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Method Article

In Vivo Gene Transfer to the Rabbit Common Carotid Artery Endothelium

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DOI:

10.3791/56982

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May 6th, 2018

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In This Article

Summary

This method is to introduce a transgene into the endothelium of rabbit carotid arteries. Introduction of the transgene allows the assessment of the biological role of the transgene product either in normal arteries or disease models. The method is also useful for measuring activity of DNA regulatory sequences.

Abstract

The goal of this method is to introduce a transgene into the endothelium of isolated segments of both rabbit common carotid arteries. The method achieves focal endothelial-selective transgenesis, thereby allowing an investigator to determine the biological roles of endothelial-expressed transgenes and to quantify the in vivo transcriptional activity of DNA sequences in large artery endothelial cells. The method uses surgical isolation of rabbit common carotid arteries and an arteriotomy to deliver a transgene-expressing viral vector into the arterial lumen. A short incubation period of the vector in the lumen, with subsequent aspiration of the lumen contents, is sufficient to achieve efficient and durable expression of the transgene in the endothelium, with no detectable transduction or expression outside of the isolated arterial segment. The method allows assessment of the biological activities of transgene products both in normal arteries and in models of human vascular disease, while avoiding systemic effects that could be caused either by targeting gene delivery to other sites (e.g. the liver) or by the alternative approach of delivering genetic constructs to the endothelium by germ line transgenesis. Application of the method is limited by the need for a skilled surgeon and anesthetist, a well-equipped operating room, the costs of purchasing and housing rabbits, and the need for expertise in gene-transfer vector construction and use. Results obtained with this method include: transgene-related alterations in arterial structure, cellularity, extracellular matrix, or vasomotor function; increases or reductions in arterial inflammation; alterations in vascular cell apoptosis; and progression, retardation, or regression of diseases such as intimal hyperplasia or atherosclerosis. The method also allows measurement of the ability of native and synthetic DNA regulatory sequences to alter transgene expression in endothelial cells, providing results that include: levels of transgene mRNA, levels of transgene protein, and levels of transgene enzymatic activity.

Introduction

The goal of this method is to introduce a transgene into the endothelium of rabbit common carotid arteries. Introduction of the transgene allows the assessment of the biological role of the transgene product both in normal arteries and in rabbit models of human arterial disease. Overexpression of the transgene in disease models can reveal whether the transgene (and its protein product) show promise as therapeutic agents1,2,3,4. Inclusion of cis-acting regulatory elements in the transgene expression cassette enabl....

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Protocol

All methods described here were approved by the University of Washington Office of Animal Welfare and associated Institutional Animal Care and Use Committee (IACUC), and were completed in accordance and compliance with all relevant regulatory and institutional guidelines.

Note: Gene transfer to rabbit common carotid arteries is performed on rabbits by a surgeon with the aid of an anesthesiologist or assistant.

1. Gene transfer to rabbit common carotid arteries: Pre-operation

  1. Anesthetize the rabbit. Weigh the rabbit. Combine 30 mg/kg ketamine and 2 mg/kg xylazine into a syringe. Inject ketamine/xylazine intramuscular (IM) in the paraspinous mu....

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Results

To implement this method with confidence, preliminary experiments are necessary to establish that the operator achieves efficient and reproducible gene transfer, with transgene expression primarily in luminal endothelial cells. In our experience, this is most easily assessed using a vector that expresses β-galactosidase. 5-bromo-4-chloro-3-indolyl-β-D-galactopyranoside (X-gal) staining of common carotid segments removed 3 days after vector infusion, as well as measurement of β-galactosida.......

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Discussion

Certain aspects of surgical technique merit particular attention. Full exposure and mobilization of the common carotid artery via careful dissection will facilitate gene transfer and arteriotomy repair. However, during the dissection, direct manipulation of the carotid artery should be minimized to prevent vasospasm. In addition, any bleeding adjacent to the artery should be stopped by applying light pressure with gauze and extravasated blood should be cleaned up immediately by rinsing the area with normal saline. I.......

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Disclosures

The authors have nothing to disclose.

Acknowledgements

We thank AdVec, Inc. for permission to use HDAd reagents, Julia Feyk for administrative assistance, and the Department of Comparative Medicine veterinary services for surgical advice and support. This work was supported by HL114541 and the John L. Locke, Jr. Charitable Trust.

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Materials

List of materials used in this article
NameCompanyCatalog NumberComments
Disposables
3mL syringe with 24G needleBecton Dickinson3095712x for gene transfer surgery; 3x for harvest surgery
1mL syringe with 27G needleBecton Dickinson3096236x for gene transfer surgery; 1x for harvest surgery
20mL syringe, luer lockNipro Medical CorpJD+20L
Catheters, 24G x 3/4"Terumo Medical ProductsSROX2419V
19G needleBecton Dickinson305187Gene transfer surgery only
21G needleBecton Dickinson305165For 20 mL syringe of saline
Gauze 4" x 4"Dynarex3242~10-15 per surgery
3-0 silk sutureCovidien Ltd.S-244
5-0 silk sutureCovidien Ltd.S-182Gene transfer surgery only
7-0 polypropylene sutureCP Medical8648PGene transfer surgery only
5-0 polyglycolic acid sutureCP Medical421AGene transfer surgery only
3-0 polyglycolic acid sutureCP Medical398AGene transfer surgery only
Alcohol swabsCovidien Ltd.6818For placement of I.V. line
Catheter plugVetoquinol411498Gene transfer surgery only
Ketamine HCl, 100 mg/mLVedco Inc.05098916106
Xylazine, 100 mg/mLAkorn Inc.4821
Lidocaine HCl, 2%Pfizer00409427702
Bupivacaine HCl, 0.5%Pfizer00409161050
Beuthanasia D-SpecialIntervet Inc.NDC 00061047305Harvest surgery only
Buprenorphine HCl, 0.3 mg/mL Patterson Veterinary12496075705Gene transfer surgery only
Saline IV bag, 0.9% sodium chlorideBaxter2B13092x for gene transfer surgery; can use vial of sterile saline in place of one
Heparin  (5000 U/mL)APP PharmaceuticalsNDC 63323-047-10Gene transfer surgery only
Fentanyl patch, 25 mcg/hr Apotex Corp.NDC 60505-7006-2Gene transfer surgery only
IsofluraneMultiple vendorsCatalog number not available
Gene transfer vectorDilute 350 µL per artery; 2 x 1011 vp/mL for adenovirus; gene transfer surgery only
Surgical Instruments
Metzenbaum needle holder 7" straightRobozRS-7900Gene transfer surgery only
Operating scissors 6.5" straight blunt/bluntRobozRS-6828
Needle holder /w suture scissorsMiltex8-14-IMCGene transfer surgery only
Castroviejo scissorsRobozRS-5658
Castroviejo needle holder, 5.75" straight with lockRobozRS-6412Gene transfer surgery only
Stevens scissors 4.25" curved blunt/bluntRobozRS-5943
Alm retractor 4" 4X4 5mm blunt prongsRobozRS-65142x
Backhaus towel clamp 3.5"Roboz4x
Micro clip setting forceps 4.75"RobozRS-6496Gene transfer surgery only
Micro vascular clips, 11 mmRoboz2x for gene transfer surgery only
Surg-I-LoopScanlan International1001-81M5 cm length
Bonaccolto forceps, 4” (10 cm) long longitudinal serrations, cross serrated tip, 1.2mm tip widthRobozRS-5210
Dumont #3 forceps Inox tip size .17 X .10mmRobozRS-5042
Graefe forceps, 4” (10 cm) long serrated straight, 0.8mm tipRobozRS-5280
Halstead mosquito forceps,  5" straight, 1.3mm tipsRobozRS-71102x
Halstead mosquito forceps,  5" curved, 1.3mm tipsRobozRS-7111
Jacobson mosquito forceps 5" curved extra delicate, 0.9 mm tipsRobozRS-7117
Kantrowitz forceps, 7.25" 90 degree delicate, 1.7 mm tipsRobozRS-7305
Tissue forceps 5", 1X2 teeth, 2 mm tip widthRobozRS-8162
Allis-Baby forceps, 12 cm, 4x5 teeth, 3 mm tip widthFine Science Tools11092-122x
Adson forceps, 12 cm, serrated, straightFine Science Tools11006-12
Veterinary electrosurgery handpiece and electrodeMACAN ManufacturingHPAC-1; R-F11
Surgical Suite Equipment
Circulating warm water blanket and pumpMultiple vendorsCatalog number not available
Forced air warming unit3MBair Hugger Model 505Gene transfer surgery only
IV infusion pumpHeskaVet IV 2.2Gene transfer surgery only
Isoflurane vaporizer and scavengerMultiple vendorsCatalog number not available
Veterinary multi-parameter monitorSurgivetSurgivet Advisor
Veterinary electrosurgery unitMACAN ManufacturingMV-9
Surgical microscopeD.F. VasconcellosM900Needs ~16x magnification

References

  1. Flynn, R., et al. Expression of apolipoprotein A-I in rabbit carotid endothelium protects against atherosclerosis. Mol Ther. 19, 1833-1841 (2011).
  2. Falkenberg, M., et al.

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