Zhu Wei, Gao Yufeng, Chang Che-Feng, Wan Jie-Ru, Zhu Shan-Shan, Wang Jian
Department of Emergency Medicine, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, PR China; Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University, School of Medicine, Baltimore, Maryland, United States of America.
Department of Anesthesiology and Critical Care Medicine, Johns Hopkins University, School of Medicine, Baltimore, Maryland, United States of America.
PLoS One. 2014 May 15;9(5):e97423. doi: 10.1371/journal.pone.0097423. eCollection 2014.
Intracerebral hemorrhage (ICH) is a devastating condition. Existing preclinical ICH models focus largely on striatum but neglect other brain areas such as ventricle, cortex, and hippocampus. Clinically, however, hemorrhagic strokes do occur in these other brain regions. In this study, we established mouse hemorrhagic models that utilize stereotactic injections of autologous whole blood or collagenase to produce ventricular, cortical, and hippocampal injury. We validated and characterized these models by histology, immunohistochemistry, and neurobehavioral tests. In the intraventricular hemorrhage (IVH) model, C57BL/6 mice that received unilateral ventricular injections of whole blood demonstrated bilateral ventricular hematomas, ventricular enlargement, and brain edema in the ipsilateral cortex and basal ganglia at 72 h. Unilateral injections of collagenase (150 U/ml) caused reproducible hematomas and brain edema in the frontal cortex in the cortical ICH (c-ICH) model and in the hippocampus in the hippocampal ICH (h-ICH) model. Immunostaining revealed cellular inflammation and neuronal death in the periventricular regions in the IVH brain and in the perihematomal regions in the c-ICH and h-ICH brains. Locomotor abnormalities measured with a 24-point scoring system were present in all three models, especially on days 1, 3, and 7 post-ICH. Locomotor deficits measured by the wire-hanging test were present in models of IVH and c-ICH, but not h-ICH. Interestingly, mice in the c-ICH model demonstrated emotional abnormality, as measured by the tail suspension test and forced swim test, whereas h-ICH mice exhibited memory abnormality, as measured by the novel object recognition test. All three ICH models generated reproducible brain damage, brain edema, inflammation, and consistent locomotor deficits. Additionally, the c-ICH model produced emotional deficits and the h-ICH model produced cognitive deficits. These three models closely mimic human ICH and should be useful for investigating the pathophysiology of ICH in ventricle, cortex, and hippocampus and for evaluating potential therapeutic strategies.
脑出血(ICH)是一种严重的疾病。现有的临床前ICH模型主要集中在纹状体,而忽略了其他脑区,如脑室、皮质和海马体。然而,在临床上,这些其他脑区确实会发生出血性中风。在本研究中,我们建立了小鼠出血模型,利用立体定向注射自体全血或胶原酶来造成脑室、皮质和海马体损伤。我们通过组织学、免疫组织化学和神经行为测试对这些模型进行了验证和表征。在脑室内出血(IVH)模型中,接受单侧脑室注射全血的C57BL/6小鼠在72小时时出现双侧脑室血肿、脑室扩大以及同侧皮质和基底神经节的脑水肿。单侧注射胶原酶(150 U/ml)在皮质ICH(c-ICH)模型的额叶皮质和海马体ICH(h-ICH)模型的海马体中引起了可重复的血肿和脑水肿。免疫染色显示IVH脑的脑室周围区域以及c-ICH和h-ICH脑的血肿周围区域存在细胞炎症和神经元死亡。在所有三种模型中均出现了用24分评分系统测量的运动异常,尤其是在ICH后的第1、3和7天。通过悬线试验测量的运动功能缺陷在IVH和c-ICH模型中存在,但在h-ICH模型中不存在。有趣的是,通过尾悬测试和强迫游泳测试测量,c-ICH模型中的小鼠表现出情绪异常,而通过新物体识别测试测量,h-ICH小鼠表现出记忆异常。所有三种ICH模型均产生了可重复的脑损伤、脑水肿、炎症和一致的运动功能缺陷。此外,c-ICH模型产生了情绪缺陷,h-ICH模型产生了认知缺陷。这三种模型紧密模拟了人类ICH,对于研究脑室、皮质和海马体中ICH的病理生理学以及评估潜在的治疗策略应该是有用的。