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. 2021 Sep 15;4(3):204–219. doi: 10.1002/ame2.12179

TABLE 2.

The pathophysiological characteristics of stroke models

Stroke models Common processes Special characteristics
Ischemic stroke
Global ischemic stroke
4‐VO model Energy failure, elevated intracellular Ca2+ level, excitotoxicity, spreading depressions, generation of free radicals, destruction of the blood‐brain barrier, inflammation, glial cell contribution, apoptosis, and necrosis Biphasic changes in the brain edema and scavenging activity of superoxide
2‐VO model

Permanent 2‐VO model shows three phases of CBF changes

Permanent 2‐VO model does not show BBB destruction

Complete global brain ischemia
Aorta/vena cava occlusion models Purkinje cells and the CA1 pyramidal cells induced by CGBI consists of two phases, and the reversible change in the early phase is related to the decrease of the synaptic vesicles
Ventricular fibrillation cardiac arrest

A VF of 5‐7 min could be easily recovered with resuscitation, while VF for 10 and 12 min often cannot be recovered

Significant ischemic cell changes (eosinophilic cytoplasm, dark‐staining triangular shaped nuclei, and eosinophilic‐staining nucleolus) in CA1 hippocampus can be observed at seven days of resuscitation

Chemical and gas hypoxia
Focal ischemic stroke
Transcranial occlusion Energy failure, elevated intracellular Ca2+ level, excitotoxicity, spreading depressions, generation of free radicals, destruction of the blood‐brain barrier (BBB), inflammation, glial cell contribution, apoptosis, necrosis Leakage of cerebrospinal fluid; one‐sided blindness
Endovascular filament occlusion Spontaneous hyperthermia; unavoidable harm to the endothelial lining could alter vascular reactivity and BBB permeability
Embolic occlusion
Thromboembolic occlusion

Unreliable infarctions and variable neurologic deficits; mainly to investigate thrombolytic processes

Autologous blood clots of experimental animals are resistant to human rt‐PA

Artificial spheres occlusion

Microsphere embolization produces relatively variable infarcts

Macrosphere embolization model provides focal cerebral infarcts similar to intraluminal suture occlusion but avoids hypothalamic injury and hyperthermia

Endothelin‐1 (ET‐1) occlusion Vasoconstriction; ET‐1 plays a role not only in local control of cerebral vascular tone but also in neural transmission/modulation. endothelin‐converting enzymes and endothelin receptor B are expressed in neurons and astrocytes, and regulated by nerve injury
Photothrombosis model

Photooxygenation leads to endothelial damage and platelet adhesion, and aggregation to form thrombi to block cerebral vessels

Classic photothrombotic stroke has poor responses to rt‐PA‐mediated thrombolysis

Intracerebral hemorrhage
Whole blood injection model Hematoma enlargement, coagulation cascade activation and clot retraction, red blood cells lysis and infusion of hemoglobin, brain edema, necrosis and apoptosis, CBF reduction, inflammation Mimics the hematoma mass effect and blood toxicity; involves no rupturing of cerebral vessels; no activation of bleeding and coagulation cascade
Collagenase model Mimics bleeding; degrades collagen IV in the basal lamina of the blood‐brain barrier; rupture of small vessels and capillary beds around the injection site. Bacterial collagenase exacerbates the inflammatory response