Department of Neurology, Harvard Medical School - Beth Israel Deaconess Medical Center;
Department of Neurology, Harvard Medical School - Beth Israel Deaconess Medical Center.
J Vis Exp. 2022 Jun 8(184). doi: 10.3791/63513.
Electrical impedance myography (EIM) is a convenient technique that can be used in preclinical and clinical studies to assess muscle tissue health and disease. EIM is obtained by applying a low-intensity, directionally focused, electrical current to a muscle of interest across a range of frequencies (i.e., from 1 kHz to 10 MHz) and recording the resulting voltages. From these, several standard impedance components, including the reactance, resistance, and phase, are obtained. When performing ex vivo measurements on excised muscle, the inherent passive electrical properties of the tissue, namely the conductivity and relative permittivity, can also be calculated. EIM has been used extensively in animals and humans to diagnose and track muscle alterations in a variety of diseases, in relation to simple disuse atrophy, or as a measure of therapeutic intervention. Clinically, EIM offers the potential to track disease progression over time and to assess the impact of therapeutic interventions, thus offering the opportunity to shorten the clinical trial duration and reduce sample size requirements. Because it can be performed noninvasively or minimally invasively in living animal models as well as humans, EIM offers the potential to serve as a novel translational tool enabling both preclinical and clinical development. This article provides step-by-step instructions on how to perform in vivo and ex vivo EIM measurements in mice and rats, including approaches to adapt the techniques to specific conditions, such as for use in pups or obese animals.
电阻抗肌电图(EIM)是一种方便的技术,可用于临床前和临床研究,以评估肌肉组织的健康和疾病。EIM 通过在一系列频率(即 1 kHz 至 10 MHz)下在感兴趣的肌肉上施加低强度、定向聚焦的电流并记录产生的电压来获得。从这些电压中,可以获得几个标准的阻抗分量,包括电抗、电阻和相位。在对离体肌肉进行离体测量时,还可以计算组织的固有被动电特性,即电导率和相对介电常数。EIM 已广泛应用于动物和人类,以诊断和跟踪各种疾病中的肌肉变化,与简单的废用性萎缩有关,或作为治疗干预的衡量标准。临床上,EIM 有可能随着时间的推移跟踪疾病的进展,并评估治疗干预的效果,从而有机会缩短临床试验的持续时间和减少样本量要求。由于它可以在活体动物模型以及人类中进行非侵入性或微创性操作,因此 EIM 有可能成为一种新的转化工具,使临床前和临床开发都成为可能。本文提供了在小鼠和大鼠中进行体内和离体 EIM 测量的分步说明,包括如何根据特定条件(如用于幼仔或肥胖动物)来调整这些技术的方法。