine, University Hospital, Ludwig-Maximilians-Universität München, 2Department of Otorhinolaryngology, Head & Neck Surgery, University Hospital, Ludwig-Maximilians-Universität München, 3Biomedical Center, Institute of Cardiovascular Physiology and Pathophysiology, Faculty of Medicine, Ludwig-Maximilians-Universität München, 4TKI, University of Bern, 5Department of Internal Medicine I and Cardiology, University Hospital, Ludwig-Maximilians-Universität München

The recruitment of leukocytes and platelets constitutes an essential component necessary for the effective growth of collateral arteries during arteriogenesis. Multiphoton microscopy is an efficient tool for tracking cell dynamics with high spatio-temporal resolution in vivo and less photo-toxicity to study leukocyte recruitment and extravasation during arteriogenesis.

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Medicine

The Microscopic Transcanal Approach in Stapes Surgery Revisited
Georgios Mantokoudis 1, Stefan Weder 1, Lukas Anschuetz 1, Sandra Gunser 1, Urs Borner 1, Marco D. Caversaccio 1
1Department of Otorhinolaryngology, Head and Neck Surgery, lnselspital, Bern University Hospital, University of Bern

This article describes the microscopic transcanal technique for stapes surgery, providing step-by-step surgical instructions for familiarizing surgeons with this approach.

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Medicine

Performing Intracochlear Electrocochleography During Cochlear Implantation
Klaus Schuerch 1,2, Manuel Waser 1, Georgios Mantokoudis 1, Lukas Anschuetz 1, Wilhelm Wimmer 1,2, Marco Caversaccio 1,2, Stefan Weder 1
1Department of Otorhinolaryngology, Head and Neck Surgery, Inselspital, Bern University Hospital, University of Bern, 2Hearing Research Laboratory, ARTORG Center for Biomedical Engineering Research, University of Bern

Electrocochleography (ECochG) measures inner ear potentials generated in response to acoustic stimulation. In cochlear implant (CI) candidates, such inner ear potentials can be measured directly with the implant electrodes. In this video, we systematically explain how to perform ECochG recordings during CI surgery.

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Medicine

Endoscopic Cholesteatoma Surgery
Sven Beckmann 1, Georgios Mantokoudis 1, Stefan Weder 1, Urs Borner 1, Marco Caversaccio 1, Lukas Anschuetz 1
1Department of Otorhinolaryngology, Head and Neck Surgery, Inselspital, Bern University Hospital, University of Bern

The present protocol describes a step-by-step guide for the complete endoscopic removal of epitympanic cholesteatoma with different techniques for cholesteatoma dissection and bone removal for epitympanectomy.

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Neuroscience

Using a Cell-Tracer Injection to Investigate the Origin of Neointima-Forming Cells in a Rat Saccular Side Wall Model
Stefan Wanderer *1,2, Basil E. Grüter *1,2, Jeannine Kümin 1,2, Gwendoline Boillat 1,2, Sivani Sivanrupan 2, Kristina Catalano 1,2, Michael von Gunten 3, Hans Rudolf Widmer 4, Serge Marbacher 1,2,5, Lukas Andereggen 1,2,5
1Department of Neurosurgery, Kantonsspital Aarau, 2Cerebrovascular Research Group, Department for BioMedical Research, University of Bern, 3Institute of Pathology Laenggasse, 4Department of Neurosurgery, Neurocenter and Regenerative Neuroscience Cluster, Inselspital, Bern University Hospital, University of Bern, 5Faculty of Medicine, University of Bern

We performed a one-point, lipophilic cell-tracer injection to track endothelial cells, followed by an arteriotomy and suturing of sidewall aneurysms on the abdominal rat aorta. Neointima formation seemed dependent on the parent artery in decellularized aneurysms and was promoted by the recruitment from aneurysm wall cells in vital cell-rich walls.

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Behavior

Estimating Vestibular Perceptual Thresholds Using a Six-Degree-Of-Freedom Motion Platform
Matthias Ertl 1, Daniel C. Fitze 1, Gerda Wyssen 1, Fred W. Mast 1
1Institute of Psychology, University of Bern

In this article, we describe the methods, procedures, and technologies required to estimate vestibular perceptual thresholds using a six-degree-of-freedom motion platform.

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Neuroscience

Measuring the Influence of Magnetic Vestibular Stimulation on Nystagmus, Self-Motion Perception, and Cognitive Performance in a 7T MRT
Gerda Wyssen 1,6, Miranda Morrison 2, Athanasia Korda 2, Wilhelm Wimmer 2,3, Jorge Otero-Millan 4, Matthias Ertl 1, Andreas A. Szukics 1,6, Thomas Wyss 2, Franca Wagner 5,6, Marco D. Caversaccio 2,3, Georgios Mantokoudis 2,6, Fred W. Mast 1,6
1Department of Psychology, University of Bern, 2Department of Otorhinolaryngology, Head and Neck Surgery, lnselspital, University Hospital Bern and University of Bern, 3Hearing Research Laboratory, ARTORG Center for Biomedical Engineering Research, University of Bern, 4Herbert Wertheim School of Optometry and Vision Science, University of California, 5University Department of Diagnostic and Interventional Neuroradiology, Inselspital, Bern University Hospital, University of Bern, 6Translational Imaging Center (TIC), Swiss Institute for Translational and Entrepreneurial Medicine

In this article, we describe the experimental setup, material, and procedures to assess reflexive eye movements, self-motion perception, and cognitive tasks under magnetic vestibular stimulation, as well as the anatomical orientation of the vestibular organs, in a 7 Tesla Magnetic resonance tomography (7T-MRT) scanner.

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Medicine

Robotic Cochlear Implantation for Direct Cochlear Access
Marco Caversaccio 1,2, Georgios Mantokoudis 1, Franca Wagner 3, Philipp Aebischer 1,2, Stefan Weder 1,2, Wilhelm Wimmer 1,2
1Department of Otorhinolaryngology, Head and Neck Surgery, Inselspital, Bern University Hospital, University of Bern, 2Hearing Research Laboratory, ARTORG Center for Biomedical Engineering Research, University of Bern, 3Department of Diagnostic and Interventional Neuroradiology, Inselspital, Bern University Hospital

Robotic cochlear implantation is a procedure for minimally invasive inner ear access. Compared to conventional surgery, robotic cochlear implantation involves additional steps that need to be carried out in the operating room. In this article we give a description of the procedure and highlight the important aspects of robotic cochlear implantation.

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Bioengineering

Differentiation of Human Induced Pluripotent Stem Cells to Brain Microvascular Endothelial Cell-Like Cells with a Mature Immune Phenotype
Kinya Matsuo 1, Britta Engelhardt 2, Hideaki Nishihara 3
1Graduate School of Medicine, Yamaguchi University, 2Theodor Kocher Institute, University of Bern, 3Department of Neurotherapeutics, Yamaguchi University of Medicine

Here, we describe a protocol, the extended endothelial cell culture method (EECM), that allows differentiation of pluripotent stem cells to brain microvascular endothelial cell (BMEC)-like cells. These cells show endothelial cell adhesion molecule expression and are thus a human blood-brain barrier model suitable to study immune cell interactions in vitro.

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Cancer Research

Establishment of Pancreatic Cancer-Derived Tumor Organoids and Fibroblasts From Fresh Tissue
Jesús Frutos Díaz-Alejo *1,2,3,4, Simon April-Monn *5, Marina Cihova 6, Verona Buocikova 6, Jorge Villalón López 1,3, Maria Urbanova 6, Carmen G. Lechuga 7, Miroslav Tomas 6,8, Peter Dubovan 6,8, Bárbara Luna Sánchez 3, Sonia Camaño Páez 3, Alfonso Sanjuanbenito 2,9, Eduardo Lobo 9, Estefanía Romio de la Heras 10, Carmen Guerra 2,7, Carolina de la Pinta 11, Emma Barreto Melian 1,2, Mercedes Rodríguez Garrote 1,2, Alfredo Carrato 1,2,4, Laura Ruiz-Cañas 3,12,13, Bruno Sainz, Jr. 2,3,12,13, Ana Torres 3, Bozena Smolkova 6, Julie Earl 1,2,3
1Molecular Epidemiology and Predictive Tumor Markers Group, Area 3, Ramón y Cajal Health Research Institute (IRYCIS), 2The Biomedical Research Network in Cancer (CIBERONC), 3Biobank and Biomodels Platform (PT20/0045), ISCIII research and development platforms in biomedicine and health sciences, BioBank Hospital Ramón y Cajal-IRYCIS, Spanish National Biobanks Network (ISCIII Biobank Register No. B.0000678), Ramón y Cajal Health Research Institute (IRYCIS), 4Faculty of Medicine, University of Alcalá de Henares, 5Institute of Tissue Medicine and Pathology, University of Bern, 6Department of Molecular Oncology, Cancer Research Institute, Biomedical Research Center of the Slovak Academy of Sciences, 7Experimental Oncology, Molecular Oncology Program, Centro Nacional de Investigaciones Oncológicas (CNIO), 8Department of Surgical Oncology, National Cancer Institute, Slovak Medical University, 9Pancreatic and Biliopancreatic Surgery Unit, Hospital Universitario Ramón y Cajal, 10Department of Pathology, Hospital Universitario Ramón y Cajal, 11Department of Radiation Oncology, Hospital Universitario Ramón y Cajal, 12Department of Cancer, Instituto de Investigaciones Biomédicas “Alberto Sols” (IIBM), 13Cancer Stem Cell and Fibroinflammatory Group, Chronic Diseases and Cancer, Area 3, IRYCIS

Tumor organoids have revolutionized cancer research and the approach to personalized medicine. They represent a clinically relevant tumor model that allows researchers to stay one step ahead of the tumor in the clinic. This protocol establishes tumor organoids from fresh pancreatic tumor tissue samples and patient-derived xenografts of pancreatic adenocarcinoma origin.

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Bioengineering

Use of the MicroSiM (µSiM) Barrier Tissue Platform for Modeling the Blood-Brain Barrier
Molly C. McCloskey 1, Pelin Kasap 2, Michelle Trempel 1, Louis P. Widom 3, Julia Kuebel 1, Kaihua Chen 1, Thomas R. Gaborski 3, Britta Engelhardt 2, James L. McGrath 1
1Department of Biomedical Engineering, University of Rochester, 2Theodor Kocher Institute, University of Bern, 3Department of Biomedical Engineering, Rochester Institute of Technology

This report provides protocols for assembly, cell culture, and assays on the µSiM platform for the construction of blood-brain barrier models.

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Medicine

Techniques of Endoscopic Ossiculoplasty
Raffael Fink 1, Giulia Molinari 2,3, Sven Beckmann 1, Ignacio Javier Fernandez 2,3, Arianna Burato 2,3, Marco Caversaccio 1, Livio Presutti 2,3, Lukas Anschuetz 1
1Department of Otorhinolaryngology, Head and Neck Surgery, Inselspital, Bern University Hospital, University of Bern, 2Department of Otolaryngology, Head and Neck Surgery, IRCCS Azienda Ospedaliero-Universitaria di Bologna, 3Department of Medical and Surgical Sciences, Alma Mater Studiorum University of Bologna

Exclusive Endoscopic ossiculoplasty (EEO) is a promising and minimally invasive approach for the treatment of conductive hearing loss due to ossicular chain disruptions and associated middle ear pathologies. Herein, step-by-step instructions and a discussion of various endoscopic ossiculoplasty techniques are presented.

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Medicine

Minimal Invasive Resection of Large Retrosternal Thyroid Goiter
Pauline Aeschbacher 1, Michaël A. Huguenin-Dezot 1, Cédric Nesti 1, Yves M. Borbély 1, Reto M. Kaderli 1
1Department of Visceral Surgery and Medicine, Inselspital, Bern University Hospital, University of Bern

Here, we present a protocol for retrosternal thyroid goiter resection using a thoracoscopic-assisted transcervical approach.

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