Research Article

Adapted Murine Sepsis Score: Improving the Research in Experimental Sepsis Mouse Model

Table 1

Adapted Murine Sepsis Score (A-MSS).

Score01234

AppearanceCoat is smoothPatches of hair piloerectedMajority of back is piloerectedPiloerection may or may not be present; mouse appears “puffy”Piloerection may or may not be present; mouse appears emaciated
Level of consciousnessMouse is activeMouse is active but avoids standing uprightMouse activity is noticeably slowed. The mouse is still ambulantActivity is impaired. Mouse only moves when provoked; movements have a tremorActivity severely impaired. Remains stationary when provoked, with possible tremor
ActivityNormal amount of activity. Mouse is any of eating, drinking, climbing, running, and fightingSlightly suppressed activity. Mouse is moving around bottom of cageSuppressed activity. Mouse is stationary with occasional investigative movementsNo activityNo activity. Mouse experiencing tremors, particularly in the hind legs
Response to stimulusMouse responds immediately to auditory stimulus or touchSlow or no response to auditory stimulus; strong response to touch (moves to escape)No response to auditory stimulus; moderate response to touch (moves a few steps)No response to auditory stimulus; mild response to touch (no locomotion)No response to auditory stimulus. Little or no response to touch. Cannot right itself if pushed over
EyesOpenEyes not fully open, possibly with secretionsEyes at least half closed, possibly with secretionsEyes half closed or more, possibly with secretionsEyes closed or milky
Respiration rateNormal, rapid mouse respirationSlightly decreased respiration (rate not quantifiable by the eye)Moderately reduced respiration (rate at the upper range of quantifying by the eye)Severely reduced respiration (rate easily countable by the eye, 0.5 s between breaths)Extremely reduced respiration (>1 s between breaths)
Respiration qualityNormalBrief periods of laboured breathingLaboured, no gaspingLaboured with intermittent gaspsGasping
Rectal temperature (°C)36-38> 38< 36- ≥ 35< 35- ≥ 34< 34
Glycemia (mg/dL)≥148≤148-≥122<122-≥58<58->40≤ 40
Relative body weight loss (%)0-55-1010-1515-20> 20