Review Article

Hypertension and Its Impact on Stroke Recovery: From a Vascular to a Parenchymal Overview

Table 1

Hypertension models in the rodent. BP: blood pressure; SBP: systolic blood pressure; DBP: diastolic blood pressure; HTN: hypertension.

Model typeHypertension characteristicsAnimalsMorbidityReproducibilityFeasibilityCost

Pharmacological models
Angiotensin IISevere HTN
BP increase within 6-10 days
Mice
Rats
ModerateHighModerate
Subcutaneous pump
Low
Deoxycorticosterone acetate (DOCA)Severe HTN
Usually in combination with unilateral nephrectomy and high-salt diet
BP increase within 3 weeks
Mice
Rats
LowHighHighLow
N-Nitro-L-arginine methyl ester (L-NAME)Moderate HTN: at 4-6 weeks (rats)
Inhibition of NO synthase
Mice
Rats
LowHighHighLow

Genetic models
Spontaneously hypertensive rats (SHR)Severe HTN
by 6 months postnatal
RatsLowHighHighLow
Stroke-prone SHR (SHRSP)Extremely severe HTN (>SHR)RatsHigh
High incidence of stroke
HighHighLow
Dahl salt-sensitive ratSevere HTN with high-salt diet (8% NaCl)
Moderate HTN with low-salt diet (0.4% NaCl)
RatsHigh
Low
HighHighLow

Surgical models
Two-kidney one-clip model
(2K1C)
Secondary (renovascular) HTN with increased renin-angiotensin-aldosterone activation
>20 mmHg higher for SBP/DBP than sham-operated controls 4 weeks after clipping [160]
3 weeks postsurgery [161]
SBP peak mean value: at postsurgery [161]
Rats
Mice
ModerateModerate (70%) [161]
Influenced by clip type, diet, and animal age [26]
Rats: high
Mice: medium
Low
Two-kidney two-clip model
(2K2C)
Secondary (renovascular) HTN with increased renin-angiotensin-aldosterone activation
3 weeks postsurgery
SBP peak mean value: at postsurgery [161]
Rats
Mice
High
Increased incidence of stroke (62%) [161]
High (100%) [161]
Influenced by clip type, diet, and animal age [26]
Rats: high
Mice: medium
Low
One-kidney one-clip model
(1K1C)
Secondary (renovascular) HTN with increased renin-angiotensin-aldosterone activation
>35 mmHg higher for SBP/DBP than sham-operated controls 4 weeks after clipping, more rapid than 2K1C [160]
3 weeks postsurgery
SBP peak mean value: at postsurgery
Rats
Mice
High
Acute kidney failure (23.3%) [161]
Increased incidence of stroke (23.3%)
High (76%) [161]
Influenced by clip type, diet, and animal age [26]
Rats: high
Mice: medium
Low