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Mitochondrial dysfunction has been implicated in several neurological diseases, including Parkinson's disease (PD), Huntington's disease, and Alzheimer's disease1,2,3. PD models such as PINK1 knockout (KO) mice and rats display impaired mitochondrial function4,5,6,7,8,9,10,11. Mitochondria isolated from the striatum (STR) or whole-brain of aged PINK1 KO mouse exhibit defects in complex I7,10,12,13. Directly measuring the oxygen consumption rate (OCR) is one of the most common methods to evaluate mitochondrial function since OCR is coupled with ATP production, the principal function of mitochondria14. Therefore, measuring OCR in disease models or patient-derived samples/tissue can help investigate how mitochondrial dysfunction leads to disease.
Currently, there are several ways to measure mitochondrial OCR, including the Clark electrode and other O2 electrodes, O2 fluorescent dye, and the extracellular flux analyzer15,16,17,18,19. As an advantage, O2 electrode-based methods allow various substrates to be easily added. However, they are insufficient for simultaneously measuring several samples. Compared to traditional O2 electrode-based methods, the extracellular flux analyzer, a commonly used tool for OCR in cell cultures or purified mitochondria, offers improved throughput15,18,20. Nevertheless, all these methods are usually applied to measure OCR in isolated mitochondria or cell cultures6,16,17,19,20,21. The isolation of mitochondria causes inadvertent damage, and extracted mitochondria or cell cultures are less physiologically relevant than intact brain slices22. Even when microelectrodes are used in slices, they are less sensitive and more difficult to operate than in cultured cells23.
To meet these challenges, we developed a method using the XF24 extracellular flux analyzer, which allows for the analysis of multiple metabolic parameters from acute striatal brain slices of mice24. This technique provides continuous direct quantification of mitochondrial respiration via the OCR. In brief, small sections of striatal brain slices are placed into wells of the islet plate, and the analyzer uses oxygen and proton fluorescent-based biosensors to measure the OCR and extracellular acidification rate, respectively17,21,25.
One of the unique features of the analyzer is the four injection wells, which allow the continued measurement of OCR while sequentially injecting up to four compounds or reagents; this enables the measurement of several cellular respiration parameters, such as basal mitochondrial OCR, ATP-linked OCR, and maximal mitochondrial OCR. The compounds injected during the measurements for the protocol shown here were working concentrations of 10 mM pyruvate in the first solution well (port A), 20 µM oligomycin in the second solution well (port B), 10 µM carbonyl cyanide 4-(trifluoromethoxy) phenylhydrazone (FCCP) in the third well (port C), and 20 µM antimycin A in the fourth well (port D), based on Fried et al.25. It must be noted that these concentrations were working concentrations, and stock solutions of 10x, 11x, 12x, and 13x were injected into the solution ports A through D, respectively. The purpose of using each solution was as follows: 1) Pyruvate was necessary since, without it, the addition of FCCP would have a decreased OCR response caused by a limitation of available substrates; 2) Oligomycin inhibits ATP synthase and allows the measurement of ATP linked respiration; 3) FCCP uncouples oxidation from phosphorylation and allows the measurement of maximal mitochondrial capacity; 4) Antimycin A inhibits complex III in the electron transport chain and, therefore, allows the measurement of OCR not linked to the mitochondria.
The concentration of oligomycin used was determined based on the following reasons: 1) The recommended dose of oligomycin for most cell types (isolated mitochondria or cell cultures) is 1.5 µM. From experience, usually 3x-10x of the dissociated cells dose is used for the slice experiments since there might be a gradient, and the penetration of solution in the slices takes time. Therefore, the concentration should be in the range of 5 µM to 25 µM. 2) A 20 µM concentration was selected based on Fried et al.25. Higher concentrations were not tried due to the non-specific toxicity of oligomycin. 3) In the report by Underwood et al.26, the authors did a titration experiment for oligomycin and found that doses at 6.25, 12.5, 25, and 50 µg/mL resulted in similar inhibition. The higher concentration of oligomycin (50 µg/mL) did not inhibit more but had a bigger variance. 4) In our observation, the determining factor seems to be the penetrating ability of oligomycin. It is difficult for oligomycin to penetrate the tissue, and that is why it takes at least 7 to 8 cycles to reach the plateau, the maximum response. As long as it reaches the plateau, the inhibition is assumed to be maximal.
A key technical challenge of adapting the extracellular flux analyzer for measuring OCR in striatal slices is to prevent tissue hypoxia. Since the buffer was not oxygenated during the entire duration of measurements (about 4 h), hypoxia was a central issue. This is especially true for thicker tissue samples, where oxygen cannot diffuse throughout the samples. To overcome this problem, slices were sectioned at 150 µm thickness, so that ambient oxygen could penetrate the middle of the brain slices. In addition, 4 mg/mL bovine serum albumin (BSA) was added to the pre-oxygenated artificial cerebrospinal fluid (ACSF) buffer, which facilitated the determination of maximal OCR, as previously suggested23. We examined whether cells were alive. First, Hoechst 33258 (10 µM) and propidium iodide (10 µM) were used to examine whether cells were healthy under these conditions. We then examined whether medium spiny neurons were functionally healthy using patch-clamp recording. We further evaluated whether dopamine (DA) terminals in the striatal slices were functionally healthy by measuring DA release using fast-scan voltammetry. The results showed that striatal slices that were not oxygenated (ACSF/BSA group) were as healthy as the oxygenated control group24.
We then tested different combinations of slice thickness and punch size to determine optimal striatal slice conditions for the flux respiration assay. Dorsal striatal slices with different thicknesses (150 µm and 200 µm) and punch sizes (1.0 mm, 1.5 mm, and 2.0 mm in diameter) were used for OCR analysis using the analyzer. Striatal slices that were 150 µm thick with a punch size of 1.5 mm in diameter had the highest coupling efficiency and OCRs within an optimal range for the analyzer24.