We present a protocol to isolate the auditory bulla, capsule, and ossicles from postnatal mice for whole mount and histological analysis.
In most mammals, auditory ossicles in the middle ear, including the malleus, incus and stapes, are the smallest bones. In mice, a bony structure called the auditory bulla houses the ossicles, whereas the auditory capsule encloses the inner ear, namely the cochlea and semicircular canals. Murine ossicles are essential for hearing and thus of great interest to researchers in the field of otolaryngology, but their metabolism, development, and evolution are highly relevant to other fields. Altered bone metabolism can affect hearing function in adult mice, and various gene-deficient mice show changes in morphogenesis of auditory ossicles in utero. Although murine auditory ossicles are tiny, their manipulation is feasible if one understands their anatomical orientation and 3D structure. Here, we describe how to dissect the auditory bulla and capsule of postnatal mice and then isolate individual ossicles by removing part of the bulla. We also discuss how to embed the bulla and capsule in different orientations to generate paraffin or frozen sections suitable for preparation of longitudinal, horizontal, or frontal sections of the malleus. Finally, we enumerate anatomical differences between mouse and human auditory ossicles. These methods would be useful in analyzing pathological, developmental and evolutionary aspects of auditory ossicles and the middle ear in mice.
The three auditory ossicles of the middle ear, namely the malleus, incus, and stapes, form a mammalian-specific auditory chain that transmits sound from the tympanic membrane to the inner ear, or cochlea 1,2. Hearing function can be evaluated in mice by measuring Auditory Brainstem Response (ABR) thresholds 3-6, and vibration of the malleus behind the tympanic membrane can be monitored using Laser Doppler Vibrometry (LDV) 7. By combining ABR, LDV, and Distortion Product Otoacoustic Emission (DPOAE) measurements, conductive hearing loss can be discriminated from sensorineural impairment 8.
Animal models of ear conditions are needed, given the importance of hearing and ear health to the well-being of patients of all ages. For example, otitis media is an extremely common ear infection seen in human infants and children, and severe, acute otitis media and its complications can occur if the condition is not treated with appropriate antimicrobials 9. Mouse models of otitis media could prove useful in understanding the pathogenesis and in developing treatments 10,11.
Murine ossicles, which (except for the goniale part of the malleus) are formed by endochondral ossification 12,13, are highly relevant to the study of bone metabolism and morphogenesis. First, their small size allows high-resolution analysis of bones with an intact periosteum using X-ray or fluorescence microscopy 14. Second, aberrant bone metabolism, such as excessive or deficient bone resorption, or impaired interactions among bone cells 15, can be analyzed as a potential contributor to hearing loss 3,4,7. Third, abnormal ossicle morphogenesis is reported in several gene-deficient mice, such as animals lacking Hoxa2 16-19, Msx1 20-22, Prrx1 23, Goosecoid (Gsc) 24,25, Bapx1 13, Tshz1 26, Dusp6 (Mkp3) 27, Noggin (Nog) 28, Fgfr1 29, thyroid hormone receptors (Thra, Thrb) 5, Bcl2 30 and others 1,31, or in mice overexpressing Hoxa2 32. Finally, despite their small size, structures associated with ossicles such as muscles 33 and joints 34,35 are accessible.
Mouse ossicles are smaller than human ossicles, but it is noteworthy that the mouse middle ear is not a miniature version of its human counterpart. For example, in mice, the stapedial artery, which passes through the ring of the stapes, persists throughout life 36, whereas in humans, the embryonic stapedial artery disappears during gestation. In addition, the morphology of the mouse malleus differs from that of the human bone (see Figure 6). In mice, the auditory (tympanic) bulla encloses the air-filled middle ear cavity, whereas in humans, mastoid air cells composed of trabecular bone in the temporal bone houses the ossicles rather than a bulla 37. In both species, the auditory capsule (otic capsule, bony labyrinth) encloses the cochlea and semicircular canals of the inner ear. Comparative and evolutionary biology of the middle ear has been extensively reviewed 38-40.
The protocol provided below first describes how to dissect out the auditory bulla and capsule, which consist primarily of the middle ear and inner ear, respectively. This protocol also demonstrates how to isolate the malleus, incus and stapes from the auditory bulla. Finally, it shows how to orient the auditory bulla and capsule for embedding in preparation for tissue sectioning of auditory ossicles.
All animal procedures performed in this study are approved by the Keio University Institutional Animal Care and Use Committee (IACUC – approval number: 09221) and follow the Institutional Guidelines on Animal Experimentation at Keio University for the use of animals in research. Human specimens were isolated from a cadaver donated to the Department of Anatomy, Keio University School of Medicine, and were used in accordance with institutional regulations.
1. Isolation of Auditory Bulla and Capsule
2. Isolation of Auditory Ossicles: Malleus, Incus and Stapes
3. Embedding of Auditory Bulla and Capsule
4. Sample Orientation and Embedding
NOTE: The whole bulla and capsule must be arranged in a particular orientation during embedding to cut desired sections. The procedures outlined below are used to section the malleus in various orientations.
This protocol presents a method to isolate ossicles from the mouse auditory bulla. First, the bulla and capsule are dissected out as a single piece from the skull (Figure 1). The dissected bulla is then used to prepare the malleus (Figure 2) and the incus and stapes (Figure 3). Landmarks of the auditory bulla and capsule are the styliform process at the anterior end of the bulla, the dorsal crest, anterior semicircular canal, and the subarcuate fossa (Figure 1F). Microcomputed tomography (CT) imaging reveals ossicles in the auditory bulla as well as the optimal orientations for longitudinal and horizontal sectioning of those ossicles (Figure 4).
For longitudinal paraffin sectioning of the malleus, the bulla and capsule were decalcified in EDTA at 4 °C for one week, embedded in a paraffin block at the orientation shown in Figure 4 A – C, sectioned at 4 µm, and then stained using H&E. The malleus attached to the tympanic membrane in the auditory bulla revealed ongoing endochondral ossification at P14 (Figure 5A). To visualize new bone formation, calcein (30 µg/g bodyweight) was peritoneally injected into a P20 mouse, and bulla and capsule were isolated 24 h later at P21. The sample without decalcification was embedded frozen and then cryosectioned at 6 µm using an adhesive film based on the method of Kawamoto 43. After nuclear staining with DAPI (4',6-diamidino-2-phenylindole), the section was observed under a fluorescence microscope. Calcein signals (green) revealed new bone formation in the malleus (m), bulla and capsule (Figure 5B). For horizontal sectioning of the malleus, the auditory bulla isolated from a 5-week-old mouse was embedded frozen without decalcification (for the orientation see Figure 4D – F), cryosectioned at 6 µm using the Kawamoto method, and stained using H&E. Horizontal sectioning of the malleal processus brevis (mPB) also shows the cochlea (Figure 5C).
A medial view of the right auditory ossicles isolated from a P31 mouse shows typical features of the mouse malleus, namely, the "gliding-seagull-wing-like" (or Persian sword-like 45) manubrium, a prominent processus brevis (orbicular apophysis, see Discussion), and the transversal lamina (Figure 6). Note that the anterior process (processus anterior) was fractured in the dissection procedure around the goniale and was separated from the tympanic ring (ectotympanic). This representative sample exhibits an intact incudomalleolar joint between the malleus and incus, whereas the incudostapedial joint is dislocated. Tendinous insertions into the malleal and stapedial muscular processes are detectable (Figure 6A, asterisks).
Figure 6B compares mouse and human auditory ossicles at the same magnification. Species differences, other than size, include the following. The malleal manubrium is wing-like in mice but club-like in humans. The angle between the anatomical axis (or the axis of rotation, the line through the anterior process of the malleus and the short process of the incus) and the manubrium is much smaller in mice and the two are almost parallel, as opposed to nearly perpendicular in humans 6,46-48. In human ossicles, vibrometric studies reveal that the incudo-malleolar joint is mobile rather than functionally fixed 49. The mouse malleus exhibits a wide, thin, and flat transversal lamina not apparent in humans 47. In mice, the processus anterior fuses to membranous bones, namely the goniale and the tympanic ring, while in humans the processus anterior is reduced to a small spicule of bone 41. The stapes of mice and humans also differs: in mice, the anterior crus is curved and the posterior crus is more straight whereas in humans, the anterior crus is more straight than the posterior crus. It is worth noting that the malleus head relative to body size is massively enlarged in species such as the golden mole, demonstrating significant variability in allometric relationships of "the smallest" bones 48.
Figure 1. Dissection of the Auditory Bulla and Capsule. (A) The skull of a P31 mouse is split into right and left halves. A, anterior; P, posterior; L, left; R, right. (B) Medial surface of the right half of the bisected, skinned head. Cx, cerebral cortex; Cb, cerebellum; Bs, brainstem. D, dorsal; V, ventral. (C) Removal of brain with forceps. (D) Medial view of the auditory capsule in the right skull. The dorsal crest (arrowheads) lies between the middle cranial fossa (mcf) and posterior cranial fossa (pcf) and separates dorso-anterior and ventro-posterior surfaces of the auditory capsule. Scale bar, 2 mm. (E) Higher magnification of auditory bulla and capsule (medial view). Co, cochlea; VII, facial nerve; VIII, vestibulocochlear nerve; AC, anterior (superior) semicircular canal; Sf, subarcuate fossa, which houses the cerebellar paraflocculus. Scale bar, 1 mm. (F) Micrograph of isolated auditory bulla and capsule (medial view). Sp, styliform process. Scale bar, 1 mm. (A – E), P31 mouse. (F), P33 mouse. Please click here to view a larger version of this figure.
Figure 2. Dissection of the Malleus. (A) Ventrolateral view of a right auditory bulla and capsule. The sulcus tympanicus (ST, dashed arrow) is the attachment site of the tympanic membrane. The bone lateral to the ST is part of the external ear, and the bone medial to the ST forms the floor of the middle ear cavity. A, anterior; P, posterior; D, dorsal; V, ventral. (B) View after removal of the external auditory canal to reveal the tympanic membrane (TM) including the pars flaccida (Pf) and pars tensa (Pt). (C) Removal of parts of the tympanic bone (dotted lines and #) near the malleal processus brevis (mPB). m, malleus; mM, malleal manubrium. Arrow, air bubble in the middle ear cavity seen through the tympanic membrane. (D) Exposed malleus. Malleus head is indicated. Dotted line indicates the articular surface of the incus. (E) Tendon of the tensor tympani muscle (TT) attached to the malleus. (F) The tensor tympani is pulled when the malleus is lifted. *, muscular process. (G) Tensor tympani is cut using a needle. (H) Three auditory ossicles after removal of the tympanic membrane. The incudo-malleolar joint is dislocated. m, malleus; i, incus; s, stapes; Go, goniale (fused to the malleus and tympanic ring, TR). All scale bars, 0.5 mm. (A, H), P33 mouse. (B – G), P31 mouse. Please click here to view a larger version of this figure.
Figure 3. Dissection of the Incus and Stapes. (A) Incus and stapes after removal of the malleus. The stapedial artery (SA) passes through the stapes (s). Dotted line indicates the articular surface of the incus. Note that the short crus (iCB, crus breve) of the incus (i) is fixed by the posterior ligament (not shown). Asterisk, muscular process of the stapes. (B) Stapes after removal of the incus. Needle tip is used to cut the stapedial artery (SA). Arrow, direction of blood flow. Dotted line indicates articular surface of the stapes. (C) The stapedial artery is removed from the stapes. X indicates the cut end of the stapedial artery (SA). (D) The oval window (Ow, fenestra ovalis or fenestra vestibuli) is visible after removal of the stapes. Rw, round window (fenestra rotunda or fenestra cochleae). Scale bars, 0.5 mm. Please click here to view a larger version of this figure.
Figure 4. Orienting the Auditory Bulla and Capsule during Embedding for Longitudinal (parasagittal, A – C) and Horizontal (D – E) Sectioning of the Malleus. (A – C) The neck and transversal lamina of the malleus are placed parallel to the bottom of embedding dish. (A) Side view: micro-CT image to show embedding of the right malleus in the bulla (pseudocolored blue). The malleus and incus are pseudocolored green. Dashed line, the desired cutting plane. Solid line, bottom of embedding dish. m, malleus; arrowheads, dorsal crest. M, medial; L, lateral; D, dorsal; V, ventral. (B) Top view: Micro-CT image. Note that the anterior end of the bulla (styliform process) was removed. i, incus. (C) Top view: micrograph (taken with a color filter). AC, anterior (superior) semicircular canal; Sf, subarcuate fossa; Sp, styliform process. A, anterior; P, posterior; D, dorsal; V, ventral. (D – F) The processus brevis of the malleus is placed perpendicular to the bottom of embedding dish. (D) Side view: Micro-CT image to show embedding of the right malleus. Dashed line, the desired cutting plane. Solid line, bottom of embedding dish. (E) Top view: Micro-CT image. mM, malleal manubrium. (F) Top view: micrograph (taken with a color filter). Scale bars, 1 mm. Micro-CT images were obtained at a voxel resolution of 5 μm, as previously described 7. Please click here to view a larger version of this figure.
Figure 5. Histology. (A) H&E staining. Longitudinal (parasagittal) section of the paraffin-embedded right malleus (m) in the auditory bulla (dotted line) at P14. TM, tympanic membrane. (B) Calcein bone labeling. Longitudinal section of the frozen, undecalcified left malleus (m) in the auditory bulla at P21. Counterstain, DAPI. (C) H&E staining. Horizontal section of the frozen, undecalcified left malleal processus brevis (mPB) in the auditory bulla and capsule (5-week-old mouse). Co, cochlea. Scale bars, 1 mm. Please click here to view a larger version of this figure.
Figure 6. Medial View of Auditory Ossicles. (A) Right auditory ossicles of P31 mouse. A, anterior; P, posterior; D, dorsal; V, ventral. Scale bar, 1 mm. malleus head (Caput mallei, Capitulum mallei); neck (Collum mallei); lamina (transversal lamina); mM (Manubrium mallei); black asterisk (muscular process of the malleus); mPA (Processus anterior, Processus gracilis); mPB (processus brevis); incus body (Corpus incudis); iCB (Crus breve, short crus, short process); iCL (Crus longum, long crus, long process); iPL (Processus lenticularis, lenticular process, Sylvian apophysis); stapes head (Caput stapedis); white asterisk (muscular process of the stapes); sCA (Crus anterius, anterior crus); sCP (Crus posterius, posterior crus); base (Basis stapedis, footplate); sOF (obturator foramen, intercrural foramen). (B) Right auditory ossicles of a 76-year-old human female (Courtesy of Department of Anatomy, Keio University School of Medicine). The ossicles of P31 mouse (lower right) are imaged at the same magnification as that used for human ossicles. Curved arrows indicate the angle between the anatomical axis and the manubrium (dotted lines). Scale bar, 2 mm. Please click here to view a larger version of this figure.
Here, we present a method useful to isolate the auditory bulla and capsule in postnatal mice. Prior to P12, tissues are fragile and can become damaged during isolation. After P12, the auditory bulla and capsule can be easily isolated from surrounding tissues. Dissecting the bulla from the head before sectioning has several advantages. First, postnatal cavitation and growth of the auditory bulla occur most actively from P6 onwards and are complete by P14 50. The mesenchymal tissue between the tympanic membrane and cochlear wall is replaced by air through the cavitation process. The resultant air in the middle ear cavity can impede contact between tissues and liquids during fixation, decalcification and embedding. It is easier to remove air from the isolated auditory bulla by cutting off the anterior end (styliform process) rather than trying to do so in the unisolated bulla. Second, orientation of the malleus (and the tympanic membrane) is not vertical in the head. It is therefore easier to section the malleus in desired planes by embedding the isolated auditory bulla and capsule in a given orientation.
Once isolated, auditory bulla and capsules are useful for numerous analyses. For example, high resolution X-ray micro-CT can reveal bone microstructure morphology such as osteogenic capillaries in the malleus 14. The stereofluorescence dissecting microscope is a powerful tool to visualize structures in evaluating reporter mice expressing fluorescent proteins in the middle or inner ear 33. In addition, various in vivo or ex vivo fluorescence labeling methods and whole mount immunofluorescence detection could be undertaken. Light sheet fluorescence microscopy is also useful for three-dimensional analysis 51. Although not described here, diverse anatomical structures associated with the auditory bulla and capsule such as peripheral nerves, blood vessels, and the tympanic membrane in the middle ear can also be evaluated using this protocol.
Note that paraffin sectioning requires decalcification of bone tissues before embedding and therefore does not allow analysis of mineralization. By contrast, the Kawamoto film method 43 used to prepare frozen sections can be performed without decalcification and is suitable for mineralization studies using in vivo bone-labeling techniques or special staining such as Alizarin staining. Cryo-sectioning conditions should be optimized according based on mouse age. For example, a less cool temperature inside the cryostat chamber is recommended for older mouse specimens to minimize damage to sections.
In mouse, the correct term for the prominent semi-spherical protrusion of the malleus is "orbicular apophysis". Nevertheless, the term "processus brevis" has been widely used to indicate the orbicular apophysis for more than two decades, particularly among mouse developmental biologists 16,20,22-25. "Processus brevis" originally referred to the lateral process (processus lateralis), which differs from the orbicular apophysis. In humans, a lateral process resembling a slight conical projection forms the general line of attachment to the tympanic membrane, extending from the manubrium (not seen in Figure 6B, medial view). In mice, the lateral process is also a projection of the manubrium at the opposite end to the umbo 48. The pars flaccida of the tympanic membrane is above the lateral process of the malleus. Orbicular apophysis is not apparent in the human malleus.
The authors have nothing to disclose.
The authors thank Masaki Yoda and Elise Lamar for critical reading of the manuscript, Kazumasa Takenouchi for help with histology, Mari Fujiwara for help with microscopy and Makoto Morikawa for help in photographing human and mouse auditory ossicles.
Tools/Equipment | |||
Paper towel | DAIO PAPER CORPORATION | 703347 | can be purchased from other vendors |
Glass Jar | Various | can be purchased from other vendors | |
14cm surgical scissors | Fine Science Tools (F.S.T.) | 91400-14 | can be purchased from other vendors |
Extra fine scissors-straight | Fine Science Tools (F.S.T.) | 14084-08 | can be purchased from other vendors |
Fine Forceps Angled 45° | Fine Science Tools (F.S.T.) | 11063-07 | can be purchased from other vendors |
Dissecting microscope | Nikon | SMZ800N | for routine dissection |
Dissecting microscope | Nikon | SMZ18 | for movies |
Injection needle 27G | TERUMO | NN-2719S | |
Syringe (1ml) | TERUMO | SS-01T | |
Marking Pin | Various | ||
Tube rotator RT-50 | TAITEC | 0000165-000 | can be purchased from other vendors |
Cryostat | Leica | CM3050S | http://www.leicabiosystems.com/histology-equipment/cryostats/details/product/leica-cm3050-s/ |
TC-65 Tungsten blade | Leica | 14021626379 | for Kawamoto's firm method |
Stainless containers | Leica | for Kawamoto's firm method | |
Cryofilm type IIC | Leica | for Kawamoto's firm method | |
Silane coated slide (New Silane II) | Muto Pure Chemicals | 511617 | can be purchased from other vendors |
Cover glass | Matsunami | can be purchased from other vendors | |
Tissue processor | Sakura Finetek | VIP-5 | can be purchased from other vendors |
Tissue Embedding Console System | Sakura Finetek | Tissue-Tek TEC 5 | can be purchased from other vendors |
Sliding microtome for paraffin | Yamato Kohki Industrial | REM-710 | can be purchased from other vendors |
Path Blade+pro for hard tissue | Matsunami | PB3503C | for paraffin section |
Micro-CT | RIGAKU | R_mCT2 | http://www.rigaku.com/en |
Fluorescence microscope | KEYENCE | BZ-9000 | |
Name | Company | Catalog Number | コメント |
Reagents | |||
Isoflurane | Maruishi pharmaceutical Co. Ltd | ||
NaCl | wako | 191-01665 | for PBS |
KCl | wako | 285-14 | for PBS |
Na2HPO4 12H2O | wako | 196-02835 | for PBS |
KH2PO4 | wako | 287-21 | for PBS |
Paraformaldehyde(EM Grade) | TAAB | P001 | |
EDTA-2Na | wako | 15111-45 | |
Trizma base | Sigma | T1503-1KG | |
Super Cryoembedding Medium | Leica | for Kawamoto's firm method | |
Dry Ice | Various | for Kawamoto's firm method | |
Hexane | wako | 080-03423 | for Kawamoto's firm method |
Super Cryomouting Medium type R2 | Leica | for Kawamoto's firm method | |
Paraffin | Sakura Finetek | 781001A0107 | |
Histo-Clear | NDS | HS-200 | |
Calcein | DOJINDO | 340-00433 | |
Hematoxylin | wako | 131-09665 | |
Eosin | wako | 051-06515 |