Source Paper
The Monoiodoacetate Model of Osteoarthritis Pain in the Mouse
Thomas Pitcher, João Sousa-Valente, Marzia Malcangio
Journal of Visualized Experiments • 2016
Source Paper
Thomas Pitcher, João Sousa-Valente, Marzia Malcangio
Journal of Visualized Experiments • 2016
A major symptom of patients with osteoarthritis (OA) is pain that is triggered by peripheral as well as central changes within the pain pathways. The current treatments for OA pain such as NSAIDS or opiates are neither sufficiently effective nor devoid of detrimental side effects. Animal models of OA are being developed to improve our understanding of OA-related pain mechanisms and define novel pharmacological targets for therapy. Currently available models of OA in rodents include surgical and chemical interventions into one knee joint. The monoiodoacetate (MIA) model has become a standard for modelling joint disruption in OA in both rats and mice. The model, which is easier to perform in the rat, involves injection of MIA into a knee joint that induces rapid pain-like responses in the ipsilateral limb, the level of which can be controlled by injection of different doses. Intra-articular injection of MIA disrupts chondrocyte glycolysis by inhibiting glyceraldehyde-3-phosphatase dehydrogenase and results in chondrocyte death, neovascularization, subchondral bone necrosis and collapse, as well as inflammation. The morphological changes of the articular cartilage and bone disruption are reflective of some aspects of patient pathology. Along with joint damage, MIA injection induces referred mechanical sensitivity in the ipsilateral hind paw and weight bearing deficits that are measurable and quantifiable. These behavioral changes resemble some of the symptoms reported by the patient population, thereby validating the MIA injection in the knee as a useful and relevant pre-clinical model of OA pain. The aim of this article is to describe the methodology of intra-articular injections of MIA and the behavioral recordings of the associated development of hypersensitivity with a mind to highlight the necessary steps to give consistent and reliable recordings.
Objective: Measurement of mechanical withdrawal thresholds using calibrated von Frey hairs applied to the plantar surface of hind paws to assess allodynia in a monoiodoacetate (MIA) model of osteoarthritis pain
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House 8-10 week-old mice in groups of 5 under a 12 hr light/dark cycle (lights on at 7:00 AM) with food and water ad libitum. Allow mice to acclimatize for 1 week prior to starting the experiment.
Note: Randomize and cage mice in groups of 5. Use animal numbers as codes to blind the experimenter to treatments. Use body weights as parameters for randomization.
“House 8-10 week-old mice in groups of 5 under a 12 hr light/dark cycle (lights on at 7:00 AM) with food and water ad libitum. Let the mice acclimatize for 1 week prior to starting the experiment.”
On the day of injection, freshly prepare the solution of monoiodoacetate in sterile saline (0.9% NaCl) at the desired concentrations. Prepare sterile saline for injections in a separate group of control mice.
Note: The highest recommended dose of MIA is 1 mg in 10 µl. Monoiodoacetate is very toxic - wear gloves and mask when handling powder and preparing solution. The solution should be sterile filtered with a 0.22 µm filter.
“On the day of injection, freshly prepare the solution of monoiodoacetate in sterile saline (0.9% NaCl) at the desired concentrations. The highest recommend dose of MIA is 1 mg in 10 µl. The solution should be sterile filtered with a 0.22 µm filter.”
Anesthetize mice using an anesthetic trolley by first placing them in a chamber delivering 2% isoflurane in O2 mixture (flow rate 1.5 L/min) and then transfer mice to the nose cone section, which also delivers the 2% isoflurane-O2 mixture to maintain anesthesia during injection. Place vet ointment on the eyes to avoid drying out while under anesthesia.
Note: Wear surgical gown, gloves, and mask while performing injection procedure. Confirm anesthesia by checking the animal's lack of response to a pinch stimulus on the hind paws.
“Anesthetize mice using an anesthetic trolley by first placing them in a chamber delivering 2% isoflurane in O2 mixture (flow rate 1.5 L/min) and then transfer mice to the nose cone section, which also delivers the 2% isoflurane-O2 mixture, and as such, maintains anesthesia during injection.”
Once the animal is under anesthesia, place it on its back. Trim and wipe the area surrounding the knee joint with alcohol. Povidone iodine or chlorhexidine can be used as well for disinfection. The patellar tendon (white line below the patella) will become visible.
Note: Joint preference is not required.
“Once the animal is under anesthesia, place it on its back. Trim and wipe the area surrounding the knee joint with alcohol. Povidone iodine or chlorhexidine can be used as well for disinfection.”
In order to stabilize the injection site, keep the knee still in a bent position by placing the index finger beneath the knee joint and the thumb above the anterior surface of the ankle joint.
Note: This stabilization is critical for accurate injection placement.
“In order to stabilize the injection site, keep the knee still, in a bent position, by placing the index finger beneath the knee joint and the thumb above the anterior surface of the ankle joint.”
To find the precise site of injection, run a 26 G needle attached to a syringe horizontally along the knee (so as not to pierce the skin with the tip) until it finds the gap beneath the patella. Apply gentle pressure to mark the area and then lift the needle and syringe vertically for the injection.
Note: The patellar tendon (white line below the patella) serves as a landmark.
“To find the precise site of injection, run a 26 G needle attached to a syringe horizontally along the knee (so as not to pierce the skin with the tip) until it finds the gap beneath the patella. Apply gentle pressure to mark the area and then lift the needle and syringe vertically for the injection.”
Insert the needle in the marked area, through the patellar tendon, perpendicular to the tibia. No resistance should be felt. Use thumb as a guide and inject superficial to the site of entry. After injection, massage the knee to ensure even distribution of the solution.
Note: Discard the needle immediately in the sharps bin. It is suggested for best practice and training purposes that a dye is used and immediate post-mortem dissection performed to confirm correct localization of injection.
“Insert the needle in the marked area, through the patellar tendon, perpendicular to the tibia. No resistance should be felt. Use thumb as a guide and inject superficial to the site of entry. After injection, massage the knee to ensure even distribution of the solution.”
Place mice back into a clean home cage on a heated mat and allow them to recover. Keep constant vigilance on the animals until they regain suitable consciousness, which is measured by them regaining sternal recumbency. Once animals are recovered, return to their cage.
Note: Continuous monitoring is required during recovery.
“Place mice back into a clean home cage on a heated mat and allow them to recover. Keep constant vigilance on the animals until they regain suitable consciousness, which is measured by them regaining sternal recumbency.”
Bring mice to the behavioral room and let unrestrained animals acclimatize in acrylic cubicles (8 cm x 5 cm x 10 cm) atop a wire mesh grid. Train mice by handling and 2 hr habituation to the cubicles for two days prior to von Frey hair application in order to limit stress and ambulation during application of von Frey hairs.
Note: This training is essential to reduce stress and ensure consistent behavioral responses.
“Train mice by handling and 2 hr habituation to the cubicles for two days prior to von Frey hair application in order to limit stress and ambulation during application of von Frey hairs.”
On test days, habituate animals to the cubicles for up to 60 min prior to testing. Assess mechanical thresholds of both hind paws before MIA injection as baseline values using the von Frey hair testing procedure.
Note: Wear gowns, gloves, and masks during all behavioral experiments. Use the same experimenter throughout to reduce stress.
“On test days, habituate animals to the cubicles for up to 60 min prior to testing. Following the procedure described above (2.2.1-2.2.4), assess mechanical thresholds of both hind paws before MIA injection as baseline values.”
Apply calibrated von Frey hairs to the plantar surface of the hind paw until the fiber bends. Hold each hair in place for 3 sec or until the paw is withdrawn, the latter defining a positive response. Starting with a stimulus strength of 0.07 g, apply hairs according to the up-down method: mark as X a withdrawal response and O an absence of response.
Note: Use 0.008, 0.02, 0.04, 0.07, 0.16, 0.4, 0.6, and 1.0 g fibers during testing. Start with 0.07 g filament.
“Apply calibrated von Frey hairs (flexible nylon fibers of increasing diameter that exert defined levels of force as calibrated by the manufacturing company and expressed as grams (g)) to the plantar surface of the hind paw until the fiber bends. Hold each hair in place for 3 sec or until the paw is withdrawn, the latter defining a positive response. Starting with a stimulus strength of 0.07 g, apply hairs according to the up-down method”
Apply in ascending order of force, up to 1 g (cut-off force), until a response is detected.
Note: This is the first phase of the up-down method.
“Apply in ascending order of force, up to 1 g (cut-off force), until a response is detected.”
Re-test the paw by repeating the procedure, starting with the filament that exerts a force below the one that produced a withdrawal. Then, apply the remaining filaments sequentially, by descending force, until no withdrawal occurs.
Note: This is the second phase of the up-down method.
“Re-test the paw by repeating step 2.2.1, starting with the filament that exerts a force below the one that produced a withdrawal. Then, apply the remaining filaments sequentially, by descending force, until no withdrawal occurs.”
Re-apply filaments in ascending order until a response is observed. Continue until a sequence of six responses is obtained (e.g., OXOXOX), in order to obtain the 'k' value by referring to tabular values.
Note: The sequence of six responses (alternating X and O) is required to calculate the 50% withdrawal threshold.
“Re-apply filaments in ascending order until a response is observed. Continue until a sequence of six responses is obtained (e.g., OXOXOX), in order to obtain the 'k' value by referring to tabular values”
Express paw withdrawal values as 50% paw withdrawal thresholds in grams using the formula: (10 [Xr + K δ])/10,000 where Xr = value of last von Frey filament used in the sequence (in log units), k = tabular value, and δ = mean difference in forces between fibers. Where no response is detected, use the maximal response of 1 g.
Note: This calculation provides the mechanical withdrawal threshold value.
“Express paw withdrawal values as 50% paw withdrawal thresholds in grams. Use the formula (10 [Xr + K δ])/10,000 where Xr = value of last von Frey filament used in the sequence (in log units), k = tabular value, and δ = mean difference in forces between fibers.”
After injection, assess thresholds of the ipsilateral and contralateral paws at regular day intervals for several weeks after MIA to ascertain the development of mechanical allodynia. For example, assess thresholds at 0, 3, 5, 7, 10, 14, 21, and 28 days after MIA injection.
Note: Animals are considered allodynic when they display a response to 0.1 g or less. Normal responses fall within 0.6-1 g range.
“After injection, assess thresholds of the ipsilateral and contralateral paws at regular day intervals for several weeks after MIA to ascertain the development of mechanical allodynia. For example, we report thresholds measured 0, 3, 5, 7, 10, 14, 21, and 28 days after MIA injection.”
Train each mouse to walk into a Plexiglass chamber on the weight incapacitance tester apparatus and sit in the holding box. Place the mouse in front of the holding box, lift the entrance up 45°, and allow the mouse to walk in and close the box. Allow the animals to move freely until they adopt a sitting posture.
Note: This training guarantees that the animal is still and not leaning on either side of the chamber.
“Train each mouse to walk into a Plexiglass chamber on the apparatus and sit in the holding box. Place the mouse in front of the holding box, lift the entrance up 45°, and allow the mouse to walk in and close the box. Allow the animals to move freely until they adopt a sitting posture. This training takes at least two days”
Calibrate the weight incapacitance tester instrument before use with a 100 g check weight or according to equipment instruction.
Note: Proper calibration is essential for accurate measurements.
“Calibrate the instrument before use with a 100 g check weight (or according to equipment instruction).”
Assess weight bearing changes before MIA injection as baseline values. Make sure that each hind paw is placed on the appropriate recording pad. The duration of each measurement takes 1 sec, as per the manufacturer's instructions. Collect three measurements of the weight borne on each hind paw from the recording pad for each recording session and use the mean value to calculate the difference in weight borne by ipsilateral and contralateral paws.
Note: Express values as the difference between contralateral and ipsilateral paws in grams.
“Assess weight bearing changes before MIA injection as baseline values. Make sure that each hind paw is placed on the appropriate recording pad. The duration of each measurement takes 1 sec, as per the manufacturer's instructions. Collect three measurements of the weight borne on each hind paw from the recording pad for each recording session and use the mean value to calculate the difference in weight borne by ipsilateral and contralateral paws.”
Repeat weight bearing assessments at regular intervals over several weeks to ascertain the development of gait changes. For example, assess at 0, 3, 5, 7, 10, 14, 21, and 28 days after MIA injection.
Note: A normal weight bearing value of 50% represents an equal weight distribution across ipsilateral and contralateral hindlimb. Animals considered hypersensitive display a weight bearing change of approximately 45%.
“Then, repeat assessments at regular intervals over several weeks to ascertain the development of gate changes. For example, we report thresholds measured on 0, 3, 5, 7, 10, 14, 21, and 28 days after MIA injection.”
Housed in groups of 5 under 12 hr light/dark cycle with food and water ad libitum. Acclimatized for 1 week prior to experiment. Randomized and caged by body weight.
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