Durukan Aysan, Strbian Daniel, Tatlisumak Turgut
Department of Neurology, Helsinki University Central Hospital, Helsinki, Finland.
Curr Pharm Des. 2008;14(4):359-70. doi: 10.2174/138161208783497688.
Stroke is the third common cause of death and the most common cause of adult disability. Approximately 80% of all strokes are ischemic (brain infarction). The only approved acute therapy is intravenous thrombolysis with tissue plasminogen activator within 3 h of symptom onset but only a small percentage of all ischemic stroke patients can receive this therapy. Therefore, novel therapeutic approaches directed at the pathophysiological mechanisms involved in ischemic brain injury are urgently needed. To this end several experimental stroke models were developed. These models are indispensable for understanding the pathophysiology of brain ischemia and to develop novel drugs and investigative methodology. This review considers the most commonly used ischemic stroke models (including preconditioning models) in rodents emphasizing their advantages and disadvantages. Since none of the models can perfectly simulate human stroke, researchers must interpret experimental findings carefully.
中风是第三大常见死因,也是成人残疾的最常见原因。所有中风中约80%为缺血性(脑梗死)。唯一获批的急性治疗方法是在症状出现后3小时内静脉注射组织纤溶酶原激活剂进行溶栓治疗,但所有缺血性中风患者中只有一小部分能接受这种治疗。因此,迫切需要针对缺血性脑损伤病理生理机制的新型治疗方法。为此,人们开发了几种实验性中风模型。这些模型对于理解脑缺血的病理生理学以及开发新药和研究方法不可或缺。本综述考虑了啮齿动物中最常用的缺血性中风模型(包括预处理模型),重点阐述了它们的优缺点。由于没有一种模型能够完美模拟人类中风,研究人员必须谨慎解读实验结果。