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[Part 1] Comparison of Clearing Efficacies of Various Tissue Clearance Protocols
                                               in Rodent Brain
                                Jiwon Woo 1,2# , Mirae Lee , Jeong-Yoon Park , and Yong-Eun Cho 1,2*
                                                              1,2
                                                1,2


         1  Department of Neurosurgery, The Spine and Spinal cord Institute, Gangnam Severance Hospital, Yonsei University College of Medicine, 211 Eonju-ro, Gangnam-gu, Seoul 06273, Republic of Korea
     2  Brain Korea 21 PLUS Project for Medical Science, Yonsei University, 50 Yonsei-ro, Seodaemun-gu, Seoul 03722, Republic of Korea   C-8
                                                    Abstract
   The mammalian biological systems such as the central nervous system including brain and spinal cord consist of over thousands of distinct cell types forming widely interconnected functional neural networks, and coordinated across
   multiple size scales, from the sub-nanoscale of molecules to the macroscale, the tissue wide interconnectivity of the cell populations. Here we introduce comparative analyses of clearing efficacies in various tissue clearing techniques for
   high resolution imaging analysis of the multiscale organization of intact brain tissues in rodent. We evaluated clearing efficacies of the brain tissue using improved methods with twenty passive clarity methods that allowed production of
   transparent brain by tissue clearing. The tissue comparative analysis facilitates the rapid examination of three dimension morphological and therapeutic aspects of surgical animal disease models and can be selective used to aid in the
   investigating of medical and experimental conditions. Our comparative analyses of tissue clearing efficacies suggest that useful to provide access to adaptable method for stereoscopic multi-scale information that will expand current
   understanding of health and disease.
               Background            Figure 4                         Figure 7











   ● CLARITY
   (Clear  Lipid-exchanged  Acrylamide-hybridized  Rigid  Imaging-compatible  Tissue-
   hYdrogel) tissue clearing technologies.
                Results
   Figure 1



                                     Comparison  of  tissue  clearance  process  achieved  via  gelation-based  tissue  clearing   Comparison  of  tissue clearance  process  achieved  in rat brains  processed  via  organic solvent-based
                                     protocols.  Comparison  of  clearing  efficacies  of  PACTs  (psPACT  and  mPACT)  (A),   clearing protocols. Comparison of clearing efficacies of Ethanol BABB (A), 1-propanol BABB (B), tert-
                                     SWITCHs (SWITCH-1 and SWITCH-4) (B), and Tissue-MAP (C) in rodent brain samples.   butanol  BABB  (C),  3DISCO  (D),  iDISCO+  (E),  uDISCO  (F),  FDISCO  (G),  Ethanol-ECi  (H),  and
                                     Optical images showing samples before and after clearance, along with any changes in   PEGASOS (I) on rat brain samples. Optical images showing samples before and after clearance, along
                                     sample  size upon tissue processing, are included.   with any changes in sample  size upon tissue processing, are included.
                                     Figure 5                          Figure 8
   Schematic  Representation  of  the  Technical  Characteristics  of  Original  CLARITY  and
   PACT Tissue Clearing  Method.
   Figure 2















                                     Comparison  of  tissue  clearance  process  achieved  via  clearing  methods  based  on
                                     hyperhydration or aqueous solutions with high-refractive indices in rat brain. Comparison   Comparison of tissue clearance process achieved in mouse brains processed via organic solvent-
                                     of clearing efficacies of Clear T  (A), Clear T2  (B), ScaleA2 (C), CUBIC (D), FOCM (E), RTF   based clearing protocols. Comparison of clearing efficacies of Ethanol BABB (A), 1-propanol BABB
                                     (F), SeeDB (G), SeeDBp (H), and 80% TDE (I) on rat brain samples.    (B), tert-butanol BABB (C), 3DISCO (D), iDISCO+ (E), uDISCO (F), FDISCO (G), Ethanol-ECi (H),
                                                                       and PEGASOS (I) on mouse brain samples.
   Schematic representation  of the 24 protocols of the 17 clearing  techniques used in this   Figure 6
   comparative  study.
                                                                                      Methods
   Figure 3
                                                                       * Isolation of tissue
                                                                       Upon  opening  the  thorax,  an  incision  was  made  to  the  right  atrium  of  the  heart.  Animals  were
                                                                       perfused with equal volumes of heparin dissolved in ice-cold PBS (10 units/mL; 50 mL for rats, 20
                                                                       mL for mice) and 4% PFA. The brain was isolated using general methods, cut into either 2 mm or 4
                                                                       mm-thick slices, and placed in 4% PFA at 4°C.

                                                                       * Preparation of rodent brain samples tissue clearance
                                                                       (1) psPACT and mPACT
                                                                       (2) SWITCH
                                                                       (3) Tissue-MAP
                                                                       (4) ClearT and ClearT2
                                                                       (5) ScaleA2
                                                                       (6) CUBIC
                                                                       (7) FOCM
                                                                       (8) RTF
                                                                       (9) SeeDB and SeeDBp
                                                                       (10) Thiodiethanol-based clearing
                                                                       (11) BABB, 1-propanol  BABB and tert-butanol  BABB
                                                                       (12) 3DISCO
   Comparison  of  tissue  clearance  process  achieved  via  gelation-based  tissue  clearing   (13) iDISCO+
   protocols in mouse brain. Comparison of clearing efficacies of psPACT (A), mPACT (B),   (14) uDISCO
   and SWITCH-1 (C) in mouse brain samples. Optical images showing samples before and   (15) FDISCO
   after  clearance,  along  with  any  changes  in  sample  size  upon  tissue  processing,  are   (16) Ethanol-ECi
   included.                                                           (17) PEGASOS
                 Reference
                                                                                     Conclusion
   * Chung K, Wallace J, Kim SY, Kalyanasundaram S, Andalman AS, Davidson TJ, et al. Structural
   and molecular interrogation of intact biological systems. Nature 2013;497:332-7.   This suggests that future studies attempting to investigate three-dimensional cerebellar structure
   * Woo  J,  Lee  M,  Seo  JM,  Park  HS,  Cho  YE.  Optimization  of  the  optical  transparency  of  rodent   using tissue clearing methods might benefit from further optimization of CLARITY-based protocols
   tissues by modified PACT-based passive clearing. Exp Mol Med 2016;48:e274.
   * Ku T, Swaney J, Park JY, Albanese A, Murray E, Cho JH, et al. Multiplexed and scalable super-  as to maximize the resolution of structural information that can be obtained. This in turn fuels the
   resolution imaging of three-dimensional protein localization in size-adjustable tissues. Nat Biotechnol   need for future studies aimed towards improving the clearance of tissues that are hard to parse,
   2016;34:973-81.                   Comparison  of  tissue  clearance  process  achieved  via  clearing  methods  based  on   which  arguably  hold  greater  amounts  of  biological  information  due  to  increased  cell  and/or
                                     hyperhydration  or  aqueous  solutions  with  high-refractive  indices  in  mouse  brain.   extracellular  matrix  density.  In  addition,  it  is  provide  a  possible  that  standard  transmittance
                                     Comparison  of  clearing  efficacies  of  transparent  rat  brain  tissue  tablets  of  Clear T   (A),   experiment  of  transparent  tissue  for  three-dimensional  deep  imaging  analysis  at  the  various
         Contact Information                  e-mail :    jiwonflu@yuhs.ac   ScaleA2 (B), CUBIC (C), FOCM (D), RTF (E), SeeDB (F), 60% TDE (G), and 80% TDE (H)   optimum  transparent  conditions.
                                     on mouse brain samples.
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