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Real-time Analysis of Gut-brain Neural Communication: Cortex wide Calcium Dynamics in Response to Intestinal Glucose Stimulation

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JoVE Journal
Neuroscience
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JoVE Journal Neuroscience
Real-time Analysis of Gut-brain Neural Communication: Cortex wide Calcium Dynamics in Response to Intestinal Glucose Stimulation

All experimental protocols were approved by the Institutional Animal Care and Use Committee of Ochanomizu University, Japan (animal study protocols 22017). All animal experiments were performed according to the guidelines for animal experimentation of Ochanomizu University that conform with the Fundamental Guidelines for Proper Conduct of Animal Experiment and Related Activities in Academic Research Institutions (Ministry of Education, Culture, Sports, Science and Technology, Japan). Efforts were taken to minimize the number of animals used. This study was carried out in compliance with the ARRIVE guidelines.

1. Preparation of transgenic mice

  1. To follow this experiment, use adult male and female BAC GLT-1-G-CaMP7 #817 transgenic mouse line, namely G7NG817 mice24,25 (older than 8 weeks). The background strain of G7NG817 mice25 is C57BL/6J.
  2. House the mice under a 12 h /12 h light/dark cycle and raise them in groups of up to five mice.

2. Catheter creation

  1. Use scissors to adjust the silicon tube (inner diameter 0.5 mm, outer diameter 1.0 mm) to a precise length of 7 cm (Figure 1A-a).
  2. Adhere diminutive plastic beads (inner diameter 3 mm, outer diameter 5 mm) to the tailored tube, ensuring they are situated 3 mm from its terminus (Figure 1A-b). Affix the beads securely using cyanoacrylate glue (medical or standard variants are acceptable).
  3. Excise a 23 G needle's apex and subsequently cut 1.5 cm from the needle tip (Figure 1A-c).
  4. Introduce the sectioned 23 G needle from step 2.3 into the silicon tube's extremity, opposite to where the beads were affixed (Figure 1A-d).

3. Injector creation

  1. Use pliers to excise 1 cm from the needle tip (Figure 1B-a).
    NOTE: Ensure the orifice at the severed end retains its integrity and does not get deformed, as any distortion could obstruct the injection solution's flow.
  2. Couple the adapted 23 G injection needle from step 3.1.1 to a 2.5 mL syringe (Figure 1B-b).
  3. Segment a silicon tube to the requisite length (a 15 cm silicon tube in this experiment) and sheath it over the 23 G injection needle (Figure 1B-c).
    NOTE: The volume of solution dispensed will fluctuate based on the tubing's length. For instance, with a 15 cm tube, approximately 50 µL of solution will linger post experiment.
  4. Sever the 23 G injection needle 1.5 cm from the needle tip.
  5. Join the sectioned portion from step 3.4 with the silicon catheter fashioned in step 3.3 (Figure 1B-d).
    ​NOTE: Ensure the orifices created in steps 3.1 and 3.4 remain undistorted post incision. If rectification is needed, employ pliers to restore its circular configuration.

4. Gastric localization

  1. Administer anesthesia to the mouse via 3.0% isoflurane inhalation in a specified chamber.
  2. Delicately transfer the anesthetized mouse from the inhalation chamber to the surgical table upon verifying the mouse's anesthetized state.
  3. Lay the mouse supine, aligning its mouth proximate to the inhalation apparatus, and modulate the isoflurane concentration from 3.0% to 2.0%.
    NOTE: Disengage the inferior segment of the isoflurane mask from its superior counterpart and anchor the separated mask (upper segment) to the surgical table using adhesive tape.
  4. Supplement the mouse's oral cavity, forelimbs, and hindlimbs to the surgical table using adhesive tape.
    NOTE: By fixing the mouse to the table, surgical errors due to movement can be prevented even if the mouse is anesthetized.
  5. Remove the mouse's hair from the upper left abdomen by using depilatory cream.
  6. Make a skin incision roughly 1.5 cm in length (Figure 1C-b), situated 1 cm to the right of the abdominal median and 5 mm below the xiphoid process (Figure 1C-c). Then, create a 1.5 cm incision in the abdominal wall at the same location as the initial skin incision.
    NOTE: Exercise caution to avoid inflicting harm to the underlying liver.
  7. Delicately reposition the left hepatic lobe laterally using blunt-ended forceps, revealing the stomach beneath.

5. Catheter insertion

  1. Elevate the stomach and cautiously extricate it through the incision.
    NOTE: Exercise utmost care to preserve the integrity of adjacent organs, notably the liver, and refrain from exerting undue force on the stomach.
  2. Use scissors to create a diminutive perforation (approximately 1.5mm in diameter) in the pyloric antrum.
  3. Introduce the catheter's terminus into the perforation, ensuring the bead is in direct contact with the pyloric antrum.
  4. Adhere the catheter's bead to the stomach employing medical-grade cyanoacrylate glue.
    NOTE: Ensure the stomach remains unattached to surrounding organs.
  5. Verify the firm attachment of the catheter to the stomach, then delicately reposition the stomach to its innate locale beneath the left hepatic lobe.
  6. Stitch the abdominal wall, permitting the catheter to extend externally, using a 5/0 silk suture. After that, close the skin incision in a manner analogous to the abdominal closure.
  7. Sterilize the operated region with 70% ethanol.
  8. Gently reposition the mouse in a sanitized cage.
    NOTE: Postoperative mice should be singularly housed.
  9. Allow a minimum recovery period of 48 h in a standard environment.

6. Preparation for in vivo transcranial Ca2+ imaging

  1. Administer anesthesia to the mouse using isoflurane (induction at 2%; maintenance between 0.8% and 1.0%).
  2. Secure the mouse onto a stereotaxic platform using auxiliary ear bars to mitigate the effects of pulsation and respiration. Subsequently, position the mouse under a fluorescence stereo microscope.
  3. Employ a wideband blue fluorescence filter set (with excitation at 460-490 nm and emission at 520 nm) in conjunction with a mercury light source.
  4. Capture the images using a camera and process them using the designated imaging software.
  5. Carefully remove the hair from the scalp using an electric shaver or hair removal cream.
    NOTE: If using a razor, ensure that it is thoroughly disinfected and be careful not to cut the skin.
  6. Disinfect the surface of the scalp using a cotton swab or similar tool with a solution of chlorhexidine gluconate diluted to 0.1-0.5%.
  7. Apply a local anesthetic gel and wait for 5-10 min.
  8. Prepare to apply dental acrylic cement.
    1. Use scissors to cut the scalp. Either completely remove the scalp or make a straight cut from the back of the head to the forehead.
    2. Use clips to expose the skull by extending any excess skin.
    3. Use a cotton swab to remove the connective tissue of the periosteum.
    4. Immediately apply the acrylic cement after removing the periosteum. Act quickly to prevent the skull surface from becoming opaque due to evaporation from the exposed bone.
    5. Wait for about 5 min for the cement to dry.

7. Transcranial Ca2+ imaging with intraduodenal glucose administration

  1. Equilibrate both the experimental solution and saline to ambient temperature. Subject the mice to a dietary restriction for a specified duration (e.g., 2 h).
  2. Purge any residual content within the mouse-side catheter using ~0.03 mL of saline before initiating the injection.
  3. Aspirate the experimental solution (for instance, a 10% glucose solution prepared in 300 µL of water, complemented with an additional 300 µL of water) into the syringe, then interface it to the catheter. Ascertain the optimal dosage of the solution tailored to the specific experimental objective.
    NOTE: During this phase, exercise caution to prevent undue strain on the catheter, which might jeopardize the mouse's internal anatomy. Endeavor to manipulate the mouse-side tubing with utmost gentleness. Additionally, ensure the syringe remains devoid of air post solution aspiration, as entrapped air and bubbles could induce gastrointestinal distension.
  4. Assess the mouse's physiological state and activate the imaging software's recording function by clicking on the recording process button of the software application.
  5. Capture images at a resolution of 512 x 512 pixels, 16 bit depth, and a frame rate of 10 Hz.
    NOTE: The recording parameters can be adjusted to align with specific experimental requirements.
  6. Acquire spontaneous data (e.g., spanning 50 s), followed by the gradual infusion of the experimental solution at a rate tailored to the experiment (here, 0.035 mL/s).

8. Image data processing and analysis

  1. Bin image data into 64 x 64 pixels.
  2. Determine hand-drawn regions of interest (ROIs) using ImageJ. Refer to the mouse brain atlas to designate ROIs as the frontal area (M2), the somatosensory area including the Barrel (Somato), the occipital area (Visual), and the retrosplenial region (RSC).
  3. Use the MATLAB function ReadImageJROI to extract the coordinates corresponding to the ROIs. Access the MATLAB function through the provided link: https://jp.mathworks.com/matlabcentral/fileexchange/32479-readimagejroi
  4. Compute the average rate of fluorescence intensity change within the ROI using MATLAB.
    1. Define the fluorescence intensity change rate (ΔF/F) with equation (1):
      Equation 1     (1)
      Where Ft represents the fluorescence intensity value at a specific time and the average intensity value from the start of recording until 50 s into the injection is denoted as F0.
  5. Account for the delay in the injection solution reaching the organ. Use the average intensity value spanning the three seconds post injection as a baseline. Target waveforms surpassing the baseline intensity value + 1 SD for analysis if they occur 3 s or later post injection.

Real-time Analysis of Gut-brain Neural Communication: Cortex wide Calcium Dynamics in Response to Intestinal Glucose Stimulation

Learning Objectives

Transcranial cortex wide Ca2+ imaging with an isoflurane-anesthetized G7NG817 mouse
We created the catheter following the procedure illustrated in Figure 1. After carefully identifying the position of the stomach, we attached the catheter to that location (Figure 1). After allowing sufficient recovery time following catheter insertion (approximately 48 h), we measured spontaneous neural activity under mild isoflurane anesthesia (0.8-1.0%) to establish the baseline fluorescence intensity changes for subsequent intestinal stimulation observations. As a result, we confirmed the random Ca2+ oscillation patterns that spanned the entire cortex (Figure 2A). Figure 2 provides representative examples of spontaneous brain activity, with the catheters inserted beforehand. We defined the time of the first observable Ca2+ transient peak in the M2 region following the injection as 0.0 s. The pseudo color representation displayed the peak of this Ca2+ transient as the maximum value, with the mean value plus one standard deviation (1 SD) as the minimum value. It was clear that the left and right hemispheres displayed synchronous activity in all regions.

Next, we established ROIs to characterize the waves within each functional area. As shown in Figure 2B, we presented the temporal changes in fluorescence intensity rate for each ROI (Figure 2B). These observed surface Ca2+ oscillations followed a burst suppression pattern, alternating between periods of low activity and high-amplitude fluorescence changes. This activity pattern aligns with previous findings that simultaneously measured cortical surface EEG and Ca2+ dynamics26.

Despite global or regional surface Ca2+ fluctuations between suppression and burst states, the specific cortical region initiating the calcium surge can differ. As previously reported, when a signal stimulates a local cortical region, the area is expected to activate, subsequently driving a global shift in the cortical state27,28.

Changes in cortex Ca2+ dynamics after intragastric glucose injection
Next, to elucidate how glucose or water administration influences cortical activity, we monitored cortex wide Ca2+ dynamics during and after the injection. As a result, we found alterations in cortical Ca2+ dynamics following intragastric glucose injection. In contrast to the spontaneous activity illustrated in diverse regions of cortical activation, we observed immediate activation in the prefrontal area or the secondary motor cortex (M2) upon direct gut injection of glucose via the catheter, an effect not induced by intragastric water injection (Figure 3AC). Moreover, we observed that these transient, prominent Ca2+ events tended to occur continuously over approximately 10 s following intragastric glucose injection. Such persistent phenomena were not apparent when water was administered (Figure 3DF).

The Ca2+ events in each ROI were characterized by calculating the ratio of fluorescence intensity change ratio, using the auditory cortex (Reference) as a reference, at the first peak occurring within 4-8 s after the completion of glucose administration. As a result, a significant change was observed when glucose was injected after comparing the response in the M2 region using the auditory cortex as a reference before and after injection.

In contrast, no such change was observed when water was injected (Figure 3G, water N = 7: before vs. injection, 2.38 ± 2.53 vs. 2.05 ± 1.84, p > 0.05; glucose N = 7: before vs. injection, 2.48 ± 0.97 vs. 3.76 ± 2.76, p < 0.01, Wilcoxon signed-rank test). Next, defining the activation levels in each cortical region by the ratio of the value of after injection to before injection, a significant difference was observed only in the M2 region (Figure 3H, M2: 0.92 ± 0.89 vs. 1.30 ± 0.32, p = 0.006; Somato: 0.95 ± 0.076 vs. 1.04 ± 0.13, p = 0.27; Visual: 0.92 ± 0.3 vs. 1.00 ± 0.06, p = 0.89; RSC: 0.97 ± 0.27 vs. 1.10 ± 0.27, p = 0.60, t-test).

Figure 1
Figure 1: Overview of the method. (A) Catheter creation: (a) Cut the silicon tube. (b) Affix a plastic bead to the silicon tube using medical cyanoacrylate glue. (c) Cut the 23 G needle 1.5 cm from the tip. (d) Attach the cut end of the needle to the silicon tube. (B) Injector assembly: (a) Trim a 23 G injection needle by 1 cm. (b) Connect the trimmed injection needle to a 2.5 mL syringe. (c) Sheath the cut section of the injection needle with a silicon tube. (d) Cut the 23 G needle 1.5 cm from the tip. (e) Attach the cut end of the needle to the silicon tube. (C) Surgical procedure: (a) Depilate the surgical area. (b) Incise the skin and the abdominal wall to a length of approximately 1.5 cm. (c) Create a small perforation (around 1.5 mm in diameter) in the pyloric antrum using scissors and insert the catheter (silicon tube). Secure the catheter to the pyloric antrum using medical cyanoacrylate glue. (d) Stitch the abdominal wall and skin using 5/0 silk suture material and needle. Please click here to view a larger version of this figure.

Figure 2
Figure 2: Spontaneous cortex wide Ca2+ oscillations in G7NG817 mice with an attached catheter. (A) A representative example of cortex wide Ca2+ oscillations displayed at 0.2 s intervals. Changes in fluorescence intensity are represented with a pseudo color overlay. The time window encircled by the dashed line in B shows the first appearing Ca2+ transient, with its peak set as time 0. The pseudo color representation uses the peak of that Ca2+ transient as the maximum value and the mean +1 SD as the minimum value. (B) Time series changes in fluorescence intensity for each ROI in the example. Line colors correspond to different cortical areas: red represents M2; magenta represents the somatosensory area (Somato); blue represents the visual area (Visual); and green represents the retro splenial region. Salmon colored strip shows the injection time. (C) A single peak within the dashed outline is isolated and displayed in an enlarged view. Abbreviations: SD = standard deviation; ROI = region of interest; RSC = retro splenial region. Please click here to view a larger version of this figure.

Figure 3
Figure 3: Cortex wide Ca2+ response during/after glucose or water injection. (A) A representative example of glucose administration displayed at 0.2 s intervals. Changes in fluorescence intensity are represented with a pseudo color overlay. The time window encircled by the dashed line in B shows the first appearing Ca2+ transient after the injection, with its peak set as time 0. The pseudo color representation is based on the peak of the first Ca2+ transient after injection as the maximum value and the mean +1 SD as the minimum value. (B) Time series changes of fluorescence intensity for each ROI in the example. Line colors correspond to different cortical areas: red represents M2, magenta represents the somatosensory area (Somato), blue represents the visual area (Visual), and green represents the retro splenial region. (C) A single peak within the dashed outline is isolated and displayed in an enlarged view. Analyze target calcium wave is the earliest wave that appeared within 4-8 s after injection. (D) A representative example of water injection as glucose control data. (E) Time series changes in fluorescence intensity for each ROI in the example. Line colors are as in B. (F) A single peak within the dashed outline is isolated and displayed in an enlarged view. Analyze target calcium wave is the earliest wave that appeared within 4-8 s after injection. (G) Comparison of M2 spontaneous activity (before) and response after injection (injected). The average fluorescence intensity changes over 50 s before injection, and the peak response in the M2 region between 4 s and 8 s after injection was calculated, using the auditory cortex as a reference. (H) Comparison of activation levels in each cortical region when water or glucose was administered. The ratio of the value of after injection to before injection, as determined in G, was calculated for each region. N.S. represents non-significant (p > 0.05). ** <0.01. Error bars are defined as the standard error of the mean. Abbreviations: SD = standard deviation; ROI = region of interest; RSC = retro splenial region. Please click here to view a larger version of this figure.

List of Materials

2.5 mL TERUMO syringe TERUMO ss-02Sz
23 G injection needle TERUMO 4987350390691
5/0 Braid silk suture ELP 20500BZZ00146000
Anesthetic (ISOFLURANE Inhalation Solution) viatris 871119
cotton swab local company
Cyanoacrylate glue (AronArufa A) TOAGOSEI 7990700Q1022
dental acrylic cement C&B  Sun Medical  221AABZX00115000
Depilatory cream Kracie local company
Digital CMOS camera  Hamamatsu Photonics  ORCA-Spark
Ear bar NARISHIGE EB-5N
Filter set (U-MWB2) Evident U-MWB2 
Fine Scissors Fine Dcience Tools 14040-10
G7NG817 mice RIKEN BRC RBRC09650
Image software Hamamatsu Photonics  HC Image software
Isoflurane vapolizer shinanoseisakusyo SN-487-0T
Light source (U-HGLGPS) Evident U-HGLGPS
microscopy (MVX10) Evident
Plastic beads (inner diameter 3 mm, outer diameter 5 mm) local company
Pliers local company
Round ended forceps F.S.T.  11617-12
saline Otsuka Pharmaceutical Factory 35061311
Silicon tube (inner diameter 0.5 mm, outer diameter 1.0 mm) AS ONE CORPORATIO 33151413 local company
small surgery needle Natsume Seisakusho Co., Ltd. AC03DNT
Stereotaxic stage NARISHIGE MA-6N

Lab Prep

Communication between the gastrointestinal tract and the brain after nutrient absorption plays an essential role in food preference, metabolism, and feeding behaviors. Particularly concerning specific nutrients, many studies have elucidated that the assimilation of glucose within gut epithelial cells instigates the activation of many signaling molecules. Hormones such as glucagon-like peptide-1 are renowned as quintessential signaling mediators. Since hormones predominantly influence the brain through circulatory pathways, they slowly modulate brain activity.

However, recent studies have shown two expeditious gut-brain pathways facilitated by the autonomic nervous system. One operates via the spinal afferent neural pathway, while the vagus nerve mediates the other. Consequently, brain responses following glucose assimilation in the gastrointestinal tract are complicated. Moreover, as intestinal stimulation finally induces diverse cortical activities, including sensory, nociceptive, reward, and motor responses, it is necessary to employ methodologies that facilitate the visualization of localized brain circuits and pan-cortical activities to comprehend gut-brain neural transmission fully. Some studies have indicated precipitous alterations in calcium ion (Ca2+) concentrations within the hypothalamus and ventral tegmental area independently through different pathways after intestinal stimulation. However, whether there are changes in cerebral cortex activity has not been known.

To observe cerebral cortex activity after intragastric glucose injection, we developed an imaging technique for real-time visualization of cortex wide Ca2+ dynamics through a fully intact skull, using transgenic mice expressing genetically encoded Ca2+ indicators. This study presents a comprehensive protocol for a technique designed to monitor intestinal stimulation-induced transcranial cortex wide Ca2+ imaging following intragastric glucose injection via an implanted catheter. The preliminary data suggest that administering glucose solution into the gut activates the frontal cortex, which remains unresponsive to water administration.

Communication between the gastrointestinal tract and the brain after nutrient absorption plays an essential role in food preference, metabolism, and feeding behaviors. Particularly concerning specific nutrients, many studies have elucidated that the assimilation of glucose within gut epithelial cells instigates the activation of many signaling molecules. Hormones such as glucagon-like peptide-1 are renowned as quintessential signaling mediators. Since hormones predominantly influence the brain through circulatory pathways, they slowly modulate brain activity.

However, recent studies have shown two expeditious gut-brain pathways facilitated by the autonomic nervous system. One operates via the spinal afferent neural pathway, while the vagus nerve mediates the other. Consequently, brain responses following glucose assimilation in the gastrointestinal tract are complicated. Moreover, as intestinal stimulation finally induces diverse cortical activities, including sensory, nociceptive, reward, and motor responses, it is necessary to employ methodologies that facilitate the visualization of localized brain circuits and pan-cortical activities to comprehend gut-brain neural transmission fully. Some studies have indicated precipitous alterations in calcium ion (Ca2+) concentrations within the hypothalamus and ventral tegmental area independently through different pathways after intestinal stimulation. However, whether there are changes in cerebral cortex activity has not been known.

To observe cerebral cortex activity after intragastric glucose injection, we developed an imaging technique for real-time visualization of cortex wide Ca2+ dynamics through a fully intact skull, using transgenic mice expressing genetically encoded Ca2+ indicators. This study presents a comprehensive protocol for a technique designed to monitor intestinal stimulation-induced transcranial cortex wide Ca2+ imaging following intragastric glucose injection via an implanted catheter. The preliminary data suggest that administering glucose solution into the gut activates the frontal cortex, which remains unresponsive to water administration.

Procedure

Communication between the gastrointestinal tract and the brain after nutrient absorption plays an essential role in food preference, metabolism, and feeding behaviors. Particularly concerning specific nutrients, many studies have elucidated that the assimilation of glucose within gut epithelial cells instigates the activation of many signaling molecules. Hormones such as glucagon-like peptide-1 are renowned as quintessential signaling mediators. Since hormones predominantly influence the brain through circulatory pathways, they slowly modulate brain activity.

However, recent studies have shown two expeditious gut-brain pathways facilitated by the autonomic nervous system. One operates via the spinal afferent neural pathway, while the vagus nerve mediates the other. Consequently, brain responses following glucose assimilation in the gastrointestinal tract are complicated. Moreover, as intestinal stimulation finally induces diverse cortical activities, including sensory, nociceptive, reward, and motor responses, it is necessary to employ methodologies that facilitate the visualization of localized brain circuits and pan-cortical activities to comprehend gut-brain neural transmission fully. Some studies have indicated precipitous alterations in calcium ion (Ca2+) concentrations within the hypothalamus and ventral tegmental area independently through different pathways after intestinal stimulation. However, whether there are changes in cerebral cortex activity has not been known.

To observe cerebral cortex activity after intragastric glucose injection, we developed an imaging technique for real-time visualization of cortex wide Ca2+ dynamics through a fully intact skull, using transgenic mice expressing genetically encoded Ca2+ indicators. This study presents a comprehensive protocol for a technique designed to monitor intestinal stimulation-induced transcranial cortex wide Ca2+ imaging following intragastric glucose injection via an implanted catheter. The preliminary data suggest that administering glucose solution into the gut activates the frontal cortex, which remains unresponsive to water administration.

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