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Published on: January 3, 2025
Animal models of ischemic stroke and their impact on drug discovery
Dirk M Hermann1,2, Aurel Popa-Wagner1,2, Christoph Kleinschnitz1
1a Department of Neurology , University Hospital Essen, University of Duisburg-Essen , Essen , Germany.
Introduction:
Representing the leading cause of long-term disability, ischemic stroke urgently needs further research and drug development. This review summarizes current animal models of ischemic stroke that can be used for drug discovery. Areas covered: Several reproducible models of permanent and transient focal cerebral ischemia have been established in a variety of animal species including rats and mice, in which a brain-supplying artery, often the middle cerebral artery, is occluded by mechanical devices including sutures, clips and hooks, pharmacological agents or delivery of blot clots. The authors review existing literature about these models, outlining their utility for evaluating acute and post-acute stroke treatments. Since stroke is an age-related disease that strongly affects humans with vascular risk factors and co-morbidities, the authors give focus to strategies replicating risk factors in ischemic stroke models. Furthermore, the authors present models of spontaneous stroke. Expert opinion: It is important that animal models mimic clinical conditions in a reliable and clinically relevant way, so here, they should replicate the pathophysiology of human stroke, stroke-associated risk factors and doses, times and modes of drug treatment. We propose that risk factor models should more widely be used in early drug discovery, if possible already during the identification of treatment targets.
Insights
This review explores animal models for ischemic stroke drug discovery, highlighting methods to replicate human stroke risk factors. Utilizing these models can improve the development of effective stroke treatments.
Area of Science:
- Neurology
- Pharmacology
- Translational Medicine
Background:
- Ischemic stroke is a primary cause of long-term disability, necessitating advancements in research and drug development.
- Current research focuses on identifying and validating reliable animal models for preclinical stroke studies.
Purpose of the Study:
- To review and summarize existing animal models of ischemic stroke suitable for drug discovery.
- To assess the utility of these models for evaluating acute and post-acute stroke treatments.
- To emphasize the importance of incorporating stroke-associated risk factors into preclinical models.
Main Methods:
- Review of existing literature on established animal models of permanent and transient focal cerebral ischemia in rodents.
- Analysis of occlusion methods, including mechanical devices, pharmacological agents, and clot delivery.
- Focus on models that incorporate age-related factors and vascular comorbidities relevant to human stroke.
Main Results:
- Reproducible models of focal cerebral ischemia exist in rats and mice, primarily involving middle cerebral artery occlusion.
- These models are valuable for assessing the efficacy of acute and post-acute stroke therapies.
- Models replicating stroke risk factors and spontaneous stroke offer greater clinical relevance.
Conclusions:
- Animal models must reliably mimic human stroke pathophysiology, risk factors, and drug treatment parameters for clinical relevance.
- Risk factor-inclusive models should be prioritized in early drug discovery and target identification phases.
- Improved animal models are crucial for advancing ischemic stroke drug development and patient outcomes.
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