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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.
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.
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....
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.
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.
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.......
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.
....Name | Company | Catalog Number | Comments |
1 mL insulin syringe | BD | 329650 | |
1 mL syringe | BD | 329622 | |
25 gauge needle | BD | 305122 | |
3 mL syringe | BD | 309582 | |
30 gauge insulin needle | BD | 305106 | |
Absorbent pads | Any suitable brand | ||
Acepromazine | Patterson Vet Supply Inc | ||
BioPlex Handheld Magnetic Washer | BioRad | 171020100 | Magnet |
BioPlex MAGPIX Multiplex Reader | BioRad | 171015001 | |
BioPlex Pro Flat Bottom Plates | BioRad | 171025001 | |
Biotinilated detection antibody | Any suitable source | The antibody has to be directed against the species of the protein of interest. | |
Bovine Serum Albumin (BSA) | Sigma | A4503 | |
Buprenorphine hydrochloride | PAR Pharmaceutical | NDC 42023-179-05 | |
Capillary Tubes | Sutter Instrument | B100-75-10 | OD: 1.0 mm, ID: 0.75 mm Borosilicate glass 10 cm; drawn over Bunsen to make ID smaller. |
Centrifuge tube, 0.2 mL | VWR | 20170-012 | |
Centrifuge tube, 0.5 mL | VWR | 87003-290 | |
Centrifuge tube, 1.5 mL | VWR | 87003-294 | |
Chlorhexidine diacetate | Nolvasan | E004272 | |
Disposable pipettes tips | Any suitable brand | ||
Ear bars | KOPF Instruments | 1921 or 1922 | |
Ethanol | Kopter | V1001 | |
Freezer | VWR | VWR32086A | |
Gauze | Medline | NON25212 | |
Heating pad | Sunbeam | XL King Size SoftTouch, 4 Heat Settings with Auto-Off, Teal, 12-Inch x 24-Inch | |
Induction Chamber | VETEQUIP | ||
Isoflurane | Patterson Vet Supply Inc | NDC 14043-704-06 | |
Ketamine (KetaVed) | Patterson Vet Supply Inc | ||
MagPlex Microspheres (antibody-coupled) | BioRad | Antibody-coupled magnetic bead | |
Microplate Shaker | Southwest Scientific | SBT1500 | |
Microretractors | Carfill Quality | ACD-010 | Blunt - 1 mm |
Microsoft Office (Excel) | Microsoft | ||
MilliPlex MAP Mouse Immunoglobulin Isotyping Magnetic Bead Panel | EMD Millipore | MGAMMAG-300K | Commercial kit for the quantification through Luminex of a panel of immunoglobulin isotypes and subclasses in mouse fluids. |
Mouse Albumin capture ELISA kit | Novus Biological | NBP2-60484 | Commercial kit for the quantification through ELISA of albumin in mouse fluids. |
Multichannel pipette | Eppendorf | 3125000060 | |
Non-Sterile swabs | MediChoice | WOD1002 | Need to be autoclaved for sterility |
Oxygen | AIRGAS | OX USPEA | |
Pasteur Pippettes | Fisher | 13-678-20A | 5 & 3/4" |
PDS suture with disposable needle, 6-0 Prolen | Patterson Vet | 8695G | P-3 Reverse Cutting, 18" |
PE-Streptavidin | BD Biosciences | 554061 | |
Pipetters | Eppendorf | Research seriers | |
Polyethylene tubing | |||
Refrigerated Centrifuge | Beckman Coulter | ALLEGRA X-12R | |
Scale | Uline | H2716 | |
Scalpel | Feather | EF7281 | |
Shaver | Harvard Apparatus | 52-5204 | |
Standard proteins | Any suitable source | The best choice for a reference standard is a purified, known concentration of the protein of interest. | |
Stereotaxic instrument | KOPF Instruments | Model 900LS | Standard Accessories |
Sterile 1 x PBS | Corning Cellgro | 21-040-CV | |
Sterile saline | Baxter | 0338-0048-02 | 0.9 % Sodium Chloride Irrigation USP |
Surgical Forceps Curved, 7 (2) | Fine Science Tools | 11271-30 | Dumont |
Surgical Scissors | Fine Science Tools | 14094-11 | Stainless 25x |
Vaporizer + Flow meter | Moduflex Anhestesia Instruments | ||
Vortex | Fisher | 02-215-414 | |
Warming pad | Kent Scientific Corporation | RT-JR-20 | |
Water Sonicator | Cole Parmer | EW-08895-01 | |
Xylazine | Patterson Vet Supply Inc |
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