Department of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.
Department of Surgery, Vanderbilt University Medical Center, Nashville, Tennessee; Beijing Shijitan Hospital, Capital Medical University, China.
J Surg Res. 2021 Apr;260:399-408. doi: 10.1016/j.jss.2020.11.004. Epub 2020 Nov 28.
We have optimized a technique for cannulation of mesenteric lymph duct (MLD) in mice. Mice have low rates of intestinal lymph production; the MLDs are smaller and associated with fragile vasculature. Previous protocols for lymph collection based on the open lymph fistula model were associated with low success rates in mice. Bariatric surgery procedures worsen success rates due to postoperative adhesions and GI rearrangement. We have used this procedure to collect mesenteric lymph from mice undergoing bile diversion from gall bladder to ileum (GB-IL).
We hypothesize that peptide YY (PYY) levels in mesenteric lymph will increase following nutrient delivery in mice undergoing bile diversion from gall bladder to ileum (GB-IL).
We observe that cannulation of the MLD using a needled-catheter maintains lymph vessel integrity, prevents excessive lymph leakage, and is less traumatic, leading to high success rates (>95%). PYY levels in mesenteric lymph after GB-IL were significantly higher post nutrient infusion. The procedure takes approximately 20 min; small rodent surgical experience and practice are required for success.
Intestinal lymph can be collected from mice, including those undergoing bariatric surgical procedures with high success rates by cannulation of the mesenteric lymph duct.
我们已经优化了一种在小鼠中进行肠系膜淋巴导管(MLD)插管的技术。由于肠道淋巴生成率较低,MLD 较小且与脆弱的脉管系统相关,因此小鼠的 ML 收集具有挑战性。先前基于开放式淋巴瘘模型的淋巴收集方案在小鼠中的成功率较低。减重手术程序由于术后粘连和胃肠道重排而降低了成功率。我们使用该程序从进行胆囊至回肠(GB-IL)胆汁转流的小鼠中收集肠系膜淋巴。
我们假设在进行胆囊至回肠(GB-IL)胆汁转流的小鼠中,营养物质输送后肠系膜淋巴中的肽 YY(PYY)水平会增加。
我们观察到,使用带针导管对 MLD 进行插管可保持淋巴管完整性,防止淋巴过度泄漏,创伤较小,成功率较高(>95%)。GB-IL 后肠系膜淋巴中的 PYY 水平在营养物质输注后明显升高。该过程大约需要 20 分钟;需要有小型啮齿动物手术经验和实践才能成功。
通过对肠系膜淋巴导管进行插管,可以从包括接受减重手术的小鼠中收集肠淋巴,成功率很高。