We thank Drs. Mikhail Shapiro and Nikita Reznik for fruitful discussions. This work was supported by start-up funds from Western University of Health Sciences and NIH grant R21NS101384.

1. Growing Cells on Acoustically-Transparent Polyester Film
<ol>
	<li>Drill a 12 mm hole size at the bottom of a standard 35 mm culture dish using a vertical press-drill. Move the drill slowly and wear eye protection. Remove pieces of plastic attached to the bottom of the dish using a blade to create a smooth surface on the external side (Figure 2).</li>
	<li>Apply a thin layer of marine-grade epoxy or glue at the external bottom surface of the dish.</li>
	<li>Place a film of polyester (2....

<ol>
	<li>Elhelf, I. A. S., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=High+intensity+focused+ultrasound:+The+fundamentals,+clinical+applications+and+research+trends.">High intensity focused ultrasound: The fundamentals, clinical applications and research trends.</a> Diagnostic and Interventional Imaging. 99 (6), 349-359 (2018).</li><li>Toccaceli, G., Delfini, R., Colonnese, C., Raco, A., Peschillo, S. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=.">.</a> Emerging strategies and future perspective in neuro-oncology using Transcranial Focused Ultrasound Technology. , (2018).</li><li>Duck, F. 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J. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=The+mechanobiology+of+brain+function.">The mechanobiology of brain function.</a> Nature Reviews: Neuroscience. 13 (12), 867-878 (2012).</li><li>Tyler, W. J. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Noninvasive+neuromodulation+with+ultrasound?+A+continuum+mechanics+hypothesis.">Noninvasive neuromodulation with ultrasound? A continuum mechanics hypothesis.</a> Neuroscientist. 17 (1), 25-36 (2011).</li><li>Tufail, Y., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Transcranial+pulsed+ultrasound+stimulates+intact+brain+circuits.">Transcranial pulsed ultrasound stimulates intact brain circuits.</a> Neuron. 66 (5), 681-694 (2010).</li><li>Tyler, W. J., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Remote+excitation+of+neuronal+circuits+using+low-intensity,+low-frequency+ultrasound.">Remote excitation of neuronal circuits using low-intensity, low-frequency ultrasound.</a> PloS One. 3 (10), e3511 (2008).</li><li>Suarez Castellanos, I., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Calcium-dependent+ultrasound+stimulation+of+secretory+events+from+pancreatic+beta+cells.">Calcium-dependent ultrasound stimulation of secretory events from pancreatic beta cells.</a> Journal of Therapeutic Ultrasound. 5, 30 (2017).</li><li>Suarez Castellanos, I., Jeremic, A., Cohen, J., Zderic, V. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Ultrasound+Stimulation+of+Insulin+Release+from+Pancreatic+Beta+Cells+as+a+Potential+Novel+Treatment+for+Type+2+Diabetes.">Ultrasound Stimulation of Insulin Release from Pancreatic Beta Cells as a Potential Novel Treatment for Type 2 Diabetes.</a> Ultrasound in Medicine and Biology. 43 (6), 1210-1222 (2017).</li><li>Ibsen, S., Tong, A., Schutt, C., Esener, S., Chalasani, S. H. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Sonogenetics+is+a+non-invasive+approach+to+activating+neurons+in+Caenorhabditis+elegans.">Sonogenetics is a non-invasive approach to activating neurons in Caenorhabditis elegans.</a> Nature Communications. 6, 8264 (2015).</li><li>Prieto, M. L., Firouzi, K., Khuri-Yakub, B. T., Maduke, M. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Activation+of+Piezo1+but+Not+NaV1.2+Channels+by+Ultrasound+at+43+MHz.">Activation of Piezo1 but Not NaV1.2 Channels by Ultrasound at 43 MHz.</a> Ultrasound in Medicine and Biology. 44 (6), 1217-1232 (2018).</li><li>Kubanek, J., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Ultrasound+modulates+ion+channel+currents.">Ultrasound modulates ion channel currents.</a> Scientific Reports. 6, 24170 (2016).</li><li>Prieto, M. L., Omer, O., Khuri-Yakub, B. T., Maduke, M. C. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Dynamic+response+of+model+lipid+membranes+to+ultrasonic+radiation+force.">Dynamic response of model lipid membranes to ultrasonic radiation force.</a> PloS One. 8 (10), e77115 (2013).</li><li>Sato, T., Shapiro, M. G., Tsao, D. Y. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Ultrasonic+Neuromodulation+Causes+Widespread+Cortical+Activation+via+an+Indirect+Auditory+Mechanism.">Ultrasonic Neuromodulation Causes Widespread Cortical Activation via an Indirect Auditory Mechanism.</a> Neuron. 98 (5), 1031-1041 (2018).</li><li>O'Brien, W. D. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Ultrasound-biophysics+mechanisms.">Ultrasound-biophysics mechanisms.</a> Progress in Biophysics and Molecular Biology. 93 (1-3), 212-255 (2007).</li><li>Shapiro, M. G., Homma, K., Villarreal, S., Richter, C. P., Bezanilla, F. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Corrigendum:+Infrared+light+excites+cells+by+changing+their+electrical+capacitance.">Corrigendum: Infrared light excites cells by changing their electrical capacitance.</a> Nature Communications. 8, 16148 (2017).</li><li>Shapiro, M. G., Homma, K., Villarreal, S., Richter, C. P., Bezanilla, F. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Infrared+light+excites+cells+by+changing+their+electrical+capacitance.">Infrared light excites cells by changing their electrical capacitance.</a> Nature Communications. 3, 736 (2012).</li><li>Shapiro, M. G., Priest, M. F., Siegel, P. H., Bezanilla, F. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Thermal+mechanisms+of+millimeter+wave+stimulation+of+excitable+cells.">Thermal mechanisms of millimeter wave stimulation of excitable cells.</a> Biophysical Journal. 104 (12), 2622-2628 (2013).</li><li>Hwang, J. Y., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Investigating+contactless+high+frequency+ultrasound+microbeam+stimulation+for+determination+of+invasion+potential+of+breast+cancer+cells.">Investigating contactless high frequency ultrasound microbeam stimulation for determination of invasion potential of breast cancer cells.</a> Biotechnology and Bioengineering. 110 (10), 2697-2705 (2013).</li><li>Nakano, M., et al. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Genetically+encoded+ratiometric+fluorescent+thermometer+with+wide+range+and+rapid+response.">Genetically encoded ratiometric fluorescent thermometer with wide range and rapid response.</a> PloS One. 12 (2), e0172344 (2017).</li><li>Donner, J. S., Thompson, S. A., Kreuzer, M. P., Baffou, G., Quidant, R. <a target="_blank" href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed&cmd=Search&doptcmdl=Citation&defaultField=Title+Word&term=Mapping+intracellular+temperature+using+green+fluorescent+protein.">Mapping intracellular temperature using green fluorescent protein.</a> Nano Letters. 12 (4), 2107-2111 (2012).</li></ol>

The authors have nothing to disclose.

A main advantage of focused ultrasound is its ability to non-invasively deliver mechanical and/or thermal energy to biological samples with high spatio-temporal precision. Other techniques intended to mechanically stimulate cells usually employ invasive physical probes (e.g., cell-poking) or requires the interaction of high energy laser beams with foreign objects (e.g., optical tweezers). Magnetic heating can heat specific spatial locations inside biological samples but requires the presence of foreign ...

Many diseases require some form of invasive medical intervention. These procedures are often expensive, risky, require recovery periods and thus add a burden to health care systems. Non-invasive therapeutic modalities have the potential to provide safer and cheaper alternatives to conventional surgical procedures. However, current non-invasive approaches such as pharmacotherapy or transcranial magnetic stimulation are often limited by trade-offs between tissue penetration, spatiotemporal resolution and unwanted off-target effects. In this context, a focused ultrasound constitutes a promising non-invasive technology with the potential to manipulate biological functions deep inside tissues with high spatiotemporal accuracy and limited off-target effects.
Focused ultrasound stimulation consists of delivering acoustic energy at precise locations deep inside living organisms. Depending on acoustic pulse parameters, this energy can have a variety of medical uses. For instance, the Food and Drug Administration has approved the use of High-intensity Focused Ultrasound (HiFU) for thermal ablation of prostate tumors, tremor-causing brain regions, uterine fibroids and pain-causing nerve endings in bone metastases1. HiFu-mediated microbubble cavitation is also used to transiently open the blood-brain barrier for the targeted delivery of systemically-administered therapeutics2. The spatial-peak pulse-average intensity (Isppa) and spatial-peak temporal-average intensity (Ispta) used for HiFU applications are typically above several kW cm-2 and produce pulse pressure of several tens of MPa. These intensity values are far above the FDA-approved Isppa and Ispta limits for diagnostic ultrasound, 190 W cm-2 and 720 mW cm-2, respectively3. In contrast, recent studies have shown that non-destructive pulsed ultrasound stimulation that are within or near the range of diagnostic ultrasound intensity limits (LIPUS) can be effective to remotely and safely manipulate neural firing4,5,6,7,8, hormonal secretion9,10 and bioengineered cells11. Yet, the cellular and molecular mechanisms by which cells sense and respond to ultrasound remain unclear, precluding clinical translation of LIPUS. Hence, in the past few years, studies of artificial membranes, cultured cells and animals stimulated with ultrasound have gained momentum to reveal biophysical and physiological processes modulated by LIPUS12,13,14,15.
Sound consists of a vibration propagating through a physical medium. An ultrasound is a sound with a frequency above the human audible range (i.e., above 20 kHz). In a laboratory setting, ultrasound waves are generally produced by piezoelectric transducers that contain a material that vibrates in response to an electrical field oscillating in a specific high-frequency bandwidth. Two types of transducers exist: single element transducers and transducer arrays. Single element piezoelectric transducers possess a curved surface which acts as a focusing lens and hence concentrates acoustic energy into a defined region called the focal zone. Single element transducers are much cheaper and easier to operate than transducer arrays. This article will focus on single element transducers.
The size of the focal zone of a focused single element transducer depends on the geometric properties of the acoustic lens and on its acoustic frequency. To achieve a millimeter-size focal zone with a single element transducer, ultrasound frequencies in the MHz range are generally required. Unfortunately, acoustic waves at such frequency are very rapidly attenuated when propagated in a tenuous medium such as air. Thus, MHz ultrasound waves need to be generated and propagated to the sample in a denser material such as water. This constitutes the first challenge in integrating LIPUS modality to a microscope.
A second challenge is to minimize physical interfaces between materials with different acoustic impedances (which is a product of material density and the acoustic velocity) along the acoustic path. These interfaces can reflect, refract, scatter and absorb acoustic waves, making it difficult to quantify the amount of acoustic energy effectively delivered to a sample. They may also create unwanted mechanical artefacts. For instance, reflections produced perpendicular to acoustic mismatch impedance interfaces create backpropagating waves that interfere with forward-propagating ones. Along the interference path, the waves cancel each other at fixed regions of spaces called nodes and sum up at alternating regions called anti-nodes, creating so-called standing waves (Figure 1). It is important for the experimentalist to be able to control or eliminate these experimental interfaces in vitro as they may not exist in vivo.
Fluorescence measurement of optical reporters is a well-known method to interrogate transparent biological samples in real-time and with no physical disturbance. This approach is thus ideal for LIPUS studies as any physical probes present in the sonicated area will introduce mechanical artefacts. This protocol describes the implementation and operation of LIPUS to a commercial epi-fluorescence microscope.

<table>
	<tbody>
		<tr>
			<td>upright microscope with large working volume</td>
			<td>Thorlabs</td>
			<td>CERNA</td>
		</tr>
		<tr>
			<td>upright microscope with large working volume</td>
			<td>Scientifica</td>
			<td>SliceScope</td>
		</tr>
		<tr>
			<td>optomechanical components</td>
			<td>Thorlabs</td>
			<td>n/a</td>
		</tr>
		<tr>
			<td>needle hydrophone</td>
			<td>ONDA Corporation</td>
			<td>HNP/C/R/A/T series + AH/G pre-amplifier</td>
		</tr>
		<tr>
			<td>needle hydrophone</td>
			<td>Precision Acoustics</td>
			<td>n/a</td>
		</tr>
		<tr>
			<td>fiber optic hydrophone</td>
			<td>ONDA Corporation</td>
			<td>HFO series</td>
		</tr>
		<tr>
			<td>fiber optic hydrophone</td>
			<td>Precision Acoustics</td>
			<td>n/a</td>
		</tr>
		<tr>
			<td>oscilloscope</td>
			<td>Keysight Technology</td>
			<td>DSOX2004A (4-channels 70MHz)</td>
		</tr>
		<tr>
			<td>function generator</td>
			<td>Keysight Technology</td>
			<td>33500B (20MHz single-channel)</td>
		</tr>
		<tr>
			<td>RF power amplifier</td>
			<td>Electronic Navigation Industries (ENI)</td>
			<td rowspan="2">325LA, 525LA, 240L, 350L, A075, 2100L, 3100LA</td>
		</tr>
		<tr>
			<td>RF power amplifier</td>
			<td>Electronics &#38; Innovation (E&#38;I)</td>
		</tr>
		<tr>
			<td>immersion ultrasound transducer</td>
			<td>Olympus</td>
			<td>focused immersion transdcuers</td>
		</tr>
		<tr>
			<td>immersion ultrasound transducer</td>
			<td>Benthowave Instrument</td>
			<td>HiFu transducer BII-76 series</td>
		</tr>
		<tr>
			<td>immersion ultrasound transducer</td>
			<td>Precision Acoustics</td>
			<td>Piezo-ceramic or HiFu transducers</td>
		</tr>
		<tr>
			<td>immersion ultrasound transducer</td>
			<td>Ultrasonic-S-lab</td>
			<td>HiFu transducers made to order</td>
		</tr>
		<tr>
			<td>high-density Matrigel</td>
			<td>Corning</td>
			<td>VWR 80094-330</td>
		</tr>
		<tr>
			<td>Mylar film 2.5 microns</td>
			<td>Chemplex</td>
			<td>CAT.NO:107</td>
		</tr>
	</tbody>
</table>

multiplexing focused ultrasound stimulation with fluorescence microscopy

By focusing low-intensity ultrasound pulses that penetrate soft tissues, LIPUS represents a promising biomedical technology to remotely and safely manipulate neural firing, hormonal secretion and genetically-reprogrammed cells. However, the translation of this technology for medical applications is currently hampered by a lack of biophysical mechanisms by which targeted tissues sense and respond to LIPUS. A suitable approach to identify these mechanisms would be to use optical biosensors in combination with LIPUS to determine underlying signaling pathways. However, implementing LIPUS to a fluorescence microscope may introduce undesired mechanical artefacts due to the presence of physical interfaces that reflect, absorb and refract acoustic waves. This article presents a step-by-step procedure to incorporate LIPUS to commercially-available upright epi-fluorescence microscopes while minimizing the influence of physical interfaces along the acoustic path. A simple procedure is described to operate a single-element ultrasound transducer and to bring the focal zone of the transducer into the objective focal point. The use of LIPUS is illustrated with an example of LIPUS-induced calcium transients in cultured human glioblastoma cells measured using calcium imaging.

Figure 5 is an example of LIPUS experiment multiplexed with calcium imaging. Glioblastoma cells (A-172) were grown on EMPM coated polyester film in standard culture medium (supplemented with 10% serum and 1% antibiotics) and incubated with the calcium-sensitive fluorescent reporter Fluo-4 AM. Cells were imaged using a 10X immersion lens and illuminated with a white LED light source and fluorescence light was collected using a standard GFP filter set. LIPUS wa...

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Multiplexing Focused Ultrasound Stimulation with Fluorescence Microscopy

Low-Intensity Pulsed Ultrasound Stimulation (LIPUS) is a modality for non-invasive mechanical stimulation of endogenous or engineered cells with high spatial and temporal resolution. This article describes how to implement LIPUS to an epi-fluorescence microscope and how to minimize acoustic impedance mismatch along the ultrasound path to prevent unwanted mechanical artefacts.

By focusing low-intensity ultrasound pulses that penetrate soft tissues, LIPUS represents a promising biomedical technology to remotely and safely ...

This method can help answer key questions in mechanobiology, such as how biological samples respond to mechanical forces produced by low intensity ultrasound stimulation. The main advantage of this technique is that it allows an experimentalist to noninvasively apply mechanical forces to a sample and measure various biological perimeters in realtime. To begin, slowly drill a 12 millimeter hole at the bottom of a standard 35 millimeter culture dish using a vertical press drill.Once drilled, remove pieces of plastic attached to the bottom of the dish using a blade, to create a smooth surface on the external side. Next, apply a thin layer of marine-grade epoxy or glue at the external bottom surface of the dish. On top of the adhesive, place a two-point-five-micron thick film of polyester, pressing firmly to make sure the adhesive spreads evenly between the film and the thick plastic surface.Gently pull the film in a centrifugal manner with fingers, to create a flat surface. Once the adhesive has dried, briefly rinse the polyester bottom dish with 95%ethanol. Then, UV sterilize the dish by placing it under a strong 254 nanometer UV excitation source.Adjust duration and intensity to deliver a UV dose of approximately 330 millijoules per square centimeter. Next, dilute a commercially available extracellular matrix protein mixture with the desired culture medium at a ratio of one to 100. Work on ice to prevent matrix polymerization, and quickly apply 100 microliters of the medium mixture onto the polyester film.Place the lid back on the dish to maintain sterility. Once covered, incubate the matrix-coated, polyester bottom dishes in a cell culture, carbon dioxide-buffered incubator at 37 degrees Celsius for six to 12 hours. After incubation, aspirate the excess medium and directly seed the surface with cells at the desired density.Place a water tank underneath the objective of an upright microscope. Then, using commercially available optomechanical components, position the sample holder between the objective and the transducer. Make sure that the moving parts and the actuators of the translation stages are either outside the tank or above the water line to avoid water damage.Then, fill the tank with deionized and degassed water up to the horizontal plane of the sample holder, before utilizing the immersion transducer. Using noncorrosive, commercially available optomechanical components, make sure that the transducer in an oblique position with respect to the optical path. This will ensure that any reflected waves will be directed away from the sample.Adjust the frequency of the function generator to the nominal peak frequency of the transducer. Then, create a sinusoidal voltage pulse of the desired duration and repetition frequency, using the burst mode of the function generator. Next, adjust peak-to-peak voltage to a desired value.Make sure that the pulse duration is shorter than the elapsed time between two consecutive pulses. Connect the output of the function generator to the input of an oscilloscope. Use the oscilloscope to confirm that the waveform corresponds to the desired signal.Then, connect the output of the function generator to the input of a power of a properly-sized RF amplifier. Using a hydrophone probe that operates with a frequency range and acoustic intensity compatible with that of the ultrasound transducer, carefully bring the probe's tip into focus within the objective's field of view at the position of the sample. Make sure that both probe and transducer are immersed in the water bath and perform a gross pre-alignment of the transducer by visually positioning its acoustic axis toward the hydrophone probe.Make sure that the distance between the two correspond to the transducer's focal length. Do not bump the tip of the hydrophone with any physical object other than water, as this will alter its coating and affect the measurement. Next, connect the hydrophone output to one of the oscilloscope's signal input.Then, connect the synchronization trigger from the function generator to another oscilloscope input. Visualize both signals simultaneously on the oscilloscope. Next, drive the transducer with few ultrasound cycles at a low duty cycle and low amplitude to avoid damaging the probe.Check with the hydrophone's manufacturer safe operation conditions to avoid damaging the hydrophone tip. Adjust the S-division knob according to the travel time of the ultrasound from the transducer's surface to the hydrophone. Look for a hydrophone signal on the oscilloscope after the synchronization trigger.Next, slowly actuate the transducer using a motorized or manual XYZ stage. Position the transducer in the position that correlates with the maximal hydrophone signal. With the beam now aligned, measure the peak-to-peak amplitude of the hydrophone output at the oscilloscope for various voltages driving the transducer.Make sure not to exceed the pressure limit of the hydrophone. Replace the cell's culture medium with the desired imaging buffer containing five micromolar of a cell-permeant, calcium-sensitive dye, such as Fluo-4 AM.Then, incubate the culture dish in a carbon dioxide-buffered incubator at 37 degrees Celsius for one hour. Following incubation, carefully wash cells with the same buffer free of dye.Then, place the dish in the sample holder. Excite the cells using blue light illumination at 490 nanometers. Adjust the excitation intensity and camera exposure to avoid excessive bleaching or pixel saturation.Perform time-lapse imaging using an immersion objective with a long working distance for better image quality, and to reduce undesired reflections. Here, glioblastoma cells are shown on extracellular matrix-coated polyester film in standard culture medium. These cells have been incubated with a calcium-sensitive fluorescent reporter.In this image, the red dots represent individual fluorescent cells, identified using an image processing software. Upon stimulation for 10 seconds with ultrasound, robust calcium elevations were visualized in many regions of interest. The number of activated regions of interest are shown here over time.Following the 10-second activation with ultrasound, approximately 70%of the regions were found to be above user-defined threshold values. While attempting this procedure, it's important to remember to align the ultrasound beam before doing fluorescence measurement.

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8.0K visualizações.  Western University of Health Sciences. Este método pode ajudar a responder a perguntas-chave na mecanobiologia, como como as amostras biológicas respondem às forças mecânicas produzidas pela estimulação de ultrassom de baixa intensidade. A principal vantagem desta técnica é que permite que um experimentalista aplique forças mecânicas não invasivamente a uma amostra e meça vários perímetros biológicos em tempo real. Para começar, faça lentamente um furo de 12 milímetros na parte inferior de uma placa de cultura p...