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A surgical method for continuous intraportal infusion of gut microbial metabolites in mice
Danny Orabi, Lucas J. Osborn, Kevin Fung, William Massey, Anthony J. Horak III, Federico Aucejo, Ibrahim Choucair, Beckey DeLucia, Zeneng Wang, Jan Claesen, J. Mark Brown
Danny Orabi, Lucas J. Osborn, Kevin Fung, William Massey, Anthony J. Horak III, Federico Aucejo, Ibrahim Choucair, Beckey DeLucia, Zeneng Wang, Jan Claesen, J. Mark Brown
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Resource and Technical Advance Metabolism Microbiology

A surgical method for continuous intraportal infusion of gut microbial metabolites in mice

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Abstract

Gut microbe–derived metabolites influence human physiology and disease. However, establishing mechanistic links between gut microbial metabolites and disease pathogenesis in animal models remains challenging. The major route of absorption for microbe-derived small molecules is venous drainage via the portal vein to the liver. In the event of presystemic hepatic metabolism, the route of metabolite administration becomes critical. To our knowledge, we describe here a novel portal vein cannulation technique using a s.c. implanted osmotic pump to achieve continuous portal vein infusion in mice. We first administered the microbial metabolite trimethylamine (TMA) over 4 weeks, during which increased peripheral plasma levels of TMA and its host liver-derived cometabolite, trimethylamine-N-oxide, were observed when compared with a vehicle control. Next, 4-hydroxyphenylacetic acid (4-HPAA), a microbial metabolite that undergoes extensive presystemic hepatic metabolism, was administered intraportally to examine effects on hepatic gene expression. As expected, hepatic levels of 4-HPAA were elevated when compared with the control group while peripheral plasma 4-HPAA levels remained the same. Moreover, significant changes in the hepatic transcriptome were revealed by an unbiased RNA-Seq approach. Collectively, to our knowledge this work describes a novel method for administering gut microbe–derived metabolites via the portal vein, mimicking their physiologic delivery in vivo.

Authors

Danny Orabi, Lucas J. Osborn, Kevin Fung, William Massey, Anthony J. Horak III, Federico Aucejo, Ibrahim Choucair, Beckey DeLucia, Zeneng Wang, Jan Claesen, J. Mark Brown

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Figure 1

Stepwise illustration of portal vein cannulation procedure.

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Stepwise illustration of portal vein cannulation procedure.
(A) Abdomina...
(A) Abdominal anatomy. (B) Midline incision and laparotomy, with leftward externalization of intestines and overlying duodenum. (C) Externalization of left liver lobe superiorly. (D–F) Proximal vessel loop is loose. Using a 10-0 nylon micro suture, a stitch is placed in the anterior one-fourth of the vein, 3 mm distal to the vessel loop. The needle from this stitch is placed in the anterior one-fourth of the vein 1 mm proximal to the stitch. (G) The vessel loop is pulled taught. The guide wire is used to facilitate insertion. (H) The guide wire is withdrawn. The suture ends are tied together, slightly crimping the catheter. (I) The vessel loop is loosened and cut. Each of the tails of the suture are wrapped around the catheter twice and tied to create a “Chinese finger trap” effect. (J) Two anchor stitches are placed in the mesentery of the duodenum to secure the catheter. The catheter is externalized from the left lower quadrant and anchored to the peritoneal side of the abdominal wall. (K) The abdominal wall is closed, and the catheter anchored to the inferior aspect of the closure. (L) The osmotic pump is placed in the interscapular s.c. space. The skin is closed. Reproduced with permission from the Cleveland Clinic Center for Medical Art & Photography ©2021. All Rights Reserved.

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