Lipopolysaccharide (LPS) is an endotoxin found in the outer membrane of gram-negative bacteria1. LPS has a high binding affinity for the toll-like receptor 4 (TLR4)/CD14/MD2 receptor complex2. TLR4 is a pattern recognition receptor commonly found on the outer membrane of a wide range of immune cells, mesenchymal cells, and a subset of sensory neurons3,4,5. Activation of TLR4 expressed on immune cells leads to MyD88-dependent and independent second messenger systems, ending with nuclear-factor kappa beta (NFκB) translocation to the nucleus of the cell. This causes the prototypic immune cell to produce and release pro-inflammatory cytokines such as Interleukin (IL)-1β, IL-6, and TNF-α6. However, how other cell-types respond to TLR4 stimulation is not as clear. Fibroblasts have been implicated in a wide range of pathologies such as cancers and cystic fibrosis and have recently been shown to play a role monocyte chemo-attraction and promoting inflammation7,8,9. Our lab is interested in the role of fibroblasts in the development of acute and chronic pain, as early evidence suggests that factors released by fibroblasts (matrix metalloproteinases (MMPs), tissue inhibitor of metalloproteinases (TIMPs), and fibroblast growth factors (FGFs)) are involved in neuropathic pain10.
Activation states of cells can be determined by a variety of factors that include: induction of immediate-early genes, altered protein expression, cell proliferation, and morphological changes11,12,13. There are many techniques that exist to answer questions we may have about how activation of cells contributes to pathologies, but they all have their limitations. Prototypical immunohistochemistry uses fluorescently tagged antibodies to label proteins of interest in fixed tissue, which may be unspecific and often require significant troubleshooting before yielding fruitful results14. Western blotting is a useful technique when comparing levels of protein expression in post-mortem tissue; however, the histological component is lacking in this technique and researchers are unable to identify any changes in morphology15. RNA-Seq allows us to quantify the presence of messenger RNA in a sample which in many instances yields insightful data; however, the gap between transcription and translation makes it difficult to have temporal resolution after a stimulus16. Confocal imaging is useful in determining the expression and co-localization of proteins that exist in a cross-section of tissues17. Often, this is not representative of the entirety of the tissue sample. In contrast, multiphoton microscopes allow users to image roughly 1 mm deep into a sample, creating a comprehensive three-dimensional representation18. Therefore, we choose to focus on in vivo, 2-photon imaging preps, as data collected from these experiments are more directly relatable to the highly plastic and interconnected microenvironment of living tissue.
An advantage of studying protein-receptor interactions in vivo is that we can clearly capture how cells respond to a stimulus, real-time, in their native environment without the harmful and unpredictable influence of post-mortem tissue extraction19. In addition, longitudinal studies may be performed to assess cellular plasticity and priming that may occur because of activation. Using 2-photon imaging, we preserve the integrity of the microenvironment present when an external stimulus is applied. This protocol provides a way to identify uptake of molecules in fibroblasts following peripheral injection of fluorescently tagged LPS over the course of several hours in vivo and the role of TLR4 in fibroblast activation.