Internal carotid artery stenosis: A novel surgical model for moyamoya syndrome.

Moyamoya is a cerebrovascular disorder characterized by progressive stenosis of the intracranial internal carotid arteries. There are two forms: Disease and Syndrome, with each characterized by the sub-population it affects. Moyamoya syndrome (MMS) is more prominent in adults in their 20's-40&#...

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Main Authors: Jill M Roberts, Michael E Maniskas, Justin F Fraser, Gregory J Bix
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2018-01-01
Series:PLoS ONE
Online Access:http://europepmc.org/articles/PMC5764405?pdf=render
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author Jill M Roberts
Michael E Maniskas
Justin F Fraser
Gregory J Bix
author_facet Jill M Roberts
Michael E Maniskas
Justin F Fraser
Gregory J Bix
author_sort Jill M Roberts
collection DOAJ
description Moyamoya is a cerebrovascular disorder characterized by progressive stenosis of the intracranial internal carotid arteries. There are two forms: Disease and Syndrome, with each characterized by the sub-population it affects. Moyamoya syndrome (MMS) is more prominent in adults in their 20's-40's, and is often associated with autoimmune diseases. Currently, there are no surgical models for inducing moyamoya syndrome, so our aim was to develop a new animal model to study this relatively unknown cerebrovascular disease. Here, we demonstrate a new surgical technique termed internal carotid artery stenosis (ICAS), to mimic MMS using micro-coils on the proximal ICA. We tested for Moyamoya-like vasculopathies by fluorescently labelling the mouse cerebrovasculature with Di I for visualization and analysis of vessel diameter at the distal ICA and anastomoses on the cortical surface. Results show a significant narrowing of the distal ICA and anterior cerebral artery (ACA) in the Circle of Willis, as observed in humans. There is also a significant decrease in the number of anastomoses between the middle cerebral artery (MCA) and the ACA in the watershed region of the cortex. While further characterization is needed, this ICAS model can be applied to transgenic mice displaying co-morbidities as observed within the Moyamoya syndrome population, allowing a better understanding of the disease and development of novel treatments.
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spelling doaj.art-616010a8c61e498b83abb2d863a5b88a2022-12-22T00:50:40ZengPublic Library of Science (PLoS)PLoS ONE1932-62032018-01-01131e019131210.1371/journal.pone.0191312Internal carotid artery stenosis: A novel surgical model for moyamoya syndrome.Jill M RobertsMichael E ManiskasJustin F FraserGregory J BixMoyamoya is a cerebrovascular disorder characterized by progressive stenosis of the intracranial internal carotid arteries. There are two forms: Disease and Syndrome, with each characterized by the sub-population it affects. Moyamoya syndrome (MMS) is more prominent in adults in their 20's-40's, and is often associated with autoimmune diseases. Currently, there are no surgical models for inducing moyamoya syndrome, so our aim was to develop a new animal model to study this relatively unknown cerebrovascular disease. Here, we demonstrate a new surgical technique termed internal carotid artery stenosis (ICAS), to mimic MMS using micro-coils on the proximal ICA. We tested for Moyamoya-like vasculopathies by fluorescently labelling the mouse cerebrovasculature with Di I for visualization and analysis of vessel diameter at the distal ICA and anastomoses on the cortical surface. Results show a significant narrowing of the distal ICA and anterior cerebral artery (ACA) in the Circle of Willis, as observed in humans. There is also a significant decrease in the number of anastomoses between the middle cerebral artery (MCA) and the ACA in the watershed region of the cortex. While further characterization is needed, this ICAS model can be applied to transgenic mice displaying co-morbidities as observed within the Moyamoya syndrome population, allowing a better understanding of the disease and development of novel treatments.http://europepmc.org/articles/PMC5764405?pdf=render
spellingShingle Jill M Roberts
Michael E Maniskas
Justin F Fraser
Gregory J Bix
Internal carotid artery stenosis: A novel surgical model for moyamoya syndrome.
PLoS ONE
title Internal carotid artery stenosis: A novel surgical model for moyamoya syndrome.
title_full Internal carotid artery stenosis: A novel surgical model for moyamoya syndrome.
title_fullStr Internal carotid artery stenosis: A novel surgical model for moyamoya syndrome.
title_full_unstemmed Internal carotid artery stenosis: A novel surgical model for moyamoya syndrome.
title_short Internal carotid artery stenosis: A novel surgical model for moyamoya syndrome.
title_sort internal carotid artery stenosis a novel surgical model for moyamoya syndrome
url http://europepmc.org/articles/PMC5764405?pdf=render
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AT justinffraser internalcarotidarterystenosisanovelsurgicalmodelformoyamoyasyndrome
AT gregoryjbix internalcarotidarterystenosisanovelsurgicalmodelformoyamoyasyndrome