Monkey Tissue
All monkey brain specimen sources (long-tailed macaque; Macaca fascicularis) were acquired from an existing bank of para-formaldehyde fixed monkey brain tissues. Monkeys were previously housed in the University of Pittsburgh Plum Animal Facility, and husbandry and animal care were performed daily by University of Pittsburgh Division of Laboratory Animal Research staff. Animals were euthanized in 1990 and brain sections carefully processed and stored until use as described below.
Brain specimens from two adult male monkeys (5 to 6 years of age) were utilized for fluorescent microscopy. Monkeys were deeply anesthetized with ketamine hydrochloride (25 mg/kg) and sodium pentobarbital (30 mg/kg), intubated, mechanically ventilated with 28% O2/air, and perfused transcardially with ice-cold 1% paraformaldehyde in 0.1 M phosphate buffer (pH 7.4) followed by 4% paraformaldehyde in phosphate buffer, as previously described23. Brains were immediately removed, blocked into 5- to 6-mm-thick coronal blocks, and postfixed for 6 h in phosphate-buffered 4% paraformaldehyde at 4 C. Tissue blocks were subsequently immersed in cold sucrose solutions of increasing concentrations (12%, 16%, and 18%) then stored at -30 C in a cryoprotectant solution containing 30% glycerol and 30% ethylene glycol in diluted phosphate buffer until sectioning. Tissue blocks from the left hemisphere containing the superior frontal gyrus (dorsolateral prefrontal cortex) and superior temporal gyrus (primary and association auditory cortex) were sectioned coronally at 40 um to exhaustion on a cryostat, and every 10th section was stained for Nissl substance with thionin to serve as anatomical references. Unstained sections were stored until processed for immunohistochemistry at -30 C in the same cryoprotectant solution as above.
All methods, including housing and experimental protocols, were carried out in accordance with relevant guidelines and regulations from the United States Department of Agriculture and National Institutes of Health guidelines. All experimental protocols were approved by the University of Pittsburgh’s Institutional Animal Care and Use Committee (IACUC). All methods are reported in accordance with ARRIVE guidelines.
Human Tissue
All human brain specimen sources were collected during autopsies conducted at the Allegheny County Medical Examiner’s Office, Pittsburgh, PA. Samples from three adult male human subjects (48–55 years of age; postmortem interval [PMI] 6–12 h) were obtained following informed consent for brain donation from the next of kin.
None of the subjects had a history of psychiatric or neurologic disorders as determined by information obtained from clinical records and a structured interview conducted with a surviving relative by an independent committee of experienced research clinicians. This included any known history of cannabis use or use disorders from interview and review. See Table 1 for subject demographics. Following retrieval of brain specimens, the left hemisphere was cut into 1.0–2.0 cm-thick coronal blocks and fixed for 48 h in phosphate-buffered 4% paraformaldehyde at 4 C. Tissue blocks were subsequently immersed in graded cold sucrose solutions then stored at -30 C in the cryoprotectant solution as described previously until sectioning.
Table 1
Demographic information of subjects from which postmortem human brain samples were obtained. PMI = postmortem interval between which subjects were deceased and samples were harvested measured in hours.
Subject ID | Sex | Race | Age | PMI |
Hu681 | Male | White | 51 | 11.6 |
Hu857 | Male | White | 48 | 16.6 |
Hu1284 | Male | White | 55 | 6.4 |
Tissue blocks containing the superior frontal gyrus (dorsolateral prefrontal cortex) and superior temporal gyrus (containing the primary auditory cortex) were sectioned coronally at 40 um on a cryostat, and every 40th section was stained for Nissl substance with thionin to serve as anatomical references. Unstained sections were stored until processed for immunohistochemistry at -30 C in the same cryoprotectant solution as above.
All methods were carried out in accordance with relevant guidelines and regulations from the University of Pittsburgh’s Committee for the Oversight of Research and Clinical Trials Involving Decedents. All experimental protocols were approved by the University of Pittsburgh’s Institutional Review Board for Biomedical Research.
Immunohistochemistry
For each monkey and human subject, a free-floating tissue section containing the region of interest, identified using neighboring Nissl-stained sections was used. Sections were washed in 0.1 M phosphate-buffered saline (PBS) then incubated for 75 min in 0.01 M sodium citrate solution at 80°C to retrieve antigens and enhance immunohistochemical labeling24. After cooling to room temperature (RT), sections were immersed in 1% sodium borohydride for 30 min at RT to reduce background autofluorescence25. This was followed by membrane permeabilization with 0.3% Triton X-100 in PBS for 30 min at RT. Sections were then blocked with 20% normal goat serum in PBS for 2 hours at RT to reduce nonspecific antibody binding, followed by incubation for 72 hours at 4°C in PBS containing 2% normal goat serum and primary antibodies.
The primary antibodies used include monoclonal mouse anti-vGAT antibody (1:500; Synaptic Systems, Göttingen, Germany; product # 131011) - which label intracortical excitatory boutons; polyclonal guinea pig anti-vGlut1 antibody (1:500; Millipore Sigma, Burlington, MA; product # AB5905) - which label intracortical inhibitory boutons, and polyclonal rabbit anti-CB1R antibody (1:2000; Synaptic Systems, Göttingen, Germany; product # 258003). We previously demonstrated successful and specific vGAT and vGlut1 labeling in human and non-human primate postmortem studies using the aforementioned antibodies26–29. The CB1R antibody demonstrated successful co-labeling with both vGAT and vGlut1 in neuronal cultures30. In addition, vGAT antibody specificity was validated through knockout tissue samples31, vGlut1 antibody through pre-adsorption control (Millipore certificate of analysis, 2016), and CB1R antibody through knockout samples32.
Post primary antibody incubation, sections were rinsed for 2 h (4 × 30 min) in PBS and incubated for 24 h in PBS containing 2% normal goat serum and secondary antibodies (goat host) conjugated to Alexa 488 (1:500; vGlut1), Alexa 568 (1:500; CB1R) and Alexa 647 (1:500; vGAT; Invitrogen, Grand Island, NY, for all Alexa antibodies) at 4°C. Sections were then rinsed for 2 h in PBS (four rinses of 30 min each), mounted on gelatin subbed slides, cover slipped (ProLong Gold antifade reagent, Invitrogen), sealed with clear nail polish along coverslip edges, and stored at 4°C until imaged.
Tissue sampling
Sampling procedure was as previously described33,34. Contours outlining each cortical section were drawn in Stereo Investigator version 8 (MicroBrightField Inc., Natick, MA). To ensure representative sampling of the complete gray matter in each brain region, for each section, image stacks were obtained from six to ten randomly chosen sites for each cortical layer. Layers were determined by measurements made in nearby Nissl-stained sections. At each sampling site, tissue thickness (z-axis depth) was measured and divided by 40 µm (original sectioned thickness) to correct for shrinkage during tissue processing.
Confocal microscopy
Microscopy equipment and capturing parameters were as previously described (McKinney et al, 2019). Data were collected using a 60 × 1.40 numerical aperture supercorrected oil immersion objective mounted on an Olympus BX51Wl upright microscope (Olympus America Inc., Center Valley, PA) equipped with an Olympus spinning disk confocal unit, Hamamatsu Orca R2 camera (Hamamatsu, Bridgewater, NJ), MBF CX9000 front mounted digital camera (MicroBrightField Inc., Natick, MA), BioPrecision2 XYZ motorized stage with linear XYZ encoders (Ludl Electronic Products Ltd., Hawthorne, NY), excitation and emission filter wheels (Ludl Electronic Products Ltd., Hawthorne, NY), Sedat Quad 89000 filter set (Chroma Technology Corp., Bellows Falls, VT), and a Lumen 220 metal halide lamp (Prior Scientific, Rockland, MA).
The equipment was controlled by SlideBook 6.0 (Intelligent Imaging Innovations, Inc., Denver, CO), which was the same software used for post-image processing. Three-dimensional image stacks (two-dimensional images successively captured at intervals separated by 0.25 mm in the z-dimension) were acquired with a total depth spanning 20% of tissue thickness, starting from the plane furthest away from the coverglass and stepping up until tissue surface was reached. Image planes were 512 × 512 pixels (55 × 55 µm) in the XY dimension. Stacks were collected using optimal exposure settings (i.e., those that yielded the greatest dynamic range possible for the camera with no saturated pixels). Z-axis positions were normalized to original section thickness, and exposures were normalized for each image capture, during post-image processing prior to analysis.
Image processing
Images were processed as previously described35,36 using SlideBook with keystrokes automated by Automation Anywhere software (Automation Anywhere, Inc., San Jose, CA). Image stacks were deconvolved using AutoQuant’s blind deconvolution algorithm (MediaCybernetics, Rockville, MD). After deconvolution, separate Gaussian channels were made for each deconvolved channel by calculating a difference of Gaussians filters generated using sigma values of 0.7 and 2. These Gaussian channels, which enhance the demarcation of immunofluorescence edges, were used for data segmentation.
Segmentation of the Gaussian channels was performed using an iterative combined intensity/morphologic thresholding algorithm as previously described26. After obtaining an initial value for iterative segmentation for each channel derived using Otsu’s method within Slidebook, each subsequent iteration increased threshold by 50 gray levels, and object masks were size gated within a range of 0.03 and 2.0 µm3. After each segmentation, masked objects were merged with prior iterations, with the final resulting masks copied back onto the original deconvolved channels (i.e., without Gaussian subtraction), to obtain pixel intensity information. Lipofuscin, an autofluorescent lysosomal degradation product, which may confound quantitative fluorescence measures in human postmortem tissues, was excluded by imaging of lipofuscin using a separate channel at a constant exposure time across all sections.
After generating vGAT and vGlut1 masks encompassing individual boutons, mean CB1R intensity underneath each masked object was obtained for each bouton type. These mean intensities were then averaged across all boutons per sampled site for each bouton type. The resulting cell type specific mean CB1R intensity value per sampled site, measured in analog-to-digital units (ADU), served as the dependent measure.
Statistical analysis
Prior to conducting analyses, fluorescent intensity data were filtered to ensure accurate representation of receptor labeling. Specifically, based upon examination of antibody signal penetrance across tissue thickness, only those objects falling within 2 to 4 µm from tissue surface after correcting for tissue shrinkage were included in the analyses. In addition, to prevent potential spherical aberration confounding intensity measurements, signals falling within the upper and lower 2% of the x- and y-dimensions were excluded from analyses. To further ensure accurate capture of cell type specific measurements, objects overlapping both vGlut1 and vGAT masks were excluded from analysis.
All data were expressed as mean ± standard deviation. To analyze brain region and cell type specific differences in CB1R intensity, a mixed model analysis of variance was used to account for nested correlations (multiple cell types within each sampled site and multiple sampled sites within each brain region). Brain region, cell type, and brain region by cell type are entered as fixed effects, and subject is input as a random effect. Significant differences were followed by post hoc Bonferroni tests. For all analyses, p < 0.05 was considered statistically significant.