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The Effects Of Murine Chronic Cerebral Hypoperfusion

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Abstract Murine chronic cerebral hypoperfusion (CCH) results in white matter (WM) injury and behavioral deficits. Pericytes influence blood-brain barrier (BBB) integrity and cerebral blood flow. Under hypoxic conditions, perictyes detach from perivascular locations, increasing vessel permeability and neuronal injury. This study characterizes the time course of BBB dysfunction and pericyte coverage following murine experimental CCH secondary to bilateral carotid artery stenosis (BCAS). Mice underwent BCAS or sham operation. On post-procedure days 1, 3, 7 and 30, corpus callosum BBB permeability was characterized using Evans blue (EB) extravasation and IgG staining and pericyte coverage was calculated. The BCAS cohort demonstrated increased EB extravasation on postoperative days 1 (p=.03) and 3 (p=.01) when compared to sham mice. Further, EB extravasation was significantly greater (p=.03) at day 3 than at day 30 in BCAS mice. Positive IgG staining was seen at post-procedure day 3 in the BCAS group. BCAS mice demonstrated a nadir in pericyte coverage on post-operative day 3 (p50%) was reported to be 7% in women and 9% in men3. Clinical carotid endarterectomy studies of cerebral hypoperfusion, demonstrate a nearly 25% incidence of subtle cognitive decline in the absence of overt neurologic change or radiographic evidence of stroke4. Neurodegenerative diseases such as Alzheimer’s disease and vascular dementia have become increasingly more common as the population ages5-8.

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