Evidence map›Paper›PMID 35164533›Full record

ReviewStroke2022

Comparison of Large Animal Models for Acute Ischemic Stroke: Which Model to Use?

Aladdin Taha, Joaquim Bobi, Ruben Dammers, Rick M Dijkhuizen, Antje Y Dreyer, Adriaan C G M van Es, Fabienne Ferrara, Matthew J Gounis, Björn Nitzsche, Simon Platt and 7 more

Abstract readReview
In one paragraph

Review in Stroke, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

52 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Effect and mechanisms of resveratrol in animal models of ischemic stroke: A systematic review and Bayesian meta-analysis.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2023
    Pooled it
  4. Animal stroke models and outcome evaluation: A review.Animal models and experimental medicine · 2026
    Review
  5. An integrated investigation of systemic and localized pathophysiological mechanisms of stroke and multimodal therapeutic strategies.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2026
    Review
  6. Article
  7. Cytoprotection Concepts for Ischemic Stroke in the Recanalization Era.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors.

Aladdin Taha *Division of Experimental Cardiology, Department of Cardiology (A.T., J.B., D.J.D., H.M.M.v.B.), Erasmus MC University Medical Center, Rotterdam, the Netherlands.ORCID 0000-0002-1300-7477
Joaquim Bobi *Division of Experimental Cardiology, Department of Cardiology (A.T., J.B., D.J.D., H.M.M.v.B.), Erasmus MC University Medical Center, Rotterdam, the Netherlands.ORCID 0000-0002-9026-5226
Ruben DammersDepartment of Neurosurgery, Stroke Center (R.D., V.V.), Erasmus MC University Medical Center, Rotterdam, the Netherlands.ORCID 0000-0001-7033-0644
Rick M DijkhuizenBiomedical MR Imaging and Spectroscopy Group, Center for Image Sciences, University Medical Center Utrecht, Utrecht University, the Netherlands (R.M.D.).ORCID 0000-0002-4623-4078
Antje Y DreyerMax Planck Institute for Infection Biology, Campus Charité Mitte, Berlin, Germany (A.Y.D.).ORCID 0000-0003-2411-9412
Adriaan C G M van EsDepartment of Radiology, Leiden University Medical Center, the Netherlands (A.C.G.M.v.E.).ORCID 0000-0002-4820-5051
Fabienne FerraraFraunhofer Institute for Cell Therapy and Immunology, Leipzig, Germany (F.F.).
Matthew J GounisDepartment of Radiology, New England Center for Stroke Research, University of Massachusetts Medical School, Worcester (M.J.G.).ORCID 0000-0002-8034-2785
Björn NitzscheInstitute of Anatomy, Faculty of Veterinary Medicine (B.N.), University of Leipzig, Germany.ORCID 0000-0002-4759-0760
Simon PlattDepartment of Small Animal Medicine and Surgery, College of Veterinary Medicine, University of Georgia, Athens (S.P.).
Michael H StoffelDivision of Veterinary Anatomy, Vetsuisse Faculty, University of Bern, Switzerland (M.H.S.).ORCID 0000-0002-4699-5125
Victor VoloviciDepartment of Neurosurgery, Stroke Center (R.D., V.V.), Erasmus MC University Medical Center, Rotterdam, the Netherlands.ORCID 0000-0002-5798-5360
Gregory J Del ZoppoDivision of Hematology (G.J.d.Z.), University of Washington School of Medicine, Seattle.
Dirk J DunckerDivision of Experimental Cardiology, Department of Cardiology (A.T., J.B., D.J.D., H.M.M.v.B.), Erasmus MC University Medical Center, Rotterdam, the Netherlands.ORCID 0000-0003-2836-2241
Diederik W J DippelDepartment of Neurology, Stroke Center (A.T., D.W.J.D.), Erasmus MC University Medical Center, Rotterdam, the Netherlands.ORCID 0000-0002-9234-3515
Johannes Boltze *School of Life Sciences, Faculty of Science, University of Warwick, Coventry, United Kingdom (J.B.).ORCID 0000-0003-3956-4164
Heleen M M van Beusekom *Division of Experimental Cardiology, Department of Cardiology (A.T., J.B., D.J.D., H.M.M.v.B.), Erasmus MC University Medical Center, Rotterdam, the Netherlands.ORCID 0000-0002-2930-1152

Funding

Neurovascular Adhesion Receptors and Barrier IntegrityR01NS053716 · NINDS · UNIVERSITY OF WASHINGTON · PI DEL ZOPPO, GREGORY J · 2006 to 2016
$3.5M
MICROVASCULAR OCCLUSIONS--ACUTE FOCAL CEREBRAL ISCHEMIAR01NS026945 · NINDS · SCRIPPS RESEARCH INSTITUTE · PI DEL ZOPPO, GREGORY J · 1989 to 2004
$2.2M
Endothelial Beta 1-integrins in Cerebral Vascular Barrier IntegrityR01NS113393 · NINDS · UNIVERSITY OF WASHINGTON · PI DEL ZOPPO, GREGORY J · 2020 to 2023
$2.1M
MATRIX METALLOPROTEINASES AND NEURONS IN FOCAL ISCHEMIAR01NS038710 · NINDS · SCRIPPS RESEARCH INSTITUTE · PI DEL ZOPPO, GREGORY J · 1999 to 2002
$1.5M
NINDS NIH HHS R01 NS026945NINDS NIH HHS R01 NS038710NINDS NIH HHS R01 NS053716NINDS NIH HHS R01 NS113393
6 · The paper itself

Abstract

Translation of acute ischemic stroke research to the clinical setting remains limited over the last few decades with only one drug, recombinant tissue-type plasminogen activator, successfully completing the path from experimental study to clinical practice. To improve the selection of experimental treatments before testing in clinical studies, the use of large gyrencephalic animal models of acute ischemic stroke has been recommended. Currently, these models include, among others, dogs, swine, sheep, and nonhuman primates that closely emulate aspects of the human setting of brain ischemia and reperfusion. Species-specific characteristics, such as the cerebrovascular architecture or pathophysiology of thrombotic/ischemic processes, significantly influence the suitability of a model to address specific research questions. In this article, we review key characteristics of the main large animal models used in translational studies of acute ischemic stroke, regarding (1) anatomy and physiology of the cerebral vasculature, including brain morphology, coagulation characteristics, and immune function; (2) ischemic stroke modeling, including vessel occlusion approaches, reproducibility of infarct size, procedural complications, and functional outcome assessment; and (3) implementation aspects, including ethics, logistics, and costs. This review specifically aims to facilitate the selection of the appropriate large animal model for studies on acute ischemic stroke, based on specific research questions and large animal model characteristics.

Indexed as

Brain IschemiaIschemic StrokeStrokeAnimalsDisease Models, AnimalDogsHumansReproducibility of ResultsSheepSwineTissue Plasminogen ActivatorTissue Plasminogen Activatorbrain ischemiadogsmodels, animalsheepstrokeswine

Identifiers

PMID35164533
PMCPMC10962757

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.