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Research Highlight



          Differences in stroke damage in aged mice may


          not be due to differential cerebral blood flow

          dynamics


          Venugopal Reddy Venna , Louise D. McCullough 1,2,3
                                1
          1 Department of Neuroscience, University of Connecticut Health Center, Farmington, CT 06030, USA.
          2 Department of Neurology, University of Connecticut Health Center, Farmington, CT 06030, USA.
          3 The Stroke Center at Hartford Hospital, Hartford, CT 06102, USA.



          Manwani B, Friedler B, Verma R, Venna VR, McCullough LD, Liu F.   and only examines blood flow changes in a small region
          Perfusion of ischemic brain in young and aged animals: a laser speckle   of the brain. As aging leads to several morphological
          flowmetry study. Stroke 2014;45(2):571‑8.
                                                              and pathological changes throughout the vasculature,
          INTRODUCTION                                        leading to atherosclerosis and small vessel disease,
                                                              these changes cannot be identified by LDF. These
          Stroke is the leading cause of death and adult disability. [1-3]    alterations might contribute to significant stroke damage
          Aging is the most important nonmodifiable risk factor   variability in aged animals. Unlike LDF, laser speckle
          for stroke, and aged patients exhibit impaired stroke   flowmetry (LSF) provides a broader spatial, and temporal
          recovery.  Consistent with clinical data, findings from   pattern of blood flow changes in the brain, allowing
                  [4]
          animal models have demonstrated that aged mice have   investigators to better examine and control cerebral
          higher mortality and worse outcomes when subjected to   blood flow changes during and following occlusion.
          same duration of occlusion compared with young mice,
          yet paradoxically, the infarct damage is smaller in the aged   COMMENT
          mice. [5,6]  Impaired recovery has been linked to several
          underlying mechanisms, including altered peripheral   To determine if the discrepancies in histological outcomes
          immune responses, enhanced neuroinflammation, and   in aged mice were secondary to variability or differences
          reductions in neurogenesis. [7-9]  However, it was not   in blood flow dynamics, we first assessed whether aged
          known whether the discrepancy in histological outcome   mice exhibited differential blood flow patterns after
          is associated with age-induced changes in the cerebral   stroke compared to young mice using LSF. A structural
          vasculature or cerebral blood flow.                 immunohistochemical  analysis  of  the  vasculature
                                                              was also performed by perfusing blood vessels with
          Consistent blockage of blood flow is essential to achieve   fluorescein isothiocyanate-dextran and co-labeling with
          a homogenous ischemic infarct. Previous animal studies   the CD31 antibody. No significant difference in blood
          use laser Doppler flowmetry (LDF) to confirm blood   flow dynamics or microvascular density was observed
          flow blockage after ischemic occlusion. However, this   between young (3-month-old) and aged (18-month-old)
          technique has often been criticized as it not quantitative   animals after middle cerebral artery occlusion (MCAO).


                          Access this article online          Although  these  results  refute  the  hypothesis  that
               Quick Response Code:                           changes in cerebral blood flow or vascular density
                                    Website:                  was responsible for the smaller infarcts in aged mice,
                                    www.nnjournal.net
                                                              the study has provided some very interesting findings.
                                    DOI:                      Based on the LSF data, focal ischemia during MCAO
                                    10.4103/2347-8659.135569   induced a dramatic blood flow drop to the ipsilateral
                                                              hemisphere as expected, but it was also associated with

          Corresponding Author: Dr. Louise D. McCullough, Department of Neuroscience, University of Connecticut Health Center,
          263 Farmington Avenue, Farmington, CT 06030, USA. E‑mail: lmccullough@uchc.edu



          Neuroimmunol Neuroinflammation | Volume 1 | Issue 1 | June 2014                                   13
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