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Wikanthi LSS, Forsström J, Ewaldsson B, Palsdottir V, Admyre T. Improved Memory and Lower Stress Levels in Male Mice Co-Housed with Ovariectomized Female Mice. Animals (Basel) 2024; 14:1503. [PMID: 38791720 PMCID: PMC11117350 DOI: 10.3390/ani14101503] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2024] [Revised: 05/05/2024] [Accepted: 05/14/2024] [Indexed: 05/26/2024] Open
Abstract
Aggressiveness, expressed by fighting, is a frequent problem in group-housed laboratory male mice and results in increased stress, injury, and death. One way to prevent fighting is by pairing the male mice with ovariectomized female mice to provide a compatible companion. However, the effect of these housing conditions remains unclear. Therefore, we aimed to evaluate behavior and stress levels in two different housing conditions, pair-housed with an ovariectomized female and group-housed with other males. Behavioral tests were performed to assess stress and anxiety-like behavior. Moreover, the corticosterone levels in plasma were measured by ELISA. Based on home cage behavior assessment, pair-housed male mice showed no signs of fighting, not even after isolation and regrouping. Our results also showed that the pair-housed males had a better memory and demonstrated less anxiety-like behavior. Subsequently, the pair-housed male mice had a larger reduction in corticosterone levels compared to group-housed males. Overall, pair-housing reduced anxiety-like behavior and stress levels in male mice compared to standard group-housing.
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Affiliation(s)
- Layung Sekar Sih Wikanthi
- Department of Animal Science and Technology, Clinical Pharmacology&Safety Science, R&D, AstraZeneca, 43183 Gothenburg, Sweden; (L.S.S.W.); (B.E.)
| | - Johan Forsström
- Department of Translational Genomics, Discovery Sciences, R&D, AstraZeneca, 43183 Gothenburg, Sweden; (J.F.); (V.P.)
| | - Birgit Ewaldsson
- Department of Animal Science and Technology, Clinical Pharmacology&Safety Science, R&D, AstraZeneca, 43183 Gothenburg, Sweden; (L.S.S.W.); (B.E.)
| | - Vilborg Palsdottir
- Department of Translational Genomics, Discovery Sciences, R&D, AstraZeneca, 43183 Gothenburg, Sweden; (J.F.); (V.P.)
| | - Therése Admyre
- Department of Translational Genomics, Discovery Sciences, R&D, AstraZeneca, 43183 Gothenburg, Sweden; (J.F.); (V.P.)
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Nunamaker EA, Turner PV. Unmasking the Adverse Impacts of Sex Bias on Science and Research Animal Welfare. Animals (Basel) 2023; 13:2792. [PMID: 37685056 PMCID: PMC10486396 DOI: 10.3390/ani13172792] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2023] [Revised: 08/30/2023] [Accepted: 08/30/2023] [Indexed: 09/10/2023] Open
Abstract
Sex bias in biomedical and natural science research has been prevalent for decades. In many cases, the female estrous cycle was thought to be too complex an issue to model for, and it was thought to be simpler to only use males in studies. At times, particularly when studying efficacy and safety of new therapeutics, this sex bias has resulted in over- and under-medication with associated deleterious side effects in women. Many sex differences have been recognized that are unrelated to hormonal variation occurring during the estrous cycle. Sex bias also creates animal welfare challenges related to animal over-production and wastage, insufficient consideration of welfare (and scientific) impact related to differential housing of male vs female animals within research facilities, and a lack of understanding regarding differential requirements for pain recognition and alleviation in male versus female animals. Although many funding and government agencies require both sexes to be studied in biomedical research, many disparities remain in practice. This requires further enforcement of expectations by the Institutional Animal Care and Use Committee when reviewing protocols, research groups when writing grants, planning studies, and conducting research, and scientific journals and reviewers to ensure that sex bias policies are enforced.
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Affiliation(s)
- Elizabeth A. Nunamaker
- Global Animal Welfare and Training, Charles River Laboratories, Wilmington, MA 01887, USA;
| | - Patricia V. Turner
- Global Animal Welfare and Training, Charles River Laboratories, Wilmington, MA 01887, USA;
- Department of Pathobiology, University of Guelph, Guelph, ON N1G 2W1, Canada
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Martinez-Lopez S, Angel-Gomis E, Sanchez-Ardid E, Pastor-Campos A, Picó J, Gomez-Hurtado I. The 3Rs in Experimental Liver Disease. Animals (Basel) 2023; 13:2357. [PMID: 37508134 PMCID: PMC10376896 DOI: 10.3390/ani13142357] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2023] [Revised: 07/16/2023] [Accepted: 07/17/2023] [Indexed: 07/30/2023] Open
Abstract
Patients with cirrhosis present multiple physiological and immunological alterations that play a very important role in the development of clinically relevant secondary complications to the disease. Experimentation in animal models is essential to understand the pathogenesis of human diseases and, considering the high prevalence of liver disease worldwide, to understand the pathophysiology of disease progression and the molecular pathways involved, due to the complexity of the liver as an organ and its relationship with the rest of the organism. However, today there is a growing awareness about the sensitivity and suffering of animals, causing opposition to animal research among a minority in society and some scientists, but also about the attention to the welfare of laboratory animals since this has been built into regulations in most nations that conduct animal research. In 1959, Russell and Burch published the book "The Principles of Humane Experimental Technique", proposing that in those experiments where animals were necessary, everything possible should be done to try to replace them with non-sentient alternatives, to reduce to a minimum their number, and to refine experiments that are essential so that they caused the least amount of pain and distress. In this review, a comprehensive summary of the most widely used techniques to replace, reduce, and refine in experimental liver research is offered, to assess the advantages and weaknesses of available experimental liver disease models for researchers who are planning to perform animal studies in the near future.
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Affiliation(s)
- Sebastian Martinez-Lopez
- Instituto ISABIAL, Hospital General Universitario Dr. Balmis, 03010 Alicante, Spain
- Departamento de Medicina Clínica, Universidad Miguel Hernández, 03550 Sant Joan, Spain
| | - Enrique Angel-Gomis
- Instituto ISABIAL, Hospital General Universitario Dr. Balmis, 03010 Alicante, Spain
- Departamento de Medicina Clínica, Universidad Miguel Hernández, 03550 Sant Joan, Spain
| | - Elisabet Sanchez-Ardid
- CIBERehd, Instituto de Salud Carlos III, 28220 Madrid, Spain
- Servicio de Patología Digestiva, Institut de Recerca IIB-Sant Pau, Hospital de Santa Creu i Sant Pau, 08025 Barcelona, Spain
| | - Alberto Pastor-Campos
- Oficina de Investigación Responsable, Universidad Miguel Hernández, 03202 Elche, Spain
| | - Joanna Picó
- Instituto ISABIAL, Hospital General Universitario Dr. Balmis, 03010 Alicante, Spain
| | - Isabel Gomez-Hurtado
- Instituto ISABIAL, Hospital General Universitario Dr. Balmis, 03010 Alicante, Spain
- Departamento de Medicina Clínica, Universidad Miguel Hernández, 03550 Sant Joan, Spain
- CIBERehd, Instituto de Salud Carlos III, 28220 Madrid, Spain
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Nakajima S, Umemoto S, Nagaishi T. Food avoidance learning based on swimming in laboratory mice (Mus musculus). Behav Processes 2023:104910. [PMID: 37406868 DOI: 10.1016/j.beproc.2023.104910] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2022] [Revised: 04/22/2023] [Accepted: 07/01/2023] [Indexed: 07/07/2023]
Abstract
Although it is now well documented that laboratory rats learn to avoid the flavored substance consumed immediately before running in activity wheels or swimming in water buckets, research on this activity-based flavor avoidance learning in other species is limited. Recently, running-based flavor avoidance learning has been demonstrated in laboratory mice by employing a method of resistance-to-habituation of neophobic reaction to novel food; mice that repeatedly experience running after encountering a novel food have a prolonged tendency to reject that food compared to control mice without paired running. The present article reports a series of attempts to obtain evidence of flavor avoidance learning based on swimming rather than running using this resistance-to-habituation method. Swimming-based flavor avoidance was clearly demonstrated in a differential conditioning paradigm; however, its demonstration in a simple conditioning paradigm requires a post-training choice test of the target food and another type of food. These results are likely due to the short swimming time (20min) and the formation of weak flavor aversion.
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Rowland MB, Moore PE, Bui C, Correll RN. Assessing wound closure in mice using skin-punch biopsy. STAR Protoc 2023; 4:101989. [PMID: 36602903 PMCID: PMC9826969 DOI: 10.1016/j.xpro.2022.101989] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2022] [Revised: 11/22/2022] [Accepted: 12/13/2022] [Indexed: 01/06/2023] Open
Abstract
Defects in myofibroblast function may cause wound healing defects in a variety of tissue types. Here we describe a simple skin-punch biopsy approach to screen mouse models for defects in wound closure that does not require extensive surgical training or expensive equipment. Experimental results may serve as an initial proof of concept to determine whether further investigation is necessary or if defects in myofibroblast function observed in other systems also result in reduced skin wound healing.
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Affiliation(s)
- Mary B Rowland
- Department of Biological Sciences, University of Alabama, Tuscaloosa, AL 35401, USA.
| | - Patrick E Moore
- Department of Biological Sciences, University of Alabama, Tuscaloosa, AL 35401, USA
| | - Chuong Bui
- Alabama Life Research Institute, University of Alabama, Tuscaloosa, AL 35401, USA
| | - Robert N Correll
- Department of Biological Sciences, University of Alabama, Tuscaloosa, AL 35401, USA.
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Individualized Housing Modifies the Immune–Endocrine System in CD1 Adult Male Mice. Animals (Basel) 2023; 13:ani13061026. [PMID: 36978567 PMCID: PMC10044133 DOI: 10.3390/ani13061026] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2023] [Revised: 03/08/2023] [Accepted: 03/09/2023] [Indexed: 03/14/2023] Open
Abstract
In the last years, different research groups have made considerable efforts to improve the care and use of animals in research. Mice (Mus musculus) are the most widely used animal species in research in the European Union and are sociable and hierarchical creatures. During experiments, researchers tend to individualize males, but no consideration is given to whether this social isolation causes them stress. The aim of this study was, therefore, to explore whether 4 weeks of social isolation could induce changes in different physiological parameters in adult Crl:CD1(ICR) (CD1) males, which may interfere with experimental results. Body weight, blood cells, and fecal corticosterone metabolites levels were the analyzed parameters. Blood and fecal samples were collected at weeks 1 and 4 of the experimental procedure. Four weeks of single housing produced a significant time-dependent decrease in monocytes and granulocytes. Fecal corticosterone metabolite levels were higher in single-housed mice after 1 week and then normalized after 4 weeks of isolation. Body weight, red blood cells, and platelets remained unchanged in both groups during this period. We can, therefore, conclude that social isolation affects some immune and endocrine parameters, and that this should be taken into account in the interpretation of research data.
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Weber EM, Zidar J, Ewaldsson B, Askevik K, Udén E, Svensk E, Törnqvist E. Aggression in Group-Housed Male Mice: A Systematic Review. Animals (Basel) 2022; 13:ani13010143. [PMID: 36611751 PMCID: PMC9817818 DOI: 10.3390/ani13010143] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2022] [Revised: 12/23/2022] [Accepted: 12/24/2022] [Indexed: 12/31/2022] Open
Abstract
Aggression among group-housed male mice is a major animal welfare concern often observed at animal facilities. Studies designed to understand the causes of male mice aggression have used different methodological approaches and have been heterogeneous, using different strains, environmental enrichments, housing conditions, group formations and durations. By conducting a systematic literature review based on 198 observed conclusions from 90 articles, we showed that the methodological approach used to study aggression was relevant for the outcome and suggested that home cage observations were better when studying home cage aggression than tests provoking aggression outside the home cage. The study further revealed that aggression is a complex problem; one solution will not be appropriate for all animal facilities and all research projects. Recommendations were provided on promising tools to minimize aggression, based on the results, which included what type of environmental enrichments could be appropriate and which strains of male mice were less likely to be aggressive.
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Affiliation(s)
- Elin M. Weber
- Department of Animal Environment and Health, Swedish University of Agricultural Sciences, 532 23 Skara, Sweden
| | - Josefina Zidar
- Department of Animal Environment and Health, Swedish University of Agricultural Sciences, 750 07 Uppsala, Sweden
| | - Birgit Ewaldsson
- Department of Animal Science and Technology, AstraZeneca, 431 83 Mölndal, Sweden
| | - Kaisa Askevik
- Swedish 3Rs Center, Swedish Board of Agriculture, 553 29 Jönköping, Sweden
| | - Eva Udén
- Swedish 3Rs Center, Swedish Board of Agriculture, 553 29 Jönköping, Sweden
| | - Emma Svensk
- Swedish 3Rs Center, Swedish Board of Agriculture, 553 29 Jönköping, Sweden
- Correspondence:
| | - Elin Törnqvist
- Swedish National Committee for the Protection of Animals Used for Scientific Purposes, Swedish Board of Agriculture, 553 29 Jönköping, Sweden
- Department of Animal Health and Antimicrobial Strategies, National Veterinary Institute (SVA), 751 89 Uppsala, Sweden
- Institute of Environmental Medicine, Karolinska Institutet, 171 77 Stockholm, Sweden
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8
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Diagnostic Ability of Methods Depicting Distress of Tumor-Bearing Mice. Animals (Basel) 2021; 11:ani11082155. [PMID: 34438613 PMCID: PMC8388504 DOI: 10.3390/ani11082155] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2021] [Revised: 07/15/2021] [Accepted: 07/17/2021] [Indexed: 12/11/2022] Open
Abstract
Simple Summary Experiments on animals can provide important information for improving the life expectancy and life quality of patients. At the same time, the welfare of these animals is a growing public concern. Therefore, many laws and international guidelines were established with the goal of minimizing the harm inflicted on these animals. A prerequisite of improving animal welfare is to correctly measure how much distress the experiments cause to these animals. However, it is often unknown as to which methods are appropriate to assess distress. Mice bearing subcutaneous tumors are the most frequently used animal model to study the therapeutic effects of drugs. We evaluated if body weight, faecal corticosterone metabolites concentration, burrowing activity and a distress score were capable of differentiating between mice before cancer cell injection and mice bearing large tumors. We observed that only adjusted body weight change and faecal corticosterone metabolites concentration were capable of measuring distress caused by large subcutaneous tumors. Therefore, these two methods are appropriate to assess the welfare of mice with subcutaneous tumors. This knowledge provides a solid basis to optimize animal welfare in future studies. For example, both methods can define the ideal time point when an experiment should end by finding a good compromise between minimal distress for the animals and maximal knowledge gain for mankind. Abstract Subcutaneous tumor models in mice are the most commonly used experimental animal models in cancer research. To improve animal welfare and the quality of scientific studies, the distress of experimental animals needs to be minimized. For this purpose, one must assess the diagnostic ability of readout parameters to evaluate distress. In this study, we evaluated different noninvasive readout parameters such as body weight change, adjusted body weight change, faecal corticosterone metabolites concentration, burrowing activity and a distress score by utilising receiver operating characteristic curves. Eighteen immunocompromised NOD.Cg-Prkdcscid Il2rgtm1Wjl/SzJ mice were used for this study; half were subcutaneously injected with A-375 cells (human malignant melanoma cells) that resulted in large tumors. The remaining mice were inoculated with SCL-2 cells (cutaneous squamous cell carcinoma cells), which resulted in small tumors. The adjusted body weight and faecal corticosterone metabolites concentration had a high diagnostic ability in distinguishing between mice before cancer cell injection and mice bearing large tumors. All other readout parameters had a low diagnostic ability. These results suggest that adjusted body weight and faecal corticosterone metabolites are useful to depict the distress of mice bearing large subcutaneous tumors.
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Supplementation with >Your< Iron Syrup Corrects Iron Status in a Mouse Model of Diet-Induced Iron Deficiency. BIOLOGY 2021; 10:biology10050357. [PMID: 33922324 PMCID: PMC8147123 DOI: 10.3390/biology10050357] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/23/2021] [Revised: 04/15/2021] [Accepted: 04/20/2021] [Indexed: 11/17/2022]
Abstract
The objective of this study was to compare the effects of >Your< Iron Syrup, a novel oral liquid iron-containing food supplement, with the commonly prescribed iron sulphate (Fe-sulphate) in a mouse model of diet-induced iron deficiency. Standard inbred BALB/cOlaHsd mice were fed low-iron diet for 11 weeks to induce significant decrease in blood haemoglobin and haematocrit and were then supplemented by gavage with either >Your< Iron Syrup or Fe-sulphate for two weeks. In >Your< Iron Syrup group, several markers of iron deficiency, such as serum iron concentration, transferrin saturation and ferritin level were significantly improved in both female and male mice. Fe-sulphate induced similar responses, except that it did not significantly increase iron serum in females and serum ferritin in both sexes. Fe-sulphate significantly increased liver-iron content which >Your< Iron Syrup did not. Transcription of Hamp and selected inflammatory genes in the liver was comparable between the two supplementation groups and with the Control diet group. Some sex-specific effects were noted, which were more pronounced and less variable in males. In conclusion, >Your< Iron Syrup was efficient, comparable and in some parameters superior to Fe-sulphate in improving iron-related parameters without inducing a response of selected liver inflammation markers in a mouse model of diet-induced iron deficiency.
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Yatkin E, Kulmala N, Saukkonen A, Maaranen J, Jaakkola UM. A real-time health notification system aimed at enhancing the interaction between animal care staff and researchers promotes animal welfare. Lab Anim 2021; 55:281-289. [PMID: 33525988 PMCID: PMC8182292 DOI: 10.1177/0023677221990689] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Regardless of the microbiological status of an animal facility, research animals
may experience health problems, leading to pain, suffering and distress. Simple
and efficient tools are needed to collect data systematically, allowing
researchers to react and resolve animals’ health issues. We have developed a
real-time notification method for recording clinical observations, which
caretakers can input into the ELLI record-keeping system, accompanied by a
picture or video. A browser-based interface system sends alerts using a
three-tier scale (+, 120 hours; ++, 72 hours; +++, 24 hours) by email and/or
SMS. The percentage of animal health notifications for rodents was 1.31% in
2016, 1.33% in 2017 and 1.58% in 2018, with 34–44% for coat and skin conditions
(wounds, bites and scratches). All other notifications, including environment
and behaviour, procedure-specific indicators (weight loss, bleeding and abnormal
secretions) and other abnormalities such as eye and teeth malformations, ranged
from 5% to 10% during the three-year period. Researchers displayed good
compliance by reacting to the notifications within the expected time frame. Most
health notifications concerned genetically modified (GM) animals without a
predetermined harmful phenotype, regardless of being on project licence or
maintenance licence. Health notification records may be useful retrospectively
not only to review the health and welfare issues of new GM lines but also to
evaluate the actual severity of procedures. The health notification system
described here provides valuable information to the veterinarian and the animal
welfare body by helping to address specific health conditions and to improve
animal welfare and implement the 3Rs.
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Affiliation(s)
- Emrah Yatkin
- University of Turku, Central Animal Laboratory (UTUCAL), Finland
| | - Nina Kulmala
- University of Turku, Central Animal Laboratory (UTUCAL), Finland
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Shimizu C, Wakita Y, Tsuchiya Y, Nabeshima T. Influence of Housing Systems on Physical, Emotional, and Cognitive Functions with Aging in DBA/2CrSlc Mice. Animals (Basel) 2020; 10:ani10040746. [PMID: 32344780 PMCID: PMC7222825 DOI: 10.3390/ani10040746] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2020] [Revised: 04/21/2020] [Accepted: 04/21/2020] [Indexed: 12/11/2022] Open
Abstract
Simple Summary Many scientists carefully monitor the experimental protocols, mouse strain , use of group-housing, and atmospheric enrichment in a housing-cage, but not commercially available housing-systems. The environmental conditions of mice as well as humans affects their emotional behaviors or physical activities. However, limited information is available regarding the influence of housing systems on experimental data. We used two types of housing system in the same laboratory. The difference in the structure of the two cages (chamber vs. individually ventilated cages: IVC) was whether the mouse could dangle or not. The dangling increases the amounts and quality of physical activities. Using the two-different housing systems, we investigated whether differences in physical, emotional, and cognitive functions can be observed in mice with aging. The IVC group demonstrated significantly less food intake, higher body weight, lower rectal core temperature, less muscle and balancing powers with aging, and fewer anxiety-like behaviors than the chamber group. Based on this experiment, the daily physical activities derived from housing systems significantly affected the results of body weight, body temperature, as well as their behaviors. Scientists should pay attention to the structure of housing systems and experimental parameters, particularly when changing the housing systems. Abstract Environmental conditions, including enrichment and stress, affect animal behaviors, but limited information is available regarding the differences in animal functions between the chamber (ventilated system) vs. IVC (individually ventilated cages) housing systems. Therefore, the effects of different housing systems were examined on physical, emotional, and cognitive functions and the intestinal flora with aging. DBA/2CrSlc mice were divided into chamber and IVC groups. Differences in the structure of the two cages considered whether the mouse could dangle or not. Physical, emotional, and cognitive functions were examined using the open field, black and white box, object recognition, horizontal bar, wire hanging, balancing, footprint, and locomotor tests. The IVC group demonstrated significantly less food intake, higher body weight (by approximately 5 g), lower rectal core temperature, less muscle and balancing powers with aging, and fewer anxiety-like behaviors than the chamber group. No differences were observed in the cognitive function and intestinal microbiota between the groups. The housing environment affected the rodent basal temperature and body weight as well as the physical and emotional functions. Scientists should be attentive to the type of cages used in the housing system for an experiment, especially when comparing the results with animals reared in different systems.
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Affiliation(s)
- Chikako Shimizu
- Frontier Laboratories for Value Creation, SAPPORO HOLDINGS LTD., 10 Okatome, Yaizu, Shizuoka 425-0013, Japan; (Y.W.); (Y.T.)
- Correspondence: ; Tel.: +81-54-629-7980
| | - Yoshihisa Wakita
- Frontier Laboratories for Value Creation, SAPPORO HOLDINGS LTD., 10 Okatome, Yaizu, Shizuoka 425-0013, Japan; (Y.W.); (Y.T.)
| | - Youichi Tsuchiya
- Frontier Laboratories for Value Creation, SAPPORO HOLDINGS LTD., 10 Okatome, Yaizu, Shizuoka 425-0013, Japan; (Y.W.); (Y.T.)
| | - Toshitaka Nabeshima
- Advanced Diagnostic System Research Laboratory, Fujita Health University,1–98 Dengakugakubo, Kutsukake-cho, Toyoake, Aichi 470-1192, Japan;
- NPO Japanese Drug Organization of Appropriate Use and Research, 3-1509 Omoteyama, Tenpaku-ku, Nagoya, Aichi 468-0069, Japan
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