The Ferret as an Animal Model in Cerebrovascular Research
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1085 The Ferret as an Animal Model in Cerebrovascular Research C. Scott Atkinson, MD, Gary A. Press, MD, Patrick Lyden, MD, and Barrett Katz, MD Clinical and pathologic observations have suggested analogies between the developing nervous system of ferrets (Mustela putorius furo) and those of more traditional animal models employed in stroke research. Experimental work has demonstrated advantages of the ferret as a model of visual development. We performed in vivo cerebral angiography and postmortem neurovascu- lar dissection of latex-injected specimens of adult ferrets. The great vessels include a cervical arterial trunk that gives rise to both carotid arteries. The anatomy of the cranial arteries is similar to that of rabbits. No carotid rete mirabile is present. There are no intracranial anastomoses between the external and internal carotid systems. We present in vivo cerebral angiograms with pathologic correlation that demonstrate that ferrets may provide the same anatomic advantages as a rabbit model for the experimental study of cerebrovascular disease, with the additional advantage of a long extracranial cervical segment of the carotid artery, affording easier access to the intracranial vasculature. {Stroke 1989;20:1085-1088) N onprimate animal research in regional cen- tral nervous system ischemia and cerebro- vascular disease has historically employed rabbits1-4 and rats5-7 as animal models. These two kee, Wisconsin). A common carotid artery was exposed in the neck by direct cutdown. An 18- gauge plastic catheter was inserted into the com- mon carotid artery and sealed with an injection cap. species are appropriate models because most of Conray 60 (Mallinckrodt, St. Louis, Missouri) was their cerebral blood flow originates from the inter- hand-injected through the catheter, 1.5 ml (undi- nal carotid arteries, without significant contribution luted) per standard angiographic or digital filming from their external carotid system.8-9 In other lab- run. Ventrodorsal and lateral views of the cerebral oratory animal models, including dogs and cats, the circulation were acquired in separate runs at a rate circle of Willis is supplied mainly by branches of the of 3 films/sec for 6 seconds. To facilitate twofold external carotid artery through distal intracranial linear magnification, we used a 0.15-mm focal spot, anastomoses.10-11 This collateral circulation causes a target to film distance of 100 cm, and a target to unpredictable variations in the size of infarcts fol- object distance of 50 cm. Films were acquired using lowing occlusion of a single cerebral vessel.12 Rab- 60 kVp and 2 mAs for both the ventrodorsal and bits and rats have been shown to have consistent lateral projections. Standard photographic subtrac- patterns of infarction following controlled cerebral tion techniques were used on cut-film angiograms. artery occlusion.2-4-5 We present in vivo cerebral In one ferret, the external carotid artery was tied off angiograms with pathologic correlation that demon- at its origin to allow visualization of the internal strate that ferrets {Mustela putorius furo) may pro- carotid artery in a ventrodorsal projection without vide the same anatomic advantages as the rabbit superimposition of the large lingual artery. model for cerebrovascular research. The left heart (atrium or ventricle) was directly Materials and Methods punctured through the unopened chest using a 2.5- Following the intravenous administration of 35 in. 21-gauge needle attached to a 10-ml syringe mg/kg ketamine hydrochloride with 5 mg/kg xyla- containing 6 ml Conray 60 to obtain aortograms. We zine, ferrets were restrained in the supine position used a 20-30° RPO (right posterior oblique) projec- on an angiographic table (General Electric, Milwau- tion to obtain 3 films/sec for 6 seconds with 20 kVp and 1.6 mAs. From the Departments of Ophthalmology (C.S.A., B.K.), The thorax was opened after a lethal dose of Radiology (G.A.P), and Neurosciences (P.L., B.K.), The Uni- sodium thiamylal was administered, allowing cross- versity of California, San Diego, La Jolla, California. Address for correspondence: Barrett Katz, MD, Pacific Pres- clamping of the aorta and the inferior vena cava. byterian Medical Center and The Smith-Kettlewell Eye Research The right atrium was opened for use as a vent. The Institute, 2340 Clay Street, San Francisco, CA 94120. ferret was perfused with 300-400 ml normal saline Received August 17, 1988; accepted January 20, 1989. until the atrial vent drained clear perfusate. A total Downloaded from http://stroke.ahajournals.org/ by guest on August 29, 2015
1086 Stroke Vol 20, No 8, August 1989 of 24 ml silicone rubber compound was injected into the cervical trunk at high pressure. After injection, the cannulas were ligated and the atrial vent was sewn closed. The ferret was refrigerated for 24 hours. The brain was then removed and placed in 10% formalin. The arterial system was dissected for analysis. Results The aorta gives rise proximally to a large arterial trunk (diameter 1.5-2.0 mm), which ascends for 25-30 mm ventral to the trachea8 (Figure 1). At the thoracic inlet, this arterial trunk divides into the brachiocephalic artery and the left common carotid artery. The brachiocephalic artery further divides into the right common carotid artery and the right subclavian artery. The common carotid arteries are 1.00-1.25 mm in diameter. An occipital artery leaves the common carotid artery before the latter bifur- cates into the internal and external carotid arteries. The external carotid artery gives rise to superficial and deep temporal branches as well as to the large lingual artery. The internal carotid and basilar artery systems combine within the cranium to form the circle of Willis (Figure 2). The basilar artery is larger in diameter than the internal carotid artery. After giving rise to the cerebellar arteries, the basilar artery divides to form the posterior communicating arteries. These in turn supply the posterior cerebral arteries. The small internal carotid artery joins the posterior communicating artery to form the middle cerebral artery. The two anterior cerebral arteries complete the circle of Willis and unite to form an azygos anterior cerebral artery. No branches of the external carotid artery directly communicate with the internal carotid artery, nor is a rete mirabile present. Latex injection dissection confirmed the origin and course of the internal carotid artery and the structure of the circle of Willis demonstrated angiographically. Discussion Ferrets are carnivores belonging to the family Mustelidae, which also includes weasels and minks. FlGURE 1. Standard subtraction film from aortogram of Young ferrets (kits) are born deaf and blind after a ferret performed after percutaneous cardiac puncture gestation of 42 days. Ferrets reach adult weight by using 21-gauge needle. Cervicothoracic great vessels are 4 months of age and achieve sexual maturity in the demonstrated in 25° RPO (right posterior oblique) projec- spring following their birth. Two litters (average tion. Injected contrast fills left atrium (A) and refluxes size eight kits) per year can be obtained if females into pulmonary veins. Left ventricle (V)fillsand gives rise are bred early in their breeding season. Ferrets to ascending aorta (a). First branch of aorta is large typically have genial dispositions and adapt well to arterial trunk (t), which then divides into right brachio- the laboratory. Maintenance of colonies is simple, cephalic (b) and left common carotid (large solid arrow) with nutritional requirements met by standard wet- arteries. Right brachiocephalic artery subsequently gives feed mink diet (30% fat, 35% protein, 5% ash) or rise to right subclavian (curved arrow) and right common commercially available cat food. Ferrets are easily carotid (large open arrow) arteries. Left subclavian artery available and can be time-bred. They are less expen- (s) arises directly from arch of aorta just distal to origin of sive to purchase and maintain than cats. major trunk artery. Vertebral arteries (double small Although their suitability for the study of the arrows) are proximal branches of subclavian arteries cerebrovascular system has not been described, (best seen on right side in this projection). ferrets have been useful as models in the study of the visual system and the cerebral anatomy. Inves- Downloaded from http://stroke.ahajournals.org/ by guest on August 29, 2015
Atkinson et al Ferret as Animal Model 1087 6— 14 FIGURE 2. Standard subtraction films from right common carotid artery injection demonstrate cranial arteries of ferret in ventrodorsal (left) and lateral (right) projections. 0, common carotid; 1, proximal external carotid; 2, internal maxillary; 3, lingual; 4, internal carotid; 5, anterior cerebral; 6, middle cerebral; 7, basilar; 8, first cervical ventral radicular; 9, anterior spinal; 10, vertebral; 11, occipital; 12, common trunk of auricular and superficial temporal; 13, auricular; 14, superficial temporal; 15, deep temporal; 16, external ophthalmic; 17, internal ophthalmic arteries. Arteries 11-17 are best seen in lateral projection. tigations of the histogenesis of the retina,13'14 retinal artery anastomotic channels analogous to the angio- neurotransmitter systems,15-16 the influence of reti- graphically demonstrable arterius anastomoticus of nal afferent connections on the development of the dogs or the rete mirabile of cats. The existence of lateral geniculate nucleus,17 and the development of some collateral circulation not apparent radiograph- gyral patterns18 have successfully employed a ferret ically or at postmortem examination cannot be model. Relative neurologic immaturity at birth has completely excluded. It is therefore likely that afforded significant advantages in such inves- predictable regional cerebral ischemic lesions can tigations.19 Anatomic studies have shown that the be experimentally produced without extensive intra- cerebral cortex of ferrets is similar to that of cats,20 cranial surgical preparation. Angiograms and injected while the retina is similar to that of dogs.21 In all specimens in our study indicate that the basilar these investigations, ferrets proved to be easy to artery is the largest-caliber vessel supplying the handle and breed.19-20 circle of Willis. It may be that the vertebrobasilar We believe ferrets are an appropriate animal system contributes most of the hemispheric blood model for the study of the cerebrovascular system. supply in ferrets. Our results confirm that a long cervical arterial We believe that ferrets offer significant advan- trunk provides an easily accessible site for blood tages in the experimental study of cerebrovascular bound for both sides of the brain, as previously disease: 1) ferrets are docile laboratory animals that described.22 We find no internal-to-external carotid are inexpensive to acquire and maintain, 2) the Downloaded from http://stroke.ahajournals.org/ by guest on August 29, 2015
1088 Stroke Vol 20, No 8, August 1989 central nervous and visual systems of ferrets have 9. McDonald DA, Potter JM: The distribution of blood to the been shown to be analogous in structure to those of brain. J Physiol 1951;114:356-371 10. Luginbuhl H: Vascular disease in animals: Comparative more intensively studied animals, 3) postnatal neu- aspects of cerebrovascular anatomy and physiology in dif- rologic maturation of ferrets provides an opportu- ferent species, in Millikan CH, Seikert RG, Whisnant JP nity to study development and teratology, 4) in vivo (eds): Cerebral Vascular Diseases. New York, Grune & cerebral angiography can be easily and reproduc- Stratton, 1966, p 5 ibly performed, 5) no anastomoses between the 11. Gillilan LA: Blood supply of vertebrate brains, ch 6, sec C. Blood supply to brains of carnivores, in Crosby EL, Schnit- internal and external carotid artery systems are zlein HN (eds): Comparative Correlative Neuroanatomy of evident in injected specimens of the cerebral vas- the Vertebrate Telencephalon. New York, Macmillan Pub- culature, and 6) a long extracranial cervical portion lishing Co, Inc, 1982, p 295 of the carotid artery affords easy access to manip- 12. Hossmann KA, Schuier FJ: Experimental brain infarcts in cats. I. Pathophysiologic observations. Stroke 1980; ulation by experimental means. 11:583-592 13. Greiner JV, Weidman TA, Bodley HD, Greiner CAM: References Ciliogenesis in photoreceptor cells of the retina. Exp Eye Res 1. Lyden PD, Seelig J, Martin RP, Yoshida S, Bailey M, 1981;33:433-446 Rothrock JF, Alksne JA: A new model of focal cerebral 14. Greiner JV, Weidman TA: Histogenesis of the ferret retina. ischemia: Validation and utility. Bull Clin Neurosci 1985; Exp Eye Res 1981;33:315-333 50:69-75 15. Keyser KT, Karten HJ, Katz B, Bohn MC: Immunohis- 2. Meyer FB, Anderson RE, Sundt TM, Yaksh TL: Intracel- tochemical evidence of catecholamine synthesizing enzymes lular brain pH, indicator tissue perfusion, electroencepha- in mammalian horizontal cells (abstract). Invest Ophthal Vis lography, and histology in severe and moderate focal cortical Sci [Suppl] 1987;28:278 ischemia in the rabbit. J Cereb Blood Flow Metab 1986; 16. Keyser KT, Karten HJ, Katz B, Bohn MC: Catecholamin- 6:71-78 ergic horizontal and amacrine cells in the ferret retina. J 3. Scremin OU, Sonnenschein RR, Rubinstein EH: Cerebrovas- Neurosci 1987;7:3996-4004 cular anatomy and blood flow measurements in the rabbit. / 17. Guillery RW, LaMantia AS, Robson JA, Huang K: The Cereb Blood Flow Metab 1982;2:55-66 influence of retinal afferents upon the development of layers 4. Yamamoto K, Yoshimine T, Yanagihara T: Cerebral isch- in the dorsal lateral geniculate nucleus of mustelids. J emia in the rabbit: A new experimental model with immu- Neurosci 1985;5:1370-1379 nohistochemical investigation. J Cereb Blood Flow Metab 18. Darlington D: The convolutional pattern of the brain and 1985;5:529-536 endocranial cast in the ferret. JAnat 1957;91:52-62 5. Bederson JB, Pitts LH, Tsusgi M, Nishimura MC, Davis 19. Jackson CA, Hickey TL: Use of ferrets in studies of the RL, Bartkowski H: Rat middle cerebral artery occlusion: visual system. Lab Animal Sci 1985;35:211-215 Evaluation of the model and development of a neurologic 20. Willis LS, Barrow MV: The ferret (Mustelaputorius furo) as examination. Stroke 1986;17:506-509 a laboratory animal. Lab Animal Sci 1971;21:712-716 6. Tamura A, Graham D, McCulloch J, Teasdale GM: Focal 21. Wen GY, Sturman JA, Shek JW: A comparative study of the cerebral ischemia in the rat: I. Description of consequences tapetum, retina, and skull of the ferret, dog, and cat. Lab following middle cerebral artery occlusion. J Cereb Blood Animal Sci 1985;35:200-210 Flow Metab 1981;l:53-60 22. Andrews PLR, Bower AJ, Illman OC: Some aspects of the 7. Yamori Y, Horie R, Handa H, Sato M, Fukase M: Pathoge- physiology and anatomy of the cardiovascular system of the netic similarity of strokes in stroke-prone spontaneously ferret (Mustela putorius furo). Lab Animals 1979;13:215-220 hypertensive rats and humans. Stroke 1976;7:46-53 8. Daniel PM, Davies JDK, Prichard MML: Studies of the carotid rete and its associated arteries. Philos Trans R Soc KEY WORDS anatomy • animal models • angiography London [Biol] 1953;237:173-215 ferrets Downloaded from http://stroke.ahajournals.org/ by guest on August 29, 2015
The ferret as an animal model in cerebrovascular research. C S Atkinson, G A Press, P Lyden and B Katz Stroke. 1989;20:1085-1088 doi: 10.1161/01.STR.20.8.1085 Stroke is published by the American Heart Association, 7272 Greenville Avenue, Dallas, TX 75231 Copyright © 1989 American Heart Association, Inc. All rights reserved. Print ISSN: 0039-2499. Online ISSN: 1524-4628 The online version of this article, along with updated information and services, is located on the World Wide Web at: http://stroke.ahajournals.org/content/20/8/1085 Permissions: Requests for permissions to reproduce figures, tables, or portions of articles originally published in Stroke can be obtained via RightsLink, a service of the Copyright Clearance Center, not the Editorial Office. Once the online version of the published article for which permission is being requested is located, click Request Permissions in the middle column of the Web page under Services. Further information about this process is available in the Permissions and Rights Question and Answer document. Reprints: Information about reprints can be found online at: http://www.lww.com/reprints Subscriptions: Information about subscribing to Stroke is online at: http://stroke.ahajournals.org//subscriptions/ Downloaded from http://stroke.ahajournals.org/ by guest on August 29, 2015
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