There are major gaps in the understanding of vestibular development, damage, and dysfunction, as well as a few clinical trials addressing vestibular problems16. While several groups have extracted vestibular organs as a whole-mount structure for immunostaining10,11,12,13,14. These methods only preserved the sensory epithelia. Here, we present a new dissection method using juvenile or adult mice that includes the vestibular ganglion attached to the five vestibular organs. Bernd Fritzsch and colleagues have used a similar method with embryonic or neonatal samples5. The method presented here will be a useful tool for increasing knowledge of vestibular innervation and the vestibular ganglion.
Having the vestibular ganglion intact is an improvement over sectioning methods, where the sample size for quantification of neuron numbers is limited7,8,9. This whole-mount method allows the quantification of most vestibular neurons or sampling in a three-dimensional cube, separating the superior and inferior regions. However, we have not compared the number of vestibular neurons present in this whole-mount vestibular complex with previous quantifications done using other methods. It is also likely that there is variability in the amount of ganglion preserved between operators, and improvement can be achieved with practice. In addition, this method allows visualization of the neuronal connections between the vestibular ganglion and the vestibular organs, providing an opportunity to study innervation during development, aging, or after damage. In the future, a glial marker could be used for immunostaining, enabling visualization and quantification of Schwann cells along the vestibular dendrites and satellite cells in the ganglion.
Despite its potential to deepen our understanding of the vestibular system, this method is difficult and involves several steps where problems can arise. First, when decalcifying the tissue, the level of decalcification is very important. The tissue must be sufficiently decalcified for the scissors to cut through the bone easily. If the dissection is started and cutting the superior part of the anterior semicircular canal seems difficult, further decalcification is needed. In contrast, there is also the potential to over-decalcify the tissue, and decalcified tissue has a limited storage life. Either of these factors can make the tissue very fragile, causing it to disintegrate during dissection. These errors can be prevented by regularly checking the sample during decalcification. Based on this laboratory's experience, decalcifying no more than 6 months prior to dissection will prevent the tissue from disintegrating during dissection.
The second difficulty is holding the tissue during dissection. Once the cochlea has been removed (step 4.4.2), the tissue cannot really be “held” with the forceps. Instead, the forceps are closed and used to pin the tissue by pressing it into the silicone dish to prevent it from floating away. As the vestibular ganglion rests on the surface of the temporal bone, it allows this structure to be visible during all parts of the dissection. If stress or pulling of the tissue is noticed, readjustments can be made before damage occurs or worsens. Also, after the dissection is complete, the tissue can only be handled using the portion of the membranous labyrinth connected to one of the three cristae. Grabbing any other portion will cause damage to the corresponding organ.
Another issue that may arise during mounting is tissue folding. The whole-mount vestibular complex has many structures with different orientations and the propensity to twist or fold. To help prevent this, do not just drop the coverslip onto the tissue; instead, place one side of the coverslip on the slide and slowly angle it down. When placing the coverslip, orient the tissue so that the three cristae are pointing in the opposite direction from the side of the coverslip that will be lowered. This will cause the mounting media to push the organs away from the ganglion.
Lastly, confocal imaging of the vestibular complex can also be challenging due to tissue thickness and reduced light penetration in deeper slices. If the neuronal cell bodies appear too faint in deeper slices, the channel laser settings can be increased during imaging. It is helpful to note the slice(s) where the image darkens, and then make the appropriate channel adjustment(s) before starting the z-stack. Another potential alternative would be thin-sheet laser imaging microscopy (TSLIM), which has better resolution17.
While the dissection method presented here is challenging, most can learn with practice. The preservation of most of the vestibular ganglion, as well as the dendritic projections to vestibular organs, offers new opportunities to advance research questions in the field. This method could be used to address questions about neuronal differentiation during development, changes in neurons or neuronal projections during aging, and alterations to vestibular neurons or innervation patterns after noise trauma or traumatic brain injury7.