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一种新型的全脑缺血再灌注损伤小鼠模型的特征及其与局灶性缺血性和出血性中风的比较。

Characterization of a novel model of global forebrain ischaemia-reperfusion injury in mice and comparison with focal ischaemic and haemorrhagic stroke.

机构信息

Australian Centre for Blood Diseases, Central Clinical School, Alfred Hospital, Monash University, Melbourne, VIC, 3004, Australia.

Department of Neuroscience, Central Clinical School, Monash University, Melbourne, VIC, 3004, Australia.

出版信息

Sci Rep. 2020 Oct 23;10(1):18170. doi: 10.1038/s41598-020-75034-4.

Abstract

Stroke is caused by obstructed blood flow (ischaemia) or unrestricted bleeding in the brain (haemorrhage). Global brain ischaemia occurs after restricted cerebral blood flow e.g. during cardiac arrest. Following ischaemic injury, restoration of blood flow causes ischaemia-reperfusion (I/R) injury which worsens outcome. Secondary injury mechanisms after any stroke are similar, and encompass inflammation, endothelial dysfunction, blood-brain barrier (BBB) damage and apoptosis. We developed a new model of transient global forebrain I/R injury (dual carotid artery ligation; DCAL) and compared the manifestations of this injury with those in a conventional I/R injury model (middle-cerebral artery occlusion; MCAo) and with intracerebral haemorrhage (ICH; collagenase model). MRI revealed that DCAL produced smaller bilateral lesions predominantly localised to the striatum, whereas MCAo produced larger focal corticostriatal lesions. After global forebrain ischaemia mice had worse overall neurological scores, although quantitative locomotor assessment showed MCAo and ICH had significantly worsened mobility. BBB breakdown was highest in the DCAL model while apoptotic activity was highest after ICH. VCAM-1 upregulation was specific to ischaemic models only. Differential transcriptional upregulation of pro-inflammatory chemokines and cytokines and TLRs was seen in the three models. Our findings offer a unique insight into the similarities and differences in how biological processes are regulated after different types of stroke. They also establish a platform for analysis of therapies such as endothelial protective and anti-inflammatory agents that can be applied to all types of stroke.

摘要

中风是由大脑中的血液流动受阻(缺血)或不受限制的出血(出血)引起的。在大脑局部血流量受限后,如在心脏骤停期间,会发生全球大脑缺血。在缺血性损伤之后,血流的恢复会导致缺血再灌注(I/R)损伤,从而使结果恶化。任何中风后的继发性损伤机制都相似,包括炎症、内皮功能障碍、血脑屏障(BBB)损伤和细胞凋亡。我们开发了一种新的短暂性全脑 I/R 损伤模型(双颈总动脉结扎;DCAL),并将这种损伤的表现与传统的 I/R 损伤模型(大脑中动脉闭塞;MCAo)和脑出血(胶原酶模型)进行了比较。MRI 显示,DCAL 产生的双侧损伤较小,主要局限于纹状体,而 MCAo 产生的皮质纹状体局灶性损伤较大。在全脑缺血后,小鼠的整体神经评分更差,尽管定量运动评估显示 MCAo 和 ICH 显著降低了运动能力。在 DCAL 模型中,BBB 破裂最严重,而在 ICH 后,细胞凋亡活性最高。VCAM-1 的上调仅特异性地发生在缺血模型中。在三种模型中观察到促炎趋化因子和细胞因子以及 TLRs 的差异转录上调。我们的研究结果提供了对不同类型中风后生物过程如何受到调节的相似性和差异性的独特见解。它们还为分析内皮保护和抗炎剂等治疗方法提供了一个平台,这些治疗方法可应用于所有类型的中风。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/955f/7585423/f8c02ebd6e9d/41598_2020_75034_Fig1_HTML.jpg

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