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The pancreatic tissue slice method is a fast experimental method to study the morphology and physiology of the endocrine and exocrine parts of the pancreas in a more conserved, in situ preparation. Many of the advantages have already been pointed out in the Introduction. It is worth pointing out that in general (i.e., not only for calcium imaging), the slice approach to study pancreatic physiology saves time because it does not involve a recovery period after isolation. The latter is not absolutely necessary with all types of experiments and uses of isolated islets from different species, but is typically employed to increase purity, restore viability and functionality, and sometimes to collect islets from several donors59,60,61,62,63,64. However, in the context of calcium imaging, beta cell responses have been found to depend on culture duration and conditions, and this is an important source of variation that should be taken into account when using isolated islets15,65. The same issue should be considered for tissue slices if their long-term culture becomes a widely used option in the future22,36. The tissue slice method also has a high yield and thus potentially reduces animal suffering and increases statistical power. Moreover, as many slices can be prepared from a single animal and because the slices survive for long periods, including the same animal or even the same islet in both the experimental and the control groups becomes feasible.
As the original architecture and cell-to-cell communications are preserved, and because it is compatible with a number of structural analyses, electrophysiological, imaging methods, and hormone secretion assays, this method is especially useful to study pancreatic functions that depend on undisturbed interactions between individual cells, e.g., sensitivity to secretagogues, paracrine and immune interactions between different cell types, patterns of electrical activity, properties of calcium dynamics, and the secretion of different hormones. For calcium imaging specifically, the main advantages of using slices are the exposure of the islet core and the possibility to acquire signals from many different cell types with high resolution. Depending on the requirements of the experiment and the age of animals, the thickness can be varied, the slices can be transfected, or obtained from animals with genetically encoded reporters. As explained in more detail below, the latter two approaches also enable specific functional identification and characterization of responses from non-beta cells 31,66. Moreover, islets from well-defined parts of the organ can be studied for differences in responsiveness or susceptibility to disease. Although they do not require a recovery incubation period, they can easily be incubated with different pharmacological agents, fatty acids, high glucose, and cytokines.
Most importantly, as high resolution is achievable in combination with single-cell or even subcellular resolution, confocal calcium imaging in slices is one of the most suitable methods for analyzing calcium waves, functional connectivity, and the different functional roles of cells in distinct parts of an islet54,67. Despite a number of advantages, the tissue slice approach has important limitations. First, it is still at least partly disruptive to islet and exocrine architecture, especially at the cut surface, and precautions, such as low temperature, frequent exchange of solutions, and gentle and quick manipulation, are needed during preparation to prevent additional mechanical and endogenous enzymatic damage. Second, the patterns of nutrient and secretagogue delivery are still inferior to the in vivo route, the preparation is detached from systemic innervation, and inter-organ feedback, such as between the islet and its target tissues, is impossible, in contrast to in vivo approaches. Third, maximum slice thickness is limited by oxygenation, nutrient delivery, and pH regulation at ~200 µm9. Further, both preparation of slices and imaging need a lot of training, and in-depth analyses of calcium data from long time series and from many cells require specialized knowledge that is often not included in the toolkit of a classical physiologist and requires help from physicists or data scientists. The advantage that homo- and heterotypic interactions are preserved can also complicate the analysis of samples due to the presence of signals from other cells in regions of interest. Depending on protocols, activation of other cells can lead to indirect additional stimulation or inhibition of an observed cell.
This can only be resolved conclusively by deconvolution approaches, by more complex stimulation protocols including substances that block some of the indirect effects, by using specific knock-out animals, and by careful comparison of results with results from other studies employing more reductionist methodologies. Additionally, if secretion measurements are necessary, it should be kept in mind that some slices may lack islets, and the total mass of endocrine tissue in a single slice is typically low. The preparation of acute pancreatic tissue slices for imaging involves several critical steps discussed in the following sections and summarized in Table 1, where the reader can also find short, but important tips for troubleshooting. First, when preparing the agarose solution, the agarose powder must dissolve completely, otherwise the undissolved particles may obstruct the injection. Keep the homogeneous agarose solution at 37-45 °C to prevent hardening of agarose due to too low a temperature on the one hand and to prevent tissue damage due to too high temperatures on the other hand. After use, the remaining agarose may be stored at 4 °C and reheated, although repeated reheating can result in increased density due to water evaporation, eventually making the injection difficult or impossible.
The next critical step in the preparation is clamping the major duodenal papilla correctly. A white spot on the duodenum indicates the junction of the common bile duct and the duodenum. A clamp placed too proximally will result in obstruction of some lateral pancreatic branches of the common duct, disabling the injection of these parts, whereas a clamp placed too distally will result in agarose leaking through the lower resistance path directly into the duodenum. Before cannulation of the common bile duct, the surrounding adipose tissue can be carefully removed for better visualization of the duct and greater control during injection. Insufficient precision during removal of the surrounding tissue may result in perforation of the duct. The selection of the needle diameter used for agarose injection is also important. In mice, a 30 G needle is preferably used; smaller (32 or 33 G) needles require more effort due to high viscosity of the agarose solution and are more prone to obstruction. However, if used in combination with a lower-density agarose solution, they can be very helpful in smaller mouse strains and younger animals. During the initial postnatal days, agarose may alternatively be injected subcapsularly rather than intraductally2. Using needles with greater diameter in mice will most probably result in damaging the common bile duct. This can also happen with the correct needle diameter, and a forceps can help in keeping the needle in place during injection. Larger diameter needles may be the only solution in case of larger ducts, as found in rats. If the needle is too narrow to ensure a tight seal preventing back-leakage, a ligature may be placed around it upon successful entry into the duct.
Agarose injection takes some effort due to the solution's viscosity, and once the injection process has started, it should not be interrupted as the low-melting-point agarose solution may solidify in the needle or the largest parts of the ductal tree before the injection is completed. This will result in poor tissue penetration and worse support during cutting. The duct should always be cannulated at the point where the left hepatic duct and the cystic duct join to form the common bile duct.. If the common bile duct gets perforated, repeatedly try cannulating closer to the duodenum. When the pancreas is sufficiently stabilized with agarose solution and extracted from the peritoneal cavity, small pieces of well-injected tissue are cut. Before embedding them into the agarose, it is crucial to remove all the adipose and connective tissues as their residues make slicing more challenging. The same applies to blood vessels and duct residues, except when they are the focus of the experiment. In this case, make sure to position them in such a way that the desired cross-section will be obtained. When embedding the tissue in agarose, ensure that the temperature is appropriate (37 °C), and that the tissue is completely surrounded by agarose, as forces during vibratome slicing can rip out the pancreas tissue from the agarose blocks.
Quickly drying the tissue blocks before placing them in agarose by placing them briefly on a paper tissue can help prevent poor contact between tissue and agarose during this step. During solidification of agarose blocks, place the Petri dish horizontally, and prevent contact between the pancreas tissue and the bottom of the Petri dish. If the pancreas is not fully injected, the cutting process will be challenging. Therefore, try to reduce the cutting speed to obtain tissue slices. To minimize cell damage during vibratome slicing, replace the ECS (and the ice cubes made of ECS) in the slicing chamber regularly. The latter will reduce the activity of pancreatic enzymes released from acinar tissue during slicing. The thickness of the slices is also of crucial importance. For calcium dynamics and electrophysiological experiments, 140 µm slices are usually cut; however, according to the aim of the study, slice thickness can range from 90 µm to 200 µm. Keep in mind that in thicker slices, the diffusion of oxygen and nutrients will be limited, but they will include more tissue. Additionally, the proportion of uncut islets may be expected to increase with increasing slice thickness. Slices can be stored in a regularly exchanged ECS at room temperature for several hours or even cultivated in an appropriate cell medium for several days; however, this may eventually affect the normal islet cell physiology3,22.
When preparing the dye solution, ensure careful mixing of all components, and avoid exposure to ambient light. The pancreatic slice is composed of many cell layers, and the uptake of calcium dye is limited to the first few most superficial cell layers, as described previously for isolated islets58,68, and pituitary slices69. However, in contrast to isolated islets where the surrounding capsule and outer cell layers hinder the penetration of the dye into deeper layers, tissue slices permit access to the entire cross-sectional surface of the islet, enabling simultaneous measurement of calcium dynamics in hundreds of cells from all layers of an islet. Fluorescent Ca2+ indicators are the most widely used for measuring calcium dynamics, and together with CLSM, they enable recordings with high temporal resolution, reaching several hundred Hertz. When selecting the most appropriate fluorescent Ca2+ indicator, consider different factors, including the indicator form, which influences the cell loading method, measurement mode (qualitative or quantitative), and dissociation constant (Kd) that needs to be in the Ca2+ concentration range of interest and depends on pH, temperature, presence of Mg2+ and other ions, as well as protein binding. As cellular Ca2+ signals are usually transient, the Ca2+ binding rate constant should also be considered. For measuring [Ca2+]IC dynamics in pancreatic cells, this group mainly uses the cell-permeable Ca2+ indicator dye described in this protocol (Table of Materials) as it is a long wavelength indicator with the emission wavelengths in the spectrum where cellular autofluorescence is usually less problematic, and the energy of excitation light is low, which reduces the potential for cellular photodamage. Because this dye is fluorescent at low Ca2+ concentrations, this facilitates the determination of baseline [Ca2+]IC and increases cellular visibility before stimulation. After binding Ca2+, the fluorescence intensity of the dye increases 14-fold, enabling detection of even slight changes in [Ca2+]IC.
For successful live-cell calcium imaging, several crucial hardware parameters need to be considered, as described in the protocol section. For live-cell imaging wherein signal amplitudes are low and chances of phototoxicity are high, objectives with a higher NA are preferably used to collect more light from the specimen. If calcium dynamics must be recorded with a high temporal resolution, use the resonant scanner instead of linear galvanometers. Besides choosing the right objective, the use of highly sensitive detectors-such as hybrid detectors that require less laser power-avoids phototoxicity and photobleaching. This is of special importance for long-lasting calcium imaging. Other important steps in calcium imaging are parameter settings of image quality for time series acquisitions. The most important are the temporal and the spatial resolution. As the calcium dynamics per se determines the lowest acceptable temporal resolution, the sampling rate needs to be at least two-fold higher than the expected signal frequency to detect the signal or even 10 times higher to detect the shape of the signal reliably. In acute pancreatic tissue slices, calcium dynamics can be measured in hundreds of cells simultaneously and therefore, the spatial resolution is also important. This can be enhanced by increasing the number of pixels or by increasing the line averaging during live acquisition. However, because of the inverse relationship between the spatial and the temporal resolution, a trade-off between both settings is needed.
If calcium imaging has to be performed in a specific cell population within the pancreas, a stimulus able to functionally differentiate the cells within the slice is necessary. High glucose reliably and quickly activates beta cells to an oscillatory pattern that is superimposed on an elevated calcium level and is highly synchronized among all cells within an islet32,58,70. The beta cells are the most numerous cell type within an islet and are located mostly in the islet core in mice. The same stimulation protocol decreases and sometimes does not appreciably change the bursting in alpha cells30,32,58,70,71,72. To discriminate alpha cells functionally, low (3 mM) glucose, glutamate or adrenalin can be used to increase their frequency or basal [Ca2+]IC21,72,73,74,75. They represent 10-20% of islet cells and will be detected on the islet periphery1. Delta cells are also found on the periphery. They make up only ~5% of the total number of endocrine cells in an islet and are typically active in 6 mM glucose and respond to glucose stimulation with an increased irregular bursting activity from the baseline or a slightly elevated calcium level1,32,71,76. Ghrelin can be used for specific stimulation of delta cells21,77,78,79 in calcium imaging experiments. However, protocols for specific functional identification of PP and epsilon cells remain to be defined. Further, 25 nM acetylcholine reliably activates acinar cells into bursting activity35,80,81. Additionally, a number of other secretagogues, such as cerulein, cholecystokinin, and carbamylcholine, can be used to evoke calcium responses in acinar cells22,40,82,83.
Finally, 1 mM chenodeoxycholic acid reliably evokes calcium responses in ductal cells in tissue slices; angiotensin II, ATP, and some other secretagogues can also be used11,23,84,85. Whenever a functional identification based on characteristic responses to specific secretagogues and inhibitors is not sufficient, genetically labelled animals31, transfected cells73, or immunocytochemistry can be employed for the identification of different cell types9,22,71,86. During the last couple of years, the tissue slice method has been successfully adapted to human tissue, opening many new important research avenues in both exocrine41 and endocrine physiology9,36,37,39. Interestingly, a detailed assessment of calcium dynamics in human islets has been notoriously difficult and remains to be investigated in greater detail87. Combined with advanced confocal microscopy, the pancreatic tissue slice method has enabled many new insights into the calcium dynamics in mice and will hopefully do the same for human tissue.