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In This Article

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

Summary

This protocol demonstrates microscopy-guided isolation and immunofluorescence staining of murine pulmonary veins. We prepare tissue samples containing the left atrium, pulmonary veins, and the corresponding lungs and stain them for cardiac Troponin T and Connexin 43.

Abstract

Pulmonary veins (PVs) are the major source of ectopic beats in atrial arrhythmias and play a crucial role in the development and progression of atrial fibrillation (AF). PVs contain myocardial sleeves (MS) composed of cardiomyocytes. MS are implicated in the initiation and maintenance of AF, as they preserve similarities to the cardiac working myocardium, including the ability to generate ectopic electrical impulses. Rodents are widely used and may represent excellent animal models to study the pulmonary vein myocardium since cardiomyocytes are widely present all over the vessel wall. However, precise microdissection and preparation of murine PVs is challenging due to the small organ size and intricate anatomy.

We demonstrate a microscopy-guided microdissection protocol for isolating the murine left atrium (LA) together with the PVs. Immunofluorescence staining using cardiac Troponin-T (cTNT) and connexin 43 (Cx43) antibodies is performed to visualize the LA and PVs in full length. Imaging at 10x and 40x magnification provides a comprehensive view of the PV structure as well as detailed insights into the myocardial architecture, particularly highlighting the presence of connexin 43 within the MS.

Introduction

Atrial fibrillation (AF) is the most common sustained arrhythmia1. The prevalence of AF is increasing even further with an expected number of ~17.9 million patients in Europe in 20601. AF is clinically highly important since it is an essential risk factor for the development of myocardial infarction, heart failure, or stroke, resulting in an enormous individual, social, and socioeconomic burden1. Even though AF has been known for decades, the pathophysiology of AF is still not fully understood2.

Already in the late 1990s, studies demonstrated the....

Protocol

Animal care and all experimental procedures were conducted following the guidelines of the Animal Care and Ethics Committee of the Ludwig-Maximilians-University of Munich, and all the procedures using mice were approved by the Regierung von Oberbayern (ROB 55.2-2532. Vet_02-20-215, ROB 55.2-2532. Vet_02-18-46, ROB 55.2-2532. Vet_02-19-86, ROB 55.2-2532. Vet_02-21-178, ROB 55.2-2532. Vet_02-22-170). C57BL6/N mice were commercially obtained.

1. Preparation

  1. Prepare a .......

Representative Results

We performed the microdissection, staining, and imaging of the PVs in 10 12-16-week-old mice. Following the protocol, we successfully microdissected PVs together with the LA in all experimental mice and obtained sections with a comprehensive view of the PVs in eight mice. Overview images were taken at 10x magnification to identify the PV orifice (PVO) region at the LA-PV junction, the extrapulmonary PVs (PVex) (PVs in between the lung hilum and the LA-PV junction), and the intrapulmonary PVs (PVin) .......

Discussion

With this protocol, we share a method to distinguish and isolate the PVs of the mouse heart and perform immunofluorescence staining on them. After the organ harvest, the heart and lungs were dehydrated in sterilized sucrose solution, followed by separating the ventricles from the atrium and lung lobes under microscopic guidance. Afterwards, the heart base was prepared to visualize the PVs followed by cutting them from the lungs at the hilum. The subsequent immunofluorescence staining was performed using a cryotechnique b.......

Acknowledgements

This work was supported by the German Centre for Cardiovascular Research (DZHK; 81X3600221to H.V., 81X2600255 to S.C.), the China Scholarship Council (CSC201808130158 to R.X.), the German Research Foundation (DFG; Clinician Scientist Program in Vascular Medicine (PRIME), MA 2186/14-1 to P. T.), and the Corona Foundation (S199/10079/2019 to S. C.).

....

Materials

NameCompanyCatalog NumberComments
Adhesion slidesEpredia10149870
AF568-secondary antibodyInvitrogenA11036Host: Goat, Reactivity: Rabbit
AgaroseBiozym LE840104
Alexa Fluor 488-secondary antibodyCell Signaling Technology4408SHost: Goat, Reactivity: Mouse
Anti-Connexin 43 /GJA1 antibodyAbcamab11370Polyclonal Antibody, Clone: GJA1, Host: Rabbit 
Anti-cTNT antibodyInvitrogenMA5-12960Monoclonal Antibody, Clone: 13-11, Host: Mouse
Bovine serum albuminSigma-AldrichA2153
BrushLukas 5486size 6
Cover slipsEpredia24 mm x 50 mm
Cryotome Cryo Star NX70Epredia Settings: Specimen temperature: -18 °C, Blade Temperature: -25 °C
DFC365FX cameraLeica 
DM6 B fluorescence microscopeLeica 
Dry ice
Dubecco's phosphate-buffered saline (DPBS) 1x conc.Gibco14040133500 mL
Dumont #5FS ForcepsF.S.T.91150-202 pieces needed
Fine ScissorsF.S.T.14090-09
Fluorescence mounting mediumDAKOS3023
Graefe ForcepsF.S.T.11052-10
Hoechst 33342InvitrogenH3570Cell nuclei counterstaining
ImageJFIJIanalysis and processing software
LAS XLeica Imaging software for Leica DM6 B
Microtome blades S35Feather207500000
Microwave
Normal goat serumSigma-AldrichS26-M
O.C.T. compoundTissue-Tek4583
Paraformaldehyde 16%Pierce28908methanol-free
Pasteur pipettesVWR612-1681
Petri dishTPP93100100 mm diameter
Rocker 3D digitalIKA Schüttler00040010000
Slide staining jarsEasyDipM900-12
Specimen MoldsTissue-Tek Cryomold455725 mm x 20 mm x 5 mm
StainTray M920 staining systemStainTray631-1923Staining system for 20 slides
Sterican NeedleBraun4657705G 27 - used for injection (step 2) and pinning (step 3 and 4) in the protocol
Student Vannas Spring ScissorsF.S.T.91500-09
Super PAP Pen Liquid BlockerSuper PAP PenN71310-N
SyringesBraun4606108V10 mL
Tris baseRocheTRIS-ROcomponent for 1x Tris-Buffered Saline (TBS)
Triton X-100Sigma-AldrichT8787
Tween 20Sigma-AldrichP2287

References

  1. Lippi, G., Sanchis-Gomar, F., Cervellin, G. Global epidemiology of atrial fibrillation: An increasing epidemic and public health challenge. International Journal of Stroke. 16 (2), 217-221 (2021).
  2. Wijesurendra, R. S., Casadei, B.

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