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<strong>53</strong> WINTER 2018<br />

NEWSLETTER<br />

••<br />

••<br />

••<br />

••<br />

••<br />

••<br />

••<br />

••<br />

••<br />

Toxicity and Toxicokinetic Study of Subcutaneously<br />

Administered RPh201 in <strong>Göttingen</strong> <strong>Minipigs</strong> page 3<br />

Testing cognitive abilities over different life stages<br />

in <strong>Göttingen</strong> <strong>Minipigs</strong> page 6<br />

Obesity and diabetes result in pathological bone repair<br />

around dental implants:<br />

Demonstration in a <strong>Göttingen</strong> <strong>Minipigs</strong> models page 9<br />

Using <strong>Göttingen</strong> <strong>Minipigs</strong> as model for peritoneal dialysis page 14<br />

Vascular Access Buttons in <strong>Göttingen</strong> <strong>Minipigs</strong> page 15<br />

Fifty Years with <strong>Göttingen</strong> <strong>Minipigs</strong>: Let’s Celebrate! page 18<br />

<strong>Ellegaard</strong> <strong>Göttingen</strong> <strong>Minipigs</strong> Going Global page 19<br />

<strong>Ellegaard</strong> <strong>Göttingen</strong> <strong>Minipigs</strong> Enters into a License<br />

and Commercialization Agreement for <strong>Göttingen</strong> <strong>Minipigs</strong><br />

Research Models in Partnership with Exemplar Genetics page 19<br />

Creating a stimulating and cooperative environment<br />

for <strong>Göttingen</strong> <strong>Minipigs</strong> page 20<br />

••<br />

••<br />

Invitation to join The 13th Minipig Research Forum<br />

22-24 May 2019 in Vienna, Austria page 21<br />

New scientific publications on <strong>Göttingen</strong> <strong>Minipigs</strong> page 22<br />

See<br />

where you<br />

can meet us<br />

in 2019<br />

Clean pigs<br />

for clear results<br />

page 24


Dear<br />

Reader<br />

The days are getting shorter and soon we will<br />

be saying goodbye to 2018 and hello to a new<br />

year. At <strong>Ellegaard</strong> <strong>Göttingen</strong> <strong>Minipigs</strong>, we will<br />

especially remember 2018 for two important<br />

landmark events: Approval of the Veterinary<br />

Health Certificates for the export of <strong>Göttingen</strong> <strong>Minipigs</strong><br />

to both China and India! Read more about the availability<br />

of <strong>Göttingen</strong> <strong>Minipigs</strong> in these new markets in this <strong>Newsletter</strong>.<br />

We are getting ready to enter 2019 with the expectations of a<br />

special year to come celebrating Fifty Years of <strong>Göttingen</strong> <strong>Minipigs</strong><br />

by, among other things, a roadshow of scientific events around<br />

Europe as well as a few places in the USA and Asia. We reveal<br />

more on the plans for our year of celebration at page 18, and I<br />

recommend that you follow us on LinkedIn to stay updated on<br />

venues and dates for the meetings and other exciting news.<br />

Looking back at the old year, in my humble opinion, some highlights<br />

at <strong>Ellegaard</strong> <strong>Göttingen</strong> <strong>Minipigs</strong> stood out: At the Minipig<br />

Research Forum in Barcelona in May, the <strong>Ellegaard</strong> <strong>Göttingen</strong><br />

<strong>Minipigs</strong> Research Foundation announced a substantial grant<br />

to a very promising and exciting scientific project entitled<br />

“Speedgene targeted knock out of the PCSK-9 gene in <strong>Göttingen</strong><br />

<strong>Minipigs</strong>”; and in September, the GENISYST Project Steering<br />

Group assembled for a successful two-day meeting in Denmark<br />

including a visit to our location in Dalmose (see photo).<br />

On 1 October 2018, we proudly turned 20 years of continued<br />

and full AAALAC accreditation; a very important achievement<br />

which emphasizes our passion and tireless engagement in the<br />

welfare of our animals.<br />

Finally, I am pleased to announce that early November 2018, <strong>Ellegaard</strong><br />

<strong>Göttingen</strong> <strong>Minipigs</strong> signed an agreement with Exemplar<br />

Genetics to develop genetically modified animal models based<br />

on our <strong>Göttingen</strong> <strong>Minipigs</strong>. Read more about this at page 19.<br />

Further, during 2019, <strong>Ellegaard</strong> <strong>Göttingen</strong> <strong>Minipigs</strong> will offer<br />

new services from our research barrier in Denmark; I look<br />

forward to sharing more news with you on this in due course.<br />

GENISYST Steering Group Meeting in Dalmose, Denmark. From left: Roy Forster<br />

(Citoxlab France), Jaya Krishnan (Genome Biologics), Andy Makin (Citoxlab<br />

Denmark), Jonathan Ward (Genome Biologics), Lars Friis Mikkelsen (<strong>Ellegaard</strong><br />

<strong>Göttingen</strong> <strong>Minipigs</strong>), Jens <strong>Ellegaard</strong> (<strong>Ellegaard</strong> <strong>Göttingen</strong> <strong>Minipigs</strong>), Marianne<br />

Kronborg Bracken (Citoxlab Denmark), Peter Vestbjerg (<strong>Ellegaard</strong> <strong>Göttingen</strong><br />

<strong>Minipigs</strong>) and Henrik Duelund Pedersen (<strong>Ellegaard</strong> <strong>Göttingen</strong> <strong>Minipigs</strong>)<br />

A warm thank you from all of us at <strong>Ellegaard</strong> <strong>Göttingen</strong> <strong>Minipigs</strong><br />

to customers and collaboration partners for working with us<br />

during 2018 and also a big thank you for interesting talks, chats,<br />

meetings and conferences around the world throughout 2018:<br />

See you again next year, maybe at the MRF 2019 from 22-24<br />

May in Vienna, Austria?<br />

Happy Holidays and Happy Reading!<br />

Lars Friis Mikkelsen, CEO<br />

<strong>Ellegaard</strong> <strong>Göttingen</strong> <strong>Minipigs</strong> A/S<br />

New Finance Manager<br />

On 1 October 2018, we welcomed Klaus Kvist Rasmussen in<br />

a new position as Finance Manager. Klaus holds a master’s<br />

degree in economics from the University of Southern Denmark<br />

and has previously worked for international consulting firms<br />

such as PwC and Deloitte as well as for Novo Nordisk, where,<br />

among other things, he advised on the optimization of financial<br />

management and reporting. Since 2016, Klaus has worked as<br />

an independent business consultant and added even more to<br />

his extensive experience within his areas of financial<br />

expertise.<br />

At <strong>Ellegaard</strong> <strong>Göttingen</strong> <strong>Minipigs</strong>, in addition<br />

to being responsible for our financial<br />

management, Klaus will no doubt play<br />

an important role in the future develop-<br />

ment and further internationalization<br />

of our company. In his spare time, Klaus<br />

is a passionate hunter and also enjoys<br />

other outdoor activities.<br />

CONTENTS<br />

Toxicity and Toxicokinetic Study of Subcutaneously<br />

Administered RPh201 in <strong>Göttingen</strong> <strong>Minipigs</strong> . . . . . . . . . . 3<br />

Testing cognitive abilities over different life stages<br />

in <strong>Göttingen</strong> <strong>Minipigs</strong> . . . . . . . . . . . . . . . . . . . . . . . 6<br />

Obesity and diabetes result in pathological bone repair<br />

around dental implants: Demonstration in a <strong>Göttingen</strong><br />

<strong>Minipigs</strong> models . . . . . . . . . . . . . . . . . . . . . . . . . 9<br />

Using <strong>Göttingen</strong> <strong>Minipigs</strong> as model for peritoneal dialysis . . 14<br />

Vascular Access Buttons in <strong>Göttingen</strong> <strong>Minipigs</strong> . . . . . . . . 15<br />

Fifty Years with <strong>Göttingen</strong> <strong>Minipigs</strong>: Let’s Celebrate! . . . . . 18<br />

<strong>Ellegaard</strong> <strong>Göttingen</strong> <strong>Minipigs</strong> Going Global . . . . . . . . . . 19<br />

<strong>Ellegaard</strong> <strong>Göttingen</strong> <strong>Minipigs</strong> Enters into a License and<br />

Commercialization Agreement for <strong>Göttingen</strong> <strong>Minipigs</strong><br />

Research Models in Partnership with Exemplar Genetics . . . 19<br />

Creating a stimulating and cooperative environment<br />

for <strong>Göttingen</strong> <strong>Minipigs</strong> . . . . . . . . . . . . . . . . . . . . . 20<br />

Invitation to join The 13th Minipig Research Forum<br />

22-24 May 2019 in Vienna, Austria . . . . . . . . . . . . . . 21<br />

New scientific publications on <strong>Göttingen</strong> <strong>Minipigs</strong> . . . . . . 22<br />

Meeting Calendar 2019 . . . . . . . . . . . . . . . . . . . . . 24<br />

2


Toxicity and Toxicokinetic Study<br />

of Subcutaneously Administered RPh201<br />

in <strong>Göttingen</strong> <strong>Minipigs</strong><br />

By Vanessa Ross 1 , Sydney Mukaratirwa 1 , Abraham Nyska 2 , Yuval Ramot 3 , Zadik Hazan 4 , Andre Lucassen 4 & Konstantin Adamsky 4<br />

1<br />

Envigo Ltd, Alconbury, Cambridgeshire, UK,<br />

2<br />

Timrat and Tel Aviv University, Tel Aviv Israel,<br />

3<br />

Hadadssah Hebrew University Medical Center, Jerusalem, Israel,<br />

4<br />

Regenera Pharma, Nes-Ziona, Israel<br />

Introduction<br />

At Envigo, we ran a long-term (39 weeks) toxicity study in<br />

<strong>Göttingen</strong> <strong>Minipigs</strong> in conjunction with Regenera Pharma. The<br />

material investigated was an extract of mastic gum and such<br />

extracts have traditionally been used as a dietary additive and<br />

as a flavouring agent. These compounds are being developed<br />

for a variety of clinical indications, which include treatment<br />

of Crohn’s disease and the healing of peptic and dental ulcers.<br />

RPh201 is an extract of mastic gum which has been formulated<br />

and stabilised in a proprietary method, and is being developed<br />

for a wide range of neurological indications.<br />

Experimental design<br />

32 male and 32 female <strong>Göttingen</strong> <strong>Minipigs</strong> were administered<br />

subcutaneous injections of RPh201 (0, 3.1, 12.5. 50 mg/kg/occasion)<br />

twice weekly for 39 weeks. The dose volumes were 0.062,<br />

0.25 or 1 mL/kg/occasion respectively and the controls received<br />

the vehicle at a dose volume of 1 mL/kg/occasion. There was a<br />

26-week interim phase and a 6-week recovery period.<br />

The protocol included routine clinical observations, hematology,<br />

clinical chemistry, toxiciokinetics, blood evaluations, electroretinogram<br />

and tonometry, electrocardiography, and macroscopic<br />

and microscopic evaluations of selected organs.<br />

Results<br />

Clinical observations (including ocular ERG and tonometry,<br />

cardiac electrocardiography) and organ weights<br />

There were no test article-related clinical signs or effects on<br />

body weight or food consumption. During ophthalmic examination,<br />

posterior suture line opacity was observed in the lens of<br />

the eye of four animals. However, there was no effect on the<br />

retina at electroretinogram examination and no ocular hypotension<br />

or hypertension was evident. There were no effects on<br />

electrocardiography parameters.<br />

Clinical pathology<br />

Hematology investigations conducted in Week 26 of treatment<br />

revealed slightly higher mean neutrophil counts observed in<br />

both sexes receiving 12.5 or 50 mg/kg/occasion when compared<br />

to controls. There was full recovery during the 6 week off-dose<br />

period. In Week 39, a lower mean erythrocyte count and hemoglobin<br />

concentration was observed in females receiving 50 mg/<br />

kg/occasion in comparison with the controls. There was partial<br />

recovery in both parameters following 6 weeks off-dose.<br />

Toxicokinetics<br />

The rate of systemic exposure of minipigs to RPh201, measured<br />

as the two components masticadienonic acid (MDA) and isomasticadienonic<br />

acid (IMDA), was characterized by nonlinear,<br />

subproportional, (dose dependent) kinetics over the dose range<br />

from 3.1 to 50 mg/kg/day on Day 1 and during Week 13,<br />

Week 26 and Week 39 of the 39 week subcutaneous toxicity<br />

study. However, the extent of systemic exposure of minipigs<br />

to MDA and IMDA was characterized by dose independent<br />

(linear) kinetics over the same dose range and period. Systemic<br />

exposure of minipigs to MDA was generally comparable to that<br />

of IMDA.<br />

Macroscopic observations<br />

Clear oily liquid was found at the injection sites of all groups<br />

at the 26 and 39-week sacrifice points, and was also observed<br />

in controls and animals previously treated with 50 mg/kg/<br />

occasion with a similar incidence in the 6-week recovery group.<br />

Additional findings at the injection sites included skin thickening<br />

(39-week sacrifice point), pale areas (26, 39-week and recovery<br />

sacrifice points) and raised areas (week 26, week 39 and recovery<br />

sacrifice points).<br />

Clear oily liquid, enlargement and pale areas were seen at 26-<br />

week, 39-week and 6-week recovery sacrifice points in various<br />

lymph nodes (including axillary, inguinal, mandibular and mediastinal)<br />

in animals treated with 50 mg/kg/occasion and in the<br />

control group. Enlargement was also seen in one female animal<br />

treated with 12.5 mg/kg/occasion and pale areas were also seen<br />

in a male and female animal in this group.<br />

Microscopic observations<br />

Treatment-related findings were observed at injection sites<br />

of animals from all sacrifice points, and included abscesses at<br />

the 26 week and 39 week sacrifice and recovery phase and<br />

recovering abscesses and an increase in fibrous tissue in the<br />

39 week sacrifice and recovery phases. Abscesses graded as<br />

moderate or marked were confined to animals receiving 50<br />

mg/kg/occasion. Resolving abscesses were seen at the 39-<br />

week sacrifice point in females receiving 50 mg/kg/occasion.<br />

These were characterized by fibrous tissue, mineralization<br />

and with few neutrophils present. At the 6 week recovery<br />

sacrifice, the severity of the abscesses, resolving abscesses<br />

and fibrosis was of a minimal or slight degree, which indicated<br />

partial recovery from the findings seen at 26 and 39<br />

weeks.<br />

<br />

3


Figure 1 legend:<br />

A. Histopathological section of the subcutaneous injection site<br />

in a <strong>Göttingen</strong> Minipig from the high-dose group (50 mg/<br />

kg), main phase of the study. The tissue reaction consists of<br />

chronic inflammation (asterisks). These findings were comparable<br />

to the control group, and were considered as related<br />

to the vehicle. In addition, abscesses (arrow) in the subcutis<br />

(minimal grade) were seen, characterized by a cystic space<br />

containing aggregates of neutrophils with a variable chronic<br />

inflammatory component and a fibrous capsule of varying<br />

thickness. H&E.<br />

B. Histopathological section of the subcutaneous injection<br />

site in minipig from the high-dose group (50 mg/kg), main<br />

phase of the study. The tissue reaction consists of chronic<br />

inflammation (asterisks), and intermixed with empty spaces<br />

reflecting the washed-out cotton-seed oil vehicle. Note the<br />

abscess (arrows) in the subcutis (marked grade). This grade of<br />

lesion is considered treatment related. H&E.<br />

C. Histopathological section of the subcutaneous injection site<br />

in a <strong>Göttingen</strong> Minipig from the high-dose group (50 mg/kg),<br />

recovery phase of the study. Another example of a resolving<br />

abscess. The tissue reaction is characterized by fibrous tissue<br />

(arrow) and with only few neutrophils present (asterisk). H&E.<br />

D. Histopathological section of the subcutaneous injection site<br />

in a <strong>Göttingen</strong> Minipig from the high-dose group (50 mg/kg),<br />

recovery phase of the study. Area of fibrosis (asterisks). The<br />

increase in subcutaneous fibrosis was also seen in the 39-<br />

week and 6-week recovery sacrifice, mainly in the high dose<br />

animals. H&E.<br />

Vehicle-related findings<br />

Cystic spaces and chronic inflammation were seen at injection<br />

sites of all treated groups and controls with the severity<br />

generally correlating with the volume of vehicle administered.<br />

The chronic inflammation was characterized by mononuclear<br />

cells (lymphocytes and macrophages), foreign body giant cells,<br />

fibrosis and occasional neutrophils. Incidence and severity of<br />

the findings did not show signs of recovery after 6 weeks.<br />

Cystic spaces and chronic inflammation were seen in the left<br />

inguinal lymph node of all treated groups and controls at 26<br />

week, 39 week and recovery phase with the severity generally<br />

correlating with the volume of vehicle administered. Abscesses,<br />

graded as minimal, were seen in the left inguinal lymph node<br />

of a few animals killed at 26 weeks in all treated groups but<br />

also in a female control killed after 39 weeks of treatment and<br />

4


in the recovery group. They were also seen in other lymph<br />

nodes in all three phases of this study that were examined<br />

histopathologically due to being macroscopically abnormal.<br />

Considering the overall incidence of abscesses in the left inguinal<br />

lymph node and other lymph nodes in the study, this finding<br />

was considered to be related to the vehicle. The incidence and<br />

severity of the findings at the 6-week sacrifice point were<br />

similar to the 39 week sacrifice point, therefore not showing<br />

signs of recovery. Similar findings were also seen in the right<br />

inguinal lymph node and in the axillary, mediastinal, medial<br />

iliac, aortic and superficial inguinal lymph nodes when a macroscopic<br />

abnormality was seen. Such abnormalities were present<br />

most commonly in controls and animals receiving 50 mg/kg/<br />

occasion.<br />

Conclusions<br />

RPh201 was well tolerated for 39 weeks with no clinical or<br />

dose-related signs observed and with no changes in body<br />

weight, food consumption, electroretinography, intraocular<br />

pressure, electrocardiography or blood chemistry and urinalysis<br />

parameters.<br />

Treatment-related findings were seen at the injection sites and<br />

included abscesses that correlated with a small increase in peripheral<br />

neutrophil count. In animals given 50 mg/kg/occasion<br />

abscesses graded above slight corresponded with macroscopically<br />

thickened or raised areas (which contained either dark<br />

fluid or green purulent material). The subcutaneous fibrosis<br />

seen at the injection sites was considered secondary to chronic<br />

inflammation and was again more pronounced in animals given<br />

50 mg/kg/occasion and to a lesser extent in animals given<br />

12.5 mg/kg/occasion. There was partial recovery from both<br />

the abscess formation and fibrosis. Necrosis was not seen in<br />

any of the injection sites, and bacterial colonies were not seen<br />

in the abscesses. Therefore, these abscesses were concluded<br />

to be sterile, and attributed to irritation from the presence<br />

of the drug in a location with a relatively slow rate of absorption.<br />

Under the conditions of this study, the No Observed Adverse<br />

Effect Level (NOAEL) was considered to be 12.5 mg/kg/occasion,<br />

after 39 weeks of administration followed by a 6-week recovery<br />

period. RPh201 is a promising new and safe drug candidate for<br />

the treatment of several neurological indications.<br />

Figure 1E legend:<br />

E. Histopathological section of the inguinal lymph-node (regional<br />

to the injection site) in a <strong>Göttingen</strong> minipig from the<br />

intermediate-dose group (12.5 mg/kg), main phase of the<br />

study. The tissue reaction consists of chronic inflammation<br />

(asterisks), and intermixed with empty spaces reflecting the<br />

washed-out cotton-seed oil vehicle. These findings were<br />

comparable to the control group, and were considered related<br />

to the vehicle. In addition, abscesses (arrows) (minimal grade)<br />

were seen, characterized by a cystic space containing aggregates<br />

of neutrophils with a variable chronic inflammatory<br />

component and a fibrous capsule of varying thickness. H&E.<br />

5


Testing cognitive abilities over different<br />

life stages in <strong>Göttingen</strong> <strong>Minipigs</strong><br />

By Caroline Clouard & Inonge Reimert<br />

Wageningen University & Research, Department of Animal Sciences, Adaptation Physiology Group,<br />

Wageningen, The Netherlands<br />

Introduction<br />

The pig is a highly intelligent species and is, therefore, a good<br />

animal model to investigate cognitive functions [1,2,3] . In the wild,<br />

pigs have a mixed omnivorous diet, which requires high spatial<br />

cognitive abilities to remember spatial location of food patches<br />

[4] . This has also been shown by the plethora of pig studies<br />

using spatial cognitive tasks such as the holeboard task [5,6,7,8,9,10] .<br />

In these studies, however, pigs have been subjected to the<br />

holeboard task during only one life stage, usually the juvenile or<br />

pubertal life stage, and nothing is known about their cognitive<br />

abilities in adulthood or the stability of their cognitive abilities<br />

over life stages. It would therefore be interesting to determine<br />

(1) whether pigs’ cognitive abilities are stable over time (i.e. from<br />

juvenility to puberty to adulthood) and (2) whether pigs, which<br />

are curious and novelty-seeking animals [11] , can be motivated<br />

to perform the same task – which consists of a large number of<br />

trials repeated over many testing days – multiple times throughout<br />

life. To answer these research questions, we used <strong>Göttingen</strong><br />

<strong>Minipigs</strong> because their small size, even at the adult stage, makes<br />

them very easy to handle and allows for longitudinal studies<br />

in the same individuals, and because they have already been<br />

tested in the holeboard task before [12,13,14] .<br />

Methodology<br />

Animals and housing<br />

In total, 8 female <strong>Göttingen</strong> <strong>Minipigs</strong> (<strong>Ellegaard</strong>, Denmark) were<br />

subjected to the holeboard task during three consecutive life<br />

stages: the juvenile stage (from 7 to 9 weeks of age), the pubertal<br />

stage (from 17 to 20 weeks of age) and the adult stage (from<br />

41 to 45 weeks of age). The animals were distributed over 3<br />

consecutive batches, with a 2-week interval between batches.<br />

In the first week after birth, piglets were kept with their sow<br />

in individual farrowing pens (1.8 × 1.5 m). Pens had shredded<br />

straw as bedding and contained a separate heated nest for the<br />

piglets. From 1 week of age onwards, pigs were separated from<br />

the sows and non-related pigs were housed in pairs in pens<br />

(2.5 × 1 m) with shredded straw as bedding, and enriched with a<br />

squeeze ball, a dog bed and 2 metallic chains per pen. Water was<br />

available ad libitum and feed was given according to <strong>Ellegaard</strong><br />

recommendations.<br />

All pigs were habituated to being handled by experimenters<br />

and to the apple rewards (offered in a bucket in the home pen)<br />

before the start of the holeboard task in the juvenile stage.<br />

Holeboard task<br />

Principle and apparatus<br />

The holeboard arena (3 × 3 m; Figure 1) had black, wooden,<br />

80-cm-high walls and 4 entrances with guillotine doors that<br />

could be operated from the southwest corner of the arena with<br />

a system of ropes and pulleys. The arena was surrounded by<br />

a corridor for the pig to access the 4 entrances, a waiting area<br />

containing a jute bag and some toys in the southeast corner of<br />

the room and an area for the observers on the southwest corner<br />

of the room. In the arena, 16 grey metallic buckets (juvenile stage,<br />

Ø10.5 cm – H10 cm; pubertal and adult stage, Ø12 cm – H12 cm)<br />

were screwed to the floor in a 4 × 4 matrix (Figure 2). During the<br />

task, 4 of the buckets were baited with a piece of apple (juvenile<br />

stage ~ 12 × 12 × 12 mm; pubertal and adult stage ~ 12 × 12 ×<br />

20-40 mm) according to 1 out of 4 different configurations. To<br />

prevent the use of visual cues to find the rewards, the rewards<br />

were hidden under a thin layer of shredded straw. All buckets<br />

also had a perforated false bottom under which fresh pieces of<br />

apple were placed at the start of the day to also prevent the use<br />

of odour cues to locate the baited buckets. Pigs were deprived<br />

from feed overnight during the whole period of holeboard testing.<br />

Procedure<br />

Before the start of the holeboard test, the juvenile piglets were<br />

gradually habituated to the experimenters, the buckets and<br />

rewards, the corridor leading to the test room, the test room<br />

and the task in sessions of 10-15 min per day. At the end of this<br />

8-day habituation period, piglets liked/ate the rewards, showed<br />

no extreme stress responses (high-pitched vocalizations, standing<br />

alert, escape attempts) when alone in the holeboard arena,<br />

and performed the task (i.e. looking into the buckets).<br />

Figure 1. Lay out of the holeboard arena.<br />

6


Figure 2. From left to right, a pig in the holeboard arena in the juvenile, pubertal and adult stage, respectively.<br />

After the habituation was completed, testing started with acquisition<br />

trials.<br />

In the juvenile stage, piglets were individually subjected to 2<br />

massed trials (i.e.performed a few minutes apart) per day on 14<br />

consecutive working days, i.e. 28 acquisition trials. Each testing<br />

day, both piglets from a pen were brought to the test room.<br />

While one piglet was being tested, its pen mate was kept in the<br />

waiting area. The test pig was led to the starting box (at the<br />

south door) or released into the corridor where it could walk<br />

freely to the correct entrance door, which was then opened. Two<br />

different entrances were used on a testing day (i.e. 1 entrance<br />

per trial), to prevent piglets from developing a fixed pattern of<br />

visits that would reduce the working memory (WM) load. A trial<br />

started when the piglet had its 4 legs in the holeboard arena<br />

and ended when the piglet found all 4 rewards or after 180 s.<br />

Every time the piglet visited a baited bucket for the first time,<br />

a clicker sound was produced to facilitate learning. If the piglet<br />

completed the task (i.e. found the 4 rewards in fewer than 180<br />

s), the exit (south) door was opened, the piglet was congratulated<br />

(“good job!”, “well done!”), and received half of a white<br />

grape. If the piglet did not complete the task within the 180 s,<br />

a police siren sound was produced for 1-2 s; the piglet was not<br />

congratulated and did not receive a reward. After the trial, the<br />

piglet was led back into the waiting area, and the other piglet<br />

was tested. After the 2 piglets per pen had been tested twice,<br />

they were brought back to their home pen and allowed to eat.<br />

For the acquisition phase, 4 different configurations of baited<br />

buckets were used in total (the 4 configurations were rotated<br />

versions of the one shown in Figure 1). Each piglet was tested on<br />

a fixed configuration throughout the acquisition phase, with the<br />

configuration of baited buckets differing between the 2 piglets<br />

in each pen and balanced over all piglets. Testing order within<br />

and between pens was changed daily.<br />

In the pubertal stage, the pigs were individually subjected to<br />

2 massed trials per day on 12 consecutive working days, i.e.<br />

24 re-acquisition trials. Pigs were tested according to the same<br />

procedures and with the same configurations as in the juvenile<br />

stage. However, after the re-acquisition phase was completed,<br />

the pigs were also individually subjected to 16 reversal trials,<br />

with 2 massed trials per day on 8 consecutive working days. The<br />

procedures were the same as in the re-acquisition phase, but the<br />

pigs were assigned to another, mirrored, configuration of baited<br />

buckets. In the reversal phase, the pigs’ cognitive flexibility can<br />

be assessed, i.e. how well pigs learn a new configuration.<br />

In the adult stage, the number of trials and the procedures were<br />

completely similar to those used in the pubertal stage. In the<br />

re-acquisition phase, piglets were, however, tested with the<br />

same configurations as those used in the reversal phase of the<br />

pubertal stage, but in the reversal phase, 4 new configurations,<br />

with completely different patterns, were used.<br />

Measurements<br />

During each trial, all visits and revisits to all buckets, latencies<br />

to all bucket visits, trial duration, and the total number of<br />

defecations, urinations, high-pitched vocalizations and escape<br />

attempts were scored using The Observer XT 10 software<br />

(Noldus Information Technology, Wageningen, The Netherlands).<br />

From these parameters, the following variables were calculated<br />

a posteriori according to van der Staay et al. (2012 [5] ): working<br />

memory scores, reference memory scores, trial duration, inter-visit-interval<br />

and total number of visits.<br />

Results and Conclusions<br />

<strong>Göttingen</strong> <strong>Minipigs</strong> seemed to be able to perform the task equally<br />

in each life stage, as shown by the consistent average working<br />

and reference memory scores over the 3 life stages (Figure 3).<br />

Figure 3.<br />

Working and reference<br />

memory scores of the<br />

pigs in the different life<br />

stages and test phases.<br />

<br />

7


Figure 4. Trial duration, inter-visit-interval and total number of visits of the pigs in the different life stages and test phases.<br />

It is worth noting, however, that in the juvenile stage only 1 of<br />

8 piglets managed to complete finding the 4 rewards in all 28<br />

trials, and that 4 of 8 piglets failed more than 50% of the trials.<br />

In the pubertal and adult stages, all 8 pigs completed 100% of<br />

the 24 acquisition and 16 reversal trials (except 1 pig which<br />

failed 1 trial in the pubertal stage). Furthermore, in the juvenile<br />

stage, piglets took more time to finish the trial and had longer<br />

inter-visit-intervals, but did not visit more buckets than in the<br />

other stages (Figure 4). These data suggest that the juvenile<br />

piglets were less focussed and/or less motivated for the task,<br />

i.e. explored the arena more or were more distracted in between<br />

2 bucket visits, compared to the older pigs. It is also possible<br />

that the juvenile piglets were performing worse as they were<br />

less trained, but that is less likely as there were no differences<br />

between the pubertal and the more trained adult pigs. These<br />

findings may also explain why many piglets failed to find the 4<br />

rewards before the end of the 180-s trial in the juvenile phase.<br />

In conclusion, while juvenile <strong>Göttingen</strong> <strong>Minipigs</strong> appear to show<br />

lower attention/motivation for the task, cognitive performance<br />

and motivation for the task remained high and stable in the<br />

pubertal and adult stages, even after many days of testing.<br />

Moreover, in each life stage the pigs did not show any clear<br />

stress responses such as escape attempts and high-pitched<br />

vocalizations anymore after several days of testing.<br />

References<br />

1 Marino, L., Colvin, C.M. 2015. Thinking pigs: A comparative review of cognition, emotion, and personality in Sus domesticus.<br />

International Journal of Comparative Psychology, 28.<br />

2 Gieling, E.T., Nordquist, R.E., van der Staay, F.J. 2011. Assessing learning and memory in pigs. Animal Cognition, 14:151-173.<br />

3 Kornum, B.R., Knudsen, G.M. 2011. Cognitive testing of pigs (Sus scrofa) in translational biobehavioral research. Neuroscience &<br />

Biobehavioral Reviews, 35:437-451.<br />

4 Nawroth, C, Langbein J, Puppe B. 2018. Swine cognition. In: Vonk, J and Shackelford, TK (eds), Encyclopedia of Animal Cognition<br />

and Behavior. Springer International Publishing AG.<br />

5 van der Staay, F.J., Gieling, E.T., Pinzón, N.E., Nordquist, R.E., Ohl, F. 2012. The appetitively motivated “cognitive” holeboard: a family<br />

of complex spatial discrimination tasks for assessing learning and memory. Neuroscience & Biobehavioral Reviews, 36:379-403.<br />

6 Arts, J.W., van der Staay, F.J., Ekkel, E.D. 2009. Working and reference memory of pigs in the spatial holeboard discrimination task.<br />

Behavioural Brain Research, 205:303-306.<br />

7 Antonides, A., Schoonderwoerd, A.C., Nordquist, R.E., van der Staay, F.J. 2015. Very low birth weight piglets show improved<br />

cognitive performance in the spatial cognitive holeboard task. Frontiers in Behavioral Neuroscience, 9:43.<br />

8 Bolhuis, J.E., Oostindjer, M., Hoeks, C.W., de Haas, et al. 2013. Working and reference memory of pigs (Sus scrofa domesticus) in a<br />

holeboard spatial discrimination task: the influence of environmental enrichment. Animal Cognition, 16:845–850.<br />

9 Clouard, C., Kemp, B., Val-Laillet, D., Gerrits, W.J., Bartels, A.C., et al. 2016. Prenatal, but not early postnatal, exposure to a Western<br />

diet improves spatial memory of pigs later in life and is paired with changes in maternal prepartum blood lipid levels. The FASEB<br />

Journal, 30:2466-2475.<br />

10 Clouard, C., Le Bourgot, C., Respondek, F., Bolhuis, J.E., Gerrits, W.J. 2018. A milk formula containing maltodextrin, vs. lactose, as<br />

main carbohydrate source, improves cognitive performance of piglets in a spatial task. Scientific Reports, 8:9433.<br />

11 Wood-Gush, D.G.M., Vestergaard, K. 1991. The seeking of novelty and its relation to play. Animal Behaviour, 42:599-606.<br />

12 Gieling, E., Wehkamp, W., Willigenburg, R., Nordquist, R.E., Ganderup, N.-C., et al. 2013. Performance of conventional pigs and<br />

<strong>Göttingen</strong> miniature pigs in a spatial holeboard task: effects of the putative muscarinic cognition impairer Biperiden. Behavioral<br />

and Brain Functions, 9:4.<br />

13 Haagensen, A.M., Grand, N., Klastrup, S., Skytte, C., Sørensen, D.B. 2013. Spatial discrimination and visual discrimination: two<br />

methods evaluating learning and memory in juvenile <strong>Göttingen</strong> minipigs. Behavioural Pharmacology, 24:172-179.<br />

14 Haagensen, A.M., Klein, A.B., Ettrup, A., Matthews, L.R., Sørensen, D.B. 2013. Cognitive performance of <strong>Göttingen</strong> minipigs is affected<br />

by diet in a spatial hole-board discrimination test. PLoS One, 8:e79429.<br />

8


Obesity and diabetes result in pathological<br />

bone repair around dental implants:<br />

Demonstration in a <strong>Göttingen</strong> <strong>Minipigs</strong> models<br />

Rebecca Sandgren 1 & Benjamin E. Pippenger 2<br />

1<br />

Biomedical Center, Lunds University, Lund, Sweden<br />

2<br />

Institut Straumann, Preclinical & Translational Research, Basel, Switzerland<br />

Introduction<br />

The number of obese and diabetic patients in need of medical<br />

treatment, especially for the oral cavity, is growing steadily.<br />

Obesity (metabolic syndrome) and, by extension, type 2 diabetes<br />

mellitus are known risk factors for oral diseases including<br />

periodontal disease [1] , alveolar bone loss [2] and gum disease [3] ,<br />

with adipose-derived pro-inflammatory cytokines thought to<br />

be the common underlying basis for the degeneration in oral<br />

health [4] . Not only do obesity and diabetes often result in oral<br />

health deterioration, but these same systemic diseases can also<br />

be considered contraindications for dental implantation procedures<br />

[5] , having been shown to result in a higher incidence of<br />

implant failure [6] . While the treatment of obesity and diabetes<br />

aims to avoid the development of oral health complications, the<br />

risk of severe periodontal disease remains 3-4 times higher in<br />

these patients [7] . Therefore, novel dental materials and/or material<br />

surface treatments are needed that can reliably perform in<br />

compromised patients, but their development is hindered by a<br />

lack of clinically relevant obese/diabetic animal models.<br />

<strong>Göttingen</strong> Minipig models have long been used in translational<br />

research, surgical models, and procedural training (particularly<br />

in the dental field). Their specificity for experimental studies has<br />

excluded them from low-fat producing, selective breeding programs<br />

and their normal adult weight remains within a manageable<br />

range ( ~ 40 kg)[8] . Additionally, obese/metabolic syndrome<br />

<strong>Göttingen</strong> Minipig models have already been developed through<br />

a high energy feeding diet for periods up to 3 months [9,10] .<br />

While these <strong>Minipigs</strong> become extremely obese, their adult body<br />

weight rarely exceeds 80-90 kg, demonstrating that even in<br />

an obese condition, this animal model remains manageable for<br />

the experimentator. A type 2-like diabetes can also be induced<br />

in <strong>Göttingen</strong> <strong>Minipigs</strong> by administration of Streptozotocin, a<br />

chemical agent which damages the insulin-producing beta-cells<br />

of the pancreas [11] , demonstrating the potential to model a com-<br />

Figure 1: Physical and critical organ<br />

weight gain upon obesity induction<br />

followed by stabilization following<br />

diet control. A) Animal weight profiles<br />

throughout the duration of the experiment<br />

(47 weeks) demonstrating rapid<br />

weight gain for cafeteria diet animals<br />

(labeled obese and diabetic) in the first<br />

phase followed by weight stabilization<br />

in the remainder of the experiment.<br />

STZ: beginning of Streptozotocin<br />

administration. B) Heart (left and right<br />

ventricles weighed separately) and<br />

lung weights at 47 weeks (sacrifice)<br />

demonstrating higher average weights<br />

for critically affected organs in obese<br />

and diabetic animals. C) Liver, spleen<br />

and kidney wet weights at 47 weeks<br />

(time of sacrifice).<br />

<br />

9


promised patient condition using an obese/diabetic <strong>Göttingen</strong><br />

Minipig. However, while stable metabolic syndrome/diabetes<br />

animal models exist in the dog [12] , no stable pathological changes<br />

have yet been reported for the <strong>Göttingen</strong> Minipig. Finally, it is<br />

unknown what consequence/s such an optimized model would<br />

have on dental implant materials.<br />

In the present pilot study, we aimed to: 1) demonstrate the proof<br />

of principal of the induction of both stable metabolic syndrome<br />

and diabetes in a <strong>Göttingen</strong> Minipig animal model and 2) validate<br />

both of these disease-optimized <strong>Göttingen</strong> Minipig models<br />

for the testing of dental materials. Evidence of stable metabolic<br />

syndrome and type 2 diabetes induction is demonstrated<br />

through blood analysis, tissue histology and weight progression<br />

monitoring. We then implanted bone level dental implants into<br />

the mandibles of these compromised animal models to determine<br />

whether the induction of one or both systemic diseases<br />

affects the osseointegration and short term performance of the<br />

implant material.<br />

Materials and Methods<br />

Establishment of obese & diabetic Minipig models<br />

All experimentation was conducted in the Magneten building<br />

for Surgical Research, Lund University, Lund-Malmö, Sweden<br />

(ethical approval number M-206-11 Malmö-Lunds djurförsöks<br />

etiska nämnd). A total of nine female <strong>Göttingen</strong> <strong>Minipigs</strong><br />

(<strong>Ellegaard</strong>, Dalmose, Denmark) of 18 months of age (33-38 kg<br />

in weight) were used for this study. <strong>Minipigs</strong> were split into 3<br />

groups: 1) control (normal diet) (n = 3), 2) obese (cafeteria diet)<br />

(n = 3) and 3) diabetic (cafeteria diet + Streptozotocin) (n = 3).<br />

The animals were fed twice a day with either a combination<br />

of Minipig Expanded Standard Diet (SDS Special Diets Services,<br />

UK) and a custom made RDS Control Diet (control group) or RDS<br />

Cafeteria Diet (Research Diet Services , NL) (obese and diabetic<br />

groups), as previously described [13] . For the Minipig diets, we<br />

split the timing of the different diets into 3 phases: conversion,<br />

growing and maintenance phases. To induce obesity, <strong>Minipigs</strong><br />

(n = 6; groups 2 and 3) were gradually introduced to the cafete-<br />

Figure 2: Blood and plasma marker profiles demonstrate effective induction of metabolic syndrome and a diabetic phenotype. A) Blood glucose levels following STZ<br />

administration. Glucose levels are particularly elevated in diabetic animals but obese animal levels are comparable to control. B) Blood ketone levels are elevated in<br />

the diabetic group. Obese and control groups remain at basal levels. C-F) Average plasma levels of Tumor necrosis factor-α (TNF-α), C-reactive protein (CRP), Cortisol<br />

and Insulin taken at the time of implantation and termination. Plasma levels of all proteins demonstrated the same overall trend in that the obese group had the<br />

highest levels of all the groups (except for TNF-α-highest in the diabetic group). * = p ≤ 0.05. G) Insulin staining and H) quantification after 47 weeks. Data represent<br />

means ± SD.<br />

10


ia diet over a period of 4 weeks (25% decrease in normal diet<br />

on a weekly basis and restricted feeding to 2 x 500 g/day;<br />

conversion phase), after which time they remained at 100%<br />

cafeteria diet for 8 months and were allowed to feed ad libitum<br />

(growth phase). Once obese and diabetic group animals reached<br />

the desired body weight (roughly doubling in weight), the cafeteria<br />

diet was then halved with control diet to maintain the<br />

animals at the desired weight (maintenance phase). Control animals<br />

were fed standard diet and water throughout the duration<br />

of the experiment. A type 2 diabetic state in the pigs was then<br />

induced by slow injection (over a period of 1 minute; through<br />

the ear vein catheter) of filter-sterilized β-cell cytotoxin Streptozotocin<br />

solution (STZ, Enzo Life Sciences, Raamsdonksveer,<br />

the Netherlands) (20 mg/kg in 0.1 mol/l Na-citrate, pH 4.5) on<br />

two consecutive days after overnight fasting, as previously<br />

described [13] . STZ-injected swine were given free access to food<br />

during the day time and after the second STZ injection, during<br />

day and night. At the end of each of the first 2 days of STZ<br />

treatment, 25 g glucose was fed to offset insulin release from<br />

β-cells, thereby preventing hypoglycemia.<br />

other groups (Figure 1B). Liver and kidney weights increased<br />

from control to diabetic, with obese group weights being intermediate.<br />

However, the liver seemed to be the most effected<br />

of the two organs with a marked increase of weight the more<br />

compromised the animal became. Spleens decreased in weight<br />

with the severity of the compromised condition (Figure 1C).<br />

Blood analysis corroborated macroscopic evidence that obese<br />

animals were indeed suffering from metabolic syndrome<br />

with evidence of inflammation and stress, and that STZ induced<br />

animals were suffering a mild form of type 2 diabetes<br />

(Figure 2A-H).<br />

Compromised animals demonstrate decreased bone healing<br />

around implants<br />

Experimental bone chamber and removal torque implants were<br />

placed into the 3 animal model groups and animals were allowed<br />

to heal for 12 weeks. Maximum torque-out is commonly used<br />

as an indirect measure of the osseointegration around a dental<br />

Surgical procedure<br />

All surgeries were performed as previously described [14]. Briefly,<br />

teeth (P1, P2, P3 and M1) were extracted bilaterally from the<br />

mandibles of 6 <strong>Minipigs</strong>. Custom designed 4.2 x 6 mm implants<br />

(bone chamber and removal torque experimental implants,<br />

Titanium-SLA, Straumann, Switzerland) were placed bilaterally<br />

in transverse orientation and the soft tissue was closed.<br />

Implant and tissue analytic procedures<br />

Removal torque and histology<br />

Immediately after sacrifice, mandibles were collected for either<br />

removal torque measurements or histological analysis. Mandibles<br />

were excised and the left and right halves separated. Right<br />

hemi-mandible implants (side with Torque-out implants) were<br />

then subjected to biomechanical removal torque measurements<br />

according to a previously established method [16] . Oral hard and<br />

soft tissue for histological slide preparation was performed<br />

and histomorphometric measurements were calculated (Bone<br />

area to toal area – BATA and bone to implant contact – BIC), as<br />

previously described [15] .<br />

Results<br />

Induction of stable metabolic syndrome<br />

and mild type 2 diabetes<br />

Animal weights from both the cafeteria diet groups (obese and<br />

diabetic) continued to climb beyond that of the control group,<br />

which plateaued at 45 kilograms at 14 weeks after the beginning<br />

of the study and remaining at this weight for the duration<br />

of the study. By week 27 (STZ administration for diabetic group),<br />

obese and diabetic groups had almost tripled in weight, having<br />

gained an average of 37 kg and 44 kg, respectively (both groups<br />

completely tripled in weight by week 35). Diluting the cafeteria<br />

diet 50% with control diet combined with STZ administration had<br />

the overall effect of weight stabilization on the diabetic group<br />

(Figure 1A). Organ wet weights demonstrated the obese group<br />

having heavier left ventricle and right ventricle wet weights<br />

than both the control and diabetic groups (Figure 1B). Lung<br />

wet weights for the diabetic group were higher than for both<br />

Figure 3: Biomechanical and histomorphometric measurements. A) Maximum<br />

torque-out values for implants at time of sacrifice. Lower torque-out vales<br />

demonstrate that the osseointegration of implants in obese and diabetic<br />

animals is significantly less than in the control group. Furthermore, there are<br />

no significant differences between obese and diabetic groups. B) Histomorphometric<br />

analysis of tissue/implant sections. BATA corresponds to the new bone<br />

area per total area within a defined region of interest (ROI), here defined as the<br />

total area from the defect border to the implant surface. BIC corresponds to<br />

the total bone to implant contact and is expressed as a percentage of the bone<br />

physically attached to the implant surface as compared to the total implant<br />

surface. Histological evidence supports the biomechanical measurements and<br />

demonstrates the significantly less new bone formation around dental implants<br />

is obese and diabetic groups as compared to the control group. * = p ≤ 0.05; **<br />

= p ≤ 0.01; *** = p ≤ 0.001; ns = not significant. <br />

11


implant, with higher values demonstrating a higher degree<br />

of osseointegration. While the control group reached average<br />

levels of approximately 260 Ncm, both metabolic syndrome and<br />

diabetic groups had much lower average values (90 Ncm and 60<br />

Ncm, respectively). Importantly, not only did the compromised<br />

groups measure removal torque values that were significantly<br />

less than the control group, but the metabolic syndrome group<br />

values were not statistically different from those of the diabetic<br />

group (Figure 3A).<br />

Histomorphometric analysis on bone chamber implants confirmed<br />

the trend seen in the biomechanical removal torque<br />

experiment. Two different histomorphometric parameters were<br />

measured: bone area to implant area (BATA) and bone to implant<br />

contact (BIC). The control group, for both BATA and BIC<br />

measurements, had significantly higher values than both of the<br />

compromised groups (BATA- control: 40%, obese: 25%, diabetic:<br />

25%; BIC- control: 45%, obese: 22%, diabetic: 18%). Importantly,<br />

there was no significant difference between the compromised<br />

groups for both BATA and BIC measurements (Figure 3B). These<br />

measurements were also evident by visual examination of the<br />

histological slides, especially in terms of BIC, in that the new<br />

bone growth around the implant is less than compared to both<br />

compromised groups (Figure 4).<br />

Conclusion<br />

This study, using an animal model considered physiologically<br />

similar to that of humans, demonstrates that bone remodeling<br />

is indeed severely affected in obese individuals. Not only was<br />

the bone regeneration around implants placed into bone defects<br />

less pronounced in obese animals as compared to control, but<br />

the biomechanical stability of the newly formed bone seems<br />

to be less mature, as demonstrated by mechanical torque out<br />

measurements. In line with Doucette et al., the inflammatory<br />

factor TNF-α was also found to be only slightly affected by the<br />

induction of an obese phenotype. However, previous studies<br />

have shown that an alternative inflammatory factor (C-reactive<br />

protein (CRP)) is particularly increased in obese humans and<br />

suggests a source of infection or inflammation is more common<br />

among obese subjects than in nonobese subjects [16] . This study<br />

also measured CRP levels and found significantly higher levels<br />

of CRP in obese animals, suggesting Minipig models do indeed<br />

mirror the pathological events associated with metabolic syndrome<br />

found in humans.<br />

We demonstrate that after induction of obesity, the animal<br />

weight can indeed be stabilized without reversing the disease<br />

process itself. Interestingly, this suggests that <strong>Minipigs</strong> manifest<br />

a similar disease process to humans in that the deleterious<br />

clinical effects of obesity in human subjects are reversible upon<br />

concerted weight loss, not weight stabilization [17] .<br />

Biomechanical analysis of implant osseointegration (torqueout)<br />

showed significant differences between the control and<br />

compromised groups. This further demonstrated that implant<br />

osseointegration, and therefore secondary stability, is greatly<br />

affected by the animals’ compromised state. Based on the<br />

present data, it appears that implant osseointegration is equally<br />

compromised in obese and diabetic animals. This corresponds to<br />

recent work in humans demonstrating that bone mineral density<br />

is already reduced in metabolic syndrome adolescents [18] .<br />

Here, we demonstrate it is possible to induce a mild state of<br />

diabetes (with detectable glucose metabolism deficiency) using<br />

a dose (twice 20 mg/kg STZ) previously reported to have no metabolic<br />

effect of <strong>Göttingen</strong> <strong>Minipigs</strong>. However, we first induced<br />

metabolic syndrome in the animals before STZ administration,<br />

contrary to previous studies that administered STZ on healthy<br />

Figure 4: Histological sections demonstrating the differences between the study groups in terms of new bone formation surrounding implants. Top row = Hematoxylin<br />

and eosin stained sections; bottom row = Region of interest defined for BATA calculations. New bone is clearly distinguished from existing bone by color (new bone<br />

= slightly darker pink) and morphology (new bone = higher percentage of trabeculae; less mature).<br />

12


individuals. It appears that healthy individuals are resistant to<br />

low doses of STZ, whereas metabolic syndrome animals are not,<br />

further highlighting that a compromised state is present already<br />

in obese animals. While this remains a pilot study, these data<br />

also suggest that the aberrant bone remodeling previously<br />

reported in type 2 diabetic individuals could have its origins in<br />

obesity rather than diabetes. In line with this, the aberrant bone<br />

remodeling may be related to the pro-inflammatory status present<br />

during metabolic diseases, with severe pro-inflammation<br />

at diabetes and more mild pro-inflammation at pre-diabetes or<br />

metabolic syndrome. In the present study, the minipigs were fed<br />

a cafeteria diet containing substantial amounts of hydrogenated<br />

oils, consisting of trans-fatty acids which are known to induce<br />

chronic inflammation [19] . It may well be that the aberrant bone<br />

remodeling in obese pigs is amplified by using dietary trans fatty<br />

acids, thereby creating a more severe state of pro-inflammation<br />

at obesity. The increase of inflammatory factors also shown to<br />

be increased in human obese patients shows that the systematic<br />

inflammation present in this animal model more closely resembles<br />

that of the human disease state [20] .<br />

References<br />

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3 Engebretson S, Chertog R, Nichols A, Hey-Hadavi J, Celenti R, Grbic J. Plasma levels of tumour necrosis factor-alpha in patients with<br />

chronic periodontitis and type 2 diabetes. J Clin Periodontol 2007;34:18–24.<br />

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syndrome and the early onset of metabolic syndrome in a pig model.<br />

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dental implants in the minipig. Ann Anat 2014.<br />

15 Gottlow J, Dard M, Kjellson F, Obrecht M, Sennerby L. Evaluation of a new titanium-zirconium dental implant: a biomechanical and<br />

histological comparative study in the mini pig. Clin Implant Dent Relat Res 2012;14:<strong>53</strong>8–45.<br />

16 Aronson D, Bartha P, Zinder O, Kerner A, Markiewicz W, Avizohar O, et al. Obesity is the major determinant of elevated C-reactive<br />

protein in subjects with the metabolic syndrome. Int J Obes Relat Metab Disord 2004;28:674–9.<br />

17 Shapses SA, Sukumar D. Bone metabolism in obesity and weight loss. Annu Rev Nutr 2012;32:287–309.<br />

18 Nóbrega da Silva V, Goldberg TBL, Mosca LN, Bisi Rizzo A da C, Teixeira A dos S, Corrente JE. Metabolic syndrome reduces bone<br />

mineral density in overweight adolescents. Bone 2014;66:1–7.<br />

19 Lee L, Alloosh M, Saxena R, Van Alstine W, Watkins BA, Klaunig JE, et al. Nutritional model of steatohepatitis and metabolic<br />

syndrome in the Ossabaw miniature swine. Hepatology 2009;50:56–67.<br />

20 Hotamisligil GS. Inflammation and metabolic disorders. Nature 2006;444:860–7.<br />

13


Using <strong>Göttingen</strong> <strong>Minipigs</strong> as model<br />

for peritoneal dialysis<br />

Anette Blak Gross & Andrew Makin, Citoxlab Denmark, Ejby, Denmark<br />

Peritoneal dialysis is a commonly used treatment in human<br />

patients with severe renal and other diseases. Extended use<br />

of peritoneal dialysis including new peritoneal dialysis formulations<br />

in the pharmaceutical industry requires appropriate<br />

animal models in order to meet the regulatory requirements for<br />

approval of products.<br />

Selection of the correct or most appropriate model depends<br />

on similarities between animals and humans in terms of both<br />

physiology and anatomy. To a degree the relative size of the<br />

animal model can be important. Similar transport properties of<br />

solute and water across the peritoneal membrane in humans<br />

and animals have been important factors in choosing the right<br />

animal model [1] .<br />

Rats, rabbits, and genetically modified mice have been used as<br />

experimental models, but also larger animals such as pigs dogs,<br />

sheep, or even kangaroos have been used [1,2,3] .<br />

The use of each animal model offers advantages and disadvantages<br />

[1] . Rodents are cheap and readily available, but the small<br />

size also complicates catheter insertion and increases the risk<br />

of complications. In addition, the size of the parietal peritoneum<br />

and ratio of peritoneal surface area is different from that of<br />

humans and larger animals. Pigs and other large animal models<br />

also offer the advantage that large volumes of dialysate solution<br />

and human size catheters may be used.<br />

Pigs are an attractive model for peritoneal dialysis due to<br />

similarities in the anatomy and physiology of several of the<br />

abdominal organs and not least the similar size to humans.<br />

In addition, pigs are widely used as a model for many other<br />

procedures involving abdominal tissues and organs (for instance<br />

renal transplantation, intrarenal surgery, artificial bladders and<br />

ureteral stents.<br />

At Citoxlab we have developed an excellent model for peritoneal<br />

dialysis products in the <strong>Göttingen</strong> Minipig.<br />

The minipigs we have used have been around 4 to 5 months old<br />

and with a weight of ca 10 kg at study initiation. Under general<br />

anaesthesia intraperitoneal catheters are placed and tunnelled<br />

subcutaneously to the neck skin. Dosing is performed once<br />

daily for 10-20 minutes using injection pumps while the animals<br />

are walking freely in their pen unaffected by the dosing as the<br />

catheters are sufficiently long to ensure normal behaviour of<br />

the minipigs.<br />

After some time, typically a few hours, the dialysate (infused<br />

formulation included) can be collected by drainage of the<br />

catheters in conscious animals (typically 75%-100% of infused<br />

formulation can be retrieved). Drainage is preferably achieved<br />

by gravity, and suction only used if necessary. Suitable toxicokinetic/clinical<br />

chemistry/hematology parameters can be<br />

measured in the dialysate after retrieval.<br />

Formulations for intraperitoneal dosing should obviously be<br />

sterile, isotonic, non-irritating and heated to body temperature<br />

before use.<br />

Surgery and handling of catheters are only performed by<br />

dedicated, trained personnel using aseptic procedures at all<br />

time. Care should be taken to ensure that the placement of<br />

the catheter does not compromise the organs and tissues in the<br />

abdomen; irritation could lead to inflammation and peritonitis.<br />

To assist in this, the catheter end is curled, and placement is as<br />

far away from the omentum as possible.<br />

Using these methods, we have successfully achieved dosing<br />

daily for up to 10 days.<br />

When performed correctly, intraperitoneal catheters are very<br />

well tolerated and the <strong>Göttingen</strong> Minipig is considered a suitable<br />

model for peritoneal dialysis products.<br />

References<br />

1. Animal models in peritoneal dialysis, Olga Nikitidou,Vasiliki<br />

I. Peppa,Konstantinos Leivaditis, Theodoros Eleftheriadis,Sotirios,<br />

G. Zarogiannis, and Vassilios Liakopoulos, Front Physiol.<br />

2015; 6: 244.<br />

2. Swine as Models in Biomedical Research and Toxicology<br />

Testing, M. M Swindle, A. Makin, A. J. Herron, Veterinary<br />

Pathology, 2012: 49 (2): 344.<br />

3. Pawlaczyk K., Baum E., Schwermer K., Hoppe K., Lindholm B.,<br />

Breborowicz A. (2015). Animal models of peritoneal dialysis:<br />

thirty years of our own experience. Biomed. Res. Int. 2015:<br />

Article ID 261813.<br />

14


Vascular Access Buttons in <strong>Göttingen</strong> <strong>Minipigs</strong><br />

Adrian Zeltner, <strong>Ellegaard</strong> <strong>Göttingen</strong> <strong>Minipigs</strong>, Dalmose, Denmark<br />

Infusion and serial blood sampling are often important technical<br />

aspects of an experimental design. Superficial vessels in the<br />

minipig are few and frequently accessing them is a challenge.<br />

Although minipigs have a convenient size for handling, restraint<br />

and venipuncture can be stressful and affect blood parameters.<br />

Therefore, when experiments require infusion or frequent blood<br />

sampling, catheterization is often the best option, both ethically<br />

and scientifically.<br />

The implantation of Vascular Access ports and Seldinger Catheters<br />

is described and published in various variations. <strong>Ellegaard</strong><br />

already supplies <strong>Minipigs</strong> with pre-implanted systems of that<br />

type. To add another option when choosing the optimal study<br />

design, we tested the Rat Vascular Access Button (VAB) in<br />

<strong>Göttingen</strong> <strong>Minipigs</strong>. The button allows up to three catheters to<br />

be connected and opens the possibility to sample and dose via<br />

separate catheters in one device. In contrast to a VAP this device<br />

allows for pain free access as it is percutaneously implanted.<br />

The device is designed for rats, but we wanted to find out if such<br />

a button can be used in a minipig and whether a decent patency<br />

period can be achieved. Furthermore, it was of interest whether<br />

group housing is an option.<br />

As with all catheters, clotting, biofilm and fibrin build up are<br />

the main factors affecting patency. Therefore, we also tested<br />

different vessels and different types of catheters in the pilot<br />

study to see if there is a significant difference.<br />

Pilot study<br />

Four <strong>Minipigs</strong> at around 15 kg were implanted with a three port<br />

VAB. Each Minipig had three catheters implanted:<br />

1. In the left carotid artery; two <strong>Minipigs</strong> in cranial direction and<br />

in two in caudal direction. A 3fr PU catheter, with a bead at 3<br />

cm was inserted to that length and fixed with a purse string<br />

suture and tissue glue.<br />

2. In the left internal Jugular vein. This vessel runs alongside<br />

the carotid artery. It was ligated and a 3fr PU catheter, with<br />

two lateral perfusion holes, at 3 cm and 2 mm apart was<br />

inserted to a length of 7-8 cm, so the tip was in the vena<br />

cava.<br />

3. In the right internal jugular vein. A 3fr PU catheter, was<br />

inserted in the same manner as in the other vein.<br />

After implantation the <strong>Minipigs</strong> were left to recover for a week<br />

after which regular patency testing started.<br />

The VABs were accessed once a week for two months and any<br />

difficulties were recorded. In week 2 typical catheter related<br />

incidences were observed with the arterial and perfusion holes<br />

catheters. Some were blocked early, others could be revived by<br />

rinsing.<br />

The standard catheters (3) performed best, with only tree rinsing<br />

incidents in two pigs after week 6. All were still patent in week 8<br />

when the study was concluded.<br />

Materials<br />

The Vascular Access Button is small device with one, two or<br />

three ports in the same button. It is available in one size only,<br />

catheters have a size of 3fr but are available in different designs<br />

and lengths. Here, we used catheters with rounded tips, beads<br />

and in some cases added prefusion holes just proximal of the<br />

tip. The ports have a small septum which can be penetrated with<br />

an adapter that fits to any syringe with luer. The smallest inside<br />

diameter of the system is 27 g and is in the adapter.<br />

The ports and the part of the button that is exposed is protected<br />

by an aluminum cap that is fixed with a magnet.<br />

All parts are available from Instech Laboratories, Inc. USA.<br />

Group housing study<br />

In the pilot study we had some issues in the group after recovery.<br />

One of the <strong>Minipigs</strong> was not as social anymore after<br />

recovery and was bothering the others. At the time we decided<br />

to single house them, so the study did not get compromised.<br />

As we did not want to give up altogether in trying to group<br />

house <strong>Minipigs</strong> with VABs we designed a small study where we<br />

could test the group housing situation. We hypothesized that<br />

the pen mates will go after the VAB because it is sticking out<br />

and has a strong color. The idea was to camouflage the bright<br />

red cap of the button and/or add some bitter taste to it, so it is<br />

less attractive.<br />

Rat Vascular Access Button with three ports ready to be implanted.<br />

<br />

15


Four male <strong>Minipigs</strong> of around 20 kg, that were group housed<br />

previously, were implanted with single port Buttons, without the<br />

catheter. Some of the caps were painted in a color closer to pig<br />

skin, others were covered with bitter nail polish. After they were<br />

all fully recovered we grouped them again, observed and filmed<br />

the activity.<br />

There was certainly a lot of activity, typical male pig behavior<br />

and it carried on for several hours before they calmed down a<br />

bit. We did not observe any dedicated attacks on the VAB, nor<br />

any interest in them. Some of the caps did fall off during the<br />

observation period, but after analyzing the videos it was clear<br />

that it was due to random movements or normal interaction<br />

between the animals. We also realized that in some occasions<br />

the cap flew off and we concluded it was because of the two<br />

magnets in the button with different polarization. When the cap<br />

is twisted far enough the cap is repelled by the magnet of the<br />

same polarization.<br />

To avoid this situation, we modified the single port buttons to<br />

avoid the twisting of the cap for the main study and decided to<br />

go ahead and group house the <strong>Minipigs</strong>.<br />

There seemed to be no real difference between the original and<br />

the “camouflaged” caps, therefore we decided to use them in the<br />

original form.<br />

Button implanted behind the ear<br />

Main study<br />

Apart from a larger number we also wanted to test if this system<br />

could be used in a toxicology setting and what the chances are<br />

to have it patent throughout a 13 week period. A further aim<br />

was to evaluate if it is an advantage to have two catheters in<br />

respect to obtaining a longer patency. An obvious advantage<br />

of having two catheters is that one can be used for dosing, the<br />

other for sampling.<br />

We chose 8 kg minipigs and planned to run the study for 3<br />

months. Four groups of four <strong>Minipigs</strong>:<br />

Male, one catheter in left external jugular vein.<br />

Female, one catheter in left external jugular vein.<br />

Male, two catheters in left external jugular vein, tip 2 cm apart.<br />

Female, two catheters in left external jugular vein, tip 2 cm<br />

apart.<br />

Group housing, testing of VAB once a week commencing one<br />

week after surgery. Necropsy with macroscopic pathology at the<br />

end of study or after complete loss of patency.<br />

Surgery<br />

Behind the ear, where the skin is thinnest, a dorsal-ventral skin<br />

incision of around 4 cm is made and a pocket is formed by blunt<br />

dissection so the lower part the button can be placed in it. Then,<br />

after an incision in the jugular grove the external jugular vein<br />

is exposed by blunt dissection, ligated cranially and one or two<br />

catheters inserted to a length where the tip is placed in the<br />

cranial vena cava, just cranially of the right atrium. If there are<br />

two catheters, this position is for the longer one, the other is<br />

2-3 cm more cranial. The catheters are tied to the vessel and<br />

tunneled to the pocket behind the ear. Now they can be cut to<br />

length and connected to the VAB. After testing functionality, the<br />

button is placed in the pocket and the skin fitted into the collar<br />

of the button. The incision is closed tightly and after making<br />

sure the catheters are not kinked the jugular site is closed in<br />

three layers. After final testing and locking the cap is placed on<br />

the button and the Minipig left to recover.<br />

Taking a blood sample<br />

Testing<br />

Sampling, saline and lock solution syringes have been prepared<br />

and fitted with the adapter in an aseptic manner. The <strong>Minipigs</strong><br />

placed in the sling, the cap removed, and the ports disinfected<br />

with alcohol.<br />

The sampling syringe is pushed in the port and the plunger<br />

pulled back. If blood was flowing, around 1 ml was drawn, the<br />

16


catheter flushed immediately with saline, and locked with 0.4 ml<br />

Taurolock under positive pressure.<br />

If it was not possible to draw blood in the first attempt the<br />

Minipig was repositioned slightly and retested. I that did not<br />

help it was flushed with saline and then retested again.<br />

Locking under positive pressure with this device describes the<br />

procedure where the adapter is slowly redrawn from the septum<br />

of the port while continuously pushing the plunger of the<br />

syringe. This ensures that the pressure in the system is always<br />

larger than the blood pressure and no blood enters the lumen<br />

of the catheter. All rinsing and locking should be done like that.<br />

Results<br />

Group Housing<br />

Soon after the groups were established in their pens, the caps<br />

started falling off randomly. The modification of the VAB was<br />

not enough to prevent it. We removed some of the most prone<br />

animals from the group and single housed them as we were<br />

concerned about cleanness and systemic infections if the caps<br />

were off. At the same time, we talked to the manufacturer and<br />

ordered caps with two magnets to have stronger adhesion and<br />

avoid twisting. Even with two magnets we were not completely<br />

successful and added a screw to the cap which did not solve the<br />

problem entirely either. At the end we resigned and left the caps<br />

off permanently. This was not quite as hygienic as we wished,<br />

but it did not seem to be an issue at the end. We had one pair<br />

in each group throughout the study and whether there was a<br />

cap or not the <strong>Minipigs</strong> did not interfere with each other’s VAB.<br />

We have no explanation why in the pilot study the caps stayed<br />

on for the entire two months but fell off in the main study.<br />

Biological Compatibility and Patency<br />

A total of 24 <strong>Göttingen</strong> <strong>Minipigs</strong> were implanted with Buttons.<br />

No Complications were observed in the first two studies. The<br />

incisions in the neck and at the site of the button healed well<br />

and no signs of infection was observed. The Dracon collar of the<br />

button was grown in the subcutaneous tissue to seal the exit site<br />

completely. In the main study some infections around the button<br />

appeared in 6 cases (25%) four weeks post-surgery. In four of<br />

them recovered after treatment with antibiotics but two animals<br />

(8%) were euthanized, as infection did not clear and the button<br />

was rejected by the tissue.<br />

No systemic infections were observed<br />

Blood sampling performed by one person with Minipig in a sling<br />

Accessing the ports was easy and painless and with the Minipig<br />

in a hammock it could be performed by one person only.<br />

In the main Study there were a total of 24 catheters in 16 pigs.<br />

All catheters worked fine initially, but some typical catheter<br />

related issues appeared along the way<br />

Patency main study:<br />

After one month: 23/24 patent 1 never worked properly<br />

After two months: 16/24 patent 1 never worked properly,<br />

second blocked,<br />

2 infected VAB,<br />

4 in 2 animals blocked<br />

After three months: 10/24 patent as above and rest blocked.<br />

Conclusion and discussion<br />

The amount of infection in the main study, relatively late after<br />

surgery, might be because of a small change in procedure. In<br />

some cases, the Dracon cuff was placed in the subcutaneous fat<br />

rather than below the fat layer. That might have slowed down<br />

the ingrowing process and made it more prone to infections.<br />

It can be concluded that Rat Vascular Access ButtonsTM can<br />

successfully be implanted in <strong>Minipigs</strong> and provide long term<br />

vascular access.<br />

Because of the small diameters in the system flow speed is reduced<br />

to a certain degree compared with larger bore catheters.<br />

Typical catheter related issues are to be expected like: temporary<br />

blockage, rinsing before patency is restored and fibrin build<br />

up around catheter. This is no different to other systems. Proper<br />

training and experience with catheter handling will give better<br />

results and it is possible that patency could be improved if the<br />

system was accessed and rinsed in a higher frequency. Testing<br />

this hypothesis was not a the goal of this study.<br />

The buttons can accommodate 1-3 catheters which gives to<br />

opportunity to infuse and sample trough the same unit without<br />

cross-contamination. It might be possible to use the VAB when<br />

cannulating other vessels, like portal vein or bile duct, but this<br />

has not been tested yet.<br />

<strong>Minipigs</strong> with pre-implanted VAB, VAP or Seldinger catheters<br />

are available from <strong>Ellegaard</strong> <strong>Göttingen</strong> <strong>Minipigs</strong> or you can learn<br />

to implant them by joining one of our courses in Denmark.<br />

Minipig in pen after surgery<br />

For further information please contact Adrian Zeltner:<br />

az@minipigs.dk<br />

17


Fifty Years with <strong>Göttingen</strong> <strong>Minipigs</strong>:<br />

Let’s Celebrate!<br />

During the 1960’s, the Georg-August-University in <strong>Göttingen</strong>,<br />

Germany, worked on the creation of a small pig model and in<br />

1969, they managed to establish the first barrier-bred population<br />

of <strong>Göttingen</strong> <strong>Minipigs</strong> at the University’s experimental farm<br />

in Relliehausen, Germany.<br />

In 1992, <strong>Ellegaard</strong> <strong>Göttingen</strong> <strong>Minipigs</strong> entered into a licensing<br />

agreement with the University, giving the exclusive world-wide<br />

right to breed and sell <strong>Göttingen</strong> <strong>Minipigs</strong> to <strong>Ellegaard</strong> <strong>Göttingen</strong><br />

<strong>Minipigs</strong>, and the first colony of barrier-bred, microbiologically<br />

and genetically defined <strong>Göttingen</strong> <strong>Minipigs</strong> was established<br />

through Caesarean section at <strong>Ellegaard</strong> <strong>Göttingen</strong> <strong>Minipigs</strong> in<br />

Denmark. Since then, <strong>Ellegaard</strong> <strong>Göttingen</strong> <strong>Minipigs</strong> has extended<br />

its operations and sublicensed the breeding of <strong>Göttingen</strong> <strong>Minipigs</strong><br />

to Marshall BioResources, the US, and OYC, Japan.<br />

During the coming year we will host several scientific events<br />

as a roadshow around the world to celebrate Fifty Years with<br />

<strong>Göttingen</strong> <strong>Minipigs</strong>.<br />

The roadshow events will take place at several locations in<br />

Europe, as well as a number of locations in the US and Asia,<br />

respectively, together with our global partners. The events<br />

will feature speakers and topics for discussion of interest<br />

to researchers and users of <strong>Göttingen</strong> <strong>Minipigs</strong>, including an<br />

outlook on future needs and the further development of<br />

<strong>Göttingen</strong> <strong>Minipigs</strong>.<br />

Roadshow events being planned<br />

The roadshow events are currently in the planning phase, and<br />

invitations with venue, dates and final program will be published<br />

at our website and LinkedIn during 2019.<br />

We look forward to welcoming you to join us celebrating the<br />

first Fifty Years with <strong>Göttingen</strong> <strong>Minipigs</strong>!<br />

THE BIRTH OF THE FIRST COLONY OF GÖTTINGEN MINIPIGS:<br />

P. Glodek und B. Oldigs, 1981, Das Göttinger Miniaturschwein, p. 12:<br />

1.3. Züchterische Entwicklung nach der Schnittentbindung in Relliehausen<br />

1.3.1. Gewichtsentwicklung<br />

Der Erfolg der Selektion auf geringeres Wachstum und adultes Körpergewicht ist in<br />

starkem Maße vom Gesundheitszustand in den Zuchtpopulationen abhängig, da genetische<br />

Fortschritte nicht mit umweltbedingten Kümmerern erzielt werden können. Die unzureichenden<br />

Stallverhältnisse in der Friedländer Anlage führten mit sinkendem Gewicht der Tiere zu<br />

erhöhten Kümmererfrequenzen, so daß beschlossen wurde, das gesamte Zuchtprogramm<br />

über Hysterektomie und künstliche Aufzucht der schnittentbundenen Ferkel in eine neue<br />

geschlossene SPF-Anlage auf dem Versuchsgut Relliehausen zu überführen, die 1969 mit<br />

Unterstützung der Stiftung Volkswagenwerk errichtet werden konnte.<br />

Follow us on ! www.linkedin.com/company/2864308/<br />

Join <strong>Ellegaard</strong> <strong>Göttingen</strong> <strong>Minipigs</strong> at LinkedIn to stay updated on our scientific events and other exciting initiatives to celebrate<br />

Fifty Years with <strong>Göttingen</strong> <strong>Minipigs</strong><br />

18


<strong>Ellegaard</strong> <strong>Göttingen</strong> <strong>Minipigs</strong> Going Global<br />

<strong>Göttingen</strong> <strong>Minipigs</strong> are now available in all major R&D markets, including China and India!<br />

At <strong>Ellegaard</strong> <strong>Göttingen</strong> <strong>Minipigs</strong>, we are truly pleased to be able<br />

now also to supply local pharmaceutical companies, contract<br />

research organizations and research institutions in both China<br />

and India with <strong>Göttingen</strong> <strong>Minipigs</strong> for their biomedical research<br />

and studies. Thus, we can comply with the great interest and<br />

demand for our high-quality minipig model which comes<br />

well-characterized and with lots of background data as well as<br />

has a very well-defined health and genetic background.<br />

Please contact us via ellegaard@minipigs.dk if you are interested<br />

in learning more about our supply of <strong>Göttingen</strong> <strong>Minipigs</strong> to<br />

China and India. Our expert colleagues are also always ready to<br />

support you scientifically and/or technically.<br />

Head of Business Development, Peter Vestbjerg and CEO, Lars<br />

Friis Mikkelsen attended the Society of Toxicology Pathology-India<br />

(SPS-I) conference in Hyderabad, India, in October 2018 to<br />

present and talk about <strong>Göttingen</strong> <strong>Minipigs</strong> to the Indian research<br />

community.<br />

Lars Friis Mikkelsen, CEO at the MoU signing ceremony at the Royal Danish<br />

Embassy in Beijing, China with Li Genping, Beijing Administration Office of<br />

Laboratory Animal (BAOLA), attended by the Danish Minister for Environment<br />

and Food, Jakob Ellemann-Jensen, and the Ambassador of Denmark to China,<br />

A. Carsten Damsgaard. Photo: Royal Danish Embassy Beijing, September 2018<br />

The participants of STP-I conference 26-28 October 2018, Hyderabad, India. Photo: Glenmark Pharmaceuticals Limited, November 2018<br />

Do you spot Peter and Lars in the picture...?<br />

<strong>Ellegaard</strong> <strong>Göttingen</strong> <strong>Minipigs</strong> Enters into<br />

a License and Commercialization Agreement for <strong>Göttingen</strong> <strong>Minipigs</strong><br />

Research Models in Partnership with Exemplar Genetics<br />

Late November 2018, <strong>Ellegaard</strong> <strong>Göttingen</strong> <strong>Minipigs</strong> A/S announced the signing of a license and commercialization agreement<br />

with Exemplar Genetics to develop and commercialize genetically modified <strong>Göttingen</strong> <strong>Minipigs</strong> models of human disease on<br />

a target-by-target basis.<br />

“Adding <strong>Göttingen</strong> Minipig genetics to our offerings will allow us to better serve our customer needs,” said John R. Swart,<br />

President of Exemplar Genetics. “We are very excited to partner with <strong>Ellegaard</strong> <strong>Göttingen</strong> <strong>Minipigs</strong> in providing models to the<br />

research community that we believe will translate well to the clinic.”<br />

Lars Friis Mikkelsen, CEO, added: “At <strong>Ellegaard</strong> <strong>Göttingen</strong> <strong>Minipigs</strong>, we are looking forward to working with Exemplar in providing<br />

genetically modified animal models based on our high-quality and well-defined <strong>Göttingen</strong> <strong>Minipigs</strong>. We, too, are very<br />

excited to launch this new partnership supporting the development and commercializing of transgenic <strong>Göttingen</strong> <strong>Minipigs</strong>.”<br />

Read the full press release here:<br />

https://minipigs.dk/fileadmin/filer/Info/EGM_-_Exemplar_licence_agreement_-_EGM_press_release_26.11.2018.pdf<br />

19


CREATING A STIMULATING AND COOPERATIVE ENVIRONMENT<br />

FOR GÖTTINGEN MINIPIGS<br />

Kirsten Rosenmay Jacobsen & Lars Friis Mikkelsen, <strong>Ellegaard</strong> <strong>Göttingen</strong> <strong>Minipigs</strong> A/S, Denmark<br />

INTRODUCTION<br />

When developing behavioral management and husbandry procedures for laboratory minipigs, it is important to recognize that minipigs are highly intelligent<br />

animals with a unique perspective about their environment. This intelligence might cause a challenge to the provision of a stimulating and appropriate environment.<br />

The poster gives examples on how to stimulate natural behaviors providing species specific and appropriate environmental enrichment. Daily socialization<br />

and positive human interaction is furthermore an important part of creating a stimulating and cooperative environment for minipigs.<br />

The recommendations described in the poster are based on years of in-house observation and experience from breeding, housing, and socializing several<br />

thousand <strong>Göttingen</strong> <strong>Minipigs</strong> in a barrier breeding environment.<br />

NATURAL BEHAVIOR<br />

ENVIRONMENTAL ENRICHMENT<br />

SOCIAL INTERACTION<br />

<strong>Göttingen</strong> <strong>Minipigs</strong> (GM) are curious and friendly animals. As conventional<br />

swine, GM possess a great explorative and investigative<br />

motivation, and they will spend much of their awake time rooting<br />

and exploring the surroundings. The active behavior is highly related<br />

to feeding and the time afterwards.<br />

Floor feeding facilitates the natural rotting process. Furthermore,<br />

floor feeding allows easy access to the diet and ability to feed at<br />

the same time.<br />

Natural products such as straw prompt and stimulate natural behaviors<br />

such as rooting, manipulation and exploration, and can be<br />

used in a variety of ways to maintain novelty and remaining interest.<br />

The use of straw hacks increase the time engaged in these behaviors.<br />

Furthermore long fibered hay placed in racks increases<br />

nesting behavior the day before farrowing for pregnant sows.<br />

GM are socialized from birth and intensively after weaning. However<br />

GM can be socialized at any time in life, with a combination<br />

of treats and positive experiences with humans.<br />

GM should be housed in social groups due to a strong social disposition.<br />

The hierarchy within the group is typically stable and agonistic<br />

behavior is mainly related to changes in group composition.<br />

The success of mixing new animals can be enhanced by appropriate<br />

enrichment, a neutral area, reducing the olfactory stimulation<br />

by alternative smells, the use of nanny-sows for young females<br />

etc.<br />

Homemade devices such as ice cubes with or without flavor are a<br />

good supplement to engage minipigs in short term active behaviors.<br />

The cubes must be adapted to the size of the animals e.g<br />

small ice cubes for weaning animals, and large for adult animals.<br />

Many types of commercial enrichment devices can be used to<br />

stimulate GM. Items that stimulate multiple behaviors are more<br />

likely to engage the minipigs for a longer time. E.g. toys that dispense<br />

food items. Currently we are testing Porcichew enrichment<br />

device (ERFS, UK) that besides manipulation and biting also stimulates<br />

olfaction, as it comes with various smells. To add a little extra<br />

comfort especially during shedding, we are currently also testing<br />

the Scratch-n-All pads (Scratchnall, USA).<br />

Furthermore, GM can easily be trained to engage in study or husbandry<br />

related procedures. They respond very well to the Positive<br />

Reinforcement training technique, and most food items can be<br />

used as rewards. However, new flavours might need a little habituation<br />

time. In general, GM have a strong preference of sucrose<br />

and they reject bitter things. Various aromas can be used to camouflage<br />

an unwanted taste e.g. a special diet or medicine for voluntary<br />

ingestion.<br />

GM will naturally divide their pen into three zones: a sleeping area,<br />

a eating/active area and a elimination area. Any of these areas<br />

need be modified to match the individual needs e.g. piglets and<br />

newly weaned pigs need additional heat and shelter in the sleeping<br />

area to avoid hypothermia and to give them a feeling of protection<br />

and cover. Sexually mature animals that are very active<br />

during heat benefit from pen dividers to give small hiding areas,<br />

and farrowing sows need a calm environment to reduce farrowing<br />

related complications.<br />

Dedicated play pens can be implemented to minipigs of any age to<br />

stimulate play and active behavior. Furthermore, these pens can<br />

be used during mixing of animals to reduce the amount of<br />

fighting.<br />

Locomotion and exploration can be stimulated simply be letting<br />

the pigs out of the pens. Everything will potentially be manipulated<br />

! A water hose, empty buckets, old rubber boots etc. will be<br />

used for play.<br />

The positive relationship with humans must be maintained by continuous<br />

positive interaction with humans. The minipigs are not as<br />

forgiving as dogs. The relationship starts at the arrival of the minipigs.<br />

During the acclimation period, the minipigs can be further<br />

socialized and adapted to the new environment—both from a microbiological<br />

and behavioral perspective. Habituation to new routines<br />

and potential training of procedures can start a few days<br />

after. Proper socialization, habituation and training results in calm<br />

animals and reduces stress—both for the animals and for the staff<br />

working with then. Both aspects are important in order to ensure<br />

optimal welfare of the animals and to gain valid study results<br />

when using GM in experimental research.<br />

For more information, contact Kirsten Rosenmay Jacobsen at krj@minipigs.dk<br />

20


19<br />

Invitation to join<br />

THE 13TH MINIPIG RESEARCH FORUM<br />

22-24 MAY 2019 IN VIENNA, AUSTRIA<br />

MAIN SCIENTIFIC TOPICS:<br />

• Toxicology<br />

• Animal training & welfare<br />

• Better understanding of the <strong>Göttingen</strong> Minipig<br />

• Transgenic models<br />

• Immune system<br />

WORKSHOPS:<br />

• Species selection in regulatory toxicology<br />

• Designing regulatory toxicology studies<br />

• Identifying disease model gaps<br />

The program also features poster presentations and time for networking with minipig users from all around<br />

the world. We accept posters now with technical (e.g. tips & tricks) and/or scientific (including data)<br />

content. View the poster guidelines at www.minipigresearchforum.org and send your poster as pdf to<br />

contact@minipigresearchforum.org.<br />

ONLINE CONFERENCE REGISTRATION OPENS MID-DECEMBER 2018: FEE € 350<br />

Including: 5 scientific sessions, 1 workshop of choice, get-together evening (Wednesday), social event with<br />

dinner (Thursday), lunches, coffee breaks and conference material.<br />

The full program with speakers will be ready during February/March 2019.<br />

START YOUR PLANNING NOW<br />

Duration: 22 May 2019 at 14:00 hrs. CEST to<br />

24 May 2019 at 13:00 hrs. CEST<br />

Venue: Novotel Wien Hauptbahnhof<br />

(15 min. from Vienna Airport by direct train)<br />

Accommodation is also available at Ibis Wien<br />

Hauptbahnhof (situated next to the venue hotel).<br />

Visit www.minipigresearchforum.org<br />

to get the booking form for rooms<br />

at special conference rates at Novotel/Ibis.<br />

Feedback from participants 2018:<br />

“<br />

My first MRF:<br />

Impressed<br />

how friendly<br />

and inclusive<br />

all members were<br />

”<br />

“<br />

Appreciated<br />

the diversity<br />

of topics and<br />

numerous opportunities<br />

to network<br />

”<br />

The MRF is a non-profit organization with more than 500 members worldwide<br />

working with minipigs in industry, academia and regulatory bodies.<br />

Participation in the annual MRF conference requires membership (free of charge).<br />

Read more and apply for membership at www.minipigresearchforum.org<br />

21


New scientific publications<br />

on <strong>Göttingen</strong> <strong>Minipigs</strong><br />

<strong>Ellegaard</strong> <strong>Göttingen</strong> <strong>Minipigs</strong> gives high priority to collaborative projects that aim to better characterize<br />

and validate <strong>Göttingen</strong> <strong>Minipigs</strong> as a translational animal model and which facilitate and refine the use of<br />

<strong>Göttingen</strong> <strong>Minipigs</strong> in research projects and safety testing. Please contact us if you have an idea for such<br />

a collaborative project. Below is a list of a few recent articles on <strong>Göttingen</strong> <strong>Minipigs</strong>.<br />

• Gauthier BE, Penard L, Bordier NF, Briffaux JJ, Ruty BM. Specificities of the Skin Morphology in<br />

Juvenile <strong>Minipigs</strong>. Toxicol Pathol. 2018 Oct 22. [Epub ahead of print]<br />

https://www.ncbi.nlm.nih.gov/pubmed/30348062<br />

• Carbonero F, Mayta-Apaza AC, Yu JZ, et al. A comparative analysis of gut microbiota disturbances in<br />

the Gottingen minipig and rhesus macaque models of acute radiation syndrome following bioequivalent<br />

radiation exposures. Radiat Environ Biophys. 2018 Nov;57(4):419-426.<br />

https://www.ncbi.nlm.nih.gov/pubmed/30343431<br />

• Christoffersen B, Straarup EM, Lykkegaard K, et al. FGF21 decreases food intake and body weight in<br />

obese <strong>Göttingen</strong> minipigs. Diabetes Obes Metab. 2018 Oct 17. [Epub ahead of print]<br />

https://www.ncbi.nlm.nih.gov/pubmed/30328263<br />

• Inomata K, Tajima K, Yagi H, et al. A Pre-Clinical Large Animal Model of Sustained Liver Injury and<br />

Regeneration Stimulus. Sci Rep. 2018 Oct 9;8(1):14987.<br />

https://www.ncbi.nlm.nih.gov/pubmed/30301901<br />

• Fiebig U, Fischer K, Bähr A, et al. Porcine endogenous retroviruses: Quantification of the copy number<br />

in cell lines, pig breeds, and organs. Xenotransplantation. 2018 Jul;25(4):e12445.<br />

https://www.ncbi.nlm.nih.gov/pubmed/30264881<br />

• Andreasen LJ, Krog S, Ludvigsen TP, et al. Dietary normalization from a fat, fructose and cholesterol-rich<br />

diet to chow limits the amount of myocardial collagen in a <strong>Göttingen</strong> Minipig model of obesity.<br />

Nutr Metab (Lond). 2018 Sep 25;15:64.<br />

https://www.ncbi.nlm.nih.gov/pubmed/30263039<br />

• Ronnander P, Simon L, Spilgies H, Koch A. Modelling the in-vitro dissolution and release of sumatriptan<br />

succinate from polyvinylpyrrolidone-based microneedles. Eur J Pharm Sci. 2018 Dec 1;125:54-63.<br />

https://www.ncbi.nlm.nih.gov/pubmed/30223035<br />

• Lingner M, Seidling R, Lehmann LJ, et al. Osseointegrative effect of rhBMP-2 covalently bound on<br />

a titan-plasma-spray-surface after modification with chromosulfuric acid in a large animal bone<br />

gap-healing model with the <strong>Göttingen</strong> minipig. J Orthop Surg Res. 2018 Aug 30;13(1):219.<br />

https://www.ncbi.nlm.nih.gov/pubmed/30165865<br />

• Mahan B, Moynier F, Jørgensen AL, et al. Examining the homeostatic distribution of metals and Zn<br />

isotopes in <strong>Göttingen</strong> minipigs. Metallomics. 2018 Sep 19;10(9):1264-1281.<br />

https://www.ncbi.nlm.nih.gov/pubmed/30128473<br />

22


• Bech J, Glud AN, Sangill R, et al. The porcine corticospinal decussation: A combined neuronal<br />

tracing and tractography study. Brain Res Bull. 2018 Sep;142:2<strong>53</strong>-262.<br />

https://www.ncbi.nlm.nih.gov/pubmed/30086351<br />

• Measey TJ, Pouliot M, Wierzbicki W, et al. Expanded Characterization of a Hemi-Body Shielded <strong>Göttingen</strong><br />

Minipig Model of Radiation-induced Gastrointestinal Injury Incorporating Oral Dosing Procedures.<br />

Health Phys. 2018 Jan;114(1):32-42.<br />

https://www.ncbi.nlm.nih.gov/pubmed/30085968<br />

• Meier K, Qerama E, Ettrup KS, et al. Segmental innervation of the <strong>Göttingen</strong> minipig hind body. An<br />

electrophysiological study. J Anat. 2018 Oct;233(4):411-420.<br />

https://www.ncbi.nlm.nih.gov/pubmed/30040118<br />

• Lillethorup TP, Glud AN, Landeck N, et al. In vivo quantification of glial activation in minipigs overexpressing<br />

human α-synuclein. Synapse. 2018 Dec;72(12):e22060.<br />

https://www.ncbi.nlm.nih.gov/pubmed/30009467<br />

• Kenchegowda D, Legesse B, Hritzo B, et al. Selective Insulin-like Growth Factor Resistance Associated<br />

with Heart Hemorrhages and Poor Prognosis in a Novel Preclinical Model of the Hematopoietic Acute<br />

Radiation Syndrome. Radiat Res. 2018 Aug;190(2):164-175.<br />

https://www.ncbi.nlm.nih.gov/pubmed/29809108<br />

• Figueiredo C, Carvalho-Oliveira M, Chen-Wacker C, et al. Immunoengineering of the vascular endothelium<br />

to silence MHC expression during normothermic ex vivo lung perfusion. Hum Gene Ther. 2018<br />

Sep 27. [Epub ahead of print]<br />

https://www.ncbi.nlm.nih.gov/pubmed/30261752<br />

23


52 AUTUMN 2018<br />

NEWSLETTER<br />

••<br />

••<br />

••<br />

••<br />

••<br />

••<br />

••<br />

••<br />

••<br />

••<br />

Towards 3Rs: Multiplex protein profiling<br />

from minipig, cyno, dog and rat samples,<br />

to get the most out of preclinical safety<br />

studies page 3<br />

Experience with mixed groups of intact<br />

female and castrated male <strong>Göttingen</strong> <strong>Minipigs</strong><br />

See<br />

where you<br />

can meet us<br />

in 2018<br />

page 28<br />

Minipig<br />

Research<br />

Forum 2018<br />

page 20<br />

for pharmacokinetic studies in drug discovery research<br />

– summary of behavioral observations and collected<br />

back-ground data page 6<br />

Anti-cancer drug development: Comparison of toxicity<br />

in <strong>Göttingen</strong> <strong>Minipigs</strong> and mouse page 10<br />

Body surface area measurement in <strong>Göttingen</strong> <strong>Minipigs</strong><br />

using a computed tomography scanner page 14<br />

The <strong>Göttingen</strong> Minipig for the study of buccal and sublingual<br />

products page 17<br />

Update from Oriental Yeast Co., Ltd., Japan page 24<br />

Update from WOOJUNGBIO, Korea page 25<br />

Update from Marshall BioResources North America page 26<br />

New scientific publications on the <strong>Göttingen</strong> Minipig page 27<br />

Join the CONFIRM Initiative page 28<br />

Clean pigs<br />

for clear results<br />

The next <strong>Newsletter</strong> delivered<br />

directly to your inbox<br />

Our <strong>Newsletter</strong> is published three times a year. We welcome new and former subscribers<br />

that we might have lost contact with during the GDPR process, and<br />

ask you to sign up at https://minipigs.dk/contact-us/sign-up-for-our-newsletter/.<br />

If you have suggestions for topics and/or authors, for a coming issue of the <strong>Newsletter</strong>,<br />

please email the editor: Søs Pihl-Poulsen at spp@minipigs.dk.<br />

Meeting Calendar 2019<br />

Name Date Location<br />

SOT Annual Meeting & ToxExpo 10-14 March Baltimore, MA, USA<br />

Janssen Juvenile Toxicity Symposium 25-26 April Beerse, Belgium<br />

Minipig Research Forum 22-24 May Vienna, Austria<br />

FELASA 10-13 June Prague, Czech Republic<br />

TALAS 24-28 June Bangkok, Thailand<br />

EUROTOX 8-11 September Helsinki, Finland<br />

SPS 22-25 September Barcelona, Spain<br />

AFSTAL 2-4 October La Rochelle, France<br />

ACT 17-20 November Phoenix, AZ, USA<br />

CALAS TBA TBA, China<br />

Follow us on ! www.linkedin.com/company/2864308/<br />

Join <strong>Ellegaard</strong> <strong>Göttingen</strong> <strong>Minipigs</strong> at LinkedIn to stay updated on our scientific events and other exciting initiatives to celebrate<br />

Fifty Years with <strong>Göttingen</strong> <strong>Minipigs</strong><br />

Europe and Asia<br />

<strong>Ellegaard</strong> <strong>Göttingen</strong> <strong>Minipigs</strong> A/S<br />

Sorø Landevej 302,<br />

DK-4261 Dalmose,<br />

Denmark<br />

Tel.: +45 5818 5818<br />

ellegaard@minipigs.dk<br />

North America<br />

Marshall BioResources<br />

North Rose, NY 14516, USA<br />

Tel.: +1 315 587 2295<br />

Fax: +1 315 587 2109<br />

infous@marshallbio.com<br />

Japan & Taiwan<br />

Oriental Yeast Co. Ltd.<br />

3-6-10, Azusawa, Itabashi-ku<br />

Tokyo, 174-8505, Japan<br />

Tel.: +81 3 3968 1192<br />

Fax: +81 3 3968 4863<br />

fbi@oyc.co.jp<br />

Korea<br />

WOOJUNGBIO<br />

B-3F, 145 Gwanggyo-ro,<br />

Yeongtong-gu, Suwon, Korea<br />

Tel.: +82 31 888 9369<br />

Fax: +82 31 888 9368<br />

wj@woojungbsc.co.kr<br />

www.minipigs.dk<br />

JANNERUP GRAFISK

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