Focal cerebral ischemia is among the most common type of stroke seen in patients. Due to the clinical significance there has been a prolonged effort to develop suitable animal models to study the events that unfold during ischemic insult. These techniques include transient or permanent, focal or global ischemia models using many different animal models, with the most common being rodents.The permanent MCA ligation method which is also referred as pMCAo in the literature is used extensively as a focal ischemia model in rodents [1][2][3][4][5][6] . This method was originally described for rats by Tamura et al. in 1981 7 . In this protocol a craniotomy was used to access the MCA and the proximal regions were occluded by electrocoagulation. The infarcts involve mostly cortical and sometimes striatal regions depending on the location of the occlusion. This technique is now well established and used in many laboratories [8][9][10][11][12][13] . Early use of this technique led to the definition and description of "infarct core" and "penumbra" [14][15][16] , and it is often used to evaluate potential neuroprotective compounds 10,12,13, 17 . Although the initial studies were performed in rats, permanent MCA ligation has been used successfully in mice with slight modifications 18-20 .This model yields reproducible infarcts and increased post-survival rates. Approximately 80% of the ischemic strokes in humans happen in the MCA area 21 and thus this is a very relevant model for stroke studies. Currently, there is a paucity of effective treatments available to stroke patients, and thus there is a need for good models to test potential pharmacological compounds and evaluate physiological outcomes. This method can also be used for studying intracellular hypoxia response mechanisms in vivo.Here, we present the MCA ligation surgery in a C57/BL6 mouse. We describe the pre-surgical preparation, MCA ligation surgery and 2,3,5 Triphenyltetrazolium chloride (TTC) staining for quantification of infarct volumes.
ProtocolThis protocol was approved by the University of Rochester committee devoted to the ethical use of animals in research (UCAR). Aseptic techniques should be followed during the protocol. The use of sterile gloves and a mask is required.All the equipment, materials, chemicals, and tools that are used during the protocol are described in Table 1.
Pre-surgical Preparation
Surgical Procedure and MCA LigationPage 1 of 4 Journal of Visualized Experiments www.jove.comCopyright © 2011 Journal of Visualized Experiments 1. Inject mice subcutaneously with buprenorphine (0.05mg/kg) 2 h before surgery, immediately after the surgery and then every 3-5 h during the first 24 h post-operative period. 2. Sterilize all the surgical instruments, gauze sponges, and cotton tip applicators by autoclave. Keep surgical tools in 70% ethanol during the surgery and air dry on sterile gauze right before use. Spray the work area with 70% ethanol. 3. Anesthetize the mouse with a 3% isofluorane-20% oxygen gas mixture by using an anesthetic vap...