Name: measuring pressure volume loops in the mouse
Uploaded: 2016-05-02T15:00:00
Description: Watch this Scientific Journal Video about Measuring Pressure Volume Loops in the Mouse at JoVE.com

The author would like to acknowledge funding from NHLBI (K08 HL102066 and R01 HL114832).

Before performing any of the procedures described in this protocol, obtain approval by the local institutional animal care and use committee.
1. Setting Up the Experimental Rig
Note: This procedure is performed on anesthetized animals and the quality of the data is proportional to the quality of the anesthetic support offered to the animal. This first section will detail the equipment and procedures necessary to provide anesthesia to the mouse while p...

<ol>
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There are three critical steps in this procedure: 1) the placement of the endotracheal tube and appropriate ventilation, 2) placement of the jugular IV catheter, and 3) the proper placement of the PV catheter in the left ventricle. Determining the appropriate respiratory rate is an important part of providing ventilatory support. Conscious mice generally maintain alveolar ventilation with rapid shallow breaths. In general, ventilated mice will have much larger tidal volumes. Thus a slower respiratory rate is required. Th...

Cardiovascular disease continues to be a significant cause of mortality and morbidity throughout the world 1. Diseases of the heart present particularly difficult challenges in developing new therapies. Advances in genetics provide for the possibility to identify a multitude of potential genetic contributors to the development of heart disease. The integrative nature of the cardiovascular system requires that these genetic targets be validated in intact animal models. The genetic flexibility and low housing costs of the mouse have brought it to the forefront for the assessment of the physiological role of a given gene. The small size of the mouse presents some unique challenges for the assessment of cardiac function. There are several modalities that can provide information regarding cardiac function, but only the simultaneous measurement of ventricular pressure and volume allows pressure-volume (PV) loop analysis of ventricular function. PV loops allow cardiac function to be analyzed independent of its connection to the vasculature; an important factor in determining the functional role of a particular genetic element.
The assessment of pressure-volume loops has been used both experimentally and clinically for many years and extensive literature exists regarding the analysis of these data sets 2,3. The adaptation of PV loop technology to the mouse has been an important advancement for the understanding of murine cardiac physiology 4-6. Catheter based PV loop technologies couple a pressure transducer and the use of conductance to estimate ventricular volume. The ventricular volume is determined by examining changes in an electrical field generated by the catheter. This method models the ventricle as a cylinder, the height of which is defined by the distance between the electrodes on the catheter and the radius is calculated from conduction of an electrical field through the blood in the ventricle 7-9. The conductance signal measured by the catheter has two components. The first is the conduction through the blood; this varies with the volume of the ventricle and constitutes the primary signal used to determine ventricular volume. The second component results from conduction through and along the wall of the ventricle. This is called parallel conductance and must be removed in order to determine the absolute ventricular volume. There are two commercially available systems for the collection of pressure-volume data in the research laboratory and the method used to calculate and remove the parallel conductance is the primary difference between them 6,10,11. Conductance catheters require the injection of hypertonic saline for the calculation of parallel conductance. This injection transiently changes the conductivity of the blood in the ventricle, while the conductivity of the wall remains constant. From this data it is possible to determine the component of the conductance signal that originates from the blood and what comes from the ventricular wall. This approach assumes that parallel conductance does not vary during the cardiac cycle. The admittance method relies on phase changes in the electrical field to assess the contribution of the ventricular wall to the overall volume signal. This method relies on a variety of predetermined constants for the conductivity of the blood and myocardium to determine the final volume, but makes continuous measures of parallel conductance during the cardiac cycle. Both of these systems provide good estimates of left ventricular volume and the differences between them are not likely to be physiologically significant. The cylindrical model of the ventricle and other assumptions render these catheter-based approaches not as accurate as other modalities, but this data is provided on a beat-by-beat basis that is essential for the assessment of load independent measures of cardiac function.
The procedure outlined here is used in my laboratory and has provided data for a large number of studies examining the basic pathophysiological mechanisms of dystrophic cardiomyopathy 12-18. The procedure outlined below is one of two that can be used to obtain PV loop data. While many of the principles are applicable for either approach, this protocol will focus on an open-chest apical approach; a closed chest protocol has been detailed elsewhere 19,20. While the procedure will be described in detail, the important overarching principles are to expose the heart with minimal damage to either the heart or the lungs. Throughout the protocol it is important to remember that this is a non-survival procedure and that having a good exposure of the heart is critically important for the proper placement of the catheter.

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	<tbody>
		<tr height="42">
			<td height="42" style="height:42px;width:216px;">Dumont 5/45 (2)</td>
			<td style="width:127px;">Fine Science Tools</td>
			<td style="width:119px;">11251-33</td>
			<td style="width:63px;"></td>
		</tr>
		<tr height="42">
			<td height="42" style="height:42px;width:216px;">Vessel Dilating Forceps</td>
			<td style="width:127px;">Fine Science Tools</td>
			<td style="width:119px;">18153-11</td>
			<td></td>
		</tr>
		<tr height="42">
			<td height="42" style="height:42px;width:216px;">Castroviejo Micro Dissecting Spring Scissor</td>
			<td style="width:127px;">Roboz Instruments</td>
			<td style="width:119px;">RS-5668</td>
			<td></td>
		</tr>
		<tr height="42">
			<td height="42" style="height:42px;width:216px;">Octogon Forceps - Serrated/Curved</td>
			<td style="width:127px;">Fine Science Tools</td>
			<td style="width:119px;">11041-08</td>
			<td></td>
		</tr>
		<tr height="42">
			<td height="42" style="height:42px;width:216px;">Octogon Forceps - Serrated/Straight</td>
			<td style="width:127px;">Fine Science Tools</td>
			<td style="width:119px;">11040-08</td>
			<td></td>
		</tr>
		<tr height="42">
			<td height="42" style="height:42px;width:216px;">Dissector Scissors- Heavy Blade</td>
			<td style="width:127px;">Fine Science Tools</td>
			<td style="width:119px;">14082-09</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;width:216px;">Transpore Surgical Tape</td>
			<td style="width:127px;">3M</td>
			<td style="width:119px;">1527-1</td>
			<td></td>
		</tr>
		<tr height="42">
			<td height="42" style="height:42px;width:216px;">3-0 Silk Suture</td>
			<td style="width:127px;">Fine Science Tools</td>
			<td style="width:119px;">18020-30</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;width:216px;">TOPO Ventilator</td>
			<td style="width:127px;">Kent Scientific</td>
			<td style="width:119px;">TOPO</td>
			<td></td>
		</tr>
		<tr height="42">
			<td height="42" style="height:42px;width:216px;">Martin ME 102 Electrosurgical Unit</td>
			<td style="width:127px;">Harvard Apparatus</td>
			<td style="width:119px;">PY2 72-2484</td>
			<td></td>
		</tr>
		<tr height="42">
			<td height="42" style="height:42px;width:216px;">Syringe Pump</td>
			<td style="width:127px;">Lucca Technologies</td>
			<td style="width:119px;">GenieTouch</td>
			<td></td>
		</tr>
		<tr height="42">
			<td height="42" style="height:42px;width:216px;">Stereomicroscope with boom stand</td>
			<td style="width:127px;">Nikon</td>
			<td style="width:119px;">SMZ-800N</td>
			<td></td>
		</tr>
		<tr height="21">
			<td height="21" style="height:21px;width:216px;">Thermocouple Thermometer</td>
			<td style="width:127px;">Cole Parmer</td>
			<td style="width:119px;">EW-91100-40</td>
			<td></td>
		</tr>
		<tr height="42">
			<td height="42" style="height:42px;width:216px;">T/Pump Warm Water Recirculator</td>
			<td style="width:127px;">Kent Scientific</td>
			<td style="width:119px;">TP-700</td>
			<td></td>
		</tr>
		<tr height="20">
			<td height="20" style="height:20px;width:216px;">ADVantage Pressure-Volume System</td>
			<td style="width:127px;">Transonic</td>
			<td style="width:119px;">ADV500</td>
			<td></td>
		</tr>
		<tr height="42">
			<td height="42" style="height:42px;width:216px;">Data Acquision and Analysis</td>
			<td style="width:127px;">DSI</td>
			<td style="width:119px;">Ponemah ACQ-16</td>
			<td></td>
		</tr>
	</tbody>
</table>

measuring pressure volume loops in the mouse

Understanding the causes and progression of heart disease presents a significant challenge to the biomedical community. The genetic flexibility of the mouse provides great potential to explore cardiac function at the molecular level. The mouse&#39;s small size does present some challenges in regards to performing detailed cardiac phenotyping. Miniaturization and other advancements in technology have made many methods of cardiac assessment possible in the mouse. Of these, the simultaneous collection of pressure and volume data provides a detailed picture of cardiac function that is not available through any other modality. Here a detailed procedure for the collection of pressure-volume loop data is described. Included is a discussion of the principles underlying the measurements and the potential sources of error. Anesthetic management and surgical approaches are discussed in great detail as they are both critical to obtaining high quality hemodynamic measurements. The principles of hemodynamic protocol development and relevant aspects of data analysis are also addressed.

By convention, volume is plotted on the X-axis and pressure on the Y-axis as in Figure 1. The pressure-volume loops resulting from plotting pressure against volume should resemble a rectangle, the vertical edges representing isovolumic changes in pressure (i.e., when both mitral and aortic valves are closed). The bottom horizontal represents ventricular filling through the mitral valve and the upper horizontal portion represents ventricular emptying through the a...

Watch this Scientific Journal Video about Measuring Pressure Volume Loops in the Mouse at JoVE.com

Measuring Pressure Volume Loops in the Mouse

This manuscript describes a detailed protocol for the collection of pressure-volume data from the mouse.

Understanding the causes and progression of heart disease presents a significant challenge to the biomedical community. The genetic flexibility of the ...

Research

JoVE Journal

Biology

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