A review of experimental models of focal cerebral ischemia focusing on the middle cerebral artery occlusion model

Copyright: © 2021 Trotman-Lucas M and Gibson CL..

Cerebral ischemic stroke is a leading cause of death and disability, but current pharmacological therapies are limited in their utility and effectiveness. In vitro and in vivo models of ischemic stroke have been developed which allow us to further elucidate the pathophysiological mechanisms of injury and investigate potential drug targets. In vitro models permit mechanistic investigation of the biochemical and molecular mechanisms of injury but are reductionist and do not mimic the complexity of clinical stroke. In vivo models of ischemic stroke directly replicate the reduction in blood flow and the resulting impact on nervous tissue. The most frequently used in vivo model of ischemic stroke is the intraluminal suture middle cerebral artery occlusion (iMCAO) model, which has been fundamental in revealing various aspects of stroke pathology. However, the iMCAO model produces lesion volumes with large standard deviations even though rigid surgical and data collection protocols are followed. There is a need to refine the MCAO model to reduce variability in the standard outcome measure of lesion volume. The typical approach to produce vessel occlusion is to induce an obstruction at the origin of the middle cerebral artery and reperfusion is reliant on the Circle of Willis (CoW). However, in rodents the CoW is anatomically highly variable which could account for variations in lesion volume. Thus, we developed a refined approach whereby reliance on the CoW for reperfusion was removed. This approach improved reperfusion to the ischemic hemisphere, reduced variability in lesion volume by 30%, and reduced group sizes required to determine an effective treatment response by almost 40%. This refinement involves a methodological adaptation of the original surgical approach which we have shared with the scientific community via publication of a visualised methods article and providing hands-on training to other experimental stroke researchers.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:10

Enthalten in:

F1000Research - 10(2021) vom: 01., Seite 242

Sprache:

Englisch

Beteiligte Personen:

Trotman-Lucas, Melissa [VerfasserIn]
Gibson, Claire L [VerfasserIn]

Links:

Volltext

Themen:

Focal ischemia
In vivo
Ischemia
Journal Article
Refinement
Research Support, Non-U.S. Gov't
Review
Stroke

Anmerkungen:

Date Completed 27.07.2021

Date Revised 27.07.2021

published: Electronic-eCollection

Citation Status MEDLINE

doi:

10.12688/f1000research.51752.2

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM325949131