1. Preparation and growth of bacteria
- Conduct all work with P. aeruginosa and animals with BSL-2 precautions per the researcher's institutional biosafety committee and animal use committee guidelines. Do all steps described here involving P. aeruginosa, including mouse inoculation, in a biosafety cabinet.
- The luminescent PAO1:lux strain of P. aeruginosa is available from our lab upon request. Streak PAO1, stored as frozen glycerol stock, on Lysogeny Broth (LB) agar. For the luminescent PAO1:lux strain, LB agar should contain selective antibiotics (100 µg/mL carbenicillin and 12.5 µg/mL kanamycin). Grow at 37 °C overnight in a bacterial incubator.
- Pick an isolated colony and grow overnight at 37 °C in 3 ml LB medium, pH 7.4. For luminescent strains, the broth should contain 100 µg/mL carbenicillin. Grow under shaking, aerobic conditions.
2. Procedure preparation
- Have all personnel performing surgery wear a clean gown/Lab coat, face mask, hair net, and gloves.
- Autoclave all surgical tools, including scissors and forceps. Use aseptic technique to sterilize tools between animals.
- Clean the surgical table with ethanol and prepare a clean surgical field.
3. Hair removal
- Anesthetize 8–12 week old C57BL/6J mice using 1%–3% isoflurane. Investigators should follow their institution's veterinary staff guidelines for anesthesia when using isoflurane.
- Start anesthesia by delivering 1%–3% isoflurane and adjust oxygen flow rate to 1.5 L/min. Place the mouse in the induction chamber.
- Pinch the mouse's toe to assess the depth of anesthesia. When the mouse no longer responds to stimulation, remove it from the induction chamber and place it on the surgical bench with its nose in the isoflurane nose cone.
- Apply ocular lubricant to both eyes.
- Weigh the mouse to obtain a baseline pre-procedure weight.
- Place the mouse in a prone position. Inject the mouse subcutaneously with pre-warmed sterile 0.9% sodium chloride, 250 µL at each flank for a total of 500 µL.
- Shave the dorsal area of the mouse using an electric shaver. Shaving should occur at a different location than the surgical station to prevent hair contamination of the wound.
- Apply a thin layer of hair removal lotion. Let the lotion sit for 20–60 s. Remove the hair and excess lotion with gauze moistened in warm water. Following hair removal, proceed to the excisional wounding procedure.
4. Full-thickness excisional wound surgery
- Inject sustained-release buprenorphine 0.6–1 mg/kg subcutaneously using a 25 G needle at the mid-dorsal area of the mouse. Slow-release buprenorphine provides pain relief over 48–72 h.
- Disinfect the surgical site. Wipe the dorsal surface with a sterile betadine swab. Wipe excess Betadine with a sterile alcohol swab. This should be performed 3 times (alternating between betadine and alcohol), swabbing by moving from the center in a circular manner to the edge. Allow the area to air dry.
- Create a drape surrounding the surgical site using sterile gauze or plastic cling wrap.
- Stretch skin taut caudally. Use a sterile 6-mm diameter skin biopsy punch to make an initial incision through the left dorsal epidermis. Repeat on the right dorsal epidermis.
- Use forceps to tent the skin from the center of the left outlined wound area. Excise the epidermal and dermal layers using scissors. Repeat on the right outlined wound area to create symmetrical excisional wounds.
- Wash wounds with 50 µL of sterile saline. Allow the surgical site and surrounding skin to air dry. Then, cover the wounds and dorsum with a transparent film dressing.
- Place the mouse back in a clean cage. House 1 animal per cage.
- Place the cage on a heating pad and monitor until the mouse wakes up.
- When performing the above surgery on multiple animals, use a hot bead sterilizer to clean all surgical instruments between animals.
- Allow 24 h for the mice to recover from the surgical procedure and for the formation of a provisional wound matrix over the wounds prior to proceeding to inoculation with bacteria.
5. Inoculation with P. aeruginosa
- Dilute overnight PAO1:lux culture to OD600 = 0.05 in 75 mL of LB media containing 100 µg/mL carbenicillin and grow the bacteria until the culture is in the early exponential phase (OD600 ≈ 0.3). This should take approximately 2–3 h.
- Dilute PAO1: lux in PBS to a concentration of (7.5 ± 2.5) x 102 CFU/mL. Be sure to prepare excess inoculum to ensure sufficient volume and to allow for plating after the experiment. If transporting between facilities (i.e., from the lab to the vivarium), use double containment in a leak-proof box clearly marked Biohazard.
- Perform all work with P. aeruginosa and mice using approved personal protective equipment in an Animal Biosafety Level 2 (ABSL-2) approved biological safety cabinet (BSC). Reusable equipment, such as the weighing scale, should be covered with cling wrap to prevent contamination.
- Anesthetize using 3% isoflurane as described above. Weigh the mouse and record the weight. Inject the mouse subcutaneously with pre-warmed sterile 0.9% sodium chloride, 250 µL at each flank for a total of 500 µL.
- If the mouse's transparent film dressing has come off overnight, remove any resulting scab carefully and put on a new dressing.
- Use a 500 µL tuberculin 27 G safety cap syringe to inject 40 µL of the PAO1:lux suspension through the transparent film dressing into each wound. Different mice should be used for non-inoculated/PBS wound controls in order to prevent cross-contamination from the contralateral side.
- Place the mouse back in its cage on a heating pad and monitor until it wakes up. All mice should be housed individually in separate cages to prevent cross-contamination.
- Provide a high-calorie nutritional supplement paste sandwiched between food pellets on the floor of the cage.
- Use the remaining inoculum to streak an LB agar plate. Count colonies to confirm the number of bacteria administered.
6. In vivo imaging of infected wounds
- Follow BSL-2 containment protocols for transport of mice to and from the imaging instrument, including use of a secondary container. Be careful not to transfer or drop any animal bedding during the transfer of the mouse to the induction chamber or imaging instrument.
- Induce anesthesia of the mouse with inhaled 1% – 3% isoflurane in an induction chamber.
- Once the mouse is anesthetized, place it in a prone position in the imaging chamber of an optical imaging system with the nose in the isoflurane nose cone.
- Open the software program.
- The acquisition parameters will vary based on the number of animals imaged simultaneously and the intensity of bioluminescence. The basic parameters to set include exposure time, binning, f/stop, and field of view (FOV). Our default starting settings are exposure time 30 seconds, binning low (2), f/stop 1.2, and FOV 25. Adjust these settings as needed, depending on the researcher's needs.
- Analyze luminescence data using an imaging program. Luminescence will be represented as a pseudocolor image overlaid on a color photograph of the mice.
- Create a region of interest (ROI) at the wound site and measure the average flux (photons/second) detected. Note that data can also be reported as radiance (photons/second/cm²/steradian), but as long as the distance of the imaging platform from the camera remains constant between imaging, flux is sufficient.
- Measure the background by creating an ROI at a random area on the imaging platform. Subtract the background number of photons/second.
- Export the data to a spreadsheet for further analysis.
- Perform imaging as described above as often as daily to track infection progression.