All procedures involving animal models have been reviewed by the local institutional animal care committee and the JoVE veterinary review board.
1. Animal Handling, Preparation and Induction of Inflammation
- Use 4 - 6 week-old male mice with a weight range of 16 - 20 g. Note: If the mice are older or heavier they present excessive fat surrounding the vessel, limiting the microscopic observation.
- Sterilize all tools and microscope table prior to surgery.
- Inject 20 mg/kg LPS (lipopolysaccharide) intraperitoneally 4 hr prior to microscopy into the living mouse to induce a bacterial inflammation.
- Prewarm a 0.9% saline solution in a water bath at 37 °C to humidify the plastic chamber and the mesentery tissue.
- Anesthetize the mouse with an intraperitoneal injection of ketamine (100 mg/kg) and xylazine (5 mg/kg) right before the microscopy procedure. Alternative anesthesia can be used, e.g., 2% isoflurane inhalation. Confirm proper anesthetization by the loss of response to reflex stimulation (toe or tail pinch with firm pressure).
- Depilate the abdomen using a shaver and remove loose hair with gauze saturated with ethanol 70%.
- Apply vet ointment on the eyes of the mouse to prevent dryness, while under anesthesia.
2. Surgery
- Sterilize the abdomen using 70% ethanol. This method is not a sterile method and could be lethal at the end of the experiment.
- Perform a median laparotomy: Open the abdominal skin using small, curved forceps and small scissors. Identify the epigastric vessels and open the peritoneum in the region of the linea alba, to protect the vessels.
- Apply a few drops of prewarmed saline into the abdominal cavity to keep the tissue moist.
- Label leukocytes and platelets fluorescently by injecting 50 µl rhodamine 6G (1 mg/ml) retro-orbitally.
- Exteriorize a loop of ileum and place it in a petri dish with a diameter of 10 cm; make sure to keep the tissue moist by applying the 37 °C prewarmed saline solution (0.9%) every other minute.
3. Intravital Microscopy
- Place the Mouse underneath the microscope and bring the mesentery vein with a diameter of 200 - 300 µm in the center of view. Choose a vessel with no visible fat surroundings.
- Do not touch the mesentery vessels thereby avoiding stimulation of the endothelium. Handle the ileum loop cautiously.
- Visualize blood cell-endothelial interactions with an inverted or upright microscope and a camera using microscope software. Record blood cell-endothelial interactions for 1 min in 4 different veins per mouse.
- Euthanize the mouse by cervical dislocation after the completion of imaging experiments.
4. Analysis
- Carry out the analysis offline and blind for all parameters. Carry out analysis using any suitable software program.
- Confirm stable and interindividual comparable blood flow conditions in high time-resolution cine-clips (maximal frame rate) focused on intraluminal blood cell flow.
- Quantify the number of rolling leukocytes. Therefore draw a vertical line through the vein and count all leukocytes crossing this line in 1 min.
- Determine rolling velocity by measuring the time one single leukocyte needs to pass a distance of 50 µm while stably rolling on the endothelium. To do this, draw two vertical lines at a distance of 50 µm through the vein.
- Measure the time a representative leukocyte needs to get from one line to the other. Calculate the speed of the leukocytes by dividing 50 µm through the time needed (µm/s).
- Measure leukocyte adhesion in a field of 0.04 mm2. To do this, draw a square with a side length of 200 µm into the vein.
- Count the firm adherent leukocytes, defined as no visible movement for 30 sec, within this square.
- Count the number of platelets bound to one leukocyte to quantify platelet-leukocyte interactions.