The severity of microstrokes depends on local vascular topology and baseline perfusion

  1. Franca Schmid  Is a corresponding author
  2. Giulia Conti
  3. Patrick Jenny
  4. Bruno Weber
  1. University of Zurich, Switzerland
  2. ETH Zurich, Switzerland

Abstract

Cortical microinfarcts are linked to pathologies like cerebral amyloid angiopathy and dementia. Despite their relevance for disease progression, microinfarcts often remain undetected and the smallest scale of blood flow disturbance has not yet been identified. We employed blood flow simulations in realistic microvascular networks from the mouse cortex to quantify the impact of single capillary occlusions. Our simulations reveal that the severity of a microstroke is strongly affected by the local vascular topology and the baseline flow rate in the occluded capillary. The largest changes in perfusion are observed in capillaries with two in- and two outflows. This specific topological configuration only occurs with a frequency of 8%. The majority of capillaries has one in- and one outflow and is likely designed to efficiently supply oxygen and nutrients. Taken together, microstrokes bear potential to induce a cascade of local disturbances in the surrounding tissue, which might accumulate and impair energy supply locally.

Data availability

We provide all time-averaged simulation results as well as relevant analysis scripts.

The following previously published data sets were used

Article and author information

Author details

  1. Franca Schmid

    Institute of Pharmacology and Toxicology, University of Zurich, Zurich, Switzerland
    For correspondence
    franca.schmid@uzh.ch
    Competing interests
    The authors declare that no competing interests exist.
    ORCID icon "This ORCID iD identifies the author of this article:" 0000-0002-0689-9366
  2. Giulia Conti

    Institute of Fluid Dynamics, ETH Zurich, Zurich, Switzerland
    Competing interests
    The authors declare that no competing interests exist.
  3. Patrick Jenny

    Institute of Fluid Dynamics, ETH Zurich, Zurich, Switzerland
    Competing interests
    The authors declare that no competing interests exist.
  4. Bruno Weber

    Institute of Pharmacology and Toxicology, University of Zurich, Zurich, Switzerland
    Competing interests
    The authors declare that no competing interests exist.
    ORCID icon "This ORCID iD identifies the author of this article:" 0000-0002-9089-0689

Funding

University of Zurich - Forschungskredit (FK-19-045)

  • Franca Schmid

European Union's Horizon 2020 Framework Program for Research and Innovation (Specific Grant Agreement No. 720270 (Human Brain Project SGA1))

  • Franca Schmid

European Union's Horizon 2020 Framework Program for Research and Innovation (Specific Grant Agreement No. 785907 (Human Brain Project SGA2))

  • Franca Schmid

Swiss National Science Foundation (310030_182703)

  • Bruno Weber

Swiss National Science Foundation (SNF CR23I2_166707)

  • Bruno Weber

Swiss National Science Foundation (SNF CR23I2_166707)

  • Patrick Jenny

The funders had no role in study design, data collection and interpretation, or the decision to submit the work for publication.

Reviewing Editor

  1. Mark T Nelson, University of Vermont, United States

Version history

  1. Received: June 19, 2020
  2. Accepted: May 17, 2021
  3. Accepted Manuscript published: May 18, 2021 (version 1)
  4. Version of Record published: September 6, 2021 (version 2)

Copyright

© 2021, Schmid et al.

This article is distributed under the terms of the Creative Commons Attribution License permitting unrestricted use and redistribution provided that the original author and source are credited.

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  1. Franca Schmid
  2. Giulia Conti
  3. Patrick Jenny
  4. Bruno Weber
(2021)
The severity of microstrokes depends on local vascular topology and baseline perfusion
eLife 10:e60208.
https://doi.org/10.7554/eLife.60208

Share this article

https://doi.org/10.7554/eLife.60208

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