While the cage refinement is a necessary step towards improving the welfare of research rats, increasing the complexity and surface area of the living space of an animal may have physiological impacts that need to be taken into consideration. In this study, ketamine (80 mg/kg) and xylazine (10 mg/kg) caused a short duration anesthesia that was significantly decreased in Sprague-Dawley rats housed in multilevel cages (MLC), compared to rats housed in standard cages (SDC). The withdrawal reflex, the palpebral reflexes and the time-to-sternal all occurred earlier in MLC housed rats, suggesting an effect of housing on the physiology of the rats. In addition, during anesthesia, cardiac frequencies were increased in animals housed in the smaller SDC. Respiratory frequencies, the blood oxygen saturation and rectal temperatures during anesthesia did not vary between conditions during the anesthesia. While xylazine pharmacokinetics were unchanged with caging conditions, the clearance and half-lives of ketamine and its metabolite, norketamine, were altered in the rats housed in MLC. Finally, while no difference was ultimately seen in rat body weights, isolated liver and adrenal gland weights were significantly lighter in rats housed in the MLC. Increasing cage sizes, while having a positive impact on wellbeing in rats, can alter anesthetic drug metabolism and thus modify anesthesia parameters and associated physiological processes.
While the cage refinement is a necessary step towards improving the welfare of research rats, increasing the complexity and surface area of the living space of an animal may have physiological impacts that need to be taken into consideration. In this study, ketamine (80 mg/kg) and xylazine (10 mg/kg) caused a short duration anesthesia that was significantly decreased in Sprague-Dawley rats housed in multilevel cages (MLC), compared to rats housed in standard cages (SDC). The withdrawal reflex, the palpebral reflexes and the time-to-sternal all occurred earlier in MLC housed rats, suggesting an effect of housing on the physiology of the rats. In addition, during anesthesia, cardiac frequencies were increased in animals housed in the smaller SDC. Respiratory frequencies, the blood oxygen saturation and rectal temperatures during anesthesia did not vary between conditions during the anesthesia. While xylazine pharmacokinetics were unchanged with caging conditions, the clearance and half-lives of ketamine and its metabolite, norketamine, were altered in the rats housed in MLC. Finally, while no difference was ultimately seen in rat body weights, isolated liver and adrenal gland weights were significantly lighter in rats housed in the MLC. Increasing cage sizes, while having a positive impact on wellbeing in rats, can alter anesthetic drug metabolism and thus modify anesthesia parameters and associated physiological processes.
Rats are known to be active creatures that can run, jump and stand up on their hind-legs.
The current standard laboratory rat housing does not allow full expression of these
activities. Recently, there has been an ever-increasing amount of scientific publications
detailing the benefits of providing larger, more complex cages for rats. In fact, multilevel
caging (MLC) systems are now commercially available, allowing rats to exhibit more natural
behaviors, all the while maintaining an individual ventilated environment if required by the
research study [9, 12, 33, 35].While the cage refinement is a necessary step towards improving the welfare of research
rats [10, 17],
increasing the complexity and surface area of the living space of an animal may have
physiological impacts that need to be taken into consideration. For instance, the standard
rat cage does not provide the space nor the environmental complexity for adult rats to
ensure minimal physical activity, contributing in part to obesity and other health issues
associated with lack of exercise [14]. In fact,
obesity is an overwhelming problem in laboratory rat colonies, introducing scientific biases
that are often overlooked in the course of experimental research. Commercially available rat
MLC systems provide rats with approximately twice the floor area of standard rat cages (on
two levels) with an area to exhibit full bi-pedal postures at all ages, and enough space for
chasing, jumping and sheltering. Thus, doubling the cage surface area could potentially
decrease such confounding effect of obesity in rat colonies.Studying drug metabolism gives researchers good indices on various physiological
parameters, such as hepatic and renal functions. Many such factors have been seen to affect
the pharmacokinetics of drugs such as sex, nutrition, environmental condition, disease and
decreased exercise [16, 21, 22, 29, 30, 31]. In previous publications, we showed that the pharmacokinetics of
ketamine and xylazine differed greatly between young and old Sprague Dawley rats [13, 34]. Ketamine
and xylazine half-lives are 2 and 1 h, respectively, in 8- and 12-week-old rats. Both drug
availability (area under the curve: AUC) and their elimination were seen to be greatly
increased in old rats, with half lives increased to 8.5 and 13 h, respectively [13]. This change in drug pharmacokinetics was, in part,
explained by alterations in the liver enzymes CYP3A in older rats. In addition, since both
ketamine and xylazine are lipophilic drugs and have a high volume of tissue distribution,
the degree of fat deposits could potentially act as a storage compartment and affect the
drug release into the blood stream. Thus, as rats get older, and inevitably bigger, less
floor space will be available for locomotor activity. This could very well be an important
factor that would modify drug metabolism. The main objective of this study is to compare the
potential physiological and pharmacokinetic changes associated with the administration of
ketamine and xylazine in rats that have been housed in standard cages (SDC) or in commercial
MLC.
Materials and Methods
Subjects
Sixteen 5- to 6-week-old, specific pathogen free, male Sprague-Dawley (CR1:CD (SD)) rats
were purchased from Charles River (St-Constant, Qc, Canada) for this study [8]. At arrival, the animals were randomly divided into
two housing groups: 1) open-top solid-bottomed cages (43 cm × 22 cm × 20.5 cm=946
cm2 total floor area on a single floor; Ancare, Bellmore, NY, USA) placed on
a stainless steel rack representing the standard housing cage (SDC) and 2) individually
ventilated two-tier cage (46.2 cm × 40.3 × m × 40.4 cm=1,862 cm2 total floor
area on two floors; Tecniplast, West Chester, PA, USA), representing the multilevel cage
(MLC). The rats were co-housed in pairs, resulting in a total of 4 cages per housing
condition, for 12 weeks. All rats were housed in the same animal holding room with
standard laboratory animal environment, under a 12:12 h light cycle in a controlled
environment: temperature (21 ± 2°C) and humidity (50% ± 20%). The rats in the MLC received
75 fresh-filtered air changes an hour, while the SDC were open to the air. The room was
ventilated with 100% fresh air at approximately 15 air changes an hour. The rats had
ad libidum access to standard rodent chow (2920X Irradiated Teklad
Global 19.1% Extruded Protein Rodent Diet, Harlan, Teklad, Bartonville, IL, USA) and tap
water. The animals were housed on corncob bedding (7097 corncob, Harlan Teklad,
Bartonville, IL, USA), had one polychloride vinyl (PVC) tube per cage for environmental
enrichment. All procedures were approved by the Institutional Animal Care and Use
Committee of McGill University and of the Faculty of Veterinary Medicine of the University
of Montreal prior to animal use in compliance with the guidelines of the Canadian Council
on Animal Care [7].
Treatment and physiological parameters
Following the 3 month housing period, twelve of the sixteen rats (n=6 per group) received
ketamine (80 mg/kg IP; Ketalean Bimeda-MTC, Cambridge, Canada) and xylazine (10 mg/kg IP;
Xylamax, Bimeda-MTC, Cambridge, Canada), which represents a standard anesthesia cocktail
commonly used in laboratory rats [13]. Following
the intraperitoneal (IP) ketamine-xylazine (KX) injection, different reflexes and
physiological parameters were monitored at chosen time points (5, 15, 30, 45, and 60 min).
The withdrawal reflex (WR) was evaluated by pressing the interdigital skin of a hind paw
with hemostatic forceps and the palpebral reflex (PR) was evaluated by softly pressing a
cotton-tip on outer corner of the eyes. Reflexes were evaluated by the same experimenter.
A rodent-specific oximeter (CANL-425V, Med Associates, St-Alban, VT, USA) was used to
monitor cardiac frequency and blood oxygen saturation (SaO2) by taping the
probe on the right hind paw, as previously described [13]. Respiratory frequency was taken over 15 sec by direct visual observation
and rectal temperature was taken with a rectal probe (Thermalert TH-8, Physitemp, Clifton,
NJ, USA). The duration of anesthesia was evaluated as the time until the animal became
sternal on its own following the KX injection.
Pharmacokinetic study
The blood sampling method has previously been described [34]. Briefly, blood was collected via the jugular vein (0.2 ml/time point)
immediately following the evaluation of the reflexes and physiological parameters. When
needed (when withdrawal and palpebral reflexes were present), very brief (1–2 min)
isoflurane anesthesia was used (0.5 ml/min oxygen by face mask). This procedure was used
in a comparable percentage of animals, at all individual time points. Blood was collected
at 15 min, 30 min, 1 h, 2 h, 4 h, and 8 h after KX injection. During blood collection,
rats were kept on an electric heating pad; and after sampling they were kept on a heating
disk, until sternally recumbent. Blood was collected in 1 ml microtainer tubes containing
K2EDTA (Becton Dickenson, Franklin Lakes, NJ) and kept on ice until
centrifuged (3,200 g for 8 min) within 30 min of collection. Plasma was
collected and all samples were kept at −80°C pending analysis by high performance liquid
chromatography tandem mass spectrometry (HPLC-MS/MS).
Mass spectrometry and pharmacokinetics
The analysis of ketamine and xylazine was performed using a HPLC-MS/MS that has
previously been described [13]. Pharmacokinetic
parameters of ketamine and xylazine in plasma were calculated using noncompartmental
methods [26]. The AUC from time 0 to the last
measurable concentration (AUC0-t) was calculated using the linear trapezoidal
rule. A terminal rate constant of elimination (Kel) was calculated using a
minimum of three measured plasma concentrations and a terminal elimination half-life
(T1/2) was calculated using (ln 2)/ Kel. The AUC extrapolated to
infinity (AUC∞) was calculated using AUC0-t +
Clast/Kel where Clast was the last measured plasma concentration.
All pharmacokinetic parameters were calculated using WinNonLin 5.2 (Pharsight Corporation,
Mountain View, CA, USA) and plasmatic drug profiles were modelized with WinNonLin.
Post-mortem examination
Immediately after the last blood collection time point (8 h post-KX injection), the
animals were euthanized with CO2 weighed and necropsied. The heart, liver,
kidneys, spleen and adrenal glands were examined, collected, weighed and preserved in a
buffered 10% formalin solution, prior to histological preparation (paraffin embedding;
hematoxylin-eosin staining). Specimens were sent to the Pathology Department of the
Faculty of Veterinary Medicine (University of Montreal) for processing and evaluated by a
board-certified veterinary pathologist).
Statistical analyses
To determine differences in reflexes prevalence between time points, a sign test was used
(corneal and withdrawal reflex results were combined since both were affected the same way
by the anesthesia). A t-test was performed to compare the cage effect on
anesthesia duration and organ weights. As for the physiological (heart rate, respiratory
frequency, oxygen saturation, and rectal temperature) and pharmacokinetic results (T
1/2. Kel, AUC0-t. AUC 0-∞), statistical
analyses were performed for each group using an analysis of variance (ANOVA) linear model
with repeated measures and post hoc Tukey test.
Results
Reflexes and physiological changes
Based on the percentage of animals without WR and PR (Fig. 1) there was no significant difference in anesthesia induction between the two caging
systems: animals in both groups were fully anesthetized at 15 min
(P<0.001). While there was no significant difference in the percentage
of animals without reflexes at 30 min post KX injection, 100% of the animals housed in MLC
(multilevel cages) had reflexes at 45 min, while it took 60 min for 100% of the animals
housed in standard cages (SDC) to recover their reflexes. In fact, the time to sternal
recumbency was significantly shorter (P<0.02) in the rats housed in
MLC (81.5 min ± 20.83), compared to rats from SDC (110 min ± 17.67). It should be noted
that WR and PR were concomitant at all time points.
Fig. 1.
Percent of Sprague Dawley rats (n=6/group; standard housing cage (SDC), multilevel
housing cage (MHC)) showing positive reflexes (withdrawal and palpebral reflexes)
when evaluated at selected time points (5, 15, 30, 45, and 60 min) following the
intraperitoneal administration of ketamine (80 mg/kg) and xylazine (10 mg/kg). The
WR was evaluated by pressing the interdigital skin of a hind paw with hemostatic
forceps, the PR was evaluated by softly pressing a cotton-tip on outer corner of the
eyes. The reflexes were evaluated until animals became sternal.
Percent of Sprague Dawley rats (n=6/group; standard housing cage (SDC), multilevel
housing cage (MHC)) showing positive reflexes (withdrawal and palpebral reflexes)
when evaluated at selected time points (5, 15, 30, 45, and 60 min) following the
intraperitoneal administration of ketamine (80 mg/kg) and xylazine (10 mg/kg). The
WR was evaluated by pressing the interdigital skin of a hind paw with hemostatic
forceps, the PR was evaluated by softly pressing a cotton-tip on outer corner of the
eyes. The reflexes were evaluated until animals became sternal.Cardiac frequency (Fig. 2) did show statistical differences between the two housing conditions, with lower
heart rates at 15 and 30 min post-injection in the rats that were housed in the MLC rats
(P<0.05). Respiratory frequency (Fig. 3) showed a similar decrease at 30 min post-injection for both housing conditions.
However, the MLC rats showed a significant increase in respiratory frequency at 60 min,
compared to the standard condition (P<0.05). Blood oxygen saturation
(Fig. 4) and rectal temperatures (Fig. 5) did not vary significantly between the two groups.
Fig. 2.
Mean ± SE heart rate (beat/min) in Sprague Dawley rats (n=6/group; standard housing
cage (SDC), multilevel housing cage (MLC)) when evaluated at selected time points
(5, 15, 30, 45, and 60 min) following the intraperitoneal administration of ketamine
(80 mg/kg) and xylazine (10 mg/kg). The cardiac frequency was evaluated with a small
animal pulse oximeter by taping the probe on the right hind paw and ended when
animals became sternal. Rats housed in MLC had a significant decrease in cardiac
frequency at 15 and 30 min (*P<0.05).
Fig. 3.
Mean (± SE) respiratory frequency (breaths/min) in Sprague Dawley rats (n=6/group;
standard housing cage (SDC), multilevel housing cage (MLC)) when evaluated at
selected time points (5, 15, 30, 45, and 60 min) following the intraperitoneal
administration of ketamine (80 mg/kg) and xylazine (10 mg/kg). The respiratory
frequency was evaluated by direct visual observation and ended when animals became
sternal. Rats housed in MLC had a significant increase in respiratory frequency at
60 min, compared to the SDC condition (*P<0.05).
Fig. 4.
Mean (± SE) blood oxygen saturation (%) in Sprague Dawley rats (n=6/group; standard
housing cage (SDC), multilevel housing cage (MLC)) when evaluated at selected time
points (5, 15, 30, 45, and 60 min) following the intraperitoneal administration of
ketamine (80 mg/kg) and xylazine (10 mg/kg). The SaO2 was evaluated with
a small animal pulse oximeter by taping the probe on the right hind paw and ended
when animals became sternal. No significant difference between groups.
Fig. 5.
Mean (± SE) rectal temperature (°C) in Sprague Dawley rats (n=6/group; standard
housing cage (SDC), multilevel housing cage (MLC)) when evaluated at selected time
points (5, 15, 30, 45, and 60 min) following the intraperitoneal administration of
ketamine (80 mg/kg) and xylazine (10 mg/kg). The rectal temperature was evaluated
with a rectal probe and ended when animals became sternal. No significant difference
between groups.
Mean ± SE heart rate (beat/min) in Sprague Dawley rats (n=6/group; standard housing
cage (SDC), multilevel housing cage (MLC)) when evaluated at selected time points
(5, 15, 30, 45, and 60 min) following the intraperitoneal administration of ketamine
(80 mg/kg) and xylazine (10 mg/kg). The cardiac frequency was evaluated with a small
animal pulse oximeter by taping the probe on the right hind paw and ended when
animals became sternal. Rats housed in MLC had a significant decrease in cardiac
frequency at 15 and 30 min (*P<0.05).Mean (± SE) respiratory frequency (breaths/min) in Sprague Dawley rats (n=6/group;
standard housing cage (SDC), multilevel housing cage (MLC)) when evaluated at
selected time points (5, 15, 30, 45, and 60 min) following the intraperitoneal
administration of ketamine (80 mg/kg) and xylazine (10 mg/kg). The respiratory
frequency was evaluated by direct visual observation and ended when animals became
sternal. Rats housed in MLC had a significant increase in respiratory frequency at
60 min, compared to the SDC condition (*P<0.05).Mean (± SE) blood oxygen saturation (%) in Sprague Dawley rats (n=6/group; standard
housing cage (SDC), multilevel housing cage (MLC)) when evaluated at selected time
points (5, 15, 30, 45, and 60 min) following the intraperitoneal administration of
ketamine (80 mg/kg) and xylazine (10 mg/kg). The SaO2 was evaluated with
a small animal pulse oximeter by taping the probe on the right hind paw and ended
when animals became sternal. No significant difference between groups.Mean (± SE) rectal temperature (°C) in Sprague Dawley rats (n=6/group; standard
housing cage (SDC), multilevel housing cage (MLC)) when evaluated at selected time
points (5, 15, 30, 45, and 60 min) following the intraperitoneal administration of
ketamine (80 mg/kg) and xylazine (10 mg/kg). The rectal temperature was evaluated
with a rectal probe and ended when animals became sternal. No significant difference
between groups.
Pharmacokinetics
Mean pharmacokinetic parameters (± SD) are presented in Table 1 and mean concentration-time curves for ketamine, norketamine and xylazine
are shown in Figs. 6, 7, 8 respectively. Although the ketamine exposure (AUC0-t and
AUC0-∞) was not statistically different in the two housing conditions, the
terminal elimination time increased (P<0.02) and the apparent
clearance decreased (P<0.002) significantly in rats housed in MLC. The
norketamine, a metabolite of ketamine, had a trend for lower overall drug exposure time in
the rats housed in MLC, although these results were not statistically significant. In the
plasma concentration-time curve for norketamine (Fig.
7), a peak at time point 1 h can be observed in the rats from SDC
(P<0.05). Finally, for xylazine, the pharmacokinetic analyses and
plasma concentration-time curves were strikingly similar for both rat housing groups
(Fig. 8).
Table 1.
Mean (± SD) plasmatic pharmacokinetic parameters
following a single intraperitoneal (IP) injection of ketamine (80 mg/kg) and
xylazine (10 mg/kg) administered to male Sprague-Dawley rats (n=6/group) housed in
two different caging systems (standard cages (SDC) and multilevel cages
(MLC)
Units
SDC
MLC
Ketamine
AUC0-t
μg.h/ml
5.11 ± 0.95
5.45 ± 0.20
AUC0-∞
μg.h/ml
6.63 ± 0.29
8.37± 1.33
Kel
h-1
0.183 ± 0.057
0.140 ± 0.044
T1/2
h
4.13 ± 1.35
8.5 ± 5.2*
Cmax
μg/ml
3.19 ± 1.93
2.84 ± 0.74
CL/F
ml/h
12.42 ± 0.57
9.77 ± 1.64*
Norketamine
AUC0-t
μg.h/ml
10.78 ± 2.99
8.88 ± 1.68
AUC0-∞
μg.h/ml
13.25 ± 0.062
12.85 ± 3.49
Kel
h-1
2.18 ± 0.062
0.165 ± 0.075
T1/2
h
3.46 ± 1.19
4.92 ± 1.99
Cmax
μg/ml
4.13 ± 1.62
3.17 ± 0.48
Xylazine
AUC0-t
μg.h/ml
0.877 ± 0.062
0.896 ± 0.079
AUC0-∞
μg.h/ml
1.032 ± 0.183
1.023 ± 0.055
Kel
h-1
0.257 ± 0.090
0.267 ± 0.066
T1/2
h
3.04 ±1.24
2.72 ± 0.61
Cmax
μg/ml
0.452 ± 0.113
0.438 ± 0.069
CL/F
ml/h
9.91 ± 1.54
9.80 ± 9.76
AUC0-t (Area Under Curve from time zero to the last measurement
concentration); T1/2 (terminal elimination half-life); Cmax
(maximum plasmatic concentration); CL/F (relative clearance rate) . Variance (ANOVA)
linear model with repeated measures and Post hoc Tukey statistical analyses were
used to compare both groups. *Values significantly different
(P<0.02).
Fig. 6.
Semi-logarithmic graph of the concentration-time profiles (Mean ± SD) of ketamine
in Sprague-Dawley rats (n=6/group; standard housing cage (SDC), multilevel housing
cage (MLC)) following the intraperitoneal administration of ketamine (80 mg/kg) and
xylazine (10 mg/kg). No significant difference between groups.
Fig. 7.
Semi-logarithmic graph of the concentration-time profiles (Mean ± SD) of
norketamine in Sprague-Dawley rats (n=6/group; standard housing cage (SDC),
multilevel housing cage (MLC)) following the intraperitoneal administration of
ketamine (80 mg/kg) and xylazine (10 mg/kg). A peak at time point 1 hr can be
observed in the rats housed in SDC, compared to rats housed in MLC
(*P<0.05).
Fig. 8.
Semi-logarithmic graph of the concentration-time profiles (Mean ± SD) of xylazine
in Sprague-Dawley rats (n=6/group; standard housing cage (SDC), multilevel housing
cage (MLC)) following the intraperitoneal administration of ketamine (80 mg/kg) and
xylazine (10 mg/kg). No significant difference between groups.
AUC0-t (Area Under Curve from time zero to the last measurement
concentration); T1/2 (terminal elimination half-life); Cmax
(maximum plasmatic concentration); CL/F (relative clearance rate) . Variance (ANOVA)
linear model with repeated measures and Post hoc Tukey statistical analyses were
used to compare both groups. *Values significantly different
(P<0.02).Semi-logarithmic graph of the concentration-time profiles (Mean ± SD) of ketamine
in Sprague-Dawley rats (n=6/group; standard housing cage (SDC), multilevel housing
cage (MLC)) following the intraperitoneal administration of ketamine (80 mg/kg) and
xylazine (10 mg/kg). No significant difference between groups.Semi-logarithmic graph of the concentration-time profiles (Mean ± SD) of
norketamine in Sprague-Dawley rats (n=6/group; standard housing cage (SDC),
multilevel housing cage (MLC)) following the intraperitoneal administration of
ketamine (80 mg/kg) and xylazine (10 mg/kg). A peak at time point 1 hr can be
observed in the rats housed in SDC, compared to rats housed in MLC
(*P<0.05).Semi-logarithmic graph of the concentration-time profiles (Mean ± SD) of xylazine
in Sprague-Dawley rats (n=6/group; standard housing cage (SDC), multilevel housing
cage (MLC)) following the intraperitoneal administration of ketamine (80 mg/kg) and
xylazine (10 mg/kg). No significant difference between groups.
Body weights, organs weights and histopathology
The body weights of the animals were taken at the time of euthanasia. No differences were
found between housing conditions, with the average weight of 720.4 ± 79.2 g for rats from
SDC, compared to 695.8 ± 63.1 g in rats housed in MLC. Heart, kidney and spleen weights
were similar in both conditions. The average in liver:body weight ratio was significantly
heavier in rats housed in SDC compared to the livers of the MLC housed rats (39.9 ± 6.5 mg
compared to 32.5 ± 2.5 mg, P<0.05). Interestingly, a similar finding
was observed for the adrenal glands:body weights ratios (0.13 ± 0.02 mg compared to 0.11 ±
0.02 mg, P<0.05). No lesions were observed in the selected tissues
from animals of either housing condition.
Discussion
In this study, ketamine (80 mg/kg) and xylazine (10 mg/kg) caused a short duration
anesthesia that was significantly decreased in rats housed in MLC, compared to rats from
SDC. The recovery of the withdrawal and palpebral reflexes, and the time-to-sternal all
occurred earlier in MLC housed rats, suggesting an effect of housing on the physiology of
the rats. Cardiac frequency decreases at 15 and 30 min after the ketamine-xylazine (KX)
injections. Respiratory frequency, blood oxygen saturation and rectal temperatures during
anesthesia did not vary significantly between conditions. While xylazine and norketamine
pharmacokinetics were unchanged with caging conditions, the clearance and half-lives of
ketamine were altered in the rats housed in MLC. Interestingly the plasma concentration of
norketamine was decreased at 1 h post-KX administration for the animals housed in the MLC.
Finally, while no difference was ultimately seen in rat weights and histopathology of filter
organs (liver and kidneys), liver and adrenal gland weights were significantly lighter in
rats housed in MLC. These changes suggest a noticeable effect of housing on metabolic
processes and possible stress response, resulting in differences in anesthetic outcomes.Anesthesia durations in rats housed in SDC were similar to those previously reported for
age-matched individuals (5- to 6-month-old rats) [13]. Interestingly, the rats housed in MLC had anesthesia depths more similar to
3-month-old rats from the same previous study. In addition, while the initial heart rates
were similar in both conditions, the rats housed in MLC had lower heart rates during the
anesthesia than the rats housed in SDC. This could potentially be explained by an increase
in activity level, benefiting overall the cardiovascular system [19, 36]. While the potential
activity levels of the caged rats was not directly observed in this study, Wheeler
et al. recorded the activity levels and location of rats in identical MLC
and established that the rats housed in MLC had significantly increased active behaviours,
and this difference was mostly found during the light cycle [35].Respiratory frequency showed a similar decrease during anesthesia for both housing
conditions, except for the notable increase at 60 min for the MLC housed rats, justified by
their speedy recovery. Surprisingly, the blood oxygen saturation was similar for both
conditions, reaching its maximum at 60 min for both conditions, indicating that the recovery
phase for SDCrats was prolonged despite near normal awake values (>95%).The combination of ketamine and xylazine is the first choice of injectable anesthetic drugs
for rodent species, and results in an effective and safe plane of anesthesia [1, 5, 16]. Ketamine induces immobilization, analgesia, and
hypotension, while xylazine complements with muscle relaxation and further analgesia
properties. Both drugs are metabolised by hepatic CYP3A enzymes and excreted by the kidneys.
More specifically, ketamine is first biotransformed into norketamine by CYP3A4, followed by
further demethylation and hydroxylation steps into dehydronorketamine and hydroxynorketamine
by CYP2A6 and CYP2B6. Norketamine, the major metabolite, is potent anesthetically, acting
similarly as an NMDA receptor antagonist, while hydroxynorketamine is a nicotinic
acetylcholine receptor antagonist and thus has no anesthetic properties [18, 20]. Xylazine,
on the other hand, has been shown to be metabolised into at least 20 different metabolites
[23, 24] and
could be differently affected. We have previously shown that an increase in the depth and
duration of KX anesthesia is observed with aging (12- and 18-month-old vs. 3- and
6-month-old rats). This change in drug metabolism was, in part, explained by the rapid
norketamine saturation of the CYP3A enzyme active sites in liver S9 fractions in older rats,
compared to younger rats, rendering ketamine metabolism less effective, thus increasing its
drug exposure (AUC) and decreasing its elimination [34]. In our pharmacokinetic evaluation, we noted a peak in norketamine at 60 min
in the SDCrats, possibly justified by a possible saturation of the hepatic enzymes and most
likely associated with a greater depth of anesthesia. Cytochrome P450 expression and
function are influenced by obesity levels, such as CYP3A hepatic expression levels are
increased in high-fat fed Sprague-Dawley rats [14],
whereas decreased activity has previously been linked to obesity in humans [4]. In addition, liver transcriptomics analysis of mouse
induced obesity models revealed a global dysregulation of Cyp genes, most
notably in the Cyp3a and Cyp2c families [11]. Similar changes were also observed in diet-induced
metabolic syndrome in guinea pigs, where decreases CYP3A expression and activity were
observed in high-fat high-sucrose and high-fat high-fructose diets [25]. Downstream enzymes that metabolize norketamine, notably CYP2B6 and
CYP2A6 could also be affected. Studies have shown that increasing activity can increase
muscular blood flow and decrease hepatic and renal blood flow, thus in turn affecting
pharmacokinetics of that possesses high hepatic extraction and renal clearance [3, 18]. This in
turn, could at least in part explain the increase in half-life and decrease in clearance of
ketamine in the rats housed in MLC, compared to the SDC. In addition, since ketamine and
xylazine are lipophilic drugs and have a high volume of tissue distribution, the degree of
fat deposits could also act as a storage compartment and affect the drug release into the
blood stream. Altogether the depth of anesthesia is decreased in MLC cages rats and this
seems to be associated with a decrease of the norketamine seen at 1 h post KX injection,
although ketamine plasmatic concentration is similar in animals from both caging system. In
the elimination phase, terminal elimination half-life (T1/2) of ketamine was
increased and relative clearance rate (CL/F) was decreased significantly in rats housed in
MLC which suggests a decreased ketamine metabolism or a modification in the distribution of
the drug. Both of these observations are related to different phase of the drug metabolism
and both ketamine and norketamine seems to be differently affected in early and late phases
of their metabolism.In this study, while we did not verify for differences in hepatic liver enzymes, a notable
difference was seen in liver sizes between conditions, with the SDC having notably heavier
livers. No histological differences were noted between animal. This macroscopic change
suggests a change in the liver function, thus affecting the ketamine and norketamine
metabolism, which in turn led to a significant increase in drug exposures (AUC) and
impedance in their clearance.An important desired feature of the MLC system for rats is the potential ability to
decrease overall stress of the animal. It is generally accepted that environmental
enrichment is critical for the wellbeing of the animal and a way to reduce anxiety and
stereotypic behaviors [27, 28, 37]. Cage size can be
considered an environmental enrichment as rats showed a significant preference for larger
cages [28]. Many published articles have previously
studied the impacts of environmental enriched housing systems. When given vertical space,
laboratory rats spent between 5.5 and 8.7% of their daily locomotor activity in bi-pedal
posture, suggesting that upright standings is an integral part of the rat’s natural ethogram
[6]. In a study where rats were required to be
bi-pedal in order to reach their food and water for a period of 12 weeks, the rats had
improved hind limb mass and decreased bone loss in 6-month-old orchidectomized rats [38]. In fact, provision of complex and enhanced vertical
space can result in a positive emotional affective state in rats [35]. Various environmental enrichments can also have an impact on the
pharmacological effects of drugs. Male rats housed in larger cages (2,052 cm2) in
larger groups (4 /cage) for 4 weeks showed a decreased effect of diazepam in the elevated
plus-size maze test, and an increased sensitivity to amphetamine on the home cage activity
test, compared to isolated standard caged rats. These larger cages also affected food
consumption, as the animals were significantly lighter than the isolated control rats [29]. In the study herein, it should be noted that food
consumption (data not shown) and body weights between groups did not vary between
conditions. This finding could vary according to specific strain used, as Sprague-Dawley
rats were seen to lose the least amount of weight when given a running wheel, compared to
other strains [15]. Alternative sources of
environmental enrichment (crinkled paper, wooden blocks), in exception to the PVC tube, was
not added to the cages to mimic standard rat housing practices in North America.The use of MLC have yielded positive alterations in the animal’s behavior, such that rats
housed in similar MLC with post-sciatic nerve injuries showed more explorative behaviours
and reduced anxiety [33]. In a recent article,
Gaskill et al .have observed more rat press postures, in which male or
female rats press their ventrum into the cage floor or against a vertical surface [12]. This behavior has been associated with possible
stress or crowding, as the frequency of press postures was seen to increase with litter age
in smaller commercial rat cages. In another report, neutrophil:lymphocyte ratio was
significantly increased in rats with restricted access to the bottom floor of MLC after
being allowed full access, compared to control rats in SDC, suggesting a chronic distress
response after environmental change [35]. In the
present study, we measured the relative adrenal gland: body weight ratios and were found to
be greater for rats housed in the smaller, SDC, compared to rats housed in the MLC,
suggesting a chronic increase in adrenocortical activity and thus, environmental-associated
stress [2, 32].Despite the constant need of improving laboratory animal welfare, researchers are often
reluctant to change the environment of their research animals in fear that it will impact
the animal’s biological and physiological parameters, thus potentially changing the
experimental results. As this report demonstrates, changing housing conditions to a MLC
system may affect physiology and pharmacokinetic, requiring adaptations to current
procedures, such as anesthesia, and validation of drug metabolism, distribution and
elimination. For instance, an increase in anesthesia dosages would be required for longer
procedures. On the other hand, earlier recovery times can also have its benefits when
performing shorter procedures. Nonetheless, housing rats in MLC may very well be a better
representation of physiological processes, as opposed to rats housed in small standard cages
that limit locomotion and natural posture. Validation and proper controls are thus important
to fully compare the experimental variable in question, as opposed to rely on historical
controls which can incorporate a multitude of biases. In conclusion, long term housing of
laboratory rats in commercial MLC systems, compared to SDC systems, while having a positive
impact on wellbeing, can alter anesthetic drug metabolism and thus modify certain anesthesia
parameters and associated physiological processes.
Authors: Sandra Buitrago; Thomas E Martin; Joanne Tetens-Woodring; Alan Belicha-Villanueva; Gregory E Wilding Journal: J Am Assoc Lab Anim Sci Date: 2008-01 Impact factor: 1.232
Authors: Margreke J Brill; Anne van Rongen; Eric P van Dongen; Bert van Ramshorst; Eric J Hazebroek; Adam S Darwich; Amin Rostami-Hodjegan; Catherijne A Knibbe Journal: Pharm Res Date: 2015-07-23 Impact factor: 4.200
Authors: Mare Mechelinck; Carolin Kupp; Johanne C Krüger; Moriz A Habigt; Marius J Helmedag; René H Tolba; Rolf Rossaint; Marc Hein Journal: PLoS One Date: 2019-12-13 Impact factor: 3.240