Es. Connolly et al., PROCEDURAL AND STRAIN-RELATED VARIABLES SIGNIFICANTLY AFFECT OUTCOME IN A MURINE MODEL OF FOCAL CEREBRAL-ISCHEMIA, Neurosurgery, 38(3), 1996, pp. 523-531
THE RECENT AVAILABILITY of transgenic mice has led to a burgeoning num
ber of reports describing the effects of specific gene products on the
pathophysiology of stroke. Although focal cerebral ischemia models in
rats have been well described, descriptions of a murine model of midd
le cerebral artery occlusion are scant and sources of potential experi
mental variability remain undefined. We hypothesized that slight techn
ical modifications would produce widely discrepant results in a murine
model of stroke and that controlling surgical and procedural conditio
ns could lead to reproducible physiological and anatomic stroke outcom
es. To test this hypothesis, we established a murine model that would
permit either permanent or transient focal cerebral ischemia by intral
uminal occlusion of the middle cerebral artery. This study provides a
detailed description of the surgical technique and reveals important d
ifferences among strains commonly used in the production of transgenic
mice. In addition to strain-related differences, infarct volume, neur
ological outcome, and cerebral blood flow appear to be importantly aff
ected by temperature during the ischemic and postischemic periods, mou
se size, and the size of the suture that obstructs the vascular lumen.
When these variables were kept constant, there was remarkable uniform
ity of stroke outcome. These data emphasize the protective effects of
hypothermia in stroke and might help to standardize techniques among d
ifferent laboratories to provide a cohesive framework for evaluating t
he results of future studies in transgenic animals.