摘要
伴侣动物脑库已被认为是衰老和痴呆转化神经科学的一种有价值的方法。然而,实现犬脑库的全部价值取决于优化用于采集和保存组织的方法。全脑灌注固定是一种有前景的方法,但在犬中尚未得到充分描述。本文介绍了犬脑库(目前 n = 55)方法的建立,包括经主动脉插管的全脑灌注固定和脑组织提取。我们通过大体检查、灌注后计算机断层扫描(CT)和血管组织学清除评估了灌注质量。我们发现,在我们的队列中,体重和按体重归一化的流速均与灌注质量显著相关。为了说明犬脑库可促进的分析类型,我们接下来进行了一项脑衰老的初步研究,这是我们计划的主要研究应用之一。使用应用于全切片图像的像素分类器,我们量化了脂褐素负荷,并在此初步队列中发现,其在丘脑和海马中均随年龄强烈增加。在海马中,主人报告存在认知功能障碍的犬脂褐素负荷也升高,尽管当前队列太小,无法确定这种关联在多大程度上独立于年龄。初步电子显微镜研究证实,来自脑库的灌注固定组织适用于超微结构分析。本工作描述了犬脑灌注固定的一种方法,并介绍了一种可能有助于支持未来神经科学研究的犬脑组织资源。
引言
脑库是神经科学研究界促进健康和疾病状态下脑研究的重要组成部分。大多数脑库专注于人脑。然而,近年来,伴侣动物生物样本库越来越受到关注,目前欧洲和北美已建立了多个犬脑库(Sándor et al., 2021; Cardy et al., 2022; McEnhill et al., 2024; McGrath et al., 2025)。储存伴侣动物脑组织有几个优势,包括其作为神经生物学疾病自然发生模型的价值,以及跨物种比较神经生物学揭示脑功能和功能障碍一般原理的潜力。人们越来越认识到犬尤其作为阿尔茨海默病及相关痴呆转化模型的潜在价值(Head, 2013)。研究已在衰老犬中识别出阿尔茨海默病样神经病理,包括β-淀粉样蛋白积累、磷酸化tau病理和反应性星形胶质细胞,尽管这些变化与认知功能障碍的关联在不同研究中并不一致(Abey et al., 2021; Habiba et al., 2021; Hines et al., 2023)。这促使至少一项大规模纵向犬脑库研究的开展(McGrath et al., 2025)。除了与疾病建模的相关性外,鉴于犬与人类合作和理解人类的卓越能力——这当然取决于其脑结构及其通过驯化的改变(Barton et al., 2025)——人类对犬脑自然充满好奇。从长远来看,犬脑库可以为这两个目标做出贡献,既有助于促进脑衰老和神经退行性变的研究,也有助于揭示犬独特认知和社会能力的神经基础。
对于保存整个哺乳动物脑的结构,灌注固定被认为是金标准方法(Bodian, 1936; McFadden et al., 2019)。虽然有许多可用于实验动物的灌注固定方案(Gage et al., 2012; Wahyudi et al., 2025),但据我们所知,关于犬脑灌注的文献并不广泛。犬脑血管解剖具有独特的考虑因素。脑部分由颅内循环与颈外动脉之间的多处吻合支供血(Jewell, 1952; Lee et al., 1986)。其中最重要的是吻合动脉,它由上颌内动脉的分支——在某些情况下还包括脑膜中动脉——形成,并连接到颈内动脉(Jewell, 1952)。此外,犬脑血管系统以后循环为主。因此,注入基底动脉的造影剂可显示全脑双侧区域,而注入颈内动脉的造影剂仅显示大脑中动脉区域以及(不太可靠地)大脑前动脉区域(Camstra et al., 2020)。最后,许多供应犬脑的动脉高度迂曲,根据其他动物灌注固定的报道,这可能增加灌注液流动阻力的风险(Eden and Correia, 1981)。
随着年龄增长,一些犬会发展出一种称为犬认知功能障碍的综合征,该综合征在临床和病理特征上与人类阿尔茨海默病相似,包括β-淀粉样蛋白沉积、神经元丢失和行为缺陷(Cummings et al., 1996; Head, 2013)。在犬和人类中,大脑衰老最一致的细胞学关联之一是高褐素的积累。高褐素是一种由氧化脂质和蛋白质残基组成的自发荧光色素,在分裂后细胞的溶酶体中积累,并导致多种细胞功能缺陷(Brunk and Terman, 2002)。研究发现,高褐素在犬神经元中随衰老而逐渐积累,不同区域在起始时间和积累速率上存在差异(Whiteford and Getty, 1966; Few and Getty, 1967; Nanda and Getty, 1973; Nesic et al., 2021)。在一例病例报告中,广泛的高褐素积累也与犬认知功能障碍相关(Park et al., 2016)。然而,据我们所知,在较大队列中,犬脑内高褐素积累在多大程度上与犬认知功能障碍定量相关,而非仅仅与实足年龄相关,仍是一个未解的问题。
在本手稿中,我们描述了我们的犬脑库、经主动脉插管的灌注固定方法,以及我们通过大体检查、CT神经影像、光学和电子显微镜对灌注质量的初步评估。在组织学发现中,我们特别关注高褐素,我们使用应用于全切片图像的像素分类器对其进行定量,并检查其与年龄和犬认知功能障碍的关系。我们还描述了犬脑库的未来计划和方向。我们在此的主要目的是描述和记录我们开发的方法,我们呈现的组织学和超微结构分析旨在作为该队列未来可支持的研究应用类型的示例。
方法
犬供体与组织采集
我们在先前犬脑库建设工作的基础上建立了自己的犬脑库(Sándor et al., 2021; McGrath et al., 2025)。我们与当地兽医专业人员合作,在我们的设施中为犬伴侣动物提供安乐死服务,这些动物的主人选择了这一人道临终关怀方案。这样做是为了最小化死后间隔时间(PMI),并通过承担安乐死服务费用为伴侣动物主人提供便利。由于所有犬均为伴侣动物,接受主人选择的安乐死作为临终关怀,独立于本研究,且脑组织是在死后经主人同意获取的,因此没有动物被安乐死或以其他方式用于研究目的。因此,该工作不需要机构动物护理和使用委员会批准。
为了基本评估是否存在认知功能障碍,主人被问及“您的宠物在过去六个月内是否表现出意识混乱的迹象,例如迷路或难以识别熟悉的人?”可能的答案为“无”、“轻度”、“中度”或“重度”。在未获得所报告严重程度的情况下,阳性反应记录为“是”。我们指出,这个关于认知功能障碍的问题应被视为一种筛查措施,而非诊断措施。在按认知状态比较高褐素负荷的分析中,由于样本量小,无法进行分级有序分析,因此将反应二分为无(无)和有(轻度、中度或重度)。
对于每个病例,PMI计算为心脏停搏与灌注开始之间的时间。在某些情况下,由于关于安乐死和操作时间的数据收集不一致,PMI是根据已知的操作步骤顺序和持续时间估算的,而非精确的时间戳。
灌注方法
我们的灌注方法建立在先前用于人类全身供体的技术基础上(Garrood et al., 2025b)。这些方法通过迭代方式得到了改进。在早期实验中,我们进行了颈动脉插管。结果发现,在大多数情况下,这对于全脑灌注无效,我们将其归因于人类和犬之间脑血管解剖结构的差异(Jewell, 1952)。我们尝试的另一种方法是通过左心室进行经心灌注,但该方法也因灌注质量不一致和插管固定困难而停止使用。被发现能产生最高质量且最一致灌注的方法是经主动脉插管灌注,我们在此描述我们当前的工作方案。
由持证兽医实施人道安乐死后,进行开胸术并使用胸骨牵开器打开胸腔。整个操作过程中,使用吸引器管理失血并保持胸腔内无过多液体。打开胸腔后,使用镊子和解剖剪切开心包并将其从心脏及周围结构上反折,这通常是显露主动脉所必需的。不同品种或健康史的犬之间纵隔解剖结构的变异(例如脂肪组织差异、粘连或偶见的肿块)是常见现象。有效清除内脏组织对于准确识别主动脉至关重要,同时需要快速完成以缩短PMI,并且要准确操作以避免切开主动脉或任何其他血管。
在清晰显露近端主动脉后,我们将Satinsky DeBakey夹横跨近端主动脉放置,部分阻断血管并将心脏向尾侧牵拉,以暴露更大节段用于插管。使用装有#11刀片的手术刀在前壁主动脉上做穿刺,注意不要刺穿对侧壁。然后将套管插入切口,并在整个灌注过程中手动固定到位。套管尖端上方有一个凸起的环,抵靠主动脉外壁,限制插入深度并有助于保持套管位置一致。使用手动稳定以确保套管尖端保持朝向主动脉弓的角度,并防止在灌注过程中随着流速和/或灌注压升高而发生脱管。偶尔插管部位周围会发生渗漏,此时可使用止血钳夹住套管周围的组织以建立或重新建立密封。鉴于我们的灌注持续时间相对较短,这种方法是可行的,并且类似于循环死亡后器官获取中常温区域灌注某一方案所描述的套管稳定初始阶段,即手动固定套管直至建立稳定血流(Trahanas等,2022)。
放置弯头主动脉套管(22 Fr)后,对管路进行排气并开始操作的灌注阶段。灌注由蠕动泵系统驱动。使用连接至灌注管路的在线压力传感器监测压力。切开右心耳作为流出道,使血液和灌注液经上腔静脉回流至心脏。使用吸引器抽吸胸腔内液体并保持手术野清晰。在灌注操作的早期阶段逐渐增加蠕动泵转速,直至达到约100–150 mmHg的所需压力。同时记录整个过程中的最高压力,该压力偶尔会高于此范围。最大流速根据压力逐例确定。在切开右心房处监测灌注过程中的液体回流。在大多数病例中,观察到回流液体颜色从暗红色逐渐转变为清亮或基本清亮。在较大型犬中,我们发现需要灌注更大体积的液体才能排空血液。
灌注液分批在聚碳酸酯桶中制备。在大多数病例中,基础溶液为10%或20%中性缓冲福尔马林(NBF)。根据病例情况,我们添加以下一种或多种成分:1%(v/v)戊二醛,以尝试改善超微结构保存;3 mg/mL碘海醇,用于增强CT成像;绿色染料,以便在肉眼检查时更好地观察脑组织的颜色变化;以及10%或20%(w/v)甘露醇和/或5%或10%(w/v)35 kDa聚乙二醇(PEG35),以增加渗透压或胶体渗透压,尝试改善缺血性灌注质量。桶在使用前储存于4 °C或室温下。
当CT扫描仪可用时,在灌注后颅骨仍完整的情况下进行CT扫描。我们使用的CT扫描仪为OmniTom® Elite(NeuroLogica,Danvers,MA),一台16层扫描仪。图像使用Osimis Web Viewer查看。
Table 1. Supplies and reagents used for perfusion-fixation
| Equipment / Chemical | Supplier | Catalog Number |
|---|---|---|
| Masterflex L/S Economy Drive | Cole-Parmer | 7554-80 |
| Masterflex L/S Easy Load Pump Head | Cole-Parmer | 7518-10 |
| PendoTECH Pressure Sensors | Avantor | MFLX19406-21 |
| PressureMAT Monitor | PendoTECH | PMAT4A |
| Curved tip reinforced arterial cannulas, 22 Fr, 20 cm length | Qingdao Hiprove Medical Technologies | 3412122 |
| Sternal Saw | Stryker | 7207-000-000 |
| Satinsky DeBakey Clamp 9" | Premium Instruments | B074R76GPP |
| Morse Sternal Retractor - Adult | Ambler Surgical | 72-598 |
| Morse Sternal Retractor - Child | Ambler Surgical | 72-599 |
| Medela Aspirator | Medela | MEA-0710003-0710034 |
| Omnipaque™ 300 mgI/mL (iohexol) | Med-Plus | 0407-1413-63 |
| 10 % Neutral Buffered Formalin | Azer Scientific | NBF55G |
| 20 % Neutral Buffered Formalin | Fisher Scientific | STL286205 |
| Mannitol | Lab Alley | MANPU-1LB |
| Polyethylene Glycol 35 kDa | Sigma-Aldrich | 81310 |
| Glutaraldehyde | Thermo Scientific | A10500-0E |
脑提取方法
按照以下方案提取脑组织,该方案在有或没有预先灌注固定情况下均可应用。提取方案在研究过程中经过反复改进,以下描述我们当前的工作方法。该方案主要改编自我们用于人脑提取的方案(Wolf 等,2026)。
首先,解剖并翻开覆盖颅顶的皮肤和肌肉组织以暴露下方骨骼。然后使用摆动式骨锯进行开颅,以轻巧、平稳的往复运动施加,以避免穿透颅骨全层并损伤下方神经组织。切口始于额骨外侧,在颅骨最宽处横跨顶骨。该切口继续环周延伸,经过枕骨隆突下方,并沿对侧额骨返回,两条切线沿额骨和标本前额以V形角度汇合。此切口产生一个三角形窗口,暴露额窦腔,为分离和取出嗅球提供所需通路。
由于犬品种间颅骨形态和厚度存在差异,部分标本需要额外力量,使用骨凿和木槌沿整个锯切线逐步推进,以释放颅骨背侧部分。在某些情况下,在新暴露的额骨内板上重复V形切口。通过沿锯切线插入破颅器并扭转以完全释放颅顶各边缘,完成开颅。在特别困难的情况下,通过中线额外做一矢状切口,并将颅骨分多块移除。
移除颅顶后,切开硬脑膜并将其从脑组织上翻开。随后通过用镊子清除窦道内的窦组织,并使用侧切咬骨钳去除覆盖嗅球的额骨内板任何残留碎片,完成嗅球的分离。一旦嗅球暴露,使用微型剥离器轻轻扫过其周围并将其从筛骨筛板分离。随后,通过在颅腔内沿脑组织周边平滑地穿入可塑形脑剥离器,使包括小脑在内的脑组织游离。一旦充分松动,轻轻向后牵拉脑组织以暴露并切断视神经,然后轻轻向前推以暴露并切断脊髓。然后将脑组织从颅腔中取出,注意确保嗅球保持附着于脑组织,未在筛骨处被撕裂。
在移除颅骨后脑组织显得柔软的情况下,偶尔将整个头部放入装有10% NBF的容器中,以便在次日或最多数日后提取脑组织前进行原位固定。当灌注固定不充分(或完全未进行)时,这可最大限度地减少提取过程中对脑组织的损伤。提取后,从多个角度对脑组织拍摄数字照片以进行大体评估。拍摄照片后,将脑组织完全浸入装有10% NBF的塑料容器中,置于4°C长期保存,以备组织学评估(McKenzie 等,2024)。
Table 2. Supplies used for brain extraction
| Equipment / Chemical | Supplier | Product Identifier |
|---|---|---|
| Scalpel Handle No 3 | MedHelp | B08QDMFJRG |
| Feather Scalpel Blade #22 | Electron Microscopy Sciences | 72044-22 |
| Mopec 810 Autopsy Saw | Mopec | BD810 |
| Standard Small Section Pathology Saw Blade | Mopec | BD108 |
| Lexer Bone Osteotome 15 mm x 22 cm with Fiber Handle | Medikrebs | TT283 |
| Heavy Bone Mallet | Surgical Online | B07CRQTXDW |
| Brain Spatula, Malleable, 16 mm x 20 cm | Medikrebs | B07QW3MZH6 |
| Skull Breaker, 3" | Integra Miltex | 34-210 |
| Ferris Smith Tissue Forceps, 7 inch, Serrated Platform Tips with 2 x 3 Teeth | Integra Miltex | 26-958 |
| Standard Surgical Scissors, Blunt/Blunt, Curved | Fine Science Tools | 14003-13 |
| Medium curved or straight rongeurs (14–16 cm) | Fine Science Tools | 16120-14 |
| Micro-spatula | Fine Science Tools | 10091-12 |
光学显微镜
对21例进行了组织学评估,包括19个灌注固定脑和两个浸没固定对照。从每例中,我们切取约1 x 1 x 1 cm的组织样本,靶向海马和丘脑用于光学显微镜检查。海马在切片过程中通过肉眼识别,尽管所取具体部位在各例间存在差异。选择海马和丘脑是因为它们是与脑老化相关的区域,且二者均为相对内部的脑区,不易在表面看到。用于光学显微镜检查的脑组织样本放入包埋盒中处理并包埋于石蜡中。将6 μm厚的石蜡包埋脑切片烘烤、脱蜡,并进行苏木精和伊红(H&E)染色。使用Aperio GT450高分辨率扫描仪(Leica Biosystems)以40倍捕获染色切片的数字图像作为全切片图像(WSIs)。
灌注质量评估
对大体检查、CT成像和光学显微镜图像进行了半定量分析,采用先前描述并验证具有内部一致性的方法(Garrood等,2025b)。大体检查和CT图像根据八个血管区域的灌注范围进行分级,即左右大脑前动脉(ACA)、大脑中动脉(MCA)和大脑后动脉(PCA)供血区域,以及左右小脑半球。对于大体检查,用于该评估的特征为(a)表面血管血液清除,(b)组织表观硬度,以及(c)组织颜色变化,从无灌注时的粉红色到灌注良好组织的苍白或苍白/着色染料染色。对于CT图像,分级基于灌注后扫描中可视化的对比剂范围。光学显微镜(LM)图像根据血管清除程度进行分级,血管清除指小血管和大血管内均无血管内物质。所有图像按0–3分制分级,0表示灌注、对比剂或血管清除范围< 5%,1表示5–50%,2表示50–95%,3表示> 95%。大体检查和CT图像由一名经过培训的评分者使用这些先前验证的方法进行分级。光学显微镜图像由两名独立评分者进行分级。对于光学显微镜,两名评分者之间的评分者间信度通过二次加权Cohen's kappa评估,结果为0.80(表明高度一致)。分歧通过共识审查解决以用于下游分析。
对于每种模态,综合灌注质量评分计算为可用区域分级的平均值(即大体和CT检查的八个血管区域,光学显微镜的海马和丘脑)。这些综合质量评分仅对大体和CT检查中八个区域分级中至少四个可用、且组织学两个区域评分均 available 的病例进行计算。每体重平均流速计算为总灌注液体积(mL)除以灌注持续时间(分钟)再除以体重(磅)。供体特征、灌注参数和灌注质量指标之间的关联使用Spearman秩相关评估。鉴于这些分析的探索性性质,p值报告为名义值,未进行多重比较校正。
脂褐素分析
使用在QuPath(v. 0.6.0)中训练的像素分类器对每个WSI中的脂褐素负荷进行量化。该分类器是通过OpenCV实现的随机树像素分类器,使用经高斯滤波器(sigma = 1.0)平滑的红、绿、蓝通道作为输入特征,以每像素2.1 µm的分辨率在512 x 512像素图块中应用。每个像素被分类为脂褐素阳性或背景。假阳性的最大来源是血管附近发现的色素,推测为血细胞分解产物中的含铁血黄素。训练注释主要生成于供体229的丘脑WSI,该WSI在初步定性审查中被选为具有大量脂褐素负荷的代表性WSI。组织边缘被排除在分析之外,因为它们也产生高假阳性,可能是由于处理过程中产生的伪影。然后将训练好的分类器应用于标准化边界框(约1,000 μm x 1,000 μm)内的所有可用WSI,该边界框居中以避免组织边缘并确保各WSI分析大小一致。脂褐素负荷量化为标准化边界框内被分类为脂褐素阳性的像素百分比,我们称之为脂褐素密度。我们还记录了框内离散脂褐素阳性对象的数量。我们注意到脂褐素密度和对象计数密切相关,但可以捕捉不同的脂褐素积累模式,因为给定的脂褐素阳性信号总面积可能由于较大数量的较小沉积或较小数量的较大沉积所致。
年龄与脂褐素指标(丘脑和海马中的密度和对象计数)之间的关联使用Spearman秩相关评估。有和无主人报告认知功能障碍的犬之间脂褐素指标的差异使用Mann-Whitney U检验评估。鉴于这些分析的探索性性质,p值报告为名义值,未进行多重比较校正。
电子显微镜
样本制备与成像按先前所述方法进行(Garrood 等,2025a)。用于电镜的组织在含 2% 多聚甲醛和 2.5% 戊二醛的 0.1 M 二甲胂酸钠缓冲液中后固定。随后组织在室温下经过多步增强对比方案处理,包括依次使用单宁酸、还原锇、硫代碳酰肼、锇和醋酸铀酰。之后在 60 °C 下进行天冬氨酸铅染色。随后脑样本经梯度乙醇系列脱水,用 Embed 812 环氧树脂(EMS)浸润,并在 60 °C 下聚合 72 小时。使用 Leica UC7 超薄切片机(Leica,Buffalo Grove,IL)切取半薄切片(0.5 μm),并用 1% 甲苯胺蓝复染以识别层内感兴趣区域。图像使用 HT7500 透射电子显微镜(Hitachi High-Technologies,东京,日本)搭配 AMT NanoSprint12 1200 万像素 cmOS TEM 相机系统、软件版本 7.0.1.485(Advanced Microscopy Techniques,Danvers,MA)拍摄。图像使用 AMT 软件调整对比度。
结果
我们队列的描述
我们的犬脑库目前有 n = 55 名供体,年龄、体型和品种各异(表 3)。来自三名供体的代表性大体和 CT 图像展示了其解剖多样性(图 1)。供体年龄为饲主报告,范围为 1 至 26 岁(中位数 13 岁),其中最大值是一个可能不准确的离群值(次高值为 18)。我们使用了所有饲主报告的年龄,而非基于合理性判断排除某些数值。体重范围为 4 至 120 磅,涵盖了家犬的大部分体型谱。使用先前描述的基于体重的体型分类,我们的队列包括 20.00% 玩具型(低于 11 磅)、21.82% 小型(11 至低于 22 磅)、14.55% 中型(22 至低于 55 磅)、30.91% 大型(55 至低于 88 磅)和 12.73% 巨型(88 磅及以上)品种(Salt 等,2017)。
Table 3. Characteristics of the canine brain bank donors
| Donor ID | Age (years) | Weight (lb) | Sex | Breed (owner identified) | Signs of confusion 6 months prior |
|---|---|---|---|---|---|
| 9 | 12 | 9 | Male | Pomerania | No |
| 23 | 17 | 100 | Unk | Aussie/Rottweiler | No |
| 65 | 17 | 5 | Female | Miniature Pinscher | No |
| 91 | 16 | 65 | Unk | Rhodesian Ridgeback | Yes |
| 101 | 15 | 20 | Unk | Boston Terrier | No |
| 117 | 10 | 85 | Male | American Bulldog | No |
| 171 | 15 | 50 | Unk | Mastiff/Pit Bull Mix | Yes, mild |
| 177 | 14 | 12 | Male | Yorkshire Terrier | Yes, mild |
| 204 | 18 | 5 | Female | Mini Dachshund | Yes, moderate |
| 214 | 14 | 65 | Male | American Bull Terrier | Yes, moderate |
| 220 | 5 | 55 | Male | Labrador/Australian Shepherd | No |
| 226 | 17 | 18 | Male | Chihuahua/Jack Russell | Yes, severe |
| 228 | 13 | 10 | Male | Pomeranian/Chihuahua Mix | No |
| 229 | 12 | 70 | Male | Pit Bull Mix | Yes, severe |
| 230 | 12 | 100 | Female | Labrador/Pit Bull Mix | No |
| 235 | 8 | 65 | Female | Labrador | No |
| 238 | 11 | 20 | Male | Dachshund Mix | Yes, mild |
| 240 | 12 | 10 | Male | Chihuahua | Yes, moderate |
| 250 | 15 | 20 | Male | Chihuahua Mix | Yes, mild |
| 261 | 6 | 80 | Male | Husky/German Shepherd | No |
| 270 | 10 | 100 | Male | Labrador | No |
| 272 | 12 | 80 | Female | German Shepherd | Unknown |
| 275 | 12 | 20 | Male | Boston Terrier | Yes, severe |
| 281 | 9 | 115 | Male | Alaskan Malamute | No |
| 291 | 26 | 5 | Female | Chihuahua | Yes, moderate |
| 296 | 1 | 25 | Male | Aussiedoodle | No |
| 299 | 17 | 16 | Male | Bichon Frise/Miniature Poodle | No |
| 303 | 17 | 25 | Female | Australian Labradoodle | Yes, mild |
| 308 | 5 | 80 | Male | Pit Bull Terrier | No |
| 310 | 13 | 60 | Male | Labrador/Heeler | Yes, severe |
| 313 | 13 | 10 | Male | Shih Tzu/Yorkie | Yes, moderate |
| 315 | 5 | 25 | Male | French Bulldog | Yes, mild |
| 323 | 14 | 40 | Female | Pit Bull/Boxer | Yes, mild |
| 327 | 13 | 20 | Male | Terrier Mix | Yes, moderate |
| 329 | 15 | 14 | Male | Chihuahua/Terrier | No |
| 331 | 16 | 70 | Female | Rhodesian Ridgeback | Yes, moderate |
| 334 | 11 | 90 | Female | German Shepherd | No |
| 343 | 12 | 15 | Male | Pug | Yes, mild |
| 344 | 12 | 75 | Male | Bulldog/Pit Bull | Yes, mild |
| 346 | 13 | 55 | Female | Rottweiler Mix | Yes, moderate |
| 347 | 17 | 13 | Female | Miniature Pinscher/Chihuahua | No |
| 353 | 13 | 35 | Female | Golden Retriever/ Border Collie | No |
| 356 | 13 | 70 | Female | Labrador Mix | No |
| 360 | 12 | 40 | Female | Labrador/Husky | Yes, mild |
| 361 | 17 | 16 | Female | Greyhound/Rat Terrier | Yes, mild |
| 362 | 7 | 80 | Male | Great Pyrenees | No |
| 363 | 12 | 10 | Male | Chihuahua | No |
| 368 | 16 | 10 | Female | Dachshund | Yes, moderate |
| 370 | 14 | 23 | Male | Schipperke | Yes, mild |
| 373 | 14 | 4 | Female | Chihuahua/Terrier | No |
| 379 | 12 | 9 | Male | Papillon | No |
| 380 | 14 | 90 | Male | Mixed Breed | Yes, mild |
| 386 | 10 | 120 | Male | Chowbrador | No |
| 389 | 14 | 70 | Female | Labrador | No |
| 395 | 14 | 68 | Male | Pointer Mix | No |
[图:图 1. 代表性大体和 CT 图像,展示犬脑库的解剖多样性。CT 图像 o]

我们队列中常见的品种和混血包括吉娃娃及吉娃娃混血、比特混血、拉布拉多混血以及几种小型梗犬品种。许多供体具有混合血统,这表明我们供体来源的伴侣犬群体的异质性。鉴于犬中体型、品种与寿命之间已有充分记录的关系,以及各品种间绝对脑大小的显著差异(从博美的约 55 cm³ 到英国獒犬的约 117 cm³)(Garamszegi 等,2023),这种品种多样性对比较神经科学和衰老研究尤为重要。
大多数供体记录了死亡前六个月内饲主报告的认知功能障碍体征。在 55 名供体中,27 名(49.09%)无报告的混乱体征,27 名(49.09%)有轻度至重度体征,1 名(1.82%)状态未知或未报告。
灌注质量
在我们脑库的 n = 45 只犬中,我们尝试通过灌注固定保存其脑(其余仅通过浸泡固定)。我们通过大体检查、灌注后 CT 和组织学检查中血管的清除情况对病例的灌注质量进行分级(图 2)。
[图:图2. 不同成像方式下灌注不足与灌注充分的代表性示例。每个面板显示一个切面]

大体检查与CT扫描两种方式显著相关(Spearman rho = 0.66,p = 0.0009,n = 22)。组织学血管清除评分也与大体评分(rho = 0.76,p = 0.001,n = 15)和CT评分(rho = 0.70,p = 0.0017,n = 17)呈正相关,尽管这些比较受限于具有组织学分级供体数量较少。这三种评估方法的一致性印证了我们此前使用该多模式方法评估人脑供体灌注质量的数据(Garrood等,2025b)。
我们接下来检测了若干供体变量和灌注操作变量与灌注质量指标的相关性(图3)。体重表现出最一致的关系,较重的犬倾向于具有较低的大体灌注评分(rho = -0.64,p = 1.3 x 10-5,n = 39)。单位体重平均流速也与大体灌注评分呈显著正相关(rho = 0.40,p = 0.034,n = 29)。
[图:图3. 供体特征、灌注参数与灌注质量指标之间的相关性。该散点图]

年龄、PMI、灌注持续时间、记录的最低和最高灌注压以及灌注液体量均与灌注质量指标无显著关联。值得注意的是,在我们的队列中若干供体特征变量之间存在相关性。例如,年龄与体重被发现在统计上相关(rho = -0.43,p = 0.0012,n = 55),较重的犬倾向于更年轻。这使得在本文所描述的数据集中难以完全区分供体特征与灌注质量之间的关系。
我们还注意到在此背景下进行灌注固定实践中的一些定性观察。首先,我们发现重力似乎在介导固定液流向犬体内何处方面发挥了重要作用。在注意到这一点后,我们开始将台面向下倾斜,以便重力有助于将固定液输送至大脑,这与先前关于重力影响全身死后灌注中灌注液区域分布的报道一致(Nathan,1970)。其次,存在相当多的解剖变异。例如,在一例中主动脉似乎位于右侧,这先前已在犬解剖变异的背景下有所报道(Schorn等,2021)。第三,血栓非常常见,推测是由于灌注前的缺血延迟所致。它们均为暗红色“血凝块”类型(Solarino等,2025)。这些血栓甚至在PMI约20分钟内即可出现,易于破碎,并通过切开的右心房被泵出循环。我们未观察到在死后人脑血管灌注时所见的黄色“鸡脂肪”样血栓(Garrood等,2025b)。这与“鸡脂肪”样血栓源于濒死过程或人类典型死亡方式所特有的其他因素、而非源于我们供体的受控安乐死相一致(Solarino等,2025)。
脂褐素分析
在所有21只具有丘脑和海马可用组织学切片的供体中定量了脂褐素负荷(图4)。发现脂褐素密度与年龄在丘脑(rho = 0.84,p = 1.5 x 10-6)和海马(rho = 0.67,p = 0.00083)中均具有显著的秩相关(图5)。同样,脂褐素阳性物体数量与年龄在丘脑(rho = 0.80,p = 1.2 x 10-5)和海马(rho = 0.73,p = 0.00019)中均具有显著的秩相关(图5)。
[图:图4. H&E染色全切片图像一部分中的代表性脂褐素定量(供体204,海马]

[图:图5. 犬脑中脂褐素积累随年龄增加。脂褐素密度(a、b)和脂褐素阳性]

在具有脂褐素数据的21只供体中,9只在死亡前六个月内无认知功能障碍的报道迹象,11只有从轻度到重度的迹象,1只认知状态未知并被排除在认知功能障碍比较之外。有认知功能障碍的犬海马脂褐素密度更高(Mann-Whitney U = 19,p = 0.023),海马脂褐素阳性物体计数更高(U = 19,p = 0.023),但丘脑中的数量在脂褐素密度(U = 28,p = 0.111)或脂褐素阳性物体计数(U = 27,p = 0.095)方面均无显著差异(图6)。值得注意的是,由于脂褐素积累是脑衰老的标志,且我们队列中有认知功能障碍的犬通常年龄更大,我们无法从这些数据中确定所观察到的海马脂褐素与认知功能障碍之间的关联在多大程度上独立于年龄或其他未测量的病理。需要能够控制实际年龄和生物学年龄指标及其他变量的更大队列来进一步探究这一问题。
[图:图6. 有主人报告认知功能障碍的犬海马脂褐素负荷升高。脂褐素密度]

在审查海马H&E全切片图像时,我们发现大多数样本含有可识别的海马组织,尽管供体220不含海马组织,供体238仅含有部分海马组织。在排除这两例的敏感性分析中,海马脂褐素密度(rho = 0.65,p = 0.003,n = 19)和海马脂褐素阳性物体计数(rho = 0.70,p = 9.1 x 10-4,n = 19)与年龄的关联相似。认知功能障碍比较在脂褐素密度方面不再具有统计学显著性(U = 18,p = 0.056),而在脂褐素阳性物体计数方面仍保持名义显著性(U = 17,p = 0.046)。
初步超微结构评估
为评估我们犬脑库中灌注固定组织是否适合超微结构分析,我们对两个供体的皮层样本进行了透射电子显微镜检查(图7)。在两个供体的图像中,主要细胞结构均易于识别,包括细胞核、具有可辨认嵴的线粒体、有髓轴突和突触。髓鞘板层频繁断裂,这是常规醛固定和电镜制样中众所周知的伪影,即使在非缺血组织中也是如此(Anderson et al., 2014; Möbius et al., 2016)。在几乎所有检查的图像中均观察到不同程度的膜结合未染色区域。此类未染色区域通常归因于固定前的缺血性液体转移及相关的细胞突起肿胀,尤其是星形胶质细胞(Kalimo et al., 1977; Krassner et al., 2023; Garrood et al., 2025a)。在更高放大倍数下,还可识别出具有可见突触后致密物和突触前囊泡池的突触轮廓。这些基于两个供体有限数量图像的初步观察表明,该犬脑库中至少一部分灌注固定组织适合超微结构研究。组织在何种条件下保存足够完好以用于自动化连接体追踪,将需要大量更多数据和评估。
[图:图7. 两个灌注固定供体——犬65(a、c、e)和犬177(b、d、]

讨论
在本手稿中,我们描述了基于灌注固定的犬脑库的开发。我们发现主动脉插管在某些但并非所有病例中可产生高质量灌注。在初步组织学研究中,我们发现患有认知功能障碍的犬海马脂褐素负荷升高。据我们所知,这是首次对家犬组织学脂褐素负荷与认知功能障碍状态之间关联进行定量评估。然而,我们注意到这一脂褐素组织学分析是初步和探索性的。本手稿中描述的光学和电子显微镜数据已公开可用(见数据可用性)。我们计划在合格研究人员提出请求时,向神经科学研究界提供该脑库的组织。下文我们描述了犬脑库的未来考虑和计划。
家犬作为脑老化研究模型最显著的特征之一是不同品种间典型寿命的巨大差异。范围从爱尔兰猎狼犬等巨型品种的约七年到蝴蝶犬等小型品种的16年,体重是跨品种寿命的最强预测因子(Greer et al., 2007)。这提出了品种特异性脂褐素积累速率是否也与品种特异性寿命相关的问题,以及脂褐素密度是否可作为生物学衰老的读数,以捕捉品种间脑细胞衰老速率的差异。更广泛地说,尚不清楚脂褐素在多大程度上是衰老的被动相关物,还是主动促进神经元功能障碍,例如通过损害溶酶体功能和蛋白质稳态(Brunk and Terman, 2002)。随着我们犬脑库的增长,该组织可用于帮助在这些可能性之间作出判定,例如通过测量脂褐素密度是否与年龄相关神经元或溶酶体功能障碍的其他标志物共变。因此,我们在此报告的关联不应被解释为脂褐素对认知功能障碍有因果作用的证据。特别是在犬中,脂褐素积累、神经元功能障碍和认知衰退之间的关系仍表征不足。
我们观察到的灌注质量差异表明,在犬中实现快速全脑固定存在挑战。可能有多项因素导致这一情况,包括流速与体型比例、血管解剖结构以及灌注前PMI的差异。提高灌注一致性是优先事项,因为超微结构保存的质量决定了可进行哪些下游分析。如果固定质量能够可靠地达到高水平,犬脑组织就有望适用于连接组学分析(Lichtman et al., 2014; Mikula, 2016; Helmstaedter, 2026)。犬是比较连接组学中有吸引力的模型,因为它们具有复杂的社交认知,但大脑远小于人类大脑,使大规模重建在理论上更可行。我们方法的一个优势是,受控安乐死环境提供了比大多数人类脑库更短的PMI,这可用于系统研究PMI、年龄、血管疾病和其他自然变量如何影响灌注质量和超微结构保存。在类似我们的犬供体项目中,需要PMI、灌注压力、灌注液成分和其他参数的何种组合才能持续实现连接组学级别的保存,仍是一个开放问题。
局限性
本研究存在若干局限性。首先,我们在此描述的初步队列相对较小。扩大队列是明显的优先事项,因为脑库的研究价值在很大程度上取决于其收集样本的规模和多样性(Wang et al., 2019)。
其次,认知功能障碍状态基于关于近期混乱迹象的单个问题,这是对多维综合征的粗略测量,并非经过验证的诊断工具。在未来的工作中,我们计划使用经过验证的饲主评估工具,如犬认知功能障碍评定量表问卷,以改善表型判定(Salvin et al., 2011)。
第三,我们未对犬脑衰老或认知功能障碍的既定神经病理学标志物(如淀粉样蛋白-β或tau)进行免疫染色。对这些标志物以及与犬脑衰老和神经变性相关的其他蛋白进行免疫染色,将是未来开发犬脑库的重要组成部分。
第四,由于我们的海马取样基于肉眼识别,各病例所取的确切部位存在差异。对WSI的复查显示,一份样本不含可识别的海马,另一份仅含部分海马组织。这些样本保留在主要分析中,因为它们是以海马为目标采集的样本,预期代表海马区域或邻近组织。在敏感性分析中排除它们后,与年龄的关联相似但略弱。与认知功能障碍的关联也较弱,脂褐素密度比较不再达到名义统计显著性,而对象计数比较仍具有名义显著性。更一般地说,所取海马亚区的差异以及局部神经元密度的差异可能导致所测脂褐素负荷的变异。
第五,不应假定我们队列中的品种和体型分布必然代表伴侣犬群体。这很可能部分由我们采用的招募方法和其他选择偏倚所解释。
第六,一只供体的饲主报告年龄为26岁,这显著高于次高的报告年龄18岁,可能不准确。然而,由于我们使用Spearman秩相关评估年龄与脂褐素的关联,除非该供体的真实年龄大幅改变其在队列中的秩次,否则报告精确年龄的不确定性预计对相关分析影响极小。
最后,灌注方案在研究过程中随着我们优化方法而演变,这有助于我们确定最有效的方法,但在比较各病例的灌注质量时引入了显著的混杂变量。
结论
我们描述了犬脑库的方法,其中我们主要使用灌注固定进行初步保存。我们还展示了对脑衰老和超微结构的初步分析,旨在证明其未来的研究价值。展望未来,我们预期该资源的价值将随着收集样本的规模、多样性和保存质量的提高而增长。例如,更大的队列将能够将海马脂褐素与认知功能障碍之间的关系与实足年龄区分开来。更一般地说,它将使我们能够询问寿命较长的品种是否也具有较慢的脑衰老(以脂褐素等标志物衡量)。我们希望该资源和我们展示的方法将有助于支持在神经科学和衰老领域对家犬开展更多研究,这些犬是在饲主因与研究无关的原因选择安乐死后捐赠的。
缩写
ACA - 大脑前动脉,CT - 计算机断层扫描,EM - 电子显微镜,H&E - 苏木精-伊红,LM - 光学显微镜,MCA - 大脑中动脉,NBF - 中性缓冲福尔马林,PCA - 大脑后动脉,PEG35 - 聚乙二醇35 kDa,PMI - 死后间隔时间,WSI - 全切片图像。
作者贡献
A.T.M.、K.F. 和 J.F.C. 构思了本研究。S.D.、A.B.、M.G.、A.S.、A.P. 和 L.P. 完成了实验室实验和数据分析。A.T.M. 撰写了手稿初稿。所有作者审阅了手稿并批准了最终稿件。
资助声明
本研究由 Rainwater Charitable Foundation 以及 NIH 资助项目 P30 AG066514、RF1 AG062348、K01 AG070326 和 R01 NS146414 支持。资助方在研究设计或数据收集与解释中未发挥作用。
数据可用性
本手稿中描述的光学和电子显微镜数据可在以下 DOI 公开获取:
https://doi.org/10.5281/zenodo.21047579、https://doi.org/10.5281/zenodo.15312788 和 https://doi.org/10.5281/zenodo.18805394。
用于脂褐素定量的 QuPath 像素分类器可在以下 DOI 获取:
https://doi.org/10.5281/zenodo.21225320。
用于重现图表和分析的代码和数据可在以下地址获取:
https://github.com/andymckenzie/Canine_brain_bank。
生成式人工智能技术
在本手稿的准备过程中,作者使用了 Claude(Anthropic)进行编程辅助并改进手稿的语言。所有人工智能工具辅助的内容均由作者审阅和编辑,作者对最终发表内容承担全部责任。
利益冲突声明
Sarah Darcy、Autumn Beck、Macy Garrood、Andria Slaughter、Alexander Parra、Laura Paredes 和 Andrew T. McKenzie 是 Sparks Brain Preservation 的员工,该机构是一家非营利性脑保存组织。
查看英文原文▾
Abstract
Companion animal brain banking has been recognized as a valuable approach for translational neuroscience of aging and dementia. However, realizing the full value of canine brain banks depends on optimizing the methods used to collect and preserve the tissue. Whole-brain perfusion-fixation is one promising approach, but it is not yet well described in dogs. Here we describe the development of methods for a canine brain bank (currently n = 55), including whole-brain perfusion-fixation via aortic cannulation and brain extraction. We assessed perfusion quality using gross examination, post-perfusion computed tomography (CT), and histological clearance of blood vessels. We found that body weight and flow rate normalized to body weight were each significantly correlated with perfusion quality in our cohort. To illustrate the kind of analysis the canine brain bank could facilitate, we next performed a preliminary study of brain aging, one of our primary planned research applications. Using a pixel classifier applied to whole-slide images, we quantified lipofuscin burden and found, in this preliminary cohort, that it increased strongly with age in both the thalamus and hippocampus. In the hippocampus, lipofuscin burden was also elevated in dogs with owner-reported cognitive dysfunction, although the current cohort is too small to determine to what extent this association is independent of age. Preliminary electron microscopy studies confirmed that perfusion-fixed tissue from the bank is amenable to ultrastructural analysis. This work describes one approach to canine brain perfusion-fixation and introduces a canine brain tissue resource that may help support future neuroscience research.
Introduction
Brain banking is an essential component of the neuroscience research community to promote the study of the brain in both health and disease. The majority of brain banks focus on human brains. However, in recent years, companion animal biobanking has gained increasing attention, and multiple canine brain banks have now been established in Europe and North America (Sándor et al., 2021; Cardy et al., 2022; McEnhill et al., 2024; McGrath et al., 2025). There are several advantages to banking companion animal brains, including their value as naturally occurring models of neurobiological diseases, and the potential for comparative neurobiology across species to illuminate general principles of brain function and dysfunction. There is growing recognition of the potential value of dogs in particular as a translational model for Alzheimer’s disease and related dementias (Head, 2013). Studies have identified Alzheimer’s disease-like neuropathology in aging dogs, including amyloid-β accumulation, phosphorylated tau pathology, and reactive astrocytes, although the associations of these changes with cognitive dysfunction have not been found to be consistent across studies (Abey et al., 2021; Habiba et al., 2021; Hines et al., 2023). This has motivated the development of at least one large-scale longitudinal canine brain banking study (McGrath et al., 2025). Beyond their relevance to disease modeling, humans are naturally curious about canine brains, given the remarkable ability of dogs to cooperate with and understand humans, which is of course dependent upon their brain structure and its modification through domestication (Barton et al., 2025). In the long term, canine brain banks can contribute to both of these goals, helping to facilitate studies of brain aging and neurodegeneration and also shedding light on the neural basis of the unique cognitive and social capacities of dogs.
For preserving the structure of an entire mammalian brain, perfusion-fixation is considered the gold standard method (Bodian, 1936; McFadden et al., 2019). While there are many perfusion-fixation protocols available for laboratory animals (Gage et al., 2012; Wahyudi et al., 2025), to the best of our knowledge, there is not an extensive literature on the perfusion of canine brains. Canine cerebrovascular anatomy presents unique considerations. The brain is supplied in part by a number of anastomoses between the intracranial circulation and the external carotid artery (Jewell, 1952; Lee et al., 1986). The most important of these is called the anastomotic artery, which forms from a branch of the internal maxillary artery – and in some cases also the middle meningeal artery – and connects to the internal carotid artery (Jewell, 1952). In addition, canine cerebrovasculature is posterior circulation dominant. As a result, contrast injected into the basilar artery leads to visualization of bilateral territory throughout the brain, whereas contrast injected into the internal carotid artery leads only to the visualization of the territory of the middle cerebral artery and (less reliably) the anterior cerebral artery (Camstra et al., 2020). Finally, many of the arteries supplying the canine brain are highly tortuous, which may raise the risk of resistance to perfusate flow, based on reports of perfusion-fixation in other animals (Eden and Correia, 1981).
As they age, some dogs develop a syndrome known as canine cognitive dysfunction, which shares clinical and pathological features with human Alzheimer’s disease, including amyloid-β deposition, neuronal loss, and behavioral deficits (Cummings et al., 1996; Head, 2013). One of the most consistent cellular correlates of brain aging, in both dogs and humans, is the accumulation of lipofuscin. Lipofuscin is an autofluorescent pigment composed of oxidized lipid and protein residues that accumulates in the lysosomes of postmitotic cells and causes a variety of deficits in cellular functioning (Brunk and Terman, 2002). Lipofuscin has been found to accumulate progressively in canine neurons during aging, with differences between regions in the timing of onset and rate of accumulation (Whiteford and Getty, 1966; Few and Getty, 1967; Nanda and Getty, 1973; Nesic et al., 2021). Extensive lipofuscin accumulation has also been associated with canine cognitive dysfunction in one case report (Park et al., 2016). However, to the best of our knowledge, the extent to which lipofuscin accumulation in the canine brain is quantitatively associated with canine cognitive dysfunction in larger cohorts, as opposed to simply correlating with chronological age, is an open question.
In this manuscript, we describe our canine brain bank, methods for perfusion-fixation via aortic cannulation, and our preliminary assessment of perfusion quality using gross examination, CT neuroimaging, light and electron microscopy. Among the histological findings, we focus particularly on lipofuscin, which we quantify using a pixel classifier applied to whole slide images and examine in relation to both age and canine cognitive dysfunction. We also describe our future plans and directions for the canine brain bank. Our primary aim here is to describe and document the methods we developed, and the histological and ultrastructural analyses we present are intended as examples of the types of research applications that the cohort could support in the future.
Methods
Canine donors and tissue collection
We built upon previous efforts in canine brain banking to create our own canine brain bank (Sándor et al., 2021; McGrath et al., 2025). We partnered with local veterinary professionals to provide euthanasia services in our facility for canine companion animals whose owners elected this humane end-of-life care option. This was done in order to minimize the postmortem interval (PMI) and to provide a benefit to companion animal owners by covering the cost of euthanasia services. Because all dogs were companion animals undergoing owner-elected euthanasia for end-of-life care, independent of this study, and brain tissue was obtained postmortem with owner consent, no animals were euthanized or otherwise used for research purposes. The work therefore did not require Institutional Animal Care and Use Committee approval.
For a basic assessment of whether cognitive dysfunction was present, owners were asked “Has your pet shown signs of confusion in the past six months, such as getting lost or having difficulty recognizing familiar people?” with possible answers of “No,” “Mild,” “Moderate,” or “Severe.” Where the reported severity was not available, a positive response was recorded as “Yes.” We note that this question for cognitive dysfunction should be thought of as a screening measure, not a diagnostic one. For the analysis comparing lipofuscin burden by cognitive status, because the small sample size precluded a graded ordinal analysis, responses were dichotomized into absent (No) versus present (Mild, Moderate, or Severe).
For each case, the PMI was calculated as the time between cardiac arrest and the onset of perfusion. In some cases, the PMI was estimated based on known sequences and duration of procedural steps, rather than precise timestamps, due to inconsistent data collection about the timing of euthanasia and the procedure.
Perfusion methods
Our perfusion methods built upon previous techniques that have been used in human whole-body donors (Garrood et al., 2025b). They were improved upon in an iterative manner. In early experiments, we performed cannulation of the carotid arteries. This was found to be ineffective for perfusion of the whole brain in most cases, which we attributed to differences in cerebrovascular anatomy between humans and dogs (Jewell, 1952). Another method we attempted was transcardial perfusion via the left ventricle, but this method was also discontinued due to inconsistent perfusion quality and difficulty in securing the cannula. The method that was found to produce the highest quality of perfusion with the most consistency was perfusion via cannulation of the aorta, for which we describe our current working protocol.
Following humane euthanasia by a licensed veterinarian, a thoracotomy is performed and a sternal retractor is used to open the chest cavity. Throughout the procedure, an aspirator is used to manage blood loss and keep the cavity clear of excess fluid. Once the chest cavity is opened, the pericardium is incised and reflected from the heart and surrounding structures using forceps and dissecting scissors, which is generally necessary in order to visualize the aorta. Variations in mediastinal anatomy (e.g., differences in adipose tissue, adhesions, or occasional masses) between dogs of different breeds or health histories are a common occurrence. Effectively clearing visceral tissue is essential for accurate identification of the aorta, and this needs to also be done rapidly to minimize the PMI, while also accurately to avoid incising the aorta or any other vessels.
After clear visualization of the proximal aorta, we place a Satinsky DeBakey clamp across the proximal aorta, partially occluding the vessel and retracting the heart caudally to expose a larger segment for cannulation. A scalpel with a #11 blade is used to make a puncture in the anterior aortic wall, taking care not to puncture the opposite wall. The cannula is then inserted into the incision and held manually in place throughout the perfusion. The cannula has a raised ring above the tip that rests against the outer aortic wall, limiting insertion depth and helping to maintain a consistent cannula position. Manual stabilization is used to ensure that the cannula tip stays angled toward the aortic arch and to prevent decannulation as flow rate and/or perfusion pressure increases during the course of the perfusion. Occasionally, leakage occurs around the cannulation site, in which case hemostats can be used to clamp the tissue surrounding the cannula to establish or re-establish a seal. This approach is feasible given our relatively short perfusion duration and is analogous to the initial phase of cannula stabilization described in one protocol for normothermic regional perfusion in donation after circulatory death organ procurement, in which the cannula is held manually until stable flow is established (Trahanas et al., 2022).
Following the placement of the curved tip aortic cannula (22 Fr), the circuit is de-aired and the perfusion phase of the procedure is initiated. Perfusion is driven by a peristaltic pump system. Pressure is monitored using an inline pressure sensor connected to the perfusion circuit. The right atrial appendage is cut for outflow as blood and perfusate fluid return to the heart via the superior vena cava. An aspirator is used to suction the fluid in the thoracic cavity and keep the surgical field clear. The peristaltic pump speed is gradually increased throughout the early stages of the perfusion procedure until a desired pressure is reached, of approximately 100–150 mmHg. The highest pressure throughout the procedure was also recorded and was occasionally higher than this. The maximum flow rate was determined case by case, depending on the pressure. Fluid return during perfusion was monitored where the right atrium was cut. In most cases, a gradual transition of the color of return fluid from dark red to clear or mostly clear was observed. In larger dogs, we found that it was necessary to perfuse a larger volume of fluid in order to drain the blood.
Batches of perfusate were prepared in poly-carbonate carboys. In most cases, the base solution was 10 % or 20 % neutral buffered formalin (NBF). Depending on the case, we added one or more of the following: glutaraldehyde at 1 % (v/v), to attempt to improve ultrastructural preservation; iohexol at 3 mg/mL, for contrast-enhanced CT imaging; green dye, to better visualize color changes in brain tissue on gross examination; and mannitol at 10 % or 20 % (w/v) and/or polyethylene glycol 35 kDa (PEG35) at 5 % or 10 % (w/v), to increase osmotic or oncotic pressure in an attempt to improve ischemic perfusion quality. Carboys were stored at 4 °C or at room temperature until use.
When the CT scanner was available, CT scanning was performed after the perfusion, with the brain still inside the skull. The CT scanner we used was the OmniTom® Elite (NeuroLogica, Danvers, MA), a 16-slice scanner. Images were viewed with the Osimis Web Viewer.
Table 1. Supplies and reagents used for perfusion-fixation
| Equipment / Chemical | Supplier | Catalog Number |
|---|---|---|
| Masterflex L/S Economy Drive | Cole-Parmer | 7554-80 |
| Masterflex L/S Easy Load Pump Head | Cole-Parmer | 7518-10 |
| PendoTECH Pressure Sensors | Avantor | MFLX19406-21 |
| PressureMAT Monitor | PendoTECH | PMAT4A |
| Curved tip reinforced arterial cannulas, 22 Fr, 20 cm length | Qingdao Hiprove Medical Technologies | 3412122 |
| Sternal Saw | Stryker | 7207-000-000 |
| Satinsky DeBakey Clamp 9" | Premium Instruments | B074R76GPP |
| Morse Sternal Retractor - Adult | Ambler Surgical | 72-598 |
| Morse Sternal Retractor - Child | Ambler Surgical | 72-599 |
| Medela Aspirator | Medela | MEA-0710003-0710034 |
| Omnipaque™ 300 mgI/mL (iohexol) | Med-Plus | 0407-1413-63 |
| 10 % Neutral Buffered Formalin | Azer Scientific | NBF55G |
| 20 % Neutral Buffered Formalin | Fisher Scientific | STL286205 |
| Mannitol | Lab Alley | MANPU-1LB |
| Polyethylene Glycol 35 kDa | Sigma-Aldrich | 81310 |
| Glutaraldehyde | Thermo Scientific | A10500-0E |
Brain extraction method
Brains were extracted according to the following protocol, applied with or without prior perfusion-fixation. The extraction protocol was refined iteratively over the course of the study and we describe our current working approach below. It was primarily adapted from the protocol we use for human brain extraction (Wolf et al., 2026).
First, the skin and musculature overlying the calvarium were dissected and reflected to expose the underlying bone. An oscillating bone saw was then used to perform the craniotomy, applied in a light, smooth, reciprocating motion to avoid penetrating the full thickness of the skull and damaging the underlying neural tissue. The cut was initiated on the lateral aspect of the frontal bone and carried across the parietal bone at the widest point of the cranium. This incision was continued circumferentially, passing inferior to the occipital protuberance and returning along the contralateral frontal bone, with the two cut lines converging at a V-shaped angle along the frontal bone and forehead of the specimen. This cut produces a triangular window exposing the frontal sinus cavity, providing the access required to isolate and remove the olfactory bulbs.
Because skull morphology and thickness vary among dog breeds, some specimens required additional force, applied with an osteotome and mallet advanced incrementally along the entire saw cut line, to release the dorsal portion of the cranium. In certain cases, the V-shaped cut was repeated on the newly exposed internal table of the frontal bone. The craniotomy was completed by inserting a skull breaker along the saw cut line and twisting it to fully release each margin of the calvarium. In especially difficult cases, an additional sagittal cut was made through the midline and the cranium was removed in multiple pieces.
Following removal of the calvarium, the dura mater was incised and reflected away from the brain. Isolation of the olfactory bulbs was then performed by clearing the sinus tissue from the sinus passage with forceps and removing any residual fragments of the internal table of the frontal bone overlying the bulbs using side-cutting rongeurs. Once the bulbs were exposed, a micro-spatula was used to gently sweep around and detach them from the cribriform plate of the ethmoid bone. The brain, including the cerebellum, was subsequently freed by passing a malleable brain spatula smoothly around its perimeter within the cranial vault. Once sufficiently loosened, the brain was gently pulled posteriorly to expose and transect the optic nerves, then gently pushed anteriorly to expose and cut the spinal cord. The brain was then lifted out of the cranial vault, with care taken to ensure that the olfactory bulbs remained attached to the brain and were not torn away at the ethmoid bone.
In cases where the brain appeared soft following skull removal, the entire cephalon was occasionally placed in a container of 10 % NBF to allow for in situ fixation prior to brain extraction the following day or up to several days later. This minimizes damage to the brain during the extraction process when there is inadequate perfusion-fixation (or it was not performed at all). After extraction, digital photographs were taken of the brain from multiple angles for gross assessment. After the photographs were taken, the brains were completely immersed in a plastic container with 10 % NBF, which was placed at 4 °C for long-term preservation prior to histological assessment (McKenzie et al., 2024).
Table 2. Supplies used for brain extraction
| Equipment / Chemical | Supplier | Product Identifier |
|---|---|---|
| Scalpel Handle No 3 | MedHelp | B08QDMFJRG |
| Feather Scalpel Blade #22 | Electron Microscopy Sciences | 72044-22 |
| Mopec 810 Autopsy Saw | Mopec | BD810 |
| Standard Small Section Pathology Saw Blade | Mopec | BD108 |
| Lexer Bone Osteotome 15 mm x 22 cm with Fiber Handle | Medikrebs | TT283 |
| Heavy Bone Mallet | Surgical Online | B07CRQTXDW |
| Brain Spatula, Malleable, 16 mm x 20 cm | Medikrebs | B07QW3MZH6 |
| Skull Breaker, 3" | Integra Miltex | 34-210 |
| Ferris Smith Tissue Forceps, 7 inch, Serrated Platform Tips with 2 x 3 Teeth | Integra Miltex | 26-958 |
| Standard Surgical Scissors, Blunt/Blunt, Curved | Fine Science Tools | 14003-13 |
| Medium curved or straight rongeurs (14–16 cm) | Fine Science Tools | 16120-14 |
| Micro-spatula | Fine Science Tools | 10091-12 |
Light microscopy
Histological assessment was performed in 21 cases, including 19 perfusion-fixed brains and two immersion-fixed controls. From each case, we dissected approximately 1 x 1 x 1 cm tissue samples targeting the hippocampus and thalamus for light microscopy. The hippocampus was identified grossly during sectioning, although the exact portion sampled varied between cases. The hippocampus and thalamus were selected because they are regions relevant to brain aging and because they are both relatively internal brain regions that cannot be easily seen on the surface. Brain tissue sampled for light microscopy was placed into cassettes for processing and embedded in paraffin. Paraffin-embedded brain sections 6 μm thick were baked, deparaffinized, and stained for hematoxylin and eosin (H&E). Digital images of the stained sections were captured at 40X as whole slide images (WSIs) using the Aperio GT450 high-resolution scanner (Leica Biosystems).
Perfusion quality assessment
Semi-quantitative analysis was performed on images from gross examination, CT imaging, and light microscopy, using methods previously described and validated as internally consistent (Garrood et al., 2025b). Gross examination and CT images were graded by the extent of perfusion in eight vascular territories, i.e. the territories supplied by the left and right anterior cerebral arteries (ACA), middle cerebral arteries (MCA), and posterior cerebral arteries (PCA), as well as the left and right cerebellar hemispheres. For gross examination, the features used for this assessment were (a) clearance of blood from surface vessels, (b) apparent stiffness of tissue, and (c) color change of tissue, from pink in the case of no perfusion to pale or pale/colored dye-tinged in the case of well-perfused tissue. For CT images, grading was based on the extent of contrast visualized in post-perfusion scans. Light microscopy (LM) images were graded by the extent of vessel clearance, which refers to the absence of intravascular material from both small and large vessels. All images were graded on a scale of 0–3, with 0 indicating < 5 % extent of perfusion, contrast or vessel clearance, 1 indicating 5–50 %, 2 indicating 50–95 %, and 3 indicating > 95 %. Gross examination and CT images were graded by a single trained rater using these previously validated methods. Light microscopy images were graded by two independent raters. For light microscopy, inter-rater reliability between the two raters was assessed via quadratic-weighted Cohen’s kappa, which was found to be 0.80 (indicating substantial agreement). Discrepancies were resolved for downstream analysis by consensus review.
For each modality, a composite perfusion quality score was calculated as the mean of the available regional grades (i.e. the eight vascular territories for gross and CT examination, and the hippocampus and thalamus for light microscopy). These composite quality scores were calculated only for those cases with at least four of the eight regional grades available for gross and CT, and with both regional scores available for histology. The average flow rate per body weight was calculated as the total perfusate volume in mL divided by the duration of perfusion in minutes divided by the body weight in pounds. Associations among donor characteristics, perfusion parameters, and perfusion quality metrics were assessed using Spearman rank correlations. Given the exploratory nature of these analyses, p-values are reported as nominal values without correction for multiple comparisons.
Lipofuscin analyses
Lipofuscin burden was quantified in each WSI using a pixel classifier trained in QuPath (v. 0.6.0). The classifier was a random trees pixel classifier implemented via OpenCV, using the red, green, and blue channels smoothed with a Gaussian filter (sigma = 1.0) as input features, applied at a resolution of 2.1 µm per pixel in 512 x 512 pixel tiles. Each pixel was classified as either lipofuscin-positive or background. The largest source of false positives was pigment found near blood vessels, which is presumed to be hemosiderin from blood cell breakdown products. The training annotations were generated primarily on the thalamus WSI from donor 229, which was selected on an initial qualitative review to be a representative WSI with a substantial lipofuscin burden. Tissue edges were excluded from analysis, as they also produced high false positives, which may be due to artifacts occurring during processing. The trained classifier was then applied to all available WSIs within a standardized bounding box (approximately 1,000 μm x 1,000 μm), centered to avoid tissue edges and ensure a consistent size of analysis across WSIs. Lipofuscin burden was quantified as the percentage of pixels within the standardized bounding box classified as lipofuscin-positive, which we refer to as lipofuscin density. We also recorded the number of discrete lipofuscin-positive objects within the box. We note that lipofuscin density and object count are closely related but can capture different patterns of lipofuscin accumulation, because a given total area of lipofuscin-positive signal could be due to either a larger number of smaller deposits or a smaller number of larger deposits.
Associations between age and lipofuscin measures (density and object count, in the thalamus and hippocampus) were assessed using Spearman rank correlations. Differences in lipofuscin measures between dogs with and without owner-reported cognitive dysfunction were assessed using the Mann-Whitney U test. Given the exploratory nature of these analyses, p-values are reported as nominal values without correction for multiple comparisons.
Electron microscopy
Sample preparation and imaging were performed as previously described (Garrood et al., 2025a). Tissue for EM was post-fixed in a solution of 2 % paraformaldehyde and 2.5 % glutaraldehyde in 0.1 M sodium cacodylate buffer. The tissue then underwent a multi-step enhanced contrast protocol at room temperature including sequential treatments with tannic acid, reduced osmium, thiocarbohydrazide, osmium, and uranyl acetate. This was followed by lead aspartate staining at 60 °C. The brain sample was then dehydrated through a graded ethanol series, infiltrated with Embed 812 epoxy resin (EMS), and polymerized for 72 h at 60 °C. Semithin sections (0.5 μm) were cut using a Leica UC7 ultramicrotome (Leica, Buffalo Grove, IL) and counterstained with 1 % toluidine blue to identify the regions of interest within layers. Images were taken on a HT7500 transmission electron microscope (Hitachi High-Technologies, Tokyo, Japan) using an AMT NanoSprint12 12-megapixel cmOS TEM Camera System, software version 7.0.1.485 (Advanced Microscopy Techniques, Danvers, MA). Images were adjusted for contrast using the AMT software.
Results
Description of our cohort
Our canine brain bank currently has n = 55 donors with a wide variety of ages, sizes, and breeds (Table 3). Representative gross and CT images from three donors illustrate the anatomical diversity (Figure 1). Donor ages were owner-reported and ranged from 1 to 26 years (median 13 years), with the oldest value an outlier that may be inaccurate (the next highest was 18). We used all owner-reported ages rather than excluding certain values based on plausibility judgments. Body weights ranged from 4 to 120 lbs, capturing most of the size spectrum of the domestic dog. Using a previously described size classification based on body weight, our cohort consists of 20.00 % Toy (under 11 lb), 21.82 % Small (11 to under 22 lb), 14.55 % Medium (22 to under 55 lb), 30.91 % Large (55 to under 88 lb), and 12.73 % Giant (88 lb and above) breeds (Salt et al., 2017).
Table 3. Characteristics of the canine brain bank donors
| Donor ID | Age (years) | Weight (lb) | Sex | Breed (owner identified) | Signs of confusion 6 months prior |
|---|---|---|---|---|---|
| 9 | 12 | 9 | Male | Pomerania | No |
| 23 | 17 | 100 | Unk | Aussie/Rottweiler | No |
| 65 | 17 | 5 | Female | Miniature Pinscher | No |
| 91 | 16 | 65 | Unk | Rhodesian Ridgeback | Yes |
| 101 | 15 | 20 | Unk | Boston Terrier | No |
| 117 | 10 | 85 | Male | American Bulldog | No |
| 171 | 15 | 50 | Unk | Mastiff/Pit Bull Mix | Yes, mild |
| 177 | 14 | 12 | Male | Yorkshire Terrier | Yes, mild |
| 204 | 18 | 5 | Female | Mini Dachshund | Yes, moderate |
| 214 | 14 | 65 | Male | American Bull Terrier | Yes, moderate |
| 220 | 5 | 55 | Male | Labrador/Australian Shepherd | No |
| 226 | 17 | 18 | Male | Chihuahua/Jack Russell | Yes, severe |
| 228 | 13 | 10 | Male | Pomeranian/Chihuahua Mix | No |
| 229 | 12 | 70 | Male | Pit Bull Mix | Yes, severe |
| 230 | 12 | 100 | Female | Labrador/Pit Bull Mix | No |
| 235 | 8 | 65 | Female | Labrador | No |
| 238 | 11 | 20 | Male | Dachshund Mix | Yes, mild |
| 240 | 12 | 10 | Male | Chihuahua | Yes, moderate |
| 250 | 15 | 20 | Male | Chihuahua Mix | Yes, mild |
| 261 | 6 | 80 | Male | Husky/German Shepherd | No |
| 270 | 10 | 100 | Male | Labrador | No |
| 272 | 12 | 80 | Female | German Shepherd | Unknown |
| 275 | 12 | 20 | Male | Boston Terrier | Yes, severe |
| 281 | 9 | 115 | Male | Alaskan Malamute | No |
| 291 | 26 | 5 | Female | Chihuahua | Yes, moderate |
| 296 | 1 | 25 | Male | Aussiedoodle | No |
| 299 | 17 | 16 | Male | Bichon Frise/Miniature Poodle | No |
| 303 | 17 | 25 | Female | Australian Labradoodle | Yes, mild |
| 308 | 5 | 80 | Male | Pit Bull Terrier | No |
| 310 | 13 | 60 | Male | Labrador/Heeler | Yes, severe |
| 313 | 13 | 10 | Male | Shih Tzu/Yorkie | Yes, moderate |
| 315 | 5 | 25 | Male | French Bulldog | Yes, mild |
| 323 | 14 | 40 | Female | Pit Bull/Boxer | Yes, mild |
| 327 | 13 | 20 | Male | Terrier Mix | Yes, moderate |
| 329 | 15 | 14 | Male | Chihuahua/Terrier | No |
| 331 | 16 | 70 | Female | Rhodesian Ridgeback | Yes, moderate |
| 334 | 11 | 90 | Female | German Shepherd | No |
| 343 | 12 | 15 | Male | Pug | Yes, mild |
| 344 | 12 | 75 | Male | Bulldog/Pit Bull | Yes, mild |
| 346 | 13 | 55 | Female | Rottweiler Mix | Yes, moderate |
| 347 | 17 | 13 | Female | Miniature Pinscher/Chihuahua | No |
| 353 | 13 | 35 | Female | Golden Retriever/ Border Collie | No |
| 356 | 13 | 70 | Female | Labrador Mix | No |
| 360 | 12 | 40 | Female | Labrador/Husky | Yes, mild |
| 361 | 17 | 16 | Female | Greyhound/Rat Terrier | Yes, mild |
| 362 | 7 | 80 | Male | Great Pyrenees | No |
| 363 | 12 | 10 | Male | Chihuahua | No |
| 368 | 16 | 10 | Female | Dachshund | Yes, moderate |
| 370 | 14 | 23 | Male | Schipperke | Yes, mild |
| 373 | 14 | 4 | Female | Chihuahua/Terrier | No |
| 379 | 12 | 9 | Male | Papillon | No |
| 380 | 14 | 90 | Male | Mixed Breed | Yes, mild |
| 386 | 10 | 120 | Male | Chowbrador | No |
| 389 | 14 | 70 | Female | Labrador | No |
| 395 | 14 | 68 | Male | Pointer Mix | No |
[图:Figure 1. Representative gross and CT images illustrating the anatomical diversity of the canine brain bank. CT images o]

Common breeds and mixes in our cohort include Chihuahuas and Chihuahua mixes, Pit Bull mixes, Labrador mixes, and several small terrier breeds. Many donors are of mixed ancestry, which is indicative of the heterogeneity of the companion dog population from which our donors originated. This breed diversity is of particular interest for comparative neuroscience and aging studies, given the well-documented relationship between body size, breed, and lifespan in dogs, and the substantial variation in absolute brain size across breeds, from approximately 55 cm³ in a Pomeranian to 117 cm³ in an English Mastiff (Garamszegi et al., 2023).
Owner-reported signs of cognitive dysfunction in the six months prior to death were documented for most donors. Of the 55 donors, 27 (49.09 %) had no reported signs of confusion, 27 (49.09 %) had signs ranging from mild to severe, and 1 (1.82 %) had unknown or unreported status.
Perfusion quality
In n = 45 of the dogs in our brain bank, we attempted to preserve their brain via perfusion-fixation (the others were fixed via immersion-fixation alone). We graded perfusion quality across cases via gross examination, post-perfusion CT, and the clearance of blood vessels on histological examination (Figure 2).
[图:Figure 2. Representative examples of inadequate and adequate perfusion across imaging modalities. Each panel shows a sep]

The gross examination and CT scan modalities were significantly correlated (Spearman rho = 0.66, p = 0.0009, n = 22). The histological vessel-clearance score was also positively correlated with both the gross score (rho = 0.76, p = 0.001, n = 15) and the CT score (rho = 0.70, p = 0.0017, n = 17), although these comparisons were limited by the smaller number of donors with histological grading. The consistency of these three measures corroborates our previous data using this multimodal approach to assessing perfusion quality in human brain donors (Garrood et al., 2025b).
We next measured the correlations of several donor and perfusion procedure variables with perfusion quality metrics (Figure 3). Body weight showed the most consistent relationship, with heavier dogs tending to have lower gross perfusion scores (rho = -0.64, p = 1.3 x 10-5, n = 39). The average flow rate per body weight was also significantly and positively correlated with gross perfusion scores (rho = 0.40, p = 0.034, n = 29).
[图:Figure 3. Correlations among donor characteristics, perfusion parameters, and perfusion quality metrics. This scatterplo]

Age, PMI, duration of perfusion, lowest and highest recorded perfusion pressure, and volume of fluid perfused were not significantly associated with the perfusion quality metrics. Notably, several of the donor characteristic variables are correlated in our cohort. For example, age and weight were found to be correlated (rho = -0.43, p = 0.0012, n = 55), with heavier dogs tending to be younger. This makes it difficult to fully separate the relationships between donor characteristics and perfusion quality in the data set that we describe here.
We also note a few qualitative observations from our experience performing perfusion-fixation in this context. First, we found that gravity appeared to play a substantial role in mediating where in the dog’s body the fixative solutions flowed. After we noticed this, we began tilting the table downward so that gravity would help deliver fixative to the brain, consistent with previous reports that gravity affects the regional distribution of perfusate in whole-body postmortem perfusion (Nathan, 1970). Second, there was a substantial amount of anatomical variation. For example, in one case the aorta appeared to be right-sided, which has previously been reported in the context of anatomical variation in dogs (Schorn et al., 2021). Third, clots were very commonly present, presumably due to the ischemic delay before perfusion. They were uniformly of the dark red “cruor” type (Solarino et al., 2025). These clots were found to occur even within a PMI of approximately 20 minutes, broke apart easily, and were pumped out of the circulation through the cut right atrium. We did not observe the yellow “chicken fat” clots that we have seen when perfusing blood vessels in postmortem human brains (Garrood et al., 2025b). This is consistent with “chicken fat” clots arising from an agonal process or something otherwise specific to the way humans typically die, rather than from the controlled euthanasia of our donors (Solarino et al., 2025).
Lipofuscin analysis
Lipofuscin burden was quantified in all 21 donors with available histological sections from the thalamus and hippocampus (Figure 4). Lipofuscin density was found to have a significant rank correlation with age in both the thalamus (rho = 0.84, p = 1.5 x 10-6) and the hippocampus (rho = 0.67, p = 0.00083) (Figure 5). Similarly, the number of lipofuscin-positive objects had a significant rank correlation with age in both the thalamus (rho = 0.80, p = 1.2 x 10-5) and the hippocampus (rho = 0.73, p = 0.00019) (Figure 5).
[图:Figure 4. Representative lipofuscin quantification in a portion of an H&E-stained whole-slide image (donor 204, hipp]

[图:Figure 5. Lipofuscin accumulation increases with age in the canine brain. Lipofuscin density ( a, b ) and lipofuscin-pos]

Of the 21 donors with lipofuscin data, nine had no reported signs of cognitive dysfunction in the six months prior to death, 11 had signs ranging from mild to severe, and one had unknown cognitive status and was excluded from the cognitive dysfunction comparison. Dogs with cognitive dysfunction had a higher lipofuscin density in the hippocampus (Mann-Whitney U = 19, p = 0.023) and a higher hippocampal lipofuscin-positive object count (U = 19, p = 0.023), but numbers in the thalamus were not significantly different for either lipofuscin density (U = 28, p = 0.111) or lipofuscin-positive object count (U = 27, p = 0.095) (Figure 6). Notably, because lipofuscin accumulation is a hallmark of brain aging, and because dogs with cognitive dysfunction in our cohort were generally older, we cannot determine from these data the extent to which the observed association between hippocampal lipofuscin and cognitive dysfunction is independent of age or other unmeasured pathology. Larger cohorts that allow controlling for chronological and biological measures of age, and other variables, would be necessary to further interrogate this question.
[图:Figure 6. Hippocampal lipofuscin burden is elevated in dogs with owner-reported cognitive dysfunction. Lipofuscin densit]

On review of the hippocampal H&E WSIs, we found that most samples contained recognizable hippocampal tissue, although donor 220 did not and donor 238 contained only part of the hippocampus. In a sensitivity analysis excluding these two cases, the associations with age were similar for hippocampal lipofuscin density (rho = 0.65, p = 0.003, n = 19) and hippocampal lipofuscin-positive object count (rho = 0.70, p = 9.1 x 10-4, n = 19). The cognitive dysfunction comparison was no longer statistically significant for lipofuscin density (U = 18, p = 0.056), while it remained nominally significant for lipofuscin-positive object count (U = 17, p = 0.046).
Preliminary ultrastructural assessment
To evaluate whether perfusion-fixed tissue from our canine brain bank is suitable for ultra-structural analysis, we performed transmission electron microscopy on cortical samples from two donors (Figure 7). Major cellular structures were readily identifiable in images from both donors, including nuclei, mitochondria with discernible cristae, myelinated axons, and synapses. Myelin lamellae were frequently disrupted, which is a well-known artifact of conventional aldehyde fixation and EM processing, even in non-ischemic tissue (Anderson et al., 2014; Möbius et al., 2016). Some degree of membrane-bound unstained areas was observed across nearly all images examined. Such unstained areas were generally attributed to ischemic fluid shifts and associated swelling of cellular processes prior to fixation, especially of astrocytes (Kalimo et al., 1977; Krassner et al., 2023; Garrood et al., 2025a). At higher magnification, synaptic profiles with visible postsynaptic densities and presynaptic vesicle pools could also be identified. These preliminary observations, based on a limited number of images from two donors, suggest that at least a subset of the perfusion-fixed tissue from this canine brain bank is amenable to ultrastructural investigation. The conditions under which the tissue is sufficiently preserved for automated connectome tracing will require substantially more data and evaluation.
[图:Figure 7. Representative electron microscopy images from two perfusion-fixed donors, dog 65 (a, c, e) and dog 177 (b, d,]

Discussion
In this manuscript, we have described the development of our perfusion-fixation-based canine brain bank. We found that aortic cannulation yields high-quality perfusion in some but not all cases. In our preliminary histologic investigations, we found that hippocampal lipofuscin burden is elevated in dogs with cognitive dysfunction. To the best of our knowledge, this is the first quantitative assessment of the association between lipofuscin burden on histology and cognitive dysfunction status in the domestic dog. However, we note that this histological analysis of lipofuscin is preliminary and exploratory. The light and electron microscopy data we described in this manuscript are already publicly available (see Data Availability). We plan to make tissue from this brain bank available to the neuroscience research community upon request from qualified investigators. Below, we describe future considerations and plans for our canine brain bank.
One of the most notable features of the domestic dog as a model for brain aging research is the dramatic variation in the typical lifespan across breeds. This ranges from approximately seven years in giant breeds such as the Irish Wolfhound up to 16 years in small breeds such as the Papillon, with weight being the strongest predictor of lifespan across breeds (Greer et al., 2007). This raises the question of whether breed-specific lipofuscin accumulation rate is also associated with breed-specific lifespan, and whether lipofuscin density could serve as a readout of biological aging to capture differences in the rate of brain cell aging between breeds. More broadly, it is unclear to what extent lipofuscin is a passive correlate of aging or actively contributes to neuronal dysfunction, for example by impairing lysosomal function and proteostasis (Brunk and Terman, 2002). As our canine brain bank grows, the tissue could be used to help adjudicate between these possibilities, for example by measuring whether lipofuscin density covaries with other markers of age-related neuronal or lysosomal dysfunction. As a result, the association we reported here should not be interpreted as evidence that lipofuscin contributes causally to cognitive dysfunction. In dogs in particular, the relationship between lipofuscin accumulation, neuronal dysfunction, and cognitive decline is still poorly characterized.
The variable perfusion quality we observed is indicative of the challenges of achieving rapid whole-brain fixation in dogs. Several factors likely contribute to this, including differences in flow rate to body size ratio, vascular anatomy, and the PMI prior to perfusion. Improving perfusion consistency is a priority, because the quality of ultrastructural preservation determines what downstream analyses are possible. If fixation quality can be made reliably high, canine brain tissue could become amenable to connectomic analysis (Lichtman et al., 2014; Mikula, 2016; Helmstaedter, 2026). Dogs are an appealing model for comparative connectomics, because they possess complex social cognition, yet have brains far smaller than human brains, making large-scale reconstruction more theoretically feasible. One advantage of our approach is that the controlled euthanasia setting provides short PMIs compared to most human brain banks, which could be leveraged for systematic studies of how PMI, age, vascular disease, and other naturalistic variables affect perfusion quality and ultrastructural preservation. What combination of PMI, perfusion pressure, perfusate composition, and other parameters is needed to consistently achieve connectomics-grade preservation in a canine donor program such as ours is an open question.
Limitations
This study has several limitations. First, the preliminary cohort that we describe here is relatively small. Expanding the cohort is an obvious priority, as the research value of a brain bank depends in large part on the size and diversity of its collection (Wang et al., 2019).
Second, cognitive dysfunction status was based on a single question about recent signs of confusion, which is a coarse measure of a multidimensional syndrome and is not a validated diagnostic instrument. In future work, we plan to use validated owner assessment instruments such as the Canine Cognitive Dysfunction Rating Scale questionnaire to improve phenotyping (Salvin et al., 2011).
Third, we did not perform immunostaining for established neuropathologic markers of canine brain aging or cognitive dysfunction, such as amyloid-β or tau. Immunostaining for these markers and other proteins relevant to canine brain aging and neurodegeneration will be an important part of developing the canine brain bank in the future.
Fourth, because our hippocampal sampling was based on gross identification, the exact portion sampled varied between cases. A review of the WSIs showed that one sample did not contain recognizable hippocampus and another contained only partial hippocampal tissue. These samples were retained in the primary analysis because they had been collected as hippocampal-targeted samples and were expected to represent tissue from the hippocampal region or adjacent tissue. Excluding them in a sensitivity analysis produced similar, although somewhat weaker, associations with age. The association with cognitive dysfunction was also weaker, with the lipofuscin density comparison no longer reaching nominal statistical significance, while the object-count comparison remained nominally significant. More generally, variation in the hippocampal subregion sampled and in local neuronal density could contribute to variation in the measured lipofuscin burden.
Fifth, the breed and body size distribution in our cohort should not be assumed to be necessarily representative of the companion dog population. It is likely explained in part by the methods we used for recruitment and other selection biases.
Sixth, one donor had an owner-reported age of 26 years, which is substantially higher than the next oldest reported age of 18 years, and which may be inaccurate. However, because we assessed the associations of age with lipofuscin using Spearman rank correlations, uncertainty in the precise reported age would be expected to have a minimal impact on the correlation analysis unless the donor’s true age substantially altered its rank within the cohort.
Finally, the perfusion protocols evolved over the course of the study as we optimized our methods, which helped us to identify the most effective methods, but introduced a significant confounding variable when comparing perfusion quality across cases.
Conclusions
We have described the methods for our canine brain bank, in which we primarily use perfusion-fixation for initial preservation. We have also presented preliminary analyses of brain aging and ultrastructure that are intended to demonstrate its future research value. Looking ahead, we expect that the value of this resource will grow with the size, diversity, and preservation quality of the collection. For example, a larger cohort would allow the relationship between hippocampal lipofuscin and cognitive dysfunction to be disentangled from chronological age. More generally, it would allow us to ask whether breeds with longer lifespans also have slower brain aging, as measured by markers such as lipofuscin. We hope this resource and the methods we present will help support more research on the domestic dog, donated after death following owner-elected euthanasia for reasons unrelated to the research, in the fields of neuroscience and aging.
Abbreviations
ACA - Anterior cerebral artery, CT - Computed tomography, EM - Electron microscopy, H&E - Hematoxylin and eosin, LM - Light microscopy, MCA - Middle cerebral artery, NBF - Neutral buffered formalin, PCA - Posterior cerebral artery, PEG35 - Polyethylene glycol 35 kDa, PMI - Post- mortem interval, WSI - Whole slide image.
Author contributions
A.T.M., K.F., and J.F.C. conceptualized the study. S.D., A.B., M.G., A.S., A.P., and L.P. performed laboratory experiments and data analysis. A.T.M. wrote the initial draft of the manuscript. All authors reviewed the manuscript and approved the final manuscript.
Funding statement
This work was supported by the Rainwater Charitable Foundation as well as NIH grants P30 AG066514, RF1 AG062348, K01 AG070326, and R01 NS146414. The funders had no role in the design of the study or in the collection or interpretation of the data.
Data availability
The light and electron microscopy data described in this manuscript are publicly available at the following DOIs:
https://doi.org/10.5281/zenodo.21047579, https://doi.org/10.5281/zenodo.15312788, and https://doi.org/10.5281/zenodo.18805394.
The QuPath pixel classifier used for lipofuscin quantification is available at this DOI:
https://doi.org/10.5281/zenodo.21225320.
Code and data to reproduce the plots and analysis are available at:
https://github.com/andymckenzie/Canine_brain_bank.
Generative AI technologies
In the preparation of this manuscript, the authors used Claude (Anthropic) for both programming assistance and to improve the manuscript’s language. All AI tool-assisted content was reviewed and edited by the authors, who take full responsibility for the final publication.
Conflict of interest statement
Sarah Darcy, Autumn Beck, Macy Garrood, Andria Slaughter, Alexander Parra, Laura Paredes, and Andrew T. McKenzie are employees of Sparks Brain Preservation, a non-profit brain preservation organization.
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