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In This Article

  • Summary
  • Abstract
  • Introduction
  • Protocol
  • Representative Results
  • Discussion
  • Acknowledgements
  • Materials
  • References
  • Reprints and Permissions

Summary

This protocol describes a straightforward method for creating coated filaments for the middle cerebral artery occlusion (MCAO) model in mice using silicone, nylon sutures, and syringe needles. This method allows for the production of filaments with a consistent diameter and various silicone wrapping lengths tailored to experimental needs.

Abstract

As the global population ages, ischemic stroke has risen to become the second leading cause of disability and mortality worldwide, placing an immense burden on both society and families. Although treatments such as intravenous thrombolysis and endovascular interventions can substantially improve the outcomes for patients with acute ischemic stroke, only a small percentage of individuals benefit from these therapies. To advance our understanding of the disease and to discover more effective treatments, researchers are continuously developing and refining animal models. Among these, the middle cerebral artery occlusion (MCAO) model stands out as the most commonly used model in cerebrovascular disease research. The filament used in this model is crucial for its development. This protocol outlines a method for creating filaments with consistent diameters and varying lengths of silicone coating. The MCAO model produced using this method in C57 mice has demonstrated high success and consistency, offering a valuable tool for tailored investigations into ischemic cerebrovascular diseases.

Introduction

Stroke is one of the most prevalent causes of mortality and disability worldwide. Ischemic and hemorrhagic strokes are the primary types of cerebrovascular event, with ischemic strokes accounting for approximately 87% of cases1,2,3. Currently, there are two treatment modalities for patients with ischemic stroke: pharmacological therapy with recombinant tissue plasminogen activator (rtPA) and mechanical thrombectomy. However, the narrow therapeutic window and extensive exclusion criteria limit the application of these treatments, benefiting only a minority of patients. This un....

Protocol

All animal procedures adhered to the experimental procedures and standards approved by the Shanxi Provincial People's Hospital Institutional Animal Care and Use Committee (approval number: 2024 Provincial Medical Ethics Committee No. 64). The mice used in this experiment were male C57BL/6 mice, 8-10 weeks old, weighing 24-26 g. Details of the reagents and equipment used are listed in the Table of Materials.

1. Filament preparation

  1. Marking the o.......

Representative Results

In the creation of the MCAO model, the primary tools used for fabricating the filaments and the finished filaments are shown in Figure 3. Following filament production, the MCAO model is established by inserting the filament through the external carotid artery, with the duration of the operation recorded. Successful modeling is defined by a Longa score of 1-3 4 h post-filament withdrawal. Body weight is monitored daily after the operation. Neurological deficits are evaluated using modified n.......

Discussion

This study demonstrates a simple and cost-effective method for fabricating filament, confirming its feasibility in creating an MCAO model. The length of the filament's silicone coat can be adjusted according to experimental needs, offering additional flexibility. The preparation of a 5 mm filament embolus achieved a 100% success rate without any occurrences of subarachnoid hemorrhage (SAH) in mice. In the group using 10 mm filament emboli, there were instances of SAH, while the rest of the mice showed clear infarctio.......

Acknowledgements

This work was supported by the Wu Jieping Medical Foundation (320.6750.161290).

....

Materials

NameCompanyCatalog NumberComments
10 mL SyringeHaidike Medical Products Co., Ltd.Instrument for making filaments
2,3,5-Triphenyltetrazolium Chloride (TTC)Sigma-AldrichG3005Dye for TTC staining
24-well culture plateCorning CLS3527Vessel for TTC staining
26 G syringe needleHaidike Medical Products Co., Ltd.Instrument for making filaments
4% paraformaldehydeServicebioG1101Tissue fixation
6-0 nylon sutureHaidike Medical Products Co., Ltd.Materials for making filaments
Anesthesia system for isofluraneRwd Life Science Co., Ltd.R610 Anesthetized animal
Bipolar electrocoagulation generatorYirun Medical Instrument Co., Ltd.ZG300Equipment for surgery
Constant temperature water bathSpring  Instrument Co., Ltd.HH-M6TTC staining
Eye ointmentGuangzhou PharmaceuticalH44023098Material for surgery
Heat blanketZH Biomedical Instrument Co., Ltd.Maintain body temperatur 
IsofluraneRwd Life Science Co., Ltd.R510-22-10Anesthetized animal
MeloxicamBoehringer-IngelheimJ20160020Analgesia for animal
Microsurgical artery clampShanghai Jinzhong Surgical Instruments Co., Ltd. W40130Instrument for surgery
Microsurgical hemostatic clamp forcepsShanghai Jinzhong Surgical Instruments Co., Ltd. M-W-0022Instrument for surgery
Microsurgical instruments setRwd Life Science Co., Ltd.SP0009-REquipment for surgery
Mouse thermometerHubei Dasjiaer BiotechnologyFT3400Intraoperative temperature monitoring
Pentobarbital sodiumSigma-AldrichP3761Euthanized animal
ShaverJoyu Electrical AppliancesPHC-920Equipment for surgery
Silicone SealantKafuterK-704Materials for making filaments
StereomicroscopeRwd Life Science Co., Ltd.77001SEquipment for surgery
Suture thread with needle (3-0)Shanghai Pudong Jinhuan Medical Products Co., Ltd. F404SUS302Equipment for surgery

References

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Handcrafted Silicone Coated FilamentMiceMiddle Cerebral Artery OcclusionMCAO ModelIschemic StrokeAnimal ModelsCerebrovascular Disease ResearchIntravenous ThrombolysisEndovascular InterventionsTreatment OutcomesC57 MiceConsistent DiametersSilicone Coating

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