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In This Article

  • Summary
  • Abstract
  • Introduction
  • Protocol
  • Representative Results
  • Discussion
  • Acknowledgements
  • Materials
  • References
  • Reprints and Permissions

Summary

Elevated spinal fluid protein levels can either be the result of diffusion of plasma protein across an altered blood-brain barrier or intrathecal synthesis. An optimized testing protocol is presented in this article that helps to discriminate both cases and provides quantitative measurements of intrathecally synthesized proteins.

Abstract

Cerebrospinal fluid (CSF), a fluid found in the brain and the spinal cord, is of great importance to both basic and clinical science. The analysis of the CSF protein composition delivers crucial information in basic neuroscience research as well as neurological diseases. One caveat is that proteins measured in CSF may derive from both intrathecal synthesis and transudation from serum, and protein analysis of CSF can only determine the sum of these two components. To discriminate between protein transudation from the blood and intrathecally produced proteins in animal models as well as in humans, CSF protein profiling measurements using conventional protein analysis tools must include the calculation of the albumin CSF/serum quotient (Qalbumin), a marker of the integrity of the blood-brain interface (BBI), and the protein index (Qprotein/Qalbumin), an estimate of intrathecal protein synthesis. This protocol illustrates the entire procedure, from CSF and blood collection to quotients and indices calculations, for the quantitative measurement of intrathecal protein synthesis and BBI impairment in mouse models of neurological disorders.

Introduction

Cerebrospinal fluid (CSF), a clear and colorless liquid surrounding the brain and the spinal cord, holds great clinical and basic scientific importance. The CSF preserves the electrolytic environment of the central nervous system (CNS), balances the systemic acid-base status, supplies nutrients to neuronal and glial cells, functions as a lymphatic system for the CNS, and transports hormones, neurotransmitters, cytokines and other neuropeptides throughout the CNS1. Thus, as the CSF composition reflects the activity of the CNS, this fluid offers a valuable, though indirect, access to characterize the physiological and pathological state of the CN....

Protocol

All animal work utilizes protocols reviewed and approved by the Institutional Animal Care and Use Committee (IACUC) at Geisel School of Medicine at Dartmouth.

1. Collection of fluids

NOTE: Both serum and CSF are required. Two protocols for each fluid collection are needed for survival and necropsy.

  1. Serum and CSF collection using survival procedures
    NOTE: For survival fluid collection, serum collection should precede CSF collection as it is a less .......

Representative Results

This representative experiment aimed to compare the intrathecal synthesis of IgG in two clinically relevant rodent models of multiple sclerosis (MS): the PLP139-151-induced relapsing experimental autoimmune encephalomyelitis (R-EAE) and the chronic progressive, Theiler’s murine encephalomyelitis virus-induced demyelinating disease (TMEV-IDD). R-EAE is a useful model for understanding relapsing-remitting MS, whereas the TMEV-IDD model features chronic progressive MS19.

Discussion

Quantitative methods for the evaluation of increased CSF protein concentrations are useful tools in the characterization of the physiological and pathological state of the CNS. However, beyond reliable quantification of CSF protein levels, the detection of CSF proteins requires an expression of results that discriminates between blood- and CNS-derived fractions in the CSF. However, to date, the commonly used protein quantification assays do not allow discrimination between the two protein components, even with the aid of.......

Acknowledgements

The authors thank the staff of the Center for Comparative Medicine and Research (CCMR) at Dartmouth for their expert care of the mice used for these studies. The Bornstein Research Fund funded this research.

....

Materials

NameCompanyCatalog NumberComments
1 mL insulin syringeBD329650
1 mL syringeBD329622
25 gauge needleBD305122
3 mL syringeBD309582
30 gauge insulin needleBD305106
Absorbent padsAny suitable brand
AcepromazinePatterson Vet Supply Inc
BioPlex Handheld Magnetic WasherBioRad171020100Magnet
BioPlex MAGPIX Multiplex ReaderBioRad171015001
BioPlex Pro Flat Bottom PlatesBioRad171025001
Biotinilated detection antibodyAny suitable sourceThe antibody has to be directed against the species of the protein of interest.
Bovine Serum Albumin (BSA)SigmaA4503
Buprenorphine hydrochloridePAR PharmaceuticalNDC 42023-179-05
Capillary TubesSutter InstrumentB100-75-10OD: 1.0 mm, ID: 0.75 mm Borosilicate glass 10 cm; drawn over Bunsen to make ID smaller.
Centrifuge tube, 0.2 mLVWR20170-012
Centrifuge tube, 0.5 mLVWR87003-290
Centrifuge tube, 1.5 mLVWR87003-294
Chlorhexidine diacetateNolvasanE004272
Disposable pipettes tipsAny suitable brand
Ear barsKOPF Instruments1921 or 1922
EthanolKopterV1001
FreezerVWRVWR32086A
GauzeMedlineNON25212
Heating padSunbeamXL King Size SoftTouch, 4 Heat Settings with Auto-Off, Teal, 12-Inch x 24-Inch
Induction ChamberVETEQUIP
IsofluranePatterson Vet Supply IncNDC 14043-704-06
Ketamine (KetaVed)Patterson Vet Supply Inc
MagPlex Microspheres (antibody-coupled)BioRadAntibody-coupled magnetic bead
Microplate ShakerSouthwest ScientificSBT1500
MicroretractorsCarfill QualityACD-010Blunt - 1 mm
Microsoft Office (Excel)Microsoft
MilliPlex MAP Mouse Immunoglobulin Isotyping Magnetic Bead PanelEMD MilliporeMGAMMAG-300KCommercial kit for the quantification through Luminex of a panel of immunoglobulin isotypes and subclasses in mouse fluids.
Mouse Albumin capture ELISA kitNovus BiologicalNBP2-60484Commercial kit for the quantification through ELISA of albumin in mouse fluids.
Multichannel pipetteEppendorf3125000060
Non-Sterile swabsMediChoiceWOD1002Need to be autoclaved for sterility
OxygenAIRGASOX USPEA
Pasteur PippettesFisher13-678-20A5 & 3/4"
PDS suture with disposable needle, 6-0 ProlenPatterson Vet8695GP-3 Reverse Cutting, 18"
PE-StreptavidinBD Biosciences554061
PipettersEppendorfResearch seriers
Polyethylene tubing
Refrigerated CentrifugeBeckman CoulterALLEGRA X-12R
ScaleUlineH2716
ScalpelFeatherEF7281
ShaverHarvard Apparatus52-5204
Standard proteinsAny suitable sourceThe best choice for a reference standard is a purified, known concentration of the protein of interest.
Stereotaxic instrumentKOPF InstrumentsModel 900LSStandard Accessories
Sterile 1 x PBSCorning Cellgro21-040-CV
Sterile salineBaxter0338-0048-020.9 % Sodium Chloride Irrigation USP
Surgical Forceps Curved, 7 (2)Fine Science Tools11271-30Dumont
Surgical ScissorsFine Science Tools14094-11Stainless 25x
Vaporizer + Flow meterModuflex Anhestesia Instruments
VortexFisher02-215-414
Warming padKent Scientific CorporationRT-JR-20
Water SonicatorCole ParmerEW-08895-01
XylazinePatterson Vet Supply Inc

References

  1. Whedon, J. M., Glassey, D. Cerebrospinal fluid stasis and its clinical significance. Alternative Therapies in Health and Medicine. 15 (3), 54-60 (2009).
  2. Kang, J. H., Vanderstichele, H., Trojanowski, J. Q., Shaw, L. M.

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