Summary

신생아 돼지에서 림프의 창자 림프 트렁크와 컬렉션의 장기 도관

Published: March 05, 2016
doi:

Summary

We present a surgical procedure to catheterize the intestinal lymph trunk in neonatal pigs to collect large quantities of lipid metabolism components from efferent lymph.

Abstract

Catheterization of the intestinal lymph trunk in neonatal pigs is a technique allowing for the long-term collection of large quantities of intestinal (central) efferent lymph. Importantly, the collection of central lymph from the intestine enables researchers to study both the mechanisms and lipid constitutes associated with lipid metabolism, intestinal inflammation and cancer metastasis, as well as cells involved in immune function and immunosurveillance. A ventral mid-line surgical approach permits excellent surgical exposure to the cranial abdomen and relatively easy access to the intestinal lymph trunk vessel that lies near the pancreas and the right ventral segment of the portal vein underneath the visceral aspect of the right liver lobe. The vessel is meticulously dissected and released from the surrounding fascia and then dilated with sutures allowing for insertion and subsequent securing of the catheter into the vessel. The catheter is exteriorized and approximately 1 L/24 hr of lymph is collected over a 7 day period. While this technique enables the collection of large quantities of central lymph over an extended period of time, the success depends on careful surgical dissection, tissue handling and close attention to proper surgical technique. This is particularly important with surgeries in young animals as the lymph vessels can easily tear, potentially leading to surgical and experimental failure. The video demonstrates an excellent surgical technique for the collection of intestinal lymph.

Introduction

림프 시스템은 생리학의 파악 하였다 영역입니다. 림프 카테터의 전임상 모델은 다른 동물 종 1-8에서 발생하는 지질 8-12 및 약물 대사 13-15, 실험적인 치료 (17)와 암 전이 (16)에 관여하는 메커니즘을 조사하기 위해 제약 산업 및 연구 기관에 의해 사용되며, 면역 기능 (18) -26. 본 연구는 지단백질 대사의 성분을 측정하는 돼지 모델에서 장 림프 트렁크 카테터의 사용을 탐구한다. 지단백질 대사는 생산과 분비 킬로 미크론의뿐만 아니라 연관된 지질 및 총 단백질의 변화에​​ 관여한다. 일반적으로 사용되는 설치류 모델과 인간 사이와 같은 지질 대사에 큰 차이가 있기 때문에이 날 지질 연구를 더 비교 정보를 제공 할 수있는 장 림프를 수집하기 위해 돼지 모델을 사용, 중요한 고려 사항입니다사람들 27-31에서 tabolism.

여러 가지 수술 기법은 많은 동물 종에서 장 림프 수집하는 데 사용됩니다 두개골 어깨 접근 방식 (즉, 흉부 덕트 카테터) (5), 측면 상부 측면의 접근 방식 32-34, 및 복부 정중선 또는 paramedian 접근 22,35. 이 동영상은 자세히 장 림프 줄기의 카테터를위한 복부 정중선 수술 방법을 사용하여 돼지의 수술 절차를 설명합니다. 조심 수술 기법의 허가 림프 카테터의이 방법은 장시간에 걸쳐 큰 림프의 수량과 그 구성 요소를 수집합니다.

이 기술은 다양한 생리적 기능을 검사 다양한 분야에 응용 프로그램의 무수를 엽니 다. 응용 프로그램이 포함될 수 있지만, 전신 지질 및 지단백질 대사 immunosurveillance 종양 기원 및 전이, 장 기능, developm, 이에 한정되지 않는다엔트과 장 염증 질환의 진행.

Protocol

비디오와 원고 모두에 설명 된 실험 동물의 모든 절차는 동물 케어의 캐나다위원회가 설정 한 가이드 라인을 기관 동물 관리 및 사용위원회의 승인을 관찰 하였다. 1. 수술 마취 및 신생아 돼지의 수술 준비 된 azaperone (0.3 ㎎ / ㎏), 케타민 하이드로 클로라이드 (10 ㎎ / ㎏), 덱스 메데 토미 딘 (15 μg의 / kg) : 분리 대기실에서 25kg에 포함 된 근육 진정 마취 약물 칵테일 목…

Representative Results

신생아 돼지의 창자 림프 트렁크의 림프 카테터는 7 일 동안 약 1 L 중앙 림프의 / 24 시간의 모음을 할 수 있습니다. 이 실험에서 수집 된 림프 지질 대사, 즉 총 림프 단백질, ApoB48 지단백, 중성 지방, 총 단백질, 콜레스테롤의 구성 요소가 포함되어 있습니다. 표 1 주요 세 돼지 풀 림프 샘플에서 이러한 지질 성분의 대표 양. 특히, 림프의 흐름과 지질 성분은 인라인 장 ?…

Discussion

장 림프를 수집하는 다양한 실험 동물 모델에서 지질 8-12 및 약물 13-15 대사, 암 전이 16, 17, 셀 인신 매매와 면역 기능 18-26에 관여하는 메커니즘을 조사 할 수있는 좋은 방법입니다. 실제로, 장기간에 걸쳐 어느 주연 (심성) 및 중앙 (원심성 큰 트렁크 용기) 림프 다량 수확 할 수있는 능력은 면역 변조 제 18-22을 가진 도전 다음 세포 집단에서 발생하는 시간 ?…

Disclosures

The authors have nothing to disclose.

Acknowledgements

The work was supported in part by funding from Alberta Livestock and Meat Agency and Natural Science and Research Council Discovery grant to S. D. Proctor.

Materials

Miller laryngoscope blade Welch Allyn 68044 182 mm length
Surgivet advisor: Vital signs monitor Surgivet V9203
Rectal temperature probe Surgivet V3417
Mono-polar electrosurgery generator Valley Lab
Metzenbaum scissors Fine Science 14518-18
Tuffier retractor Stevens 162-11-676
Mosquito forceps Stevens 162-7-10
Kelly forceps-curved (14cm) Stevens 162-7-38
Allis tissue forceps Stevens 162-7-38
Forceps dressing-eye (10.2cm) Stevens 162-18-780
Forceps dressing-Adison (12.1cm) Stevens 162-17-2510
Needle Drivers Stevens 162-V98-42
Iris scissors Fine science 14058-11
Circulating water pump Jorvet J-783X
Maxitherm-Vinyl blanket Jorvet J-784C
Q tip applicators Fisher Scientific 22-037-960
Catheterization  tubing (4.06 OD X 2.31 ID) Braintree Scientific Inc. MRE-160 Micro-Renethane implantation tubing
2-0 silk suture Ethicon LA556
2-0 polyglactin suture Ethicon J443H 2-0 vicryl
Large animal jacket Lomir Biomedical Inc. SSJ2YC
Polypropylene wash bottles Fisher Scientific 03-409-22C 500 ml
Penicillin-Streptomycin Sigma Aldrich D4333
EDTA Sigma Aldrich 60-00-4
Amphotericin B Sigma Aldrich A2411
Azaperone Elanco Animal Health Stresnil
Dexmedetomidine hydrochloride Zoetis 6295 Dexdomitor
Isoflurane Abbott Animal  Health 05260-5 IsoFlo
Ketamine hydrochloride Zoetis 2626 Ketaset
Bupenorphine hydrochloride Champion Alstoe Animal Health DIN:02347510
6 mm Endotracheal tube Jorvet J-165d
10% Lidocaine spray AstraZeneca DIN:02003767
4 % Chlorhexidine surgical scrub Partnar Animal Health PCH-011 Diluted: 2.0% solution
3M Surgical steri- drape 3M Health Care 1040
SDS page gel Invitrogen EA0375BOX 3-8 % tris acetate
Polyvinylidene fluoride membrane Millipore IPVH00010 0.45 μm pore size
ApoB antibody  EMD Millipore AB742 1:4000 dilution
Donkey anti-goat IgG-HRP Santa Cruz Biotechnology Sc-2304
ECL Prime Western Blotting Reagent GE Healthcare LifeSciences RPN2232   
Triglyceride Kit Wako Pure Chemicals 998-40391/994-40491
Total Cholesterol Kit Wako Pure Chemicals 439-17501
Total Protein  Pierce  23225 Bicinchoninic Acid Assay

References

  1. Lindsay, F. E. F. The cisterna chyli as a source of lymph samples in the cat and dog. Res. Vet. Sci. 17, 256-258 (1974).
  2. Kohan, A. B., Howles, P. N., Tso, P. Methods for studying rodent intestinal lipoprotein production and metabolism. Curr. Protoc. Mouse Biol. 2, 219-230 (2012).
  3. Wang, X. D., et al. Intestinal uptake and lymphatic absorption of beta-carotene in ferrets: a model for human beta-carotene metabolism. Am. J. Physiol. 263 (4 Pt 1), G480-G486 (1992).
  4. Hein, W. R., Barber, T., Cole, S. A., Morrison, L., Pernthaner, A. Long-term collection and characterization of afferent lymph from the ovine small intestine. J.Immunol. Methods. 293 (1-2), 153-168 (2004).
  5. Hartmann, P. E., Lascelles, A. K. The flow and lipid composition of thoracic duct lymph in the grazing cow. J. Physiol. 184 (1), 193-202 (1966).
  6. Redgrave, T. G., Dunne, K. B. Chylomicron formation and composition in unanaesthetised rabbits. Atherosclerosis. 22 (3), 389-400 (1975).
  7. Binns, R. M., Hall, J. G. The paucity of lymphocytes in the lymph of unanaesthetised pigs. Br. J. Exp. Pathol. 47 (3), 275-280 (1966).
  8. Ohlsson, L., Kohan, A. B., Tso, P., Ahren, B. GLP-1 released to the mesenteric lymph duct in mice: Effects of glucose and fat. Regul. Pept. 189, 40-45 (2014).
  9. Ho, H. T., Kim, D. N., Lee, K. T. Intestinal apolipoprotein B-48 synthesis and lymphatic cholesterol transport are lower in swine fed high fat, high cholesterol diet with soy protein than with casein. Atherosclerosis. 77 (1), 15-23 (1989).
  10. Arnold, M., Dai, Y., Tso, P., Langhans, W. Meal-contingent intestinal lymph sampling from awake, unrestrained rats. Am. J. Physiol. Integr. Comp. Physiol. 302 (12), R1365-R1371 (2012).
  11. Nguyen, T. M., Sawyer, J. K., Kelley, K. L., Davis, M. A., Kent, C. R., Rudel, L. L. ACAT2 and ABCG5/G8 are both required for efficient cholesterol absorption in mice: evidence from thoracic lymph duct cannulation. J. Lipid Res. 53 (8), 1598-1609 (2012).
  12. Sato, M., Kawata, Y., Erami, K., Ikeda, I., Imaizumi, K. LXR agonist increases the lymph HDL transport in rats by promoting reciprocally intestinal ABCA1 and apo A-I mRNA levels. Lipids. 43 (2), 125-131 (2008).
  13. Boyd, M., Risovic, V., Jull, P., Choo, E., Wasan, K. M. A stepwise surgical procedure to investigate the lymphatic transport of lipid-based oral drug formulations: Cannulation of the mesenteric and thoracic lymph ducts within the rat. J. Pharmacol. Toxicol. Methods. 49 (2), 115-120 (2004).
  14. Sugawara, T., et al. Intestinal absorption of dietary maize glucosylceramide in lymphatic duct cannulated rats. J. Lipid Res. 51 (7), 1761-1769 (2010).
  15. Shackleford, D. M., et al. Contribution of lymphatically transported testosterone undecanoate to the systemic exposure of testosterone after oral administration of two andriol formulations in conscious lymph duct-cannulated dogs. J. Pharmacol. Exp. Ther. 306 (3), 925-933 (2003).
  16. Lespine, A., et al. Contribution of lymphatic transport to the systemic exposure of orally administered moxidectin in conscious lymph duct-cannulated dogs. Eur. J. Pharm. Sci. 27 (1), 37-43 (2006).
  17. Carr, J., Carr, I., Dreher, B., Betts, K. Lymphatic metastasis: invasion of lymphatic vessels and efflux of tumour cells in the afferent popliteal lymph as seen in the Walker rat carcinoma. J. Pathol. 132 (4), 287-305 (1980).
  18. Bennell, M. A., Husband, A. J. Route of lymphocyte migration in pigs. I. Lymphocyte circulation in gut-associated lymphoid tissue. Immunology. 42 (3), 469-474 (1981).
  19. Knight, J. S., Baird, D. B., Hein, W. R., Pernthaner, A. The gastrointestinal nematode Trichostrongylus colubriformis down-regulates immune gene expression in migratory cells in afferent lymph. BMC Immunol. 11, 51 (2010).
  20. Milling, S. W., Jenkins, C., MacPherson, G. Collection of lymph-borne dendritic cells in the rat. Nat. Protoc. 1 (5), 2263-2270 (2006).
  21. Pernthaner, A., Cole, S. A., Gatehouse, T., Hein, W. R. Phenotypic diversity of antigen-presenting cells in ovine-afferent intestinal lymph. Arch. Med. Res. 33 (4), 405-412 (2002).
  22. Thielke, K. H., Pabst, R., Rothkotter, H. J. Quantification of proliferating lymphocyte subsets appearing in the intestinal lymph and the blood. Clin. Exp. Immunol. 117 (2), 277-284 (1999).
  23. Mayrhofer, G., Fisher, R. IgA-containing plasma cells in the lamina propria of the gut: failure of a thoracic duct fistula to deplete the numbers in rat small intestine. Eur. J. Immunol. 9 (1), 85-91 (1979).
  24. Beh, K. J. The origin of IgA-containing cells in intestinal lymph of sheep. Aust. J. Exp. Biol. Med. Sci. 55 (3), 263-274 (1977).
  25. Bennell, M. A., Husband, A. J. Route of lymphocyte migration in pigs. II. Migration to the intestinal lamina propria of antigen-specific cells generated in response to intestinal immunization in the pig. Immunology. 42 (3), 475-479 (1981).
  26. Rothkotter, H. J., Huber, T., Barman, N. N., Pabst, R. Lymphoid cells in afferent and efferent intestinal lymph: lymphocyte subpopulations and cell migration. Clin. Exp. Immunol. 92 (2), 317-322 (1993).
  27. Vilahur, G., Padro, T., Badimon, L. Atherosclerosis and thrombosis: insights from large animal models. J. Biomed. Biotechnol. 1, (2011).
  28. Getz, G. S., Reardon, C. A. Animal models of atherosclerosis. Arterioscler. Thromb. Vasc. Biol. 32 (5), 1104-1115 (2012).
  29. Skold, B. H., Getty, R., Ramsey, F. K. Spontaneous atherosclerosis in the arterial system of aging swine. Am. J. Vet. Res. 27 (116), 257-273 (1966).
  30. Reiser, R., Sorrels, M. F., Williams, M. C. Influence of high levels of dietary fats and cholesterol on atherosclerosis and lipid distribution in swine. Circ. Res. 7, 833-846 (1959).
  31. Casani, L., Sanchez-Gomez, S., Vilahur, G., Badimon, L. Pravastatin reduces thrombogenicity by mechanisms beyond plasma cholesterol lowering. Thromb. Haemost. 94 (5), 1035-1041 (2005).
  32. Romosos, D. R., McGilliard, A. D. Preparation of thoracic and intestinal lymph duct shunts in calves. J. Dairy Sci. 53 (9), 1275-1278 (1970).
  33. Shannon, A. D., Lascelles, A. K. The intestinal and hepatic contributions to the flow and composition of thoracic duct lymph in young milk-fed calves. Q.J. Exp. Physiol. Cogn. Med. Sci. 5 (2), 194-205 (1968).
  34. Aliev, A. A. Intestinal lymph of ruminants. I. Operative techniques for collecting intestinal lymph from ruminants. Acta Vet.Hung. 38 (1-2), 105-120 (1990).
  35. Butterfield, A. B., Lumb, W. V., Litwak, P. Surgical preparation of miniature swine for atherosclerosis research. Am. J. Vet. Res. 37 (12), 1519-1523 (1976).
  36. Saar, L. I., Getty, R. Lymphatic system. Sisson and Grossman’s: The anatomy of domestic animals. 2, 1343-1358 (1975).
  37. Zanchet, D. J., de Souza Montero, E. F. Pig liver sectorization and segmentation and virtual reality depiction. Acta. Cirurgica. Basilera. 17 (6), 382-387 (2002).
  38. Vine, D. F., Takechi, R., Russell, J. C., Proctor, S. D. Impaired postprandial apolipoprotein-B48 metabolism in the obese, insulin-resistant JCR:LA-cp rat: increased atherogenicity for the metabolic syndrome. Atherosclerosis. 190 (2), 282-290 (2007).
  39. Li, W. C., et al. Biomechanical properties of ascending aorta and pulmonary trunk in pigs and humans. Xenotransplantation. 15 (6), 384-389 (2008).
  40. Arkill, K. P., Moger, J., Winlove, C. P. The structure and mechanical properties of collecting lymphatic vessels: an investigation using multimodal nonlinear microscopy. J. Anat. 216 (5), 547-555 (2010).
  41. Uwiera, R. R. E., et al. Plasmid DNA induces increased lymphocyte trafficking: a specific role for CpG motifs. Cell. Immunol. 214 (2), 155-164 (2001).
  42. Black, D. D., Davidson, N. O. Intestinal apolipoprotein synthesis and secretion in the suckling pig. J. Lipid Res. 30 (2), 207-218 (1989).
  43. Heider, J. G., Pickens, C. E., Lawrence, K. A. Role of acyl CoA:cholesterol acyltransferase in cholesterol absorption and its inhibition by 57-118 in the rabbit. J. Lipid Res. 24, 1127-1134 (1983).
  44. Noh, S. K., Koo, S. I. Milk sphingomyelin is more effective than egg sphingomyelin in inhibiting intestinal absorption of cholesterol and fat in rats. J. Nutr. 134, 2611-2616 (2004).
  45. Brunham, L. R., et al. Intestinal ABCA1 directly contributes to HDL biogenesis in vivo. J. Clin. Invest. 116 (4), 1052-1062 (2006).
check_url/kr/53457?article_type=t

Play Video

Cite This Article
Uwiera, R. R., Mangat, R., Kelly, S., Uwiera, T. C., Proctor, S. D. Long-Term Catheterization of the Intestinal Lymph Trunk and Collection of Lymph in Neonatal Pigs. J. Vis. Exp. (109), e53457, doi:10.3791/53457 (2016).

View Video