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Updated: Sep 12, 2025

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Modeling Stroke in Mice: Transient Middle Cerebral Artery Occlusion via the External Carotid Artery
Published on: May 24, 2021
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Stroke Modeling and Assessment in Mice Using Internal Carotid Artery Occlusion.
Sumana Chakravarty1,2, Shashikant Patel1,2, Mydhili Radhakrishnan1,2
1Applied Biology, CSIR-Indian Institute of Chemical Technology, Hyderabad, India.
Current Protocols
|August 8, 2025
Summary
The internal carotid artery occlusion (ICAO) mouse model accurately mimics mild to moderate ischemic stroke, offering a better preclinical tool for studying brain injury and epigenetic changes. This reliable model aids in stroke research and therapeutic development.
Area of Science:
- Neuroscience
- Stroke Research
- Preclinical Models
Background:
- The middle cerebral artery occlusion (MCAO) model causes extensive cortical damage, unlike human strokes.
- Internal carotid artery occlusion (ICAO) in mice offers a more clinically relevant model for mild to moderate ischemic stroke.
- Understanding epigenetic modifications is key to stroke-induced brain damage and recovery.
Purpose of the Study:
- To establish and validate a reliable and reproducible internal carotid artery occlusion (ICAO) mouse model.
- To investigate epigenetic modifications, specifically histone lysine methylation and demethylation, following ischemic stroke.
- To provide a valuable tool for studying stroke pathophysiology and evaluating therapeutic interventions.
Main Methods:
- Surgical induction of temporary internal carotid artery occlusion (90 min) followed by reperfusion in adult CD1 mice.
- Utilizing laser doppler perfusion imaging to assess blood flow changes.
- Conducting neurobehavioral assessments, including neurological deficit scoring and motor function tests.
Main Results:
- The ICAO model reliably induces mild to moderate, localized ischemic injury in the striatum and hippocampus.
- The model demonstrates reproducibility in inducing neural damage.
- Sex-specific differences in response to ICAO were noted.
Conclusions:
- The ICAO mouse model is a significant advancement for preclinical stroke research, accurately mimicking human stroke subtypes.
- This model facilitates the study of crucial epigenetic changes in stroke recovery.
- The ICAO model provides a robust platform for evaluating novel stroke therapies.

