This work was funded by NIH RO1 AI079253 and Department of Veterans Affairs.

1. Animal Models
<ol>
 <li>Mice: Use p47phox-/- mice and age- and sex-matched C57BL6/DBA mice. Obtain approval for experiments from Institutional Animal Care and Use Committee.</li>
 <li>Anesthesia: Use a continuous isoflurane administration system to induce anesthesia. The vaporizer system (VetEquip) is filled with isoflurane (2-3%). Confirm that mice are fully anesthetized by observing respiration, movement, and corneal reflex in response to external stimuli.</li>
 <li>Surgical procedures: Scrub the surgical area (benchtop) with 70% ethanol. Wear sterile gloves and a clean surgical gown and mask. Prepare the mice by clipping the hair and applying betadine alternating with 70% ethanol to the area where the incision will be made. Perform surgery on a sterile surface and use sterile instruments. Monitor mice post-operatively until awake and moving freely.</li>
 <li>Intratracheal zymosan administration
 <ol>
 <li>Administer anesthesia as described in 1.2.</li>
 <li>Disinfect surgical area (neck) with betadine and 70% ethanol and expose the trachea by surgical dissection.</li>
 <li>Pierce trachea with a 27-gauge needle and inject zymosan (St. Louis, MO) at a dose of 1 &mu;g/g using a 0.5 &mu;g/&mu;l solution (total volume 50 &mu;l for a 25 g mouse) dissolved in sterile PBS.</li>
 <li>Close mice neck wound with 5-0 sterile silk sutures under aseptic conditions.</li>
 <li>Image after 4 hr and 24 hr.</li>
 </ol>
 </li>
 <li>Cecal ligation and puncture
 <ol>
 <li>Administer anesthesia as described in 1.2.</li>
 <li>Clip hair in the surgical area (abdomen) and disinfect with betadine and 70% ethanol.</li>
 <li>Perform a midline laparotomy and identify the cecum.</li>
 <li>Ligate the distal 50% of exposed cecum with 4-0 silk suture and puncture cecum distal to the ligation with one pass of a 21-gauge needle.</li>
 <li>Close the incision with 4-0 sterile silk sutures.</li>
 <li>Image after 4 hr and 24 hr.</li>
 </ol>
 </li>
 <li>Oral carbon tetrachloride (CCl4) administration
 <ol>
 <li>Administer anesthesia as described in 1.2.</li>
 <li>Administer CCl4 (2 &mu;g/g, St. Louis, MO) dissolved in corn oil by oral gavage. The procedure of CCl4 administration should be performed in a designated area in accordance with IBC/EHS policies.</li>
 <li>Image after 4 hr and 24 hr.</li>
 </ol>
 </li>
</ol>
2. Acquiring a Bioluminescent Image
<ol>
 <li>Initialize the IVIS 200 (Xenogen Corporation, Alameda, CA) Imaging System, set to luminescence mode, and wait for the charge-coupled device (CCD) temperature to lock.</li>
 <li>Select exposure time, binning (medium) and F/Stop (8) settings.</li>
 <li>Place mice in supine position in the imaging chamber on a heated stage to maintain normal body temperature. Administer anesthesia as described in 1.2 via nose cone while mice are in the IVIS imaging chamber.</li>
 <li>Administer L-012 (20 &mu;g/g) dissolved in sterile PBS (10 &mu;g/&mu;l) intravenously via retro-orbital injection at each time point selected for imaging.</li>
 <li>Capture images beginning at 2 min after L-012 injection. We typically use a 40 sec exposure.</li>
</ol>
3. Data Analysis using Region of Interest
<ol>
 <li>Analyze data using Living Image software v.4.2 (Xenogen Corporation, Alameda, CA).</li>
 <li>Open an image and select measurement of Region of Interest tools.</li>
 <li>Select the Region of Interest shape and size over the chest or/and abdomen after overlaying a pseudo-colored digital image (representing photon detection) over a photographic image of the mouse.</li>
 <li>Quantify signal intensity (photon flux) from the Region of Interest.</li>
</ol>
4. Statistics
<ol>
 <li>Use statistical analysis software package to perform two-way ANOVA with Bonferroni post-testing at individual time points.</li>
</ol>
5. Representative Results
Zymosan is a pro-inflammatory yeast cell wall product and a potent activator of NADPH oxidase 3. We previously showed that intratracheal zymosan induces a more robust neutrophilic lung inflammation and pro-inflammatory cytokine production in p47phox-/- compared to wildtype mice 1. Here, our goal was to compare ROS generation in the lungs of wildtype and p47phox-/- mice following zymosan challenge. At 4 hr after intratracheal zymosan administration, we observed a significant increase in photon emission over the chest in wildtype mice compared to baseline as well as an increase in photon emission in wildtype compared to p47phox-/- mice at 4 h and 24 hr. In contrast, bioluminescence signals in p47phox-/- mice remained at baseline levels at 4 hr after zymosan treatment (Fig.1 A-B). Thus, NADPH oxidase appears to be the major source of ROS generation in the lungs following zymosan administration.
Next, we assessed ROS production in the CLP-induced sepsis model. Sepsis is a life-threatening syndrome associated with end-organ injury, including acute lung injury (ALI) and acute respiratory distress syndrome (ARDS) 4, 5. ROS-mediated injury has been considered to be an important factor driving sepsis-induced multi-organ dysfunction. We found that ROS were significantly increased over the chest (4 hr) and over the abdomen (24 hr) following CLP in wildtype mice compared to baseline. However, ROS levels in p47phox-/- mice were similar to baseline levels at both time points (Fig.2 A-C). These results show that ROS generation in the CLP-induced sepsis mouse model is NADPH oxidase-dependent.
Finally, we used bioluminescent imaging to detect ROS production in a CCl4-induced liver injury model. CCl4 causes hepatocellular necrosis, and has been used to model both acute liver injury and hepatic fibrosis 6. In contrast to the previously described models of inflammation and injury, we found that ROS production in the abdomen was modestly (about 35%) increased over baseline in p47phox-/- mice at 4 h following CCl4 administration. However, the magnitude of CCl4-induced ROS generation was significantly greater in wildtype mice than in p47phox-/- mice (Fig.3 A-B). These data suggest that both p47phox -containing NADPH oxidase-dependent and -independent ROS generation occur in acute CCl4-induced liver injury.
<img alt="Figure 1" src="/files/ftp_upload/3925/3925fig1.jpg" /> 
 Figure 1. ROS production in lungs after zymosan treatment. A) Representative bioluminescence imaging of ROS production. Note that in addition to the chest, luminescence is detectable over the abdomen in both wildtype and p47phox-/- mice and abdominal luminescence is unchanged by zymosan treatment. B) photon counts from the chest of wildtype and p47phox-/- mice after a single intratracheal (IT) injection of zymosan. Bioluminescence imaging was performed at baseline, 4 hr, and 24 hr. Light emission from the region of interest over the chest was identified using the indicated pseudo-color scale. Results are presented as mean &plusmn; SE, n=6-9 per group, *=p&lt;0.05. <a href="https://www.jove.com/files/ftp_upload/3925/3925fig1large.jpg" target="_blank"> Click here for larger figure</a>.
<img alt="Figure 2" src="/files/ftp_upload/3925/3925fig2.jpg" /> 
 Figure 2. ROS detection following CLP. A) Representative bioluminescence imaging of ROS production, B) photon counts from the chest, and C) photon counts from the abdomen of wildtype and p47phox-/- mice at baseline, 4 hr, and 24 hr after CLP. Results are presented as mean &plusmn; SE; n=4-5 per group, *=p&lt;0.05. <a href="https://www.jove.com/files/ftp_upload/3925/3925fig2large.jpg" target="_blank"> Click here for larger figure</a>.
<img alt="Figure 3" src="/files/ftp_upload/3925/3925fig3.jpg" /> 
 Figure 3. ROS production in abdomen after CCl4-induced liver injury. A) Representative bioluminescence imaging of ROS production and B) photon counts from the abdomen of wildtype and p47phox-/- mice at baseline, 4 hr, and 24 hr after oral CCl4 treatment. Results are presented as mean &plusmn; SE; n=4-5 per group, *=p&lt;0.05. <a href="https://www.jove.com/files/ftp_upload/3925/3925fig3large.jpg" target="_blank"> Click here for larger figure</a>.

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No conflicts of interest declared.

"Real-time" measurement of reactive oxygen species (ROS) in living animals can be achieved by using fluorescent and chemiluminescent probes. While fluorescent probes suffer from having weak signal-to-noise ratios 12, the imaging technique described is more sensitive for detection of light emission following a chemical reaction of ROS with the luminol-based substrate L-012. Like all bioluminescent imaging techniques, this methodology is limited by wavelength-dependent light absorption and scatter by organs and ...

<table border="1">
 <tbody>
 <tr>
 <td>Name of the reagent</td>
 <td>Company</td>
 <td>Catalog number</td>
 <td>Comments </td>
 </tr>
 <tr>
 <td>L-012</td>
 <td>Wako Chemicals USA, Inc.</td>
 <td>120-04891</td>
 <td></td>
 </tr>
 <tr>
 <td>Zymosan</td>
 <td>Sigma, St. Louis, MO</td>
 <td>Z4250</td>
 <td></td>
 </tr>
 <tr>
 <td>carbon tetrachloride</td>
 <td>Sigma, St. Louis, MO</td>
 <td>289116</td>
 <td></td>
 </tr>
 </tbody>
</table>

bioluminescence imaging of nadph oxidase activity in different animal models

NADPH oxidase is a critical enzyme that mediates antibacterial and antifungal host defense. In addition to its role in antimicrobial host defense, NADPH oxidase has critical signaling functions that modulate the inflammatory response 1. Thus, the development of a method to measure in "real-time" the kinetics of NADPH oxidase-derived ROS generation is expected to be a valuable research tool to understand mechanisms relevant to host defense, inflammation, and injury.
Chronic granulomatous disease (CGD) is an inherited disorder of the NADPH oxidase characterized by severe infections and excessive inflammation. Activation of the phagocyte NADPH oxidase requires translocation of its cytosolic subunits (p47phox, p67phox, and p40phox) and Rac to a membrane-bound flavocytochrome (composed of a gp91phox and p22phox heterodimer). Loss of function mutations in any of these NADPH oxidase components result in CGD. Similar to patients with CGD, gp91phox -deficient mice and p47phox-deficient mice have defective phagocyte NADPH oxidase activity and impaired host defense 2, 13. In addition to phagocytes, which contain the NADPH oxidase components described above, a variety of other cell types express different isoforms of NADPH oxidase.
Here, we describe a method to quantify ROS production in living mice and to delineate the contribution of NADPH oxidase to ROS generation in models of inflammation and injury. This method is based on ROS reacting with L-012 (an analogue of luminol) to emit luminescence that is recorded by a charge-coupled device (CCD). In the original description of the L-012 probe, L-012-dependent chemiluminescence was completely abolished by superoxide dismutase, indicating that the main ROS detected in this reaction was superoxide anion 14. Subsequent studies have shown that L-012 can detect other free radicals, including reactive nitrogen species 15, 16. Kielland et al. 16 showed that topical application of phorbol myristate acetate, a potent activator of NADPH oxidase, led to NADPH oxidase-dependent ROS generation that could be detected in mice using the luminescent probe L-012. In this model, they showed that L-012-dependent luminescence was abolished in p47phox-deficient mice.
We compared ROS generation in wildtype mice and NADPH oxidase-deficient p47phox-/- mice 2 in the following three models: 1) intratracheal administration of zymosan, a pro-inflammatory fungal cell wall-derived product that can activate NADPH oxidase; 2) cecal ligation and puncture (CLP), a model of intra-abdominal sepsis with secondary acute lung inflammation and injury; and 3) oral carbon tetrachloride (CCl4), a model of ROS-dependent hepatic injury. These models were specifically selected to evaluate NADPH oxidase-dependent ROS generation in the context of non-infectious inflammation, polymicrobial sepsis, and toxin-induced organ injury, respectively. Comparing bioluminescence in wildtype mice to p47phox-/- mice enables us to delineate the specific contribution of ROS generated by p47phox-containing NADPH oxidase to the bioluminescent signal in these models.
Bioluminescence imaging results that demonstrated increased ROS levels in wildtype mice compared to p47phox-/- mice indicated that NADPH oxidase is the major source of ROS generation in response to inflammatory stimuli. This method provides a minimally invasive approach for "real-time" monitoring of ROS generation during inflammation in vivo.

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Bioluminescence Imaging of NADPH Oxidase Activity in Different Animal Models

NADPH oxidase is the major source of reactive oxygen species (ROS) in phagocytes. Because of the ephemeral nature of ROS, it is difficult to measure and monitor ROS levels in living animals. A minimally invasive method for serial quantification of ROS in living mice is described.

NADPH oxidase is a critical enzyme that mediates antibacterial and antifungal host defense. In addition to its role in antimicrobial host defense, NADPH ...

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Immunology and Infection

16.1K Views.  Vanderbilt University School of Medicine. NADPH oxidase is the major source of reactive oxygen species (ROS) in phagocytes. Because of the ephemeral nature of ROS, it is difficult to measure and monitor ROS levels in living animals. A minimally invasive method for serial quantification of ROS in living mice is described.