Background and Purpose-An animal model of chronic cerebral hypoperfusi
on was developed with coiled clips applied to both carotid arteries of
adult Mongolian gerbils for between 1 week and 2 months. In the brain
of this animal model, rarefaction of white matter with dilatation of
the ventricles was frequently observed. To better understand the mecha
nism of white matter alteration under cerebral hypoperfusion, the chro
nological sequence of molecular changes in the cerebral white matter o
f the animal model was determined. Methods-Specially designed coiled c
lips were placed around both carotid arteries of Mongolian gerbils to
create stenosis without occlusion. Changes in levels of myelin basic p
rotein (MBP) as a marker of myelin, neurofilament H (NFH) as a marker
of axonal proteins, and glial fibrillary acidic protein (GFAP) in astr
oglia after 2 months of cerebral hypoperfusion were analyzed with West
ern blotting and enzyme-linked immunosorbent assay. Results-Western bl
otting of the white matter after 2 months of hypoperfusion showed that
the levels of MBP and NFH decreased, whereas that of GFAP increased.
The time course of MBP and NFH changes determined with enzyme-linked i
mmunosorbent assay revealed that the change of MBP preceded that of NF
H. Conclusions-In the present study it was shown that the damage to my
elin precedes that to the axon in the white matter in a chronic cerebr
al hypoperfusion animal model, suggesting that the change in myelin is
the primary pathological event in the cerebral white matter under chr
onic hypoperfusion. The present study may help in understanding the me
chanisms of white matter pathology in leukoaraiosis.