大型动物中风模型与啮齿动物中风模型:优缺点及联合应用?

Large Animal Stroke Models vs. Rodent Stroke Models, Pros and Cons, and Combination?

作者信息

Cai Bin, Wang Ning

机构信息

Department of Neurology and Institute of Neurology, First Affiliated Hospital, Fujian Medical University, 20 Chazhong Road, Fuzhou, 350005, China.

出版信息

Acta Neurochir Suppl. 2016;121:77-81. doi: 10.1007/978-3-319-18497-5_13.

Abstract

Stroke is a leading cause of serious long-term disability worldwide and the second leading cause of death in many countries. Long-time attempts to salvage dying neurons via various neuroprotective agents have failed in stroke translational research, owing in part to the huge gap between animal stroke models and stroke patients, which also suggests that rodent models have limited predictive value and that alternate large animal models are likely to become important in future translational research. The genetic background, physiological characteristics, behavioral characteristics, and brain structure of large animals, especially nonhuman primates, are analogous to humans, and resemble humans in stroke. Moreover, relatively new regional imaging techniques, measurements of regional cerebral blood flow, and sophisticated physiological monitoring can be more easily performed on the same animal at multiple time points. As a result, we can use large animal stroke models to decrease the gap and promote translation of basic science stroke research. At the same time, we should not neglect the disadvantages of the large animal stroke model such as the significant expense and ethical considerations, which can be overcome by rodent models. Rodents should be selected as stroke models for initial testing and primates or cats are desirable as a second species, which was recommended by the Stroke Therapy Academic Industry Roundtable (STAIR) group in 2009.

摘要

中风是全球严重长期残疾的主要原因,在许多国家是第二大死因。在中风转化研究中,长期以来通过各种神经保护剂挽救濒死神经元的尝试均告失败,部分原因是动物中风模型与中风患者之间存在巨大差距,这也表明啮齿动物模型的预测价值有限,而其他大型动物模型可能在未来的转化研究中变得重要。大型动物,尤其是非人灵长类动物的遗传背景、生理特征、行为特征和脑结构与人类相似,在中风方面也与人类相似。此外,相对较新的区域成像技术、局部脑血流量测量以及复杂的生理监测可以在同一动物的多个时间点更轻松地进行。因此,我们可以使用大型动物中风模型来缩小差距并促进基础科学中风研究的转化。同时,我们不应忽视大型动物中风模型的缺点,如成本高昂和伦理考量,而啮齿动物模型可以克服这些缺点。2009年中风治疗学术产业圆桌会议(STAIR)小组建议,应选择啮齿动物作为中风模型进行初步测试,灵长类动物或猫作为第二种动物较为理想。

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