A Method to Inflict Closed Head Traumatic Brain Injury in Drosophila

Summary

Here we describe a method to inflict closed head traumatic brain injury (TBI) in Drosophila. This method provides a gateway to investigate the cellular and molecular mechanisms that underlie TBI pathologies using the vast array of experimental tools and techniques available for flies.

Abstract

Traumatic brain injury (TBI) affects millions of people each year, causing impairment of physical, cognitive, and behavioral functions and death. Studies using Drosophila have contributed important breakthroughs in understanding neurological processes. Thus, with the goal of understanding the cellular and molecular basis of TBI pathologies in humans, we developed the High Impact Trauma (HIT) device to inflict closed head TBI in flies. Flies subjected to the HIT device display phenotypes consistent with human TBI such as temporary incapacitation and progressive neurodegeneration. The HIT device uses a spring-based mechanism to propel flies against the wall of a vial, causing mechanical damage to the fly brain. The device is inexpensive and easy to construct, its operation is simple and rapid, and it produces reproducible results. Consequently, the HIT device can be combined with existing experimental tools and techniques for flies to address fundamental questions about TBI that can lead to the development of diagnostics and treatments for TBI. In particular, the HIT device can be used to perform large-scale genetic screens to understand the genetic basis of TBI pathologies.

Introduction

Traumatic brain injury (TBI) is defined as injury to the brain from an external mechanical force. Most commonly, TBI results from closed head forces such as blunt forces and inertial acceleration and deceleration forces that cause the brain to strike the inside of the skull. In the United States, it is estimated that 50,000 individuals die each year from TBI and 2.5-6.5 million individuals are living with the consequences of TBI, including debilitating physical, cognitive, and behavioral problems^1,2. The consequences of TBI are not only due to primary mechanical injuries to the brain but also to secondary cellular and molecular injuries to the brain as well as other tissues that occur over time^3-5. The development of approaches to diagnose and treat TBI has proven to be difficult because TBI is a complex disease process. The variable nature of primary injuries, human physiology, and environmental factors results in heterogeneous secondary injuries and pathologies. Underlying variable factors include the severity of the primary injury, the time between repetitive primary injuries, and the age and genotype of the individual. Understanding how each variable factor contributes to the consequences of TBI is likely to aid in the development of approaches to diagnose and treat TBI^6,7.

Here we describe a method for inflicting closed head TBI in Drosophila melanogaster (fruit flies) that can be used to delineate the contribution of variable factors to the consequences of TBI. The method is based on an initial observation that intensely hitting the side of a fly culture vial against the palm of a hand caused wild-type flies to become temporarily incapacitated, a likely consequence of TBI. Thus, we constructed the High-Impact Trauma (HIT) device to recapitulate the acceleration and deceleration forces from the hand-hitting action. A high-speed movie shows that a single strike from the HIT device causes flies to contact the vial wall several times with their head and body⁸. To some extent, all contacts are likely to cause the fly brain to ricochet and deform against the head capsule, similar to what happens to humans in falls and car crashes⁹. Accordingly, flies treated with the HIT device display phenotypes consistent with brain injury, including temporary incapacitation followed by ataxia, gradual recovery of mobility, gene expression changes in the head, and progressive neurodegeneration in the brain¹⁰. Thus, the HIT device makes it possible to study TBI using the enormous arsenal of experimental tools and techniques developed for flies.

Protocol

1. Construction of the HIT Device 

1. Attach the spring to the board using two clamps and four screws (Figure 1A). Center the clamps relative to the width of the board and butt them up against one another with the outer clamp flush with the edge of the board. Prior to attaching the clamps, bend them using pliers to fit tightly over the spring.
   NOTE: See Table 1 for descriptions of the materials required for constructing the HIT device. The clamped end of the spring should be 1/8 inch (3.2 mm) from the edge of the board, and the free end should extend over the board by 3/4 inch (19 mm). Adjust the spring so that it lies parallel with the length of the board.
2. Wrap the free end of the spring once around with the adhesive strip of Velcro loops. The outer edge of the Velcro should be flush with the end of the spring. The Velcro is important because it is used to secure the vial to the spring by creating a tight compression fitting. The Velcro also permits easy connection and removal of vials, allowing many vials to be processed in a short period of time.
3. Place the ice bucket cover upside down, centered, tight against the wooden board. Orient the raised region of the ice bucket cover such that the long edge is parallel to the width of the board. Note that the raised region of the ice bucket is 1/2 inch (13 mm) higher than the wooden board, so that when a vial is attached to the spring the spring will not lie flat on the board.
4. Slide the whole device against a fixed object such as a wall, so that the ice bucket cover is wedged between the board and the object and does not move.
5. Tape the paper protractor to the bottom of a cardboard fly vial tray and stand it on edge against the length of the board so that the 90° mark is aligned with the spring when it is pulled back to a perfectly vertical position.

2. Operation of the HIT Device

1. Place between 1 and 60 CO₂-anesthetized flies in an empty vial and stopper the vial using a tight-fitting cotton ball.
2. Confine the flies to the bottom 1 inch (2.5 cm) of the vial by pushing the cotton ball into the vial until it is 1 inch (2.5 cm) from the bottom. It is helpful to draw a line on the vial at the 1 inch (2.5 cm) mark. Note that confining flies to larger or smaller regions of the vial can affect the severity of phenotypes.
3. Wait 5 min for the flies to recover mobility from the CO₂. Note that it is not known whether 5 min is sufficient to completely remove the effects of CO₂.
4. Insert the end of the spring into the vial until the inner edge of the Velcro is flush with the top of the vial (Figure 1B). When the spring is lying flat, 1 inch (2.5 cm) of the vial should overlap the raised region of the ice bucket cover. Vials can be reused many times.
5. While sitting, hold the vial at the Velcro region using the thumb and forefinger of your left hand. Hold the board tight to the benchtop using your right hand. Alternatively, use C-clamps to hold the board tight to the benchtop.
6. Pull the spring perfectly straight back to the desired angle. Release the spring. Allow the spring to come to a complete stop.
7. Remove the vial from the spring and allow the flies to recover for ≥5 min. Subject the flies to another strike or transfer the flies to a vial with fly food.
   NOTE: A variety of assays can be used to evaluate the phenotypic effects of strikes from the HIT device. For example, effects on longevity can be determined by analyzing the percent of flies that survive at times after injury, effects on brain morphology can be determined by histological analysis of the head, and effects on gene expression can be determined by quantitative analysis of mRNA levels¹⁰.
8. Determine effects of the procedure that are not due to strikes by identically treating control flies that are not subjected to strikes. Wear hearing protection because the impact of the vial against the ice bucket cover produces a loud noise.

Results

We are interested in understanding why flies die shortly after primary injury. To quantify death, we determined the Mortality Index at 24 hr (MI₂₄), which is the percentage of flies that died within 24 hr of the primary injury. Flies subjected to strikes from the HIT device were incubated at 25 °C in a vial with fly food, and the number of dead flies was counted after 24 hr. We used this approach to identify factors that affect the MI₂₄ and found that the MI₂₄ is not affected by the ...

Discussion

The HIT device method is distinguished from other methods that inflict traumatic injury in flies by the fact that it causes closed head rather than penetrating TBI¹¹. Furthermore, the HIT device method takes less time, effort, and skill to inflict TBI in many flies, so the method is more amenable than other methods to large-scale genetic screens. Lastly, the fact that primary injuries inflicted by the HIT device are not limited to the brain is both a limitation and an advantage. It is a limitation because...

Materials

Name	Company	Catalog Number	Comments
Zinc plated compression spring	The Hillman  Group	540189	9 7/8 inch (length, 2.2 cm), 15/16 inch (outer diameter, 2.4 cm), 0.12 inch (wire size, 0.3 cm)
Wooden board			9 inch (length, 22.9 cm), 6.5 inch (width, 16.5 cm), 0.75 inch (height, 1.9 cm)
Clamps	Sigma Electrical Manufacturing Corporation	49822	3.10 inch (length, 7.9 cm), 0.68 inch (width, 1.7 cm), 1.11 inch (height, 2.8 cm), EMT Two Hole Straps, click on type for 1 inch (2.5 cm) steel EMT conduit
Loop half of self-adhesive velcro			3 inch (length, 7.6 cm), (3/4 inch width, 1.9 cm)
Polyurethane ice bucket cover	Fisher Scientific	02-591-45	9 1/8 inch (length, 23.2 cm), 9 1/8 inch (width, 23.2 cm), 1 1/4 inch (height, 3.2 cm)
Plastic fly vials	Applied Scientific	AS-510	3 11/16 inch (height, 9.4 cm), 1 1/16 inch (inner diameter, 2.7 cm), 1 1/8 inch (outer diameter, 2.9 cm)
Large cotton balls	Fisher Scientific	22-456-883
Paper protractor			10 inch (diameter, 25.4 cm)