Cervical heterotopic heart transplantation in mice using a novel suture technique

Background: Vascularized transplantation models in mice are critical to understand mechanisms that mediate rejection and to develop new therapeutics. Standard abdominal heterotopic heart transplantation techniques employ an end-to-side suture technique and are the workhouse of transplant immunology...

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Main Authors: Hao Dun, MD MSc, Maura Sticco-Ivins, Yuriko Terada, MD PhD, Amber Berning, MD, Kory J. Lavine, MD PhD, Daniel Kreisel, MD PhD, Benjamin J. Kopecky, MD PhD
Format: Article
Language:English
Published: Elsevier 2025-02-01
Series:JHLT Open
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Online Access:http://www.sciencedirect.com/science/article/pii/S2950133424001137
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author Hao Dun, MD MSc
Maura Sticco-Ivins
Yuriko Terada, MD PhD
Amber Berning, MD
Kory J. Lavine, MD PhD
Daniel Kreisel, MD PhD
Benjamin J. Kopecky, MD PhD
author_facet Hao Dun, MD MSc
Maura Sticco-Ivins
Yuriko Terada, MD PhD
Amber Berning, MD
Kory J. Lavine, MD PhD
Daniel Kreisel, MD PhD
Benjamin J. Kopecky, MD PhD
author_sort Hao Dun, MD MSc
collection DOAJ
description Background: Vascularized transplantation models in mice are critical to understand mechanisms that mediate rejection and to develop new therapeutics. Standard abdominal heterotopic heart transplantation techniques employ an end-to-side suture technique and are the workhouse of transplant immunology research laboratories. Recently, cervical heterotopic heart transplantation in mice has emerged as an alternative due to several advantages but is conventionally performed by suture or cuff techniques in an end-to-end fashion. Therefore, we introduce an end-to-side anastomosis technique. Methods: The donor pulmonary artery is end-to-side anastomosed to the recipient right external jugular vein, using a continuous 10–0 nylon suture. Vascular suturing is accomplished inside the vessel on the posterior wall, and then outside the vessel on the anterior wall. Finally, the donor ascending aorta is end-to-side anastomosed to the recipient common carotid artery with an identical suture technique. Results: The median times for the donor heart harvest, recipient preparation, anastomoses of the pulmonary artery to the external jugular vein, and the ascending aorta to the common carotid artery were 12, 10, 12 and 11 minutes, respectively. The survival rate was 100% (n = 20). Conclusions: We provide a detailed description of how to perform end-to-side anastomoses using a suture technique in the mouse cervical heart transplantation model. This procedure reconstitutes coronary blood flow in the heart graft with minimal interruption to recipient anatomy and provides an experimental platform to study transplant immunology.
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spelling doaj-art-0708519b93344b6fb8d4c3eead68a0aa2025-02-09T05:01:53ZengElsevierJHLT Open2950-13342025-02-017100164Cervical heterotopic heart transplantation in mice using a novel suture techniqueHao Dun, MD MSc0Maura Sticco-Ivins1Yuriko Terada, MD PhD2Amber Berning, MD3Kory J. Lavine, MD PhD4Daniel Kreisel, MD PhD5Benjamin J. Kopecky, MD PhD6Department of Medicine, Division of Cardiology, University of Colorado Anschutz Medical Campus, Aurora, ColoradoDepartment of Medicine, Division of Cardiology, University of Colorado Anschutz Medical Campus, Aurora, ColoradoDepartment of Surgery, Washington University, St. Louis, MissouriDepartment of Pathology, University of Colorado Anschutz Medical Campus, Aurora, ColoradoDepartment of Medicine, Division of Cardiology, Washington University, St. Louis, Missouri; Department of Pathology and Immunology, Washington University, St. Louis, Missouri; Department of Developmental Biology, Washington University, St. Louis, MissouriDepartment of Surgery, Washington University, St. Louis, Missouri; Department of Pathology and Immunology, Washington University, St. Louis, MissouriDepartment of Medicine, Division of Cardiology, University of Colorado Anschutz Medical Campus, Aurora, Colorado; Corresponding author: Benjamin J. Kopecky, MD, PhD, Department of Medicine, Division of Cardiology, University of Colorado, 12700 E 19th Ave, Mail Stop B139, Aurora, CO 80045-0508. Telephone: (303) 724-5471.Background: Vascularized transplantation models in mice are critical to understand mechanisms that mediate rejection and to develop new therapeutics. Standard abdominal heterotopic heart transplantation techniques employ an end-to-side suture technique and are the workhouse of transplant immunology research laboratories. Recently, cervical heterotopic heart transplantation in mice has emerged as an alternative due to several advantages but is conventionally performed by suture or cuff techniques in an end-to-end fashion. Therefore, we introduce an end-to-side anastomosis technique. Methods: The donor pulmonary artery is end-to-side anastomosed to the recipient right external jugular vein, using a continuous 10–0 nylon suture. Vascular suturing is accomplished inside the vessel on the posterior wall, and then outside the vessel on the anterior wall. Finally, the donor ascending aorta is end-to-side anastomosed to the recipient common carotid artery with an identical suture technique. Results: The median times for the donor heart harvest, recipient preparation, anastomoses of the pulmonary artery to the external jugular vein, and the ascending aorta to the common carotid artery were 12, 10, 12 and 11 minutes, respectively. The survival rate was 100% (n = 20). Conclusions: We provide a detailed description of how to perform end-to-side anastomoses using a suture technique in the mouse cervical heart transplantation model. This procedure reconstitutes coronary blood flow in the heart graft with minimal interruption to recipient anatomy and provides an experimental platform to study transplant immunology.http://www.sciencedirect.com/science/article/pii/S2950133424001137transplant immunologyheart transplantationend-to-side anastomosiscervical transplantationsuture technique
spellingShingle Hao Dun, MD MSc
Maura Sticco-Ivins
Yuriko Terada, MD PhD
Amber Berning, MD
Kory J. Lavine, MD PhD
Daniel Kreisel, MD PhD
Benjamin J. Kopecky, MD PhD
Cervical heterotopic heart transplantation in mice using a novel suture technique
JHLT Open
transplant immunology
heart transplantation
end-to-side anastomosis
cervical transplantation
suture technique
title Cervical heterotopic heart transplantation in mice using a novel suture technique
title_full Cervical heterotopic heart transplantation in mice using a novel suture technique
title_fullStr Cervical heterotopic heart transplantation in mice using a novel suture technique
title_full_unstemmed Cervical heterotopic heart transplantation in mice using a novel suture technique
title_short Cervical heterotopic heart transplantation in mice using a novel suture technique
title_sort cervical heterotopic heart transplantation in mice using a novel suture technique
topic transplant immunology
heart transplantation
end-to-side anastomosis
cervical transplantation
suture technique
url http://www.sciencedirect.com/science/article/pii/S2950133424001137
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