Exploration of the Therapeutic Time Window for Thrombectomy in Rat Models of Middle Cerebral Artery Ischemia-Reperfusion.

OBJECTIVE

To investigate the therapeutic time window of middle cerebral artery occlusion (MCAO) reperfusion in rats and the potential mechanism of injury beyond the time window.

METHODS

Male Sprague Dawley (SD) rats were randomly divided into eight groups: a sham operation group, six ischemia-reperfusion groups (reperfusion initiated 1, 2, 3, 4, 5, and 6 h after infarction, respectively), and a 24-h infarction group without reperfusion therapy. Neurological function scores were assessed 24 h after reperfusion, and then brain samples were collected to explore the mechanisms.

RESULTS

After 4 h of MCAO reperfusion for 24 h, the infarct area reached its peak, while the neurological function score reached its bottom, and both indicators exhibited a trend toward stabilization. Additionally, a significant increase in the mortality rate was observed in the 5-h group. Compared to the MCAO 2-h group, the 5-h group exhibited a significant increase in the number of dead neurons, more serious disruption of the blood-brain barrier (BBB), and elevated expression levels of IL-6, IL1-β, and TNF-α.

CONCLUSION

Taken together, our study indicates that MCAO 4 h is likely to be the therapeutic time window for thrombectomy in rat models of middle cerebral artery ischemia-reperfusion. Reperfusion injury beyond the time window leads to more severe disruption of the BBB, a significant increase in inflammatory products, and may ultimately result in a significant decline in neural function scores.