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A new model of focal cerebral ischemia in the miniature pig

Hideaki Imai Department of Neurosurgery, and Institute of Experimental Animal Research, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan

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Kenjiro Konno Department of Neurosurgery, and Institute of Experimental Animal Research, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan

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Mitsunobu Nakamura Department of Neurosurgery, and Institute of Experimental Animal Research, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan

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Tatsuya Shimizu Department of Neurosurgery, and Institute of Experimental Animal Research, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan

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Chisato Kubota Department of Neurosurgery, and Institute of Experimental Animal Research, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan

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Koji Seki Department of Neurosurgery, and Institute of Experimental Animal Research, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan

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Fumiaki Honda Department of Neurosurgery, and Institute of Experimental Animal Research, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan

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Shinichiro Tomizawa Department of Neurosurgery, and Institute of Experimental Animal Research, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan

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Yukitaka Tanaka Department of Neurosurgery, and Institute of Experimental Animal Research, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan

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Hidekazu Hata Department of Neurosurgery, and Institute of Experimental Animal Research, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan

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Nobuhito Saito Department of Neurosurgery, and Institute of Experimental Animal Research, Gunma University Graduate School of Medicine, Maebashi, Gunma, Japan

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Object

The purpose of this set of studies is to design a minimally invasive, reproducible stroke model in the gyrencephalic brain. This paper provides information on both surgical technique and methods of quantification of ischemic damage to both gray and white matter in the miniature pig.

Methods

Sixteen male miniature pigs were randomly divided into three groups and underwent transcranial surgery involving a frontotemporal approach with orbital rim osteotomy for permanent middle cerebral artery occlusion (MCAO; five animals), permanent internal carotid artery occlusion (ICAO; six animals), and a sham operation (five animals). Histological mapping and magnetic resonance (MR) imaging were used to delineate the areas of ischemic damage. The volumes of infarction measured directly from MR images were 16.2 ± 1.1, 1.5 ± 0.5, and 0.0 ± 0.0 cm3 (mean ± standard deviation [SD], p < 0.001) in the MCAO, ICAO, and sham-operated groups, respectively. The areas of ischemia identified through histological analysis and MR imaging showed a good correlation (r2 = 0.86, p < 0.0001). Immunohistochemical staining with an amyloid precursor protein (APP) antibody was used to evaluate axonal damage and calculate a total APP score for axonal damage of 44.8 ± 2.9 in the MCAO, 13.2 ± 6.6 in the ICAO, and 0.0 ± 0.0 (mean ± SD, p < 0.002) in the sham-operated animals.

Conclusions

This new model of focal cerebral ischemia induces a reproducible amount of ischemic damage in both gray and white matter, and has significant utility for studies of the pathophysiology of ischemia in the gyrencephalic brain and for assessment of the therapeutic efficacy of drugs prior to the initiation of human clinical trials.

Abbreviations used in this paper:

ANOVA = analysis of variance; APP = amyloid precursor protein; CSF = cerebrospinal fluid; DW = diffusion-weighted; ICA = internal carotid artery; ICAO = ICA occlusion; MABP = mean arterial blood pressure; MCA = middle cerebral artery; MCAO = MCA occlusion; MR = magnetic resonance; PBS = phosphate-buffered saline; SD = standard deviation.
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