Transgenic/knockout murine variants allow roles of specific proteins to be
studied in cerebral ischemia. Because of the size of mice, however, study o
f prolonged recovery from global ischemia has been limited. This project ch
aracterized an adaptation of the rat two-vessel occlusion model of global i
schemia for use in the mouse. C57B1/6J mice (8 weeks old; 21 +/- 1 g) were
overnight fasted, anesthetized with halothane, intubated and mechanically v
entilated. The right internal jugular vein and femoral artery were cannulat
ed. Pericranial temperature was held at 37.0 degrees C, The carotid arterie
s were occluded and mean arterial pressure was reduced to 35 mmHg with 0.3
mg intra-arterial trimethaphan and venous exsanguination. Electroencephalog
raphic isoelectricity was confirmed in cohort mice. Ten minutes later ische
mia was reversed. Mice were allowed 1, 3 or 5 days survival followed by his
tologic analysis. Regional cerebral blood flow (CBF) was determined autorad
iographically. Outcome effects of intra-ischemic hyperglycemia (approximate
to 350 mg/dl) or hypothermia (34 degrees C) were also examined. The mortal
ity rate was less than 10% in all recovery groups. Ischemia caused reductio
n of CBF to < 2% of sham values in cortex, hippocampus, and caudoputamen. C
BF was unchanged in thalamus, brainstem and cerebellum. CAl damage, greater
after 3 days vs. 1 day reperfusion, was not further increased at 5 days. H
istologic injury was increased by hyperglycemia although seizures did not o
ccur. Hypothermia reduced CAI damage. This study demonstrates feasibility o
f using the two-vessel occlusion + hypotension recovery model in the mouse.
Recovery intervals of greater than or equal to 3 days are required to acco
unt for delayed CAl neuronal necrosis. Histologic outcome can be modulated
by known physiologic determinants of ischemic brain damage. (C) 1999 Elsevi
er Science B.V. All rights reserved.