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Potential injectable hydrogels as biomaterials for central nervous system injury: A narrative review 作为治疗中枢神经系统损伤的生物材料的潜在可注射水凝胶:叙述性综述
Pub Date : 2023-11-30 DOI: 10.1002/ibra.12137
Santa Sarma, Dhruva J. Deka, Prakash Rajak, Damiki Laloo, Trishna Das, Purbajit Chetia, Dipankar Saha, Alakesh Bharali, Bhargab Deka

Numerous modalities exist through which the central nervous system (CNS) may sustain injury or impairment, encompassing traumatic incidents, stroke occurrences, and neurodegenerative diseases such as Alzheimer's disease and Parkinson's disease. Presently available pharmacological and therapeutic interventions are incapable of restoring or regenerating damaged CNS tissue, leading to substantial unmet clinical needs among patients with CNS ailments or injuries. To address and facilitate the recovery of the impaired CNS, cell-based repair strategies encompass multiple mechanisms, such as neuronal replacement, therapeutic factor secretion, and the promotion of host brain plasticity. Despite the progression of cell-based CNS reparation as a therapeutic strategy throughout the years, substantial barriers have impeded its widespread implementation in clinical settings. The integration of cell technologies with advancements in regenerative medicine utilizing biomaterials and tissue engineering has recently facilitated the surmounting of several of these impediments. This comprehensive review presents an overview of distinct CNS conditions necessitating cell reparation, in addition to exploring potential biomaterial methodologies that enhance the efficacy of treating brain injuries.

中枢神经系统(CNS)可能通过多种方式受到损伤或损害,包括外伤、中风以及阿尔茨海默病和帕金森病等神经退行性疾病。目前可用的药物和治疗干预措施无法恢复或再生受损的中枢神经系统组织,导致中枢神经系统疾病或损伤患者的大量临床需求得不到满足。为了解决和促进受损中枢神经系统的恢复,基于细胞的修复策略包含多种机制,如神经元替代、治疗因子分泌和促进宿主大脑可塑性。尽管多年来基于细胞的中枢神经系统修复作为一种治疗策略取得了进展,但其在临床环境中的广泛应用仍面临巨大障碍。最近,细胞技术与利用生物材料和组织工程的再生医学的进步相结合,促进了其中一些障碍的克服。本综述概述了需要细胞修复的中枢神经系统的不同情况,并探讨了提高脑损伤治疗效果的潜在生物材料方法。
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引用次数: 0
A rare case of perineal neuralgia treated with ultrasound‐guided nerve block combined with water separation 超声引导神经阻滞联合水分离治疗会阴神经痛1例
Pub Date : 2023-11-14 DOI: 10.1002/ibra.12138
Yong Wang, Min Wang, Rui Jiang, Zhao‐Qiong Zhu, Guang‐Cai Li
Abstract A middle‐aged man experienced intermittent acupuncture‐like pain in the skin of the right scrotum and medial thigh 1 month after undergoing laparoscopic high ligation of the right hernial sac for a right indirect inguinal hernia in November 2020, and the pain persisted for 6 months. Under ultrasound guidance, ilioinguinal and genitofemoral nerve block and local adhesion water separation were performed with a mixture of 0.25% lidocaine (6 mL) plus prednisolone acetate (10 mg), and the same drugs and methods were repeated five times once a week. After five treatments, the visual analogue scale (VAS) score was reduced from 7 before treatment to 1. During the follow‐up period, at 3 months after the end of treatment, the VAS score remained at 0, and this score was sustained at 0 even at the 6‐month follow‐up. These outcomes indicate that ultrasound‐guided nerve block combined with water separation technology can effectively alleviate neuralgia caused by surgical adhesion, which holds important clinical significance in managing such conditions.
摘要2020年11月,一名中年男性右侧腹股沟间接疝行腹腔镜右疝囊高位结扎术后1个月,右侧阴囊及大腿内侧皮肤出现间歇性针刺样疼痛,疼痛持续6个月。在超声引导下,采用0.25%利多卡因(6 mL) +醋酸泼尼松龙(10 mg)的混合溶液进行髂腹股沟及生殖股神经阻滞和局部粘连水分离,相同药物和方法重复5次,每周1次。5次治疗后,视觉模拟评分(VAS)由治疗前的7分降至1分。在随访期间,在治疗结束后3个月,VAS评分保持在0,即使在6个月的随访中,该评分仍维持在0。提示超声引导神经阻滞联合水分离技术可有效缓解手术粘连引起的神经痛,对治疗此类疾病具有重要的临床意义。
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引用次数: 0
Corrections to “Bone marrow mesenchymal stem cells in brain ischemia enhaces axonal regeneration associated with IGF-1” 对 "骨髓间充质干细胞在脑缺血中增强轴突再生与 IGF-1 有关 "的更正
Pub Date : 2023-10-10 DOI: 10.1002/ibra.12135

Li, T.-T., Zhang, L.-C., Xiong, L.-L. and Yu, C.-Y. (2019), Bone marrow mesenchymal stem cells in brain ischemia enhaces axonal regeneration associated with IGF-1. Ibrain, 5: 50-59. https://doi.org/10.1002/j.2769-2795.2019.tb00041.x

The Affiliation of authors (Ting-Ting Li1#, Lan-Chun Zhang1#, Liu-Lin Xiong2, Chang-Yin Yu3*; 1. Animal center, Kunming Medical University, Kunming, Yunnan, China.2. Clinical and Health Sciences, University of South Australia, Adelaide 5000, South Australia, Australia.3. Department of Neurology, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China.#*These authors contributed equally) was incorrect.

The correct Affiliation information of authors is presented as follows:

We apologize for this error.

Li, T.-T., Zhang, L.-C., Xiong, L.-L. and Yu, C.-Y. (2019), Bone marrow mesenchymal stem cells in brain ishemia enhates axonal regeneration associated with IGF-1.(2019), 骨髓间充质干细胞在脑缺血中增强轴突再生与IGF-1有关。Ibrain, 5: 50-59. https://doi.org/10.1002/j.2769-2795.2019.tb00041.xThe 作者单位(Ting-Ting Li1#,Lan-Chun Zhang1#,Liu-Lin Xiong2,Chang-Yin Yu3*;1.昆明医科大学动物中心,云南昆明,中国.2.南澳大利亚大学临床与健康科学,阿德莱德5000,南澳大利亚,澳大利亚.3.遵义医学院附属医院神经内科,中国贵州遵义。#*作者贡献相同)有误,正确的作者单位信息如下:我们对此错误深表歉意。
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引用次数: 0
Corrections to “Recent advances in bone marrow stromal cell trans-plantation to animals with spinal cord injury” 对 "骨髓基质细胞移植到脊髓损伤动物身上的最新进展 "的更正
Pub Date : 2023-10-08 DOI: 10.1002/ibra.12134

Li, T.-T. and Yuan, H. (2019), Recent advances in bone marrow stromal cell trans-plantation to animals with spinal cord injury. Ibrain, 5: 9-15. https://doi.org/10.1002/j.2769-2795.2019.tb00033.x

The Affiliation of authors (Ting-Ting Li1, Hao Yuan1*; 1. Department of Spinal Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China) was incorrect.

The correct Affiliation information of authors is presented as follows:

Ting-Ting Li1,2, Hao Yuan2*

1. Institute of Neurological Disease and Department of Anesthesiology, Translational Neuroscience Center, West China Hospital, Sichuan University, Chengdu, Sichuan, China; 2. Department of Spinal Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, Guizhou, China

We apologize for this error.

Li, T.-T. and Yuan, H. (2019), Recent advances in bone marrow stromal cell trans-plantation to animals with spinal cord injury.https://doi.org/10.1002/j.2769-2795.2019.tb00033.xThe 作者(李婷婷1, 袁浩1*; 1. 遵义医学院附属医院脊柱外科,贵州遵义)所属单位有误。正确的作者所属单位信息如下:李婷婷1,2, 袁浩2*1.四川大学华西医院神经疾病研究所、麻醉科、转化神经科学中心,中国四川成都;2. 遵义医学院附属医院脊柱外科,中国贵州遵义我们对此错误深表歉意。
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引用次数: 0
The mediating role of anxiety and depression in the relationship between coping styles and life satisfaction among frontline medical workers during the COVID-19 pandemic: A cross-sectional study 焦虑和抑郁在 COVID-19 大流行期间前线医务工作者的应对方式与生活满意度之间关系中的中介作用:横断面研究
Pub Date : 2023-09-25 DOI: 10.1002/ibra.12133
Gui-Fang Chen, Ye-Ping Zhang, Zhi-Jie Wei, Xin-Lan Zhang, Jun Liu, Juan Peng, Zu-Cai Xu, Chang-Yin Yu, Jun Zhang

This study aimed to examine the mediating role of anxiety and depression in the relationship between coping styles and life satisfaction among frontline medical workers during the COVID-19 pandemic. Five hundred and fourteen frontline medical workers from Zunyi were recruited to complete questionnaires, including the Self-rating Anxiety Scale (SAS), Self-rating Depression Scale (SDS), Satisfaction with Life Scale (SWLS), and Simplified Coping Style Questionnaire (SCSQ). SPSS 24.0 was used to measure the characteristics of anxiety, depression, life satisfaction, and coping styles. We found that the prevalence rates of anxiety and depression among study participants were 22.57% and 18.29%, respectively. Besides, anxiety was positively correlated with depression; anxiety and depression were positively correlated with passive coping style but negatively correlated with life satisfaction and active coping style; life satisfaction was positively correlated with active coping style and negatively correlated with passive coping style (all p < 0.001). Moreover, anxiety and depression mediated the relationship between coping styles and life satisfaction. Anxiety accounted for 18.6% of the effect of active coping style and 35.48% of the effect of passive coping style on life satisfaction. Depression accounted for 48.84% of the effect of active coping style and 67.74% of the effect of passive coping style on life satisfaction. The present study provides novel insights into the effect of subclinical anxiety and depression on frontline medical workers in the pandemic area. Anxiety and depression yielded a mediating effect on the relationship between coping styles and life satisfaction.

本研究旨在探讨焦虑和抑郁在 COVID-19 大流行期间一线医务工作者的应对方式与生活满意度之间的中介作用。研究共招募了 514 名遵义一线医务工作者,他们填写了包括焦虑自评量表(SAS)、抑郁自评量表(SDS)、生活满意度量表(SWLS)和简化应对方式问卷(SCSQ)在内的问卷。我们使用 SPSS 24.0 测量了焦虑、抑郁、生活满意度和应对方式的特征。我们发现,研究参与者中焦虑和抑郁的患病率分别为 22.57% 和 18.29%。此外,焦虑与抑郁呈正相关;焦虑和抑郁与被动应对方式呈正相关,但与生活满意度和主动应对方式呈负相关;生活满意度与主动应对方式呈正相关,与被动应对方式呈负相关(均为 p <0.001)。此外,焦虑和抑郁也是应对方式与生活满意度之间关系的中介。焦虑占主动应对方式对生活满意度影响的 18.6%,占被动应对方式对生活满意度影响的 35.48%。抑郁占主动应对方式对生活满意度影响的 48.84%,占被动应对方式对生活满意度影响的 67.74%。本研究就亚临床焦虑和抑郁对大流行病地区一线医务工作者的影响提供了新的见解。焦虑和抑郁对应对方式与生活满意度之间的关系产生了中介效应。
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引用次数: 0
Molecular network mechanism of Shexiang Huayu Xingnao granules in treating intracerebral hemorrhage 射香化瘀颗粒治疗脑出血的分子网络机制
Pub Date : 2023-09-10 DOI: 10.1002/ibra.12131
Ke-Qian Liu, Xue Bai, Ji-Lin Chen, Guo-Jiao Chen, Muhammad Ameen Jamal, Yu-Qi He

We aim to explore the pharmacological efficacy and molecular network mechanism of Shexiang Huayu Xingnao granules (SX granules) in the treatment of intracerebral hemorrhage (ICH) based on experiments and network pharmacology. After the ICH model establishment, the behavioral functions of rats were assessed by the modified neurological severity score (mNSS), the wire suspension test, and the rotarod test. Brain histomorphological changes were observed using 2,3,5-triphenyl tetrazolium chloride (TTC), hematoxylin–eosin (HE), Nissl, and TdT-mediated dUTP nick end labeling (TUNEL) combined with neuronal nuclear (NEUN) immunofluorescence staining. The cross-targets of SX granules and ICH were obtained using network pharmacology, gene ontology (GO) enrichment analysis, and Kyoto encyclopedia of genes and genomes (KEGG) signaling pathway analysis were performed. Then, the obtained Hub genes were verified using real-time quantitative polymerase chain reaction (RT-qPCR). The mNSS score was reduced and the duration to remain wire suspended increased in the SX group. In the morphological experiment, SX granules reduced brain tissue damage, neuronal apoptosis, and the number of astrocytes in the ICH rats. Moreover, 607 targets of drug–disease intersection were obtained by network pharmacology, and 10 Hub genes were found. SX granules regulated the expression of HRAS, MAPK3, and STAT3 in ICH condition. In conclusion, SX granules improved behavioral dysfunction, abnormal alterations in brain tissue, and cell morphology in ICH rats, and potential molecular mechanism was linked with the expression of multiple genes.

我们的目的是在实验和网络药理学的基础上,探讨歙县化瘀活血颗粒(SX颗粒)治疗脑出血(ICH)的药理作用和分子网络机制。建立 ICH 模型后,通过改良神经严重程度评分(mNSS)、悬丝试验和转体试验评估大鼠的行为功能。使用2,3,5-三苯基氯化四氮唑(TTC)、苏木精-伊红(HE)、Nissl和TdT介导的dUTP缺口末端标记(TUNEL)结合神经元核(NEUN)免疫荧光染色观察脑组织形态学变化。通过网络药理学、基因本体(GO)富集分析和京都基因组百科全书(KEGG)信号通路分析,获得了SX颗粒和ICH的交叉靶标。然后,利用实时定量聚合酶链反应(RT-qPCR)对获得的 Hub 基因进行验证。在 SX 组中,mNSS 评分降低,保持钢丝悬浮的时间延长。在形态学实验中,SX 颗粒减少了 ICH 大鼠的脑组织损伤、神经元凋亡和星形胶质细胞数量。此外,通过网络药理学还获得了607个药物-疾病交叉靶点,并发现了10个Hub基因。SX颗粒能调节ICH状态下HRAS、MAPK3和STAT3的表达。总之,SX颗粒能改善ICH大鼠的行为功能障碍、脑组织异常改变和细胞形态,其潜在的分子机制与多个基因的表达有关。
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引用次数: 0
Wnt signaling in synaptogenesis of Alzheimer's disease Wnt信号在阿尔茨海默病突触发生中的作用。
Pub Date : 2023-09-06 DOI: 10.1002/ibra.12130
Cheng-Ting Zhang, Joy Wang, Wen-Yuan Wang

Alzheimer's disease (AD), recognized as the leading cause of dementia, occupies a prominent position on the list of significant neurodegenerative disorders, representing a significant global health concern with far-reaching implications at both individual and societal levels. The primary symptom of Alzheimer's disease is a decrease in synaptic potency along with synaptic connection loss. Synapses, which act as important linkages between neuronal units within the cerebral region, are critical in signal transduction processes essential to orchestrating cognitive tasks. Synaptic connections act as critical interconnections between neuronal cells inside the cerebral environment, facilitating critical signal transduction processes required for cognitive functions. The confluence of axonal and dendritic filopodial extensions culminates in the creation of intercellular connections, coordinated by various signals and molecular mechanisms. The progression of synaptic maturation and plasticity is a critical determinant in maintaining mental well-being, and abnormalities in these processes have been linked to the development of neurodegenerative diseases. Wnt signaling pathways are important to the orchestration of synapse development. This review examines the complicated interplay between Wnt signaling and dendritic filopodia, including an examination of the regulatory complexities and molecular machinations involved in synaptogenesis progression. Then, these findings are contextualized within the context of AD pathology, allowing for the consideration of prospective therapeutic approaches based on the findings and development of novel avenues for future scientific research.

阿尔茨海默病(AD)被公认为痴呆症的主要病因,在严重的神经退行性疾病列表中占据重要地位,代表着一个重大的全球健康问题,在个人和社会层面都具有深远的影响。阿尔茨海默病的主要症状是突触能力下降以及突触连接丧失。突触是大脑区域内神经元单位之间的重要联系,在协调认知任务所必需的信号转导过程中至关重要。突触连接是大脑环境中神经元细胞之间的关键互连,促进认知功能所需的关键信号转导过程。轴突和树突丝足延伸的汇合最终形成细胞间连接,由各种信号和分子机制协调。突触成熟和可塑性的进展是维持心理健康的关键决定因素,这些过程的异常与神经退行性疾病的发展有关。Wnt信号通路对突触发育的协调非常重要。这篇综述研究了Wnt信号传导和树突丝足之间的复杂相互作用,包括研究突触发生过程中的调控复杂性和分子机制。然后,将这些发现放在AD病理学的背景下,考虑基于这些发现的前瞻性治疗方法,并为未来的科学研究开发新的途径。
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引用次数: 0
Recent advances in the treatment and prevention of peripheral neuropathy after multiple myeloma treatment 治疗和预防多发性骨髓瘤治疗后周围神经病变的最新进展
Pub Date : 2023-09-06 DOI: 10.1002/ibra.12132
Dan Wen, Song Cao, Yonghuai Feng

The incidence of multiple myeloma (MM) is increasing year by year, requiring chemotherapy drugs to control the condition. With the advent of new proteasome inhibitors, immunomodulators, and monoclonal antibodies, the prognosis of patients has improved significantly. However, peripheral neuropathy caused by drugs limits the dose and duration of treatment, which seriously affects patients' quality of life and treatment outcome. Although the neuropathies induced by chemotherapy drugs have attracted much attention, their mechanism and effective prevention and treatment measures are not clear. Therefore, how to alleviate peripheral neuropathy caused by drugs for treatment of MM is a key issue in improving patients' quality of life and prolonging their survival time, which have some clinical value. In this paper, we review the current research on the pathogenesis, pharmacological and nonpharmacological treatment, and prevention, which expects to present instruction for peripheral neuropathy after treatment of MM.

多发性骨髓瘤(MM)的发病率逐年上升,需要化疗药物来控制病情。随着新型蛋白酶体抑制剂、免疫调节剂和单克隆抗体的出现,患者的预后明显改善。然而,药物引起的周围神经病变限制了治疗的剂量和时间,严重影响了患者的生活质量和治疗效果。虽然化疗药物诱发的神经病变已经引起了广泛关注,但其发病机制和有效的防治措施尚不明确。因此,如何缓解 MM 治疗药物引起的周围神经病变是提高患者生活质量、延长生存时间的关键问题,具有一定的临床价值。本文综述了目前关于MM的发病机制、药物和非药物治疗、预防等方面的研究,期望对MM治疗后的周围神经病变提出指导性意见。
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引用次数: 0
The role of cannabinoid CB1 receptors in the antinociceptive and reparative actions of mesenchymal stem cells in rats with peripheral neuropathic pain 大麻素CB1受体在周围神经性疼痛大鼠间充质干细胞的镇痛和修复作用中的作用。
Pub Date : 2023-08-24 DOI: 10.1002/ibra.12129
Anna-Maria V. Yerofeyeva, Sergey V. Pinchuk, Svetlana N. Rjabceva, Alla Y. Molchanova

Mesenchymal stem cells (MSCs) can produce antinociceptive and reparative effects. Presumably, the MSCs-induced antinociception may be partly due to the involvement of the endocannabinoid system. The study aimed to evaluate the antinociceptive and reparative effects of adipose-derived MSCs (ADMSCs) upon pharmacological modulation of cannabinoid CB1 receptor in peripheral tissues or on ADMSCs' membranes in a rat model of peripheral neuropathy. ADMSCs were injected into the area of rat sciatic nerve injury (i) with no additional treatments, (ii) at the tissue CB1 receptor activation by endogenous agonist anandamide (AEA) or blockade with a selective AM251 antagonist; and (iii) preincubated with AEA or AM251. The evaluation of CB1 receptor activity involved analyzing nociceptive responses, gait parameters, and histology. Transplantation of ADMSCs upon activation of CB1 receptors, both on AMSCs' membranes or in the area of nerve injury, accelerated the analgesia and recovery of dynamic gait parameters, abolished static gait disturbances, and promoted the fastest nerve regeneration. Only blockade of CB1 receptors on ADMSCs shortened ADMSCs-induced analgesia and decreased the number of preserved nerve fibers. CB1 receptors on ADMSCs significantly contribute to their pain-relieving and tissue-repairing capabilities by stimulating the growth factors secretion and suppressing the release of pro-inflammatory cytokines. Peripheral CB1 receptors do not significantly influence ADMSC-induced antinociception.

间充质干细胞(MSCs)具有抗伤害和修复作用。据推测,MSCs诱导的抗伤害感受可能部分是由于内源性大麻素系统的参与。本研究旨在评估脂肪来源的间充质干细胞(ADMSC)对大鼠周围神经病变模型中外周组织中大麻素CB1受体或ADMSC膜的药理学调节的镇痛和修复作用。将ADMSC注射到大鼠坐骨神经损伤区域中(i)无需额外治疗,(ii)通过内源性激动剂阿那达明(AEA)激活组织CB1受体或用选择性AM251拮抗剂阻断;和(iii)用AEA或AM251预培养。CB1受体活性的评估包括分析伤害性反应、步态参数和组织学。在激活CB1受体后移植ADMSC,无论是在AMSCs的膜上还是在神经损伤区域,都可以加速动态步态参数的镇痛和恢复,消除静态步态障碍,并促进最快的神经再生。只有阻断ADMSCs上的CB1受体才能缩短ADMSCs诱导的镇痛,并减少保留的神经纤维数量。ADMSC上的CB1受体通过刺激生长因子分泌和抑制促炎细胞因子的释放,对其止痛和组织修复能力有显著贡献。外周CB1受体不会显著影响ADMSC诱导的镇痛感受。
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引用次数: 0
CCA repair or ECA ligation—Which middle cerebral artery occlusion is better in the reperfusion mouse model? CCA修复还是ECA结扎在再灌注小鼠模型中哪种大脑中动脉闭塞更好?
Pub Date : 2023-08-18 DOI: 10.1002/ibra.12128
Yue Hu, Zhen-Hong Yang, Feng Yan, Shuang-Feng Huang, Rong-Liang Wang, Zi-Ping Han, Jun-Fen Fan, Yang-Min Zheng, Ping Liu, Yu-Min Luo, Si-Jie Li

A reliable animal model is essential for ischemic stroke research. The implications of the external carotid artery (ECA) transection or common carotid artery (CCA) ligation have been described. Thus, a modified animal model, the CCA-repair model, has been established, and studies have shown that the CCA-repair model has potential advantages over the CCA-ligation model. However, whether the CCA-repair model is superior to the ECA-ligation model remains unclear. Sixty male C57BL/6 mice were randomly assigned to establish the CCA-repair (n = 34) or ECA-ligation (n = 26) models. Cerebral blood flow before middle cerebral artery occlusion (MCAO), immediately after MCAO and reperfusion were monitored and the operation duration, postoperative body weight, and food intake within 7 days, and the number of intraoperative and postoperative deaths within 7 days were recorded in the two models. Modified neurological severity scores and Bederson (0–5) scores were used to evaluate postoperative neurological function deficits on Days 1/3/5/7. 2,3,5-Triphenyltetrazolium chloride staining was used to quantify lesion volume on Day 7 after the operation. We found the establishment of the CCA-repair model required a longer total operation duration (p = 0.0175), especially the operation duration of reperfusion (p < 0.0001). However, there was no significant difference in body weight and food intake development, lesion volume and intragroup variability, neurological function deficits, mortality, and survival probability between the two groups. The CCA-repair model has no significant advantage over the ECA-ligation model. The ECA-ligation model is still a better choice for focal cerebral ischemia.

一个可靠的动物模型对缺血性中风的研究至关重要。已经描述了颈外动脉(ECA)横断或颈总动脉(CCA)结扎的含义。因此,已经建立了一种改良的动物模型,即CCA修复模型,并且研究表明CCA修复模式比CCA结扎模式具有潜在的优势。然而,CCA修复模型是否优于ECA结扎模型尚不清楚。60只雄性C57BL/6小鼠被随机分配以建立CCA修复(n = 34)或ECA结扎(n = 26)模型。监测大脑中动脉闭塞(MCAO)前、MCAO和再灌注后即刻的脑血流量,并记录两个模型的手术时间、术后体重、7天内的食物摄入量以及7天内术中和术后死亡人数。在第1/3/5/7天,使用改良的神经严重程度评分和Bederson(0-5)评分来评估术后神经功能缺损。2,3,5-三苯基氯化四氮唑染色用于量化手术后第7天的病变体积。我们发现CCA修复模型的建立需要更长的总操作持续时间(p = 0.0175),尤其是再灌注的手术时间(p
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引用次数: 0
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