In Vivo Thoracic Dorsal Root Ganglia (DRG) Calcium Imaging and ECG Recording for Studying Peripheral Nerve Stimulation

Dorsal root ganglia (DRG) neurons process afferent sensory information from both somatic and visceral receptors. Regulation of cardiac function involves not only primary sensory afferents from viscera but also somatosensory neurons within the same thoracic DRG segment (T-DRG). Recently published research in 'Circulation' has indicated that T-DRG plays a role in cardiac function regulation. Blocking Piezo1/IL-6 in T-DRG inhibited IL-6/STAT3 inflammatory signaling, thereby attenuating ventricular remodeling post-myocardial infarction (MI)¹. Additionally, Cui et al.² found in rats with MI that sympathetic sprouting and sympatho-sensory coupling occurred in T1-5 DRGs and upper limb skin, contributing to cardiac-related referred pain. Somatic stimulation in the referred pain area increased sympathetic discharge and regulated cardiac function. However, due to technical limitations, changes in T-DRG from cardiac and somatic inputs pre- and post-MI or somatic stimulation were observed only after animal sacrifice. Therefore, observing neural activities within T-DRG is crucial for understanding its intricate relationship with visceral function alterations.

In recent years, advancements in sensitive genetically encoded calcium indicators (GECIs)³, along with confocal microscopy and multi-photon imaging technology, have enabled scientists not only to describe neuronal activity and diameter, but also to combine genetic labeling techniques such as Pirt⁴ and neural tracing to observe specific neurons during imaging⁵. This integrated approach aids in uncovering deeper scientific principles. However, until recently, methods for studying in vivo calcium imaging of DRG have been predominantly limited to lumbar segments⁶.

The T-DRG in mice are relatively small and circular, located anterior and medial to the intervertebral foramen, with a total of 13 pairs. Due to the physiological curvature of the thoracic vertebrae, the space between adjacent thoracic vertebral segments, especially T1-5, is very narrow, increasing the difficulty of exposure. Fixation presents another challenge for stable calcium imaging of DRG in a single plane. Each side of the T-DRG is adjacent to two rib surfaces, and each rib surface of the vertebra is attached to the corresponding rib, further complicating the already cramped space. Building upon early calcium imaging methods for lumbar DRG⁷, this research team has developed an in vivo calcium imaging method for T-DRG using a custom-made spinal clamp. Additionally, numerous studies have demonstrated that peripheral electric nerve stimulation, such as acupuncture, can induce DRG neural activity and regulate visceral function^8,9,10. To better understand the relationship between DRG and acupuncture-mediated cardiac function regulation, synchronous recording of cardiac function during DRG calcium imaging has been implemented, offering novel research insights into how somatic stimulation-induced neuronal activity in T-DRG influences visceral function regulation.

This unique research details the exposure and fixation of mouse T-DRG, ensuring stable calcium imaging alongside cardiac function recording. This provides a cutting-edge scientific tool for studying the peripheral mechanisms of thoracic visceral functional changes and further exploring visceral-somatic afferent inputs.