Materials and Reagents

Scalpel handle #3 (Fine Science Tools, catalog number: 10003-12 ) with scalpel blade #15 (Fine Science Tools, catalog number: 10015-00 )
Cast cutter blade: BSN 2.5” stainless steel sectioned blade (BSN medical, catalog number: 480-4183-145 )
Plastic bag, 5 L size
Gloves
45 mm Rotary cutter blades (WorldKitchen, OLFA, catalog number: RB45-5 )
Cyanoacrylate adhesive (Panacol, catalog number: Cyanolit^® 202 )
Plexiglas plate: 80 x 15 x 2 mm
Paper towel
100 mm or 120 mm Petri dishes (VWR, catalog number: HECH41042024 or HECH41042030 )
Earmuff (Peltor^TM Optime^TM 98 Earmuff) (3M, catalog number: 10093045080912 )
Syringe needle 27 G, 31 mm (BD, catalog number: 305136 )
Red eared turtles (Trachemys scripta elegans, Nasco, Fort Atkinson, WI, USA) of weight 300-500 g and of both sexes were used in this procedure
Crushed ice
Sodium chloride (NaCl) (Sigma-Aldrich, catalog number: S3014 )
Potassium chloride (KCl) (Sigma-Aldrich, catalog number: P5405 )
Sodium bicarbonate (NaHCO₃) (Sigma-Aldrich)
Magnesium chloride (MgCl₂) (Sigma-Aldrich, catalog number: 208337 )
Calcium chloride (CaCl₂) (Sigma-Aldrich, catalog number: 21115 )
Glucose (Sigma-Aldrich, catalog number: G7021 )
Ringer’s solution (98% O₂/2% CO₂) (see Recipes)
Ringer’s solution (95% O₂/5% CO₂) (see Recipes)

Equipment

Scissors
Large scissors (Fine Science Tools, catalog number: 14014-17 )
Fine scissors (Fine Science Tools, catalog number: 14090-09 )
Fine serrated scissors (Fine Science Tools, catalog number: 14058-11 )
Forceps:
Dumont #5 forceps (Fine Science Tools, catalog number: 11251-10 )
Dumont #5 fine forceps (Fine Science Tools, catalog number: 11254-20 )
Dumont #7 curved forceps (Fine Science Tools, catalog number: 11271-30 )
Toothed tissue forceps (Fine Science Tools, catalog number: 11022-15 )
Serrated Graefe forceps (Fine Science Tools, catalog number: 11051-10 )
Pliers: Liston Gross Anatomy Bone Cutters (Fine Science Tools, catalog number: 16104-19 )
Course and fine Rongeurs: Lempert Rongeurs (Fine Science Tools, catalog number: 16004-16 ) and Friedman-Pearson Rongeurs (Fine Science Tools, catalog number: 16221-14 )
Perfusion system: Custom-designed air-pressure system/outlet connected to the inlet of a 1 L Pyrex glass bottle with lid. The outlet of the bottle is connected to a flow meter and to a 21 G 5 mm syringe needle (BD, catalog number: 305129 )
Cast saw cutter (Atlas International, American Orthopaedic, catalog number: T-CC-100 )
Pyrex glass griffin beaker 1 L (Corning, PYREX^®, catalog number: 1000-1L )
Open Plexiglas container, Dimensions: 200 x 150 x 25 mm (D x W x H), Plexiglas thickness: 3 mm. Custom built
Extracellular recordings: 64 channel Berg64-probe from Neuronexus. 8 shanks, each with 8 staggered recording-sites distanced 30 µm vertically, designed for ventral horn recordings from the turtle (Neuronexus, BERG A8X8-5MM-200-160 PROBE)
Intracellular recordings: Glass pipettes pulled with a P-1000 Sutter Instruments and filled with a mixture of 0.9 M potassium acetate and 0.1 M KCl. For histological verification 4% w/v biocytin can be added to the mixture (Biocytin, Sigma-Aldrich, catalog number: B4261 )
Nerve recordings: Electroneurogram (ENG) recordings can be performed with suction electrodes

Procedure

Note: The surgical procedures comply with Danish legislation and were approved by the controlling body under the Ministry of Justice.

First part of the preparation
1. Anesthetization
  To induce hypothermic analgesia, the turtle is submerged in crushed ice in a bucket. Full induction of anesthesia takes about two hours.
2. Ringer’s solution
  Prepare 2 L of cold Ringer’s solution (see Recipes) (5 °C) for the first day. Cold Ringer’s solution is used to keep the turtle anesthetized during the preparation.
3. Initial surgery and perfusion
  Tools: Toothed Tissue Forceps, large pliers, large scissors, small scissors, cast saw cutter, cast cutter blade, perfusion system, plastic bag, gloves.
  1. Prepare perfusion-system: Fill the glass bottle with 500 ml Ringer’s solution and close the lid. Connect the bottle to a compressed air system/outlet.
  2. Turn on the compressed air and let the perfusion-system run for 30 sec with a flow above 120 ml/h as measured with the flow meter. Stop the flow.
  3. Take the turtle from the ice bath. Two conditions must be met to ensure that the turtle is fully anesthetized: 1) Its eyes must be closed and 2) No pedal withdrawal reflex response. Proceed, when the anesthesia is confirmed.
  4. Pull out the head of the turtle with the toothed Tissue Forceps to allow for decapitation.
  5. Hold the head in place with the large pliers (Figure 2), and cut the neck with the large scissors.
    
    Figure 2. Decapitation of anaesthetized turtle. Head is held in place with the toothed tissue forceps and large pliers. The large pair of scissors is used for the decapitation.
  6. Crush the head with the large pliers and dispose of it in the plastic bag.
    Note: Now that the turtle is decapitated the dissection can begin. In the next steps, you will perfuse the cardiovascular system with cold Ringer’s solution, by injecting Ringer’s solution through the heart of the turtle. This removes blood and cools the nervous tissue.
  7. Place the turtle on its back, and use the cast saw cutter to make a square opening in the plastron. The location of the four cuts is shown in Figure 3. The two cuts, orthogonal to the spinal cord, are oriented along the edges of the two central scutes (smaller plates). Keep the minimum distance between the cuts, parallel to the midline, above 5 cm. Make sure that the square cutout plastron is completely released with the cast saw cutter before continuing. Verify this by gently pushing on the inner corners of the cut-out plastron, if the square piece moves freely it is sufficient.
    
    Figure 3. The square cut in the plastron has been performed. Gently push in the inner corners of the square cut-out plastron to verify that it is released.
  8. Lift up the cutout plastron with the Graefe forceps and use the scalpel to carve it free from the soft tissue.
  9. Gently lift up the pericardium, the fine ‘pellicle’ containing the heart, with the Graefe forceps and cut it open with the fine scissors, to get access to the heart (Figure 4).
    
    Figure 4. The internal view of the window hole in the plastron of the turtle. The heart is marked by the circle and the right atrium by the arrow.
  10. Locate the ventricle and the atriums of the heart (the heart and the right atrium is marked by a yellow circle and an arrow in Figure 4). Cut a hole in the right atrium (located on the left and highlighted in Figures 4 and 5) with the fine scissors, and insert the perfusion needle into the center of the left part of the ventricle (Figure 5). Adjust the flow to a range around 75-130 ml/h, accordingly to the heart rate: When inserting the perfusion needle into the heart, the heart rate should increase dramatically at first, but stabilize at a pace around 20-40 bpm. If the heart rate is not in this range adjust the flow accordingly: increase the flow if a lower heart rate is observed, and decrease the flow if the heart is pumping too fast.
    Note: Perfuse the turtle for about 10 min. Monitor the perfusion by checking outflowing liquid from the right atrium; as this becomes colorless the perfusion of the turtle is complete.
    
    Figure 5. The perfusion needle is inserted into the left part of the ventricle of the heart. The right atrium and ventricle are marked by the arrow and the circle respectively.
4. Rostral and the caudal cuts of the carapace
  Tools: Cast saw cutter.
  1. Perform a rostral and a caudal transverse cut in the carapace orthogonal to the spinal cord. Place the turtle with the carapace facing upwards (dorsal side up). Figures 18 and 19 show the spinal segments and associated nerves. The central pattern generator is located in the spinal segments D8-D10 (Mortin and Stein, 1989; Mui et al., 2012; Hao et al., 2014), and the sensory input for the scratch reflex comes from every segment from D3 to S2 (Figure 18, excluding caudal scratching). In order to keep the sensory input to the network intact, the rostral cut is made between D2 and D3. The caudal cut is done between S2 and Ca1. The two cuts are seen in Figure 6. D2-D3 is located halfway along the 2^nd central scutes and S2-Ca1 halfway along the 5^th central scute (Mortin and Stein, 1990). It is important that the cuts are a) orthogonal to the spinal cord, b) performed in one cut all the way from the midline of the carapace to the cut edge of the plastron, since the perfusion through the spinal column must be sealed tight. The caudal cut should be angled perpendicular to the curvature of the carapace.
    
    Figure 6. Performing the rostral cut. The caudal cut has already been done. The rostral cut is done along the center of the first central scute, and the caudal cut along the center of the fifth central scute.
  2. When the two cuts have been made, the carapace is separated from the remains of the caudal part of the plastron. This separation is obtained with two diagonal cuts at the corners of the squared window in the plastron (the two yellow lines in Figure 7).
    
    Figure 7. The rostral cut at the ventral side (through the plastron). The two diagonal cuts are highlighted in yellow.
5. Removing the internal organs, the plastron and the hind legs
  Tools: Large scissors, 1 L beaker with cold Ringer’s solution.
  1. Hold up the turtle with the caudal part upwards.
  2. Take the large scissors and cut the internal organs free of the carapace by cutting the thin membrane holding the organs in place along the inner side of the carapace from below and up (Figure 8). It is easier to cut along the carapace when the internal organs hang loose. Try to maintain the organ block in one piece when removing it.
    
    Figure 8. The internal organs are cut free along the inside of the carapace
  3. Cut the large head retraction muscle that inserts along the spine, and cut the remaining organs free along the carapace as far up as possible.
  4. Pull back one of the hind legs. Make an incision with the large scissors in the soft skin along the plastron (Figure 9). Begin from the diagonal cut made previously in the plastron, and aim towards the leg. Cut the thigh bone (femur) about 1 cm from the carapace (Figure 10).
    
    Figure 9. Cutting the soft skin along the plastron
    
    Figure 10. Cutting the thigh bone
  5. Repeat step A5d for the other hind leg.
  6. Cut the plastron and the caudal end of the carapace free without damaging the spinal cord. The preparation is now left in a Petri dish in cold Ringer’s solution (Figure 11).
    
    Figure 11. The preparation lying in a Petri dish without plastron and legs
  7. Clean off excessive blood from the preparation by quickly rinsing it in cold Ringer’s solution (about 50 ml) and place it in a 1 L beaker with cold Ringer’s solution when done.
6. Clear the spinal column
  Tools: Graefe forceps, curved forceps, scalpel.
  The muscles and connective tissue covering the vertebra has to be removed carefully with a scalpel and forceps. The muscles tissue is carefully scraped off until the vertebra is fully exposed while leaving the nerves intact (Figure 12A).
  
  Figure 12. The exposed spinal segments S1-Ca1 and the rostral transection. A. Ca1 and more caudal segments are all flexible segments, while D10 and more rostral segments are joined with the carapace. The yellow square highlights the segments. B. Rostral transection of the spinal cord with the rotary cutter blade to make the vertebra smoother, such that the tubing makes a tight seal. Area indicated by the yellow square, and location of second cut compared with the initial cut is indicated by the parallel lines.
7. Transection the spinal cord
  Tools: Sharpened rotary cutter blade mounted in the cast saw cutter.
  To minimize damage to the spinal tissue, a special sharpened rotary cutter blade (Olfa, rotary cutter blade 45 mm) has been produced to transect the spinal cord with the cast saw cutter. At the spinal transection, the spinal cord retracts slightly into the spinal column. Therefore, perform the transection of the spinal cord in a firm and quick movement to get a smooth cut surface.
  1. Mount the rotary cutter blade in the cast saw cutter.
  2. Insert the edge of the blade into the cold Ringer’s solution in the Petri dish for ten seconds to cool it down. This will improve the quality of the spinal transection.
  3. Perform the rostral transection of the spinal cord about 1-1.5 mm from the previous cut. The transection must be perpendicular to the spinal cord (Figure 12B).
  4. Rotate the preparation 180° in the coronal plane and mount it in the clamp.
  5. Perform the caudal transection of the spinal cord. The second cut provides an improved perfusion.
  6. Put the preparation back in the glass beaker in Ringer’s solution.
8. Attaching the Plexiglas plate to the preparation
  Tools: Cyanoacrylate adhesive, Plexiglas plate, Petri dish with lid, ice, scalpel, perfusion system, paper towel.
  1. Put a layer of ice in the largest Petri dish and place the smaller Petri dish on top of the ice, facing upwards, and fill it with cold Ringer’s solution.
  2. Place the preparation in the cold Ringer’s solution with the rostral end facing upwards.
  3. Dry the cut rostral carapace edge with a paper towel.
  4. Apply a thin layer of cyanoacrylate adhesive along the cut edge that will be the area of contact with the rostral Plexiglas plate (Figure 13). Be careful not to get adhesive into the spinal column, which will obstruct the flow of Ringer’s solution.
    
    Figure 13. Applying adhesive to the rostral cut of the preparation. Put a fine line of adhesive along the cut corresponding to the contact area of the Plexiglas plate.
  5. Gently place the rostral Plexiglas plate on the preparation centered with the small hole over the cut spinal cord (Figure 14). Keep it firmly in place for about 30 sec. If the adhesive does not harden, apply some drops of Ringer liquid on the glue, which will help harden, while holding the plate in place.
    
    Figure 14. Attaching the rostral Plexiglas plate to the preparation
  6. Lift up the preparation and place an extra line of glue along the line of contact between the dorsal carapace and the Plexiglas. Leave it to dry for one minute before continuing.
9. Mounting the preparation to the Plexiglas container
  Tools: Cyanoacrylate adhesive, Plexiglas container, paper towel.
  1. Take the Plexiglas container and place glue at the four contact points of the caudal carapace.
  2. Gently place the turtle preparation in the Plexiglas container (Figure 15). Keep it in place for about 30 sec.
    
    Figure 15. Preparation mounted with adhesive upside down in the custom Plexiglas container
  3. Gently fill the Plexiglas container with Ringer’s solution. The liquid will help harden the adhesive.
  4. Place the preparation in a larger plastic container and immerse it completely in Ringer’s solution.
  5. The procedures of the first part are now complete. Leave the preparation overnight in a refrigerator.
Second part of the preparation
1. Setup the spinal vertebral foramen perfusion
  1. Mount the steel tube and a silicone gasket to the hole in the Plexiglas plate. Press the gasket against the D4 vertebra, and push in the steel tube to obtain a tight seal (Figure 16). Connect the tube to a raised container with Ringer’s solution. Maintain a perfusion flow above 300 ml/h by adjusting the relative vertical position of the container with Ringer’s solution.
    
    Figure 16. Steel tube and silicone gasket pressing against the rostral end of the spinal column allowing Ringer’s solution to flow in the spinal column
2. Dissecting out the nerves for electroneurogram recordings
  Tools: Finely serrated scissors, fine scissors, Graefe forceps, Dumont #5 forceps and Dumont #7 curved forceps. Other needs: 2 L of Ringer’s solution.
  1. Identify the motor nerves originating from D8-S2 and dissect them free for ENG-recordings (Figures 17A and 18). Figures 18 and 19 show the location of the nerves and corresponding muscles respectively: Hip-flexor, Hip Extensor, three Knee-extensors (FT-KE, IT-KE and AM-KE), dD8 and HR-KF (Mortin and Stein, 1990). Muscle tissue along nerves should be dissected free to minimize noise in the ENG recordings. The nerves are robust but can easily be damaged during the dissection without obvious visible signs.
  2. Gently cut out the muscle tissue and free the nerves. A good technique to free the nerves from surrounding tissue is to place the tip of the fine scissors in the tissue close to the nerve and pull the sharp edge distally along the nerve.
    Note: Figures 1B-1E show the finished preparation, mounted in the Plexiglas container and immersed in Ringer’s solution. The nerves dissected free are clearly visible as white branches originating at the spinal cord and going towards the hind limb muscles. Glass electrodes are used for the ENG recordings. Apply a slight negative pressure, and prepare the glass opening to fit the respective nerves you want to record.
    
    Figure 17. Electrophysiological recordings and histological verification. A. Intracellular and ENG recordings; B. Rastergram of ~200 extracellular units recorded with high density silicon probes; C. Histological verification of the location of shanks of the silicon probe; D. DiD is painted on the electrode before implant. ChAT and Nissl stains are applied as markers for motoneurons and neurons respectively. Sagittal and coronal slices in respectively C and D. Scale bars = 500 µm. Adapted from Petersen and Berg (2016).
    
    Figure 18. The sensory and motor nerves along the spinal cord. Adapted from Petersen et al. (2014) with permission.
    
    Figure 19. Major muscle groups of the hind-limb. Hip flexor, Hip Extensor, Knee Extensors (FT-KE, IT-KE, AM-KE) and Knee flexor (HR-KF, extend across both the hip- and the knee-joint). Reproduced from Bakker and Crowe (1982) with permission.
3. Preparation for extracellular and intracellular recordings
  Tools: Fine forceps, fine Rongeur, fine scalpel, syringe needle tip (size: 27 G).
  Using the fine Rongeur, open the spinal column on the ventral side along the segments D8-D10. Gently remove the dura mater with scalpel and forceps. For each insertion site for the silicon probes, open the pia mater with longitudinal cuts along the spinal cord with the tip of a bent syringe needle tip (size 27 G). Perform the cuts parallel to the ventral horn between the ventral roots, as superficial as possible (Figure 1E). This completes the procedures to make the integrated preparation. Figure 17 shows example electrophysiological recordings and histology (Petersen and Berg, 2016).

Recipes

Ringer’s solution (98% O₂/2% CO₂)
120 mM NaCl
5 mM KCl
15 mM NaHCO₃
2 mM MgCl₂
3 mM CaCl₂
20 mM glucose
Demineralized water
The solution is saturated with 98% O₂/2% CO₂, by aeration for 30 min to obtain pH level of 7.6
Ringer’s solution (95% O₂/5% CO₂)
100 mM NaCl
5 mM KCl
30 mM NaHCO₃
2 mM MgCl₂
3 mM CaCl₂
10 mM glucose
Demineralized water
The solution is saturated with 95% O₂/5% CO₂, by aeration for 30 min to obtain pH level of 7.6
Note: Either Ringer’s solutions can be used in this protocol.

Acknowledgments

Funded by the Novo Nordisk Foundation (RB), the Danish Council for Independent Research Medical Sciences (RB and PP) and the Dynamical Systems Interdisciplinary Network, University of Copenhagen. Thanks to J. K. Dreyer and J. Hounsgaard for reading and commenting an earlier version of the manuscript.

References

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