Skip to main content

Clinical Relevance in a Translational Rodent Model of Acute Ischemic Stroke: Incorporating the Biological Variability of Spontaneous Recanalization

  • Chapter
  • First Online:
Translational Stroke Research

Part of the book series: Springer Series in Translational Stroke Research ((SSTSR))

  • 1278 Accesses

Abstract

Acute ischemic stroke, in which a clot of blood manages to obstruct an artery supplying blood to a part of the brain and leads to brain damage, ranks as the third leading cause of death and is the leading cause of serious long-term disability in the United States. At present, the administration of the clot-dissolving drug, tissue-plasminogen activator, remains the only FDA-approved reperfusion therapy for acute ischemic stroke. Unfortunately, relatively few people (4–14%, depending on the study) access medical care in time or are eligible enough for treatment to benefit [8,10,24]. There is a need to develop additional therapies. The occlusion that causes a stroke is a dynamic one that is prone to spontaneous re-canalization and varying degrees of spontaneous reperfusion. The incorporation of this tendency into a translational stroke model will maximize clinical relevance.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Akai F, Maeda M, Hashimoto S, Taneda M, Takagi H. A new animal model of cerebral infarction: magnetic embolization with carbonyl iron particles. Neurosci Lett. 1995;194:139–41.

    Article  PubMed  CAS  Google Scholar 

  2. Alexandrov AV, Grotta JC. Arterial reocclusion in stroke patients treated with intravenous tissue plasminogen activator. Neurology. 2002;59(6):862–7.

    Article  PubMed  CAS  Google Scholar 

  3. Amin-Hanjani S, Stagliano NE, Yamada M, Huang PL, Liao JK, Moskowitz MA. Mevastatin, an HMG-CoA reductase inhibitor, reduces stroke damage and upregulates endothelial nitric oxide synthase in mice. Stroke. 2001;32(4):980–6.

    Article  PubMed  CAS  Google Scholar 

  4. Asahi M, Huang Z, Thomas S, Yoshimura S, Sumii T, Mori T, Qiu J, Amin-Hanjani S, Huang PL, Liao JK, Lo EH, Moskowitz MA. Protective effects of statins involving both eNOS and tPA in focal cerebral ischemia. J Cereb Blood Flow Metab. 2005;25(6):722–9.

    Article  PubMed  CAS  Google Scholar 

  5. Baracchini C, Manara R, Ermani M, Meneghetti G. The quest for early predictors of stroke evolution: can TCD be a guiding light? Stroke. 2000;31(12):2942–7.

    Article  PubMed  CAS  Google Scholar 

  6. Barreto AD, Albright KC, Hallevi H, Grotta JC, Noser EA, Khaja AM, Shaltoni HM, Gonzales NR, Illoh K, Martin-Schild S, Campbell 3rd MS, Weir RU, Savitz SI. Thrombus burden is associated with clinical outcome after intra-arterial therapy for acute ischemic stroke. Stroke. 2008;39(12):3231–5.

    Article  PubMed  Google Scholar 

  7. Bederson JB, Pitts LH, Tsuji M, Nishimura MC, Davis RL, Bartkowski H. Rat middle cerebral artery occlusion: evaluation of the model and development of a neurologic examination. Stroke. 1986;17(3):472–6.

    Article  PubMed  CAS  Google Scholar 

  8. California Acute Stroke Pilot Registry (CASPR) Investigators. Prioritizing interventions to improve rates of thrombolysis for ischemic stroke. Neurology. 2005;64(4):654–9.

    Article  Google Scholar 

  9. Caplan LR. Brain embolism, revisited. Neurology. 1993;43(7):1281–7.

    Article  PubMed  CAS  Google Scholar 

  10. Caplan LR. The treatment of acute stroke; still struggling. JAMA. 2004. 292:1183–1185.

    Google Scholar 

  11. Castillo J, Leira R, Garcia MM, Serena J, Blanco M, Davalos A. Blood pressure decrease during the acute phase of ischemic stroke is associated with brain injury and poor stroke outcome. Stroke. 2004;35(2):520–6.

    Article  PubMed  Google Scholar 

  12. Cimino M, Gelosa P, Gianella A, Nobili E, Tremoli E, Sironi L. Statins: multiple mechanisms of action in the ischemic brain. Neuroscientist. 2007;13(3):208–13.

    Article  PubMed  CAS  Google Scholar 

  13. Di Napoli P, Taccardi AA, Oliver M, De Caterina R. Statins and stroke: evidence for cholesterol-independent effects. Eur Heart J. 2002;23(24):1908–21.

    Article  PubMed  Google Scholar 

  14. Dietrich WD, Prado R, Halley M, Watson BD. Microvascular and neuronal consequences of common carotid artery thrombosis and platelet embolization in rats. J Neuropathol Exp Neurol. 1993;52:351–60.

    Article  PubMed  CAS  Google Scholar 

  15. Durukan A, Strbian D, Tatlisumak T. Rodent models of ischemic stroke: a useful tool for stroke drug development. Curr Pharm Des. 2008;14(4):359–70.

    Article  PubMed  CAS  Google Scholar 

  16. Essig M, Nguyen G, Prie D, Escoubet B, Sraer J-D, Friedlander G. 3-Hydroxy-3-methylglutaryl coenzyme A reductase inhibitors increase fibrinolytic activity in rat aortic endothelial cells. Circ Res. 1998;83:683–9.

    Article  PubMed  CAS  Google Scholar 

  17. Fisher M, Feuerstein G, Howells DW, Hurn PD, Kent TA, Savitz SI, Lo EH, STAIR Group. Update of the stroke therapy academic industry roundtable preclinical recommendations. Stroke. 2009;40(6):2244–50.

    Article  PubMed  Google Scholar 

  18. Futrell N, Millikan C, Watson BD, Dietrich WD, Ginsberg MD. Embolic stroke from a carotid arterial source in the rat: pathology and clinical implications. Neurology. 1989;39:1050–6.

    Article  PubMed  CAS  Google Scholar 

  19. Gadda D, Vannucchi L, Niccolai F, Neri AT, Carmignani L, Pacini P. Multidetector computed tomography of the head in acute stroke: predictive value of different patterns of the dense artery sign revealed by maximum intensity projection reformations for location and extent of the infarcted area. Eur Radiol. 2005;15(12):2387–95.

    Article  PubMed  Google Scholar 

  20. Guarini S. A highly reproducible model of arterial thrombosis in rats. J Pharmacol Toxicol Methods. 1996;35(2):101–5.

    Article  PubMed  CAS  Google Scholar 

  21. Guluma KZ, Lapchak PA. Comparison of the post-embolization effects of tissue-plasminogen activator and simvastatin on neurological outcome in a clinically relevant rat model of acute ischemic stroke. Brain Res. 2010;1354:206–16.

    Article  PubMed  CAS  Google Scholar 

  22. Kammersgaard LP, Jørgensen HS, Rungby JA, Reith J, Nakayama H, Weber UJ, Houth J, Olsen TS. Admission body temperature predicts long-term mortality after acute stroke: the copenhagen stroke study. Stroke. 2002;33(7):1759–62.

    Article  PubMed  CAS  Google Scholar 

  23. Kassem-Moussa H, Graffagnino C. Nonocclusion and spontaneous recanalization rates in acute ischemic stroke: a review of cerebral angiography studies. Arch Neurol. 2002;59(12):1870–3.

    Article  PubMed  Google Scholar 

  24. Katzan IL, Hammer MD, Hixson ED, Furlan AJ, Abou-Chebl A, Nadzam DM. Cleveland Clinic Health System Stroke Quality Improvement Team. Utilization of intravenous tissue plasminogen activator for acute ischemic stroke. Arch Neurol. 2004;61(3):346–50.

    Article  PubMed  Google Scholar 

  25. Kawamata T, Dietrich WD, Schallert T, Gotts JE, Cocke RR, Benowitz LI, Finklestein SP. Intracisternal basic fibroblast growth factor enhances functional recovery and up-regulates the expression of a molecular marker of neuronal sprouting following focal cerebral infarction. Proc Natl Acad Sci. 1997;94:8179–84.

    Article  PubMed  CAS  Google Scholar 

  26. Kestenbaum B. Reevaluating erythropoiesis-stimulating agents. N Engl J Med. 2010;362(18):1742 (author reply 1743–4).

    Google Scholar 

  27. Kharitonova T, Thorén M, Ahmed N, Wardlaw JM, von Kummer R, Thomassen L, Wahlgren N, SITS investigators. Disappearing hyperdense middle cerebral artery sign in ischaemic stroke patients treated with intravenous thrombolysis: clinical course and prognostic significance. J Neurol Neurosurg Psychiatry. 2009;80(3):273–8.

    Article  PubMed  CAS  Google Scholar 

  28. Kimura K, Minematsu K, Yasaka M, Wada K, Yamaguchi T. The duration of symptoms in transient ischemic attack. Neurology. 1999;52:976–80.

    Article  PubMed  CAS  Google Scholar 

  29. Kilic E, Hermann DM, Hossman K-A. A reproducible model of thromboembolic stroke in mice. Neuroreport. 1998;9:2967–70.

    Article  PubMed  CAS  Google Scholar 

  30. Koudstaal PJ, van Gijn J, Lodder J, Frenken WG, Vermeulen M, Franke CL, Hijdra A, Bulens C. Transient ischemic attacks with and without a relevant infarct on computed tomographic scans cannot be distinguished clinically. Dutch Transient Ischemic Attack Study Group. Arch Neurol. 1991;48:916–20.

    Article  PubMed  CAS  Google Scholar 

  31. Laufs U, Gertz K, Huang P, Nickenig G, Böhm M, Dirnagl U, Endres M. Atorvastatin upregulates type III nitric oxide synthase in thrombocytes, decreases platelet activation, and protects from cerebral ischemia in normocholesterolemic mice. Stroke. 2000;31(10):2442–9.

    Article  PubMed  CAS  Google Scholar 

  32. Leonardi-Bee J, Bath PM, Phillips SJ, Sandercock PA, IST Collaborative Group. Blood pressure and clinical outcomes in the international stroke trial. Stroke. 2002;33(5):1315–20.

    Article  PubMed  Google Scholar 

  33. Liebeskind DS, Sanossian N, Yong WH, Starkman S, Tsang MP, Moya AL, Zheng DD, Abolian AM, Kim D, Ali LK, Shah SH, Towfighi A, Ovbiagele B, Kidwell CS, Tateshima S, Jahan R, Duckwiler GR, Viñuela F, Salamon N, Villablanca JP, Vinters HV, Marder VJ, Saver JL. CT and MRI Early Vessel Signs Reflect Clot Composition in Acute Stroke. Stroke. 2011;42(5):1237–43.

    Google Scholar 

  34. Lo EH. Experimental models, neurovascular mechanisms and translational issues in stroke research. Br J Pharmacol. 2008;153 Suppl 1:S396–405.

    PubMed  CAS  Google Scholar 

  35. Longa EZ, Weinstein PR, Carlson S, Cummins R. Reversible middle cerebral artery occlusion without craniectomy in rats. Stroke. 1989;20(1):84–91.

    Article  PubMed  CAS  Google Scholar 

  36. Mandava P, Kent TA. Reversal of dense signs predicts recovery in acute ischemic stroke. Stroke. 2005;36(11):2490–2.

    Article  PubMed  Google Scholar 

  37. Marder VJ, Chute DJ, Starkman S, Abolian AM, Kidwell C, Liebeskind D, Ovbiagele B, Vinuela F, Duckwiler G, Jahan R, Vespa PM, Selco S, Rajajee V, Kim D, Sanossian N, Saver JL. Analysis of thrombi retrieved from cerebral arteries of patients with acute ischemic stroke. Stroke. 2006;37(8):2086–93.

    Google Scholar 

  38. Markgraf CG, Kraydieh S, Prado R, Watson BD, Dietrich WD, Ginsberg MD. Comparative histopathologic consequences of photothrombotic occlusion of the distal middle cerebral artery in Sprague-Dawley and Wistar rats. Stroke. 1993;24:286–93.

    Article  PubMed  CAS  Google Scholar 

  39. Matsuno H, Uematsu T, Umemura K, Takiguchi Y, Asai Y, Muranaka Y, Nakashima M. A simple and reproducible cerebral thrombosis model in rats induced by a photochemical reaction and the effect of a plasminogen-plasminogen activator chimera in this model. J Pharmacol Toxicol Methods. 1993;29:165–73.

    Article  PubMed  CAS  Google Scholar 

  40. Menzies SA, Hoff JT, Betz AL. Middle cerebral artery occlusion in rats: a neurological and pathological evaluation of a reproducible model. Neurosurgery. 1992;31(1):100–6; discussion 106–7.

    Google Scholar 

  41. Mizuno K, Satomura K, Miyamoto A, Arakawa K, Shibuya T, Arai T, Kurita A, Nakamura H, Ambrose JA. Angioscopic evaluation of coronary-artery thrombi in acute coronary syndromes. N Engl J Med. 1992;326(5):287–91.

    Article  PubMed  CAS  Google Scholar 

  42. Mizuno K, Arakawa K, Isojima K, Shibuya T, Satomura K, Kurita A, Nakamura H, Arai T, Kikuchi M. Angioscopy, coronary thrombi and acute coronary syndromes. Biomed Pharmacother. 1993;47(5):187–91.

    Article  PubMed  CAS  Google Scholar 

  43. Molina CA, Montaner J, Abilleira S, Ibarra B, Romero F, Arenillas JF, Alvarez-Sabín J. Timing of spontaneous recanalization and risk of hemorrhagic transformation in acute cardioembolic stroke. Stroke. 2001;32(5):1079–84.

    Article  PubMed  CAS  Google Scholar 

  44. Nedelmann M, Wilhelm-Schwenkmezger T, Alessandri B, Heimann A, Schneider F, Eicke BM, Dieterich M, Kempski O. Cerebral embolic ischemia in rats: correlation of stroke severity and functional deficit as important outcome parameter. Brain Res. 2007;1130(1):188–96.

    Article  PubMed  CAS  Google Scholar 

  45. Niessen F, Hilger T, Hoehn M, Hossmann KA. Differences in clot preparation determine outcome of recombinant tissue plasminogen activator treatment in experimental thromboembolic stroke. Stroke. 2003;34(8):2019–24.

    Article  PubMed  CAS  Google Scholar 

  46. NINDS rt-PA Study Group. Tissue plasminogen activator for acute ischemic stroke. N Engl J Med. 1995;333:1581–7.

    Article  Google Scholar 

  47. O’Collins VE, Macleod MR, Donnan GA, Horky LL, van der Worp BH, Howells DW. 1,026 experimental treatments in acute stroke. Ann Neurol. 2006;59(3):467–77.

    Article  PubMed  Google Scholar 

  48. Okumura K, Ohya Y, Maehara A, Wakugami K, Iseki K, Takishita S. Effects of blood pressure levels on case fatality after acute stroke. J Hypertens. 2005;23:1217–23.

    Article  PubMed  CAS  Google Scholar 

  49. Overgaard K, Sereghy T, Boysen G, Pedersen H, Høyer S, Diemer NH. A rat model of reproducible cerebral infarction using thrombotic blood clot emboli. J Cereb Blood Flow Metab. 1992;12(3):484–90.

    Article  PubMed  CAS  Google Scholar 

  50. Puetz V, Dzialowski I, Hill MD, Subramaniam S, Sylaja PN, Krol A, O’Reilly C, Hudon ME, Hu WY, Coutts SB, Barber PA, Watson T, Roy J, Demchuk AM, Calgary CTA Study Group. Intracranial thrombus extent predicts clinical outcome, final infarct size and hemorrhagic transformation in ischemic stroke: the clot burden score. Int J Stroke. 2008;3(4):230–6.

    Article  PubMed  Google Scholar 

  51. Reith J, Jørgensen HS, Pedersen PM, Nakayama H, Raaschou HO, Jeppesen LL, Olsen TS. Body temperature in acute stroke: relation to stroke severity, infarct size, mortality, and outcome. Lancet. 1996;347(8999):422–5.

    Article  PubMed  CAS  Google Scholar 

  52. Rha JH, Saver JL. The impact of recanalization on ischemic stroke outcome: a meta-analysis. Stroke. 2007;38(3):967–73.

    Article  PubMed  Google Scholar 

  53. Sironi L, Cimino M, Guerrini U, Calvio AM, Lodetti B, Asdente M, Balduini W, Paoletti R, Tremoli E. Treatment with statins after induction of focal ischemia in rats reduces the extent of brain damage. Arterioscler Thromb Vasc Biol. 2003;23(2):322–7.

    Article  PubMed  CAS  Google Scholar 

  54. Stolz E, Cioli F, Allendoerfer J, Gerriets T, Del Sette M, Kaps M. Can early neurosonology predict outcome in acute stroke? A metaanalysis of prognostic clinical effect sizes related to the vascular status. Stroke. 2008;39(12):3255–61.

    Article  PubMed  Google Scholar 

  55. Tamura A, Graham DI, McCulloch J, Teasdale GM. Focal cerebral ischaemia in the rat: description of technique and early neuropathological consequences following middle cerebral artery occlusion. J Cereb Blood Flow Metab. 1981;1:53–60.

    Article  PubMed  CAS  Google Scholar 

  56. Toni D, Fiorelli M, Zanette EM, Sacchetti ML, Salerno A, Argentino C, Solaro M, Fieschi C. Early spontaneous improvement and deterioration of ischemic stroke patients. A serial study with transcranial Doppler ultrasonography. Stroke. 1998;29(6):1144–8.

    Article  PubMed  CAS  Google Scholar 

  57. Vlaar PJ, Svilaas T, Vogelzang M, Diercks GF, de Smet BJ, van den Heuvel AF, Anthonio RL, Jessurun GA, Tan E, Suurmeijer AJ, Zijlstra F. A comparison of 2 thrombus aspiration devices with histopathological analysis of retrieved material in patients presenting with ST-segment elevation myocardial infarction. JACC Cardiovasc Interv. 2008;1(3):258–64.

    Article  PubMed  Google Scholar 

  58. Vemmos KN, Tsivgoulis G, Spengos K, Zakopoulos N, Synetos A, Manios E, Konstantopoulou P, Mavrikakais M. U-shaped relationship between mortality and admission blood pressure in patients with acute stroke. J Intern Med. 2004;255:257–65.

    Article  PubMed  CAS  Google Scholar 

  59. Wang CX, Todd KG, Yang Y, Gordon T, Shuaib A. Patency of cerebral microvessels after focal embolic stroke in the rat. J Cereb Blood Flow Metab. 2001;21:413–21.

    Article  PubMed  CAS  Google Scholar 

  60. Wunderlich MT, Goertler M, Postert T, Schmitt E, Seidel G, Gahn G, Samii C, Stolz E, Duplex Sonography in Acute Stroke (DIAS) Study Group. Competence network stroke. Recanalization after intravenous thrombolysis: does a recanalization time window exist? Neurology. 2007;68(17):1364–8.

    Article  PubMed  CAS  Google Scholar 

  61. Yang Y, Tao Yang T, Li Q, Wang CX, Shuaib A. A new reproducible focal cerebral ischemia model by introduction of polyvinylsiloxane into the middle cerebral artery: a comparison study. J Neurosci Meth. 2002;118:199–206.

    Article  Google Scholar 

  62. Yong M, Diener HC, Kaste M, Mau J. Characteristics of blood pressure profiles as predictors of long-term outcome after acute ischemic stroke. Stroke. 2005;36(12):2619–25.

    Article  PubMed  Google Scholar 

  63. Zaidat OO, Suarez JI, Sunshine JL, Tarr RW, Alexander MJ, Smith TP, Enterline DS, Selman WR, Landis DM. Thrombolytic therapy of acute ischemic stroke: correlation of angiographic recanalization with clinical outcome. AJNR Am J Neuroradiol. 2005;26(4):880–4.

    PubMed  Google Scholar 

  64. Zausinger S, Hungerhuber E, Baethmann A, Reulen H, Schmid-Elsaesser R. Neurological impairment in rats after transient middle cerebral artery occlusion: a comparative study under various treatment paradigms. Brain Res. 2000;863(1–2):94–105.

    Article  PubMed  CAS  Google Scholar 

  65. Zhang RL, Chopp M, Zhang ZG, Jiang Q, Ewing JR. A rat model of focal embolic cerebral ischemia. Brain Res. 1997;766:83–92.

    Article  PubMed  CAS  Google Scholar 

  66. Zhang Z, Zhang RL, Jiang Q, Raman SBK, Cantwell L, Chopp M. A new rat model of thrombotic focal cerebral ischemia. J Cereb Blood Flow Metab. 1997;17:123–35.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Kama Guluma MD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer Science+Business Media, LLC

About this chapter

Cite this chapter

Guluma, K. (2012). Clinical Relevance in a Translational Rodent Model of Acute Ischemic Stroke: Incorporating the Biological Variability of Spontaneous Recanalization. In: Lapchak, P., Zhang, J. (eds) Translational Stroke Research. Springer Series in Translational Stroke Research. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-9530-8_26

Download citation

Publish with us

Policies and ethics