RT Journal Article SR Electronic T1 Blood–Brain Barrier Disruption in Preclinical Mouse Models of Stroke Can Be an Experimental Artifact Caused by Craniectomy JF eneuro JO eNeuro FD Society for Neuroscience SP ENEURO.0343-22.2022 DO 10.1523/ENEURO.0343-22.2022 VO 9 IS 5 A1 Che-Wei Liu A1 Eric Yuhsiang Wang A1 Hwai-Lee Wang A1 Kate Hsiurong Liao A1 Hsiao-Yun Chen A1 Hank Szuhan Chen A1 Ted Weita Lai YR 2022 UL http://www.eneuro.org/content/9/5/ENEURO.0343-22.2022.abstract AB The pathophysiological features of ischemia-related blood–brain barrier (BBB) disruption are widely studied using preclinical stroke models. However, in many of these models, craniectomy is required to confirm arterial occlusion via laser Doppler flowmetry or to enable direct ligation of the cerebral artery. In the present study, mice were used to construct a distal middle cerebral artery occlusion (dMCAO) model, a preclinical stroke model that requires craniectomy to enable direct ligation of the cerebral artery, or were subjected to craniectomy alone. dMCAO but not craniectomy caused neurodegeneration and cerebral infarction, but both procedures induced an appreciable increase in BBB permeability to Evans blue dye, fluorescein, and endogenous albumin but not to 10 kDa dextran-FITC, leading to cerebral edema. Using rats, we further showed that BBB disruption induced by craniectomy with no evidence of dural tearing was comparable to that induced by craniectomy involving tearing of the dura. In conclusion, our data demonstrated that craniectomy can be a major contributor to BBB disruption and cerebral edema in preclinical stroke models. The implications of this experimental artifact for translational stroke research and preclinical data interpretation are discussed.