We present use of 2-photon microscopy to place a micropipette within Bowman's urinary space in mice, combining 2 foundational techniques of renal physiology. Use of 2-photon microscopy overcomes critical limitations of conventional microscopy for micropuncture renal physiology studies.
Renal micropuncture and renal 2-photon imaging are seminal techniques in renal physiology. However, micropuncture is limited by dependence on conventional microscopy to surface nephron features, and 2-photon studies are limited in that interventions can only be assessed at the organ, rather than the nephron level. In particular, micropuncture studies of the glomeruli of mice have been challenged by the paucity of surface glomeruli in mice. To address this limitation in order to pursue studies of aspirate from Bowman's space in mouse physiologic models, we developed 2-photon glomerular micropuncture. We present a novel surgical preparation that allows lateral access to the kidney while preserving the required vertical imaging column for 2-photon microscopy. Administration of high molecular weight fluorescein isothiocyanate (FITC)-dextran is used to render the renal vasculature and therefore glomeruli visible for 2-photon imaging. A quantum dot-coated pipette is then introduced under stereotactic guidance to a glomerulus selected from the several to many which may be visualized within the imaging window. In this protocol, we provide details of the preparation, materials, and methods necessary to carry out the procedure. This technique facilitates previously-impossible physiologic study of the kidney, including recovery of filtrate from Bowman's space and all segments of the nephron within the imaging depth limit, about 100 µm below the renal capsule. Pressure, charge and flow may all be measured using the introduced pipette. Here, we provide representative data from liquid chromatography/mass spectrometry performed on aspirate from Bowman's space. We expect this technique to have wide applicability in renal physiologic investigation.
The purpose of this procedure is to provide routine micropuncture access to Bowman's space and other glomerular structures in mice. Micropuncture studies for renal physiology have been limited to 1-photon microscopy, which can only image within a few microns of the kidney surface, and which offers limited precision in the z-dimension. Because mice have few surface glomeruli, it is not always possible to find a surface glomerulus by 1-photon microscopy, therefore most micropuncture studies have been carried out in Munich-Wistar rats, which have more numerous surface glomeruli. Therefore, the benefits of working in mouse models have been limited in micropuncture studies1,2,3. Recent advances in imaging technologies, including micro-CT4,5, nanoparticle imaging6, and imaging mass spectrometry7 have greatly enhanced the range of modalities applicable to glomerular physiology, but there remains no substitute for the unique ability to intervene and sample that micropuncture provides. Therefore extending the use of micropuncture using the techniques presented here is expected to facilitate novel renal physiology studies, in particular, evaluation of the content of renal filtrate (i.e., metabolomics) and basic physiology of transgenic mice, such as measurements of filtrate pressure and charge, previously performed only in rats.
In this technique, use of 2-photon microscopy allows visualization and micropipette access to renal structures up to about 100 µm below the renal capsule. Multiple (5–10) glomeruli are therefore accessible to micropuncture in every mouse kidney thus far imaged. Although this technique shares some features with conventional renal micropuncture, it was designed de novo and extensive modifications from conventional technique are required. In this protocol we demonstrate aspiration of fluid from Bowman's space and show example results of subsequent analysis with mass spectrometry (nanoproteomics)8,9,10,11. Downstream use of mass spectrometry requires a specialized sample preparation workflow, which is also demonstrated here.
All procedures described herein were approved by the Institutional Animal Care and Use Committee of Oregon Health & Science University.
1. Setup Used for Demonstration
2. Materials Necessary Prior to Starting Experimental Protocols
3. Lateral Pipette Access to The Kidney Below a Fluid Imaging Column via a Novel Surgical Procedure
NOTE: The assembly of the imaging support system and surgical prep is shown in Figure 1. The procedure described is performed on C57BL/6 mice weighing 20–25 g.
4. Selection of a Suitable Glomerulus and Pipette Access to Bowman's Space
5. Aspiration of Fluid from Bowman's Space
This procedure requires a unique surgical preparation of the kidney for 2-photon imaging and access, which is illustrated in Figure 1. This preparation shown here allows a vertical imaging column with the objective above the kidney with few density changes for best-possible optics for 2-photon microscopy simultaneously with lateral access for the pipette, driven exclusively in the horizontal (x) dimension. Partial extrusion of the kidney prevents excess tension on the renal pedicle and preserves vascular flow, and construction of a custom kidney support enables the two objectives of imaging and access. The second challenge in this procedure is precise positioning of the pipette within the kidney in 3 dimensions, which requires registration of the pipette and stage coordinate systems. The critical step for this process is illustrated in Figure 2, which shows the pipette being spotted in the water column of the 2-photon microscope under DAPI-excitation. Entering the water column and registering the coordinates of the pipette to those of the stage prior to entering the kidney is critical to enable precise stereotactic positioning of the pipette within the target Bowman's space. The pipette enters the imaging water column from the right. With DAPI excitation turned on, the red quantum dot-coated pipette fluoresces brightly in the red-orange, and it can be carefully positioned under the middle of the objective. As the excitation beam passes through the center of the objective, the pipette may be freely moved to the point of maximum fluorescence, ensuring that it will be visible in the eyepiece.
Proper pipette pulling and glomerulus selection are critical to the success of this protocol, as illustrated in Figure 3, Figure 4, Figure 5. In Figure 3A, a properly-pulled, red-fluorescent quantum dot-coated glass micropipette imaged in the fluid column during the pipette registration portion of the procedure can be seen. The tip is 6 microns in width. In Figure 3B, a poorly-pulled pipette with 12 µm tip is shown. This pipette cannot penetrate the renal capsule without causing vascular trauma due to the 12 µm diameter and irregular tip surface (note the bur at the top of the bevel). In Figure 3C and 3D, the importance of optimal positioning rather than imaging of the target glomerulus is shown. The beautiful, near-surface glomerulus illustrated in Figure 3C demonstrates favorable imaging (due to its surface position at 20 µm below the renal capsule) but would not be suitable for access by this procedure because it is too close to the surface, and the pipette would hit the coverslip. In Figure 3D, optimally-positioned glomeruli are shown. Note the different scale used to illustrate both glomeruli (scale bars are all 50 µm). These glomeruli appear less sharp because of refraction caused by depth; this image was taken at 70 µm below the renal capsule. The lateral kidney edge is 250 µm to the right, making both of these glomeruli accessible. During an access procedure, imaging is tightly focused on the target glomerulus as in Figure 4, and every-second image acquisition is used, allowing the investigator to precisely observe positioning of the pipette in Bowman's space.
Figure 4 illustrates a typical renal entry and the result, a pipette tip within Bowman's space. In Figure 4A, a mean intensity projection from a z-stack with orthogonal views demonstrates the pipette tip in Bowman's space. Note that there is red pipette tip spectral artifact (round ball of fluorescence) due to extremely bright fluorescence of the quantum dots arranged on the conical section of the tip. In Figure 4B, a volume projection of z-stack data demonstrates another pipette in Bowman's space. Note that the pipette dragged Bowman's capsule in the direction of travel on entry, creating apparent tenting behind the tip as described in the protocol.
In Figure 5, the results of a failed procedure are shown in which a pipette with a too-large opening broke at the renal capsule, causing bleeding. The pipette was too blunt; on attempting to pass the renal capsule, the capsule was pushed ahead of the pipette tip until breakage occurred. In this image, the renal capsule is visible, enhanced by subcaspular bleeding, in FITC-fluorescent green. FITC signal is visible within the pipette itself, indicating that blood under pressure entered the pipette lumen. The arrow points to many red blood cells visible within the pipette lumen as filling defects in the FITC-dextran.
Figure 6 depicts a representative mass spectrum obtained from Bowman's space aspirate, mouse urinary protein 17 (MUP17). Lastly, Table 1 demonstrates example results of successful aspiration procedures, listing proteins identified using nanoscale mass spectrometry on aspirate collected over 6 minutes from each of 3 mice. In each case, the pipette was imaged as it was withdrawn from Bowman's space, and no FITC fluorescence was observed within Bowman's space or the pipette lumen, indicating lack of aspirate contamination with plasma. 17 proteins, primarily of low molecular weight, were identified from a minimum of 2 unique peptides per protein. Spectral counts are low, consistent with prior estimates of protein in the glomerular filtrate, and known filtered proteins, such as vitamin D binding protein (VTDB), albumin (ALBU), and major urinary protein 17 (MUP17) are present.
Figure 1: Partial extrusion of the kidney with custom support and immobilization for lateral access. On the left, the parts of the imaging column and kidney support are shown, with the complete assembly in center. On the right, the kidney preparation is shown before (above) and after (below) application of the support. Please click here to view a larger version of this figure.
Figure 2: Completed kidney prep at pipette registration step of protocol. Here, DAPI excitation is being used to position the micropipette within the water column of the 2 photon microscope. Please click here to view a larger version of this figure.
Figure 3: Imaging of pipettes and the kidney after injection of FITC-dextran, demonstrating suitable and unsuitable glomeruli for micropuncture. A. A well-pulled pipette with 6 µm tip. B. A rough-edged, blunt tip. C. This glomerulus is well-defined, but too close to the coverslip for micropuncture. D. Suitably positioned glomeruli. Scale bars are all 50 µm. Please click here to view a larger version of this figure.
Figure 4: Successful pipette passage leads to placement in Bowman's space-views from 2 different procedures. A. Z-stack with orthogonal projections demonstrates pipette tip in Bowman's space abutting the glomerular tuft. Scale bar is 50 µm. B. Volume rendering from z-stack similarly demonstrates a pipette in Bowman's space abutting the glomerular tuft. Scale bar is 100 µm. Please click here to view a larger version of this figure.
Figure 5: An unsuccessful procedure due to a blunt pipette, tearing the renal capsule and leading to bleeding into the pipette lumen. FITC fluorescence from extravasated plasma, and red blood cells (arrow) are visible within the pipette. Arrow points to red blood cells visible within the pipette lumen. Scale bar is 50 µm. Please click here to view a larger version of this figure.
Figure 6: The mass spectrum for major urinary protein 17 (MUP17), obtained from nanoscale liquid chromatography/mass spectrometry analysis of Bowman's space aspirate. Please click here to view a larger version of this figure.
Protein | MW (kD) | Mean Spectral Count |
ACTA_MOUSE | 42 | 2 |
ACTB_MOUSE | 42 | 1 |
CLPX_MOUSE | 69 | 2.5 |
DHSA_MOUSE | 73 | 1 |
FOLR2_MOUSE | 29 | 1 |
GBLP_MOUSE | 35 | 1 |
ALBU_MOUSE | 66 | 6.7 |
HBA_MOUSE | 15 | 2 |
HBB1_MOUSE | 16 | 1 |
MIB1_MOUSE | 110 | 1 |
MUP17_MOUSE | 21 | 1 |
PERI_MOUSE | 54 | 1 |
RNAS4_MOUSE | 17 | 2 |
SPTB1_MOUSE | 2 | 1 |
VIME_MOUSE | 54 | 1 |
VTDB_MOUSE | 53 | 1 |
Table 1: List of proteins identified in Bowman's space aspirate from 3 mice.
Supplemental Video 1: a volume rendering from a z-stack acquired after positioning a pipette in Bowman's space demonstrates the pipette tip within the space, abutting the capillary tuft. Please click here to download this file.
We present a method to access Bowman's space of non-surface glomeruli in mice, facilitated by 2-photon microscopy. We developed this procedure to address a key limitation of glomerular micropuncture, the rarity of surface glomeruli addressable by 1-photon microscopy in mice, in order to facilitate an experimental objective, aspiration of fluid from Bowman's space for subsequent analysis. Development and practice of this technique rests on six critical steps. First, the novel surgical preparation must be carefully carried out so that the imaging water column does not run off the coverslip and the coverslip extends over the area of kidney which is the target of the pipette. Second, the glass pipette used for micropuncture must be rendered visible for 2-photon microscopy, which is accomplished using quantum dots. Third, stereotactic technique is required to precisely position a pipette in Bowman's space in three dimensions, up to 100 µm below the kidney surface. Therefore, registering the coordinate systems of the pipette and the stage with precision are critical steps. Fourth, careful selection of the target glomerulus is necessary to ensure it is accessible to the pipette without impingement by the kidney support structure and imaging column. Lastly, careful consideration must be given to the analytic steps to follow the acquisition procedure, and volume and timing of acquisition of fluid samples must be matched to the analysis and to glomerular physiology.
We designed an acquisition procedure that may be extended to many analyses, including traditional micropuncture endpoints, such as flame photometry, ion-sensitive electrode measurements, or measurements of pressure, volume or charge. Additionally, we believe this technique will be amenable to novel analytic endpoints including polymerase chain reaction (perhaps following reverse transcription for miRNA) and metabolomics downstream of mass spectrometry. The special modifications employed to facilitate mass spectrometry deserve additional discussion, and they impose some limitations. First, although mass spectrometry is highly sensitive, the low protein content and volume of micropuncture samples renders analysis of protein below the dynamic range of conventional proteomic exploration, and therefore simplified nanoproteomics were necessary.8,13 Second, to optimize protein yield for early assays, we determined that 200-300 nL of aspirate was necessary, but de novo filtrate acquisition of this volume would require perhaps as long as 20 minutes of aspiration if the mouse GFR is only 8-14 nL/min3. As Tojo and Endou demonstrated that prolonged aspiration alters the albumin content of early proximal tubule fluid14, we elected to aspirate over 6 minutes; however this means that our aspiration rate exceeds the filtrate inflow rate. Users of this procedure are encouraged to consider the physiology of glomerular filtration in their experimental system in designing their workflow. Mass spectrometry, a sensitive technique, would be overwhelmed by the signal from an introduced petroleum distillate such as mineral oil, which is commonly used in micropuncture to comprise the hydraulic system for aspiration and isolate segments of the nephron. Therefore, we could not use mineral oil for this purpose, or its other common use, quantification of volume of nanoliter range samples. Instead we fill the system with perfluorodecalin which is biologically inert, does not disturb mass spectrometry, and has favorable optical characteristics. We believe the limitations imposed by perfluorodecalin are surmountable and are working on additional technical innovations which we expect will allow measurement of sample volume and blockade of the tubular segment.
Most micropuncture studies have been performed in Munich-Wistar rats, which demonstrate increased numbers of surface glomeruli, but this greatly limited physiologic study of tubular transport and other renal physiology because of the loss of the fundamental tool of molecular biology, transgenic mice2,3. Because it facilitates micropipette access to Bowman's space in mice, the novel technique therefore mitigates these critical limitations. We adopted this technique in order to access renal filtrate for proteomic studies using high-sensitivity mass spectrometry, known as nanoproteomics9. However, there are likely additional applications. For example, renal physiologic study of filtered protein has been greatly aided by use of fluorescent tracers with 2-photon microscopy15,16,17. Addition of micropuncture to 2-photon microscopy offers the possibility of performing single-nephron physiologic study with fluorescent molecules, allowing neighboring, non-injected nephrons to serve as controls. It is hoped that this clear explanation of the necessary steps will allow wide adoption in labs already equipped for 2-photon microscopy and/or micropuncture. Although it is complex, we have now performed this procedure many times and the refinements presented herein represent a stable platform for physiologic discovery.
The authors have nothing to disclose.
NIDDK K08 DK090754 to MPH. NIGMS P41 GM103493 to RDS. This material is the result of work (by MPH) which was supported with resources and the use of facilities at the Portland Veterans Affairs Medical Center. The contents do not represent the views of the U.S. Department of Veterans Affairs or the United States Government.
Upright 2 photon microscope | Zeiss | LSM 7MP | |
3 axis microscope stage controller | Sutter | MP-285 | |
3 axis headstage controller | Sutter | MP-225 | |
Pipette holder | Molecular Devices | 1-HL-U | |
Headstage | Molecular Devices | CV203BU | |
FITC-dextran 2000 kDa MW | Sigma-Aldrich | 52471-1G | |
borosilicate glass capillary tubes | Sutter | B150-110-7.5 | |
Micropipette puller | Sutter | P-97 | |
Quantum dots, 605 nm | Thermofisher | Q21701MP | |
Polysiloxane | Sugru | No cat number | www.sugru.com, "original formula". Any color. |
PE-50 tubing | Instech Labs | BTPE-50 | |
Microinjector | WPI | UMP-3 | |
Microinjector controller | WPI | Micro4 | |
Perfluorodecalin | Sigma-Aldrich | 306-94-5 | |
Agarose | Sigma-Aldrich | 9012-36-6 | |
Coverslip, 10 mm | Harvard Apparatus | 64-0718 | |
Headplate | Custom | No part number | Common in neuroscience labs, many suppliers |
Head fixation device | Custom | No part number | Common in neuroscience labs, many suppliers |
30 gauge needle | Becton-Dickinson | 125393 | For retroorbital injection |
Tuberculin syringe | Becton-Dickinson | 309626 | For retroorbital injection |