Comparative Medicine Volume 56, Number 1 (2006) LABORATORY INVESTIGATIONS Slenka et al. Effect of Age on Collagen Fibril Diameter in Rabbit Patellar Tendon Repair, pp. 8-11 Summary: Collagen fibril diameter is not altered with increasing age in the healing rabbit patellar tendon. It is generally believed that tissue repair in geriatric patients occurs more slowly and incompletely than in adolescents and young adults. To test this theory, the authors simulated a common human orthopedic procedure (cruciate repair) using rabbits. The authors defined rabbits 4-5.5 years old as geriatric (using a definition of the age at which a population has reached 50% mortality). One of the key components to re-establishing tendon strength is the deposition of properly aligned collagen fibers into the repair site. Previous studies have shown that both in rabbits and humans, tendon strength is correlated most closely with the size of the type I collagen fibril, with larger fibrils and better packing providing greater strength. Repairing collagen in young adult rabbits regain less than 40% of normal uninjured strength and have smaller collagen fibrils. This study involved resecting the middle 3rd of the patellar tendon in 1 and 4-5.5 year old rabbits. After surgical recovery, the tendons were evaluated at 3 different locations along the tendon at 6, 12 and 26 weeks after surgery. Tendons had ultrastructural analysis by electron microscopy on both the operated and non-operated tendons to allow each animal to become its own control. When compared to the un-operated normal patellar tendon, there was a significant reduction in the mean fibril diameter in the repairing tendons at all time points. No differences were found in collagen fibril diameter between the young and geriatric animals in any tendon section at any time point. A single significant difference was seen in 4 year old rabbits when there was an increase in fibril diameter at one time point and only at the tibial end of the tendons. This was difficult to explain however the authors felt may be attributed to a problem in collection technique and inadvertent harvesting of noninjured tissue. This study is further supported by other studies out of this laboratory which confirmed no changes in biomechanical properties of healing and normal tendons at 6 and 12 weeks post injury. Perhaps the current dogma is directly correlated to studies on aging skin which also relies on collagen repair. One study demonstrated that less force is required to disrupt wounds in the skin of aged people compared with younger adults. Another study showed that dehiscence occurs more frequently in geriatric persons compared to young adults. Authors also note that another possibility for the reduction in repair strength in the elderly may be due to a change in the organization of the fibrils. No changes were found in this study in the fibril size studies to look at the packing density or cross-linking between fibrils could play an important role in differences in tendon strength in repairing tissues. Questions: 1) Define geriatric. 2) What factors play a role in tendon strength? Answers: 1) The age at which a population has reached 50% mortality. 2) Fibril diameter, packing density and cross-linking. Schuler et al. Ovarian Stimulation of Squirrel Monkeys (Saimiri boliviensis boliviensis) Using Pregnant Mare Serum Gonadotrophin, pp. 12-16 Squirrel monkeys, the most commonly used New World Primates used in biomedical research are seasonally polyestrous, and thereby limiting the application of Assisted Reproductive Technologies (ART) to the breeding season. If these animals can be stimulated to produce oocytes during non-breeding season, ART studies could continue throughout the year and will be of viable alternative to rhesus monkeys. In rhesus monkeys, repeated use of pregnant mare serum gonadotrophin (PMSG) has been associated with induction of refractory state; and further there is no commercial preparation for ovarian stimulation is available for squirrel monkeys. The objective of the study is to determine the effectiveness of PMSG and rhFSH for controlled ovarian stimulation and to determine whether the repeated use of PMSG induces the refractory state and affects the future reproductive performance of Bolivian squirrel monkeys. Materials & Methods: Two groups of Bolivian squirrel monkeys were given daily injection of PMSG (250 IU twice daily 0800 and 1500 SC) and rhFSH (75 IU once 0800 SC) for 4 days during both breeding and non-breeding season. Also, 3 groups of 9 animals were challenged with PMSG for 1 or 3 cycles of PMSG stimulation. Follicular recruitment/oocytes production was determined by measuring serum estradiol (E2) and confirmed by ultrasonography. Results: The rhFSH did not affect circulating E2 levels on any day of the treatment, but PMSG produced a robust E2 response. PMSG was effective in stimulating E2 production during both non-breeding season and breeding season. Repeated use of PMSGH for multiples cycles in squirrel monkeys did not induce refractory state in squirrel monkeys as reported in rhesus. Further the repeated stimulation of rhFSH did not affect the reproductive performance in squirrel monkeys. Summary: The PMSG treated squirrel produce showed robust E2 response during both breeding and non-breeding season and was had significantly higher E2 response than with rhFSH challenge. PMSG can also more used for repeated stimulation in same animal without inducting refractory state or affecting reproductive performance. Questions: 1. In Bolivian Squirrel monkey, the breeding season occurs during a. March-April b. November-January c. June-August d. September-November 2. Which of the following statements is “false” regarding the effectiveness of PMSG and rhFSH in Bolivian squirrel monkeys as reported in this study a. PMSG is as effective in stimulating serum E2 during the non-breeding season as during the breeding season b. Squirrel monkeys do not become refractory when repeatedly challenge with PMSG c. Repeated stimulation with rhFSH does not affect future reproductive outcome d. rhFSH resulted in a robust Estradiol response compared to that of PMSG treated squirrel monkeys Answers: 1) b; 2) d Callicott and Womack. Telomeres, pp. 17-22 Real-time PCR Assay for Measurement of Mouse Summary: Measurement of telomeres by PCR was problematic due to the production of primer dimers during the amplification phase of the process. Recently a new set of primers was developed for this purpose in humans. The authors used these primers and modified the assay to study mouse telomere length. The primers were able to amplify the mouse telomeres without the issues of primer dimer formation. The results obtained using this real time PCR assay were similar to those obtained by terminal restriction fragmentation (TRF) analysis by pulse field gel electrophoresis followed by Southern hybridization. The main difference between the two is that the real time PCR assay was easier to perform, took less time, and was less expensive than TRF analysis by Southern blotting and other methods of measuring individual telomere length like quantitative florescence in situ hybridization. Telomere length is important because it has been implicated in cell senescence, as a "mitotic clock" for aging, and as a factor in tumorigenesis. This assay will allow for a more efficient way to study telomere length and thus aid in the study of telomere function in diseases associated with aging and neoplasia. Questions: 1. The problem with PCR assays used to study telomere length in the past was the: a. High assay costs b. Primer dimer formation c. Technical difficulty d. Slow turnaround time of PCR testing. 2. This real time PCR assay was: a. More difficult to perform than TRF with southern blotting b. More technically challenging than quantitative florescence in situ hybridization c. Produced similar results to TRF with southern blotting but was easier and less difficult to perform d. a and c 3. The development of this assay would allow for: a. More efficient study of telomere length and its role in cancer and age related diseases. b. A less expensive way to study mouse telomere length. c. A faster method of studying mouse telomere length d. All of the above. Answers: 1. b., 2. c, and 3. d. Fletcher et al. Characterization of an Anti-lymphocyte Function-associated Antigen-1 Antibody in a Simian Immunodeficiency Virus-Pig-tailed Macaque (Macaca nemestrina) Model, pp. 23-30 Summary: The simian immunodeficiency virus (SIV)/pig-tailed macaque model of acquired immune deficiency syndrome (AIDS) is used to study cell adhesion molecules and retroviral pathogenesis in vivo. This manuscript describes the use of such animal model to characterize an antibody (MHM.23) specific to human lymphocyte function associated antigen-1. Besides CD4, lymphocyte function associated antigen-1 (LFA-1) is a key cellular adhesion molecule that plays a role in HIV-1 induced syncytium formation of T cells. It initiates the immune response by providing adhesion in the formation of the immunologic synapse via binding to its ligand, intracellular adhesion molecule (ICAM)-1 on leukocytes. LFA-1 on HIV-1 could potentially target virus particles to sites of immune activation, allowing HIV-1 to interact with susceptible cells of the immune system and facilitates HIV transmission. The purpose of this study was to characterize in vitro and in vivo effects of humanspecific MHM.23 on peripheral blood mononuclear cells (PBMC) of SIVmac239 infected pig-tailed macaques. In vitro studies revealed that at concentration of 20ug/ml, MHM.23 blocked LFA-1-mediated adhesion and T-cell activation (> 90%) of \ macaque PBMC. SIVmac239 infection of macaque cells was inhibited in a dose-dependant manner by MHM.23; at concentration of 20 ug/ml, macaque PBMCs were completely saturated. In vivo studies revealed that MHM.23 inhibited LFA-1-ICAM-1-mediated activity and maintained binding on macaque cells for 4 days; intravenous 5 mg/kg MHM.23 given every 24 hours was required to maintain saturating levels and inhibit LFA-1-ICAM-1 function in this model. Authors concluded that anti-LFA-1 mAb (MHM.23) alters (neutralizes) infectivity or replication of SIV in vitro. It can bind and block function of pig-tailed macaques LFA-1 in vivo. MHM.23 is the best choice for future in vivo macaque studies, and blockade of LFA-1 may represent a novel therapeutic approach against primate lentivirus infection. Questions: 1. What key cellular adhesion molecule plays a direct role in HIV-1-induced syncytium formation in primary T cells? a) CD8 b) LFA-1 c) IL-2 d) MHM.23 e) ICAM-1 2. SIV infection progresses to cause an AIDS-like disease when inoculated into which non-human primate? a) Cercopithecus aethiops b) Papio anubis c) Macaca nemestrina d) Aotus trivirgatus e) Cercocebus torquatus atys Answers: 1. B 2. C Sugawara et al. Current Status of Chromosomal Abnormalities in Mouse Embryonic Stem Cell Lines Used in Japan, pp. 31-34 BLUF: Mouse embryonic stem cells (ES) are totipotent cells derived from the inner cell mass of a pre-implantation mouse embryo. Abnormalities of chromosome number and karyotype gained during passage in culture are reported to influence the totipotent state and the ability to contribute to the germ line. However ES cell lines with 40% normal karyotype leading to cystic embryoid body formation within 7 days of suspension were capable of germ line transmission. Of the 540 cell lines examined in Japan, only 66.5% had a normal chromosome numbers and only 60% of the 88 cell lines randomly karyotyped were normal with the majority displaying XX sex chromosome constitution. In light of the findings, ES cell lines should be checked for chromosomal number and karyotype as a means of quality control. Questions 1. What is true according to the article regarding ES cells? A) Karyotype abnormalities do not affect totipotent state B) Abnormal chromosome number affects germ line contribution C) Both D) none 2. An XO karyotype represents: A) Klinefelter's syndrome B) Turner's syndrome C) Any sex chromosome abnormality D) none 3. Chromosomal analysis is evaluated in what stage? A) Anaphase B) Metaphase C) Telophase D) None 4. Q banding technique is used: A) for karyotype analysis B) to identify ES cells C) to identify unfertilized eggs D) none 5. Which diploid chromosome number will not affect ES cell germ line? transmission in the mouse? A) 39 B) 40 C) 41 D) 42 Answers 1. B 2. B 3. B [materials and methods] 4. A [materials and methods] 5. B [the normal diploid number] Dyson et al. Components of Metabolic Syndrome and Coronary Artery Disease in Female Ossabaw Swine Fed Excess Atherogenic Diet, pp. 35-45 Summary The authors define metabolic syndrome as a cluster of risk factors that include central (Intra abdominal) obesity, insulin resistance, impaired glucose tolerance, dislipidemia (Low HDL and increased triglycerides). The purpose of the study is to show the effect of feeding excess atherogenic diet on ossabaw swine with eventual goal of optimizing the animal model for the study of coronary artery disease. These particular swine are known to have a thrifty genotype that enables them to survive seasonal food shortage in their native environment. The study was conducted at the University of Missouri. Swine were fed either a lean diet (Total number 9) or excess high fat high cholesterol (Total number 8) diet for nine weeks. Blood pressure measurement, Intravenous glucose tolerance test (IVGTT), Plasma lipids, body composition, intravascular ultrasonography and histopathology were conducted at different time point during the nine week study. Compared with lean animals, obese swine showed two fold greater product of the plasma insulin to normalize blood glucose concentration. 4.1 fold greater total cholesterol, 1.6 fold greater post prandial triglycerides, 4.6 fold greater low to high density lipoprotein cholesterol ratio, hypertension, and neointimal hyperplasia of coronary arteries. The 1.5 fold greater body weight in obese swine was largely accounted for by the 3 fold greater carcass fat mass. High correlation of CT, anatomical measurements, and ultrasonography with direct chemical measures of subcutaneous, retroperitoneal, and visceral fat indicates high validity of all indirect measures. The authors conclude that relatively brief feeding of excess atherogenic diet produces striking features of metabolic syndrome and coronary artery disease in female ossabaw swine. Question 1. What other large animal models of metabolic syndrome available? Answer 1. Gottingen swine, Fat-fed dogs, Macaques and baboons. Alpacas and Llamas and Alpacas also can be used. Hukkanen et al. Comparison of Commercially Available and Novel West Nile Virus Immunoassays for Detection of Seroconversion in Pig-tailed Macaques (Macaca nemestrina), pp. 46-54 Summary: West Nile Virus (WNV), an encephalitic virus, belongs to the genus Flavivirus, family Flaviviridae, and Japanese encephalitis (JE) serogroup. WNV was first detected in North America in 1999, along the East coast, and has since been detected in every continental state, all but 1 Canadian province, and in parts of northern Mexico. Vertical transmission of WNV is via mosquito vectors (especially Culex spp), and birds. Resistant avian species amplify the virus and serve as carriers, migratory patterns of birds allow reintroduction of WNV to regions on a seasonal basis. Susceptible avian species are in essence sentinels for disease emergence in a region. Mammals and reptiles are not considered part of the viral transmission cycle, as infectious titers in the peripheral blood are rare. In humans, infection may present in two different forms. WNV fever is associated with self-limiting and mild pyrexia and malaise in up to 30% of infected people. WNV neuroinvasive disease manifests as a mild to severe meningitis or encephalitis affecting up to 1.5% of infected people, but mortality in immunosuppressed individuals may reach 40%. Current diagnosis of WNV infection in NHPs is through the plaque reduction neutralization test (PRNT) or hemagglutination inhibition (HAI) assays. Limitations of these tests include the need of a BSL-3 lab, expense, and/or technical difficulty. The Washington National Primate Research Center (WaNPRC) evaluated seven commercially available human immunoassays for WNV. Assays were evaluated for sensitivity, specificity, positive and negative predictive values, as well as precision, robustness and sample storage conditions. The test of choice for detection of WNV in pig-tail macaques was the PanBio KgG ELISA. Questions: 1) Most commercial assays for WNV are based on which WNV protein? a) E (envelope) b) preM (membrane c) NS1 2) Which viral proteins of WNV are the most immunogenic? a) E & NS1 b) NS1 & preM c) preM & E 3) T or F: The NS1 protein is expressed only during viral replication 4) T or F: The PRNT assay does not use live virus 5) What are heterophilic antibodies? Answers: 1) a 2) a 3) T 4) F 5) Antibodies that cross-react with proteins from multiple species. Browning et al. Role of Reactive Nitrogen Species in Development of Hepatic Injury in a C57BL/6 Mouse Model of Human Granulocytic Anaplasmosis, pp. 55-62 Human granulocytic anaplasmosis (HGA), caused by the granulocytic rickettsia-like organism Anaplasma phagocytophilum, is the 3rd most frequent vector-borne infection in North America. To understand the disease mechanisms of HGA, we developed a murine model that lacks clinical disease yet exhibits characteristic histopathologic and immunologic changes. Because the degree of hepatic histopathology is unrelated to high bacterial numbers, tissue injury in HGA is thought to occur due to products of innate immunity, such as nitric oxide (NO) and reactive nitrogen species (RNS) from cytokine- activated macrophages. To test the hypothesis that RNS cause hepatic tissue damage, mice received either water treated with a nonspecific inhibitor of inducible nitric oxide synthase, L-NAME, or untreated water for 7 to 10 d before infection and continuing thereafter. Mice were euthanized for tissue harvest at 0, 7, 14, or 21 d after infection to assess differences in histopathology, hepatic bacterial load, RNS quantity in urine and liver, and serum chemistry values. Overall, L-NAME treatment had a beneficial effect, resulting in lower histopathology scores and RNS levels compared with those of untreated mice. There were no significant differences in hepatic bacterial load among treatment groups of infected mice. The observed increases in serum glucose and alanine aminotransferase levels on day 14 appear to be unexpected side effects of LNAME administration. HGA is best characterized as an immunopathologic disease rather than one caused by direct bacterial injury to the host. Therefore, human and animal patients with HGA likely would benefit from therapy targeting reduced inflammation to supplement anti-infective modalities. Questions: 1) Granulocytic anaplasmosis is a severe, potentially fatal, tick-borne disease caused by Anaplasma phagocytophilum, a_______________________organism of neutrophils that can infect humans and other mammals. 2) C57BL/6 Mouse infected with Anaplasma phagocytophilum showed clinical symptoms (T/F) 3) C57BL/6 Mouse infected with Anaplasma phagocytophilum elicited tissue injury via generation of_____________ and______________ 4) Nitric oxide (NO) can be inhibited by ___________. Answers: 1) Rickettsia-like 2) F 3) Nitric oxide and reactive nitrogen species 4) L-NAME (L-NAME, N=F9-nitro-L-arginine methyl ester hydrochloride) CLINICAL INVESTIGATIONS Turner et al. Pharmacokinetics of Meloxicam in Rabbits After Single and Repeat Oral Dosing, pp. 63-67 This study uses the SIV/pig tailed macaque model of AIDS to investigate the function of lymphocyte function-associated antigen-1 (LFA1) in the creation of the virological synapse. A human LFA-1 monoclonal antibody (MHM.23) was used in vivo to attempt to block the adhesion of pigtail macaque LFA-1 to leukocytes and prevention of T-cell activation. In vitro 80-100% inhibition of binding was shown by MHM.23 at 20-40 micrograms/ml doses. In vivo a dose of 5 mg/kg IV SID of MHM.23 inhibited LFA-ICAM1 function and was well tolerated by the macaques. Leukocytosis, mostly due to neutrophillia was seen after 24 hours until day 4. Questions: 1. What is the scientific name of the Pig tailed macaque? 2. What is the function of LFA-1? 3. Which chemokine receptor is the major coreceptor for HIV and SIV? Answers: 1. Macaca nemestrina 2. Initiates the immune response by providing adhesion in the formation of the immunologic synapse via binding to its ligand, intracellular adhesion molecule (ICAM) on leukocytes. 3. CCR5 Doherty et al. Comparative Anatomy of Rabbit and Human Achilles tendons with Magnetic Resonance and Ultrasound Imaging, pp. 68-74 Summary: Animal models including rabbits, dogs, cats and rats have been used for research into Achilles tendon injuries. This paper compares the anatomy of the rabbit and human Achilles tendons using MRI, ultrasound, and macroscopic observations. Gastrocnemius - soleus - Achilles tendon – calcaneus complexes were collected from 18 euthanized NZ White rabbits and from one human cadaver. The medial and lateral heads of the gastrocnemius tendons fused more distally in rabbits than in humans, forming the Achilles tendon. In rabbits, the medial gastrocnemius muscle was rotated laterally to lie posterior to the lateral gastrocnemius tendon. This is hypothesized to allow more elastic recoil to store energy in the Achilles tendon in rabbits. Additional anatomical differences were found between the anatomy of the flexor digitorum superficialis muscle in rabbits, which corresponds to the flexor digitorum longus muscle in humans. These differences must be considered when using the rabbit as a research model for human Achilles tendon studies. Questions: 1. Compared to humans, the fusion of the medial and lateral gastrocnemius tendons to form the Achilles tendon in rabbits occurs: a. more proximally b. at the same relative location c. more distally d. more rostrally e. more caudally 2. T/F? Differences in anatomy between the gastrocnemius - soleus - Achilles tendon calcaneus complexes of rabbits and humans should be considered when using rabbits as a model for research into human Achilles tendon injuries. Answers: 1. c. more distally 2. True