Hypothalamic, thalamic and hippocampal lesions in the mouse MCAO model: Potential involvement of deep cerebral

Mohamad El Amki1, Thomas Clavier2, Nicolas Perzo1

  • 1Institut National de la Santé et de la Recherche Médicale (Inserm), U982, Rouen University, Laboratory of Neuronal and Neuroendocrine Differentiation and Communication, Mont-Saint-Aignan, France.

Insights

The middle cerebral artery occlusion (MCAO) model in rodents can cause unintended brain damage. This occurs because the filament may also block deep arteries, leading to infarcts in areas not typically supplied by the MCA.

Area of Science:

  • Neuroscience
  • Cerebrovascular Research
  • Stroke Models

Background:

  • The intraluminal monofilament occlusion of the middle cerebral artery (MCAO) is a widely used rodent model for studying stroke pathophysiology.
  • This model frequently results in brain damage in areas not directly supplied by the MCA, including the hypothalamus, hippocampus, and thalamus.
  • Existing explanations for these off-target infarcts are insufficient for researchers to fully understand the MCAO model.

Purpose of the Study:

  • To propose an alternative explanation for localized infarcts observed in the MCAO rodent model.
  • To enhance experimentalists' understanding of the MCAO model's inherent limitations.
  • To highlight the importance of considering neuroanatomical vascular connections in interpreting MCAO study results.

Main Methods:

  • Review of existing literature on MCAO rodent models and stroke pathophysiology.
  • Analysis of potential vascular occlusions caused by the intraluminal monofilament.
  • Consideration of rodent cerebrovascular anatomy, particularly the origins of deep cerebral arteries.

Main Results:

  • The monofilament used in MCAO may inadvertently occlude deep and small cerebral arteries originating directly from the internal carotid artery, proximal to the MCA origin.
  • This proximal occlusion can lead to infarcts in brain regions not solely dependent on the MCA.
  • The study identifies specific vascular connections between these deep arteries and hypothalamic, thalamic, and hippocampal areas in rodents.

Conclusions:

  • The MCAO model carries an inherent risk of inducing lesions in unintended brain territories due to the monofilament's placement.
  • Neuroanatomical vascular connections explain the frequent occurrence of infarcts in the hypothalamus, hippocampus, and thalamus.
  • Researchers must appreciate these drawbacks and integrate the risk of off-target lesions into their MCAO experimental designs and interpretations.

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