http://www.nature.com/tp/journal/v4/n1/abs/tp2013128a.html
- 1Department of Neuroscience, University of Connecticut Health Center, Farmington, CT, USA
- 2Department of Neurology, University of Connecticut Health Center, Farmington, CT, USA
- 3The Stroke Center at Hartford Hospital, Hartford, CT, USA
Correspondence:
Dr LD McCullough, Department of Neuroscience, University of Connecticut
Health Center, 263 Farmington Avenue, Farmington, CT 06030, USA.
E-mail: lmccullough@uchc.edu
Received 13 September 2013; Revised 25 November 2013; Accepted 7 December 2013
Abstract
Stroke
survivors often experience social isolation. Social interaction
improves quality of life and decreases mortality after stroke. Male mice
(20–25 g; C57BL/6N),
all initially pair housed, were subjected to middle cerebral artery
occlusion (MCAO). Mice were subsequently assigned into one of three
housing conditions: (1) Isolated (SI); (2) Paired with their original
cage mate who was also subjected to stroke (stroke partner (PH-SP)); or
(3) Paired with their original cage mate who underwent sham surgery
(healthy partner (PH-HP)). Infarct analysis was performed 72 h
after stroke and chronic survival was assessed at day 30. Immediate
post-stroke isolation led to a significant increase in infarct size and
mortality. Interestingly, mice paired with a healthy partner had
significantly lower mortality than mice paired with a stroke partner,
despite equivalent infarct damage. To control for changes in infarct
size induced by immediate post-stroke isolation, additional cohorts were
assessed that remained pair housed for three days after stroke prior to
randomization. Levels of brain-derived neurotrophic factor (BDNF) were
assessed at 90 days and cell proliferation (in cohorts injected with
5-bromo-2′-deoxyuridine, BrdU) was evaluated at 8 and 90 days after
stroke. All mice in the delayed housing protocol had equivalent infarct
volumes (SI, PH-HP and PH-SP). Mice paired with a healthy partner showed
enhanced behavioral recovery compared with either isolated mice or mice
paired with a stroke partner. Behavioral improvements paralleled
changes in BDNF levels and neurogenesis. These findings suggest that the
social environment has an important role in recovery after ischemic
brain injury.
Interesting, but applicable to humans? In the 30 days after stroke, I had typically 10 or so visitors per day, while my stroke-surviving roommate had her family visit one evening a week. She recovered far better than I. Yes, size matters, and and anecdotal evidence is irrelevant, and all that, but this study just seems off. I agree that social interactions matter, but I've had a LOT and, 5 years later, am still significantly disabled.
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