Exploring sexual dimorphism in behavioral and neuropathological outcomes
in mice after bilateral common carotid arteries occlusion
Abstract
Cerebral ischemia (CI) is a leading cause of mortality and morbidity
worldwide. Despite its high incidence and the severe consequences it
entails, effective prevention and treatment strategies to mitigate CI
complications remain elusive. Consequently, the use of suitable animal
models is crucial for understanding CI pathophysiology and for
evaluating potential therapeutic approaches. Experts in the CI field
emphasize the importance of incorporating external validity criteria in
preclinical studies, such as using diverse animal strains and species,
including both sexes, and accounting for comorbidities. To adhere to
these recommended standards and enhance the translational value of
preclinical research, this study aimed to investigate the effects of
bilateral common carotid artery occlusion (BCCAO) in both male and
female C57BL/6J mice. Functional assessments were conducted through a
series of behavioral tests over 21 days post-BCCAO. Additionally, the
study examined the impact of BCCAO on hippocampal neurodegeneration,
blood-brain barrier (BBB) integrity, and white matter (WM) integrity.
Our findings revealed significant sex differences in the functional and
neurohistological outcomes of BCCAO in C57BL/6J mice. In male mice, 20
minutes of BCCAO resulted in spatial memory deficits, depression-like
behaviors, hippocampal neurodegeneration, WM injury, and BBB disruption.
However, these effects were not observed in female mice subjected to the
same duration of BCCAO. These results highlight the importance of sex
differences in BCCAO outcomes and underscore the need for the inclusion
of female subjects in CI therapy research.