Section 1. Rationale (summary on page)
- 6‑OHDA is a toxin incorporated into DAergic cells by DAT and NET; cannot cross BBB so must be injected into the brain.
- MFB injection used to avoid several injections (e.g., in striatum) or missing targets (more probable with SN).
- Critical pre- and post-surgical care designed to avoid loss of animals.
Section 2. Protocol (procedural steps present on these pages)
- Handle the animals weeks before the procedure to habituate them to your contact.
- Make sure the animals are also habituated to new diets before the surgery.
- If behaviors are necessary for the study, make sure to have finished training them at least a week before the surgery.
- Ensure animals have a minimum weight of 22 g.
- Monitor animal weight at least 2 weeks before and feed with caloric diets (Dietgel, diluted condensed milk with ddH2O 1:1, etc.).
2.2 Intracranial injections
- For a 3.6 µg/µl of free base–6‑OHDA, prepare 4.4 µg/µl of 6–OHDA‑HCl.
- Dilute the 6–OHDA‑HCl in sterile (by filtration) saline with 0.02% ascorbic acid.
- Protect from light and keep cold. Prepare fresh and do not use more than 4 hours after preparation (preferably 2 hours).
2.2.2 Pre-operational analgesia
- 30 minutes before cranial drilling, inject subcutaneously (SC) Carprofen (Rimadyl) and Buprenorphine (Vetergesic) at doses of 5 and 0.05 mg/kg, respectively.
- To prepare analgesics: dilute Rymadil (Rimadyl) 50 mg/ml to 5 mg/ml (1:10 dilution with saline or Benelyte) and Vetergesic 0.3 mg/ml to 0.1 mg/ml (1:3 dilution with saline or Benelyte).
- Using these diluted analgesics, the dose can be calculated as 1 µl of Rymadil 5 mg/ml and 0.5 µl of Vetergesic 0.1 mg/ml per gram of mouse weight.
- Inject SC using 30G 0.3 ml insulin syringes (BD Micro‑fine).
2.2.3 Stereotaxic frame and surgical field preparation
- Ensure the robotic Neurostar frame is connected (Drill, Injector, AP, DV, ML, Heating Pad, Autostop) and the robot box is on.
- Initiate Stereodrive software and check movement of the frame (If it doesn't move at one of the axis, check cable connection).
- Check frame coordinates calibration, injectomate calibration and drill functioning.
- Turn on the heating pad at 38°C.
- Once calibrated and working properly, sterilize the surgical field with isopropyl alcohol (or similar).
2.2.4 Injector preparation
- Pull a glass capillary to a length of 1–1.5 cm and an outer diameter of 150–300 µm (you can insert the tip inside a 25G needle).
- Mount the glass capillary tip in the Hamilton capillary adaptors for the 5–10 µl Hamilton needle (#701RN) and prime the injector by filling sterile water/saline/oil (preferably sterile saline, oil stains too much although it is very effective at avoiding air bubbles) using a 27G and injecting on the plunger hole.
- Fill until some drops fall from the tip, then close with the plunger.
- Mount on the frame and position both the drill and glass tip at approximately the same level. Clean with chlorhexidine and sterile saline.
- Isoflurane (Attane) is used as anesthetic gas.
- For induction, use 4% Isoflurane concentration at a flow of 400 ml/min directed to the clear plexiglass box.
- Recommendation: While the animal is anesthetized, shave the head for surgery (AWAY FROM SURGICAL FIELD) and finish induction.
- Once fully asleep, direct the flow to mouse mask and position the mouse in mask while securing the teeth bar. Immediately turn the flow down to 200 ml/min and 1.5% isoflurane concentration.
- Position the animal so the skull can be secured using either ear bars or blunt bars (If you use blunt bars with adjustable heads, make sure that the head does not collide with the drill DV).
- Check anesthesia plane periodically by absence of pedal reflex. Change isoflurane concentration if necessary.
- Also, check breathing rate. If the mouse is breathing erratically or over ventilating, change the air flow until breathing improves (usually 200 ml/min works, but in any case, never go over 250 ml/min or under 150 ml/min).
2.2.6 Peri-surgical preparation
- Once the animal is secured and under anesthesia, inject SC in the scalp with a 30G needle 20–50 µl (a drop) of Lidocain (Marcain) and wait approximately 5 minutes.
- Sterilize equipment (either with disinfectant or glass bead sterilizer):
• Scalpel handle (#3 for #15 blades)
- Disinfect scalp with chlorhexidine and moisten the eyes with artificial tear drops or eye gel.
- Open scalp with surgical blades. Make sure the incision is just big enough to access Bregma, Lambda and about 2 mm of one side.
- Swab with sterile cottons swabs H2O2 3% (in saline) until Bregma is identifiable and then clean with sterile saline.
- Coordinate drill and syringe using Bregma, and then correct for tilt and scaling with the syringe. (Do not fully believe that drill and syringe are fully synchronized, since the syringe is much narrower than the drill tip. Check if you have to correct the drill position by marking where the syringe should go and seeing if the drill would bore into the mark).
- Drill at the right medial forebrain bundle coordinates:
• MFB: 1.2 mm ML, -1.2 mm AP, 4.5 to 5.0 mm DV from Bregma.
2.2.8 6–OHDA ICR injection
- Aspirate 0.5–1 µl of air (enough to generate an air barrier between the priming solution and the 6–OHDA solution).
- Aspirate 2 µl of 6–OHDA solution and inject the capillary glass tip in the deep MFB coordinates at a rate of 0.2 mm/min.
• MFB: 1.2 mm ML, -1.2 mm AP, 5.0 mm DV from Bregma.
- Keep the tip inside for 5 minutes before injecting.
- Inject 1 µl of 6–OHDA at a rate of 0.2 µl/min and ascending 500 µm for 3 minutes (Turn ON DV movement: MOVE UP 0.5 mm, 3 minutes) and inject for a total of 5 minutes (2 minutes at 4.5 mm DV).
- Hopefully, the track generated by the upwards movement will help avoid the off-target diffusion of 6‑OHDA.
- Leave the tip 5 minutes after injection. Retreat the tip at a rate of 0.2 mm/min (You can click the upwards arrow on the left side of the software window instead of using the keyboard keys for a 5 mm continuous retreat).
2.2.9 Post-injection care
- After carefully securing the drill/tip (Move Home), moisturize scalp with sterile saline using cotton swabs and close the wound using the blunt forceps.
- When the skin is closed, suture so no grooves or pockets are formed.
- Close isoflurane flow (or change to box for next mouse going back to 2.2.2 and 2.2.4) and release from teeth bar clamp. (Make sure that the tongue has not dried onto the clamp; if so, moisturize with saline to avoid damaging the tongue).
- Inject IP 1 ml of sterile WARMED saline or Benelyte. Place in a warm cage for anesthesia recovery. Wait until mouse is able to move with all limbs to return to the home cage.
2.3.1 Temperature control
Mice will stay 2 weeks in a controlled temperature room at 27–28°C. After that, they can go back to general care.
For 72 hours after the day of injection, analgesics are injected SC as follows. Use dose as explained in 2.2.2:
• Rymadil 5 mg/kg + Vetergesic 0.1 mg/kg in the morning
• Vetergesic 0.1 mg/kg in the evening (4–6 hours after morning dose)
1 ml of warmed (not hot, you should be able to hold the solution and it feels warm without discomfort) sterile Benelyte or saline with glucose 10% IP.
Prepare Dietgel chunks on the flat lid of a small 35 mm ø petri dish, a paste of mice feed with Diluted condensed milk 1:1 on the deep side of the same petri dish and 2 caps of 50 ml falcon tubes filled with Diluted condensed milk 1:1.
2.3.5 Weight and health monitoring
For 2 weeks, check weight in the morning and general health (movement, pain signs, skin, etc.) twice a day. After that, check twice a week, with at least 3 days in-between.
If after critical care, the animals are not back to original weight or over 22 g, feed with special diet before transplantation.