This work was supported by NIH-NINDS grant RO1-NS065895 and NIH-NINDS grant 5-F31-NS076250-02. 
We thank JHU SOM Microscope Facility for the use of the cryostat.

NOTE: All animal procedures described in this protocol were carried out in accordance with the recommendations in the Guide for the Care and Use of Laboratory Animals of the National Institutes of Health26. The protocol (MO13M391) was approved by the Johns Hopkins University Animal Care and Use Committee.
1. Neonatal Mouse Sacrifice, Dissection, and Fixation
<ol>
	<li>Sacrifice a neonatal mouse by CO2 inhalation.</li>
	<li>Immediately cut off the hindlimb above...

The authors have nothing to disclose.

A method to detect and quantitatively analyze DNA damage-associated apoptosis in mouse skeletal muscle is described. The procedure includes tissue harvesting, TUNEL staining, digital image acquisition, and image analysis. Common histological supplies and tools are needed, and a special commercial TUNEL kit is necessary. The essential big equipment items needed are a cryostat, epifluorescent microscope with digital image capability, and a computer system for image analysis.
The experimenter sho...

Terminal deoxynucleotidyl transferase (TdT) dUTP nick end labeling (TUNEL) is the process of using the TdT enzyme to attach dUTP to 3&#8217; ends of double and single-stranded DNA breaks12,23. The TUNEL method for detection of apoptosis and DNA damage was first reported over 20 years ago by Gavrieli et al.1,12,24. It has since been evaluated and optimized in different tissue preparations7,23,27,40. TUNEL has been used to study ischemia-induced cell death of neurons6,14,29 and cardiomyocytes43,44, excitotoxic neuronal cell death30,31, and as a biomarker in arthritis treatment39. It has also been used as a prognostic factor and tumor cell marker in various human cancers2,3,15,32,37,38,42.
Alternative methods exist for DNA damage and cell death detection, but they have technical challenges and caveats. Southern blotting may be used to quantify DNA damage in whole tissue lysates7,9-11, but this method does not provide cellular-level resolution and is difficult to quantify. The comet assay is an alternative cell-based method that requires extracting preserved nuclei from cells4,20,28,36. Although the comet assay works well on cultured isolated cells, it is much more difficult to prepare intact nuclei from skeletal muscle tissue8,21. As with Southern blot, the comet assay does not provide cell-type-specific information from a whole muscle tissue homogenate. Another alternative to the TUNEL method is immunohistochemistry using antibodies against single-stranded DNA25,33,41 or against proteins that participate in DNA damage response and cell death pathways (e.g. p53, H2AX, and caspases)13,17,22,40. Such antibody-based methods require thorough characterization of antibodies and excellent antibody specificity to yield a high signal-to-background ratio. Even when specific antibodies exist, they may require denaturation of the target protein through antigen retrieval procedures34,35. As we discuss here, antigen retrieval in muscle tissue results in unacceptably high autofluorescence. Unlike the alternative methods, TUNEL achieves DNA damage detection with a high signal and low background, excellent specificity that can be tested with simple positive and negative controls, good tissue penetration that does not require antigen retrieval, and cellular-level resolution. In addition, the TUNEL method takes about 4 hours to complete, whereas alternative methods typically require overnight incubations.
We study skeletal muscle cell death in a mouse model of spinal muscular atrophy (SMA)10 that was generated by Hsieh-Li and colleagues16. To quantify apoptotic cells in the muscle, we have developed a method of tissue preparation, staining, and quantitation that works robustly across different skeletal muscle groups at different developmental time points in mice. We use a commercially available TUNEL-labeling kit and commercially available image analysis software. We have also successfully used the TUNEL assay in combination with immunofluorescent staining in the spinal cord10.
The methods described here are useful for investigators who want to assess tissue pathology,&#160;mechanisms&#160;of disease, mechanisms&#160;of aging, and developmental (pre- and post-natal) cell death in skeletal muscle. The TUNEL technique is especially useful for studies of DNA damage and repair and cell death in model systems where only a subset of cells is affected and cellular level resolution is necessary.
This video describes dissection, tissue processing, sectioning, and fluorescence-based TUNEL labeling of mouse skeletal muscle. It also describes a method of semi-automated TUNEL signal quantitation.

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	<tbody>
		<tr height="21">
			<td height="21" style="height:21px;width:216px;">Name of Reagent/ Equipment</td>
			<td style="width:121px;">Company</td>
			<td style="width:119px;">Catalog Number</td>
			<td style="width:460px;">Comments/Description</td>
		</tr>
		<tr height="147">
			<td height="147" style="height:147px;width:216px;">4% Paraformaldehyde in phosphate buffered saline</td>
			<td style="width:121px;">Electron Microscopy Sciences</td>
			<td style="width:119px;">19202</td>
			<td style="width:460px;">For procedures described here, 4% solution was prepared fresh from powder. Paraformaldehyde from any supplier may be used. Prepared formaldehyde solution should be stored at 4 &#176;C and should not be used after its expiration date (up to several months). Paraformaldehyde is a carcinogen and a toxin by inhalation and skin contact. Please follow precautions specified in the MSDS when handling paraformaldehyde.</td>
		</tr>
		<tr height="42">
			<td height="42" style="height:42px;width:216px;">Sucrose</td>
			<td style="width:121px;">Sigma</td>
			<td style="width:119px;">S0389</td>
			<td style="width:460px;">Used for cryoprotecting tissue before freezing. Sucrose from any supplier may be used.</td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;width:216px;">O.C.T. compound&#160;</td>
			<td style="width:121px;">Tissue-Tek</td>
			<td style="width:119px;">4583</td>
			<td>Embedding medium for cryosectioning.</td>
		</tr>
		<tr height="42">
			<td height="42" style="height:42px;width:216px;">Cryostat</td>
			<td style="width:121px;">Leica</td>
			<td style="width:119px;">CM 3050S</td>
			<td style="width:460px;">A Leica CM3050S cryostat was used for the preparations described here. Any cryostat capable of cutting 10 &#956;m sections may be used.</td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;width:216px;">Glass slides, 25 x 75 x 1 mm</td>
			<td style="width:121px;">Fisher</td>
			<td style="width:119px;">12-552-3</td>
			<td>Slides from any supplier may be used.</td>
		</tr>
		<tr height="105">
			<td height="105" style="height:105px;width:216px;">Gelatin</td>
			<td style="width:121px;">Sigma</td>
			<td style="width:119px;">G-9391</td>
			<td style="width:460px;">Gelatin is used to promote tissue section adhesion to glass slides. To coat glass slides with gelatin, dissolve 2.75 g gelatin and 0.275 g chrome alum in 500 mL distilled water, warm to 60 &#176;C, dip slides for several seconds, and let dry. Gelatin from any supplier may be used. Alternatively, gelatin-precoated slides may be purchased.</td>
		</tr>
		<tr height="84">
			<td height="84" style="height:84px;width:216px;">Chromium(III) potassium sulfate dodecahydrate (chrome alum)</td>
			<td style="width:121px;">Sigma</td>
			<td style="width:119px;">243361</td>
			<td style="width:460px;">Chrome alum is added to gelatin solution to promote tissue adhesion on glass slides. It is a possible carcinogen and a toxin by inhalation and skin contact. Please follow precautions specified in the MSDS when handling chrome alum.</td>
		</tr>
		<tr height="42">
			<td height="42" style="height:42px;width:216px;">Vectabond tissue adhesion reagent</td>
			<td style="width:121px;">Vector Labs</td>
			<td style="width:119px;">SP-1800</td>
			<td style="width:460px;">Optional substrate for better tissue adhesion to glass slides; gellatin-coated slides may be used instead.</td>
		</tr>
		<tr height="42">
			<td height="42" style="height:42px;width:216px;">Tween20</td>
			<td style="width:121px;">Sigma</td>
			<td style="width:119px;">P9416</td>
			<td style="width:460px;">A detergent used to permeabilize tissue. Tween20 from any supplier may be used.</td>
		</tr>
		<tr height="42">
			<td height="42" style="height:42px;width:216px;">Triton X100</td>
			<td style="width:121px;">Sigma</td>
			<td style="width:119px;">T8787</td>
			<td style="width:460px;">A detergent used to permeabilize tissue. Triton X100 from any supplier may be used.</td>
		</tr>
		<tr height="42">
			<td height="42" style="height:42px;width:216px;">TACS 2 TdT fluorescein in situ apoptosis detection kit</td>
			<td style="width:121px;">Trevigen</td>
			<td style="width:119px;">4812-30-K</td>
			<td>Commercial kit for fluorescence-based TUNEL labeling.</td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;width:216px;">DNase/nuclease</td>
			<td style="width:121px;">Trevigen</td>
			<td style="width:119px;">4812-30-K</td>
			<td>(included with kit)</td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;width:216px;">DNase/nuclease buffer</td>
			<td style="width:121px;">Trevigen</td>
			<td style="width:119px;">4812-30-K</td>
			<td>(included with kit)</td>
		</tr>
		<tr height="42">
			<td height="42" style="height:42px;width:216px;">10x phosphate buffered saline (PBS), pH 7.4</td>
			<td style="width:121px;">Amresco</td>
			<td style="width:119px;">780</td>
			<td style="width:460px;">Make 1x PBS for washes and dilutions. PBS from any supplier may be used.</td>
		</tr>
		<tr height="42">
			<td height="42" style="height:42px;width:216px;">DNase-free water</td>
			<td style="width:121px;">Quality Biologicals</td>
			<td style="width:119px;">351-029-131</td>
			<td>Water from any supplier may be used.</td>
		</tr>
		<tr height="63">
			<td height="63" style="height:63px;width:216px;">Hoechst 33258</td>
			<td style="width:121px;">Sigma</td>
			<td style="width:119px;">94403</td>
			<td style="width:460px;">Nuclear dye. Any blue fluorescent nuclear dye may be used. As a DNA-binding dye, Hoechst is a suspected carcinogen and should be handled with protective equipment to minimize skin contact.</td>
		</tr>
		<tr height="42">
			<td height="42" style="height:42px;width:216px;">Parafilm M</td>
			<td style="width:121px;">multiple</td>
			<td style="width:119px;">807</td>
			<td style="width:460px;">Any other hydrophobic film or cover slip may be used. Available from multiple suppliers.&#160;</td>
		</tr>
		<tr height="43">
			<td height="43" style="height:43px;width:216px;">Fluorescent microscope with digital camera</td>
			<td style="width:121px;">&#160;--</td>
			<td style="width:119px;">&#160;--</td>
			<td style="width:460px;">Any fluorescent microscope capable of digitally capturing red, green, and blue fluorescence in separate channels may be used.</td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;width:216px;">Vectashield antifade media</td>
			<td style="width:121px;">Vector Labs</td>
			<td style="width:119px;">H-1000</td>
			<td>Antifade media from any supplier may be used.</td>
		</tr>
		<tr height="42">
			<td height="42" style="height:42px;width:216px;">glass coverslips, No.1 thickness</td>
			<td style="width:121px;">Brain Research Labs</td>
			<td style="width:119px;">2222-1</td>
			<td style="width:460px;">Cover slips from any supplier may be used. The smallest size of 22x22 mm is sufficient for neonatal mouse leg sections.</td>
		</tr>
		<tr height="63">
			<td height="63" style="height:63px;width:216px;">Nail polish</td>
			<td style="width:121px;">Ted Pella</td>
			<td style="width:119px;">114-8</td>
			<td style="width:460px;">Used to seal coverslips. Nail polish from any supplier (including regular retailers) may be used. Avoid using nail polish with color or additives that may reflect light during fluorescent imaging.&#160;</td>
		</tr>
	</tbody>
</table>

detection and analysis of dna damage in mouse skeletal muscle in situ using the tunel method

Terminal deoxynucleotidyl transferase (TdT) deoxyuridine triphosphate (dUTP) nick end labeling (TUNEL) is the method of using the TdT enzyme to covalently attach a tagged form of dUTP to 3&#8217; ends of double- and single-stranded DNA breaks in cells. It is a reliable and useful method to detect DNA damage and cell death in situ. This video describes dissection, tissue processing, sectioning, and fluorescence-based TUNEL labeling of mouse skeletal muscle. It also describes a method of semi-automated TUNEL signal quantitation. Inherent normal tissue features and tissue processing conditions affect the ability of the TdT enzyme to efficiently label DNA. Tissue processing may also add undesirable autofluorescence that will interfere with TUNEL signal detection. Therefore, it is important to empirically determine tissue processing and TUNEL labeling methods that will yield the optimal signal-to-noise ratio for subsequent quantitation. The fluorescence-based assay described here provides a way to exclude autofluorescent signal by digital channel subtraction. The TUNEL assay, used with appropriate tissue processing techniques and controls, is a relatively fast, reproducible, quantitative method for detecting apoptosis in tissue. It can be used to confirm DNA damage and apoptosis as pathological mechanisms, to identify affected cell types, and to assess the efficacy of therapeutic treatments in vivo.

With successful staining, TUNEL-positive signal should be bright enough to isolate from autofluorescence by setting intensity thresholds. TUNEL-positive objects at low magnification may appear as bright irregular fragments in skeletal muscle (Figure 1A). However, at higher magnification, some TUNEL-positive objects with the classic apoptotic morphology should be observed, if the cell death type involved is apoptosis (Figure 1B). The positive control (DNase added) should exhibit abundant ...

Watch this Scientific Journal Video about Detection and Analysis of DNA Damage in Mouse Skeletal Muscle In Situ Using the TUNEL Method at JoVE.com

Detection and Analysis of DNA Damage in Mouse Skeletal Muscle In Situ Using the TUNEL Method

This video describes dissection, tissue processing, sectioning, and fluorescence-based TUNEL labeling of mouse skeletal muscle. It also describes a method for semi-automated analysis of TUNEL labeling.

Detection and Analysis of DNA Damage in Mouse Skeletal Muscle In Situ Using the TUNEL Method

Terminal deoxynucleotidyl transferase (TdT) deoxyuridine triphosphate (dUTP) nick end labeling (TUNEL) is the method of using the TdT enzyme to covalently ...

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16.1K Views.  Johns Hopkins School of Medicine. This video describes dissection, tissue processing, sectioning, and fluorescence-based TUNEL labeling of mouse skeletal muscle. It also describes a method for semi-automated analysis of TUNEL labeling. 