Imaging single mitochondrial events in live animal or perfused organs has significant advantage over traditional methods for mitochondrial function evaluation17,19,21,22,24,25. The technique described here can achieve real-time in situ determination of mitochondrial function in a real physiological condition at the subcellular resolution. This is particularly useful, when combined with other measurements, to systemically study the role of mitochondria in the normal function of a particular organ or cell type in vivo. This is a complicated technique that combines confocal microscopy and sophisticated perfusion system with the control of various parameters. Nevertheless, this technique has been used to link whole body glucose metabolism with muscle mitochondrial function17,19,20 and are currently employed by us to study the mitochondrial dysfunction in heart disease.
The Langendorff heart perfusion system is compatible to cardiac function evaluation through monitoring the left ventricle pressure and imaging intracellular Ca2+ transients during each beat. Alternatively, other fluorescent indicators such as MitoSOX or DCF can be perfused to facilitate in situ imaging of steady-state ROS levels in the myocardium. Langendorff perfused heart has been widely used to evaluate the response of heart to physiological (e.g. β-adrenergic stimulation by dobutamine) or pathological (e.g. ischemia reperfusion) perturbations26-28. Such treatments can be incorporated into the confocal imaging system to assess single mitochondrial function in response to stresses.
Limitations of this method include the selection of tissues/organs that are feasible for live animal imaging. Superficial tissues such as skeletal muscles, subcutaneous structures and superficial nerves are ideal for confocal imaging in live animal. Internal organs are technically inappropriate for live animal imaging due to the extensive damage to the mouse while exposing the organ. However, internal organs can be set up for organ perfusion/culture, such as Langendorff perfused heart or brain slice culture, if a physiological mimetic environment can be maintained. In addition, confocal microscope has an effective imaging depth of 30-50 μm, which allows the imaging of a few layers of cells beneath the organ surface. It is possible that this system can be combined with a multi-photon microscope, which has a much higher penetration depth (e.g. up to 1 mm) and has been used to assess mitochondrial function in the intact heart29. Motion artifact is another critical issue that should be considered. The mitochondria in skeletal muscles and cardiac myocytes showed minimal movement during the scan. Further, heartbeat-induced motion artifact can be suppressed or eliminated by perfusion with blebbistatin and application of gentle pressure on the heart. In other cell types, such as neurons and fibroblasts, the mitochondria may undergo constant and dramatic movements. During imaging processing and analysis, any signal changes due to motion artifact should be carefully identified and excluded.
Additional challenges of this technique include maintaining the appropriate condition throughout the experiment, positive controls and data interpretation. For skeletal muscle imaging in anesthetized mice, the exposed muscle surface should be immersed in physiological buffers at all time. Vital signs of the mouse such as breathing should be monitored throughout the experiment. For perfused heart studies, appropriate oxygenation, temperature control and substrate supply are required. Positive controls are recommended to verify the condition and responsiveness of the tissues. To do so, mice can be injected with insulin or glucose and perfused hearts can be electrically stimulated or perfused with isoproterenol. Increased superoxide flashes should be observed after these treatments (Figure 4)19,20. In addition, the time-lapse images are taken when the motion artifact is suppressed through inhibiting heartbeat, which produces sub-physiological conditions due to decreased work load. Thus, the perfused heart experiment should be considered as a close mimetic of the in vivo situation.
Finally, the technique was developed using a Zeiss confocal (LSM 510). Other confocal system (e.g. Nikon, Olympus or Leica) can be used if the system meets the following requirements: (1) has time-lapse frame scan mode, (2) has a sampling rate of 1 sec/frame, and (3) can reach single mitochondrion resolution (e.g. 1 μm x 2 μm). The software of a confocal system usually allows simple image processing and analysis, such as defining the ROIs and fluorescence intensity output with time labels. Alternatively, Image J software can be used for both image analysis and flash parameter calculation.
In summary, the imaging of single mitochondrial events such as superoxide flashes in skeletal muscles in vivo or in perfused heart is a unique approach for real-time determination of mitochondrial function. This technique is a significant advancement over the traditional in vitro measurements and will provide a more accurate evaluation of mitochondrial function and its relationship with cellular processes/functions under real physiological conditions.