Volumetric imaging is necessary for accurate studies of cardiovascular physiology and disease. Quantitative imaging produces high-resolution image stacks with intact volumetric dimensions. Samples must both be preserved to maintain their in-vivo morphology and lumen volume as well as imaged in a uniform high resolution capacity. From high-resolution imaging stacks, the user can generate high-fidelity three-dimensional vascular renderings that allow for a complete display of vessel shapes, structure, and connectivity1.
Cardiovascular structures possess complex three-dimensional anatomical features that cannot be accurately captured when examining them through a two-dimensional, disjointed lens. Stereoscope widefield morphological imaging and histological sections are inadequate in capturing complex three-dimensional variations1,2,3. Micro and nano-computed tomography images are the gold standard for quantitative small animal volumetric imaging1,4, but are not widely accessible or adopted among the biological community. Recent innovations in tissue clearing and whole organ/small animal microscopy have allowed for quantitative applications of whole mount clearing and vascular labeling techniques5,6,7. Tissue-clearing works to homogenize the scattering of light in tissue samples, thereby reducing delays in light propagation through the medium by lowering the chance of light scattering or absorption. High transparency requires stringent tissue processing that may affect the antigenicity or brightness of fluorescence signal labeling8. Light-sheet microscopy has emerged as a fast, powerful imaging tool widely adopted by biologists9, offering a gain of speed several orders of magnitude over scanning microscopes and the capacity to image samples over 1 cm in size. Through light-sheet fluorescence microscopy (LSFM), a laser illuminates a sample cross-section with increased speed and depth compared to confocal microscopy; for this reason, the method requires high sample transparency.
Here, the authors adapt recent iDISCO+ clearing methods, combining them with endo-painting10 in the chick embryo animal model to showcase the method's efficacy from early to late cardiovascular development. iDISCO (immunolabeling-enabled three-dimensional imaging of solvent-cleared organs) is an organic solvent-based clearing method, which, unlike aqueous clearing-based methods, is not subject to imaging artifacts caused by solvent evaporation. iDISCO differs from iDISCO+ in that the tetrahydrofuran dehydration step of the former (iDISCO) is replaced by a milder Methanol dehydration followed by a lipid extraction step (iDISCO+). Advantages of the iDISCO+ clearing method include immunolabeling of large adult samples and embryos, low tissue shrinkage, and high transparency8,11. Importantly, iDISCO+ allows for the generation of high-resolution image stacks, expanding upon traditional biology immunolabeling techniques to gain information over large organ samples or an entire embryo rather than being limited to the sampling of small regions that lack information on the whole tissue-level organization, as with traditional histology9. Disadvantages of iDISCO+ include the fact that genetically encoded fluorescent proteins are not preserved11. The tissue labeling method of endo-painting was first introduced as a high-throughput screening for cardiovascular defects using HH31-HH36 chick embryo hearts which were perfused with 0.5 mg/ml of FITC-poly-L-lysine in the left ventricular apex. The dye was allowed to bind for 4 min before fixation and storage10.
The present study found that the same FITC-poly-L-lysine concentration could be used for a broader range of embryos (HH18 - HH34) but found the ideal fixation time to vary (from 5-10 min) to ensure brightly labeled vessels. Users of the present endo-DISCO technique may want to adjust dye concentration (decreasing by 0.1 mg/mL at a time) should the solution prove too viscous to label all desired vessels, but are encouraged to first adjust the fixation time and optimize muscular contraction of the left ventricle before adjusting dye concentration. The authors attempted endo-painting with a concentration of 0.1 mg/mL and found that while the dye more easily spread through small vessels, it was more easily washed away upon PFA perfusion. The authors show that the high-resolution imaging stacks generated through the present technique are of sufficient quality for computational hemodynamic modeling. Blood flow paths and corresponding hemodynamic forces, including pressure and wall shear stress distributions, occur in complex localized patterns that can only be resolved through computational flow simulations1,12. These biomechanical forces affect the behavior of adjacent cardiovascular tissues and trigger vascular adaptation, growth, and remodeling13. Understanding local hemodynamic force values sheds critical light on the mechanistic regulators of cardiovascular function and disease initiation or progression2.