Capture the monkey at least one week before the treatment. The monkeys will be individually homed and enrichment toys will be provided.
Fast the monkey at least 12 h before the procedure (will begin in the morning). Sedate the monkey with 6.7 mg/kg ketamine (intramuscular) and allow it to fall into deep sleep (at least 15 minutes).
Clean the area around the injection site with 70 % ethanol before administering 0.03 mg/kg buprenorphine hydrochloride (intramuscular) for pain management.
Keep the monkey lying sideway and in a hunched position to facilitate a better visualization of the vertebrae column during needle insertion. Shave the fur around lumbar area, and sterilize the area with iodine (thrice) followed by 70 % ethanol.
Prepare the solution using an appropriate syringe attached to a 24-gauge needle. Locate the spinous process and carefully insert the needle into the invertebrae disc of L4-L5 vertebrae. Outflow of cerebral spinal fluid indicates successful injection into the invertebrae disc.
Allow the solution to spread along the column for one minute before removing the needle. Allow the monkey to recover from anesthesia and check for any pain symptoms.
Readers should cite both the Bio-protocol preprint and the original research article where this protocol was used:
Lam, B, Tan, M and Le, M(2026). 3.12. Non‐Human Primates and Intrathecal Procedure. Bio-protocol Preprint. bio-protocol.org/prep2934.
Lam, B. W. S., Tan, M., Gao, C., Pham, T. T., Tran, L. T. N., Nguyen, L. N., Sidik, H., Lim, M. B. H., Le, A. H., Nguyen, T. T. T., Lim, N., Nguyen, L., Nguyen, T. H., Loh, Y., Usman, M. W. and Le, M. T. N.(2025). Extracellular Vesicles Administered via Intrathecal Injection Mediate Safe Delivery of Nucleic Acids to the Central Nervous System for Gene Therapy. Journal of Extracellular Vesicles 14(7). DOI: 10.1002/jev2.70116
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