The vagus nerve as a modulator of intestinal inflammation - TI Pharma
The vagus nerve as a modulator of intestinal inflammation - TI Pharma
The vagus nerve as a modulator of intestinal inflammation - TI Pharma
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Chapter 3<br />
for preparation <strong>of</strong> whole mounts. Small <strong>intestinal</strong> muscularis strips were prepared by<br />
pinning freshly isolated <strong>intestinal</strong> segments in ice-cold PBS and removal <strong>of</strong> mucosa<br />
facing upwards. Muscle strips were snap-frozen in liquid nitrogen until analysis.<br />
Electric stimulation <strong>of</strong> the vagal <strong>nerve</strong>. Stimulation <strong>of</strong> the <strong>vagus</strong> <strong>nerve</strong> w<strong>as</strong><br />
essentially performed <strong>as</strong> described previously 2 . <strong>The</strong> left cervical <strong>nerve</strong> w<strong>as</strong> prepared<br />
free from the carotid artery and ligated with 6-0 silk suture. <strong>The</strong> distal part <strong>of</strong> the<br />
ligated <strong>nerve</strong> trunk w<strong>as</strong> placed between a bipolar platinum electrode unit. In part<br />
<strong>of</strong> the experiments, the <strong>vagus</strong> <strong>nerve</strong> w<strong>as</strong> transected, and the distal part stimulated.<br />
Voltage stimuli (5Hz, 2ms, 1 or 5 V) were applied for 5 min before-, and 15 min<br />
following the <strong>intestinal</strong> manipulation protocol described above. In sham VNS control<br />
mice the cervical skin w<strong>as</strong> opened and left for 20 min. covered by moist gaze.<br />
Local hexamethonium application. Local blockade <strong>of</strong> nicotinic receptors in the<br />
ileum w<strong>as</strong> performed <strong>as</strong> follows: in anaesthetized mice (n=7) a midline laparotomy<br />
w<strong>as</strong> performed, and 6 cm <strong>of</strong> ileum proximal to the cecum w<strong>as</strong> carefully externalized<br />
and placed in a sterile preheated tube. <strong>The</strong> segment w<strong>as</strong> continuously flushed with a<br />
preheated (37 °C) solution <strong>of</strong> hexamethonium (10 -4 M in 0.9% NaCl), or vehicle for 20<br />
min. Temperature <strong>of</strong> <strong>intestinal</strong> tissue w<strong>as</strong> monitored using a thermal probe. Leakage<br />
<strong>of</strong> hexamethonium solution into the peritoneal cavity w<strong>as</strong> strictly avoided. After<br />
incubation, the hexamethonium solution w<strong>as</strong> removed, the ileal segment w<strong>as</strong> w<strong>as</strong>hed<br />
three times with 0.9% NaCl, and included in the manipulation protocol.<br />
Me<strong>as</strong>urement <strong>of</strong> g<strong>as</strong>tric emptying. G<strong>as</strong>tric emptying <strong>of</strong> a semi-liquid, noncaloric<br />
test meal (0.5% methylcellulose) containing 10Mq 99 Tc w<strong>as</strong> determined by<br />
scintigraphic imaging <strong>as</strong> described previously 42 .<br />
Quantification <strong>of</strong> leukocyte accumulation at the <strong>intestinal</strong> muscularis.<br />
Myeloperoxid<strong>as</strong>e (MPO) activity in ileal muscularis tissue w<strong>as</strong> <strong>as</strong>sayed <strong>as</strong> a<br />
me<strong>as</strong>ure <strong>of</strong> leukocyte infiltration <strong>as</strong> described 12, 23 . Whole mounts <strong>of</strong> ethanol-fixed<br />
ileal muscularis were prepared and stained for MPO activity <strong>as</strong> described 12, 23 .<br />
RT-PCR. Total RNA from tissue w<strong>as</strong> isolated using Trizol (Invitrogen, Carlsbad,<br />
CA), treated with Dn<strong>as</strong>e, and reverse transcribed. <strong>The</strong> resulting cDNA (0.5<br />
ng) w<strong>as</strong> subjected to Light Cycler PCR (CYBR Green F<strong>as</strong>t start polymer<strong>as</strong>e;<br />
Roche, Mannheim, Germany) for 40 cycles. Primers used were: TNF: As<br />
5-AAAGCATGATCCGCGACGT-3 and Sen 5-TGCCACAAGCAGGAATGAGAA-3;<br />
MIP-2: As 5-AGTGAACTGCGCTGTCAATGC-3 and Sen 5-GCAAAC<br />
TTTTTGACCGCCCT-3; Socs-3 As 5-ACCTTTCTTATCCGCGACAG-3and<br />
Sen 5’-TGCACCAGCTTGAGTACACAG-3’; and GAPDH As 5’- ATGTGTCC<br />
GTCGTGGATCTGA-3’ and Sen 5’-ATGCCTGCTTCACCACCTTCT-3’. PCR<br />
products were quantified using a linear regression method on the Log(fluorescence)<br />
per cycle number data 43 , and expressed <strong>as</strong> percentage <strong>of</strong> GAPDH transcripts for<br />
44