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Animal Models in Research Utpal (Pal) Bhalala, MD, FAAP Assistant Professor Anesthesiology, Critical Care Medicine and Pediatrics Johns Hopkins University School of Medicine 8/5/2014 1
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Animal Models in Research - Johns Hopkins Hospital · Categories of Animal Models in Research 8/6/2014 7 Induced Model Healthy animal in which condition is induced Spontaneous Model

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Page 1: Animal Models in Research - Johns Hopkins Hospital · Categories of Animal Models in Research 8/6/2014 7 Induced Model Healthy animal in which condition is induced Spontaneous Model

Animal Models in Research

Utpal (Pal) Bhalala, MD, FAAP

Assistant Professor

Anesthesiology, Critical Care Medicine and Pediatrics

Johns Hopkins University School of Medicine

8/5/2014 1

Page 2: Animal Models in Research - Johns Hopkins Hospital · Categories of Animal Models in Research 8/6/2014 7 Induced Model Healthy animal in which condition is induced Spontaneous Model

Why animal models in research?

• Obvious ethical,

social, religious

prohibitions have

prevented human

experimentations

• Animal models

play a key role in

studying human

diseases 8/5/2014 2

Page 3: Animal Models in Research - Johns Hopkins Hospital · Categories of Animal Models in Research 8/6/2014 7 Induced Model Healthy animal in which condition is induced Spontaneous Model

Why animal models in research?

• Ideas & Trends:

Of Mice and

Men; Why Test

Animals to Cure

Human

Depression?

• Do mice commit

suicide?

8/5/2014 3

Page 4: Animal Models in Research - Johns Hopkins Hospital · Categories of Animal Models in Research 8/6/2014 7 Induced Model Healthy animal in which condition is induced Spontaneous Model

Why animal models in research?

• Article in the

examiner

described

suicidal mouse

behavior in

response to

brain

Toxoplasmosis

8/5/2014 4

Page 5: Animal Models in Research - Johns Hopkins Hospital · Categories of Animal Models in Research 8/6/2014 7 Induced Model Healthy animal in which condition is induced Spontaneous Model

What exactly is an animal model?

8/5/2014 5

• It is like a biological phenomenon that

one species has in common with the

target species.

• It is like a concept of “analogy.”

• It is NOT a claim of identity with what is

being modeled, but like a substitute for

the target.

Page 6: Animal Models in Research - Johns Hopkins Hospital · Categories of Animal Models in Research 8/6/2014 7 Induced Model Healthy animal in which condition is induced Spontaneous Model

A comprehensive definition

• Wessler’s original definition: “a living

organism in which biology or behavior

can be studied, or in which a

spontaneous or induced pathological

process can be investigated, and in

which the phenomenon resembles that

in humans or other species of animal

8/5/2014 6

Page 7: Animal Models in Research - Johns Hopkins Hospital · Categories of Animal Models in Research 8/6/2014 7 Induced Model Healthy animal in which condition is induced Spontaneous Model

Categories of Animal Models in

Research

8/6/2014 7

Induced Model

Healthy animal in

which condition is

induced

Spontaneous Model utilize

naturally occurring genetic variants

Genetically Modified

Model also called

transgenic disease models

Orphan Model

disease occurring in animal, not described in

human

Negative Models in which a certain

disease does not develop

Page 8: Animal Models in Research - Johns Hopkins Hospital · Categories of Animal Models in Research 8/6/2014 7 Induced Model Healthy animal in which condition is induced Spontaneous Model

Extrapolation from animals to

human

• The rationale behind extrapolating

results from animals to human is based

on the extensive homology and

evolutionary similarity between

morphological structures and

physiological processes among different

animal species and between animals

and humans.

8/6/2014 8

Page 9: Animal Models in Research - Johns Hopkins Hospital · Categories of Animal Models in Research 8/6/2014 7 Induced Model Healthy animal in which condition is induced Spontaneous Model

Extrapolation from animals to

human

• What is noxious or ineffective in

nonhuman species can be innocuous or

effective in humans and vice versa. For

example, penicillin is fatal for guinea

pigs but well tolerated by humans;

aspirin is teratogenic in cats, dogs,

guinea pigs, rats, mice, and monkeys

but obviously not in pregnant women

8/6/2014 9

Page 10: Animal Models in Research - Johns Hopkins Hospital · Categories of Animal Models in Research 8/6/2014 7 Induced Model Healthy animal in which condition is induced Spontaneous Model

Extrapolation from animals to

human

• In general, metabolism or detoxification

and excretion of a drug are not directly

correlated with body size, but more

accurately with the metabolic rate of the

animal

8/6/2014 10

Page 11: Animal Models in Research - Johns Hopkins Hospital · Categories of Animal Models in Research 8/6/2014 7 Induced Model Healthy animal in which condition is induced Spontaneous Model

Animal models for Inflammatory

disorders

8/6/2014 11

Page 12: Animal Models in Research - Johns Hopkins Hospital · Categories of Animal Models in Research 8/6/2014 7 Induced Model Healthy animal in which condition is induced Spontaneous Model

Controversies

• Seok et al.

reported that

mouse models

poorly mimic

human

inflammatory

diseases, in terms

of gene

expression 8/6/2014 12

Page 13: Animal Models in Research - Johns Hopkins Hospital · Categories of Animal Models in Research 8/6/2014 7 Induced Model Healthy animal in which condition is induced Spontaneous Model

Animal models of cancer

8/6/2014 13

Page 14: Animal Models in Research - Johns Hopkins Hospital · Categories of Animal Models in Research 8/6/2014 7 Induced Model Healthy animal in which condition is induced Spontaneous Model

Animal models for CNS disorders

• Multiple factors determine

the choice of animal model

for CNS disorders.

– For studies on the

neuropathology, primate and

swine model with appropriate

gyrations and structural

complexities similar to human

brain are more suitable

8/6/2014 14

Page 15: Animal Models in Research - Johns Hopkins Hospital · Categories of Animal Models in Research 8/6/2014 7 Induced Model Healthy animal in which condition is induced Spontaneous Model

Animal models of neuropsychiatric

disorders

• Despite the challenges, significant

progress has been made in the

development and optimization of

behavioral models for the majority of

CNS disorders and these models have

provided valuable insights regarding

mechanism and treatment when used

appropriately.

8/6/2014 15

Page 16: Animal Models in Research - Johns Hopkins Hospital · Categories of Animal Models in Research 8/6/2014 7 Induced Model Healthy animal in which condition is induced Spontaneous Model

Animal models of neurodegenerative

disorders

• Tremendous effort focused on the

development and characterization of

animal models for Alzheimer’s disease.

• 3 general categories –

– pharmacological,

– lesioned

– transgenic

8/6/2014 16

Page 17: Animal Models in Research - Johns Hopkins Hospital · Categories of Animal Models in Research 8/6/2014 7 Induced Model Healthy animal in which condition is induced Spontaneous Model

Animal models of Pain

• Chronic pain -

– affects over 25% of the general population

– medications to treat it have limitations in

terms of efficacy and safety.

• Current animal models instrumental in

improving understanding of chronic pain

and therapies

• Efforts to develop robust and predictive

models face numerous challenges 8/6/2014 17

Page 18: Animal Models in Research - Johns Hopkins Hospital · Categories of Animal Models in Research 8/6/2014 7 Induced Model Healthy animal in which condition is induced Spontaneous Model

Animal models of Stroke

• Most challenging

neurologic

disorder to model

due to

– Variable causes

– Variable

consequences

• MCA Occlusion

model 8/6/2014 18

Page 19: Animal Models in Research - Johns Hopkins Hospital · Categories of Animal Models in Research 8/6/2014 7 Induced Model Healthy animal in which condition is induced Spontaneous Model

Animal models of HIE

• HIE occurs

following birth

asphyxia and

cardiac arrest

• Vanucci model -

exposure to low

FiO2 and carotid

artery occlusion

8/6/2014 19

Page 20: Animal Models in Research - Johns Hopkins Hospital · Categories of Animal Models in Research 8/6/2014 7 Induced Model Healthy animal in which condition is induced Spontaneous Model

Piglet model of brain injury following

hypoxic-asphyxic cardiac arrest

• Hypoxia through

exposure to 10%

FiO2 and

• Asphyxia through

ETT clamping

• Resuscitation

followed by

recovery

8/6/2014 20

Page 21: Animal Models in Research - Johns Hopkins Hospital · Categories of Animal Models in Research 8/6/2014 7 Induced Model Healthy animal in which condition is induced Spontaneous Model

8/5/2014 21

3-5 day old piglet

• Administration of General Anesthesia

• Endotracheal Intubation and vascular cut-down for Arterial and Venous line placement

Hypoxic-Asphyxic

Cardiac Arrest

• Administration of 10% FiO2 for 45 minutes

• Induction of asphyxia through clamping of ETT for 7 minutes

• Chest Compressions and administration of Epinephrine

• Post-arrest care, extubation once neurologic recovery

Perfusion to isolate brain

• Immunohistochemistry staining of brain sections using Anti IBA-1 antibodies

Analysis of IHC stained brain

sections

• Unbiased Stereology

• Neurolucida

Neuroinflammation in a

swine model of pediatric

cardiac arrest

12Hr

Sham

12Hr

Arrest

12Hr

Arrest

Utpal Bhalala, MD

Raymond Koehler, PhD

Lee Martin, PhD

Sujatha Kannan, MD

12Hr

Sham

12Hr

Arrest

Page 22: Animal Models in Research - Johns Hopkins Hospital · Categories of Animal Models in Research 8/6/2014 7 Induced Model Healthy animal in which condition is induced Spontaneous Model

8/6/2014 22

Page 23: Animal Models in Research - Johns Hopkins Hospital · Categories of Animal Models in Research 8/6/2014 7 Induced Model Healthy animal in which condition is induced Spontaneous Model

8/6/2014 23

Piglet model of neuroinflammation

following cardiac arrest

Page 24: Animal Models in Research - Johns Hopkins Hospital · Categories of Animal Models in Research 8/6/2014 7 Induced Model Healthy animal in which condition is induced Spontaneous Model

8/6/2014 24

Piglet model of neuroinflammation

following cardiac arrest

Page 25: Animal Models in Research - Johns Hopkins Hospital · Categories of Animal Models in Research 8/6/2014 7 Induced Model Healthy animal in which condition is induced Spontaneous Model

8/6/2014 25

0

20

40

60

80

100

120

Injured Sham Injured Sham Injured Sham

Caudate Putamen SMC

Ave

rag

e V

olu

me

of

IBA

-1 p

os

itiv

e c

ells

(m

m3

)

Distribution of IBA-1 positive inflammatory cells in injured (N=10) and sham (N=5) animals

Neuroinflammation in Selective Vulnerable Areas

0.5day recovery

1day recovery

2day recovery

3day recovery

7day recovery

Piglet model of neuroinflammation

following cardiac arrest

Page 26: Animal Models in Research - Johns Hopkins Hospital · Categories of Animal Models in Research 8/6/2014 7 Induced Model Healthy animal in which condition is induced Spontaneous Model

8/6/2014 26

0

20

40

60

80

100

120

Injured Sham Injured Sham Injured Sham

Caudate Putamen SMC

Via

ble

Ne

uro

ns

(%

of

Sh

am

)

Distribution of viable neurons in injured (N=10) and sham (N=5) animals

0.5day recovery

1day recovery

2day recovery

3day recovery

7day recovery

Piglet model of neuroinflammation

following cardiac arrest

Page 27: Animal Models in Research - Johns Hopkins Hospital · Categories of Animal Models in Research 8/6/2014 7 Induced Model Healthy animal in which condition is induced Spontaneous Model

8/6/2014 27

Piglet neuron profile following cardiac

arrest

Page 28: Animal Models in Research - Johns Hopkins Hospital · Categories of Animal Models in Research 8/6/2014 7 Induced Model Healthy animal in which condition is induced Spontaneous Model

Why piglet model of cardiac arrest

to study neuroinflammation?

• Anatomic and

physiologic profile

of piglet model

similar to human

• Cardiac arrest

induces neuro

and systemic

inflammation

8/6/2014 28

Page 29: Animal Models in Research - Johns Hopkins Hospital · Categories of Animal Models in Research 8/6/2014 7 Induced Model Healthy animal in which condition is induced Spontaneous Model

What Next?

• Once we study neuroinflammation in

relation to the neuronal death, we plan

to study

– Neuroprotective effects of anti-

inflammatory

– Neuronal-glial cross-talk as a contributor of

persistent neuroinflammation

8/6/2014 29

Page 30: Animal Models in Research - Johns Hopkins Hospital · Categories of Animal Models in Research 8/6/2014 7 Induced Model Healthy animal in which condition is induced Spontaneous Model

Thank You

8/6/2014 30