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  4. Characterizing the Neuroimaging and Histopathological Correlates of Cerebral Small Vessel Disease in Spontaneously Hypertensive Stroke-Prone Rats

Characterizing the Neuroimaging and Histopathological Correlates of Cerebral Small Vessel Disease in Spontaneously Hypertensive Stroke-Prone Rats

Frontiers in Neurology, 2021 · DOI: 10.3389/fneur.2021.740298 · Published: November 30, 2021

NeuroimagingNeurology

Simple Explanation

This study uses a rat model to understand cerebral small vessel disease (CSVD), a condition affecting small blood vessels in the brain. Researchers looked at how the disease progresses over time using brain imaging (MRI) and tissue samples. The study found that as the rats aged, the ones with hypertension (SHRSP) developed brain changes similar to those seen in humans with CSVD, including small areas of damage and changes in brain volume. The findings suggest that this rat model can be useful for testing new treatments for CSVD because the brain changes can be seen on MRI, allowing researchers to track the disease's progress.

Study Duration
32 weeks
Participants
80 age-matched male SHRSP and control Wistar Kyoto rats
Evidence Level
Not specified

Key Findings

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    SHRSP showed a significantly higher prevalence of small subcortical hyperintensities on T2w imaging that progressed in size and frequency with aging compared to WKY controls.
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    Volumetric analysis revealed smaller intracranial and white matter volumes on brain MRI in SHRSP compared to age-matched WKY.
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    Distinct pathological hallmarks of CSVD, such as enlarged perivascular spaces, microbleeds/red blood cell extravasation, hemosiderin deposits, and lipohyalinosis/vascular wall thickening progressively accumulated with age in SHRSP.

Research Summary

The study characterized four stages of CSVD severity in SHRSP at different time points, ranging from pre-hypertensive to advanced CSVD. Quantitative analyses of brain MRI enable identification of in vivo markers of CSVD, suggesting their potential use as endpoints for interventional testing in therapeutic studies. The research demonstrates an age-dependent progression of histopathological findings consistent with CSVD in SHRSP, alongside progressive T2w imaging subcortical hyperintensities and smaller intracranial and white matter volumes compared to WKY controls.

Practical Implications

Therapeutic Target Identification

The consistent phenotypes identified in the SHRSP model can be used to test the efficacy of potential therapies for CSVD.

Diagnostic Marker Development

The in vivo MRI markers identified can aid in the early diagnosis and monitoring of CSVD progression.

Understanding Disease Mechanisms

The study provides insights into the temporal evolution of CSVD, aiding in understanding the underlying disease mechanisms.

Study Limitations

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