Li Wensheng, Wei Lei, Wang Bocheng, Gao Shuangqi, Huang Tengchao, Li Zhangyu, Bhattarai Robin, Wang Hui, Guo Ying, Chen Chuan
Department of Neurosurgery, Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Department of Neurology, Third Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.
Ann Transl Med. 2021 Jan;9(1):19. doi: 10.21037/atm-20-2936.
Basic research on the factors influencing indirect anastomosis formation in a 2-vessel occlusion plus encephalo-myo-synangiosis (2VO + EMS) rat model is conducive to improving the efficacy of indirect revascularization surgery in the clinic. However, the time point at which anastomosis between the rat temporal muscle (TM) and brain naturally has the greatest effect after encephalo-myo-synangiosis (EMS) remains unknown. Therefore, we conducted this study to explore the peak time of indirect anastomosis formation in the 2VO + EMS rat model.
Forty 2VO + EMS rats were randomly divided into five groups (n=8) according to the length of time (by week) after EMS, and 2VO rats were used as the control group (n=8). The expression of vascular endothelial growth factor (VEGF) and CD31 on the EMS side of the brain, perfusion ratio [improvement of cerebral blood perfusion (CBP) on the EMS side] and Morris water maze (MWM) results were compared between groups. Furthermore, the trends of the above variables were explored over weeks.
Overall, the expression of VEGF and CD31, the perfusion ratio and the cognitive improvement in the 2VO + EMS rat model gradually increased over weeks after EMS. The VEGF and CD31 expression (as detected by immunofluorescence), perfusion ratio and number of times crossing the platform area peaked at 4 weeks after EMS. In addition, both the escape latency and the time spent in the target quadrant peaked in the fifth week after EMS.
After establishing the 2VO + EMS rat model, the degree of endothelial cell (EC) proliferation and CBP improvement on the EMS side of the brain peaked at 4 weeks after EMS, whereas the cognitive improvement peaked in the fifth week.
对两血管闭塞加脑 - 肌 - 血管吻合术(2VO + EMS)大鼠模型中间接吻合形成影响因素的基础研究,有助于提高临床中间接血运重建手术的疗效。然而,在脑 - 肌 - 血管吻合术(EMS)后,大鼠颞肌(TM)与脑之间自然吻合产生最大影响的时间点尚不清楚。因此,我们开展本研究以探索2VO + EMS大鼠模型中间接吻合形成的高峰期。
40只2VO + EMS大鼠根据EMS术后时间长度(按周)随机分为五组(n = 8),并将2VO大鼠作为对照组(n = 8)。比较各组间脑EMS侧血管内皮生长因子(VEGF)和CD31的表达、灌注率[EMS侧脑血流灌注(CBP)改善情况]及莫里斯水迷宫(MWM)结果。此外,还探究了上述变量随周数的变化趋势。
总体而言,2VO + EMS大鼠模型中,EMS术后数周内,VEGF和CD31的表达、灌注率及认知改善情况逐渐增加。EMS术后4周时,VEGF和CD31表达(通过免疫荧光检测)、灌注率及穿越平台区域的次数达到峰值。此外,逃避潜伏期和在目标象限停留的时间均在EMS术后第5周达到峰值。
建立2VO + EMS大鼠模型后,脑EMS侧内皮细胞(EC)增殖程度和CBP改善情况在EMS术后4周达到峰值,而认知改善在第5周达到峰值。