School of Biomedical Sciences and Pharmacy and Priority Research Centre for Stroke and Brain Injury, University of Newcastle, University Drive, Callaghan, NSW, 2308, Australia.
Hunter Medical Research Institute, New Lambton, Heights, NSW, Australia.
Sci Rep. 2020 Nov 11;10(1):19545. doi: 10.1038/s41598-020-76560-x.
For many chronic stroke survivors, persisting cognitive dysfunction leads to significantly reduced quality of life. Translation of promising therapeutic strategies aimed at improving cognitive function is hampered by existing, disparate cognitive assessments in animals and humans. In this study, we assessed post-stroke cognitive function using a comparable touchscreen-based paired-associate learning task in a cross-sectional population of chronic stroke survivors (≥ 5 months post-stroke, n = 70), age-matched controls (n = 70), and in mice generated from a C57BL/6 mouse photothrombotic stroke model (at six months post-stroke). Cognitive performance of stroke survivors was analysed using linear regression adjusting for age, gender, diabetes, systolic blood pressure and waist circumference. Stroke survivors made significantly fewer correct choices across all tasks compared with controls. Similar cognitive impairment was observed in the mice post-stroke with fewer correct choices compared to shams. These results highlight the feasibility and potential value of analogous modelling of clinically meaningful cognitive impairments in chronic stroke survivors and in mice in chronic phase after stroke. Implementation of validated, parallel cross-species test platforms for cognitive assessment offer the potential of delivering a more useful framework for evaluating therapies aimed at improving long-term cognitive function post-stroke.
对于许多慢性中风幸存者来说,持续存在的认知功能障碍导致生活质量显著下降。将有前途的治疗策略转化为改善认知功能的策略受到动物和人类现有、不同认知评估方法的阻碍。在这项研究中,我们使用一种基于触摸屏的配对联想学习任务,在中风后≥5 个月的慢性中风幸存者(n=70)、年龄匹配的对照组(n=70)以及来自 C57BL/6 小鼠光血栓性中风模型的小鼠(中风后 6 个月)的横断面人群中评估中风后的认知功能。使用线性回归分析对年龄、性别、糖尿病、收缩压和腰围进行调整,分析中风幸存者的认知表现。与对照组相比,中风幸存者在所有任务中的正确选择次数明显较少。在中风后的小鼠中也观察到类似的认知障碍,与假手术组相比,正确选择的次数较少。这些结果突出了在慢性中风幸存者和中风后慢性期的小鼠中模拟临床相关认知障碍的可行性和潜在价值。验证的、平行的跨物种认知评估测试平台的实施为评估旨在改善中风后长期认知功能的治疗方法提供了更有用的框架。