Measurement of Mitochondrial Membrane Potential In Vivo using a Genetically Encoded Voltage Indicator

Summary

This protocol describes the application of mitochondria-targeted genetically encoded voltage indicators (GEVIs). These GEVIs offer a significant advantage over traditional mitochondrial membrane potential dyes by enabling specific, in vivo, and real-time monitoring of mitochondrial membrane potential.

Abstract

Mitochondrial membrane potential (MMP, ΔΨ_m) is critical for mitochondrial functions, including ATP synthesis, ion transport, reactive oxygen species (ROS) generation, and the import of proteins encoded by the nucleus. Existing methods for measuring ΔΨ_m typically use lipophilic cation dyes, such as Rhodamine 800 and tetramethylrhodamine methyl ester (TMRM), but these are limited by low specificity and are not well-suited for in vivo applications. To address these limitations, we have developed a novel protocol utilizing genetically encoded voltage indicators (GEVIs). Genetically encoded voltage indicators (GEVIs), which generate fluorescent signals in response to membrane potential changes, have demonstrated significant potential for monitoring plasma membrane and neuronal potentials. However, their application to mitochondrial membranes remains unexplored. Here, we developed protein-based mitochondrial-targeted GEVIs capable of detecting ΔΨm fluctuations in cells and the motor cortex of living animals. The mitochondrial potential indicator (MPI)offers a non-invasive approach to study ΔΨ_m dynamics in real-time, providing a method to investigate mitochondrial function under both normal and pathological conditions.

Introduction

Mitochondria are essential organelles in eukaryotic cells, serving as the primary energy suppliers through adenosine triphosphate (ATP) generation while also performing a variety of other crucial functions, such as metabolite synthesis, calcium ions buffering, heat production, and regulation of cell survival¹. Their roles are particularly critical in highly metabolic tissues like the brain and heart, where they help maintain cellular homeostasis. Mitochondrial membrane potential (MMP, Ψ_m) is central to these processes, including driving ATP synthesis via oxidative phosphorylation, facilitating the transport of metabolites and ions across the mitochondrial membranes, and contributing to the generation of reactive oxygen species (ROS)^2,3. MMP also influences mitochondrial morphology and dynamics⁴, including mitophagy (the selective degradation of mitochondria)⁵and apoptosis (programmed cell death)⁶. Maintaining an appropriate Ψ_m is essential for cellular function; its dysregulation is linked to numerous pathologies, including neurodegenerative diseases, heart failure, and cancer. Current methods for measuring Ψ_m were primarily based on the use of lipophilic cationic dyes, including TMRM (tetramethylrhodamine methyl ester), TMRE (tetramethylrhodamine ethyl ester), Rhodamine 123, Safranin O, Rhodamine 800, DiOC6, JC-1, etc.⁷. However, these fluorescent molecules have several limitations. These dyes lack cell specificity, are susceptible to quenching, and some are toxic. Additionally, they can diffuse over time, and when mitochondrial ΔΨ is lost, they leak out, rendering them unable to indicate the membrane potential of depolarized mitochondria. Furthermore, rhodamine-based dyes like TMRM and TMRE are temperature-sensitive⁸, necessitating careful consideration of temperature effects on dye fluorescence, particularly when measuring mitochondrial membrane voltage during physiological activities involving cellular thermogenesis.

Genetically encoded voltage indicators (GEVIs), proteins capable of detecting membrane potential changes through fluorescent signals^9,10, have emerged as powerful tools for monitoring membrane potentials in a variety of cellular contexts¹¹. While GEVIs have been applied extensively to study plasma membranes, there has been little progress in adapting them to measure intracellular membrane potentials, particularly for mitochondria. This protocol seeks to address this gap by using mitochondrial-targeted GEVIs that could monitor mitochondrial membrane potential in vitro and in vivo. By adding mitochondrial signal sequence to the existing GEVIs, appropriate GEVI can be targeted to mitochondria¹². These mitochondrial potential indicators (MPI) would provide new insights into mitochondrial physiology and offer significant potential for exploring mitochondrial function in various disease states in vivo, enhancing our understanding of how mitochondrial dynamics contribute to both normal and pathological cellular processes.

Protocol

All animal care and experiments were performed in accordance with the Institutional Animal Care and Use Committee guidelines of Zhengzhou University. Sterilize all surgical instruments before use. Follow aseptic techniques to prevent infection. After all the data had been acquired, the animals were euthanized using an overdose of inhalant anesthesia followed by decapitation.

1. In vitro applications

1. Plasmid construction
   1. Obtain the accelerated sensor of action potentials 1 (ASAP1) and ASAP3 genes from Addgene or synthesizing from the sequence. (ASAP1, NCBI Accession ID: AHV90412.1, Addgene ID: 52519; ASAP3, Addgene ID: 132331).
   2. Use the primers listed in Table 1 for plasmid constructions.
   3. For expression in cells, use the EGFPN1 vector for construction.
      1. Initially, synthesize the cox8 gene sequence (NP_004065, amino acids 1-29) with four tandem repeats (4cox8) flanked by NheI and XhoI restriction sites. Digest both the synthesized 4cox8 fragment and the EGFPN1 vector with NheI and XhoI, followed by ligation to generate the 4cox8-EGFP vector.
      2. Subsequently, perform PCR amplification of the ASAP1 sequence with primer 1 and primer 2. Digest the ASAP1 fragment and the 4cox8-EGFP vector with SalI and NotI, followed by ligation to generate the final MPI-1 vector (MPI stands for mitochondrial potential indicator).
         NOTE: The vector map of CMV-MPI-1 is depicted in Figure 1. The detailed sequence can be accessed from NCBI (Accession ID: PQ678920).
   4. For specific expression in neurons, perform PCR amplification of the hSyn promoter sequence from AAV-hSyn-EGFP plasmid (NCBI Accession ID: MH458079, Addgene ID: 50465) using primer 3 and primer 4.
      1. Digest both the hSyn sequence and the 4cox8-EGFP vector with AseI and NheI, followed by ligation to generate the hSyn-4cox8-EGFP vector. Subsequently, perform PCR amplification of ASAP3 sequence with primer 1 and primer 2.
      2. Digest the hSyn-4cox8-EGFP vector and the ASAP3 sequence with SalI and NotI, followed by ligation to generate the hSyn-MPI-2 vector.
         NOTE: PCR conditions will vary based on the specific enzymes and primer melting temperatures (Tm). A typical PCR reaction involves an initial denaturation step at 95 °C for 30 s, followed by 25-35 cycles of denaturation (95 °C, 10 s), annealing (55 °C, 30 s), and extension (72°C, 30 s/kb). A final extension step at 72 °C for 5 min ensures complete product synthesis, followed by a hold at 4 °C. The annealing temperature should be approximately 5 °C below the Tm of the primers. Refer to the manufacturer's instructions for optimal PCR parameters. The primers for ASAP1 and ASAP3 are identical.
2. Imaging in living cells
   1. Prepare DMEM culture medium by adding 10% fetal bovine serum and 100 mg/L penicillin/streptomycin to the medium.
   2. Prepare Ca²⁺ transfection reagents: 2.5 mol/L CaCl₂, 2x HEBS (274 mmol/L NaCl, 10 mmol/L KCl, 1.4 mmol/L Na₂HPO₄, 15 mmol/L D-glucose, 42 mmol/L HEPES, pH 7.07).
   3. Prepare Tyrode's buffer for maintaining the cells during imaging (145 mmol/L NaCl, 3 mmol/L KCl, 10 mmol/L HEPES, 10 mmol/L Glucose, pH 7.4).
   4. Culture Hela cells in a 35 mm culture dish fed with DMEM culture medium at an incubator with a temperature of 37 °C and an atmosphere of 5% CO₂/95% air. Add 2-3 coverslips per dish to allow cells to grow on them.
   5. Transfect the Hela cells via the calcium phosphate precipitation method.
      1. To transfect cells, start by replacing the old culture medium with 2 mL of serum-free DMEM. After 35 min, prepare the DNA/Ca²⁺ solution by mixing 10 µg of DNA, 4 µL of CaCl₂, and ddH₂O to a final volume of 40 µL in a microcentrifuge tube.
      2. Add 40 µL of 2x HEBS to the DNA/Ca²⁺ solution dropwise while stirring vigorously. Bubble air with a pipette into the mixture to facilitate calcium phosphate precipitation.
      3. After 25 min, add 80 µL of this precipitate solution to the dish with the cells and return it to the incubator for another 1-2 h. Then, remove the non-serum DMEM and rinse the cells with 15% glycerol (dissolved in PBS) for 2 min.
      4. After aspirating the glycerol, add 2 mL of DMEM containing 10% FBS and continue culturing the cells for 16-24 h.
   6. Place coverslips with cells in a 35 mm culture dish with 2 mL of Tyrode's buffer and stain the cells with rhodamine 800 dye by adding 20 µmol/L rhodamine 800 (dissolved in ddH₂O) to the dish to a final concentration of 50 nmol/L.
   7. Prepare a fluorescence microscope and set it up with the appropriate filters and light source to excite the protein with a 488 nm light source and collect the emission between 490-540 nm. Excite the rhodamine 800 dye with a 633 nm light source and collect the emission between 650-720 nm.
   8. Prepare a carbonyl cyanide m-chlorophenyl hydrazone (CCCP) solution at 500 µM (stock) and add to the cells to a final concentration of 5 µM during imaging.
      NOTE: The pH of the 2x HEBS solution is crucial for transfection efficiency. The pH should be carefully adjusted to 7.07 with solid sodium hydroxide. The pH cannot be lower than 7.01 or higher than 7.12.

Figure 1: Vector map of CMV-MPI-1. Please click here to view a larger version of this figure.

2. In vivo applications

1. Plasmid construct
   1. For in vivo expression, use AAV virus for transduction. Obtain the expressing backbone for AAV packaging (Addgene ID: 46954 or 26968), which contains inverted terminal repeats (ITR) sequences for AAV virus packaging.
   2. Perform PCR amplification of the hSyn-MPI-2 vector (from step 1.1.4) using primers 5 and 7 in Table 1.
   3. Perform a second PCR amplification using the same template and primers 6 and 8 in Table 1.
   4. Perform a final PCR using the product from the first and the second PCR (steps 2.1.2 and 2.1.3) as the template and primers 5 and 8 in Table 1, generating the final hSyn-MPI-2 sequence.
   5. Digest the hSyn-MPI-2 sequence and the pAAV backbone with MluI and EcoRI, followed by ligation to generate the final pAAV-hSyn-MPI-2 construct. The vector map of pAAV-hSyn-MPI-2 is illustrated in Figure 2. The detailed sequence can be accessed from NCBI (Accession ID: PQ678919).
      NOTE: The hSyn-MPI-2 vector contains an internal EcoRI site originating from the original EGFPN1 backbone, which is removed using modified primers in an overlapping PCR strategy (steps 2.1.2-2.1.4).
2. Virus preparation and transduction
   1. Culture HEK293t cells in a 100 mm culture dish fed with 10% FBS DMEM culture medium at an incubator with a temperature of 37 °C and an atmosphere of 5% CO₂/95% air to reach a 70% confluence.
   2. Co-transfect the HEK293t cells with AAV gene plasmid, capsid (pAAV-DJ or pAAV9), and helper plasmids (pHelper) using the calcium phosphate precipitation method. The DNA amount for each plasmid was as follows: gene: 10 µg, pHelper: 11 µg, capsid: 9 µg. The transfection reagent amount: 12 µL of CaCl₂, 120 µL of 2x HEBS.
   3. Incubate the transfected cells for a period of 72 h to enable virus production.
   4. After the incubation period, harvest the cells by centrifuge at 400 g. Rinse the cells with PBS 2 times and resuspend the cell in 400 µL of PBS.
   5. Harvest viruses from cell suspension with four cycles of freeze-thaw methods (37 °C and -80 °C ). Centrifuge the lysate at 13,500 × g at 4 °C and discard the pellet. The supernatant contains the AAV virus.
   6. Perform real-time PCR to determine the titration of the prepared virus. Detailed protocol for AAV titration determination can be found at https://www.addgene.org/protocols/aav-titration-qpcr-using-sybr-green-technology/.
   7. Aliquot and store the prepared AAV virus at -80 °C.
3. Stereotactic virus injection
   1. Anesthetize an adult C57/BL male mouse weighing 24-26 g with 3% pentobarbital sodium via intraperitoneal injection at a dosage of 30 mg/kg. Once anesthetized, fix the mice on a stereotaxic apparatus to maintain a stable position throughout the procedure.
   2. Apply veterinary ophthalmic ointment to protect the eyes from light damage and to keep the eyes moist.
   3. Use depilatory cream to remove hair on the mouse's head and expose the scalp.
   4. Open the scalp using surgery scissors and expose the skull. Treat the skull with 3% hydrogen peroxide to sterilize and visualize key landmarks such as the bregma and lambda sites.
   5. Adjust the position of the mouse's head to ensure that the skull is horizontal.
   6. Use a programmable micropipette puller to pull glass pipettes to the desired shape and size for precise injections. Fill the glass micropipette with paraffin oil.
   7. Position the micropipette at the target site. In this protocol, the target is the M2 region on the right side, using the following coordinates: AP (anterior-posterior), +1.94 mm; ML (mediolateral), +0.75 mm; DV (dorsoventral), -1.5 mm.
   8. Use an electric drill to make a small hole in the skull at the target site.
   9. Aspire 500 nL of virus at a titer of 1.5 x 10¹¹ Genome Copies per milliliter(GC/mL) through the tip of micropipette. Inject 500 nL of virus into the target site using an injection pump at a flow rate of 100 nL/min.
   10. After the injection, leave the pipette in place for approximately 5 min to allow for diffusion before carefully retracting it.
   11. Implant optical fiber (200 µm diameter, 0.37 numerical aperture, 2 mm length) into the injection site.
   12. Secure the optical fiber in place using dental cement.
   13. Suture the mouse's scalp with 5-0 nylon thread (aesthetic needle Δ1/2 4x12) and return it to its home cage.
   14. Place the home cage on a heating pad to maintain the mouse's body temperature until it fully recovers from anesthesia.
   15. Turn off the heating pad once the animal begins to move around. Allow for another 2 h of acclimation to the room temperature (RT) before transferring the mouse to the housing facility.
   16. House mouse in a 12-h light/12-h dark cycle at 22 °C with ad libitum access to food and water for 2-3 weeks to allow for viral expression.
4. Fiber photometry
   1. Connect the optical fiber implanted in the mouse to an optic cable.
   2. Attach the other end of the optic cable to a detector that will be used to capture the imaging data.
   3. For imaging, use a light source to excite the proteins at a wavelength of 488 nm. Set up the detector to collect the emitted light at wavelengths ranging from 490 nm to 540 nm.
   4. Adjust the intensity of the excitation light to optimize the signal without causing damage to the brain tissue.
   5. Modify the gains of the fluorescent signal to ensure a clear and strong signal is captured by the detector.
   6. To avoid rapid bleaching of the fluorescence, which would reduce the quality of the imaging, fine-tune the light intensity and the gain of the fluorescent signal as necessary.
   7. Conduct mouse behavior test.
   8. Continuously monitor the imaging process during the behavior test.
5. Data analysis
   1. Use Python and GNUplot to create a heatmap of experimental trials for a visual representation of the data. Source codes are provided in Supplementary File 1.

Figure 2: Vector map of AAV-hSyn-MPI-2. Please click here to view a larger version of this figure.

Results

After constructing the CMV-MPI-1 plasmid, its ability to target mitochondria was tested in Hela cells using the mitochondrial marker Rhodamine 800 for staining. Colocalization experiments showed a high degree of overlap between the fluorescence signal of MPI-1 and the signal from Rhodamine 800, indicating that MPI-1 was successfully localized to the mitochondria (Figure 3).

Figure 3: Colocalization of MPI-1 with mitochondria in Hela cells. CMV-MPI-1 was transfected in Hela cells and stained with rhodamine 800, a mitochondrial membrane potential-sensitive dye. Scale bar: 5 µm. Please click here to view a larger version of this figure.

After the transfection of MPI-1 into HeLa cells, the voltage sensitivity of the cells was tested by introducing CCCP (carbonyl cyanide m-chlorophenyl hydrazone), a mitochondrial uncoupler. The addition of CCCP to the cells resulted in the depolarization of mitochondria. The voltage-sensitive dye (rhodamin800) was used, which can be observed as a decrease in fluorescence of a voltage-sensitive dye (rhodamin800) or MPI-1 (Figure 4).

Figure 4: Voltage-sensitive fluorescence changes in response to CCCP treatment. (A) Fluorescence images of HeLa cells stably expressing MPI-1 before and after the addition of the uncoupler CCCP at a concentration of 5 µM. Rhodamine 800 served as a traditional indicator of mitochondrial membrane potential.Scale bar: 5 µm. (B) Fluorescence intensity changes of MPI-1 and rhodamine 800 upon CCCP application (n = 14 cells). Abbreviations: T: Time. This figure has been modified with permission from Yang et al.¹². Please click here to view a larger version of this figure.

Following the injection of the hSyn-MPI-2 AAV virus into the M2 cortex of the mouse, the fluorescence change was monitored during isoflurane-induced anesthesia. The fluorescence of MPI-2 was decreased upon anesthesia (Figure 5), suggesting a decrease in MMP during this process.

Figure 5: In vivo fiber photometry of MPI-2 in the M2 cortex during isoflurane-induced anesthesia. (A) Images showing the fluorescence of brain sections after virus injection. The area where the fiber was implanted is marked with white lines. The fluoresce image was combined with a mouse brain map to show where the injection was made. Scale bar: 500 µm. (B) Changes in the fluorescence of MPI-2 observed across multiple trials of anesthesia induced by isoflurane (n = 26 trials involving 5 mice). Abbreviations: T: Time. The dashed line shows when isoflurane was applied. This figure has been modified with permission from Yang et al.¹². Please click here to view a larger version of this figure.

No.	Primer Name		Sequence(5'->3')
1	ASAP(SalI)-FP		ACGCGTCGACGatggagacgactgtgaggtatgaacagg
2	ASAP(NotI)-RP		AAAAGGAAAAGCGGCCGCttaggttaccacttcaagttgtttcttctgtgaag
3	hSyn(AseI)-FP		atgcattaattgtacagtgtctagactgcagagggc
4	hSyn(NheI)-RP		ctaGCTAGCctgcgctctcaggcacgacacgactcc
5	hsyn(MluI)-FP		agctacgcgtgtgtctagactgcagagggccctgcgt
6	delete-internal_EcoRI-FP		GAGCTCAAGCTTCGAATACTGCAGTCGACG
7	delete-internal_EcoRI-RP		CGTCGACTGCAGTATTCGAAGCTTGAGCTC
8	ASAP(EcoRI)-RP		cggaattcttaggttaccacttcaagttgtttcttctgtgaag

Table 1: Primers for plasmid constructions.

Supplementary File 1: Source code for data analysis. Please click here to download this File.

Discussion

The mitochondrial membrane voltage is maintained at -120--180 mV under resting conditions and fluctuates with changes in metabolic state. Currently, measurement of mitochondrial membrane potential can be performed using electrophysiological methods and fluorescence dye methods. Mitochondrial patch clamping requires the isolation of mitochondria and the destruction of cellular structures¹³. This approach may lead to measurements that deviate from physiological conditions. The fluorescence probe method is the common approach for MMP measurement. However, these fluorescent molecules cannot stain specific cells, are prone to quenching, and some dyes are toxic. Furthermore, these dyes are unsuitable for in vivo applications due to their inherent limitations, including lack of cell specificity and equilibrium over a long timescale (~30 min).

This protocol provides a new method of monitoring MMP, especially in vivo. The key to this method is to find a suitable GEVI that can be targeted to mitochondria by fusing its N-terminal to a mitochondrial targeting signal. Previous studies demonstrated that some of the GEVIs, such as Arclight and SomArchon, failed to localize to mitochondria¹². However, accelerated sensor of action potentials (ASAP) protein families can be targeted to mitochondria by fusing them to a mitochondrial targeting signal¹².

The initial phase of the protocol involves constructing a plasmid with a four-time repetitive sequence of COX8, which is not feasible through PCR due to its repetitive nature. Instead, DNA synthesis or enzyme-linked methods are employed to create the 4cox8 sequence. Other mitochondrial targeting sequences¹⁴, may also be suitable, which required colocalization analysis. The package of AAV is crucial for subsequent in vivo applications. The titration of AAV must be appropriate to ensure effective transfection without causing toxicity. To enhance the efficacy, modifications such as optimizing transfection conditions are necessary. This can be achieved by adjusting the quantities of DNA and transfection reagents used, thereby improving transfection efficiency. For calcium precipitation transfection, the pH of HEBS is crucial. It cannot be lower than 7.01 or higher than 7.12.

The MPI surpasses traditional MMP dyes in several ways. It allows for real-time monitoring of MMP changes, a capability that traditional dyes lack due to their requirement for equilibrium times. The genetic encoding of MPI also enables cell type-specific expression, bypassing the non-specificity of traditional dyes. Additionally, MPI maintains its mitochondrial targeting even upon depolarization, unlike traditional dyes, which lose their mitochondrial targeting under such conditions. Moreover, the stable mitochondrial targeting of MPI makes it an excellent candidate for in vivo imaging applications.

Despite its advantages, the MPI has certain limitations. Photobleaching, a common issue with fluorescent proteins, can be a concern with MPI. This can be partially mitigated by minimizing light exposure during imaging. Furthermore, there is a potential for spectral overlap between MPI and other fluorophores, which necessitates the careful selection of filters for multi-color imaging. Background fluorescence is a factor that demands attention. To tackle this, cells can be co-transfected with a mitochondria-targeted mCherry. This strategy helps distinguish true signals from false positives during the monitoring process. The current version of the MPIs, like other GEVIs used to detect neuronal plasma membrane voltage changes, can only monitor fluctuations in mitochondrial membrane potential, not absolute values. To calibrate the signals and convert them into actual membrane potential values in volts, a ratio metric method¹⁵, which involves fusion with another fluorescence protein, is promising. As the ASAP protein family continues to evolve¹⁶, we anticipate further improvements in sensitivity. This offers exciting possibilities for developing more sensitive MPIs in the future.

The MPI holds significant promise for research in various fields, including bioenergetics, mitochondrial dynamics, and disease modeling. In neuroscience, it can be used to monitor MMP in neurons, offering insights into neurodegenerative diseases linked to mitochondrial dysfunction. In cardiology, the high voltage sensitivity of MPI makes it suitable for studying cardiac mitochondria in ischemia and heart failure models. Furthermore, in cancer research, MPI can be employed to investigate the bioenergetic shifts characteristic of cancer cells, contributing to a better understanding of this complex disease.

Materials

List of materials used in this article

Name	Company	Catalog Number	Comments
BamHI	Thermo	FD0054
Calcium chloride	Sigma	C4901
CCCP	Sigma	C2759
Centrifuge	eppendorf	5430R
Centrifuge (cell culture)	eppendorf	5810R
CO2 cell incubator	ESCO	170L IR Sensor
Coverslips	Glaswarenfabrik Karl Hecht GmbH & Co.KG	92100100030
Dental adhensive resin cement	Sun medical company, LTD.	Super-Bond C&B Kit
D-glucose	Sigma	G7021
DNA Ligation Kit Ver. 2.1	Takara	6022
Dulbecco's modified Eagle medium	Gibco	11965092
Electric drill	RWD Instruments	78001
Fetal bovine serum	Gibco	A5670701
Fiber optic cannula	RWD Instruments	R-FOC-L200C-39NA
Fiber photometry detector	Thinker	QAXK_FPS-TC-MC-LED
Fluorescence microscope	Olympus	IX83
Glass pipette (for injection)	Drummond Scientific company	3.5" Drummond # 3-000-203-G/X
HEK293t	ATCC	Cat# CRL-3216
Hela cells	ATCC	Cat# CCL-2
HEPES	Sigma	H3375
Injection pump	Drummond Scientific company	3-000-207
Isoflurane	RWD Instruments	R510-22
Laser scanning confocal microscope	Zeiss	LSM980
MluI	Thermo	FD0564
NheI	Thermo	FD0974
Optical fibers	RWD Instruments	R-FC-L-N3-200-L1
Paraffin oil	Sangon	B500301
PCR thermal Cycler	analytik jena	Biometra Tone 96G
Pentobarbital sodium	Sinopharm Chemical Reagent Co.LTD	57-33-0
Potassium chloride	Sigma	P5405
PrimeSTAR HS DNA Polymerase	Takara	R010A
Programmable micropipette puller	Sutter Instruments	P2000
Quick self-curing acrylic resin	Yamahachi	V-PINK
Real-time PCR  thermal Cycler	analytik jena	qTOWER³ auto
Rhodamine 800	Sigma	83701
SalI	Thermo	FD0644
Sodium chloride	Sigma	S9888
Sodium phosphate dibasic	Sigma	S9763
Stereotaxic apparatus	RWD Instruments	E06354
Veterinary ophthalmic ointment	Puralube	NA
XhoI	Thermo	FD0694