Comparative Medicine Volume 60, Number 4, August 2010 OVERVIEW Karmarkar et al. Considerations for the Use of Anesthetics in Neurotoxicity Studies, pp. 256-262 Domain 3 – Research; T2 – Advise and consult with investigators on matters related to their research SUMMARY: Anesthetic agents are widely used in laboratory settings, however they may sometimes alter the outcome of the experiment, and there are several studies showing that anesthetics alter the processes being studied in neuroprotection and neurotoxicity experiments. This article reviews the effects of isoflurane, dexmedetomidine, propofol, ketamine, barbiturates, halothane, xenon, carbon dioxide, and nitrous oxide. They all showed to have substantial effects on neuronal survival and death. These findings make it necessary to take anesthetics into account when designing a study that especially involves in vivo cerebral ischemia. Sham controls with anesthesia but no ischemia should be used in the study design, as well as control animals without anesthesia or ischemia. Measuring out endpoints over an extended period as the animal recovers since the effects of most anesthetics lessen over time. Another option for animals that will be euthanized is to use non-pharmacologic methods whenever appropriate. QUESTIONS 1. Which are some acceptable non-pharmacological methods of euthanasia for rats and mice? a. Cervical dislocation b. Decapitation c. Microwave irradiation d. A and B e. All of the above 2. How can studies be planned to minimize the effects of anesthetic agents on neuroprotection and neurotoxicity studies? a. Use sham controls treated with anesthesia but no ischemia b. Never use anesthesia when designing cerebral edema studies c. No changes need to be made to take in account anesthesia d. None of the above 3. True or False: Cervical dislocation and microwave irradiation can be used as an acceptable means of euthanasia for all types of animals. ANSWERS 1. E 2. A 3. False ORIGINAL RESEARCH Mouse Models Cray et al. Quantification of Acute Phase Proteins and Protein Electrophoresis in Monitoring the Acute Inflammatory Process in Experimentally and Naturally Infected Mice, pp. 263-271 Domain 1: Management of Spontaneous and Experimentally Induced Diseases and Conditions; T3. Diagnose disease or condition as appropriate SUMMARY: Acute phase proteins (APP) are part of the innate immune system. Some (C reactive protein, serum amyloid A, and serum amyloid P) are indicators of acute inflammation while others (haptoglobin) may be more indicative of chronic inflammation. This project looked to study the changes in APP in laboratory mice after experimental infection with Sendai virus and MPV. LPS and CFA were used as controls. Changes in APP were mild, if at all evident, which was an unexpected outcome in this study as others have shown more sensitivity in these assays in infection and inflammation. Protein electrophoresis may provide a preliminary test for sentinels before the more labor-intensive ELISA testing. Other conditions may cause an increase in APP, thus the electrophoresis cannot be a substitute for ELISA testing entirely. QUESTIONS 1. True/False: Protein electrophoresis can quantitate single proteins. 2. Short answer: Which conditions can cause a change in acute phase proteins? 3. Short answer: ELISA quantifies proteins at the ng/mL level, while electrophoresis quantifies at the _____ level ANSWERS 1. False. Groups of proteins may be quantitated by electrophoresis. 2. Infection, trauma, stress, neoplasia, inflammation 3. mg/Ml Ding et al. Lack of Association of a Spontaneous Mutation of the Chrm2 Gene with Behavioral and Physiologic Phenotypic Differences in Inbred Mice, pp. 272281 Domain 3: K6 (Research: characterization of animal models) Primary Species: Mouse (Mus musculus) SUMMARY: Type 2 muscarinic receptors (M2R) are present in many peripheral and central sites of the nervous system and peripheral target organs. The M2R is encoded by the gene Chrm2, which is relatively conserved across several species. However, a nucleotide substitution (C797T) has been identified in several strains of inbred mice that results in an amino acid substitution (P266L) in the protein. Single-nucleotide polymorphisms in the human Chrm2 gene have been implicated in several abnormal conditions. Mouse strains that bear the Chrm2 mutation potentially provide a unique model for exploring mechanisms by which Chrm2 variants may affect cholinergic mechanisms and associated physiologic processes in both the brain and periphery. This study attempted to determine whether the C797T Chrm2 mutation confers a detectable phenotypic difference in M2R-related processes in mice. Adult male C57BL/6J, BALB/cByJ, and CXB recombinant inbred mice were utilized for this study. Methods of assessment included the following: Acoustic startle, acoustic gap detection, and prepulse inhibition (PPI) of startle Physiologic responses to the muscarinic agonist oxotremorine (OXO) o Tested for: heart rate, body temperature, tremor, salivation, and response to painful stimuli RT-PCR analysis in hypothalamus and basal forebrain (Chrm2 transcription was measured in basal forebrain and hypothalamus of healthy mice and mice infected with the influenza virus) Chrm2 sequence and genotype analysis (using cDNA synthesized from the lungs) Receptor binding (competition curves for OXO were performed by using heart homogenates ) The data in this study confirmed the presence of a single-nucleotide polymorphism and an associated amino acid substitution in A/J and DBA/2J mice as compared with C57BL/6J mice and further reports the presence of this mutation in BALB/c-based strains, AKR/J and some CXB RI strains. However, the authors detected no difference between C57BL/6J and BALB/cByJ mice in several types of assessments that are relevant to M2R function: No relationship was demonstrated between the Chrm2 mutation and acoustic startle and PPI o While less PPI and a greater startle amplitude in BALB/cByJ mice was observed when compared with C57BL/6J mice, this was attributed to a higher basal state of arousal in BALB/cByJ mice and the significant age-related hearing loss in this strain. The 2 strains of mice responded similarly in terms of hypothermia, tremor, salivation, and analgesia to in vivo administration of OXO o These responses to OXO are impaired in mice that lack Chrm2 but not in mice that lack genes for other muscarinic receptors Chrm2 transcription in basal forebrain and hypothalamus was not influenced by genotype and/or health status (influenza infection) No differences were noted in competition of OXO at binding sites in heart homogenate or in a shift in the OXO competition curve Chrm2 mutation with the phenotypes of receptor binding, Chrm2 mRNA in acetylcholinerich brain regions, behavioral responses to OXO, and measures of arousal and sensorimotor gating. However, the mutation could potentially influence receptor binding or signal transduction properties in ways that were not tested by this study. QUESTIONS 1. How would a single-nucleotide polymorphism in the Chrm2 gene cause functional consequences of the M2 receptor? 2. T/F - Polymorphisms in the human Chrm2 gene have been associated with major depression in women in some studies. 3. Acoustic startle, acoustic gap detection, and prepulse inhibition (PPI) of startle provide sensitive measures of: a. Hearing function b. Sensory gating processes c. Both hearing function and sensory gating processes 4. Heart homogenates were used to determine competition curves for OXO because: a. M1 is the major muscarinic receptor in the heart b. M2 is the major muscarinic receptor in the heart c. M1 and M2 receptors are in equal proportion in the heart ANSWERS 1. Proline is the only amino acid that contains a secondary amino group and forms tertiary peptide bonds. Because of this attribute, substitution of leucine for proline could cause allosteric alterations in proteins, with potential structural or functional consequences. Furthermore, allosteric modulation is a recognized regulatory mechanism of muscarinic receptors. 2. True 3. c. 4. b. Rat Models Ozaki et al. Insulin-Induced Hypoglycemic Peripheral Motor Neuropathy in Spontaneously Diabetic WBN/Kob Rats, pp. 282-287 SUMMARY: This study attempted to compare the neuropathy caused by hypoglycemia caused by intensive insulin therapy to the peripheral motor neuropathy seen in spontaneously diabetic Wistar Bonn Kobori (WBN/Kob) rats. This study was different from other experimental studies on type 1 diabetic peripheral neuropathy as it included morphologic analysis along with motor nerve conduction velocities. Male rats with ongoing hyperglycemia and glucosuria were divided into three groups for a 40 day treatment study; D group consisted of untreated animals (blood glucose BG, 350420mg/dL), H group consisted of insulin treated animals (BG, 50-200mg/dL), N group consisted of insulin treated animals (BG, 150-250mg/dL). RESULTS: Conduction velocity was not significantly different in N, D, and H groups. Morphologic analysis of the sciatic nerves of H rats showed severe changes, including axonal degeneration, myelin distention, and endoneurial fibrosis, that tended to occur in large, myelinated fibers. Only relatively mild changes were noted within the N and D rats. The degree and distribution of degenerated nerve fibers in H rats were significantly higher than in N and D rats. The authors suggest that hypoglycemia of less than 50mg/dL induced severe peripheral neuropathy, and also stated that hypoglycemic lesions differed from the hyperglycemic lesions in diabetic WBN/Kob rats. QUESTIONS: 1. T/F Diabetic WBN/Kob rats spontaneously develop diabetic peripheral motor neuropathy characterized by segmental demyelination and secondary axonal degeneration. 2. WBN/Kob rats generally acquire hyperglycemia and glucosuria by what age? 3. In this study, how often was blood glucose samples obtained? ANSWERS: 1. T 2. 40-45 weeks 3. Once weekly for H and N groups, at the beginning and end of study for group D Shin et al. Spatiotemporal Expression of tmie in the Inner Ear of Rats during Postnatal Development, pp. 288-294 Domain 1: Management of Spontaneous and Experimentally Induced Diseases and Conditions; K1. anatomy with emphasis on features which have significance with regard to clinical medicine or experimental medicine Domain 3: Research Primary Species: Rat (Rattus norvegicus) SUMMARY: Inner ear defects which affect the vestibular system are thought to be a potential cause of circling in the mouse and rat, especially in deafness mutants. The circling mouse (cir/cir) is a model of human nonsyndromic deafness DFNB6. Circling mice exhibit almost completely degenerated cochlea and remarkably reduced cellularity in spiral ganglion neurons. The phenotype is linked to a deletion of the transmembrane inner ear (tmie) whereas an additional mutation of the same gene is reported in the spinner (sr/sr) mouse. Neither of these models have any noteworthy problems in any tissues except those of the inner ear systems. The purpose of this study was to track the spatiotemporal expression of tmie in the rat at the time of hearing development (approximately postnatal day 12). This time coincides with the formation of the tunnel of Corti and the establishment or retraction of neuronal connections. At approximately day P1, the stereocilia of the organ of Corti begin to thicken and elongate into the staircase pattern of gradually increasing heights. (Recall that these cilia “sway” within the endolymph of the cochlea to transform the mechanical energy of sound pressure into electrical signals which can then be transmitted down the vestibulocochlear nerve, CNVIII). Immunohistochemical analysis of tmie expression in the inner ear during postnatal development (postnatal day 0-19) was measured. Tmie expression increased and expanded as the organ of Corti matured and expression was stronger in the stereocilia of hair cells than in the cell body region. Conversely, expression in vestibular systems showed no obvious change over this timeframe. These results imply that tmie may have a key role in the maturation and structure of stereocilia bundles in developing hair cells. Then after hair cell maturation, the authors hypothesize that tmie is involved in the maintenance of organ of Corti cells. QUESTIONS 1. Mutations in the transmembrane inner ear gene, tmie, are believed to be responsible for the phenotypic changes seen in which two mouse models used to study human deafness? 2. Tmie expression is thought to have a key role in the maturation and maintenance of which cells? a. Stereocilia of the organ of Corti b. Retinal ganglion c. Vibrissal cells d. Vestibular ganglion ANSWERS 1. The circling mouse (cir/cir) & the spinner mouse (sr/sr) 2. a. Stereocilia of the organ of Corti Chicken Model Xu et al. Blood Supply to the Chicken Femoral Head, pp. 295-299 Task 3 - Provide Research Support, Information, and Services; K2 - Normative biology Secondary Species: Chicken (Gallus domestica) SUMMARY: This article describes the normal vascular anatomy found in the femoral head of chickens in further detail than has been previously described. Previous papers have described the terminal vascular supply to the femoral head, but the origin of these terminal arteries in respect to the ischiatic and femoralis arteries has not been described. The team examined twelve 2-kg White Leghorn Chickens by perfusing them with a casting agent injected into the aorta. The tissues were refrigerated overnight and then the hind limbs were harvested and fixed in formalin for 72 hours. The bones were decalcified and then the limbs stored in a glycerin solution. The article contains many high-quality photographs that significantly aid in the discussion of these anatomical findings. The team found previously described vasculature in all 24 hind limbs and also identified three previously undescribed branches of the femoralis artery providing blood to the acetabulum and femoral head (2 separate vessels). The team named the undescribed vessels supplying the femoral head arising from the femoralis artery as the “lateral retinacular artery” and the “acetabular branch of femoralis artery.” Although there have been previous descriptions of the terminal vasculature, this team confirmed that the femoral head is perfused by two different major arteries: the femoralis and ischiatic arteries. This creates an anastamotic ring of blood supply in contrast to the human femoral head which is supplied by superior retinacular vessels of the deep branch of the medial femoral circumflex artery and an anastamosis between the deep medial femoral circumflex and inferior gluteal arteries. The chicken can be an excellent model for human femoral head osteonecrosis because it is readily available, active, and bipedal. Many previous studies have utilized quadrapedal animals as models and also used nonphysiologic means to produce osteonecrosis (e.g. corticosteroids.) Ideally, vascular disruption could produce clinically relevant and reproducible degrees of osteonecrosis. This team suggests using a surgical method to disrupt the trochanteric, acetabular branch of femoralis, lateral retinacular, and middle femoral nutrient arteries to reliably produce osteonecrosis and eventual end-stage mechanical collapse as a research model in chickens. QUESTIONS 1. T or F: Chickens are suboptimal for use in osteonecrosis studies due to significant vascular differences to humans. 2. T or F: The femoral head of chickens is primarily perfused by two major arteries, the femoralis and iliac arteries. 3. T or F: The vascular supply of chicken femoral heads is almost identical to humans. 4. T or F. Many studies of osteonecrosis have used nonphysiologic means to induce osteonecrosis in research animals, including drugs such as corticosteroids. ANSWERS 1. F. Chickens can be an excellent model. Although the vascular is different, the bipedal and active nature of the birds makes them an excellent option. 2. F. The femoral head of chickens is primarily perfused by the femoralis and ischiatic arteries. 3. F. There are significant differences in the vasculature in both species; however this does not prevent the chicken from being a good model for the human disease. 4. T. This is true. Swine Model Neeb et al. Metabolic Syndrome and Coronary Artery Disease in Ossabaw Compared with Yucatan Swine, pp. 300-315 Domain 1: Management of Spontaneous and Experimentally Induced Diseases and Conditions Domain 3: Research Primary Species: Pig - Sus scrofa SUMMARY: Metabolic syndrome is diagnosed by the presence of 3 or more of the following conditions: obesity, insulin resistance, glucose intolerance, dyslipidemia, and hypertension. Having metabolic syndrome increases the risk of type 2 diabetes and coronary artery disease. Pigs are often used as a model for this disease in humans. The authors state that Ossabaw pigs are better than other breeds of swine as models of this disease condition in humans. Ossabaw pigs have a “thrifty” genotype, which causes them to become obese and develop metabolic syndrome traits through diet manipulation. In this study, Ossabaw pigs become more obese, had more characteristics of metabolic syndrome, and had more lesions in the coronary artery stent injury than Yucatan pigs. These features make them an ideal large animal model for human metabolic abnormalities and coronary artery disease. QUESTIONS 1. Despite advances in the creation of mouse models for diabetes and metabolic syndrome, only large animal models can provide a way to study _____. 2. Characteristics of metabolic syndrome include (choose all that apply): a. Obesity b. Glucose intolerance c. Renal failure d. Alopecia 3. What are the disadvantages of using standard-size domestic pigs for animal models of metabolic syndrome or heart disease? ANSWERS 1. Vascular interventions, like stents, that are human-sized 2. a and b 3. Standard-size pigs are very large (250 kg) and 2 years old before they develop clinical signs of disease. This is too large for most human-size equipment and devices, and they are more difficult to handle.