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Increasing evidence indicates that excessive infiltration of lipids inside skeletal muscle results in lipotoxicity and diabetes. Here, we present a complete protocol, including tissue processing, staining with Bodipy, image acquisition, and analysis, to quantify the size, density, and subcellular distribution of lipid droplets in a fiber-type specific manner.
Skeletal muscle lipid infiltration, known as myosteatosis, increases with obesity and ageing. Myosteatosis has also recently been discovered as a negative prognostic factor for several other disorders such as cardiovascular disease and cancer. Excessive lipid infiltration decreases muscle mass and strength. It also results in lipotoxicity and insulin resistance depending on total intramyocellular lipid content, lipid droplet (LD) morphology, and subcellular distribution. Fiber type (oxidative vs glycolytic) is also important, since oxidative fibers have a greater capacity to utilize lipids. Because of their crucial implications in pathophysiology, in-depth studies on LD dynamics and function in a fiber type-specific manner are warranted.
Herein, a complete protocol is presented for the quantification of intramyocellular lipid content and analysis of LD morphology and subcellular distribution in a fiber type-specific manner. To this end, serial muscle cryosections were stained with the fluorescent dye Bodipy and antibodies against myosin heavy chain isoforms. This protocol enables the simultaneous processing of different muscles, saving time and avoiding possible artifacts and, thanks to a personalized macro created in Fiji, the automatization of LD analysis is also possible.
Skeletal muscle lipid infiltration, known as myosteatosis, increases with obesity and ageing. Myosteatosis is negatively correlated with muscle mass and strength and with insulin sensitivity1. Moreover, recent studies indicate that the degree of myosteatosis could be used as a prognostic factor for other conditions such as cardiovascular disease2, non-alcoholic fatty liver disease3, or cancer4. Lipids can accumulate in skeletal muscle between muscle fibers as extramyocellular lipids or within the fibers, as intramyocellular lipids (IMCLs). IMCLs are predominantly stored as triglycerides in lipid droplets (LDs) that are used as metabolic fuel during physical exercise5,6. However, when lipid supply exceeds demand, or when mitochondria become dysfunctional, IMCLs will be implicated in muscle insulin resistance, as seen in metabolically unhealthy, obese individuals and in type 2 diabetes patients7. Intriguingly, endurance athletes have similar, if not higher, levels of IMCLs to those found in obese patients with type 2 diabetes mellitus, while maintaining high insulin sensitivity. This phenomenon is described as the "athlete's paradox"8,9, and is explained by a more nuanced appraisal of muscle LDs, related to their size, density, localization, dynamics, and lipid species composition.
First, LD size is inversely correlated to insulin sensitivity and physical fitness10,11. In fact, smaller LDs exhibit a relatively greater surface area for lipase action and, thus, potentially have a greater capacity to mobilize lipids12. Second, LD density (number/surface) plays a controversial role in insulin action8,10; yet, it seems to be increased in athletes. Third, the subcellular localization of LDs is important, since LDs located just below the surface membrane (subsarcolemmal or peripheral) exert a more deleterious effect on insulin sensitivity than central ones8,9,13. The latter provide fuel to central mitochondria, which have a greater respiratory activity and are more specialized to meet the high energy demand required for contraction14. By contrast, peripheral LDs supply subsarcolemmal mitochondria, which are involved in membrane-related processes8. Finally, beyond triglycerides, specific complex lipids within the muscle may be more deleterious than others. For instance, diacylglycerol, long-chain acyl-CoA, and ceramides may accumulate in muscle when the triglyceride turnover rate is low, thereby impairing insulin signaling9,15. Returning to the "athlete's paradox," endurance athletes have a high number of smaller central LDs with elevated turnover rates in type I (oxidative) fibers, while obese and diabetic patients have larger peripheral LDs with low turnover rates in type II (glycolytic) fibers8,15,16. In addition to their role in energy storage and release, LDs via derived fatty acids (FA) and a coat protein (perilipin 5) could also function as critical players involved in the transcriptional regulation of FA oxidation and mitochondrial biogenesis8. Because of their crucial implications in physiology and pathophysiology, in-depth studies on LDs dynamics and functions are warranted.
Although there are several techniques to study IMCLs, they are not all suitable to accurately quantify LD size, density, and distribution in a fiber-specific manner. For example, the assessment of IMCLs by magnetic resonance spectroscopy, while being non-invasive, offers a level of resolution that is not sufficient to study the size and precise location of LDs within the fiber, and it is not fiber-type specific17,18. Likewise, biochemical techniques performed on whole-muscle homogenates19 cannot assess the location and size of lipids. Consequently, the most adequate method to analyze LD morphology and location is quantitative transmission electronic microscopy13, but this technique is expensive and time-consuming. Therefore, confocal fluorescence imaging on preparations with dyes such as Oil Red O (ORO)20,21, monodansylpentane (MDH)22, or Bodipy23,24,25, has emerged as the best tool for these studies.
Here, a complete protocol is described, including tissue sampling and processing, Bodipy staining, and confocal image acquisition and analysis to quantify LD size, number, and localization in mouse muscle cryosections. Since IMCLs are not evenly distributed among oxidative and glycolytic fibers, and each fiber type regulates LD dynamics differently, the study of IMCLs must be fiber-type specific16,25,26,27. Therefore, this protocol uses immunofluorescence on serial sections to identify myosin heavy chain (MyHC) isoform(s) expressed by each fiber. Another advantage of this protocol is the simultaneous processing of a glycolytic (extensor digitorum longus, EDL) and an oxidative (soleus) muscle placed side-by-side before freezing (Figure 1). This simultaneous processing not only saves time but also avoids variability due to separate processing of the samples.
Figure 1: Schematic overview of the procedure. After muscle dissection (1), similar-size selected muscles are prepared and frozen together (2). Serial transverse sections of 10 µm are obtained using a cryostat and directly mounted on adhesion slides (3). From two serial slides, the first (4A) is immunolabeled for laminin and stained with Bodipy to recognize LDs and the second (4B) is immunostained with antibodies against MyHCs for the recognition of muscle fiber types. Images are acquired using a confocal microscope for Bodipy (5A) and an epifluorescence microscope for muscle fiber types (5B). Images are analyzed in Fiji by applying a threshold and quantifying particles (6A) to obtain the number, average size, density, and percentage of the total area occupied by LDs (7) or counting cells (6B) to obtain the percentage of fibers of each type in the section (7). Abbreviations: LDs = lipid droplets; EDL = extensor digitorum longus; MyHCs = myosin heavy chain isoforms. Please click here to view a larger version of this figure.
All procedures conducted on mice were approved by the Ethical Committee for Animal Experimentation from the Medical Sector at Université Catholique de Louvain (2019/UCL/MD/013).
1. Dissection and preparation of the samples for freezing
2. Freezing skeletal muscle samples for cryosectioning
CAUTION: Freezing of the muscle must be done under a chemical hood, wearing appropriate personal protective equipment (see the Table of Materials).
3. Cryosectioning
4. Fiber typing and Bodipy staining
5. Acquisition of images
NOTE: Once the staining protocols have been completed, it is important to proceed immediately to image acquisition (within the following 24 h), not only to avoid contamination but also to preserve the morphology, size, and number of LDs.
6. Analysis of images
The protocol described herein provides an efficient method to easily quantify LDs in a fiber type and subcellular-specific manner. It shows how, by freezing together two muscles of similar size, such as the EDL and the soleus, the time and resources spent on the following steps are reduced by half.
A complete protocol is provided for immunostaining, image acquisition, and analysis of the different MyHC isoforms expressed in adult mouse muscles. This protocol is based on the one first designed ...
The protocol detailed here describes an efficient method to quantify LDs tagged with Bodipy on a fiber-type- and subcellular-specific basis. In recent years, classical lipid dyes, such as ORO or Sudan Black B, have been substituted with a new array of cell-permeable, lipophilic, fluorescent dyes that bind to neutral lipids (e.g., Bodipy). Available as different conjugates, Bodipy has been proven very effective at tagging LDs to study their morphology, dynamics, and interaction with other organelles, not only in different...
The authors have no conflicts of interest to declare.
This work was supported by grants from the Fonds National de la Recherche Scientifique (FNRS-Crédit de Recherche J.0022.20) and the Société Francophone du Diabète (SFD-Roche Diabetes Care).C.M.S. is the recipient of a Ph.D. fellowship from the FRIA (FNRS). M.A.D.-L.d.C. received a fellowship from the Wallonie-Bruxelles International Excellence Program.
The authors thank Alice Monnier for her contribution to the development of this protocol and Caroline Bouzin for her expertise and technical help in the image acquisition process. We also thank the 2IP-IREC imaging platform for access to the cryostat and the microscopes (2IP-IREC Imaging Platform, Institute of Experimental and Clinical Research, Université Catholique de Louvain, 1200 Brussels, Belgium). Finally, the authors would like to thank Nicolas Dubuisson, Romain Versele, and Michel Abou-Samra for constructive criticism of the manuscript. Some of the figures of these article were created with BioRender.com.
Name | Company | Catalog Number | Comments |
Equipment | |||
AxioCam 506 mono 6 Mpix camera | Zeiss | ||
AxioCam MRm 1.4MPix CCD camera | Zeiss | ||
Chemical hood | Potteau Labo | EN-14175 | |
Confocal microscope | Zeiss | LSM800 | |
Cork discs (ø 20 mm, 3 mm thick) | Electron Microscopy Sciences | 63305 | |
Cryo-Gloves | Tempshield | 16072252 | |
Cryostat | Thermo Scientific | Microm Cryo Star HM 560 | |
Dissecting Stereo Microscope SMZ745 | Nikon | ||
Dry Ice | |||
Dumont Forceps | F.S.T | 11295-10 | |
Epifluorescence microscope | Zeiss | AxioImage-Apotome Z1 | |
Extra Fine Bonn Scissors | F.S.T | 14084-08 | |
FisherBrand Disposable Base Molds (0.7 x 0.7 cm) | ThermoFisher | 22-363-552 | Used to cut a piece to hold the muscle on the cork for freezing |
Glass petri dish (H 25 mm, ø 150 mm) | BRAND Petri dish, MERK | BR455751 | Used to place the muscles on ice during dissection |
ImmEdge Hydrophobic barrier PAP Pen | Vector Labs | H-4000 | Used to create an hidrophobic barrier around the muscle sections |
Incubator | MMM Medcenter | Incucell 707 | |
Microscope Cover Glasses (24x50 mm) | Assistent | 40990151 | |
Microscope Slide Boxes | Kartell | 278 | Used as humid chambers for immunohistochemistry |
Neck holder | Linie zwo | SB-035X-02 | Used as strap to hold the stainless steel tumbler |
No 15 Sterile Carbon Steel Scalpel Blade | Swann-Morton | 0205 | |
Paint brushes | Van Bleiswijck | Amazon B07W7KJQ2X | Used to handle cryosections |
Permanent Marker Pen Black | Klinipath/VWR | 98307-R | Used to label slides |
Pierce Fixation Forceps | F.S.T | 18155-13 | |
Polystyrene Box | H 12 cm x L 25 cm x W 18 cm, used as a liquid nitrogen container and to transport the samples to the cryostat | ||
Scalpel Handle, 125 mm (5"), No. 3 | Aesculap | BB073R | |
Stainless Steel Cup 10oz | Eboxer | B07GFCBPFH | Tumbler to fill with isopentene for muscle freezing |
Superfrost Ultra Plus slides | ThermoFisher | J1800AMNZ | |
Surgical tweezers 1/2 teeth | Medische Vakhandel | 1303152 | Also called "Rat teeth tweezers" |
Vannas Spring Scissors - 3 mm Cutting Edge | F.S.T | 15000-00 | |
Weighing boats | VWR international | 611-2249 | |
Whole-Slide Scanner for Fluorescence | Zeiss | Axio Scan.Z1 | |
Reagents | |||
Alexa Fluor 405 Goat Anti-Mouse IgG2b | Sigma-Aldrich | SAB4600477 | Used at a final concentration of 1:500 |
Alexa Fluor 488 Goat Anti-Mouse IgG1 | ThermoFisher | A-21121 | Used at a final concentration of 1:500 |
Alexa Fluor 568 Goat Anti-Mouse IgM | Abcam | ab175702 | Used at a final concentration of 1:1,000 |
Alexa Fluor 647 goat anti rat-IgG (H+L) secondary antibody | ThermoFisher | A-21247 | Used at a final concentration of 1:500 |
BODIPY-493/503 (4,4-difluoro-1,3,5,7,8-pentametil-4-bora-3a,4a-diaza-s-indaceno) | ThermoFisher | D3922 | Used at a final concentration of 1 µg/mL |
BODIPY-558/568 C12 (4,4-Difluoro-5-(2-Thienyl)-4-Bora-3a,4a-Diaza-s-Indacene-3-Dodecanoic Acid) | ThermoFisher | D3835 | Used at a final concentration of 1 µg/mL |
DAPI (4',6-diamidino-2-phenylindole) | ThermoFisher | D1306 | Used at a final concentration of 0.5 µg/mL |
Dimethyl Sulfoxide (DMSO) | Sigma-Aldrich | D-8418 | Used to solve Bodipy for the 1 mg/mL stock solution. CAUTION: Toxic and flammable. Vapors may cause irritation. Manipulate in a fume hood. Avoid direct contact with skin. Wear rubber gloves, protective eye goggles. |
Formaldehyde solution 4%, buffered, pH 6.9 | Sigma-Aldrich | 1004969011 | CAUTION: May cause an allergic skin reaction. Suspected of causing genetic defects. May cause cancer. Manipulate in a fume hood. Avoid direct contact with skin. Wear rubber gloves, protective eye goggles. |
Isopentane GPR RectaPur | VWR international | 24872.298 | CAUTION: Extremely flammable liquid and vapor. May be fatal if swallowed and enters airways. May cause drowsiness or dizziness. Repeated exposure may cause skin dryness or cracking. Wear protective gloves/protective clothing/eye protection/face protection. |
Liquid Nitrogen | CAUTION: Extremely cold. Wear gloves. Handle slowly to minimize boiling and splashing and in well ventilated areas. Use containers designed for low-temperature liquids. | ||
Mouse on mouse Blocking Reagent | Vector Labs | MKB-2213-1 | Used at concentration of 1:30 |
Myosin heavy chain Type I (BA-D5-s Primary Antibody) Gene: MYH7, monoclonal bovine anti mouse IgG2b | DSHB University of Iowa | BA-D5-supernatant | Used at a final concentration of 1:10 |
Myosin heavy chain Type IIA (SC-71-s Primary Antibody) Gene: MYH2, Monoclonal bovine anti mouse IgG1 | DSHB University of Iowa | SC-71-supernatant | Used at a final concentration of 1:10 |
Myosin heavy chain Type IIX (6H1-s Primary Antibody), Gene: MYH1, Monoclonal rabbit anti mouse IgM | Developmental Studies Hybridoma Bank, University of Iowa | 6H1-supernatant | Used at a final concentration of 1:5 |
Normal Goat Serum (NGS) | Vector Labs | S-1000 | |
PBS 0.1 M | Commonly used on histology laboratories | ||
ProLong Gold Antifade Mountant | Invitrogen | P36930 | |
Rat anti-Laminin-2 (α-2 Chain) primary antibody (monoclonal) | Sigma-Aldrich | L0663 | Used at a final concentration of 1:1,000 |
Tissue-Tek O.C.T compound | Sakura | 4583 | |
Software | |||
Adobe Illustrator CC | Adobe Inc. | Used to design the figures | |
Adobe Photoshop | Adobe Inc. | Confocal software | |
BioRender | https://biorender.com/ | Used to design the figures | |
Fiji/ImageJ | https://imagej.net/software/fiji/ | Used to analyse the acquired images | |
Microsoft PowerPoint | Microsoft | Used to reconstruct the histology of the whole muscle after scanning the fiber types | |
Zen Blue 2.6 | Zeiss | Used to reconstruct the histology of the whole muscle after scanning the fiber types |
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