Toda S, Ikeda Y, Teramoto A, Hirakawa K, Uekusa K
Department of Neurosurgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan.
Acta Neurochir (Wien). 2002 Dec;144(12):1297-304; discussion 1304. doi: 10.1007/s00701-002-1010-x.
The four-vessel occlusion method introduced by Pulsinelli et al. is widely used as an experimental model for reversible forebrain ischemia in rats.
In this study, we further developed highly reproducible model of reversible forebrain ischemia. Under the microscope the visible vertebral arteries at the second vertebra could be easily electrocauterized and completely cut to yield complete cessation of circulation of both vertebral arteries. After 24 hours, male Wistar rats were subjected to 15, 30 and 45 minutes of forebrain ischemia by occluding both common carotid arteries with Sugita's temporary clips. (31)P-magnetic resonance spectra ((31)P-MRS) and (1)H-magnetic resonance images ((1)H-MRI) were obtained with a 6.3-T spectrometer to investigate sequential change of the in vivo brain metabolism. Electroencephalogram and the cortical blood flow by laser Doppler flowmetry were measured during ischemia and recirculation. Determination of endogenous superoxide scavenging activity in the brain cortex was performed by electron spin resonance spectrometry.
Brain water contents evaluated by the dry-wet weight method were increased at 1 hour and 48 hours after recirculation, which were demonstrated by (1)H-MRI. The superoxide scavenging activity showed a significant decrease at 45 minutes of recirculation and a significant increase at 12 hours of recirculation. The present modified model demonstrated that the mortality rates by 72 hours were 8.3% (15 minutes ischemia), 15.0% (30 minutes ischemia), and 42.9% (45 minutes ischemia), all of which were higher than that of the original method described by Pulsinelli et al.
In conclusion, this modified four-vessel occlusion method gives a high level of success in producing reversible forebrain ischemia.
Pulsinelli等人提出的四血管闭塞法被广泛用作大鼠可逆性前脑缺血的实验模型。
在本研究中,我们进一步开发了高度可重复的可逆性前脑缺血模型。在显微镜下,第二颈椎处可见的椎动脉可轻松进行电灼并完全切断,以使两条椎动脉的血液循环完全停止。24小时后,用杉田临时夹夹闭雄性Wistar大鼠的双侧颈总动脉,使其经历15、30和45分钟的前脑缺血。使用6.3-T光谱仪获取磷磁共振波谱(³¹P-MRS)和氢磁共振图像(¹H-MRI),以研究体内脑代谢的连续变化。在缺血和再灌注期间测量脑电图和激光多普勒血流仪测量的皮质血流量。通过电子自旋共振光谱法测定大脑皮质中的内源性超氧化物清除活性。
通过干湿重法评估的脑含水量在再灌注后1小时和48小时增加,这通过¹H-MRI得到证实。超氧化物清除活性在再灌注45分钟时显著降低,在再灌注12小时时显著增加。目前改良的模型表明,72小时时的死亡率分别为8.3%(缺血15分钟)、15.0%(缺血30分钟)和42.9%(缺血45分钟),均高于Pulsinelli等人描述的原始方法。
总之,这种改良的四血管闭塞法在产生可逆性前脑缺血方面具有很高的成功率。