Name: isolation and cannulation of cerebral parenchymal arterioles
Uploaded: 2016-05-23T14:00:00.000+00:00
Duration: 9 min 49 s
Description: Watch this Scientific Journal Video about Isolation and Cannulation of Cerebral Parenchymal Arterioles at JoVE.com

Funded by NHLBI R01HL091905 (SE), the United Leukodystrophy Foundation CADASIL research grant (FD) and AHA 15POST247200 (PWP). The authors would like to thank Samantha P. Ahchay for providing the image on Figure 1, and Dr. Gerry Herrera, Ph.D., for providing critical comments on the manuscript.

1. Cannula and Chamber Preparation
<ol>
	<li>Insert clean borosilicate glass capillaries (outer diameter: 1.2 mm; internal diameter: 0.69 mm; 10 mm in length) into the grooves of a pipette puller with a platinum filament (diameter: 100 &#181;m).</li>
	<li>Using appropriate settings, pull the capillary to generate a cannula with a long and thin tip (Figure 2) using a micropipette puller. The settings used are: Heat - 700, Pull - 100, Velocity - 50, Time - 10.</li>
	<li>Insert cannula into the holder of pressure myograph chamber. Align the cannulas appropriately.</li>
	<li>Carefully break the tips of the cannulas by using a forceps under the dissecting microscope to the desired diameter. Here we show a cannula with a 10 &#181;m tip (Figure 2).</li>
	<li>Fill both cannulas with artificial cerebrospinal fluid (aCSF) containing 1.8 mM Ca2+; fill the chamber with Ca2+-free aCSF supplemented with 1% bovine serum albumin (BSA) + 10 &#181;M Diltiazem (all solutions should be prepared fresh before the start of the experiment). Depending on the size of the chamber, vary the volume of aCSF between 5 to 20 ml. Store the chamber at 4 &#7506;C until ready to start cannulation. 
	NOTE: Diltiazem is a reversible L-type voltage gated calcium inhibitor that will cause dilation of the arterioles, which facilitates cannulation</li>
</ol>
2. Isolation of Parenchymal Arterioles
<ol>
	<li>Euthanize the animal immediately prior to dissection using standard protocols in the laboratory that are approved by the institution&#39;s animal care committee. The use of barbiturates or carbon dioxide is preferred, as other commonly used anesthetics may have vasodilatory effects in the cerebral circulation 15. All animal procedures shown here have been approved by Institutional Animal Care and Use Committee from the University of Nevada School of Medicine, and are in agreement with the National Institutes of Health &#34;Guiding Principles in the Care and Use of Animals&#34;.</li>
	<li>Euthanize the animal using carbon dioxide. Before decapitation, ensure that the animal has stopped breathing and is unresponsive when pinching its paws.</li>
	<li>Decapitate the animal using a sharp scissor (mouse) or guillotine (rat). Remove the skin from the animal&#39;s head and cut along the midline cranial suture using a fine tip scissor. Using a blunt forceps (mouse) or a bone plier carefully remove the cranial bones and expose the cerebrum. Remove the brain slowly and carefully as to not damage surface pial arteries. Place the brain into a container filled with 20 ml of Ca2+-free aCSF supplemented with 1% BSA on ice.</li>
	<li>Fill a dissection dish containing a pad with ice-cold Ca2+-free aCSF supplemented with 1% BSA and transfer the brain with the ventral surface facing upwards to this dish (Figure 2A). Place the dish under a dissecting microscope (Figure 3A). Pin the brain to the pad using 27-gauge needles. Be careful to avoid placing pins near the middle cerebral artery (MCA).</li>
	<li>Localize the Circle of Willis and the MCA branching from it. Using sharp and aligned Vannas spring scissors, cut a small rectangle around the MCA. Ensure that rectangle is close to 5 mm across through the entire length of the MCA. The top part of the rectangle should be past the branching point from the Circle of Willis (proximal to the Circle of Willis, Figure 2B, arrow).</li>
	<li>Using the Vannas spring scissors, perform an undercut into the depth of the tissue for approximately 2 - 3 mm. 
	NOTE: This part is critical for good isolation of parenchymal arterioles, and it may take a few trials to get it right. If the cut is note made deep enough, the isolated parenchymal arterioles will be short; if the cut is too deep, the arterioles will break at their branching point when the dissected tissue is removed.</li>
	<li>Pin down the most distal end of the brain slice into the dissecting dish with the MCA facing upwards (distal from the Circle of Willis) using insect pins. Make a shallow incision to cut the pia near the pin, being careful not to cut too deep into the underlying cerebral cortex (otherwise the pins will not hold).</li>
	<li>Carefully grab each side of the pia with small forceps and start peeling the pia from cortex. If necessary, hold on to the MCA, ensuring that the surrounding pial membrane is not damaged.</li>
	<li>Keep peeling until the pia containing the MCA is free from the cortex. Note that the resistance against peeling will increase close to the Circle the Willis. Be extra careful at this point, because the longer parenchymal arterioles will be in this region.</li>
	<li>Once the pia is free, place it carefully on top of the pad on the dissecting dish with the surface opposite to parenchymal arterioles facing down (Figure 2B).</li>
	<li>Using Vannas spring scissors, cut out the dissected arterioles free from the MCA, making sure the ends of the vessel are cut bluntly.</li>
	<li>Collected arterioles can be used for pressure myography, molecular analysis, or isolation of native smooth muscle or endothelial cells.</li>
</ol>
3. Pressure Myography
<ol>
	<li>Prepare the suture ahead of time. Cut the dark green nylon thread into 5 mm pieces and place on the sticky side of a double-sided tape on a Petri dish. Under the dissecting microscope, separate each piece into its filaments using fine forceps, and loosely prepare a simple half-hitch knot by passing one end the filament into the other.</li>
	<li>Using forceps, pick a knot off the double-sided tape, making sure not to grab it with too much pressure. Pull the suture into bath solution, slide knot onto cannula and tighten it at a distance from the tip of the cannula. Repeat this process to have 2 sutures on each cannula.</li>
	<li>Coat a glass micropipette with a 10% BSA solution and then rinse off the excess with Ca2+-free aCSF supplemented with 1% BSA.</li>
	<li>Pull 50 &#181;l of solution into the glass micropipette, pull up a parenchymal arteriole and transfer to the pressure myography chamber. Push plunger in one fluid motion to dispense the parenchymal arteriole into the chamber to prevent it from sticking to the internal chamber of the glass micropipette.</li>
	<li>Using two super fine forceps, open the lumen of the PA, being careful to only touch the very end of the vessel.</li>
	<li>Using the forceps to hold the edges of the parenchymal arteriole, carefully pull the vessel onto the cannula. Pull far enough on the cannula so that the vessel is not at the very tapered end of the cannula (Figure 3A).</li>
	<li>Loosen the 2 sutures on the cannula and tighten them on the vessel (Figure 3B). Space the sutures apart a little on the vessel, and pull toward the operator while tighten it. Make sure that any branches are tied off before closing the opposite end of the parenchymal arteriole.</li>
	<li>Turn chamber around and close the opposite end of the parenchymal arteriole as a blind-sac. To achieve that, open the ties on the opposite cannula and pass it onto the arteriole. Slowly close the knot in such a way that the parenchymal arteriole will be tied to the side of the cannula. Avoid longitudinal stretch of the arteriole. (Figure 3C). 
	NOTE: If the goal of the study is to perfuse drugs through the lumen, cannulate the opposite end instead of tying the parenchymal arteriole to the side of the cannula. Make sure the cannulas do not have any salt crystals or internal build-ups that block intraluminal flow. Regulate flow rate appropriately in order to maintain shear stress within physiological levels. A study by Shih et al. shows flow rates inside penetrating arterioles in rats 8, and can serve as an initial guide for pilot studies.</li>
	<li>Carefully transfer the chamber to the stage of the microscope to be used for recording vessel diameter. Attach the chamber onto the microscope stage, connecting temperature probe and inlet and outlets for perfusion to the correct tubes. Pressurize the arteriole to 40 mmHg intraluminal pressure for mouse parenchymal arterioles or 50 mmHg for rat arterioles, using a pressure system available in the laboratory (water column, peristaltic pump coupled to a pressure transducer, etc.). Figure 4D shows an example of a peristaltic pump coupled to a pressure transducer to pressurize the cannulated arteriole.</li>
	<li>Turn on the system used to detect changes in diameter (Figure 3E). Adjust the settings on the microscope, such as illumination and contrast, in order to obtain the best detection possible. Ideally the walls of the arteriole should be dark and the lumen translucent. Once the detection is appropriate, start recording the experiment.</li>
	<li>Start the superfusion system. Wash the cannulated, pressurized parenchymal arteriole with warm (37 &#7506;C) aCSF containing 1.8 mM Ca2+ for 15 to 20 min at a flow rate between 3 - 5 ml/min. This aCSF should not contain Diltiazem or BSA.</li>
	<li>Replace the regular aCSF with 60 mM KCl aCSF to evaluate the viability of the preparation. At this point PAs should exhibit 10 - 20% constriction to 60 mM KCl. If the arteriole does not constrict to that extent, remove and cannulate another arteriole.</li>
	<li>Wash out the 60 mM KCl with regular aCSF. Wait until generation of spontaneous myogenic tone, which could take up to one hour. If arteriole does not have myogenic tone by then, replace it with another arteriole. 
	NOTE: Myogenic tone is observed as a gradual, and sometimes slow, reduction in the lumen diameter of the vessel without stimulation by contractile agonists or high KCl solution. Myogenic tone is calculated by the following formula: (1 - (active lumen diameter/passive lumen diameter)) x&#160;100 5. An appropriate amount of myogenic tone may vary according to treatments, strains, species, transgenics, etc. In general, physiological myogenic tone ranges from 15 - 30%5.</li>
</ol>
4. Example Pressure Myography Experiments: Agonist-induced Constriction and Myogenic Reactivity
<ol>
	<li>Prepare a series of dilutions of an agonist of choice in aCSF using appropriate concentrations. For the current example the thromboxane A2 receptor agonist U46619 was used. A stock solution of 1 ml of U46619 at a concentration of 1 mM was prepared. Transfer 100 &#181;l of the 1 mM solution to a new tube containing 900 &#181;l of aCSF to make a 10-fold dilution of the drug, resulting in a solution containing 100 &#181;M U46619. Repeat this process for 6 dilutions, ranging from 1 mM to 100 nM to prepare a concentration-response constrictor curve.</li>
	<li>Add the entire volume of the solution containing the agonist (1 ml for the first dose, followed by 900 &#181;l of all subsequent doses) to 100 ml of superfusing aCSF. This will lead to an extra 100-fold dilution of the agonist. Thus, the final concentrations of agonist in the bath range from 10 pM to 10 &#181;M. Allow arterioles to incubate for ~10 min in each concentration, until luminal diameter reaches a steady-state.</li>
	<li>Wash out the agonist by superfusing PAs with aCSF without any drugs until the PA diameter is back to the original value. Incubate the parenchymal arteriole in Ca2+-free aCSF (without BSA) supplemented with 10 &#181;M Diltiazem + 2 mM EGTA to induce maximum dilation and record passive diameter of the arteriole.</li>
	<li>Remove the parenchymal arteriole from the cannula by carefully pulling it out while holding into the end of the ties. Wash the vessel chamber with double deionized water to remove debris and excess of agonist. Fill the chamber with Ca2+-free aCSF + BSA and cannulate another arteriole. It is not recommended to perform more than one experiment per arteriole.</li>
	<li>To perform a myogenic reactivity experiment, allow the parenchymal arteriole to equilibrate at 40 mmHg intraluminal pressure until spontaneous myogenic tone is generated (described above). Reduce the intraluminal pressure to 5 mmHg and allow PA to equilibrate for ~5 - 10 min, until luminal diameter reaches steady state. Increase the intraluminal pressure stepwise using the interval of choice (for example from 5 to 140 mmHg in 20 mmHg increments).</li>
	<li>Do not expose the arteriole to intraluminal pressure below 5 mmHg, as that could cause collapse and damage the endothelium, thus altering the outcomes of the experiment.</li>
	<li>At the end of the pressure curve, superfuse the parenchymal arteriole with Ca2+-free aCSF (without BSA) supplemented with 10 &#181;M Diltiazem + 2 mM EGTA and repeat the pressure steps, starting at the lowest pressure. 
	NOTE: This will give the passive diameters of the PA, which are necessary to calculate % myogenic tone, defined by the formula: % tone = (1 - (active diameter/passive diameter)) x 100.</li>
</ol>

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The authors have nothing to disclose.

Cerebral parenchymal arterioles are high resistance arterioles with few anastomoses and branches that perfuse distinct neuronal populations. These specialized blood vessels are central players in cerebrovascular autoregulation and neurovascular coupling through astrocyte-mediated vasodilation 1. The importance of these specialized blood vessels in cerebral vascular disease has been known for approximately 50 years, when the pioneering work of Dr. Miller Fisher described structural alterations in parenchymal ar...

The cerebral circulation is uniquely organized to support the metabolic demands of central neurons, cells that have limited energy stores and are consequently highly sensitive to changes in oxygen pressure and supply of necessary nutrients. As particular neuronal subpopulations becomes active when specific tasks are performed, the vasculature promotes a highly localized increase in perfusion to prevent local hypoxia and depletion of nutrients 1. This is a form of functional hyperemia known as neurovascular coupling, and is dependent on the proper operation of the neurovascular unit, composed of active neurons, astrocytes, and cerebral arteries 2. Intracerebral parenchymal arterioles, a group of blood vessels encompassing parenchymal, penetrating and pre-capillary arterioles, are centrally important for this response and it is then critical to study them individually in order to investigate neurovascular coupling 3.
Parenchymal arterioles are small (20 - 70 &#181;m internal diameter) high-resistance blood vessels that perfuse distinct neuronal populations within the brain. Branching out from pial arteries on the surface, parenchymal arterioles penetrate into the brain parenchyma at a nearly 90&#7506; angle to feed the subsurface microcirculation (Figure 1). These arterioles play a critical role in maintaining appropriate perfusion pressure as they are the most distal smooth muscle-containing vessels protecting the capillaries. In contrast to the surface pial circulation, parenchymal arterioles lack collateral branches and anastomoses, and consequently are &#34;bottlenecks&#34; of the cerebral circulation 4. As a result, dysfunction of parenchymal arterioles contributes to the development of cerebrovascular diseases such as vascular cognitive impairment and small ischemic strokes (also known as silent or lacunar strokes). Studies indicate that parenchymal arterioles dysfunction can be induced by essential hypertension 5, chronic stress 6, and is an early event in small vessel disease genetic mouse model 7. Further, experimentally-induced occlusion of single penetrating arterioles in rats is sufficient to cause small ischemic strokes that are cylindrical in shape, similar those observed in older humans 8.
In addition to these anatomical distinctions, mechanisms regulating contractile function differ between pial arteries and parenchymal arterioles. Myogenic vasoconstriction is greater in parenchymal arterioles 9, possibly because of the lack of extrinsic innervation 10, distinct modes of mechanotransduction 11, and differences in intracellular Ca2+ signaling 12,13 in vascular smooth muscle cells. Evidence suggests that endothelium-dependent vasodilator mechanisms also differ between these vascular segments, with parenchymal arteries exhibiting greater reliance on mechanisms involving Ca2+-activated K+ channels and electrotonic communication within the vascular wall compared with diffusible factors such as nitric oxide and prostacyclins 14. Therefore, data gathered in experiments using pial arteries may not necessarily apply to parenchymal arterioles, leaving a gap in our knowledge of local control of cerebral perfusion.
Despite their importance, parenchymal arterioles are vastly under-studied, primarily due to the technical challenges with isolation and mounting for ex vivo study. In this manuscript we describe a methodology to isolate and cannulate cerebral parenchymal arterioles, which can be used for pressure myography, or to isolate tissue for immunolabeling, electrophysiology, molecular biology, and biochemical analysis.

<table><tbody><tr><td colspan="4">&lt;strong&gt;Artificial Cerebrospinal Fluid&lt;/strong&gt;</td></tr><tr><td>NaCl</td><td>Fisher Scientific</td><td>S-640</td><td></td></tr><tr><td>KCl</td><td>Fisher Scientific</td><td>P217</td><td></td></tr><tr><td>MgCl Anhydrous</td><td>Sigma-Aldrich</td><td>M-8266</td><td></td></tr><tr><td>NaHCO&lt;sub&gt;3&lt;/sub&gt;</td><td>Fisher Scientific</td><td>S233</td><td></td></tr><tr><td>NaH&lt;sub&gt;2&lt;/sub&gt;PO&lt;sub&gt;4&lt;/sub&gt;</td><td>Sigma-Aldrich</td><td>S9638</td><td></td></tr><tr><td>D-(+)-Glucose</td><td>Sigma-Aldrich</td><td>G2870</td><td></td></tr><tr><td>CaCl&lt;sub&gt;2&lt;/sub&gt;</td><td>Sigma-Aldrich</td><td>C4901</td><td></td></tr><tr><td>Bovine Serum Albumin</td><td>Sigma-Aldrich</td><td>A9647</td><td></td></tr><tr><td colspan="4">&lt;strong&gt;Isolation/Cannulation&lt;/strong&gt;</td></tr><tr><td>Stereo Microscope</td><td>Olympus</td><td>SZX7</td><td></td></tr><tr><td>Super Fine Forceps</td><td>Fine Science Tools</td><td>11252-00</td><td></td></tr><tr><td>Vannas Spring Scissors</td><td>Fine Science Tools</td><td>15000-00</td><td></td></tr><tr><td>Wiretrol 50 &amp;mu;l</td><td>VWR Scientific</td><td>5-000-1050</td><td></td></tr><tr><td>0.2 &amp;mu;m Sterile Syringe Filter</td><td>VWR Scientific</td><td>28145-477</td><td></td></tr><tr><td>Micropipette Puller</td><td>Sutter Instruments</td><td>P-97</td><td></td></tr><tr><td>Borosilicate Glass O.D.: 1.2 mm, I.D.: 0.68 mm</td><td>Sutter Instruments</td><td>B120-69-10</td><td></td></tr><tr><td>Dark Green Nylon Thread</td><td>Living Systems Instrumentation</td><td>THR-G</td><td></td></tr><tr><td>Linear Alignment Single Vessel Chamber</td><td>Living Systems Instrumentation</td><td>CH-1-LIN</td><td></td></tr><tr><td>Pressure Servo Controller with Peristaltic Pump</td><td>Living Systems Instrumentation</td><td>PS-200</td><td></td></tr><tr><td>Video Dimension Analyzer</td><td>Living Systems Instrumentation</td><td>VDA-10</td><td></td></tr><tr><td>Four Channel Recorder with LabScribe 3 Recording and Analysis Software</td><td>Living Systems Instrumentation</td><td>DAQ-IWORX-404</td><td></td></tr><tr><td>Heating Unit</td><td>Warner Instruments</td><td>64-0102</td><td></td></tr><tr><td>Automatic Temperature Controller</td><td>Warner Instruments</td><td>TC-324B</td><td></td></tr></tbody></table>

isolation and cannulation of cerebral parenchymal arterioles

Intracerebral parenchymal arterioles (PAs), which include parenchymal arterioles, penetrating arterioles and pre-capillary arterioles, are high resistance blood vessels branching out from pial arteries and arterioles and diving into the brain parenchyma. Individual PA perfuse a discrete cylindrical territory of the parenchyma and the neurons contained within. These arterioles are a central player in the regulation of cerebral blood flow both globally (cerebrovascular autoregulation) and locally (functional hyperemia). PAs are part of the neurovascular unit, a structure that matches regional blood flow to metabolic activity within the brain and also includes neurons, interneurons, and astrocytes. Perfusion through PAs is directly linked to the activity of neurons in that particular territory and increases in neuronal metabolism lead to an augmentation in local perfusion caused by dilation of the feed PA. Regulation of PAs differs from that of better-characterized pial arteries. Pressure-induced vasoconstriction is greater in PAs and vasodilatory mechanisms vary. In addition, PAs do not receive extrinsic innervation from perivascular nerves &#8212; innervation is intrinsic and indirect in nature through contact with astrocytic endfeet. Thus, data regarding contractile regulation accumulated by studies using pial arteries does not directly translate to understanding PA function. Further, it remains undetermined how pathological states, such as hypertension and diabetes, affect PA structure and reactivity. This knowledge gap is in part a consequence of the technical difficulties pertaining to PA isolation and cannulation. In this manuscript we present a protocol for isolation and cannulation of rodent PAs. Further, we show examples of experiments that can be performed with these arterioles, including agonist-induced constriction and myogenic reactivity. Although the focus of this manuscript is on PA cannulation and pressure myography, isolated PAs can also be used for biochemical, biophysical, molecular, and imaging studies.

Figure 5A shows a representative constriction of mouse PAs to 60 mM KCl aCSF to evaluate the integrity of the preparation. PAs should constrict between 15 - 30% in the presence of 60 mM KCl. If the constriction is below 15%, discard the PA and cannulate another one, as it suggests that the arteriole was damaged during the isolation and cannulation process.
Figure 5B illustrates PA constriction t...

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Isolation and Cannulation of Cerebral Parenchymal Arterioles

This manuscript describes a simple and reproducible protocol for isolation of intracerebral arterioles (a group of blood vessels encompassing parenchymal arterioles, penetrating arterioles and pre-capillary arterioles) from mice, to be used in pressure myography, immunofluorescence, biochemistry, and molecular studies.

Intracerebral parenchymal arterioles (PAs), which include parenchymal arterioles, penetrating arterioles and pre-capillary arterioles, are high resistance ...

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Neuroscience

11.6K Views.  University of Nevada School of Medicine. This manuscript describes a simple and reproducible protocol for isolation of intracerebral arterioles (a group of blood vessels encompassing parenchymal arterioles, penetrating arterioles and pre-capillary arterioles) from mice, to be used in pressure myography, immunofluorescence, biochemistry, and molecular studies.

Video: Isolation and Cannulation of Cerebral Parenchymal Arterioles

Permanent Cerebral Vessel Occlusion via Double Ligature and Transection

Stroke is a leading cause of death, disability, and socioeconomic loss worldwide. The majority of all strokes result from an interruption in blood flow (ischemia) 1. Middle cerebral artery (MCA) delivers a great majority of blood to the lateral surface of the cortex 2, is the most common site of human stroke 3, and ischemia within its territory can result in extensive dysfunction or death 1,4,5. Survivors of ischemic stroke often suffer loss or disruption of motor capabilities, sensory deficits, and infarct. In an effort to capture these key characteristics of stroke, and thereby develop effective treatment, a great deal of emphasis is placed upon animal models of ischemia in MCA.
Here we present a method of permanently occluding a cortical surface blood vessel. We will present this method using an example of a relevant vessel occlusion that models the most common type, location, and outcome of human stroke, permanent middle cerebral artery occlusion (pMCAO). In this model, we surgically expose MCA in the adult rat and subsequently occlude via double ligature and transection of the vessel. This pMCAO blocks the proximal cortical branch of MCA, causing ischemia in all of MCA cortical territory, a large portion of the cortex. This method of occlusion can also be used to occlude more distal portions of cortical vessels in order to achieve more focal ischemia targeting a smaller region of cortex. The primary disadvantages of pMCAO are that the surgical procedure is somewhat invasive as a small craniotomy is required to access MCA, though this results in minimal tissue damage. The primary advantages of this model, however, are: the site of occlusion is well defined, the degree of blood flow reduction is consistent, functional and neurological impairment occurs rapidly, infarct size is consistent, and the high rate of survival allows for long-term chronic assessment.

Permanent Cerebral Vessel Occlusion via Double Ligature and Transection

We describe a highly reproducible method for the permanent occlusion of a rodent major cerebral blood vessel. This technique can be accomplished with very little peripheral damage, minimal blood loss, a high rate of long-term survival, and consistent infarct volume commensurate with the human clinical population.

Stroke is a leading cause of death, disability, and socioeconomic loss worldwide. The majority of all strokes result from an interruption in blood flow ...

Medicine

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations

Arteriovenious malformations (AVMs) are associated with significant morbidity and mortality, and have a rupture risk of ~3% per year. Treatment of AVMs must be tailored specifically to the lesion, with surgical resection being the gold standard for small, accessible lesions. Pre-operative embolization of AVMs can reduce nidal blood flow and remove high-risk AVM features such as intranidal or venous aneurysms, thereby simplifying a challenging neurosurgical procedure. Herein, we describe our approach for the staged endovascular embolization and open resection of AVMs, and highlight the advantages of having a comprehensively trained neurovascular surgeon leading a multi-disciplinary clinical team. This includes planning the craniotomy and resection to immediately follow the final embolization stage, thereby using a single session of anesthesia for aggressive embolization, and rapid resection. Finally, we provide a representative case of a 22-year-old female with an unruptured right frontal AVM diagnosed during a seizure workup, who was successfully treated via staged embolizations followed by open surgical resection.

Surgery is the gold standard for accessible arteriovenious malformations (AVMs), and pre-operative embolization can simplify this procedure. We describe our approach for staged endovascular embolization and open resection of AVMs, and provide a representative clinical example highlighting the advantages of a comprehensively trained neurovascular surgeon leading a multi-disciplinary clinical team.

Arteriovenious malformations (AVMs) are associated with significant morbidity and mortality, and have a rupture risk of ~3% per year. Treatment of AVMs ...

An In Vivo Assessment of Blood-Brain Barrier Disruption in a Rat Model of Ischemic Stroke

Ischemic stroke leads to vasogenic cerebral edema and subsequent primary brain injury, which is mediated through destruction of the blood-brain barrier (BBB). Rats with induced ischemic stroke were established and used as in vivo models to investigate the functional integrity of the BBB. Spectrophotometric detection of Evans blue (EB) in the brain samples with ischemic injury could provide reliable justification for the research and development of novel therapeutic modalities. This method generates reproducible results, and is applicable in any laboratory without a need for special equipment. Here, we present a visualized and technical guideline on the detection of the extravasation of EB following induction of ischemic stroke in rats.

An In Vivo Assessment of Blood-Brain Barrier Disruption in a Rat Model of Ischemic Stroke

The overall goal of this procedure is to provide a highly reproducible technique for in vivo assessment of the blood-brain barrier disruption in rat models of ischemic stroke.

Ischemic stroke leads to vasogenic cerebral edema and subsequent primary brain injury, which is mediated through destruction of the blood-brain barrier ...

Evaluation of Vascular Control Mechanisms Utilizing Video Microscopy of Isolated Resistance Arteries of Rats

This protocol describes the use of in vitro television microscopy to evaluate vascular function in isolated cerebral resistance arteries (and other vessels), and describes techniques for evaluating tissue perfusion using Laser Doppler Flowmetry (LDF) and microvessel density utilizing fluorescently labeled Griffonia simplicifolia (GS1) lectin. Current methods for studying isolated resistance arteries at transmural pressures encountered in vivo and in the absence of parenchymal cell influences provide a critical link between in vivo studies and information gained from molecular reductionist approaches that provide limited insight into integrative responses at the whole animal level. LDF and techniques to selectively identify arterioles and capillaries with fluorescently-labeled GS1 lectin provide practical solutions to enable investigators to extend the knowledge gained from studies of isolated resistance arteries. This paper describes the application of these techniques to gain fundamental knowledge of vascular physiology and pathology in the rat as a general experimental model, and in a variety of specialized genetically engineered &#34;designer&#34; rat strains that can provide important insight into the influence of specific genes on important vascular phenotypes. Utilizing these valuable experimental approaches in rat strains developed by selective breeding strategies and new technologies for producing gene knockout models in the rat, will expand the rigor of scientific premises developed in knockout mouse models and extend that knowledge to a more relevant animal model, with a well understood physiological background and suitability for physiological studies because of its larger size.

This manuscript describes in vitro video microscopy protocols for evaluating vascular function in rat cerebral resistance arteries. The manuscript also describes techniques for evaluating microvessel density with fluorescently labeled lectin and tissue perfusion using Laser Doppler Flowmetry.

This protocol describes the use of in vitro television microscopy to evaluate vascular function in isolated cerebral resistance arteries (and other ...

Ex Vivo Pressurized Hippocampal Capillary-Parenchymal Arteriole Preparation for Functional Study

From subtle behavioral alterations to late-stage dementia, vascular cognitive impairment typically develops following cerebral ischemia. Stroke and cardiac arrest are remarkably sexually dimorphic diseases, and both induce cerebral ischemia. However, progress in understanding the vascular cognitive impairment, and then developing sex-specific treatments, has been partly limited by challenges in investigating the brain microcirculation from mouse models in functional studies. Here, we present an approach to examine the capillary-to-arteriole signaling in an ex vivo hippocampal capillary-parenchymal arteriole (HiCaPA) preparation from mouse brain. We describe how to isolate, cannulate, and pressurize the microcirculation to measure arteriolar diameter in response to capillary stimulation. We show which appropriate functional controls can be used to validate the HiCaPA preparation integrity and display typical results, including testing potassium as a neurovascular coupling agent and the effect of the recently characterized inhibitor of the Kir2 inward rectifying potassium channel family, ML133. Further, we compare the responses in preparations obtained from male and female mice. While these data reflect functional investigations, our approach can also be used in molecular biology, immunochemistry, and electrophysiology studies.

The present manuscript details how to isolate hippocampal arterioles and capillaries from the mouse brain and how to pressurize them for pressure myography, immunofluorescence, biochemistry, and molecular studies.

From subtle behavioral alterations to late-stage dementia, vascular cognitive impairment typically develops following cerebral ischemia. Stroke and ...

Isolation of Retinal Arterioles for Ex Vivo Cell Physiology Studies

The retina is a highly metabolically active tissue that requires a substantial blood supply. The retinal circulation supports the inner retina, while the choroidal vessels supply the photoreceptors. Alterations in retinal perfusion contribute to numerous sight-threatening disorders, including diabetic retinopathy, glaucoma and retinal branch vein occlusions. Understanding the molecular mechanisms involved in the control of blood flow through the retina and how these are altered during ocular disease could lead to the identification of new targets for the treatment of these conditions. Retinal arterioles are the main resistance vessels of the retina, and consequently, play a key role in regulating retinal hemodynamics through changes in luminal diameter. In recent years, we have developed methods for isolating arterioles from the rat retina which are suitable for a wide range of applications including cell physiology studies. This preparation has already begun to yield new insights into how blood flow is controlled in the retina and has allowed us to identify some of the key changes that occur during ocular disease. In this article, we describe methods for the isolation of rat retinal arterioles and include protocols for their use in patch-clamp electrophysiology, calcium imaging and pressure myography studies. These vessels are also amenable for use in PCR-, western blotting- and immunohistochemistry-based studies.

Isolation of Retinal Arterioles for Ex Vivo Cell Physiology Studies

This manuscript describes a straightforward protocol for the isolation of arterioles from the rat retina that can be used in electrophysiological, calcium imaging and pressure myography studies.

The retina is a highly metabolically active tissue that requires a substantial blood supply. The retinal circulation supports the inner retina, while the ...

Biology

Simultaneous Measurements of Intracellular Calcium and Membrane Potential in Freshly Isolated and Intact Mouse Cerebral Endothelium

Cerebral arteries and their respective microcirculation deliver oxygen and nutrients to the brain via blood flow regulation. Endothelial cells line the lumen of blood vessels and command changes in vascular diameter as needed to meet the metabolic demand of neurons. Primary endothelial-dependent signaling pathways of hyperpolarization of membrane potential (Vm) and nitric oxide typically operate in parallel to mediate vasodilation and thereby increase blood flow. Although integral to coordinating vasodilation over several millimeters of vascular length, components of endothelium-derived hyperpolarization (EDH) have been historically difficult to measure. These components of EDH entail intracellular Ca2+ [Ca2+]i increases and subsequent activation of small- and intermediate conductance Ca2+-activated K+ (SKCa/IKCa) channels.
Here, we present a simplified illustration of the isolation of fresh endothelium from mouse cerebral arteries; simultaneous measurements of endothelial [Ca2+]i and Vm using Fura-2 photometry and intracellular sharp electrodes, respectively; and a continuous superfusion of salt solutions and pharmacological agents under physiological conditions (pH 7.4, 37 &#176;C). Posterior cerebral arteries from the Circle of Willis are removed free of the posterior communicating and the basilar arteries. Enzymatic digestion of cleaned posterior cerebral arterial segments and subsequent trituration facilitates removal of adventitia, perivascular nerves, and smooth muscle cells. Resulting posterior cerebral arterial endothelial &#34;tubes&#34; are then secured under a microscope and examined using a camera, photomultiplier tube, and one to two electrometers while under continuous superfusion. Collectively, this method can simultaneously measure changes in endothelial [Ca2+]i and Vm in discrete cellular locations, in addition to the spreading of EDH through gap junctions up to millimeter distances along the intact endothelium. This method is expected to yield a high-throughput analysis of the cerebral endothelial functions underlying mechanisms of blood flow regulation in the normal and diseased brain.

Demonstrated here are protocols for (1) freshly isolating intact cerebral endothelial "tubes" and (2) simultaneous measurements of endothelial calcium and membrane potential during endothelium-derived hyperpolarization. Further, these methods allow for pharmacological tuning of endothelial cell calcium and electrical signaling as individual or interactive experimental variables.

Cerebral arteries and their respective microcirculation deliver oxygen and nutrients to the brain via blood flow regulation. Endothelial cells line the ...

Optimization of the Longa Middle Cerebral Artery Occlusion Method for Complete Reperfusion

The middle cerebral artery occlusion model serves as the primary animal model for studying ischemic stroke. Despite being used in research for over three decades, its standardization remains inadequate. Predominantly conducted on rats and mice, the procedure poses challenges due to mice's smaller and more fragile nature. Unlike the Koizumi common carotid artery method, the Longa external carotid artery is the sole intraluminal filament stroke model ensuring complete reperfusion post-ischemia. This aspect holds critical significance for studies investigating reperfusion phenomena. The surgical modifications demonstrated in this article ensure continuous blood flow from the common carotid artery throughout the ischemic phase and after the reperfusion onset. The goal of these modifications is to selectively occlude the middle cerebral artery by keeping the perfusion uninterrupted in branches proximal to the middle cerebral artery during the ischemia period. Furthermore, the onset of reperfusion is sudden and can be precisely controlled, thereby modeling endovascular thrombectomy in human medicine more accurately. Our aim in presenting this comprehensive video article is to ease the training of new surgeons and promote the standardization of surgical procedures within the scientific community.

This protocol presents a step-by-step guide for researchers to perform the middle cerebral artery occlusion procedure on mice using the modified Longa external carotid artery method. Modifications presented in this article aim to increase the accuracy of middle cerebral artery occlusion and ensure complete reperfusion.

The middle cerebral artery occlusion model serves as the primary animal model for studying ischemic stroke. Despite being used in research for over three ...

Isolation and Functional Analysis of Arteriolar Endothelium of Mouse Brain Parenchyma

Cerebral blood flow is conveyed by vascular resistance arteries and downstream parenchymal arterioles. Steady-state vascular resistance to blood flow increases with decreasing diameter from arteries to arterioles that ultimately feed into capillaries. Due to their smaller size and location in the parenchyma, arterioles have been relatively understudied and with less reproducibility in findings than surface pial arteries. Regardless, arteriolar endothelial cell structure and function&#8212;integral to the physiology and etiology of chronic degenerative diseases&#8212;requires extensive investigation. In particular, emerging evidence demonstrates that compromised endothelial function precedes and exacerbates cognitive impairment and dementia.
In the parenchymal microcirculation, endothelial K+ channel function is the most robust stimulus to finely control the spread of vasodilation to promote increases in blood flow to areas of neuronal activity. This paper illustrates a refined method for freshly isolating intact and electrically coupled endothelial &#34;tubes&#34; (diameter, ~25 &#181;m) from mouse brain parenchymal arterioles. Arteriolar endothelial tubes are secured during physiological conditions (37 &#176;C, pH 7.4) to resolve experimental variables that encompass K+ channel function and their regulation, including intracellular Ca2+ dynamics, changes in membrane potential, and membrane lipid regulation. A distinct technical advantage versus arterial endothelium is the enhanced morphological resolution of cell and organelle (e.g., mitochondria) dimensions, which expands the usefulness of this technique. Healthy cerebral perfusion throughout life entails robust endothelial function in parenchymal arterioles, directly linking blood flow to the fueling of neuronal and glial activity throughout precise anatomical regions of the brain. Thus, it is expected that this method will significantly advance the general knowledge of vascular physiology and neuroscience concerning the healthy and diseased brain.

Intensive preparation of intact mouse cerebral endothelial &#34;tubes&#34; from cerebral parenchymal arterioles is illustrated for studying cerebral blood flow regulation. Further, we demonstrate the experimental strengths of this endothelial study model for fluorescence imaging and electrophysiology measurement of key cellular signaling pathways, including changes in intracellular [Ca2+] and membrane potential.

Cerebral blood flow is conveyed by vascular resistance arteries and downstream parenchymal arterioles. Steady-state vascular resistance to blood flow ...

Preparing Cerebral Endothelial Tubes from Mouse Parenchymal Arterioles

Source: Hakim, M. A., et al., <a href="https://app.jove.com/v/63463">Isolation and Functional Analysis of Arteriolar Endothelium of Mouse Brain Parenchyma.</a> J. Vis. Exp. (2022)
This video demonstrates a method for isolating the endothelial tubes from mouse cerebral parenchyma. Through a combination of enzymatic digestion and mechanical dissociation, the process yields an intact tube with endothelial cells.

All procedures involving animal samples have been reviewed and approved by the appropriate animal ethical review committee. 
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Isolation and Cannulation of Cerebral Parenchymal Arterioles

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Chapters in this video

Permanent Cerebral Vessel Occlusion via Double Ligature and Transection

Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations

An In Vivo Assessment of Blood-Brain Barrier Disruption in a Rat Model of Ischemic Stroke

Evaluation of Vascular Control Mechanisms Utilizing Video Microscopy of Isolated Resistance Arteries of Rats

Ex Vivo Pressurized Hippocampal Capillary-Parenchymal Arteriole Preparation for Functional Study

Isolation of Retinal Arterioles for Ex Vivo Cell Physiology Studies

Simultaneous Measurements of Intracellular Calcium and Membrane Potential in Freshly Isolated and Intact Mouse Cerebral Endothelium

Optimization of the Longa Middle Cerebral Artery Occlusion Method for Complete Reperfusion

Isolation and Functional Analysis of Arteriolar Endothelium of Mouse Brain Parenchyma

Preparing Cerebral Endothelial Tubes from Mouse Parenchymal Arterioles