Urea is an Ideal Additive to the Accu-OptiClearing Delipidation Cocktail? An Optimized Study

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Abstract The brain is a complicated tissue with high lipid content. Different tissue clearing methods have been used to study its complex structures and functions. However, the balance between myelin preservation and clearing efficiency remains an obstacle in brain tissue clearing. In the previous study, Accu-OptiClearing has been developed to overcome this challenge by combining detergent and RI matching solution in the delipidation solution. This successfully preserves brain tissue structure and lipid content, but the clearing efficiency can be further improved. Here, we investigated the effects of adding urea as a non-detergent permeabilizing agent to the delipidation solution of Accu-OptiClearing by measuring the clearing efficiency, protein loss, tissue size change and myelin preservation. Different concentrations of urea (2M, 4M, 6M and 8M) were added to the 10% HxD-OPTIClear solution for comparison. From the results, we found that the 2M urea additive can achieve sufficient improvement in clearing efficiency with unchanged tissue preservation and probe compatibility. These findings demonstrate that the addition of non-detergent urea could potentially modify the Accu-OptiClearing delipidation solution. Hence, it opens room for screening other non-detergent chemicals in optimizing the Accu-OptiClearing delipidation cocktail for future neuroscience studies.
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Urea is an Ideal Additive to the Accu-OptiClearing Delipidation Cocktail? 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An Optimized Study Michael Siu-Lun Lai, Wai Man Chick, Man Hoi Law, Raymond Chuen-Chung Chang This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-6517663/v1 This work is licensed under a CC BY 4.0 License Status: Published Journal Publication published 14 Dec, 2025 Read the published version in Scientific Reports → Version 1 posted 10 You are reading this latest preprint version Abstract The brain is a complicated tissue with high lipid content. Different tissue clearing methods have been used to study its complex structures and functions. However, the balance between myelin preservation and clearing efficiency remains an obstacle in brain tissue clearing. In the previous study, Accu-OptiClearing has been developed to overcome this challenge by combining detergent and RI matching solution in the delipidation solution. This successfully preserves brain tissue structure and lipid content, but the clearing efficiency can be further improved. Here, we investigated the effects of adding urea as a non-detergent permeabilizing agent to the delipidation solution of Accu-OptiClearing by measuring the clearing efficiency, protein loss, tissue size change and myelin preservation. Different concentrations of urea (2M, 4M, 6M and 8M) were added to the 10% HxD-OPTIClear solution for comparison. From the results, we found that the 2M urea additive can achieve sufficient improvement in clearing efficiency with unchanged tissue preservation and probe compatibility. These findings demonstrate that the addition of non-detergent urea could potentially modify the Accu-OptiClearing delipidation solution. Hence, it opens room for screening other non-detergent chemicals in optimizing the Accu-OptiClearing delipidation cocktail for future neuroscience studies. Biological sciences/Biological techniques/Imaging/Fluorescence imaging Biological sciences/Biological techniques/Imaging/Optical imaging Tissue clearing Transparent brain Myelin preservation Tissue size preservation Neural tracing Three-dimensional imaging Figures Figure 1 Figure 2 Figure 3 Figure 4 Introduction As the most delicate organ in the body, the brain comprises over billions of neurons connected in different manners, forming a complex network 1 . Although 2D brain sections were commonly used in neuroscience studies, they are not sufficient to represent the integrity of the complicated connections inside the brain because of the information loss and tissue structural deformation during serial sectioning 2 – 4 . After the invention of confocal microscopes, optical sectioning has replaced physical sectioning by filtering the out-of-focus light during detection 5 . The technique has been further developed as the light sheet microscopes with minimized phototoxicity and increased imaging speed 6 . The optical sectioning technique serves as the basis for 3D brain imaging. However, the opacity of the brain tissues remains the major challenge. In recent years, the tissue clearing technique has been developed to minimize opaqueness by matching the refractive index (RI) within the tissues 7 , 8 . The light intensity passing through an object determines the transparency, while the tissue clearing technique maximizes this light transmittance by minimizing light absorption and light scattering inside the tissues 9 – 11 . The hemoglobin in the blood is a common chromophore that absorbs light and limits the transparency of the brains 12 , 13 . Therefore, transcardial perfusion with buffered solutions is a common step in tissue clearing to wash out the blood and remove hemoglobin 11 . As a significant factor of opacity, light scattering results from the refraction and Fresnel reflection caused by the RI mismatches between different compartments inside the tissues 12 . Different tissue clearing methods correct the RI mismatches through different processes, including decolorization, delipidation, dehydration, hyperhydration and RI matching 8 , 14 . Based on the clearing processes and chemicals, the tissue clearing methods can be divided into three groups, including the hydrophobic methods, the hydrophilic methods and the hydrogel-based methods 8 . The hydrophobic methods, such as uDISCO (ultimate DISCO), FDISCO (DISCO with superior fluorescence-preserving capability) and SHANEL (small-micelle-mediated human organ efficient clearing and labeling), use organic chemicals to allow high clearing efficiency with the drawbacks of tissue shrinkage, chemical toxicity and incompatibility with specific probes 15 – 17 . The hydrophilic methods, such as Sca l e, Sca l eS, CUBIC (clear, unobstructed brain imaging cocktails and computational analysis) and CUBIC-X, use aqueous solutions and show high compatibility to different fluorescent probes but with tissue expansion from hydration 18 – 21 . The hydrogel-based methods, such as CLARITY (Clear Lipid-exchanged Acrylamide-hybridized Rigid Imaging/Immunostaining/In situ hybridization-compatible Tissue-hYdrogel), PACT (passive CLARITY technique) and SHIELD (stabilization under harsh conditions via intramolecular epoxide linkages to prevent degradation), allow efficient delipidation under hydrogel protection but with transient tissue expansion and high complexity of gel-setup procedures 22 – 24 . As a result, preservations of tissue size and lipid content are still two challenges of the conventional clearing methods. To overcome these problems, we have previously developed Accu-OptiClearing (Accurate delipidation with Optimal Clearing). It is a strategy of combining the RI matching solution, Optical Properties-adjusting Tissue Clearing agent (OPTIClear), with the detergent to form delipidation solutions. It was found that the Accu-OptiClearing strategy is compatible with different detergents and has great effects on tissue size and lipid preservation by preventing excessive delipidation 25 . However, the clearing efficiency in large tissues remains a limitation in Accu-OptiClearing. Hence, we proposed that adding other non-detergent materials to the delipidation solution could enhance clearing efficiency while maintaining the lipid-preserving ability of the Accu-OptiClearing method. As a denaturant and permeabilizing agent, urea was selected as a potential additive to the delipidation solution to enhance the clearing efficiency 26 . In this study, the clearing efficiency, tissue size preservation, tissue protein loss and probe compatibility of the urea additives have been assessed. Results Modification of Accu-OptiClearing delipidation solution by urea additives In the previous study, 1,2-hexanediol (HxD) was found to be compatible with OPTIClear to form the 10% HxD-OPTIClear solution, which has the highest clearing efficiency in Accu-OptiClearing for rat brain hemispheres 25 . Therefore, 10% HxD-OPTIClear was used as the basal delipidation solution to test the effects of urea additives in this study. Different clearing solution candidates were prepared by adding serial concentrations of urea (2 M, 4 M, 6 M, and 8 M) to the 10% HxD-OPTIClear solution. These solution candidates, together with the 10% HxD-OPTIClear basal solution and the 8% sodium dodecyl sulphate (SDS) solution used in PACT 24 , were compared based on clearing efficiency, tissue protein loss, and tissue size change in clearing rat brain hemispheres. Phosphate-buffered saline (PBS) was used as the incubation solution for the uncleared controls. After post-fixation, the hemispheres were incubated in different solutions for 28 days. The tissue transparency and the tissue protein loss were assessed by measuring the absorbance of the tissues and the protein amounts in the clearing solutions on Day 28, respectively. During the clearing, bright-field images of the hemispheres were taken at 3–4 days intervals to monitor the tissue size change ( Fig. 1 A ) . From the measured tissue absorbance at 750 nm, the transmittance percentage was calculated through the equation: % Transmittance = 10 −(Absorbance −2) . Therefore, higher tissue transparency correlates to lower tissue absorbance and a higher transmittance percentage. From the results of calculated transmittance, the 10% HxD-OPTIClear solution and all the urea additive candidates achieved significantly higher transparency than the 8% SDS treated and the uncleared brain samples. Among different urea additive candidates, the 8 M urea + 10% HxD-OPTIClear solution showed the highest clearing efficiency, significantly higher than the 10% HxD-OPTIClear basal solution. In comparison, the 2 M urea + 10% HxD-OPTIClear solution showed the second-highest clearing efficiency ( Fig. 1 B ) . The protein loss was assessed by measuring protein amounts in the clearing solutions after 28 days of incubation, in which a higher protein amount in each solution correlates to higher protein loss during delipidation in that condition. The 8% SDS solution was found to have the most protein loss, which is significantly higher than all other solutions. Among the clearing solution candidates, only the 8 M urea + 10% HxD-OPTIClear solution reported a significant increase in protein loss compared to the 10% HxD-OPTIClear basal solution and the PBS control. Other solutions showed no significant protein loss after clearing ( Fig. 1 C ) . For the size change during the 28 days of clearing, the 8% SDS solution caused severe hemisphere swelling throughout the process. Among the clearing solution candidates, the concentrations of the urea additives were found to be positively correlated with the swelling effects of the tissues during clearing. Only the 2 M urea + 10% HxD-OPTIClear solution represented a similar tissue size change as the 10% HxD-OPTIClear condition and the uncleared PBS control during the 28-day clearing ( Fig. 1 D ) . The results were confirmed in the comparison of the tissue sizes on Day 0, Day 14 and Day 28. The 2 M urea + 10% HxD-OPTIClear solution was the only urea additive candidate that showed no significant change in tissue size after clearing ( Fig. 1 E ) . After screening the candidates with different urea concentrations in rat brain hemisphere clearing, the 2 M urea + 10% HxD-OPTIClear solution was selected as the optimized clearing solution based on its properties of enhanced clearing efficiency with preserved protein content and tissue size during delipidation. Hence, the effects of the 2 M urea additive to the clearing solution were further validated in smaller 2 mm rat brain sections after 3 days of clearing, in which the tissue absorbance, tissue size and tissue protein loss were measured ( Fig. 2 A ) . The 2 M urea + 10% HxD-OPTIClear condition was compared with the 10% HxD-OPTIClear basal solution and the 8% SDS solution ( Fig. 2 B ) . For the tissue absorbance and calculated transmittance, the brain sections cleared with the 2 M urea + 10% HxD-OPTIClear solution showed significantly higher transparency than the other two conditions on Day 3 ( Fig. 2 C ) . For the tissue size and protein loss, both 2 M urea + 10% HxD-OPTIClear and 10% HxD-OPTIClear clearing conditions showed no significant difference ( Fig. 2 D-E ) . Collectively, the addition of 2 M urea in the 10% HxD-OPTIClear solution enhances clearing efficiency while preserving the tissue size and protein content after the delipidation process in clearing small and large brain tissues. The modified Accu-OptiClearing is compatible with antibody and myelin staining Next, the staining compatibility of using the 2 M urea + 10% HxD-OPTIClear solution in Accu-OptiClearing was tested by immunostaining and myelin staining. The staining results of this modified clearing solution were compared with those of the 10% HxD-OPTIClear basal solution. For the immunostaining, the antibodies of tyrosine hydroxylase (TH) and Iba-1 were used to stain the rat substantia nigra (SN) and hippocampus regions, respectively. In the TH staining, a similar signal quality of stained dopaminergic neurons was observed in both conditions ( Fig. 3 A ) . In the Iba-1 staining, the rat hippocampus cleared with the 2 M urea + 10% HxD-OPTIClear solution showed a higher z-depth than that cleared with the 10% HxD-OPTIClear solution ( Fig. 3 B ) . In summary, the addition of 2 M urea in 10% HxD-OPTIClear does not compromise the immunostaining signal quality but slightly enhances penetration of the antibodies. For the myelin staining, PM-ML is a newly developed probe with aggregation-induced emission (AIE) properties. It allows strong near-infrared emission in the aggregation state after binding to the myelin sheath 27 . The PM-ML probe was used to stain the striatal regions of the mouse sagittal sections before overnight clearing by the 2 M urea in 10% HxD-OPTIClear, 10% HxD-OPTIClear and 8% SDS solutions. The 8% SDS solution removed almost all the myelin contents, and only weak PM-ML signals were detected. Conversely, both the 2 M urea + 10% HxD-OPTIClear and the 10% HxD-OPTIClear solutions preserved the lipid-rich myelin after clearing, resulting in similar signal quality of the PM-ML staining ( Fig. 3 C ) . Collectively, the 2 M urea + 10% HxD-OPTIClear solution preserves the antigenicity and the myelin of the brain tissues during delipidation. Application of the modified Accu-OptiClearing in neural tracing of VTA-CA1 circuit Apart from the staining probes, endogenous fluorescence is another source of labeling different cells in the brain. Indeed, endogenous fluorescence transduced by viral vectors is commonly used to label neurons and their connections in neural tracing, a technique used to map neural circuits in neuroscience studies 28 . Hence, the compatibility of the 2 M urea + 10% HxD-OPTIClear solution with the virus-transduced endogenous fluorescence was assessed by tracing the known neural circuit connecting the ventral tegmental area (VTA) to the CA1. By using the Antero-System, a dual adeno-associated virus (AAV) tracing system designed in our previous study 29 , the VTA-CA1 circuit was specifically labeled by endogenous EYFP fluorescence. The signals were visualized by confocal microscope after clearing with the 2 M urea + 10% HxD-OPTIClear solution. The EYFP-labeled neurons in the VTA and their axonal projections towards CA1 were detected in a 3D manner, as shown in the orthogonal and color-coded projections ( Fig. 4 A-B ) . This shows that the 2M urea + 10% HxD-OPTIClear solution did not damage the endogenous fluorescent signals in neural tracing. Discussion Delipidation is a crucial process in minimizing the RI mismatches within the tissues during clearing, and it is a standard treatment in most of the hydrophilic, hydrophobic and hydrogel-based clearing methods 8 . This delipidation process removes lipid molecules and potentially causes tissue expansion through hydration 30 , 31 . Therefore, the potential lipid-rich structure disruption and tissue size change problems become common obstacles in maintaining tissue structural integrity during the development of clearing methods. In the previous study, our group has developed a strategy named Accu-OptiClearing to combine detergent with RI matching solution in the delipidation solution 25 . This allows the control of the delipidation extent and prevents excessive lipid removal. Although the tissue structural integrity can be maintained by preserving the lipid content and tissue size, the clearing efficiency of this partial delipidation needs to be improved in clearing brain hemispheres 25 . Here, we tried to modify the 10% HxD-OPTIClear delipidation solution in Accu-OptiClearing by enhancing the clearing efficiency while maintaining the tissue preservation ability. Urea was selected as the non-detergent additive in this study because of its hydrating and denaturing properties, which allow it to increase the fluidity and permeability of the cell membranes 26 , 32 . Then, we hypothesized that urea could facilitate the influx of the clearing solution into the cells, resulting in a potentially enhanced clearing efficiency in Accu-OptiClearing. From the transmittance measurement, the 8M urea additive was found to have the highest transparency, which is significantly higher than the 10% HxD-OPTIClear basal solution in clearing half brains. Furthermore, the 2M urea additive was found to have the second highest transparency in clearing hemispheres and significantly higher transparency than the 10% HxD-OPTIClear basal solution in clearing 2 mm brain sections. Hence, it shows that the addition of urea can improve clearing efficiency in both large and small brain tissues. Apart from the potential expansion in delipidation, other processes in different clearing methods also challenge tissue size preservation. Hyperhydration in CUBIC-based clearing methods leads to tissue expansion 20 , 21 , while dehydration in the DISCO-based clearing methods leads to tissue shrinkage 15 , 17 , 33 . Recently, an innovative hydrophobic clearing method named SOLID (Suppressing tissue distortion based on synchronized dehydration/delipidation treatment with 1,2-hexanediol [1,2-HxD] mixtures) was developed using HxD in the gradient dehydration process 30 . HxD is a neutral delipidation agent used in the CUBIC-based clearing methods and Accu-OptiClearing to show strong lipid removal ability at low concentrations 25 , 34 . Conversely, it was found that HxD also has a strong dehydrating ability as an organic solvent at high concentrations. SOLID manipulates these properties of HxD and preserves tissue size after gradient dehydration/delipidation of increasing concentrations of HxD 30 . Besides, other clearing methods also reported unchanged tissue size after the treatment, including MACS (MXDA-based Aqueous Clearing System) and SHIELD 23 , 35 . In MACS, transient expansion of the tissues was caused by hyperhydration to enhance permeability, and the tissues were shrunk back to their original size after the treatment of the solution with high osmolality 35 . In SHIELD, the tissues were also transiently expanded after delipidation by SDS, but they were shrunk back to normal size after incubation in the RI matching solution 23 . Although SOLID, MACS and SHIELD can successfully preserve tissue size after the clearing procedure, the tissues were transiently expanded during clearing before they shrunk back to their original sizes 30 , 35 , 36 . This expansion-shrinkage process may induce potential distortions in the tissues. In this study, we tested the tissue size preservation of the Accu-OptiClearing delipidation solution after adding different concentrations of urea. As a hydrating agent, urea was reported to cause tissue expansion in the CUBIC-based and Sca l e-based clearing methods 18 – 21 . This is consistent with our results from the brain hemisphere clearing at high urea concentrations. The tissue expansion of the half brains is positively correlated with the concentrations of the urea additives. Among different urea additives, only the 2M urea additive showed no significant swelling compared to the original tissue size. More importantly, the tissue sizes remain constant without transient expansion throughout the 28-day clearing process under the treatment of this 2M urea additive. The tissue size preserving ability of the 2M urea + 10% HxD-OPTIClear solution was validated in clearing 2 mm brain sections, in which no significant tissue size changes have been observed. As a result, we found that the OPTIClear in the clearing solution can preserve the tissue size at low urea concentration. In addition to the tissue size, the protein content is another essential factor in tissue structural preservation. Some tissue clearing methods can potentially induce protein loss during the clearing process because of the denaturants, such as SDS and urea. For example, CLARITY and Sca l e clearing methods have been reported to induce ~ 8% and ~ 41% of protein loss after clearing, respectively 37 . Since the structural proteins in the extracellular matrix are essential in maintaining tissue structure, high-level protein loss may induce tissue distortion and deformation 38 . OPTIClear in the Accu-OptiClearing delipidation solution was reported to preserve the proteins in the presence of SDS denaturant 25 . Hence, we tested whether OPTIClear can preserve the protein content in different urea additives. Similar to the size change measurement, the OPTIClear cannot preserve the tissue protein level at high urea concentrations. The 8M urea additive showed significantly higher protein loss than the 10% HxD-OPTIClear basal solution. Conversely, the 2M urea additive showed no significant protein loss in clearing both half brains and 2 mm brain sections. Collectively, the 2M urea + 10% HxD-OPTIClear solution was selected as the most optimized clearing solution in this study because of the balance between its enhanced clearing efficiency and unchanged tissue preservation ability. The tissue protein content is not only related to the structural integrity but also crucial in preserving antigens and endogenously expressed proteins. This preservation was investigated by the immunostaining and neural tracing in this study, Immunostaining results showed that the addition of 2M urea did not compromise the signal quality of the TH and Iba1 antibodies but also slightly improved the penetration of the Iba1 antibody. Moreover, the neural tracing of the VTA-CA1 circuit also demonstrated the compatibility of this modified clearing solution with the endogenous fluorescence transduced by viral vectors. Apart from the protein probes, lipophilic probes are also important to label myelin structures in brain studies. The lipid-preserving ability of Accu-OptiClearing was already confirmed by the DiI staining 25 . From the results of the PM-ML staining, it was found that the addition of 2M urea into the 10% HxD-OPTIClear did not sacrifice the myelin preservation during delipidation. Altogether, the optimized 2M urea + 10% HxD-OPTIClear solution is compatible with different labeling tools, including immunostaining, myelin staining and neural tracing. Immunostaining, neural tracing and myelin staining are important labeling tools to study different neural structures in physiological and pathological conditions. Under physiological conditions, neural tracing and immunostaining were used to elucidate neuronal connections and corresponding cell types inside the brain, facilitating the understanding of the brain functions in connectomincs 39 , 40 . Under disease conditions, neural tracing and myelin staining could be used to monitor the propagation of pathological molecules and demyelination in neurodegenerative diseases 41 – 44 . Indeed, the application of Accu-OptiClearing with neural tracing and immunostaining was demonstrated in our previous study. This combination of techniques identified the 3D neural circuit with its postsynaptic neuronal subtype and monitored axonal degeneration in disease models 29 . Hence, the modified Accu-OptiClearing in this study can be potentially applied to broad neuroscience studies by allowing a 3D visualization of different neural structures. By different tests, urea was shown to be compatible as an additive to the delipidation solution in Accu-OptiClearing. In the clearing solution, the OPTIClear component was reported to prevent tissue expansion and protein loss caused by SDS in the previous study 25 . Consistently, this preserving ability was proved to be applicable to the urea additive in this study. This opens room for different non-detergent agents to modify the clearing solution in Accu-OptiClearing. Although the urea additive showed enhanced clearing efficiency and penetration depth of antibodies, the clearing cocktail can be further optimized by screening other hydrating and decolorizing additives in the next step. For the hydrating agent, formamide is an uncharged hydrating agent with a stronger permeabilizing property than urea. For the decolorizing agent, Quadrol (N,N,N’,N’-tetrakis(2-hydroxypropyl)ethylenediamine) is an aminoalcohol, which removes the heme chromophore by releasing hemin in CUBIC-based clearing methods 21 , 45 . Indeed, both formamide and Quadrol were shown to be compatible with urea in F-CUBIC (adding formamide to CUBIC) 46 , making them potential additives to the 2M urea + 10% HxD-OPTIClear clearing solution from this study. On the other hand, the m-xylylenediamine (MXDA) used in the MACS clearing method was also reported to cause tissue hyperhydration while decolorizing heme chromophore by releasing iron ions 35 . Hence, it can be another potential additive to the Accu-OptiClearing delipidation solution in future studies. In conclusion, the addition of urea to the delipidation solution can improve the clearing efficiency and antibody penetration in Accu-OptiClearing. The 2M urea was screened as the optimal concentration, in which the OPTIClear solution can counteract the potential protein loss and tissue expansion during clearing. As a result, 2M urea + 10% HxD-OPTIClear was found to be the optimized clearing solution because of its (a) improved clearing ability, (b) tissue structural preservation, and (c) compatibility with different probes. This enables the future application of this optimized clearing solution in neuroscience studies through neural tracing and myelin labeling. Methods Animals All animal handling procedures and surgery in this study were conducted according to, and ethical approved by the guidelines from the Department of Health, the Hong Kong SAR government, and approved by the Committee on the Use of Live Animals in Teaching and Research (CULATR) in the Comparative Medicine Research (CCMR), The University of Hong Kong (CULATR number 4782-18 and 22–237) with accreditation from the Association for Assessment and Accreditation of Laboratory Animal Care International. Sprague-Dawley (SD) rats (300 g) and C57BL/6J mice (3-month-old) were ordered from the CCMR, The University of Hong Kong. All methods are reported in accordance with ARRIVE guidelines ( https://arriveguidelines.org ). The SD rats were housed in the capacity of a maximum of 3 animals per cage, while the C57BL/6J mice were housed in the capacity of a maximum of 5 animals per cage. All the cages were kept at constant temperature (20 ± 2°C) and humidity (50 ± 10%). Food and water were available ad libitum . A 12:12 h light-dark cycle was maintained during husbandry at the CCMR, The University of Hong Kong. Accu-OptiClearing solutions preparation For the RI matching solution, OPTIClear was prepared as described in the previous study 25 . In brief, 20% (w/v) N-methylglucamine (Sigma-Aldrich #66930), 32% (w/v) Iohexol (Sigma-Aldrich #D2158) and 25% (v/v) 2,2’-thiodiethanol (TDE) (Sigma-Aldrich #88559) were mixed in Milli-Q water. The solution was then adjusted to pH 7–8. For the delipidation solution, 10% HxD-OPTIClear was prepared by mixing 10% HxD (v/v) with OPTIClear. On top of the 10% HxD-OPTIClear, different amount of the urea powder was dissolved in the solution to create different clearing solution candidates with different concentrations (2M, 4M, 6M and 8M) of urea additives. Transcardial perfusion and tissue post-fixation Intraperitoneal injection (IP) of overdosed sodium pentobarbital (Alfasan, Holland) (120 mg/kg body weight) was performed to euthanize the C57BL/6J mice and the SD rats. After the euthanization, the rib cage of each animal was cut open, and a needle connecting the pump was inserted into the heart. The animals were first perfused with 0.9% saline followed by 4% paraformaldehyde (PFA) solution for 10–30 minutes, depending on the body size. The brains were harvested and immersed in 4% PFA solution at 4°C for 3 days of post-fixation. Accu-OptiClearing After post-fixation, the animal brains were washed with 1x PBS three times for 10 minutes each (3 x 10 minutes). Then, a brain matrix (Zivic Instruments, USA) was used to cut the brain tissues into different thicknesses. The rat brain hemispheres and the 2 mm rat coronal brain sections were used to test the properties of different clearing solution candidates. The 2 mm rat sagittal brain sections were used for neural tracing and immunostaining. The 1 mm mouse sagittal brain sections were used for PM-ML staining. During the delipidation step, brain sections were incubated in the clearing solutions at 37°C for different durations, depending on their thicknesses. The 1 mm brain sections were cleared overnight, while the 2 mm brain sections were cleared for 3 days. Conversely, the rat brain hemispheres were incubated in the clearing solutions at 37°C for 28 days, with the solution renewed twice a week. After the delipidation, the tissues were washed with 1x PBS three times for 10 minutes each (3 x 10 minutes) to remove the clearing solutions. The tissues were then subjected to immunostaining or RI matching. During the RI matching, the tissues were immersed in the OPTIClear solution at 37°C for 2 days. After the RI matching step, the tissues were mounted onto 35 mm glass bottom dishes (MatTek, USA) with OPTIClear solution. A 24 mm x 24 mm coverslip (Thermo Fischer Scientific, USA) was used to cover each tissue during mounting. The mounted tissues were imaged under the confocal microscopes. Measurement of tissue transparency After certain time points of delipidation, the cleared rat brain hemispheres and 2 mm sections were trimmed into a round shape, containing the brain regions ventral to the corpus callosum, with the same diameter as the wells in a 96-well plate. The trimmed brain tissues were incubated with the corresponding clearing solutions in the wells of the 96-well plate, defined as the tissue wells. Other wells were filled with the clearing solutions for blanking, defined as the solution wells. All bubbles were removed in the wells before absorbance measurement. The absorbance of each well in the 96-well plate was measured at 750 nm using the LabSystems Multiskan microplate reader (LabX, Canada). The finalized absorbance of the cleared tissues was calculated by subtracting the absorbance of the tissue wells from the absorbance of their corresponding solution wells. The % transmittance of the tissue was then calculated from the finalized absorbance by the equation: % Transmittance = 10 −(Absorbance −2) . Measurement of tissue size change The tissues were assumed to swell equally in all directions after delipidation, and the tissue area changes were measured to determine the tissue size changes. For the 2 mm coronal brain sections, bright-field images were taken on Day 0 and Day 3. For the hemispheres, the bright-field images were taken on Day 0, Day 4, Day 7, Day 11, Day 14, Day 18, Day 21, Day 25 and Day 28. The ‘polygon selections’ function in Fiji (Image J; NIH) was used to measure the tissue areas. The fold of area change was calculated by dividing the brain tissue areas at different time points by their corresponding areas on Day 0. Measurement of tissue protein loss After delipidation, the clearing solutions were collected at the end of each process. Freshly prepared clearing solutions were used as the controls. The clearing solutions (40 µL) were mixed with 6x Laemmli sample buffer (8 µL). The mixtures were heated at 99°C for 10 minutes to denature the proteins and were loaded onto the 10% Mini-PROTEAN® TGX stain-free acrylamide gels (BioRad, USA). Electrophoresis was performed at 120 V for around 1.5 hours. After the electrophoresis, the stain-free gels were visualized by UV detection in the GelDoc Go Imaging System (BioRad, USA). The measured signal intensity of each loaded lane was analyzed using the Image Lab software (BioRad, USA). The signal intensity of each sample was normalized by their corresponding solution control to calculate the fold of tissue protein loss. Immunostaining The brain tissues were first incubated in the blocking solution containing 0.6 M glycine (Sigma-Aldrich #G7126), 0.2% v/v Triton® X-100 (Sigma-Aldrich #T8532) and 3% v/v goat serum (Vector Laboratories #S-1000) in 1x PBS, at 37°C for overnight. After washing with 0.2% PBS-Tween® 20 (3 × 10 minutes), the brain tissues were stained by either TH antibody (Sigma-Aldrich #AB-152) or Iba-1 antibody (Wako #019-19741) in the antibody diluent, which contains 0.2% v/v Tween® 20 (Sigma-Aldrich #P7949) and 3% goat serum in 1x PBS, in a 1:100 dilution at 37°C for at least 2 days. After the primary antibody staining, the brain tissues were washed with 0.2% PBS-Tween® 20 (6 × 30 minutes). The brain tissues were then stained by the goat anti-rabbit secondary antibody conjugated with Alexa647 (Thermo Fischer Scientific #A-21245) in a 1:100 dilution with antibody diluent at 37°C for at least 2 days. After the secondary antibody staining, the brain tissues were washed with 0.2% PBS-Tween® 20 (6 × 30 minutes). They were then subjected to the RI matching step in Accu-OptiClearing. PM-ML staining PM-ML is a newly developed aggregation-induced emission (AIE)-active probe of myelin sheath with a high signal-to-noise ratio and photostability. The staining process was performed as previously described 27 . In brief, the 3 mL PM-ML staining solution was prepared by mixing 6 µL of 5mM PM-ML stock solution with 300 µL dimethyl sulfoxide (DMSO) (10%) and 2694 µL 1x PBS, so that the final concentration of the PM-ML is 10 µM in the staining solution. Each 1 mm mouse brain section was immersed in the 3 mL PM-ML staining solution for overnight shaking with 15 revolutions per minute (RPM) at room temperature. The brain tissues were rinsed with 1x PBS after overnight PM-ML staining. The brain tissues were then subjected to delipidation and RI matching in Accu-OptiClearing. Neural tracing The Antero-System was applied to trace the VTA-CA1 circuit in rats following the procedures as described in the previous study 29 . In brief, stereotaxic injection was performed under the anesthesia of ketamine (80 mg/kg) and xylazine (8 mg/kg). The AAV9-DIO-EYFP (BrainVTA, China; titer: ≥2×10^12vg/mL) was injected into the VTA (5.0 mm posterior, 0.7 mm lateral and 7.0 mm ventral to bregma), while the AAV2-retro-Cre-mcherry (BrainVTA, China; titer: ≥2×10^12vg/mL) was injected into the CA1 (3.6 mm posterior, 2.0 mm lateral and 2.1 mm ventral to bregma) by the Hamilton 600 Series microliter syringes with 12 o beveled needles (Hamilton Company, USA) at a rate of 0.25 µl/minute with total volume of 0.5 µl per injection site. The rats were euthanized 3 weeks after the AAV injection and the brains harvested were subjected to Accu-OptiClearing for delipidation and RI matching after the post-fixation. Confocal imaging The confocal imaging was performed using the LSM-800 and LSM-900 inverted confocal microscopes (Carl Zeiss, Germany). The Plan-Apochromat 10x Ph1 M27 (NA 0.45) and Plan-Apochromat 20x Ph2 M27 (NA 0.8) objective lenses were used. The results of the PM-ML staining, immunostaining and neural tracing were imaged using the ‘Tile’ and the ‘Z-stack’ functions at 1024 x 1024 frame size in the Zen 2.3 Blue Edition software (Carl Zeiss, Germany). The color-coded and orthogonal projections were generated by the Zen 2.3 Blue Edition (Carl Zeiss, Germany). Data processing and statistical analysis The confocal images were visualized and processed through Zen 2.3 Blue Edition (Carl Zeiss, Germany) to generate orthogonal and color-coded projections. All statistical analyses were analyzed by the GraphPad Prism software version 10.0 (GraphPad Software, USA), using one-way and two-way analysis of variance (ANOVA). All data were presented in the form of mean ± SEM. p-value ≤ 0.05 was considered significant in the analysis. Data availability The original data in this study are available from the corresponding author upon request. Declarations Acknowledgments We would like to thank CCMR for animal ordering and animal housing during the experiments and the Centre for PanorOmic Sciences (CPOS) for the support of the confocal microscopy service. The work is partially supported by Bingei and L & T Charitable Foundation Professorship in Dementia Research. Author contributions MSLL: Writing – review & editing, Writing – original draft, Visualization, Methodology, Investigation, Formal analysis, Data curation, Conceptualization. WNC: Writing – review & editing, Investigation, Formal analysis, Data curation. MHL: Writing – review & editing, Investigation, Formal analysis, Data curation. RCCC: Writing – review & editing, Supervision, Project administration, Funding acquisition, Data curation, Conceptualization. Declaration of competing interests The authors report no competing interests. References Liu, J. et al. Complex Brain Network Analysis and Its Applications to Brain Disorders: A Survey. Complexity 2017 , 1–27 (2017). Lobachev, O. et al. Evaluating Registrations of Serial Sections With Distortions of the Ground Truths. IEEE Access. 9 , 152514–152535 (2021). Streicher, J. et al. Computer-based three-dimensional visualization of developmental gene expression. Nat. Genet. 25 , 147–152 (2000). Weninger, W. J. & Mohun, T. Phenotyping transgenic embryos: a rapid 3-D screening method based on episcopic fluorescence image capturing. Nat. Genet. 30 , 59–65 (2002). Conchello, J. A. & &Lichtman, J. W. Optical sectioning microscopy. Nat. Methods . 2 , 920–931 (2005). Zhang, J. et al. Optical sectioning methods in three-dimensional bioimaging. Light Sci. Appl. 14 , 11 (2025). Seo, J., Choe, M. & &Kim, S. Y. Clearing and Labeling Techniques for Large-Scale Biological Tissues. Mol. Cells . 39 , 439–446 (2016). Ueda, H. R. et al. Tissue clearing and its applications in neuroscience. Nat. Rev. Neurosci. 21 , 61–79 (2020). Susaki, E. A. & &Ueda, H. R. Whole-body and Whole-Organ Clearing and Imaging Techniques with Single-Cell Resolution: Toward Organism-Level Systems Biology in Mammals. Cell. Chem. Biol. 23 , 137–157 (2016). Tainaka, K., Kuno, A., Kubota, S. I., Murakami, T. & &Ueda, H. R. Chemical Principles in Tissue Clearing and Staining Protocols for Whole-Body Cell Profiling. Annu. Rev. Cell. Dev. Biol. 32 , 713–741 (2016). Yu, T., Zhu, J. & Li, D. Zhu, D. Physical and chemical mechanisms of tissue optical clearing. iScience 24 , 102178 (2021). Tuchin, V. V. Tissue Optics and Photonics: Light-Tissue Interaction. J. Biomed. Photonics Eng. 1 , 98–134 (2015). Tuchin, V. Tissue Optics and Photonics: Light-Tissue Interaction II. J. Biomed. Photonics Eng. 2 , 030201 (2016). Richardson, D. S. & &Lichtman, J. W. Clarifying Tissue Clearing Cell. 162 , 246–257 (2015). Pan, C. et al. Shrinkage-mediated imaging of entire organs and organisms using uDISCO. Nat. Methods . 13 , 859–867 (2016). Zhao, S. et al. Cellular and Molecular Probing of Intact Human Organs. Cell 180 , 796–812e19 (2020). Qi, Y. et al. Advanced solvent-based clearing method for imaging whole organs. Sci. Adv. 5 , 1–13 (2019). Hama, H. et al. ScaleS: an optical clearing palette for biological imaging. Nat. Neurosci. 18 , 1518–1529 (2015). Hama, H. et al. Scale: a chemical approach for fluorescence imaging and reconstruction of transparent mouse brain. Nat. Neurosci. 14 , 1481–1488 (2011). Murakami, T. C. et al. A three-dimensional single-cell-resolution whole-brain atlas using CUBIC-X expansion microscopy and tissue clearing. Nat. Neurosci. 21 , 625–637 (2018). Susaki, E. A. et al. Whole-Brain Imaging with Single-Cell Resolution Using Chemical Cocktails and Computational Analysis. Cell 157 , 726–739 (2014). Chung, K. et al. Structural and molecular interrogation of intact biological systems. Nature 497 , 332–337 (2013). Park, Y. G. et al. Protection of tissue physicochemical properties using polyfunctional crosslinkers. Nat. Biotechnol. 37 , 73–83 (2019). Yang, B. et al. Single-Cell Phenotyping within Transparent Intact Tissue through Whole-Body Clearing. Cell 158 , 945–958 (2014). Lee, K. et al. Optimised tissue clearing minimises distortion and destruction during tissue delipidation. Neuropathol. Appl. Neurobiol. 47 , 441–453 (2021). Chung, D., Maeda, M. & &Inoue, S. Urea-induced denaturation of a polymer membrane with poly(L‐glutamic acid) domains for permeation. Die Makromol Chemie . 189 , 1635–1642 (1988). Wu, M. Y. et al. A near-infrared AIE fluorescent probe for myelin imaging: From sciatic nerve to the optically cleared brain tissue in 3D. Proc. Natl. Acad. Sci. 118, 1–22 (2021). Saleeba, C., Dempsey, B., Le, S. & Goodchild, A. McMullan, S. A Student’s Guide to Neural Circuit Tracing. Front. Neurosci. 13 , 897 (2019). Lai, M. S. L., Sørensen, M. H., Lee, K., Chu, J. M. T. & &Chang, R. C.-C. 3D mapping of direct VTA-CA2 circuit with potential involvement in Parkinson’s disease degeneration. Neurobiol. Dis. 202 , 106723 (2024). Zhu, J. et al. SOLID: minimizing tissue distortion for brain-wide profiling of diverse architectures. Nat. Commun. 15 , 8303 (2024). Kim, J. H. et al. Optimizing tissue-clearing conditions based on analysis of the critical factors affecting tissue-clearing procedures. Sci. Rep. 8 , 12815 (2018). Barton, K. N., Buhr, M. M. & &Ballantyne, J. S. Effects of urea and trimethylamine N -oxide on fluidity of liposomes and membranes of an elasmobranch. Am. J. Physiol. Integr. Comp. Physiol. 276 , R397–R406 (1999). Ertürk, A. et al. Three-dimensional imaging of solvent-cleared organs using 3DISCO. Nat. Protoc. 7 , 1983–1995 (2012). Tainaka, K. et al. Chemical Landscape for Tissue Clearing Based on Hydrophilic Reagents. Cell. Rep. 24 , 2196–2210e9 (2018). Zhu, J. et al. MACS: Rapid Aqueous Clearing System for 3D Mapping of Intact Organs. Adv. Sci. 7 , (2020). Treweek, J. B. et al. Whole-body tissue stabilization and selective extractions via tissue-hydrogel hybrids for high-resolution intact circuit mapping and phenotyping. Nat. Protoc. 10 , 1860–1896 (2015). Chung, K. et al. Structural and molecular interrogation of intact biological systems. Nature 497 , 332–337 (2013). Karamanos, N. K. et al. A guide to the composition and functions of the extracellular matrix. FEBS J. 288 , 6850–6912 (2021). Sporns, O. The human connectome: a complex network. Ann. N Y Acad. Sci. 1224 , 109–125 (2011). Sporns, O. Micro-, Meso- and Macro-Connectomics of the Brain. Micro-, Meso- and Macro-Connectomics of the Brain (Springer International Publishing, 2016). 10.1007/978-3-319-27777-6 Annavarapu, R. N., Kathi, S. & &Vadla, V. K. Non-invasive imaging modalities to study neurodegenerative diseases of aging brain. J. Chem. Neuroanat. 95 , 54–69 (2019). Middlebrooks, E. H. & &Grewal, S. S. Brain Connectomics. Neuroimaging Clin. N Am. 32 , 543–552 (2022). Dean, D. C. et al. Association of Amyloid Pathology With Myelin Alteration in Preclinical Alzheimer Disease. JAMA Neurol. 74 , 41 (2017). Dean, D. C. et al. Alterations of Myelin Content in Parkinson’s Disease: A Cross-Sectional Neuroimaging Study. PLoS One . 11 , e0163774 (2016). Tainaka, K. et al. Whole-Body Imaging with Single-Cell Resolution by Tissue Decolorization. Cell 159 , 911–924 (2014). Liu, L. et al. F-CUBIC: a rapid optical clearing method optimized by quantitative evaluation. Biomed. Opt. Express . 13 , 237 (2022). Additional Declarations No competing interests reported. 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Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-6517663","acceptedTermsAndConditions":true,"allowDirectSubmit":false,"archivedVersions":[],"articleType":"Article","associatedPublications":[],"authors":[{"id":458948621,"identity":"89104171-b392-4100-adf0-a14bd9ee45d4","order_by":0,"name":"Michael Siu-Lun Lai","email":"","orcid":"","institution":"The University of Hong Kong","correspondingAuthor":false,"prefix":"","firstName":"Michael","middleName":"Siu-Lun","lastName":"Lai","suffix":""},{"id":458948622,"identity":"0e400a64-8742-44c8-8e59-8e6e2237d036","order_by":1,"name":"Wai Man Chick","email":"","orcid":"","institution":"The University of Hong Kong","correspondingAuthor":false,"prefix":"","firstName":"Wai","middleName":"Man","lastName":"Chick","suffix":""},{"id":458948623,"identity":"f584a793-7617-4ea8-8e5a-18533f32accf","order_by":2,"name":"Man Hoi Law","email":"","orcid":"","institution":"The University of Hong Kong","correspondingAuthor":false,"prefix":"","firstName":"Man","middleName":"Hoi","lastName":"Law","suffix":""},{"id":458948624,"identity":"038c2256-275c-4c37-ae3b-8d8f7fa83f3b","order_by":3,"name":"Raymond Chuen-Chung Chang","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAAAsUlEQVRIiWNgGAWjYJACZhDBL8HGwMDYkECCFskZJGsxuEGsFvP2ww8/F9Tcsdt8uy1NgnFHGmEtMmfSjKVnHHuWvO3OsWMSjGdyCGuRkOBhY+ZhO5xsdiO9TYKxrYJYLf8OJxvPIEkLb9thOwOJNKDD2ohxGA/QL7x9hxMkbqQlWyS2EeF9CXZgiPF8O2zPPyPN8MbHtmTCWmAgsQFEJhCvgYHBnhTFo2AUjIJRMMIAAMX8NIZCWmwpAAAAAElFTkSuQmCC","orcid":"","institution":"The University of Hong Kong","correspondingAuthor":true,"prefix":"","firstName":"Raymond","middleName":"Chuen-Chung","lastName":"Chang","suffix":""}],"badges":[],"createdAt":"2025-04-24 06:38:09","currentVersionCode":1,"declarations":"","doi":"10.21203/rs.3.rs-6517663/v1","doiUrl":"https://doi.org/10.21203/rs.3.rs-6517663/v1","draftVersion":[],"editorialEvents":[{"content":"https://doi.org/10.1038/s41598-025-18231-3","type":"published","date":"2025-12-14T15:58:12+00:00"}],"editorialNote":"","failedWorkflow":false,"files":[{"id":83174504,"identity":"4cb8a0a0-3c59-4706-8328-93928755b895","added_by":"auto","created_at":"2025-05-20 18:50:31","extension":"png","order_by":1,"title":"Figure 1","display":"","copyAsset":false,"role":"figure","size":962595,"visible":true,"origin":"","legend":"\u003cp\u003e\u003cstrong\u003eTissue clearing of rat brain hemispheres with different concentrations of urea additives.\u003c/strong\u003e \u003cstrong\u003e(A)\u003c/strong\u003e Workflow of the rat brain hemisphere clearing to assess clearing efficiency, tissue size change and protein loss. \u003cstrong\u003e(B)\u003c/strong\u003e Measured absorbance at 750 nm (left panel) and calculated % transmittance (right panel) on Day 28 after delipidation (n = 5). \u003cstrong\u003e(C)\u003c/strong\u003e Fold of tissue protein loss on Day 28 after delipidation (n = 5). The levels of protein loss after clearing (Day 28) were measured and normalized to the corresponding delipidation solutions before clearing (Day 0). Statistical analysis was performed using one-way ANOVA with Tukey’s multiple comparison test, *\u003cem\u003ep\u003c/em\u003e ≤ 0.05, **\u003cem\u003ep\u003c/em\u003e ≤ 0.01, ***\u003cem\u003ep\u003c/em\u003e ≤ 0.001, ****\u003cem\u003ep\u003c/em\u003e ≤ 0.0001. \u003cstrong\u003e(D)\u003c/strong\u003e Size changes of rat brain hemispheres in different clearing solutions with time (n = 3). \u003cstrong\u003e(E)\u003c/strong\u003e Fold of tissue area change on Day 0, Day 14, and Day 28 of delipidation. The tissue sizes at these time points were measured and normalized to the sizes of the corresponding tissues before clearing (Day 0) (n = 3). Statistical analysis was performed using two-way ANOVA with Tukey’s multiple comparison test, *\u003cem\u003ep\u003c/em\u003e ≤ 0.05, **\u003cem\u003ep\u003c/em\u003e≤ 0.01, ***\u003cem\u003ep\u003c/em\u003e ≤ 0.001, ****\u003cem\u003ep\u003c/em\u003e ≤ 0.0001. All Data are presented as mean ± SEM.\u003c/p\u003e","description":"","filename":"floatimage1.png","url":"https://assets-eu.researchsquare.com/files/rs-6517663/v1/56caeeae0867c70e7c6cb37d.png"},{"id":83174503,"identity":"cad7ab92-4584-46d9-90df-f2f7ef32367c","added_by":"auto","created_at":"2025-05-20 18:50:31","extension":"png","order_by":2,"title":"Figure 2","display":"","copyAsset":false,"role":"figure","size":903698,"visible":true,"origin":"","legend":"\u003cp\u003e\u003cstrong\u003eAddition of 2M urea modifies delipidation solution in clearing 2 mm coronal brain sections. (A)\u003c/strong\u003eWorkflow of the 2 mm rat coronal brain section clearing to assess clearing efficiency, tissue size change and protein loss. \u003cstrong\u003e(B)\u003c/strong\u003e Representative images of the 2 mm rat coronal brain sections before and after clearing. \u003cstrong\u003e(C)\u003c/strong\u003eMeasured absorbance at 750 nm (left panel) and calculated % transmittance (right panel) on Day 3 after delipidation. \u003cstrong\u003e(D)\u003c/strong\u003e Fold of tissue area change on Day 3 after delipidation. The tissue sizes after clearing (Day 3) were measured and normalized to the sizes of the corresponding tissues before clearing (Day 0). \u003cstrong\u003e(E) \u003c/strong\u003eFold of tissue protein loss on Day 3 after delipidation. The levels of protein loss after clearing (Day 3) were measured and normalized to the corresponding delipidation solutions before clearing (Day 0). All Data are presented as mean ± SEM (n = 3). Statistical analysis was performed using one-way ANOVA with Tukey’s multiple comparison test, *\u003cem\u003ep\u003c/em\u003e ≤ 0.05, **\u003cem\u003ep\u003c/em\u003e≤ 0.01, ***\u003cem\u003ep\u003c/em\u003e ≤ 0.001, ****\u003cem\u003ep\u003c/em\u003e ≤ 0.0001.\u003c/p\u003e","description":"","filename":"floatimage2.png","url":"https://assets-eu.researchsquare.com/files/rs-6517663/v1/41427b6a4231e6e182d2db11.png"},{"id":83174507,"identity":"b42ca329-60e3-453e-a930-5dbd1d851ac8","added_by":"auto","created_at":"2025-05-20 18:50:31","extension":"png","order_by":3,"title":"Figure 3","display":"","copyAsset":false,"role":"figure","size":2078894,"visible":true,"origin":"","legend":"\u003cp\u003e\u003cstrong\u003eAssessment of probes compatibility the 2M urea + 10% HxD-OPTIClear solution. (A)\u003c/strong\u003e Tyrosine hydroxylase (TH) staining of the 2 mm rat sagittal brain sections cleared with 2M urea + 10% HxD-OPTIClear (left panel) and 10% HxD-OPTIClear (right panel). The upper panel is the orthogonal projection of the SN (10x), while the lower panel is the magnified z-stack image (20x). \u003cstrong\u003e(B)\u003c/strong\u003e Iba-1 staining of the 2 mm rat sagittal brain sections cleared with 2M urea + 10% HxD-OPTIClear (z-depth = 200.79 μm) (left panel) and 10% HxD-OPTIClear (z-depth = 163.53 μm) (right panel). The upper panel is the orthogonal projection of the DG (10x), while the lower panel is the magnified z-stack image (20x). \u003cstrong\u003e(C) \u003c/strong\u003eZ-stack images (10x) of PM-ML staining in the mouse striatum cleared with 2 M urea + 10% HxD-OPTIClear, 10% HxD-OPTIClear and 8% SDS. SN, Substantia nigra; DG, dentate gyrus.\u003c/p\u003e","description":"","filename":"floatimage3.png","url":"https://assets-eu.researchsquare.com/files/rs-6517663/v1/1515f31bd3a0697c86951a71.png"},{"id":83174511,"identity":"944f92cc-848a-44ed-a693-ad66865a739d","added_by":"auto","created_at":"2025-05-20 18:50:31","extension":"png","order_by":4,"title":"Figure 4","display":"","copyAsset":false,"role":"figure","size":1907636,"visible":true,"origin":"","legend":"\u003cp\u003e\u003cstrong\u003eApplication of the modified clearing solution in neural tracing. (A) \u003c/strong\u003eOrthogonal projection of the AAV9-DIO-EYFP and the AAV2-retro-Cre-mCherry signals in the Antero-System, labeling the VTA-CA1 neural circuit (z-depth: 347.65 μm).\u003cstrong\u003e (B)\u003c/strong\u003eColor-coded projection of the anterograde AAV9-DIO-EYFP signals connecting VTA to CA1 in the same brain section (z-depth: 347.65 μm). VTA, ventral tegmental area.\u003c/p\u003e","description":"","filename":"floatimage4.png","url":"https://assets-eu.researchsquare.com/files/rs-6517663/v1/4456b3decf267f620ae7d19b.png"},{"id":98245211,"identity":"bcfeaef5-19e5-457e-aa50-7c9697666c07","added_by":"auto","created_at":"2025-12-15 16:17:11","extension":"pdf","order_by":0,"title":"","display":"","copyAsset":false,"role":"manuscript-pdf","size":6983248,"visible":true,"origin":"","legend":"","description":"","filename":"manuscript.pdf","url":"https://assets-eu.researchsquare.com/files/rs-6517663/v1/f8d8b2d1-b49e-46be-afbb-4c784c65b8a9.pdf"}],"financialInterests":"No competing interests reported.","formattedTitle":"Urea is an Ideal Additive to the Accu-OptiClearing Delipidation Cocktail? An Optimized Study","fulltext":[{"header":"Introduction","content":"\u003cp\u003eAs the most delicate organ in the body, the brain comprises over billions of neurons connected in different manners, forming a complex network\u003csup\u003e\u003cspan citationid=\"CR1\" class=\"CitationRef\"\u003e1\u003c/span\u003e\u003c/sup\u003e. Although 2D brain sections were commonly used in neuroscience studies, they are not sufficient to represent the integrity of the complicated connections inside the brain because of the information loss and tissue structural deformation during serial sectioning\u003csup\u003e\u003cspan additionalcitationids=\"CR3\" citationid=\"CR2\" class=\"CitationRef\"\u003e2\u003c/span\u003e\u0026ndash;\u003cspan citationid=\"CR4\" class=\"CitationRef\"\u003e4\u003c/span\u003e\u003c/sup\u003e. After the invention of confocal microscopes, optical sectioning has replaced physical sectioning by filtering the out-of-focus light during detection\u003csup\u003e\u003cspan citationid=\"CR5\" class=\"CitationRef\"\u003e5\u003c/span\u003e\u003c/sup\u003e. The technique has been further developed as the light sheet microscopes with minimized phototoxicity and increased imaging speed\u003csup\u003e\u003cspan citationid=\"CR6\" class=\"CitationRef\"\u003e6\u003c/span\u003e\u003c/sup\u003e. The optical sectioning technique serves as the basis for 3D brain imaging. However, the opacity of the brain tissues remains the major challenge. In recent years, the tissue clearing technique has been developed to minimize opaqueness by matching the refractive index (RI) within the tissues\u003csup\u003e\u003cspan citationid=\"CR7\" class=\"CitationRef\"\u003e7\u003c/span\u003e,\u003cspan citationid=\"CR8\" class=\"CitationRef\"\u003e8\u003c/span\u003e\u003c/sup\u003e.\u003c/p\u003e \u003cp\u003eThe light intensity passing through an object determines the transparency, while the tissue clearing technique maximizes this light transmittance by minimizing light absorption and light scattering inside the tissues\u003csup\u003e\u003cspan additionalcitationids=\"CR10\" citationid=\"CR9\" class=\"CitationRef\"\u003e9\u003c/span\u003e\u0026ndash;\u003cspan citationid=\"CR11\" class=\"CitationRef\"\u003e11\u003c/span\u003e\u003c/sup\u003e. The hemoglobin in the blood is a common chromophore that absorbs light and limits the transparency of the brains\u003csup\u003e\u003cspan citationid=\"CR12\" class=\"CitationRef\"\u003e12\u003c/span\u003e,\u003cspan citationid=\"CR13\" class=\"CitationRef\"\u003e13\u003c/span\u003e\u003c/sup\u003e. Therefore, transcardial perfusion with buffered solutions is a common step in tissue clearing to wash out the blood and remove hemoglobin\u003csup\u003e\u003cspan citationid=\"CR11\" class=\"CitationRef\"\u003e11\u003c/span\u003e\u003c/sup\u003e. As a significant factor of opacity, light scattering results from the refraction and Fresnel reflection caused by the RI mismatches between different compartments inside the tissues\u003csup\u003e\u003cspan citationid=\"CR12\" class=\"CitationRef\"\u003e12\u003c/span\u003e\u003c/sup\u003e. Different tissue clearing methods correct the RI mismatches through different processes, including decolorization, delipidation, dehydration, hyperhydration and RI matching\u003csup\u003e\u003cspan citationid=\"CR8\" class=\"CitationRef\"\u003e8\u003c/span\u003e,\u003cspan citationid=\"CR14\" class=\"CitationRef\"\u003e14\u003c/span\u003e\u003c/sup\u003e. Based on the clearing processes and chemicals, the tissue clearing methods can be divided into three groups, including the hydrophobic methods, the hydrophilic methods and the hydrogel-based methods\u003csup\u003e\u003cspan citationid=\"CR8\" class=\"CitationRef\"\u003e8\u003c/span\u003e\u003c/sup\u003e. The hydrophobic methods, such as uDISCO (ultimate DISCO), FDISCO (DISCO with superior fluorescence-preserving capability) and SHANEL (small-micelle-mediated human organ efficient clearing and labeling), use organic chemicals to allow high clearing efficiency with the drawbacks of tissue shrinkage, chemical toxicity and incompatibility with specific probes\u003csup\u003e\u003cspan additionalcitationids=\"CR16\" citationid=\"CR15\" class=\"CitationRef\"\u003e15\u003c/span\u003e\u0026ndash;\u003cspan citationid=\"CR17\" class=\"CitationRef\"\u003e17\u003c/span\u003e\u003c/sup\u003e. The hydrophilic methods, such as Sca\u003cem\u003el\u003c/em\u003ee, Sca\u003cem\u003el\u003c/em\u003eeS, CUBIC (clear, unobstructed brain imaging cocktails and computational analysis) and CUBIC-X, use aqueous solutions and show high compatibility to different fluorescent probes but with tissue expansion from hydration\u003csup\u003e\u003cspan additionalcitationids=\"CR19 CR20\" citationid=\"CR18\" class=\"CitationRef\"\u003e18\u003c/span\u003e\u0026ndash;\u003cspan citationid=\"CR21\" class=\"CitationRef\"\u003e21\u003c/span\u003e\u003c/sup\u003e. The hydrogel-based methods, such as CLARITY (Clear Lipid-exchanged Acrylamide-hybridized Rigid Imaging/Immunostaining/In situ hybridization-compatible Tissue-hYdrogel), PACT (passive CLARITY technique) and SHIELD (stabilization under harsh conditions via intramolecular epoxide linkages to prevent degradation), allow efficient delipidation under hydrogel protection but with transient tissue expansion and high complexity of gel-setup procedures\u003csup\u003e\u003cspan additionalcitationids=\"CR23\" citationid=\"CR22\" class=\"CitationRef\"\u003e22\u003c/span\u003e\u0026ndash;\u003cspan citationid=\"CR24\" class=\"CitationRef\"\u003e24\u003c/span\u003e\u003c/sup\u003e. As a result, preservations of tissue size and lipid content are still two challenges of the conventional clearing methods.\u003c/p\u003e \u003cp\u003eTo overcome these problems, we have previously developed Accu-OptiClearing (Accurate delipidation with Optimal Clearing). It is a strategy of combining the RI matching solution, Optical Properties-adjusting Tissue Clearing agent (OPTIClear), with the detergent to form delipidation solutions. It was found that the Accu-OptiClearing strategy is compatible with different detergents and has great effects on tissue size and lipid preservation by preventing excessive delipidation\u003csup\u003e\u003cspan citationid=\"CR25\" class=\"CitationRef\"\u003e25\u003c/span\u003e\u003c/sup\u003e. However, the clearing efficiency in large tissues remains a limitation in Accu-OptiClearing. Hence, we proposed that adding other non-detergent materials to the delipidation solution could enhance clearing efficiency while maintaining the lipid-preserving ability of the Accu-OptiClearing method. As a denaturant and permeabilizing agent, urea was selected as a potential additive to the delipidation solution to enhance the clearing efficiency\u003csup\u003e\u003cspan citationid=\"CR26\" class=\"CitationRef\"\u003e26\u003c/span\u003e\u003c/sup\u003e. In this study, the clearing efficiency, tissue size preservation, tissue protein loss and probe compatibility of the urea additives have been assessed.\u003c/p\u003e"},{"header":"Results","content":"\u003cdiv id=\"Sec3\" class=\"Section2\"\u003e \u003ch2\u003eModification of Accu-OptiClearing delipidation solution by urea additives\u003c/h2\u003e \u003cp\u003eIn the previous study, 1,2-hexanediol (HxD) was found to be compatible with OPTIClear to form the 10% HxD-OPTIClear solution, which has the highest clearing efficiency in Accu-OptiClearing for rat brain hemispheres\u003csup\u003e\u003cspan citationid=\"CR25\" class=\"CitationRef\"\u003e25\u003c/span\u003e\u003c/sup\u003e. Therefore, 10% HxD-OPTIClear was used as the basal delipidation solution to test the effects of urea additives in this study. Different clearing solution candidates were prepared by adding serial concentrations of urea (2 M, 4 M, 6 M, and 8 M) to the 10% HxD-OPTIClear solution. These solution candidates, together with the 10% HxD-OPTIClear basal solution and the 8% sodium dodecyl sulphate (SDS) solution used in PACT\u003csup\u003e\u003cspan citationid=\"CR24\" class=\"CitationRef\"\u003e24\u003c/span\u003e\u003c/sup\u003e, were compared based on clearing efficiency, tissue protein loss, and tissue size change in clearing rat brain hemispheres. Phosphate-buffered saline (PBS) was used as the incubation solution for the uncleared controls. After post-fixation, the hemispheres were incubated in different solutions for 28 days. The tissue transparency and the tissue protein loss were assessed by measuring the absorbance of the tissues and the protein amounts in the clearing solutions on Day 28, respectively. During the clearing, bright-field images of the hemispheres were taken at 3\u0026ndash;4 days intervals to monitor the tissue size change \u003cb\u003e(\u003c/b\u003eFig.\u0026nbsp;\u003cspan refid=\"Fig1\" class=\"InternalRef\"\u003e1\u003c/span\u003eA\u003cb\u003e)\u003c/b\u003e.\u003c/p\u003e \u003cp\u003e \u003c/p\u003e \u003cp\u003eFrom the measured tissue absorbance at 750 nm, the transmittance percentage was calculated through the equation: % Transmittance\u0026thinsp;=\u0026thinsp;10\u003csup\u003e\u0026minus;(Absorbance \u0026minus;2)\u003c/sup\u003e. Therefore, higher tissue transparency correlates to lower tissue absorbance and a higher transmittance percentage. From the results of calculated transmittance, the 10% HxD-OPTIClear solution and all the urea additive candidates achieved significantly higher transparency than the 8% SDS treated and the uncleared brain samples. Among different urea additive candidates, the 8 M urea\u0026thinsp;+\u0026thinsp;10% HxD-OPTIClear solution showed the highest clearing efficiency, significantly higher than the 10% HxD-OPTIClear basal solution. In comparison, the 2 M urea\u0026thinsp;+\u0026thinsp;10% HxD-OPTIClear solution showed the second-highest clearing efficiency \u003cb\u003e(\u003c/b\u003eFig.\u0026nbsp;\u003cspan refid=\"Fig1\" class=\"InternalRef\"\u003e1\u003c/span\u003eB\u003cb\u003e)\u003c/b\u003e.\u003c/p\u003e \u003cp\u003eThe protein loss was assessed by measuring protein amounts in the clearing solutions after 28 days of incubation, in which a higher protein amount in each solution correlates to higher protein loss during delipidation in that condition. The 8% SDS solution was found to have the most protein loss, which is significantly higher than all other solutions. Among the clearing solution candidates, only the 8 M urea\u0026thinsp;+\u0026thinsp;10% HxD-OPTIClear solution reported a significant increase in protein loss compared to the 10% HxD-OPTIClear basal solution and the PBS control. Other solutions showed no significant protein loss after clearing \u003cb\u003e(\u003c/b\u003eFig.\u0026nbsp;\u003cspan refid=\"Fig1\" class=\"InternalRef\"\u003e1\u003c/span\u003eC\u003cb\u003e)\u003c/b\u003e.\u003c/p\u003e \u003cp\u003eFor the size change during the 28 days of clearing, the 8% SDS solution caused severe hemisphere swelling throughout the process. Among the clearing solution candidates, the concentrations of the urea additives were found to be positively correlated with the swelling effects of the tissues during clearing. Only the 2 M urea\u0026thinsp;+\u0026thinsp;10% HxD-OPTIClear solution represented a similar tissue size change as the 10% HxD-OPTIClear condition and the uncleared PBS control during the 28-day clearing \u003cb\u003e(\u003c/b\u003eFig.\u0026nbsp;\u003cspan refid=\"Fig1\" class=\"InternalRef\"\u003e1\u003c/span\u003eD\u003cb\u003e)\u003c/b\u003e. The results were confirmed in the comparison of the tissue sizes on Day 0, Day 14 and Day 28. The 2 M urea\u0026thinsp;+\u0026thinsp;10% HxD-OPTIClear solution was the only urea additive candidate that showed no significant change in tissue size after clearing \u003cb\u003e(\u003c/b\u003eFig.\u0026nbsp;\u003cspan refid=\"Fig1\" class=\"InternalRef\"\u003e1\u003c/span\u003eE\u003cb\u003e)\u003c/b\u003e.\u003c/p\u003e \u003cp\u003eAfter screening the candidates with different urea concentrations in rat brain hemisphere clearing, the 2 M urea\u0026thinsp;+\u0026thinsp;10% HxD-OPTIClear solution was selected as the optimized clearing solution based on its properties of enhanced clearing efficiency with preserved protein content and tissue size during delipidation. Hence, the effects of the 2 M urea additive to the clearing solution were further validated in smaller 2 mm rat brain sections after 3 days of clearing, in which the tissue absorbance, tissue size and tissue protein loss were measured \u003cb\u003e(\u003c/b\u003eFig.\u0026nbsp;\u003cspan refid=\"Fig2\" class=\"InternalRef\"\u003e2\u003c/span\u003eA\u003cb\u003e)\u003c/b\u003e. The 2 M urea\u0026thinsp;+\u0026thinsp;10% HxD-OPTIClear condition was compared with the 10% HxD-OPTIClear basal solution and the 8% SDS solution \u003cb\u003e(\u003c/b\u003eFig.\u0026nbsp;\u003cspan refid=\"Fig2\" class=\"InternalRef\"\u003e2\u003c/span\u003eB\u003cb\u003e)\u003c/b\u003e. For the tissue absorbance and calculated transmittance, the brain sections cleared with the 2 M urea\u0026thinsp;+\u0026thinsp;10% HxD-OPTIClear solution showed significantly higher transparency than the other two conditions on Day 3 \u003cb\u003e(\u003c/b\u003eFig.\u0026nbsp;\u003cspan refid=\"Fig2\" class=\"InternalRef\"\u003e2\u003c/span\u003eC\u003cb\u003e)\u003c/b\u003e. For the tissue size and protein loss, both 2 M urea\u0026thinsp;+\u0026thinsp;10% HxD-OPTIClear and 10% HxD-OPTIClear clearing conditions showed no significant difference \u003cb\u003e(\u003c/b\u003eFig.\u0026nbsp;\u003cspan refid=\"Fig2\" class=\"InternalRef\"\u003e2\u003c/span\u003eD-E\u003cb\u003e)\u003c/b\u003e. Collectively, the addition of 2 M urea in the 10% HxD-OPTIClear solution enhances clearing efficiency while preserving the tissue size and protein content after the delipidation process in clearing small and large brain tissues.\u003c/p\u003e \u003cp\u003e \u003c/p\u003e \u003c/div\u003e\n\u003ch3\u003eThe modified Accu-OptiClearing is compatible with antibody and myelin staining\u003c/h3\u003e\n\u003cp\u003eNext, the staining compatibility of using the 2 M urea\u0026thinsp;+\u0026thinsp;10% HxD-OPTIClear solution in Accu-OptiClearing was tested by immunostaining and myelin staining. The staining results of this modified clearing solution were compared with those of the 10% HxD-OPTIClear basal solution. For the immunostaining, the antibodies of tyrosine hydroxylase (TH) and Iba-1 were used to stain the rat substantia nigra (SN) and hippocampus regions, respectively. In the TH staining, a similar signal quality of stained dopaminergic neurons was observed in both conditions \u003cb\u003e(\u003c/b\u003eFig.\u0026nbsp;\u003cspan refid=\"Fig3\" class=\"InternalRef\"\u003e3\u003c/span\u003eA\u003cb\u003e)\u003c/b\u003e. In the Iba-1 staining, the rat hippocampus cleared with the 2 M urea\u0026thinsp;+\u0026thinsp;10% HxD-OPTIClear solution showed a higher z-depth than that cleared with the 10% HxD-OPTIClear solution \u003cb\u003e(\u003c/b\u003eFig.\u0026nbsp;\u003cspan refid=\"Fig3\" class=\"InternalRef\"\u003e3\u003c/span\u003eB\u003cb\u003e)\u003c/b\u003e. In summary, the addition of 2 M urea in 10% HxD-OPTIClear does not compromise the immunostaining signal quality but slightly enhances penetration of the antibodies.\u003c/p\u003e \u003cp\u003e \u003c/p\u003e \u003cp\u003eFor the myelin staining, PM-ML is a newly developed probe with aggregation-induced emission (AIE) properties. It allows strong near-infrared emission in the aggregation state after binding to the myelin sheath\u003csup\u003e\u003cspan citationid=\"CR27\" class=\"CitationRef\"\u003e27\u003c/span\u003e\u003c/sup\u003e. The PM-ML probe was used to stain the striatal regions of the mouse sagittal sections before overnight clearing by the 2 M urea in 10% HxD-OPTIClear, 10% HxD-OPTIClear and 8% SDS solutions. The 8% SDS solution removed almost all the myelin contents, and only weak PM-ML signals were detected. Conversely, both the 2 M urea\u0026thinsp;+\u0026thinsp;10% HxD-OPTIClear and the 10% HxD-OPTIClear solutions preserved the lipid-rich myelin after clearing, resulting in similar signal quality of the PM-ML staining \u003cb\u003e(\u003c/b\u003eFig.\u0026nbsp;\u003cspan refid=\"Fig3\" class=\"InternalRef\"\u003e3\u003c/span\u003eC\u003cb\u003e)\u003c/b\u003e. Collectively, the 2 M urea\u0026thinsp;+\u0026thinsp;10% HxD-OPTIClear solution preserves the antigenicity and the myelin of the brain tissues during delipidation.\u003c/p\u003e\n\u003ch3\u003eApplication of the modified Accu-OptiClearing in neural tracing of VTA-CA1 circuit\u003c/h3\u003e\n\u003cp\u003eApart from the staining probes, endogenous fluorescence is another source of labeling different cells in the brain. Indeed, endogenous fluorescence transduced by viral vectors is commonly used to label neurons and their connections in neural tracing, a technique used to map neural circuits in neuroscience studies\u003csup\u003e\u003cspan citationid=\"CR28\" class=\"CitationRef\"\u003e28\u003c/span\u003e\u003c/sup\u003e. Hence, the compatibility of the 2 M urea\u0026thinsp;+\u0026thinsp;10% HxD-OPTIClear solution with the virus-transduced endogenous fluorescence was assessed by tracing the known neural circuit connecting the ventral tegmental area (VTA) to the CA1. By using the Antero-System, a dual adeno-associated virus (AAV) tracing system designed in our previous study\u003csup\u003e\u003cspan citationid=\"CR29\" class=\"CitationRef\"\u003e29\u003c/span\u003e\u003c/sup\u003e, the VTA-CA1 circuit was specifically labeled by endogenous EYFP fluorescence. The signals were visualized by confocal microscope after clearing with the 2 M urea\u0026thinsp;+\u0026thinsp;10% HxD-OPTIClear solution. The EYFP-labeled neurons in the VTA and their axonal projections towards CA1 were detected in a 3D manner, as shown in the orthogonal and color-coded projections \u003cb\u003e(\u003c/b\u003eFig.\u0026nbsp;\u003cspan refid=\"Fig4\" class=\"InternalRef\"\u003e4\u003c/span\u003eA-B\u003cb\u003e)\u003c/b\u003e. This shows that the 2M urea\u0026thinsp;+\u0026thinsp;10% HxD-OPTIClear solution did not damage the endogenous fluorescent signals in neural tracing.\u003c/p\u003e \u003cp\u003e \u003c/p\u003e"},{"header":"Discussion","content":"\u003cp\u003eDelipidation is a crucial process in minimizing the RI mismatches within the tissues during clearing, and it is a standard treatment in most of the hydrophilic, hydrophobic and hydrogel-based clearing methods\u003csup\u003e\u003cspan citationid=\"CR8\" class=\"CitationRef\"\u003e8\u003c/span\u003e\u003c/sup\u003e. This delipidation process removes lipid molecules and potentially causes tissue expansion through hydration\u003csup\u003e\u003cspan citationid=\"CR30\" class=\"CitationRef\"\u003e30\u003c/span\u003e,\u003cspan citationid=\"CR31\" class=\"CitationRef\"\u003e31\u003c/span\u003e\u003c/sup\u003e. Therefore, the potential lipid-rich structure disruption and tissue size change problems become common obstacles in maintaining tissue structural integrity during the development of clearing methods. In the previous study, our group has developed a strategy named Accu-OptiClearing to combine detergent with RI matching solution in the delipidation solution\u003csup\u003e\u003cspan citationid=\"CR25\" class=\"CitationRef\"\u003e25\u003c/span\u003e\u003c/sup\u003e. This allows the control of the delipidation extent and prevents excessive lipid removal. Although the tissue structural integrity can be maintained by preserving the lipid content and tissue size, the clearing efficiency of this partial delipidation needs to be improved in clearing brain hemispheres\u003csup\u003e\u003cspan citationid=\"CR25\" class=\"CitationRef\"\u003e25\u003c/span\u003e\u003c/sup\u003e. Here, we tried to modify the 10% HxD-OPTIClear delipidation solution in Accu-OptiClearing by enhancing the clearing efficiency while maintaining the tissue preservation ability. Urea was selected as the non-detergent additive in this study because of its hydrating and denaturing properties, which allow it to increase the fluidity and permeability of the cell membranes\u003csup\u003e\u003cspan citationid=\"CR26\" class=\"CitationRef\"\u003e26\u003c/span\u003e,\u003cspan citationid=\"CR32\" class=\"CitationRef\"\u003e32\u003c/span\u003e\u003c/sup\u003e. Then, we hypothesized that urea could facilitate the influx of the clearing solution into the cells, resulting in a potentially enhanced clearing efficiency in Accu-OptiClearing. From the transmittance measurement, the 8M urea additive was found to have the highest transparency, which is significantly higher than the 10% HxD-OPTIClear basal solution in clearing half brains. Furthermore, the 2M urea additive was found to have the second highest transparency in clearing hemispheres and significantly higher transparency than the 10% HxD-OPTIClear basal solution in clearing 2 mm brain sections. Hence, it shows that the addition of urea can improve clearing efficiency in both large and small brain tissues.\u003c/p\u003e \u003cp\u003eApart from the potential expansion in delipidation, other processes in different clearing methods also challenge tissue size preservation. Hyperhydration in CUBIC-based clearing methods leads to tissue expansion\u003csup\u003e\u003cspan citationid=\"CR20\" class=\"CitationRef\"\u003e20\u003c/span\u003e,\u003cspan citationid=\"CR21\" class=\"CitationRef\"\u003e21\u003c/span\u003e\u003c/sup\u003e, while dehydration in the DISCO-based clearing methods leads to tissue shrinkage\u003csup\u003e\u003cspan citationid=\"CR15\" class=\"CitationRef\"\u003e15\u003c/span\u003e,\u003cspan citationid=\"CR17\" class=\"CitationRef\"\u003e17\u003c/span\u003e,\u003cspan citationid=\"CR33\" class=\"CitationRef\"\u003e33\u003c/span\u003e\u003c/sup\u003e. Recently, an innovative hydrophobic clearing method named SOLID (Suppressing tissue distortion based on synchronized dehydration/delipidation treatment with 1,2-hexanediol [1,2-HxD] mixtures) was developed using HxD in the gradient dehydration process\u003csup\u003e\u003cspan citationid=\"CR30\" class=\"CitationRef\"\u003e30\u003c/span\u003e\u003c/sup\u003e. HxD is a neutral delipidation agent used in the CUBIC-based clearing methods and Accu-OptiClearing to show strong lipid removal ability at low concentrations\u003csup\u003e\u003cspan citationid=\"CR25\" class=\"CitationRef\"\u003e25\u003c/span\u003e,\u003cspan citationid=\"CR34\" class=\"CitationRef\"\u003e34\u003c/span\u003e\u003c/sup\u003e. Conversely, it was found that HxD also has a strong dehydrating ability as an organic solvent at high concentrations. SOLID manipulates these properties of HxD and preserves tissue size after gradient dehydration/delipidation of increasing concentrations of HxD\u003csup\u003e\u003cspan citationid=\"CR30\" class=\"CitationRef\"\u003e30\u003c/span\u003e\u003c/sup\u003e. Besides, other clearing methods also reported unchanged tissue size after the treatment, including MACS (MXDA-based Aqueous Clearing System) and SHIELD\u003csup\u003e\u003cspan citationid=\"CR23\" class=\"CitationRef\"\u003e23\u003c/span\u003e,\u003cspan citationid=\"CR35\" class=\"CitationRef\"\u003e35\u003c/span\u003e\u003c/sup\u003e. In MACS, transient expansion of the tissues was caused by hyperhydration to enhance permeability, and the tissues were shrunk back to their original size after the treatment of the solution with high osmolality\u003csup\u003e\u003cspan citationid=\"CR35\" class=\"CitationRef\"\u003e35\u003c/span\u003e\u003c/sup\u003e. In SHIELD, the tissues were also transiently expanded after delipidation by SDS, but they were shrunk back to normal size after incubation in the RI matching solution\u003csup\u003e\u003cspan citationid=\"CR23\" class=\"CitationRef\"\u003e23\u003c/span\u003e\u003c/sup\u003e. Although SOLID, MACS and SHIELD can successfully preserve tissue size after the clearing procedure, the tissues were transiently expanded during clearing before they shrunk back to their original sizes\u003csup\u003e\u003cspan citationid=\"CR30\" class=\"CitationRef\"\u003e30\u003c/span\u003e,\u003cspan citationid=\"CR35\" class=\"CitationRef\"\u003e35\u003c/span\u003e,\u003cspan citationid=\"CR36\" class=\"CitationRef\"\u003e36\u003c/span\u003e\u003c/sup\u003e. This expansion-shrinkage process may induce potential distortions in the tissues. In this study, we tested the tissue size preservation of the Accu-OptiClearing delipidation solution after adding different concentrations of urea. As a hydrating agent, urea was reported to cause tissue expansion in the CUBIC-based and Sca\u003cem\u003el\u003c/em\u003ee-based clearing methods\u003csup\u003e\u003cspan additionalcitationids=\"CR19 CR20\" citationid=\"CR18\" class=\"CitationRef\"\u003e18\u003c/span\u003e\u0026ndash;\u003cspan citationid=\"CR21\" class=\"CitationRef\"\u003e21\u003c/span\u003e\u003c/sup\u003e. This is consistent with our results from the brain hemisphere clearing at high urea concentrations. The tissue expansion of the half brains is positively correlated with the concentrations of the urea additives. Among different urea additives, only the 2M urea additive showed no significant swelling compared to the original tissue size. More importantly, the tissue sizes remain constant without transient expansion throughout the 28-day clearing process under the treatment of this 2M urea additive. The tissue size preserving ability of the 2M urea\u0026thinsp;+\u0026thinsp;10% HxD-OPTIClear solution was validated in clearing 2 mm brain sections, in which no significant tissue size changes have been observed. As a result, we found that the OPTIClear in the clearing solution can preserve the tissue size at low urea concentration.\u003c/p\u003e \u003cp\u003eIn addition to the tissue size, the protein content is another essential factor in tissue structural preservation. Some tissue clearing methods can potentially induce protein loss during the clearing process because of the denaturants, such as SDS and urea. For example, CLARITY and Sca\u003cem\u003el\u003c/em\u003ee clearing methods have been reported to induce\u0026thinsp;~\u0026thinsp;8% and ~\u0026thinsp;41% of protein loss after clearing, respectively\u003csup\u003e\u003cspan citationid=\"CR37\" class=\"CitationRef\"\u003e37\u003c/span\u003e\u003c/sup\u003e. Since the structural proteins in the extracellular matrix are essential in maintaining tissue structure, high-level protein loss may induce tissue distortion and deformation\u003csup\u003e\u003cspan citationid=\"CR38\" class=\"CitationRef\"\u003e38\u003c/span\u003e\u003c/sup\u003e. OPTIClear in the Accu-OptiClearing delipidation solution was reported to preserve the proteins in the presence of SDS denaturant\u003csup\u003e\u003cspan citationid=\"CR25\" class=\"CitationRef\"\u003e25\u003c/span\u003e\u003c/sup\u003e. Hence, we tested whether OPTIClear can preserve the protein content in different urea additives. Similar to the size change measurement, the OPTIClear cannot preserve the tissue protein level at high urea concentrations. The 8M urea additive showed significantly higher protein loss than the 10% HxD-OPTIClear basal solution. Conversely, the 2M urea additive showed no significant protein loss in clearing both half brains and 2 mm brain sections. Collectively, the 2M urea\u0026thinsp;+\u0026thinsp;10% HxD-OPTIClear solution was selected as the most optimized clearing solution in this study because of the balance between its enhanced clearing efficiency and unchanged tissue preservation ability.\u003c/p\u003e \u003cp\u003eThe tissue protein content is not only related to the structural integrity but also crucial in preserving antigens and endogenously expressed proteins. This preservation was investigated by the immunostaining and neural tracing in this study, Immunostaining results showed that the addition of 2M urea did not compromise the signal quality of the TH and Iba1 antibodies but also slightly improved the penetration of the Iba1 antibody. Moreover, the neural tracing of the VTA-CA1 circuit also demonstrated the compatibility of this modified clearing solution with the endogenous fluorescence transduced by viral vectors. Apart from the protein probes, lipophilic probes are also important to label myelin structures in brain studies. The lipid-preserving ability of Accu-OptiClearing was already confirmed by the DiI staining\u003csup\u003e\u003cspan citationid=\"CR25\" class=\"CitationRef\"\u003e25\u003c/span\u003e\u003c/sup\u003e. From the results of the PM-ML staining, it was found that the addition of 2M urea into the 10% HxD-OPTIClear did not sacrifice the myelin preservation during delipidation. Altogether, the optimized 2M urea\u0026thinsp;+\u0026thinsp;10% HxD-OPTIClear solution is compatible with different labeling tools, including immunostaining, myelin staining and neural tracing.\u003c/p\u003e \u003cp\u003eImmunostaining, neural tracing and myelin staining are important labeling tools to study different neural structures in physiological and pathological conditions. Under physiological conditions, neural tracing and immunostaining were used to elucidate neuronal connections and corresponding cell types inside the brain, facilitating the understanding of the brain functions in connectomincs\u003csup\u003e\u003cspan citationid=\"CR39\" class=\"CitationRef\"\u003e39\u003c/span\u003e,\u003cspan citationid=\"CR40\" class=\"CitationRef\"\u003e40\u003c/span\u003e\u003c/sup\u003e. Under disease conditions, neural tracing and myelin staining could be used to monitor the propagation of pathological molecules and demyelination in neurodegenerative diseases\u003csup\u003e\u003cspan additionalcitationids=\"CR42 CR43\" citationid=\"CR41\" class=\"CitationRef\"\u003e41\u003c/span\u003e\u0026ndash;\u003cspan citationid=\"CR44\" class=\"CitationRef\"\u003e44\u003c/span\u003e\u003c/sup\u003e. Indeed, the application of Accu-OptiClearing with neural tracing and immunostaining was demonstrated in our previous study. This combination of techniques identified the 3D neural circuit with its postsynaptic neuronal subtype and monitored axonal degeneration in disease models\u003csup\u003e\u003cspan citationid=\"CR29\" class=\"CitationRef\"\u003e29\u003c/span\u003e\u003c/sup\u003e. Hence, the modified Accu-OptiClearing in this study can be potentially applied to broad neuroscience studies by allowing a 3D visualization of different neural structures.\u003c/p\u003e \u003cp\u003eBy different tests, urea was shown to be compatible as an additive to the delipidation solution in Accu-OptiClearing. In the clearing solution, the OPTIClear component was reported to prevent tissue expansion and protein loss caused by SDS in the previous study\u003csup\u003e\u003cspan citationid=\"CR25\" class=\"CitationRef\"\u003e25\u003c/span\u003e\u003c/sup\u003e. Consistently, this preserving ability was proved to be applicable to the urea additive in this study. This opens room for different non-detergent agents to modify the clearing solution in Accu-OptiClearing. Although the urea additive showed enhanced clearing efficiency and penetration depth of antibodies, the clearing cocktail can be further optimized by screening other hydrating and decolorizing additives in the next step. For the hydrating agent, formamide is an uncharged hydrating agent with a stronger permeabilizing property than urea. For the decolorizing agent, Quadrol (N,N,N\u0026rsquo;,N\u0026rsquo;-tetrakis(2-hydroxypropyl)ethylenediamine) is an aminoalcohol, which removes the heme chromophore by releasing hemin in CUBIC-based clearing methods\u003csup\u003e\u003cspan citationid=\"CR21\" class=\"CitationRef\"\u003e21\u003c/span\u003e,\u003cspan citationid=\"CR45\" class=\"CitationRef\"\u003e45\u003c/span\u003e\u003c/sup\u003e. Indeed, both formamide and Quadrol were shown to be compatible with urea in F-CUBIC (adding formamide to CUBIC)\u003csup\u003e\u003cspan citationid=\"CR46\" class=\"CitationRef\"\u003e46\u003c/span\u003e\u003c/sup\u003e, making them potential additives to the 2M urea\u0026thinsp;+\u0026thinsp;10% HxD-OPTIClear clearing solution from this study. On the other hand, the m-xylylenediamine (MXDA) used in the MACS clearing method was also reported to cause tissue hyperhydration while decolorizing heme chromophore by releasing iron ions\u003csup\u003e\u003cspan citationid=\"CR35\" class=\"CitationRef\"\u003e35\u003c/span\u003e\u003c/sup\u003e. Hence, it can be another potential additive to the Accu-OptiClearing delipidation solution in future studies.\u003c/p\u003e \u003cp\u003eIn conclusion, the addition of urea to the delipidation solution can improve the clearing efficiency and antibody penetration in Accu-OptiClearing. The 2M urea was screened as the optimal concentration, in which the OPTIClear solution can counteract the potential protein loss and tissue expansion during clearing. As a result, 2M urea\u0026thinsp;+\u0026thinsp;10% HxD-OPTIClear was found to be the optimized clearing solution because of its (a) improved clearing ability, (b) tissue structural preservation, and (c) compatibility with different probes. This enables the future application of this optimized clearing solution in neuroscience studies through neural tracing and myelin labeling.\u003c/p\u003e"},{"header":"Methods","content":"\u003cdiv id=\"Sec8\" class=\"Section2\"\u003e \u003ch2\u003eAnimals\u003c/h2\u003e \u003cp\u003e\u003cb\u003e All animal handling procedures and surgery in this study were conducted according to, and ethical approved by the guidelines from the Department of Health, the Hong Kong SAR government, and approved by the Committee on the Use of Live Animals in Teaching and Research (CULATR) in the Comparative Medicine Research (CCMR), The University of Hong Kong (CULATR number 4782-18 and 22\u0026ndash;237) with accreditation from the Association for Assessment and Accreditation of Laboratory Animal Care International.\u003c/b\u003e Sprague-Dawley (SD) rats (300 g) and C57BL/6J mice (3-month-old) were ordered from the CCMR, The University of Hong Kong. \u003cb\u003eAll methods are reported in accordance with ARRIVE guidelines (\u003c/b\u003e\u003cspan class=\"ExternalRef\"\u003e\u003cspan class=\"RefSource\"\u003ehttps://arriveguidelines.org\u003c/span\u003e\u003cspan address=\"https://arriveguidelines.org\" targettype=\"URL\" class=\"RefTarget\"\u003e\u003c/span\u003e\u003c/span\u003e\u003cb\u003e).\u003c/b\u003e\u003c/p\u003e \u003cp\u003eThe SD rats were housed in the capacity of a maximum of 3 animals per cage, while the C57BL/6J mice were housed in the capacity of a maximum of 5 animals per cage. All the cages were kept at constant temperature (20\u0026thinsp;\u0026plusmn;\u0026thinsp;2\u0026deg;C) and humidity (50\u0026thinsp;\u0026plusmn;\u0026thinsp;10%). Food and water were available \u003cem\u003ead libitum\u003c/em\u003e. A 12:12 h light-dark cycle was maintained during husbandry at the CCMR, The University of Hong Kong.\u003c/p\u003e \u003c/div\u003e\n\u003ch3\u003eAccu-OptiClearing solutions preparation\u003c/h3\u003e\n\u003cp\u003eFor the RI matching solution, OPTIClear was prepared as described in the previous study\u003csup\u003e\u003cspan citationid=\"CR25\" class=\"CitationRef\"\u003e25\u003c/span\u003e\u003c/sup\u003e. In brief, 20% (w/v) N-methylglucamine (Sigma-Aldrich #66930), 32% (w/v) Iohexol (Sigma-Aldrich #D2158) and 25% (v/v) 2,2\u0026rsquo;-thiodiethanol (TDE) (Sigma-Aldrich #88559) were mixed in Milli-Q water. The solution was then adjusted to pH 7\u0026ndash;8.\u003c/p\u003e \u003cp\u003eFor the delipidation solution, 10% HxD-OPTIClear was prepared by mixing 10% HxD (v/v) with OPTIClear. On top of the 10% HxD-OPTIClear, different amount of the urea powder was dissolved in the solution to create different clearing solution candidates with different concentrations (2M, 4M, 6M and 8M) of urea additives.\u003c/p\u003e\n\u003ch3\u003eTranscardial perfusion and tissue post-fixation\u003c/h3\u003e\n\u003cp\u003eIntraperitoneal injection (IP) of overdosed sodium pentobarbital (Alfasan, Holland) (120 mg/kg body weight) was performed to euthanize the C57BL/6J mice and the SD rats. After the euthanization, the rib cage of each animal was cut open, and a needle connecting the pump was inserted into the heart. The animals were first perfused with 0.9% saline followed by 4% paraformaldehyde (PFA) solution for 10\u0026ndash;30 minutes, depending on the body size. The brains were harvested and immersed in 4% PFA solution at 4\u0026deg;C for 3 days of post-fixation.\u003c/p\u003e \u003cdiv id=\"Sec11\" class=\"Section2\"\u003e \u003ch2\u003eAccu-OptiClearing\u003c/h2\u003e \u003cp\u003eAfter post-fixation, the animal brains were washed with 1x PBS three times for 10 minutes each (3 x 10 minutes). Then, a brain matrix (Zivic Instruments, USA) was used to cut the brain tissues into different thicknesses. The rat brain hemispheres and the 2 mm rat coronal brain sections were used to test the properties of different clearing solution candidates. The 2 mm rat sagittal brain sections were used for neural tracing and immunostaining. The 1 mm mouse sagittal brain sections were used for PM-ML staining.\u003c/p\u003e \u003cp\u003eDuring the delipidation step, brain sections were incubated in the clearing solutions at 37\u0026deg;C for different durations, depending on their thicknesses. The 1 mm brain sections were cleared overnight, while the 2 mm brain sections were cleared for 3 days. Conversely, the rat brain hemispheres were incubated in the clearing solutions at 37\u0026deg;C for 28 days, with the solution renewed twice a week. After the delipidation, the tissues were washed with 1x PBS three times for 10 minutes each (3 x 10 minutes) to remove the clearing solutions. The tissues were then subjected to immunostaining or RI matching.\u003c/p\u003e \u003cp\u003eDuring the RI matching, the tissues were immersed in the OPTIClear solution at 37\u0026deg;C for 2 days. After the RI matching step, the tissues were mounted onto 35 mm glass bottom dishes (MatTek, USA) with OPTIClear solution. A 24 mm x 24 mm coverslip (Thermo Fischer Scientific, USA) was used to cover each tissue during mounting. The mounted tissues were imaged under the confocal microscopes.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec12\" class=\"Section2\"\u003e \u003ch2\u003eMeasurement of tissue transparency\u003c/h2\u003e \u003cp\u003eAfter certain time points of delipidation, the cleared rat brain hemispheres and 2 mm sections were trimmed into a round shape, containing the brain regions ventral to the corpus callosum, with the same diameter as the wells in a 96-well plate. The trimmed brain tissues were incubated with the corresponding clearing solutions in the wells of the 96-well plate, defined as the tissue wells. Other wells were filled with the clearing solutions for blanking, defined as the solution wells. All bubbles were removed in the wells before absorbance measurement. The absorbance of each well in the 96-well plate was measured at 750 nm using the LabSystems Multiskan microplate reader (LabX, Canada). The finalized absorbance of the cleared tissues was calculated by subtracting the absorbance of the tissue wells from the absorbance of their corresponding solution wells. The % transmittance of the tissue was then calculated from the finalized absorbance by the equation: % Transmittance\u0026thinsp;=\u0026thinsp;10\u003csup\u003e\u0026minus;(Absorbance \u0026minus;2)\u003c/sup\u003e.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec13\" class=\"Section2\"\u003e \u003ch2\u003eMeasurement of tissue size change\u003c/h2\u003e \u003cp\u003eThe tissues were assumed to swell equally in all directions after delipidation, and the tissue area changes were measured to determine the tissue size changes. For the 2 mm coronal brain sections, bright-field images were taken on Day 0 and Day 3. For the hemispheres, the bright-field images were taken on Day 0, Day 4, Day 7, Day 11, Day 14, Day 18, Day 21, Day 25 and Day 28. The \u0026lsquo;polygon selections\u0026rsquo; function in Fiji (Image J; NIH) was used to measure the tissue areas. The fold of area change was calculated by dividing the brain tissue areas at different time points by their corresponding areas on Day 0.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec14\" class=\"Section2\"\u003e \u003ch2\u003eMeasurement of tissue protein loss\u003c/h2\u003e \u003cp\u003eAfter delipidation, the clearing solutions were collected at the end of each process. Freshly prepared clearing solutions were used as the controls. The clearing solutions (40 \u0026micro;L) were mixed with 6x Laemmli sample buffer (8 \u0026micro;L). The mixtures were heated at 99\u0026deg;C for 10 minutes to denature the proteins and were loaded onto the 10% Mini-PROTEAN\u0026reg; TGX stain-free acrylamide gels (BioRad, USA). Electrophoresis was performed at 120 V for around 1.5 hours. After the electrophoresis, the stain-free gels were visualized by UV detection in the GelDoc Go Imaging System (BioRad, USA). The measured signal intensity of each loaded lane was analyzed using the Image Lab software (BioRad, USA). The signal intensity of each sample was normalized by their corresponding solution control to calculate the fold of tissue protein loss.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec15\" class=\"Section2\"\u003e \u003ch2\u003eImmunostaining\u003c/h2\u003e \u003cp\u003eThe brain tissues were first incubated in the blocking solution containing 0.6 M glycine (Sigma-Aldrich #G7126), 0.2% v/v Triton\u0026reg; X-100 (Sigma-Aldrich #T8532) and 3% v/v goat serum (Vector Laboratories #S-1000) in 1x PBS, at 37\u0026deg;C for overnight. After washing with 0.2% PBS-Tween\u0026reg; 20 (3 \u0026times; 10 minutes), the brain tissues were stained by either TH antibody (Sigma-Aldrich #AB-152) or Iba-1 antibody (Wako #019-19741) in the antibody diluent, which contains 0.2% v/v Tween\u0026reg; 20 (Sigma-Aldrich #P7949) and 3% goat serum in 1x PBS, in a 1:100 dilution at 37\u0026deg;C for at least 2 days. After the primary antibody staining, the brain tissues were washed with 0.2% PBS-Tween\u0026reg; 20 (6 \u0026times; 30 minutes). The brain tissues were then stained by the goat anti-rabbit secondary antibody conjugated with Alexa647 (Thermo Fischer Scientific #A-21245) in a 1:100 dilution with antibody diluent at 37\u0026deg;C for at least 2 days. After the secondary antibody staining, the brain tissues were washed with 0.2% PBS-Tween\u0026reg; 20 (6 \u0026times; 30 minutes). They were then subjected to the RI matching step in Accu-OptiClearing.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec16\" class=\"Section2\"\u003e \u003ch2\u003ePM-ML staining\u003c/h2\u003e \u003cp\u003ePM-ML is a newly developed aggregation-induced emission (AIE)-active probe of myelin sheath with a high signal-to-noise ratio and photostability. The staining process was performed as previously described\u003csup\u003e\u003cspan citationid=\"CR27\" class=\"CitationRef\"\u003e27\u003c/span\u003e\u003c/sup\u003e. In brief, the 3 mL PM-ML staining solution was prepared by mixing 6 \u0026micro;L of 5mM PM-ML stock solution with 300 \u0026micro;L dimethyl sulfoxide (DMSO) (10%) and 2694 \u0026micro;L 1x PBS, so that the final concentration of the PM-ML is 10 \u0026micro;M in the staining solution. Each 1 mm mouse brain section was immersed in the 3 mL PM-ML staining solution for overnight shaking with 15 revolutions per minute (RPM) at room temperature. The brain tissues were rinsed with 1x PBS after overnight PM-ML staining. The brain tissues were then subjected to delipidation and RI matching in Accu-OptiClearing.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec17\" class=\"Section2\"\u003e \u003ch2\u003eNeural tracing\u003c/h2\u003e \u003cp\u003eThe Antero-System was applied to trace the VTA-CA1 circuit in rats following the procedures as described in the previous study\u003csup\u003e\u003cspan citationid=\"CR29\" class=\"CitationRef\"\u003e29\u003c/span\u003e\u003c/sup\u003e. In brief, stereotaxic injection was performed under the anesthesia of ketamine (80 mg/kg) and xylazine (8 mg/kg). The AAV9-DIO-EYFP (BrainVTA, China; titer: \u0026ge;2\u0026times;10^12vg/mL) was injected into the VTA (5.0 mm posterior, 0.7 mm lateral and 7.0 mm ventral to bregma), while the AAV2-retro-Cre-mcherry (BrainVTA, China; titer: \u0026ge;2\u0026times;10^12vg/mL) was injected into the CA1 (3.6 mm posterior, 2.0 mm lateral and 2.1 mm ventral to bregma) by the Hamilton 600 Series microliter syringes with 12\u003csup\u003eo\u003c/sup\u003e beveled needles (Hamilton Company, USA) at a rate of 0.25 \u0026micro;l/minute with total volume of 0.5 \u0026micro;l per injection site. The rats were euthanized 3 weeks after the AAV injection and the brains harvested were subjected to Accu-OptiClearing for delipidation and RI matching after the post-fixation.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec18\" class=\"Section2\"\u003e \u003ch2\u003eConfocal imaging\u003c/h2\u003e \u003cp\u003eThe confocal imaging was performed using the LSM-800 and LSM-900 inverted confocal microscopes (Carl Zeiss, Germany). The Plan-Apochromat 10x Ph1 M27 (NA 0.45) and Plan-Apochromat 20x Ph2 M27 (NA 0.8) objective lenses were used. The results of the PM-ML staining, immunostaining and neural tracing were imaged using the \u0026lsquo;Tile\u0026rsquo; and the \u0026lsquo;Z-stack\u0026rsquo; functions at 1024 x 1024 frame size in the Zen 2.3 Blue Edition software (Carl Zeiss, Germany). The color-coded and orthogonal projections were generated by the Zen 2.3 Blue Edition (Carl Zeiss, Germany).\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec19\" class=\"Section2\"\u003e \u003ch2\u003eData processing and statistical analysis\u003c/h2\u003e \u003cp\u003eThe confocal images were visualized and processed through Zen 2.3 Blue Edition (Carl Zeiss, Germany) to generate orthogonal and color-coded projections. All statistical analyses were analyzed by the GraphPad Prism software version 10.0 (GraphPad Software, USA), using one-way and two-way analysis of variance (ANOVA). All data were presented in the form of mean\u0026thinsp;\u0026plusmn;\u0026thinsp;SEM. p-value\u0026thinsp;\u0026le;\u0026thinsp;0.05 was considered significant in the analysis.\u003c/p\u003e \u003c/div\u003e \u003cdiv id=\"Sec20\" class=\"Section2\"\u003e \u003ch2\u003eData availability\u003c/h2\u003e \u003cp\u003eThe original data in this study are available from the corresponding author upon request.\u003c/p\u003e \u003c/div\u003e"},{"header":"Declarations","content":"\u003cp\u003eAcknowledgments\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eWe would like to thank CCMR for animal ordering and animal housing during the experiments and the Centre for PanorOmic Sciences (CPOS) for the support of the confocal microscopy service. The work is partially supported by Bingei and L \u0026amp; T Charitable Foundation Professorship in Dementia Research.\u003c/p\u003e\n\u003cp\u003eAuthor contributions\u003c/p\u003e\n\u003cp\u003e\u003cstrong\u003eMSLL:\u003c/strong\u003e Writing \u0026ndash; review \u0026amp; editing, Writing \u0026ndash; original draft, Visualization, Methodology, Investigation, Formal analysis, Data curation, Conceptualization. \u003cstrong\u003eWNC:\u003c/strong\u003e Writing \u0026ndash; review \u0026amp; editing, Investigation, Formal analysis, Data curation. \u003cstrong\u003eMHL:\u003c/strong\u003e Writing \u0026ndash; review \u0026amp; editing, Investigation, Formal analysis, Data curation. \u003cstrong\u003eRCCC:\u003c/strong\u003e Writing \u0026ndash; review \u0026amp; editing, Supervision, Project administration, Funding acquisition, Data curation, Conceptualization.\u003c/p\u003e\n\u003cp\u003eDeclaration of competing interests\u0026nbsp;\u003c/p\u003e\n\u003cp\u003eThe authors report no competing interests.\u003c/p\u003e"},{"header":"References","content":"\u003col\u003e\u003cli\u003e\u003cspan\u003eLiu, J. et al. 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Express\u003c/em\u003e. \u003cb\u003e13\u003c/b\u003e, 237 (2022).\u003c/span\u003e\u003c/li\u003e\u003c/ol\u003e"}],"fulltextSource":"","fullText":"","funders":[],"hasAdminPriorityOnWorkflow":false,"hasManuscriptDocX":true,"hasOptedInToPreprint":true,"hasPassedJournalQc":"","hasAnyPriority":false,"hideJournal":false,"highlight":"","institution":"","isAcceptedByJournal":true,"isAuthorSuppliedPdf":false,"isDeskRejected":"","isHiddenFromSearch":false,"isInQc":false,"isInWorkflow":false,"isPdf":false,"isPdfUpToDate":true,"isWithdrawnOrRetracted":false,"journal":{"display":true,"email":"[email protected]","identity":"scientific-reports","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"scirep","sideBox":"Learn more about [Scientific Reports](http://www.nature.com/srep/)","snPcode":"","submissionUrl":"","title":"Scientific Reports","twitterHandle":"","acdcEnabled":true,"dfaEnabled":true,"editorialSystem":"stoa","reportingPortfolio":"Scientific Reports","inReviewEnabled":true,"inReviewRevisionsEnabled":true},"keywords":"Tissue clearing, Transparent brain, Myelin preservation, Tissue size preservation, Neural tracing, Three-dimensional imaging","lastPublishedDoi":"10.21203/rs.3.rs-6517663/v1","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-6517663/v1","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003eThe brain is a complicated tissue with high lipid content. Different tissue clearing methods have been used to study its complex structures and functions. However, the balance between myelin preservation and clearing efficiency remains an obstacle in brain tissue clearing. In the previous study, Accu-OptiClearing has been developed to overcome this challenge by combining detergent and RI matching solution in the delipidation solution. This successfully preserves brain tissue structure and lipid content, but the clearing efficiency can be further improved. Here, we investigated the effects of adding urea as a non-detergent permeabilizing agent to the delipidation solution of Accu-OptiClearing by measuring the clearing efficiency, protein loss, tissue size change and myelin preservation. Different concentrations of urea (2M, 4M, 6M and 8M) were added to the 10% HxD-OPTIClear solution for comparison. From the results, we found that the 2M urea additive can achieve sufficient improvement in clearing efficiency with unchanged tissue preservation and probe compatibility. These findings demonstrate that the addition of non-detergent urea could potentially modify the Accu-OptiClearing delipidation solution. Hence, it opens room for screening other non-detergent chemicals in optimizing the Accu-OptiClearing delipidation cocktail for future neuroscience studies.\u003c/p\u003e","manuscriptTitle":"Urea is an Ideal Additive to the Accu-OptiClearing Delipidation Cocktail? An Optimized Study","msid":"","msnumber":"","nonDraftVersions":[{"code":1,"date":"2025-05-20 18:50:27","doi":"10.21203/rs.3.rs-6517663/v1","editorialEvents":[{"type":"communityComments","content":0},{"type":"decision","content":"Revision requested","date":"2025-06-05T04:43:53+00:00","index":"","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2025-06-04T11:18:46+00:00","index":"hide","fulltext":""},{"type":"editorInvitedReview","content":"","date":"2025-05-30T05:24:05+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"109855982473204005938780338871276635534","date":"2025-05-22T23:40:01+00:00","index":"hide","fulltext":""},{"type":"reviewerAgreed","content":"211766502643268506496000417688700850563","date":"2025-05-19T03:04:01+00:00","index":"hide","fulltext":""},{"type":"reviewersInvited","content":"","date":"2025-05-19T02:51:49+00:00","index":"","fulltext":""},{"type":"editorAssigned","content":"","date":"2025-05-19T02:25:38+00:00","index":"","fulltext":""},{"type":"editorInvited","content":"","date":"2025-04-30T10:56:58+00:00","index":"","fulltext":""},{"type":"checksComplete","content":"","date":"2025-04-29T08:12:30+00:00","index":"","fulltext":""},{"type":"submitted","content":"Scientific Reports","date":"2025-04-24T06:22:04+00:00","index":"","fulltext":""}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"scientific-reports","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":false,"externalIdentity":"scirep","sideBox":"Learn more about [Scientific Reports](http://www.nature.com/srep/)","snPcode":"","submissionUrl":"","title":"Scientific Reports","twitterHandle":"","acdcEnabled":true,"dfaEnabled":true,"editorialSystem":"stoa","reportingPortfolio":"Scientific Reports","inReviewEnabled":true,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"4e13b2d5-126d-4e84-8cdb-70fa808da21c","owner":[],"postedDate":"May 20th, 2025","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"published-in-journal","subjectAreas":[{"id":48756187,"name":"Biological sciences/Biological techniques/Imaging/Fluorescence imaging"},{"id":48756188,"name":"Biological sciences/Biological techniques/Imaging/Optical imaging"}],"tags":[],"updatedAt":"2025-12-15T16:13:42+00:00","versionOfRecord":{"articleIdentity":"rs-6517663","link":"https://doi.org/10.1038/s41598-025-18231-3","journal":{"identity":"scientific-reports","isVorOnly":false,"title":"Scientific Reports"},"publishedOn":"2025-12-14 15:58:12","publishedOnDateReadable":"December 14th, 2025"},"versionCreatedAt":"2025-05-20 18:50:27","video":"","vorDoi":"10.1038/s41598-025-18231-3","vorDoiUrl":"https://doi.org/10.1038/s41598-025-18231-3","workflowStages":[]},"version":"v1","identity":"rs-6517663","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-6517663","identity":"rs-6517663","version":["v1"]},"buildId":"8U1c8b4HqxoKbykW_rLl7","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}

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