Summary

Multiple Intravenous Bolus Dosing and Invasive Hemodynamic Assessment in a Hypoxia-Induced Mouse Pulmonary Artery Hypertension Model

Published: November 11, 2022
doi:

Summary

This protocol provides a step-by-step procedure for executing multiple intravenous bolus dose administration and invasive hemodynamic monitoring in mice. Investigators can use this protocol for future therapeutic compound screening for pulmonary artery hypertension.

Abstract

Pulmonary arterial hypertension (PAH) is a progressive life-threatening disease, primarily affecting small pulmonary arterioles of the lung. Currently, there is no cure for PAH. It is important to discover new compounds that can be used to treat PAH. The mouse hypoxia-induced PAH model is a widely used model for PAH research. This model recapitulates human clinical manifestations of PAH Group 3 disease and is an important research tool to evaluate the effectiveness of new experimental therapies for PAH. Research using this model often requires the administration of compounds in mice. For a compound that needs to be given directly into the bloodstream, optimizing intravenous (IV) administration is a key part of the experimental procedures. Ideally, the IV injection system should permit multiple injections over a set time course. Although the mouse hypoxia-induced PAH model is very popular in many laboratories, it is technically challenging to perform multiple IV bolus dosing and invasive hemodynamic assessment in this model. In this protocol, we present step-by-step instructions on how to carry out multiple IV bolus dosing via mouse jugular vein and perform arterial and right ventricle catheterization for hemodynamic assessment in mouse hypoxia-induced PAH model.

Introduction

Pulmonary artery hypertension (PAH) is defined by a mean pulmonary artery systolic pressure greater than 20 mmHg at rest1,2. It is a progressive and fatal disease characterized by a sustained elevation in pulmonary arterial pressure, leading to right ventricle overload and ultimately death due to right ventricular failure1. Currently, there is no cure for PAH.

The use of animal models of pulmonary hypertension is important for testing the effectiveness of experimental PAH therapies. Among those models, the mouse hypoxia-induced PAH model has provided key insights into human PAH group 3 disease development3,4. Research using this model often requires the administration of compounds in mice to evaluate the novel compound's effectiveness and safety. Therefore, investigators need a detailed experimental procedure for compound dosing and hemodynamic measurements to ensure injection consistency and blood pressure measurement reproducibility from the beginning to the end.

Methods for intravenous (IV) injection and blood pressure measuring have been reported in the literature5,6. However, the methodology lacks visual illustration and detailed description. Here we illustrate the key steps for a successful IV bolus injection and accurate measurement and recording of systemic and right ventricle blood pressure. The procedures presented here are an important resource for investigators interested in the IV route of compound administration platform to develop a treatment for PAH.

Protocol

All animal procedures were performed under protocols approved by Yale University Institutional Animal Care and Use Committees. 1. Preparation of animals, tools, blood pressure measuring equipment, and hypoxia chamber Animal acclimation. NOTE: Experimental animals used for this study were male, 8-week-old C57BL/6 mice weighing 25-27 g. Several factors should be considered when estimating the number of animals required for the experiment, including surgery-ass…

Representative Results

Anesthesia often reduces blood pressure. Therefore, a minimum dose of anesthesia was used to abolish the movements in response to a noxious stimulus. Successful right ventricular chamber access can be visualized as the hemodynamic waveform changes in different regions of venous systems (Figure 8). In this study, mice were randomly assigned to the normoxic (21% O2) group (n = 10), hypoxia (10% O2) group (n = 10), or hypoxia + 7C1/let-7 treatme…

Discussion

Several pulmonary hypertension animal models have been established to mimic the elevated pulmonary vascular resistance events in human subjects. Among them, the mouse hypoxia-induced PAH model has been widely used for evaluating the effectiveness of new experimental therapies for PAH. Research using this model often requires the administration of compounds to the mice. In comparison with other published intravenous (IV) injection and invasive hemodynamic assessment protocols, this method provides both visual illustration…

Disclosures

The authors have nothing to disclose.

Acknowledgements

This work was supported, in part, by a Joint Biology Consortium Microgrant provided under NIH grant P30AR070253 (PYC), Cardiovascular Medical Research Education Fund (PYC), VasoRx, Inc. Fund (MS) and NIH grants HL135582 (MS), HL152197 (MS).

Materials

5-0 prolene suture pack Ethicon 8698G for incision closure
8-0 nylon suture pack AROSurgical Instruments T06A08N14-13 for ligation
Anesthesia induction chamber VETEQUIP #941444 Holds the animal during anesthesia exposure
Catheter Interface Cable PEC-4D Millar for connecting Millar Mikro-Tip catheter to PCU-2000
Charcoal canister filters VETEQUIP #931401  to help remove waste anesthetic gases
Cotton swabs McKesson 24-106 for applying pressure to the injection site to prevent bleeding
Fine scissors Fine Science Tools 14059-11 Surgical tools
Insulin syringe 28 G EXEL 26027 for jugular vein IV injection
Isoflurane COVETRUS #029405 for mouse anesthesia
LabChart 8 Software ADInstruments for data analysis
Mikro-Tip Pressure Catheter SPR-1000 (1.0 F) Millar for invasive blood pressure measurement
Needle-25 G BD 305124 for making a samll hole in a vessel
Oxygen controller ProOx Oxygen Sensor BioSpherix E702 for oxygen concentration monitoring
PCU-2000 Pressure Control Unit Millar for connecting Millar Mikro-Tip catheter to PowerLab 4/35
PowerLab 4/35 ADInstruments for Data Acquisition.
Investigator needs to connect the PowerLab 4/35 to a personal laptop containing LabChart 8 software for operation.
Prism 8 GraphPad for statistics and scientific graphing
Semisealable hypoxia chamber BioSpherix an artificial environment that simulates high-altitude conditions for animals
Spring Scissors Fine Science Tools 15021-15 Surgical tools
Tweezer Style 4 Electron Microscopy Sciences 0302-4-PO Surgical tools
VasoRx compound 7C1/let-7 miRNA VasoRx, Inc. Lot# B2-L-16Apr IV injection compound
VIP 3000 Veterinary Vaporizer COLONIAL MEDICAL SUPPLY CO., INC. for accurate anesthesia delivery

References

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Cite This Article
Qin, L., Jiang, B., Zsebo, K., Duckers, H. J., Simons, M., Chen, P. Multiple Intravenous Bolus Dosing and Invasive Hemodynamic Assessment in a Hypoxia-Induced Mouse Pulmonary Artery Hypertension Model. J. Vis. Exp. (189), e63839, doi:10.3791/63839 (2022).

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