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        Rodent Models of Colorectal Distension

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        1075
        • Abstract
        • Table of Contents
        • Materials
        • Figures
        • Literature Cited

        Abstract

         

        Colorectal distension (CRD) is a widely accepted, reproducible method for assessing visceral sensitivity in both clinical and pre?clinical studies. Distension of the colon mirrors the human scenario of visceral pain with regard to intensity and referral of pain in patients. There are several readouts that can be applied to the CRD protocol depending on the species being evaluated, two of which are described in this unit. CRD can be used to measure the impact of novel compounds, strain, or genetic differences as well as the effect of physical and psychological stressors on the sensitivity of the colon. Investigation of the impact of a noxious visceral stimulus (CRD) on other systems within the body can also be carried out. Given that visceral pain is a major clinical problem and one of the most common reasons patients seek out medical advice, the ability to assess this type of pain is essential to the discovery of successful treatments. This unit outlines two protocols that describe CRD of rats and mice. Curr. Protoc. Neurosci. 61:9.40.1?9.40.13. © 2012 by John Wiley & Sons, Inc.

        Keywords: visceral hypersensitivity; rodent models of pain; colorectal distension; abdominal withdrawal reflex; visceromotor response

             
         
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        PDF or HTML at Wiley Online Library

        Table of Contents

        • Introduction
        • Basic Protocol 1: Abdominal Withdrawal Reflex During Colorectal Distension in Rats
        • Support Protocol 1: Construction of Balloons for Use in Rats
        • Basic Protocol 2: Assessment of Visceral Pain Responses to Colorectal Distension in Mice
        • Support Protocol 2: Construction of Balloon Used in Mice
        • Commentary
        • Literature Cited
        • Figures
        • Tables
             
         
        GO TO THE FULL PROTOCOL:
        PDF or HTML at Wiley Online Library

        Materials

        Basic Protocol 1: Abdominal Withdrawal Reflex During Colorectal Distension in Rats

          Materials
        • Male Sprague‐Dawley rats (at least 250 g and ∼10 to 11 weeks old)
        • Anesthetic (Isoflurane; IsoFlo, Abbott)
        • Water‐soluble and non‐irritating lubricant jelly (Johnson & Johnson)
        • Home cages
        • Barostat (Distender Series II, G&J Electronics; http://www.barostat.com/rat.html)
        • Personal computer (P.C.) and Protocol Plus software (G&J Electronics)
        • Polyethylene tubing (PE60; 0.76‐mm i.d., 1.22‐mm o.d.; Becton Dickinson)
        • Fasting cages
        • Vaporizer unit (Bartons)
        • Balloons (see protocol 2 )
        • Surgical hypoallergenic tape (∼25‐mm, Micropore)
        • Zinc oxide stretch hypoallergenic tape (∼25‐mm, Fleming)
        • Recovery cages
        • Plexiglas observation chamber (40 × 28 × 54–cm)

        Support Protocol 1: Construction of Balloons for Use in Rats

          Materials
        • Vygon intravenous catheter with luer‐lock at one end (16‐G, 30‐cm; Vygon)
        • Ruler
        • Marker
        • No. 22 scalpel blade (Fine Science Tools)
        • Extra‐safe latex condoms (Durex)
        • 4‐0 silk suture (Ethicon, cat. no. W329H)
        • 10‐ml syringe (Becton Dickenson)

        Basic Protocol 2: Assessment of Visceral Pain Responses to Colorectal Distension in Mice

          Materials
        • Adult mice, either sex, at least 6 weeks of age (21 to 23 g)
        • Anesthetic (isoflurane; IsoFlo, Abbott)
        • Water‐soluble and non‐irritating lubricant jelly (Johnson & Johnson)
        • Personal computer (P.C.) and Protocol Plus software (G&J Electronics)
        • Barostat (Distender Series II, G&J Electronics)
        • Transducer amplifier (LabTrax 4, World Precision Instruments)
        • Vaporizer unit (Bartons)
        • Cotton‐tipped applicators
        • Balloon (see protocol 2 or 2)
        • Surgical hypoallergenic tape (∼25 mm, Micropore)
        • Zinc oxide stretch hypoallergenic tape (∼25 mm, Fleming)
        • Data Trax 2 software (World Precision Instruments)
        • Statistic software (SPSS or GraphPad Prism)

        Support Protocol 2: Construction of Balloon Used in Mice

          Materials
        • Polyethylene tubing (PE60; I.D = 0.76‐mm i.d., 1.22–mm o.d., Becton Dickinson)
        • 27‐G sterile hypodermic needle (BD, cat. no. 300635)
        • Custom‐made balloons (2‐cm length × 1‐cm inflated diameter, GMC Medical)
        • 4‐0 silk suture (Ethicon, cat. no. W329H)
        GO TO THE FULL PROTOCOL:
        PDF or HTML at Wiley Online Library

        Figures

        •   Figure 9.40.1 A diagram illustrating the experimental set‐up with regard to the connections between the barostat, P.C., and tubing connected to the balloon inserted in the rodent. This set‐up is basically the same for both protocols. Only one animal can be tested at a time.
          View Image
        •   Figure 9.40.2 Distension paradigms for in rats: (A ) ramp distension from 0 to 80 mmHg over 8 min; (B ) fixed pressure distensions (i.e., x pressure increase for x amount of time).
          View Image
        •   Figure 9.40.3 Behaviors observed in the rat during CRD: (A ) normal behavior; (B ) pre‐pain behavior response; (C ) abdominal withdrawal reflex (pain behavior most commonly noted); (D ) stretch pain behavior (counted but not frequently present)(rats only).
          View Image
        •   Figure 9.40.4 The balloon used for CRD in rats.
          View Image
        •   Figure 9.40.5 (A, B ) Examples of distension paradigms for in mice: (C ) an example of the recording over 20 sec of the distension.
          View Image
        •   Figure 9.40.6 The balloon used for CRD in mice.
          View Image
        •   Figure 9.40.7 (A ) The threshold measured during CRD in control Sprague‐Dawley, male rats (non‐separated) and rats subjected to early life stress using . (B ) The cumulative number of pain behaviors seen over 8 min using in both control and early life stressed rats (O'Mahony et al., ). (C ) The threshold seen in control and chronically stressed C57Bl6 mice. (D ) The visceromotor response of both groups of mice during CRD using (Tramullas et al., ).
          View Image

        Videos

        Literature Cited

        Literature Cited
           Al‐Chaer, E.D., Feng, Y., and Willis, W.D. 1998. A role for the dorsal column in nociceptive visceral input into the thalamus of primates. J. Neurophysiol. 79:3143‐3150.
           Al‐Chaer, E.D., Kawasaki, M., and Pasricha, P.J. 2000. A new model of chronic visceral hypersensitivity in adult rats induced by colon irritation during postnatal development. Gastroenterology 119:1276‐1285.
           Arvidsson, S., Larsson, M., Larsson, H., Lindstrom, E., and Martinez, V. 2006. Assessment of visceral pain‐related pseudo‐affective responses to colorectal distension in mice by intracolonic manometric recordings. J. Pain 7:108‐118.
           Cevese, A., Mary, D.A., Poltronieri, R., Schena, F., and Vacca, G. 1992. Haemodynamic effects of distension of the descending colon in anaesthetized dogs. J. Physiol. 447:409‐423.
           Christianson, J.A. and Gebhart, G.F. 2007. Assessment of colon sensitivity by luminal distension in mice. Nat. Protoc. 2:2624‐2631.
           Coutinho, S.V., Plotsky, P.M., Sablad, M., Miller, J.C., Zhou, H., Bayati, A.I., McRoberts, J.A., and Mayer, E.A. 2002. Neonatal maternal separation alters stress‐induced responses to viscerosomatic nociceptive stimuli in rat. Am. J. Physiol. Gastrointest. Liver Physiol. 282:G307‐G316.
           Crawford, M.E., Jensen, F.M., Toftdahl, D.B., and Madsen, J.B. 1993. Direct spinal effect of intrathecal and extradural midazolam on visceral noxious stimulation in rabbits. Br. J. Anaesth. 70:642‐646.
           Gibney, S.M., Gosselin, R.D., Dinan, T.G., and Cryan, J.F. 2010. Colorectal distension‐induced prefrontal cortex activation in the Wistar‐Kyoto rat: Implications for irritable bowel syndrome. Neuroscience 165:675‐683.
           Gosselin, R.D., O'Connor, R.M., Tramullas, M., Julio‐Pieper, M., Dinan, T.G., and Cryan, J.F. 2010. Riluzole normalizes early‐life stress‐induced visceral hypersensitivity in rats: role of spinal glutamate reuptake mechanisms. Gastroenterology 138:2418‐2425.
           Guthrie, E., Barlow, J., Fernandes, L., Ratcliffe, J., Read, N., Thompson, D.G., Tomenson, B., and Creed, F. 2004. Changes in tolerance to rectal distension correlate with changes in psychological state in patients with severe irritable bowel syndrome. Psychosom. Med. 66:578‐582.
           Kamp, E.H., Jones, R.C., 3rd, Tillman, S.R., and Gebhart, G.F. 2003. Quantitative assessment and characterization of visceral nociception and hyperalgesia in mice. Am. J. Physiol. Gastrointest. Liver Physiol. 284:G434‐G444.
           Larauche, M., Gourcerol, G., Million, M., Adelson, D.W., and Tache, Y. 2010. Repeated psychological stress‐induced alterations of visceral sensitivity and colonic motor functions in mice: Influence of surgery and postoperative single housing on visceromotor responses. Stress 13:343‐354.
           Larsson, M., Arvidsson, S., Ekman, C., and Bayati, A. 2003. A model for chronic quantitative studies of colorectal sensitivity using balloon distension in conscious mice Effects of opioid receptor agonists. Neurogastroenterol. Motil. 15:371‐381.
           Martinez, V. and Melgar, S. 2008. Lack of colonic‐inflammation‐induced acute visceral hypersensitivity to colorectal distension in Na(v)1.9 knockout mice. Eur. J. Pain 12:934‐944.
           Ness, T.J. and Gebhart, G.F. 1988. Colorectal distension as a noxious visceral stimulus: Physiologic and pharmacologic characterization of pseudaffective reflexes in the rat. Brain Res. 450:153‐169.
           Nijsen, M.J., Ongenae, N.G., Coulie, B., and Meulemans, A.L. 2003. Telemetric animal model to evaluate visceral pain in the freely moving rat. Pain 105:115‐123.
           O'Mahony, S.M., Marchesi, J.R., Scully, P., Codling, C., Ceolho, A.M., Quigley, E.M., Cryan, J.F., and Dinan, T.G. 2009. Early life stress alters behavior, immunity, and microbiota in rats: Implications for irritable bowel syndrome and psychiatric illnesses. Biol. Psychiatry 65:263‐267.
           Tramullas, M., Dinan, T.G., and Cryan, J.F. 2011. Chronic psychosocial stress induces visceral hyperalgesia in mice. Stress 15:281‐292.
        GO TO THE FULL PROTOCOL:
        PDF or HTML at Wiley Online Library
         
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