1) Prepare the Enzyme Solution (on ice):
Final (working) concentration of Liberase is 2 units/mL
Final (working) concentration of Elastase is 2 units/mL
For 1mL of enzyme solution:
Liberase TM (26 units/mL) 77 uL
Elastase (125 units/mL) 16 uL
2) Place enzyme mixture on ice while aorta is being harvested
3) Terminal anesthesia and perfusion:
Anesthetize the mouse with isoflurane (3–4%, 0.8–1.0 L/min) until surgical depth is confirmed.
Perform a midline skin incision over the abdomen and thorax, open the abdominal cavity, puncture the diaphragm, and complete thoracotomy. Incise the right atrium to allow exsanguination. Insert a 25–27G needle into the left ventricle or ascending aorta and perfuse with ~10 mL sterile PBS until tissues blanch and effluent runs clear. Proceed immediately to vascular tissue collection.
4) Harvest aortic root and open longitudinally. Wash with PBS x3 in 12-well dish. Keep on ice while collecting from multiple mice.
5) Move root to 12-well dish with 1mL of enzyme mixture.
6) Incubate in 37C incubator for ~30-45 minutes (adjust time based on age and extent of calcification e.g. if ApoE-null with 16wk high fat diet, consider incubation for 45 minutes). At the end of the incubation, mince thoroughly with scissors while on ice for a few minutes (no more than 5min) until tissue is mostly dissolved.
7) Pipet up and down ~20-30 times to thoroughly disrupt tissue. Confirm full digestion under the microscope (single cells w/o clumps). If the tissue is not fully digested after pipetting incubate at 37C for an additional 10-15 minutes (Not recommended prolonged incubation as it may lead to increased cell lysis).
8) Transfer cell suspension into 1.5mL Eppendorf and centrifuge at 500xg for 5 minutes.
9) Carefully remove supernatant (confirm that the cell pellet is still present).
10) Resuspend the cells in 300uL HBSS (adjust volume as needed).
11) Immediately prior to FACS and/or staining, pass cells through a 35um strainer.
Note: Coating collection tubes in 10% BSA solution may improve cell survival.
12) Sort dual positive tdT+ (lineage-traced SMC-derived) and GFP+ (AAV transduced) cell population by FACS.