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Mosneag IE, Flaherty SM, Wykes RC, Allan SM. Stroke and Translational Research - Review of Experimental Models with a Focus on Awake Ischaemic Induction and Anaesthesia. Neuroscience 2024; 550:89-101. [PMID: 38065289 DOI: 10.1016/j.neuroscience.2023.11.034] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2023] [Revised: 11/28/2023] [Accepted: 11/30/2023] [Indexed: 12/17/2023]
Abstract
Animal models are an indispensable tool in the study of ischaemic stroke with hundreds of drugs emerging from the preclinical pipeline. However, all of these drugs have failed to translate into successful treatments in the clinic. This has brought into focus the need to enhance preclinical studies to improve translation. The confounding effects of anaesthesia on preclinical stroke modelling has been raised as an important consideration. Various volatile and injectable anaesthetics are used in preclinical models during stroke induction and for outcome measurements such as imaging or electrophysiology. However, anaesthetics modulate several pathways essential in the pathophysiology of stroke in a dose and drug dependent manner. Most notably, anaesthesia has significant modulatory effects on cerebral blood flow, metabolism, spreading depolarizations, and neurovascular coupling. To minimise anaesthetic complications and improve translational relevance, awake stroke induction has been attempted in limited models. This review outlines anaesthetic strategies employed in preclinical ischaemic rodent models and their reported cerebral effects. Stroke related complications are also addressed with a focus on infarct volume, neurological deficits, and thrombolysis efficacy. We also summarise routinely used focal ischaemic stroke rodent models and discuss the attempts to induce some of these models in awake rodents.
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Affiliation(s)
- Ioana-Emilia Mosneag
- Division of Neuroscience, School of Biological Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, United Kingdom; Geoffrey Jefferson Brain Research Centre, Manchester Academic Health Science Centre, Northern Care Alliance NHS Foundation Trust, University of Manchester, Manchester, United Kingdom.
| | - Samuel M Flaherty
- Division of Neuroscience, School of Biological Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, United Kingdom; Geoffrey Jefferson Brain Research Centre, Manchester Academic Health Science Centre, Northern Care Alliance NHS Foundation Trust, University of Manchester, Manchester, United Kingdom
| | - Robert C Wykes
- Division of Neuroscience, School of Biological Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, United Kingdom; Geoffrey Jefferson Brain Research Centre, Manchester Academic Health Science Centre, Northern Care Alliance NHS Foundation Trust, University of Manchester, Manchester, United Kingdom; Department of Clinical and Experimental Epilepsy, UCL Queen Square Institute of Neurology, University College London, London, United Kingdom
| | - Stuart M Allan
- Division of Neuroscience, School of Biological Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, United Kingdom; Geoffrey Jefferson Brain Research Centre, Manchester Academic Health Science Centre, Northern Care Alliance NHS Foundation Trust, University of Manchester, Manchester, United Kingdom
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Park W, Cho S, Ji J, Lewandowski RJ, Larson AC, Kim DH. Development and Validation of Sorafenib-eluting Microspheres to Enhance Therapeutic Efficacy of Transcatheter Arterial Chemoembolization in a Rat Model of Hepatocellular Carcinoma. Radiol Imaging Cancer 2021; 3:e200006. [PMID: 33575658 DOI: 10.1148/rycan.2021200006] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2020] [Revised: 09/04/2020] [Accepted: 09/15/2020] [Indexed: 12/17/2022]
Abstract
Purpose To validate the therapeutic efficacy of sorafenib-eluting embolic microspheres (SOR-EMs) used in combination with transarterial chemoembolization (TACE) for treatment of hepatocellular carcinoma (HCC) in a preclinical animal model. Materials and Methods SOR-EMs were prepared with poly(d,l-lactide-co-glycolide), iron oxide nanoparticles, and sorafenib. The morphology of the prepared SOR-EMs was confirmed by using optical microscopy. Drug release from the SOR-EMs was quantified in vitro by using high-performance liquid chromatography. In an orthotopic rat model of HCC, embolic doxorubicin-Lipiodol (ethiodized oil) emulsion (DLE) and SOR-EMs were sequentially injected into the hepatic artery of the rats: The rats in group 1 were injected with DLE; group 2 was injected with DLE plus unloaded embolic microspheres (DLE + EM); group 3, with DLE plus SOR-EMs (DLE + SOR-EM); and group 4, with saline solution. The SOR-EM and tumor size changes in each group (of six rats each) over time were measured by using MRI. Tissues were assessed by using immunohistochemistry, with hematoxylin-eosin and terminal deoxynucleotidyl transferase-mediated dUTP (2'-deoxyuridine 5'-triphosphate) nick-end labeling staining used for dead cells and CD34 staining used for new microvessel formation. Results The SOR-EMs were a mean size of 6.6 μm ± 2.3 (standard deviation) and showed 53.7% ± 8.3 sorafenib loading efficiency with T2-weighted MRI capability. In the HCC rat model, the intra-arterially injected SOR-EMs were successfully monitored by using MRI. The DLE + SOR-EM-treated rats showed a superior tumor growth-inhibitory effect compared with the rats treated with DLE only (P < .05). Immunohistochemical assessment of tissue specimens showed that compared with the other treatment groups, the DLE + SOR-EM treatment group had the lowest number of microvessels, as quantified by using the percentage of CD34-positive stained area (P < .01 for all comparisons). Conclusion In a preclinical rat HCC model, SOR-EMs used in combination with DLE TACE were effective in treating HCC.Keywords: Chemoembolization, Experimental Investigations, Laboratory Tests, Liver, Technology Assessment Supplemental material is available for this article. © RSNA, 2021See also the commentary by Yamada and Gayed in this issue.
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Affiliation(s)
- Wooram Park
- Department of Radiology, Feinberg School of Medicine (W.P., S.C., J.J., R.J.L., A.C.L., D.H.K.), and Robert H. Lurie Comprehensive Cancer Center (R.J.L., A.C.L., D.H.K.), Northwestern University, 737 N Michigan Ave, Suite 1600, Chicago, IL 60611; Department of Biomedical Engineering (A.C.L., D.H.K.); and Department of Electrical Engineering and Computer Science (A.C.L.) and International Institute of Nanotechnology (A.C.L.), Northwestern University, Evanston, Ill
| | - Soojeong Cho
- Department of Radiology, Feinberg School of Medicine (W.P., S.C., J.J., R.J.L., A.C.L., D.H.K.), and Robert H. Lurie Comprehensive Cancer Center (R.J.L., A.C.L., D.H.K.), Northwestern University, 737 N Michigan Ave, Suite 1600, Chicago, IL 60611; Department of Biomedical Engineering (A.C.L., D.H.K.); and Department of Electrical Engineering and Computer Science (A.C.L.) and International Institute of Nanotechnology (A.C.L.), Northwestern University, Evanston, Ill
| | - Jingran Ji
- Department of Radiology, Feinberg School of Medicine (W.P., S.C., J.J., R.J.L., A.C.L., D.H.K.), and Robert H. Lurie Comprehensive Cancer Center (R.J.L., A.C.L., D.H.K.), Northwestern University, 737 N Michigan Ave, Suite 1600, Chicago, IL 60611; Department of Biomedical Engineering (A.C.L., D.H.K.); and Department of Electrical Engineering and Computer Science (A.C.L.) and International Institute of Nanotechnology (A.C.L.), Northwestern University, Evanston, Ill
| | - Robert J Lewandowski
- Department of Radiology, Feinberg School of Medicine (W.P., S.C., J.J., R.J.L., A.C.L., D.H.K.), and Robert H. Lurie Comprehensive Cancer Center (R.J.L., A.C.L., D.H.K.), Northwestern University, 737 N Michigan Ave, Suite 1600, Chicago, IL 60611; Department of Biomedical Engineering (A.C.L., D.H.K.); and Department of Electrical Engineering and Computer Science (A.C.L.) and International Institute of Nanotechnology (A.C.L.), Northwestern University, Evanston, Ill
| | - Andrew C Larson
- Department of Radiology, Feinberg School of Medicine (W.P., S.C., J.J., R.J.L., A.C.L., D.H.K.), and Robert H. Lurie Comprehensive Cancer Center (R.J.L., A.C.L., D.H.K.), Northwestern University, 737 N Michigan Ave, Suite 1600, Chicago, IL 60611; Department of Biomedical Engineering (A.C.L., D.H.K.); and Department of Electrical Engineering and Computer Science (A.C.L.) and International Institute of Nanotechnology (A.C.L.), Northwestern University, Evanston, Ill
| | - Dong-Hyun Kim
- Department of Radiology, Feinberg School of Medicine (W.P., S.C., J.J., R.J.L., A.C.L., D.H.K.), and Robert H. Lurie Comprehensive Cancer Center (R.J.L., A.C.L., D.H.K.), Northwestern University, 737 N Michigan Ave, Suite 1600, Chicago, IL 60611; Department of Biomedical Engineering (A.C.L., D.H.K.); and Department of Electrical Engineering and Computer Science (A.C.L.) and International Institute of Nanotechnology (A.C.L.), Northwestern University, Evanston, Ill
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Yan L, Zhou X, Yang X, Zheng Y, Liu C, Zheng L, Fang L, Luo W, He G, He J, Zheng J, Zhou Y. Establishment and Evaluation of a Monkey Acute Cerebral Ischemia Model. Clinics (Sao Paulo) 2020; 75:e1339. [PMID: 32130353 PMCID: PMC7026944 DOI: 10.6061/clinics/2020/e1339] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/29/2019] [Accepted: 09/15/2019] [Indexed: 11/23/2022] Open
Abstract
OBJECTIVES Cerebral ischemia seriously threatens human health and is characterized by high rates of incidence, disability and death. Developing an ideal animal model of cerebral ischemia that reflects the human clinical features is critical for pathological studies and clinical research. The goal of this study is to establish a local cerebral ischemia model in rhesus macaque, thereby providing an optimal animal model to study cerebral ischemia. METHODS Eight healthy rhesus monkeys were selected for this study. CT scans were performed before the operation to exclude cerebral vascular and intracranial lesions. Under guidance and monitoring with digital subtraction angiography (DSA), a microcatheter was inserted into the M1 segment of the middle cerebral artery (MCA) via the femoral artery. Then, autologous white thrombi were introduced to block blood flow. Immediately following embolization, multisequence MRI was used to monitor cerebrovascular and brain parenchymal conditions. Twenty-four hours after embolization, 2 monkeys were sacrificed and subjected to perfusion, fixation and pathological examination. RESULTS The cerebral ischemia model was established in 7 rhesus monkeys; one animal died during intubation. DSA and magnetic resonance angiography (MRA) indicated the presence of an arterial occlusion. MRI showed acute local cerebral ischemia. HE staining revealed infarct lesions formed in the brain tissues, and thrombi were present in the cerebral artery. CONCLUSION We established a rhesus macaque model of local cerebral ischemia by autologous thrombus placement. This model has important implications for basic and clinical research on cerebral ischemia. MRI and DSA can evaluate the models to ensure accuracy and effectiveness.
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Affiliation(s)
- Li Yan
- Institute of Medical Research, Northwestern Polytechnical University, 127 West Youyi Road, Xi'an, Shaanxi 710072, China
- Department of Ultrasonography, Xijing Hospital, The Fourth Military Medical University, Xi'an 710032, China
| | - Xiaodong Zhou
- Ultrasound Diagnosis & Treatment Center, Xi'an International Medical Center, Xi'an 710100, China
- *Corresponding authors. E-mail: /
| | - Xiaobin Yang
- Department of Radiology, Xijing Hospital, The Fourth Military Medical University, Xi'an 710032, China
| | - Yu Zheng
- Department of Ultrasonography, Xi'an Central Hospital, The Third Affiliated Hospital of JiaoTong University, Xi'an 710003, China
- *Corresponding authors. E-mail: /
| | - Chunying Liu
- Institute of Medical Research, Northwestern Polytechnical University, 127 West Youyi Road, Xi'an, Shaanxi 710072, China
| | - Lili Zheng
- Institute of Medical Research, Northwestern Polytechnical University, 127 West Youyi Road, Xi'an, Shaanxi 710072, China
| | - Ling Fang
- Department of Ultrasonography, Xi'an Children’s Hospital, The Affiliated Hospital of JiaoTong University, Xi'an 710003, China
| | - Wen Luo
- Department of Ultrasonography, Xijing Hospital, The Fourth Military Medical University, Xi'an 710032, China
| | - Guangbin He
- Department of Ultrasonography, Xijing Hospital, The Fourth Military Medical University, Xi'an 710032, China
| | - Jianguo He
- Department of Ultrasonography, Xijing Hospital, The Fourth Military Medical University, Xi'an 710032, China
| | - Jianmin Zheng
- Department of Radiology, Xijing Hospital, The Fourth Military Medical University, Xi'an 710032, China
| | - Yin Zhou
- Department of Ultrasonography, Xijing Hospital, The Fourth Military Medical University, Xi'an 710032, China
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Diabetes and Alzheimer's Disease: A Link not as Simple as it Seems. Neurochem Res 2018; 44:1271-1278. [PMID: 30523576 DOI: 10.1007/s11064-018-2690-9] [Citation(s) in RCA: 40] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2018] [Revised: 11/11/2018] [Accepted: 11/28/2018] [Indexed: 02/07/2023]
Abstract
Type 2 diabetes mellitus is associated with an increased risk to develop Alzheimer disease, however, the underlying mechanisms for this association are still unclear. In this review we will provide a critical overview of the major findings coming from clinical studies and animal models.
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Hei C, Liu P, Yang X, Niu J, Li PA. Inhibition of mTOR signaling Confers Protection against Cerebral Ischemic Injury in Acute Hyperglycemic Rats. Int J Biol Sci 2017; 13:878-887. [PMID: 28808420 PMCID: PMC5555105 DOI: 10.7150/ijbs.18976] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2016] [Accepted: 01/28/2017] [Indexed: 01/04/2023] Open
Abstract
Hyperglycemia is known to exacerbate neuronal death resulted from cerebral ischemia. The mechanisms are not fully understood. The mammalian target of rapamycin (mTOR) pathway regulates cell growth, division and apoptosis. Recent studies suggest that activation of mTOR may mediate ischemic brain damage. The objective of the present experiment is to explore whether mTOR mediates ischemic brain damage in acute hyperglycemic animals. Rats were subjected to 10 min of forebrain ischemia under euglycemic, hyperglycemic and rapamycin-treated hyperglycemic conditions. The rat brain samples were collected from the cortex and hippocampi after 3h and 16h of reperfusion. The results showed that hyperglycemia significantly increased neuronal death in the cortex and hippocampus and the exacerbation effect of hyperglycemia was associated with further activation of mTOR under control and/or ischemic conditions. Inhibition of mTOR with rapamycin ameliorated the damage and suppressed hyperglycemia-elevated p-MTOR, p-P70S6K and p-S6. In addition, hyperglycemia per se increased the levels of cytosolic cytochrome c and autophagy marker LC3-II, while rapamycin alleviated these alterations. It is concluded that activation of mTOR signaling may play a detrimental role in mediating the aggravating effect of hyperglycemia on cerebral ischemia.
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Affiliation(s)
- Changchun Hei
- Key Laboratory of Craniocerebral Diseases of Ningxia Hui Autonomous Region and Department Human Anatomy, Histology and Embryology, Ningxia Medical University, Yinchuan 750004, China.,Department of Pharmaceutical Sciences, Biomanufacturing Research Institute Biotechnology Enterprise (BRITE), North Carolina Central University, 1801 Fayetteville Street, Durham, NC 27707, USA
| | - Ping Liu
- Department of Endocrinology, General Hospital of Ningxia Medical University, Yinchuan 750004, China.,Department of Pharmaceutical Sciences, Biomanufacturing Research Institute Biotechnology Enterprise (BRITE), North Carolina Central University, 1801 Fayetteville Street, Durham, NC 27707, USA
| | - Xiao Yang
- Department of Pharmaceutical Sciences, Biomanufacturing Research Institute Biotechnology Enterprise (BRITE), North Carolina Central University, 1801 Fayetteville Street, Durham, NC 27707, USA.,Neuroscience Center, General Hospital of Ningxia Medical University, and Key Laboratory of Craniocerebral Diseases of Ningxia Hui Autonomous Region, Yinchuan 750004, China
| | - Jianguo Niu
- Key Laboratory of Craniocerebral Diseases of Ningxia Hui Autonomous Region and Department Human Anatomy, Histology and Embryology, Ningxia Medical University, Yinchuan 750004, China
| | - P Andy Li
- Department of Pharmaceutical Sciences, Biomanufacturing Research Institute Biotechnology Enterprise (BRITE), North Carolina Central University, 1801 Fayetteville Street, Durham, NC 27707, USA
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Venkat P, Chopp M, Chen J. Blood-Brain Barrier Disruption, Vascular Impairment, and Ischemia/Reperfusion Damage in Diabetic Stroke. J Am Heart Assoc 2017; 6:e005819. [PMID: 28572280 PMCID: PMC5669184 DOI: 10.1161/jaha.117.005819] [Citation(s) in RCA: 87] [Impact Index Per Article: 12.4] [Reference Citation Analysis] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Affiliation(s)
- Poornima Venkat
- Department of Neurology Research, Henry Ford Hospital, Detroit, MI
| | - Michael Chopp
- Department of Neurology Research, Henry Ford Hospital, Detroit, MI
- Department of Physics, Oakland University, Rochester, MI
| | - Jieli Chen
- Department of Neurology Research, Henry Ford Hospital, Detroit, MI
- Neurological & Gerontology Institute, Neurology, Tianjin Medical University General Hospital, Tianjin, China
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