All procedures involving animal models have been reviewed by the local institutional animal care committee and the JoVE veterinary review board.
1. Hypoxic Preconditioning of Human NSCs (Figure 1A)
- Plate cultured NSCs in T75 culture flasks until 90% confluency is reached.
- Place cell culture flasks inside a humidified CO2 chamber/incubator with maintained 1% O2 levels for 24 h, via N2 gas supply controlled by an automated built-in flow meter. These cells are referred to as HNSCs. Control NNSCs are generated as:
- Maintain human NSCs (clone HB1.F3.CD) in DMEM medium with 10% FBS and 1% penicillin-streptomycin in a humidified 37 °C incubator under 95% room air and 5% CO2.
2. Loading of Human NSCs with Oncolytic Virus (Figure 1B-1H)
- Infect NNSCs, HNSCs with 50 conditional replicative adenovirus (CRAd)-S-pk7 viral particles/cell.
- After 2 h of incubation at room temperature with periodic tapping, wash cells three times with media to remove unbound viral particles and suspend cells in sterile saline for injection.
CAUTION: Carry out all virus-related in vitro cell culture procedures in facilities with the appropriate biosafety level designation, such as BSL2. Appropriate personal protective equipment must be worn by researchers handling the oncolytic virus per institutional animal facility guidelines.
3. Intranasal Delivery of Therapeutic NSCs (Figures 1D and Figure 2D)
- Culture and collect NSCs (NNSCs, HNSCs).
- Anesthetize mice via i.p. injection of a ketamine and xylazine mixture according to the procedure:
- Anesthetize the animal based on body weight using the approved reagents, i.e., either via an intraperitoneal (i.p.) injection of a mixture of ketamine (50–100 mg/kg; consult institutional IACUC for approved dose range) and xylazine (5–10 mg/kg; consult institutional IACUC for approved dose range) in 200–250 µL sterile saline, or via 4–5% isoflurane anesthesia using an inhalational device.
- Place mice on a clean drape facing up with a heating pad underneath to maintain body temperature. Adjust a padded pillow made of rolled up paper towels with tapes to ensure the upright angle of the nostrils when placed under the head of the mouse.
- Using a micropipette, dispense 2 µL of NSC suspension to each nostril of the mouse. Visually confirm the aspiration of the droplet before moving to the next mouse. The total number of cells delivered can be determined by the user; use 62,500–125,000 cells/µL, such that 0.5–1 million cells can be delivered in 4 x 2 µL doses.
- Use a timer to ensure 5 min intervals between each cell suspension administration, up to 4 times.
- Allow animals to regain mobility in a recovery chamber, with the supine position maintained throughout.