Rat Model of Empathy for Pain

Materials and Reagents

1. Materials 
   1. Microsyringe (50 μl) (Gaoge, China)
      
      
2. Animals
   1. Sprague-Dawley albino rats (6 weeks old, 150-180 g), purchased from the Laboratory Animal Center of the Fourth Military Medical University (FMMU)
      1. Co-housing 4-6 rats of the same sex per cage in a specific-pathogen free (SPF) animal facility with a humidity of 40-60% and a room temperature (RT) of 22-26 °C for two to three weeks after arrival at the Tangdu hospital of the FMMU.
      2. Keep rats under a 12:12 h light/dark cycle (light off during 20:00-08:00).
      3. Make water and food available at libitum.
         
         
3. Reagents
   1. Lyophilized whole venom of Apis millifera or bee venom [BV, item number: V3375, Merck Life Science (Shanghai) Co., Ltd, China].
   2. Formalin solution (Sinopharm Chemical Reagent Co., Ltd, China)
   3. 0.4% BV solution (see Recipes)
   4. 2.5% formalin solution (see Recipes)

Equipment

1. Video camera recorder (VCR, Sony, FDR-AX40, Japan)
2. Precise Tactile Sensory Evaluator: von Frey monofilaments (Ugobasile, catalog number: 37450-275, Italy)
3. Mechanical pain sensitivity test device
   The mechanical pain sensitivity test setting (customized apparatus) includes a supporting platform and a nontransparent plastic testing box for limiting the range of movement of animals. The supporting platform (160 x 30 x 40 cm) is equipped with metal mesh. The pore size of the mesh (0.5 cm x 0.5 cm) is preferably such that the rat can move freely on the surface without getting caught.
4. Plastic observing cage
   Another plastic observing cage covered with sterilized wooden padding at the bottom surface serves as an arena for dyadic social interaction and communication (40 x 30 x 15 cm, customized apparatus).
   

Software

1. Statistical test (SPSS 25.0)
2. Graph and artwork (GraphPad Software Inc. California, USA, GraphPad Prism 7.0)
   

Procedure

1. Preparation for experiment
   1. On each day, the habituation tests were performed between 08:00 and 12:00 (for details see Figure 1).
      
      
      Figure 1. Timeline of the scheduled experimental design
      
      
   2. Conduct the experiment in a separate room away from unnecessary interference of scents, noises or movement. No other animals can be seen in this room.
   3. Choose a pair of cagemates randomly serving as observer (CO) or demonstrator (CD) from conspecifics of the same sex co-housed together for more than two weeks immediately before the experiment. During housing, any kind of stressors such as strong odor and noise were avoided. 
   4. During Days 1-3, allow rats to acclimate to the experimental environment once daily for three days before the experiment (Figure 1).
      Note: The adaption of experimental environment includes handling, placing, removing from cage to the testing box, VCR and other objects arranged in the observing room. (Figures 2A-2D)
   5. On Day 3, measure the baseline mechanical pain threshold of all animals before the priming dyadic social interaction (PDSI) (Figures 2E-2F, Table 1) (also see Step B2). PDSI was defined as a preemptive condition that allows full body contact and social communication between the dyads of conspecifics so that social transfer or contagion of pain can be achieved (Mogil, 2015; Chen, 2018).
   6. On Day 4, pre-positioning the VCR at a top view over the observing cage in which cagemates (or non-cagemates) are randomly paired to serve separately as a demonstrator in pain and a naive observer.
      
      
      Figure 2. Environmental and manipulating adaptation and measurement of baseline pain sensitivity. A-D. Adaption to the experimental environment and manual handling by the experimenters. E-F. Measurement of paw withdrawal mechanical threshold (PWMT) at bilateral hind-paw pads using a set of von Frey monofilaments (also see Video 1).
      
      
      
      Video 1. Showing experimental protocol for the establishment of empathy for pain model in laboratory animals. During Days 1-3, environmental and manipulating adaptation to the experimental environment and manual handling by the experimenters. On Day 4, the baseline values of PWMT in both hind paws of a naive CO rat were first measured and determined using a set of von Frey monofilaments, followed by a VCR of 30-min PDSI between a naïve CO and a familiar conspecific (CD) in pain (for detailed behavioral expressions during 30 min PDSI also see Video 2 that was finally succeeded by last measurement of PWMT for determining whether social pain contagion occurred in the naive CO rats. (This study was carried out in accordance with the recommendations of the ARRIVE guidelines (Kilkenny et al., 2010), the U.K. Animals (Scientific Procedures) Act 1986 and associated guidelines, the EU Directive 2010/63/EU for animal experiments, the National Institutes of Health guide for the care and use of laboratory animals (NIH Publications No. 8023, revised 1978), and the ethical guidelines for investigations of experimental pain in conscious animals of the International Association for the Study of Pain were also critically followed (Zimmermann, 1983).)
      
      Table 1. Method for determining value of the PWMT
      
      Note: A 10 graded series of von Frey monofilaments (vF) weighing at different intensities ranging from 19.6 mN to 588 mN were used (see the above Table 1). The measurement of the PWMT was started from the lowest to the higher intensity of the vF, and stopped with the endpoint readout at a given intensity that could induce 50-60% of paw withdrawal reflex to 10 stimuli applied to each paw pad. Table 1 shows an example of results from measurements of baseline values in PWMT (PWMT_baseline, mN) in six animals (#1-6). For details, the animal #1 did not respond to the vF stimuli at intensities of 19.6 mN, 39.2 mN, 58.8 mN and 78.4 mN at all when receiving 10 stroking stimuli (shown as 0/10), while it responded with one paw withdrawal to 10 times of 98.0 mNvF stimuli (1/10), and with three paw withdrawals to those of 147 mN (3/10), and with five and six paw withdrawals to those of 255 mN (5/10) and 294 mN (6/10), thus the PWMT_baseline value could be determined as 255 mN (green rectangled). The green rectangled numbers indicate the readout PWMT for a paw pad of 4 animals (1-4^#), while the red rectangled ones indicate extreme bias of either hypersensitive (5^#) or hyposensitive (6^#) which should be excluded from the experiment.
      
      
2. Experimental design and procedures
   1. Priming dyadic social interaction (PDSI)
      1. The test is performed between 08:00 and 14:00 on each experimental day (for details see Figure 1). Place a CO rat in a test cage in advance and allow it to move freely for 30 min. (Figure 3A)
         
         
         Figure 3. Procedural display of VCR arrangement, preparation of BV pain model in the CD rat and PDSI between a naive CO and the CD in pain. A. CO's acclimation to the VCR environment. B-E. BV injection process: draw 50 μl BV solution with a microsyringe (B). Remove and guide the CD rat head into a black canvas bag and expose the left hind-paw (C-D). Then, penetrate the needle of the microsyringe through the skin into the central part of the left hind-paw pad followed by slow injection (D-E, Arrow). Remove the needle immediately after injection and press for several seconds to prevent extravasation of reagents and bleeding (D-E, Circle). F-H. Put the CD rat back to the observing cage and reunify it with the CO rat for 30-min PDSI. (For more details see Video 1)
         
         
      2. Select pain model for CD rat: according to our previous studies, the BV model (Li et al., 2014 and 2018), the formalin model (Li et al., 2018) and the acetic acid-induced writhing model (Lü et al., 2018) can stably induce empathic response in the CO rats through 30 min PDSI. Here, we’ll take BV model as an example.
      3. BV model can be produced by subcutaneous (s.c.) injection of BV solution into the left hind-paw pad of the CD rat. (Figures 3B-3E)
         Note: The rat with s.c. BV has been shown to express eye-identifiable pain-related behavioral manifestations such as persistent spontaneous paw flinches, paw licking and lifting at the injected paw lasting for at least 1 h. (Chen et al., 1999; Chen and Lariviere, 2010; Li et al., 2014 and 2018; Lü et al., 2017)
      4. Place the CD rat back to the test cage immediately after s.c. BV injection and allow PDSI for 30 min.
      5. Start the VCR to record the behaviors of dyads during 30-min PDSI. (Figures 3F-3H, also see Video 2)
      6. Analyze the CO's empathic consolation behaviors (allo-licking and allo-grooming, see Video 2), other social approaching behaviors (allo-mouth sniffing and allo-tail sniffing), and self-grooming through offline VCR. Recording counts and durations of each behavior during the 30-min social interactions in the CO.
         Note: The empathic consolation behaviors include allo-grooming and allo-licking (Figures 3G-3H). Judging criteria for empathic consolation behavior: (1) Allo-licking was defined as an observer's sustained licking action to a demonstrator's injury site (left hind-paw for this case). Licking less than 1 s was not counted. Licking directed toward the other part of the body except the injury hind-paw was excluded. (2) Allo-grooming was defined as an observer’s head contact with the head or body of a demonstrator, accompanied by a rhythmic head movement (also see Burkett et al., 2016; Li et al., 2018). Grooming of less than 1 s was excluded. Grooming directed toward the genitals or tail was excluded.
         
         
         
         Video 2. Behavioral expressions of empathy for pain in a naive CO during 30-min PDSI with a conspecific (CD) in pain. Allo-licking and allo-grooming are shown as consolation behaviors of a naive CO toward a CD in pain. (This study was carried out in accordance with the recommendations of the ARRIVE guidelines (Kilkenny et al., 2010), the U.K. Animals (Scientific Procedures) Act 1986 and associated guidelines, the EU Directive 2010/63/EU for animal experiments, the National Institutes of Health guide for the care and use of laboratory animals (NIH Publications No. 8023, revised 1978), and the ethical guidelines for investigations of experimental pain in conscious animals of the International Association for the Study of Pain were also critically followed (Zimmermann, 1983).)
         
         
      7. Remove and transport the CO rat to a nontransparent testing box for PWMT measurement so as to evaluate empathic mechanical pain hypersensitivity (EMPH). (For method see Figures 2E-2F, Table 2) (Step B2)
         
         Table 2. Measurement of CO's PWMT after 30-min PDSI with a CD in pain
         
         Note: The bending forces (255 mN, 294 mN and 392 mN for CO rat 1^#, 2^# and 3^#) that had been able to evoke 50-60% paw withdrawal reflex (green rectangled number in Table 1) prior to PDSI (BL, baseline) became to be less (78.4 mN, 98.0 mN and 78.4 mN for the same animals, number indicated with green rectangles in Table 2), and this decrease in the value of PWMT was defined as empathic mechanical pain hypersensitivity (EMPH) (see Li et al., 2014 and 2018; Lü et al., 2017). Among the four CO rats, one fourth showed no change in the PWMT after PDSI with a CD in pain (see animal 4^#), suggesting no empathy for pain can be seen in someone (see Li et al., 2018).
         
         
   2. Quantitative measurement of PWMT
      1. Place a nontransparent plastic testing box (20 x 20 x 25 cm) in advance on a supporting platform with a metal mesh (1 cm x 1 cm) at the top. (Figure 4A)
      2. Allow the CO rat to acclimate to the test metal mesh platform for 30 min.
      3. Measure the PWMT with a graded series of von Frey monofilament as described above. (Figures 2E-2F, Figure 4B, also see note for Table 1)
      4. Record the number of paw withdrawal reflex in response to stroking by the same vF monofilament (10 times stimuli, 5 s interval) applied to the stimulation site, and increase the stimulation intensity of vF monofilament until the bending force being able to elicit more than 50% paw withdraw reflex. (Table 2, also see note for Table 1, Chen et al., 1999)
      5. Repeat the measurement by hours until the PWMT restored to the baseline level before the PDSI. (Figure 4C)
         
         
         Figure 4. Quantitative measurement of pain sensitivity after PDSI. A. Place the CO rat on the metal mesh platform lightly and avoid fright. B. Measure the changes in PWMT after 30-min PDSI with a CD in pain every hour interval. C. Five-hour time courses of decrease in bilateral PWMT after 30-min PDSI when compared to the value of baseline (BL) PWMT (Figure 4C from Li et al., 2018. Validating rat model of empathy for pain: effects of pain expressions in social partners. Front Behav Neurosci, 12:242. With permission according to CC BY license of open access journals).

Data analysis

All statistical analyses are performed using SPSS 25.0. The artwork was created by GraphPad Prism 7.0. All data are shown as mean ± SEM. The data for PWMT are normalized by the following formula:

PWMT = PWMT_{post-treatment}/PWMT_baseline x 100%

One-way ANOVA with a Turkey’s correction for multiple comparisons was used to determine statistical significance for social or non-social behaviors among different groups. One-way repeated measurement ANOVA was used to determine statistical significance for PWMT.

Notes

1. Please refer to the original publication for the extended model and examples of the expected results for http://doi:10.3389/fnbeh.2018.00242. Pain models for CD are not limited to BV models. The other pain models in the CD that show eye-identifiable pain manifestations could induce empathic responses in familiar CO conspecifics, such as the formalin model and the acetic acid-induced writhing model. However, pain models without eye-identifiable pain manifestations are likely to fail to induce empathic behavior in familiar observers following 30-min PDSI, such as Complete Freund's adjuvant (CFA) model and the spared nerve injury (SNI) model (Li et al., 2018).
2. According to our previous experiments, Sprague-Dawley rats or C57 mice, both male and female (unpublished), can use these protocols in the study of empathy for pain.
3. For a VCR setting, a right top-down vertical view is better than any directions for offline rating of both social and non-social behaviors of the subject animal in an observing cage.
4. Perform offline VCR analysis and mechanical pain sensitivity test in a double-blind manner.
5. In this experiment, the occurrence of mechanical hyperalgesia in observer rat is considered to be an important index of pain empathy, thus, the baseline mechanical pain threshold is strictly required. However, some extreme hypersensitive or hyposensitive rats with PWMT less than 147 mN or more than 588 mN should be excluded (see Tables 1 and 2).
   

Recipes

1. 0.4% BV solution
   Prepare 0.4% BV solution by dissolving 0.2 mg BV in 50 μl in 0.9% physiological saline (pH 7.4) before use
2. 2.5% formalin solution
   Prepare 2.5% formalin solution by dissolving 37% formaldehyde stock solution in 0.9% physiological saline (pH 7.4) before use
   

Acknowledgments

This work was supported by grants from the National Natural Science Foundation of China to Jun Chen (81571072) and to Chun-Li Li (31600855).

Competing interests

The authors declare that they have no conflicts of interest or competing interests.

Ethics

This study was carried out in accordance with the recommendations of the ARRIVE guidelines (Kilkenny et al., 2010), the U.K. Animals (Scientific Procedures) Act 1986 and associated guidelines, the EU Directive 2010/63/EU for animal experiments, the National Institutes of Health guide for the care and use of laboratory animals (NIH Publications No. 8023, revised 1978), and the ethical guidelines for investigations of experimental pain in conscious animals of the International Association for the Study of Pain were also critically followed (Zimmermann, 1983).

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