ISSN 0006-2979, Biochemistry (Moscow), 2026, Vol. 91, No. 6, pp. 939-955 © Pleiades Publishing, Ltd., 2026.
939
Impact of Genetically Induced Metabolic Syndrome
on the Outcomes of Photothrombotic Stroke
in Leptin-Deficient and Leptin Receptor-Deficient Mice
Alexey D. Bocharnikov
1,2
, Polina A. Abramicheva
1
, Elmira I. Yakupova
3
,
Olga A. Averina
1
, Olga O. Grigoryeva
1
, Anastasia V. Priymak
1
,
Svetlana A. Garmash
1
, Oleg A. Permyakov
1
, Irina B. Pevzner
1,4
,
Anna A. Brezgunova
1
, Nadezda V. Andrianova
1
, Petr V. Sergiev
1
,
and Egor Y. Plotnikov
1,4,a
*
1
Belozersky Institute of Physico-Chemical Biology, Lomonosov Moscow State University,
119992 Moscow, Russia
2
Faculty of Bioengineering and Bioinformatics, Lomonosov Moscow State University,
119992 Moscow, Russia
3
Institute of Biomedical Problems of the Russian Academy of Sciences, 123007 Moscow, Russia
4
Kulakov National Medical Research Center of Obstetrics, Gynecology and Perinatology,
117997 Moscow, Russia
a
e-mail: plotnikov@belozersky.msu.ru
Received January 18, 2026
Revised April 30, 2026
Accepted May 30, 2026
AbstractDiabetes and obesity are associated with poorer outcomes after ischemic stroke; however, it re-
mains unclear whether this results from increased neuronal susceptibility to injury or from vascular dys-
function induced by metabolic syndrome. To minimize the contribution of vascular factors, we used a
model of photoinduced thrombosis (PT) in cortical vessels, which generates lesions of reproducible size
and is less dependent on collateral blood flow. PT was induced in wild-type (WT) mice, as well as in ob/ob
(leptin-deficient) and db/db (leptin receptor-deficient) mice. Magnetic resonance imaging (MRI) revealed that
PT produced comparable infarct volumes in all mouse groups. Several genes associated with inflammation
and activation of microglia and macroglia in the peri-infarct area (Cst7, Ccl3, Tlr2, Gfap) exhibited similar
expression patterns across all three mouse strains, while transcriptional response to cerebral ischemia of
Tnfa, Cxcl9, Il6, Cox2, Mmp3, and Bdnf genes depended on the genotype. Overall, despite individual dif-
ferences in the expression profiles of certain genes, disruption of leptin signaling (whether due to leptin
deficiency or leptin receptor deficiency) caused no genotype-specific exacerbation of stroke-induced injury.
Assessment of post-stroke neurological deficits revealed substantial differences in absolute scores between
WT and ob/ob or db/db mice, attributable to baseline disparities in body weight and motor activity. In db/db
mice, normalization of post-stroke neurological status scores to pre-injury values revealed a more pro-
nounced relative functional decline compared to ob/ob mice, suggesting impairments in early compensatory
mechanisms and an important role of leptin signaling in neuroplasticity rather than in the extent of acute
neuronal damage. Thus, under conditions that minimize vascular complications, neither leptin deficiency
nor leptin receptor deficiency exacerbated acute ischemic brain damage or neuroinflammation.
DOI: 10.1134/S0006297926600134
Keywords: db/db mice, ob/ob mice, stroke, photothrombosis, inflammation, leptin, leptin receptors, neurological
deficit
* To whom correspondence should be addressed.
BOCHARNIKOV et al.940
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INTRODUCTION
The risk of ischemic stroke depends on many
factors, including obesity and diabetes mellitus. Both
conditions are well-established risk factors for stroke
in humans  [1] and are associated with stroke sever-
ity in both animal models  [2] and patients  [3]. Since
diabetes and ischemic stroke are strongly interrelated
and often co-occur in clinical practice, research on the
treatment of ischemic stroke in patients with diabe-
tes mellitus is of particular importance. Such studies
commonly employ animal models in which diabetes
is induced through dietary interventions or genetic
modifications. However, in most preclinical stroke
models, particularly middle cerebral artery occlusion
(MCAO), the outcome severity in animals with meta-
bolic syndrome is determined not only by neuronal
damage but also by alterations in the cerebral vascu-
lature and blood–brain barrier (BBB) integrity, which
complicates the assessment of the effect of diabetes
on the ischemic tolerance of nervous tissue [4, 5].
Among animal models of diabetes, ob/ob and
db/db mice are most extensively studied. Both strains
exhibit impaired leptin signaling, but through fun-
damentally different mechanisms: ob/ob mice do not
express leptin, while db/db mice lack the main leptin
receptor (LepR), resulting in phenotypic differences
between these strains  [6]. Despite a complete absence
of leptin production in ob/ob mice, their phenotype is
less severe than that of db/db mice, which are defi-
cient only in the long isoform of the leptin receptor
(LepRb), even though at least six splicing isoforms of
the LepR gene have been described  [7]. Furthermore,
db/db mice also show a compensatory increase in
leptin levels, which may induce secondary effects be-
yond those caused by impaired receptor signaling  [8].
Importantly, in this study, we utilized a mouse model
generated by our group that carries a different LepR
mutation, namely, a frameshift in the early part of
the gene shared by all receptor isoforms, resulting in
the inactivation of the entire LepR family rather than
the long isoform only. Consequently, this model en-
ables assessment of the consequences of a complete
shutdown of LepR signaling. Thus, although both
ob/ob and db/db mice have been designed to simulate
the same pathology, the differences in the underlying
genetic defects may lead to different responses to cer-
tain factors  [9]. This consideration is particularly rel-
evant to the present study, since the LepR mutation
used here affects a region common to all receptor
isoforms, potentially resulting in a phenotype that
differs substantially from that of conventional db/db
strains.
The molecular basis underlying the pathogen-
esis of ischemic damage in animals with metabolic
syndrome remains a subject of particular interest.
To investigate stroke in transgenic db/db and ob/ob
mice, previous studies have primarily employed mid-
dle cerebral artery occlusion (MCAO) [2, 10, 11]. This
model is regarded as the gold standard for experi-
mental ischemic stroke because it reproduces the
blockage of a large vessel and closely resembles
thrombotic stroke in clinical practice settings  [12,  13].
Stroke caused by MCAO is characterized by the for-
mation of a pronounced ischemic penumbra; how-
ever, in animals with metabolic syndrome, diabetes,
or obesity, vascular dysfunction and disruption of
the BBB can accelerate the progression of damage in
this penumbra, making it difficult to interpret wheth-
er observed outcomes result from altered ischemic
tolerance of nervous tissue cells or from vascular
pathology. Unlike MCAO, photothrombosis  (PT) does
not produce a pronounced penumbra, but offers a
minimally invasive model with a high reproducibili-
ty of the size and location of the ischemic focus  [14].
Consequently, PT enables a direct assessment of the
effects of leptin signaling on the nervous tissue sus-
ceptibility to ischemic injury, largely independent of
the vascular component.
Although metabolic syndrome, obesity, and diabe-
tes are consistently associated with poorer outcomes
after ischemic stroke, it remains unclear whether
these effects are driven primarily by increased sus-
ceptibility of nervous tissue to ischemia or by sys-
temic vascular impairments accompanying these
pathologies. The aim of the present study was to de-
termine whether the deficiency of leptin or its recep-
tor affects the size of ischemic lesion, as well as early
functional and molecular responses of the brain in
standardized focal stroke. To assess the tolerance of
nervous tissue to ischemic damage independently of
alterations in cerebral blood flow and BBB integrity,
we employed the model of cortical PT. Comparative
analysis was performed between wild-type (WT) mice
and ob/ob and db/db knockout strains modeling dif-
ferent disruptions in leptin signaling. The db/db mice
used in this study differ from the conventional db/db
strains, as they carry an LepR mutation causing an
early frameshift and premature translation failure,
likely resulting in a complete loss of leptin signaling.
This allowed us to assess whether the acute resis-
tance of nervous tissue to ischemia is altered by the
deficiency of leptin or its receptor, and to identify po-
tential genotype-dependent differences in post-stroke
recovery.
MATERIALS AND METHODS
Animals. The study used male WT mice and
mice carrying targeted db/db (B6-Lepr
d10
) and ob/ob
(B6-Lep
d10
) mutations on the C57BL/6 background.
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Fig.  1. Genotyping of db/db and ob/ob mice. Representative Sanger sequencing chromatograms for db/db (B6-LepR
d10
)  (a)
and ob/ob (B6-Lep
d10
)  (c) mouse strains and corresponding melting curves obtained by HRM analysis  (b and  d, respectively).
From top to bottom in each chromatogram: wt, heterozygous mutant (hetero), and homozygous (mut) genotypes.
The ob/ob strain was generated by introducing a
10-base pair deletion into the Lep gene, resulting in
complete loss of leptin production. The db/db strain
was generated by introducing a 10-base pair deletion
into the LepR gene, causing an early frameshift in
a region common to all known LepR isoforms. This
mutation is predicted to inactivate all LepR isoforms
and, consequently, abolish leptin signaling. Homozy-
gous ob/ob and db/db mice were obtained by crossing
corresponding heterozygous animals; WT littermates
derived from heterozygous breeding pairs were used
as controls. All experiments were performed on ani-
mals at 6 months of age.
Genotyping of ob/ob, db/db, and WT mice was
performed using Sanger sequencing; high-resolution
melting (HRM) assay after PCR amplification was used
for routine genotype screening. Sanger sequencing re-
action was performed using a BigDye Terminator v3.1
Cycle Sequencing Kit (Thermo Fisher, USA) according
to the manufacturers protocol using a SeqStudio se-
quencer (Thermo Fisher, USA) with a SeqStudio  v2
cartridge and a BDx Short Read module (injection at
2  kV, 10  s) using the following cycling regime: 96°C
for 1  min, 25  cycles of 96°C for 10  s, 55°C for 5  s,
and 60°C for 4  min. Primers for PCR amplification
and sequencing are listed in Table  S1 in the Online
Resource  1. Sequencing products were purified with
an iX-Pure Dye Terminator Cleanup Kit (Nimagen,
Netherlands) according to the manufacturers instruc-
tions. Chromatograms (.ab1 files) were analyzed us-
ing SnapGene v8.0.3 software (GSL Biotech, 2025) and
Benchling (Benchling Inc., 2025). Sanger sequencing
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Fig. 2. Scheme of the experiment (created with BioRender.com; license: h6sxe55).
confirmed the presence of 10-bp deletions in LepR in
db/db mice and in Lep in ob/ob mice (Fig.  1, a  and  b).
Sequence alignment confirmed that the deletion in
the LepR gene causes an early frameshift leading to
the functional loss of all receptor isoforms (Fig.  1a).
We used melting curves obtained by HRM analy-
sis of PCR products to distinguish between the three
genotypes (wt, mut, and hetero) of db/db and ob/ob
mice. Homozygous animals (mut) were used in the
experiments, while WT mice (wt) served as controls.
Heterozygous mice (hetero) were used to establish
breeding pairs. Genomic DNA was rapidly extracted
using alkaline lysis-based protocol  [15]. Quantitative
PCR (qPCR) was performed using a Gentier 96E am-
plifier (Tianlong, China). Fragments of the Lep and
LepR genes were amplified using SYBR® Green  I in-
tercalating dye and 5×  qPCRmix-HS (Evrogen, Russia)
(Table  S2 in the Online Resource  1). Optimal anneal-
ing and elongation temperatures were determined
using gradient PCR: the annealing temperature for
Lep and LepR primers was 54°C and 58°C, respec-
tively; the elongation temperature was 72°C for both
primer sets. Representative melting curves corre-
sponding to different mouse genotypes are shown in
Fig.  1,  b  and  d.
Photothrombotic stroke model. The animals
were housed at a conventional animal facility in stan-
dard M-6 cages under a 12  h light/12  h dark cycle at
22  ±  2°C with ad  libitum access to food and water. All
animal procedures were approved by the Bioethics
Commission of the Belozersky Moscow State Univer-
sity Research Institute (protocol no.  015-8/10/2024;
approved June 9, 2025). The animals were assigned
into three groups according to genotype (WT, ob/ob,
and db/db). The number of animals used in each
experiment is shown in Table  S3 in the Online Re-
source  1. All animals underwent neurological evalua-
tion before and after PT. To  analyze gene expression
in the injured brain tissue, samples obtained from
intact (Int) and stroke-affected  (PT) mice were com-
pared for all three genotypes. The experimental de-
sign is shown in Fig.  2.
Standard PT model [16] with minor modifications
was used to induce focal cerebral ischemia. Mice
were anesthetized with isoflurane (5% for induction
and 3% for maintenance) delivered via a SomnoSuite
inhalation anesthesia system (Kent Scientific, USA).
Bengal Rose dye (1%  solution) was injected into the
jugular vein at a dose of 40  mg/kg. The skull was ex-
posed through a midline scalp incision and cleared of
periosteal tissue. The animal was secured in a stereo-
taxic frame (RWD Life Sciences, China). Seven min-
utes after dye injection, selected region of the right
hemisphere was irradiated with a 50-mW green laser
(wavelength, 532  nm) for 15  min at the following coor-
dinates: 0.5  mm anterior to the bregma along the A-P
axis and 2.7  mm lateral along the M-L axis. The laser
beam was focused on the selected area of the right
hemisphere, producing illumination spot 1.5-2  mm in
diameter. No significant differences in linear brain
dimensions, brain weight, and craniometric param-
eters were observed among the mouse strains used
in the study (see Fig.  S1 in the Online Resource  1).
During the procedure, animal’s body temperature was
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maintained at37°C. Following irradiation, the incision
was closed with a polyglycolide-based suture (diam-
eter, 4-0; Medical Technology Laboratory, Russia),
and the wound site was treated with the antiseptic
Fukortsin. Mice were then placed under an infrared
heating lamp until full recovery from anesthesia,
with body temperature maintained at 37°C.
Neurological deficit assessment. Three behav-
ioral tests were performed to assess the severity of
neurological deficits following damage to the senso-
rimotor cortex. The setup for the beam walking test
included a dark box (house) connected to a double
beam tapered toward the house. The beam consist-
ed of a lower, wider section and a narrower upper
section. Animals were trained for three consecutive
days before testing. During training, mice learned to
traverse the beam toward the box, while the start-
ing distance was gradually increased. For testing,
each mouse was placed in the dark box filled with
sawdust for 5  min. Next, the animal was placed at
the distal end of the beam and allowed to return to
the box independently. Neurological deficits were as-
sessed by scoring paw placement: 2  points for normal
limb placement on the upper track, 1  point for partial
slipping, and 0 points for complete paw placement on
the lower track. Partial slipping was defined as hold-
ing the paw on the lateral surface of the upper track
or placing the foot at an angle on the edge of the
upper track. For each animal, the average score from
three passes was calculated. Testing was performed
before PT and on days  3 and 6 after PT.
Neurological deficit was estimated using the fol-
lowing formula (1):
Neurological deficit =
total slips + 0.5 × partial slips
total number of steps
. (1)
Motor coordination and limb strength were eval-
uated using a rotarod device (Ugo Basile, Italy) con-
sisting of a rotating drum on which a mouse should
remain during the test, while avoiding falls. The
maximum test duration was 300  s, with the rotation
speed gradually increasing from 4 to 40  rpm over
240  s. Before the experiment, mice were trained for
three consecutive days; on day  4, their baseline per-
formance was recorded (intact). The effect of stroke
on rotarod performance was evaluated 3 and 6  days
after PT. Since the mutant mice were severely obese,
we used an integral index to minimize the effect of
body weight on test results. This index was calculated
as body weight  ×  retention time  =  impulse, providing
a combined measure of endurance and motor control.
For the grid walking (foot fault) test, we used
a metal grid with a mesh size of 19.7×19.5  mm, en-
closed by borders on all four sides. During testing,
mice were allowed to move freely on the grid for
5  min. The number of paws slips into the grid cells
was recorded. Testing was performed before PT (in-
tact) and on days 3 and 7 after PT to avoid potential
confounding effects of fatigue from other neurologi-
cal tests. All sessions were video-recorded and ana-
lyzed by reviewers blinded to the study conditions.
Analysis of gene expression after PT-induced
stroke. Brain tissue samples were collected to study
gene expression on day  10 after PT. The animals were
euthanized by decapitation, and cortical tissue from
the right hemisphere was dissected from the ischemic
focal region corresponding to the stereotactic coordi-
nates AP 0.5, ML 2.7. Tissue samples were immedi-
ately placed in IntactRNA™ stabilizing reagent (Evro-
gen, Russia) to prevent RNA degradation and stored
at −80°C. Total RNA was isolated and treated with
duplex-specific nuclease using commercial RNA-Solo™
kit (Evrogen, Russia). The quantity and purity of iso-
lated RNA were assessed spectrophotometrically with
an Eppendorf Biophotometer plus (Eppendorf, USA)
by measuring absorption ratios at 260/280  nm and
260/230  nm. Reverse transcription was performed
using an MMLV RT kit (Evrogen, Russia). qPCR was
carried out with a Gentier 96E PCR system (Tianlong,
China) using the intercalating dye SYBR® Green  I
for detecting double-stranded amplification products.
Amplification was performed using 5×  qPCRmix-HS
optimized reaction mixture (Evrogen, Russia). Primers
were designed with the cloud-based Benchling plat-
form (Benchling Inc., 2025, USA) and Primer-BLAST
(NCBI, USA). Primer efficiency for each target gene
was calculated using a standard curve generated for
fivefold serial dilutions of cDNA. Relative mRNA ex-
pression levels were calculated using the formula  (2):
E
Ct
(Rplp0)
/E
Ct
(gene of interest)
, (2)
where E is the primer efficiency and Ct is the thresh-
old cycle. Expression was normalized to the reference
gene Rplp0 (60S acidic ribosomal protein). All oligo-
nucleotide primers were synthesized by DNA Synthe-
sis Company (Moscow, Russia). Primer sequences are
shown in Table  S4 in the Online Resource  1.
Assessment of lesion volume by MRI. Brain
lesion volume was assessed using a high-field (7.0
Tesla) BioSpec 70/30 MRI system (gradient strength,
105  mT/min) (Bruker, Germany). Animals were anes-
thetized with 3% isoflurane and positioned in a
temperature-controlled holder device. MRI examina-
tion was performed using a standard mouse brain
imaging protocol, including rapid acquisition of
T2-weighted images with relaxation enhancement
(RARE) spin-echo sequence with the following param-
eters: repetition time (TR), 6000  ms; echo time (TE),
63.9  ms; slice thickness 0.4  mm with an interslice
distance of 0.1  mm; matrix size, 256×384; resolution,
0.164×0.164  mm
2
/pixel. The total imaging time for
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each animal was ~25  min. Lesion volume was deter-
mined from serial MRI scans on day 7 after PT us-
ing ImageJ software (NIH, USA). Lesion areas were
measured in ImageJ after calibration of image scale
according to the MRI acquisition parameters.; the le-
sion area  (S) in each slice was manually delineated
and calculated. The lesion volume  (V) was estimated
using the formula  (3):
V=ΣS × H, (3)
where H is the increment between the slices.
Western blotting. Brain samples were collected
on day 10 after PT and homogenized in ice-cold phos-
phate-buffered saline (PBS) containing 1  mM phenyl-
methylsulfonyl fluoride (Thermo Fisher Scientific,
USA). Total protein concentration was determined
using a bicinchoninic acid (BCA) protein assay (Sigma
Aldrich, USA). Protein samples (10  μg of total protein
per lane) were fractionated in 10% polyacrylamide
gel (TGX FastCast Acrylamide Kit, Bio-Rad, USA) un-
der denaturing conditions and then transferred to a
PVDF membrane (Amersham Pharmacia Biotech, UK)
using a semi-dry Trans Blot Turbo Transfer System
(Bio-Rad). Membranes were blocked for 45  min at
room temperature with 5%  fat-free milk (Serva, Ger-
many) in Tris-buffered saline (TBS) containing 0.1%
Tween-20 (Helicon, Russia), then washed three times,
followed by overnight incubation at 4°C with pri-
mary rabbit antibodies against ERK1/2 (p44/p42)
(dilution, 1  :  1000; #9102, Cell Signaling, USA), phos-
pho-p44/42 MAPK (Erk1/2)(Thr202/Tyr204) (dilution,
1  :  1000; #9101, Cell Signaling), Akt (dilution, 1  :  1000;
#9272, Cell Signaling), and phospho-Akt (Ser473) (di-
lution, 1  :  1000; #4060, Cell Signaling) diluted in TBS
containing 0.2%  BSA. The membranes were then
washed and incubated for 60  min at 37°C with sec-
ondary goat anti-rabbit horseradish peroxidase-con-
jugated antibodies (dilution, 1  :  5000; IMTEK, Russia).
After washing, the membranes were developed with
Advansta ECL Bright chemiluminescent solution
(Advansta, USA) and scanned using a ChemiDoc MP
Imaging System (Bio-Rad). Luminescence signal in-
tensities for target proteins were quantified using
ImageLab 6.0.1 software (Bio-Rad) and normalized
to the total protein load estimated using TGX® gel
densitometry in accordance with the manufacturers
recommendations.
Glucose tolerance test. Glucose levels were
measured in all mouse strains in blood collected from
the tail vein after fasting and after glucose admin-
istration. Animals received an intraperitoneal injec-
tion of 40% glucose solution at a dose of 1  g/kg body
weight. Blood glucose concentration was determined
at 15, 30, 60, and 120  min after injection using a Sat-
tellit Express glucose meter (Company ELTA, Russia).
Overall glucose tolerance was evaluated from area
under the curve (AUC) using GraphPad Prism  8
(GraphPad Software, USA).
Statistical analysis was performed using Graph-
Pad Prism  8 (GraphPad Software). The Shapiro–Wilk
test was used to assess the normality of data distri-
bution. For normally distributed data, differences be-
tween the groups at three time points were estimated
with a two-way ANOVA followed by the Tukey’s test
for multiple comparisons. Small-size samples were
assessed with the Kruskal–Wallis test followed by the
Dunn test. In cases when the homogeneity of variance
was violated, the Holm–Sidak test with the Welch cor-
rection was applied. In all comparisons, outliers were
identified and excluded using the ROUT test (Q  =  1%).
All data are presented as mean ± standard error of
the mean (SEM). Detailed statistic data are presented
in the Table  S5.
RESULTS
Manifestations of metabolic syndrome in ge-
netically altered mice. Both ob/ob and db/db mice
exhibited a pronounced metabolic phenotype char-
acteristic of leptin signaling deficiency, including
obesity and impaired carbohydrate metabolism. The
body weight of ob/ob and db/db mice was more than
twofold higher than that of WT animals (Figs.  S2
and  S3 in the Online Resource  1). Mice with the
metabolic phenotype showed a marked increase in
the weight of epididymal and perirenal adipose tis-
sue (Fig.  S2, b  and  c). In contrast, brain size and
weight, as well as skull linear dimensions did not
differ significantly between ob/ob, db/db, and WT
mice (Fig.  S1 in the Online Resource  1). Therefore,
the elevated body weight of animals with metabol-
ic syndrome is largely attributable to fat accumula-
tion. Glucose tolerance test revealed that in WT mice,
blood glucose levels increased significantly 15  min
after administration of 40% glucose solution and
then returned to baseline values. In contrast, ob/ob
and db/db mice exhibited elevated blood glucose lev-
els for up to 60  min, with normalization occurring
only 120  min after glucose administration (Fig.  S2f).
We also measured glucose levels in animals under
fasting conditions and upon ad libitum access to
food and found no significant difference in this pa-
rameter among the groups (Fig.  S1d in the Online Re-
source  1). When analyzing the area under the curve
(AUC), the values were 1228  ±  80  mmol  ×  min/l for
WT mice, 1829  ±  220  mmol  ×  min/l for ob/ob mice,
and 1615  ±  147  mmol  ×  min/l for db/db mice. Analysis
of the total AUC revealed significant differences be-
tween WT mice and both genetically altered strains
(Fig. S2e in the Online Resource 1).
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Fig.  3. Ischemic lesion volume in mice of different genotypes on day 7 after PT-induced stroke. a)  Representative T2-weighted
MRI images of brain sections from WT, ob/ob, and db/db mice, showing the location and morphology of ischemic lesions in
the sensorimotor cortex of the right hemisphere. b)  Quantitative analysis of infarct volume (mm
3
) based on measurements
of the hyperintense signal area across consecutive MRI sections.
The effect of leptin deficiency and LepR defi-
ciency on the lesion size in the PT model. To as-
sess the extent of brain damage following PT-induced
stroke, MRI was performed on day  7 after surgery
in WT, ob/ob, and db/db mice (Fig.  3). T2-weighted
images revealed a hyperintense signal region corre-
sponding to the ischemic focus in the sensorimotor
cortex of the right hemisphere (Fig.  3a). Quantita-
tive analysis showed that the mean lesion volume
was 23.94  ±  2.91  mm
3
in WT mice, 15.19  ±  2.4  mm
3
in ob/ob mice, and 17.45  ±  3.09  mm
3
in db/db mice
(Fig.  3b). Therefore, despite pronounced metabolic
differences between the strains, infarct volumes were
comparable, suggesting that the cortical sensitivity to
standardized PT damage is largely unaffected by im-
paired leptin signaling (including complete inactiva-
tion of all LepR isoforms in db/db mice). No mortality
was observed in the WT group following PT induc-
tion, while mortality in the ob/ob and db/db groups
reached 20% and 40%, respectively. Infarct volume
was analyzed only in surviving animals.
Assessment of neurological deficit. To assess
neurological deficits after PT, mice of the WT, ob/ob,
and db/db groups were subjected to a series of be-
havioral tests, including beam walking, rotarod, and
grid walking tests, before surgery (baseline) and on
postoperative days 3, 6, and 7. Because of pronounced
intergroup differences in body weight and baseline
motor activity, absolute behavioral test values may
not accurately reflect the extent of neurological defi-
cit. Therefore, in several tests, we also analyzed rel-
ative changes in behavioral indices in each group
compared to individual pre-stroke baseline values
taken as 100%.
In the grid walking test, all three groups showed
a significant increase in the number of foot faults
made by the left (affected) forelimb after PT com-
pared with the baseline, indicating the development
of a persistent sensorimotor deficit (Fig.  4a). The
number of left forelimb slips within 5 min in WT
mice was 65.00  ±  10.57 on day  3 and 45.00  ±  4.75 on
day  7. In ob/ob mice, these values were 19.67  ±  5.23
and 24.67  ±  7.83, and in db/db mice, 23.00  ±  4.72 and
21.00  ±  1.73, respectively (Fig.  4a). Although the abso-
lute number of slips was lower in ob/ob and db/db
mice than in WT animals, this likely reflected their
reduced motor activity rather than superior motor
coordination.
BOCHARNIKOV et al.946
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Fig. 4. Assessment of sensorimotor deficits after PT in mice of different genotypes. a)  Absolute number of slips of forelimbs
and hindlimbs on the affected (left) side in the grid walking test. b)  Locomotor performance in the rotarod test calculated
from the time the animal remained on the rotarod drum and its body weight. c)  Overall neurological deficit score in the
beam walking test. d)Time required to traverse the beam in beam walking test. *  p <  0.05; **  p <  0.01; ***  p <  0.001, statis-
tically significant differences (two-way ANOVA with post hoc Tukey’s test for multiple comparisons; Kruskal–Wallis test in
the grid walking test; and Holm–Sidak test with the Welch correction for track time in the beam walking test).
Since ob/ob and db/db mice are obese, maintain-
ing balance on the rotarod drum is more challeng-
ing for them than for WT mice, and therefore they
remained on the apparatus for significantly shorter
time periods. To minimize the impact of body weight
when assessing the severity of neurological damage,
we used an integrated “retention impulse” parameter
(see Materials and Methods). PT caused a significant
decline in this parameter in all groups. On day  3 af-
ter PT, the retention impulse was 4235  ±  533.1  s  ×  g
in WT mice, in 1022  ±  436.8  s  ×  g in ob/ob mice, and
2150  ±  440.2  s  ×  g in db/db mice (Fig. 4b) (p <  0.005
vs. baseline values). The retention impulse of ob/ob
mice was significantly lower than that of WT mice
(p <  0.001). Moreover, WT mice demonstrated signifi-
cantly better performance on day  3 post-stroke than
both mutant groups (p <  0.001 vs. ob/ob and p <  0.05
vs. db/db).
In the beam walking test, there was also a ten-
dency toward development of neurological deficits af-
ter PT in all groups (Fig.  4c). On day  3, the number of
left limb slips was comparable between the groups:
48.14  ±  8.63 in WT mice, 41.25  ±  5.28 in ob/ob mice,
and 55.85  ±  8.56 in db/db mice. On day  6, the corre-
sponding values were 35.91  ±  9.05, 40.67  ±  4.73, and
43.12  ±  3.43, respectively (Fig.  4c). However, the time
required to traverse the beam differed significantly
between WT and mutant mice. On day  3, WT mice
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Table 1. Relative change in sensorimotor activity pa-
rameters in the grid walking and rotarod test after PT
in mice of different genotypes compared to pre-stroke
baseline
WT ob/ob db/db
Grid walking test;
number of front left paw slips
Intact 100% 100% 100%
day 3 1769.23%* 761.9% 6666.67%**
day 7 1423.08% 1142.86% 6500%**
Grid walking test;
number of hind left paw slips
Intact 100% 100% 100%
day 3 509.67% 1125%** 805.56%
day 7 274.19% 791.66%* 527.77%
Grid walking test;
total number of slips on the left side
Intact 100% 100% 100%
day 3 881.81%* 893.93% 1642.85%**
day 7 613.63% 1015.15% 1380.95%**
Rotarod test
Intact 100% 100% 100%
day 3 64.58%** 29.52%** 37.85%*
day 6 87.87% 71.54% 59.41%
Note. * p < 0.05, ** p < 0.005, significant differences with
baseline (Kruskal–Wallis test for the grid walking test and
two-way ANOVA for the rotarod test).
crossed the beam in 21.33  ±  0.6  s, whereas ob/ob mice
required 49.5  ±  4.76 s (Fig. 4d) (p < 0.05). It should
be noted that the travel time primarily reflects the
overall movement speed, which was reduced in ob/ob
and db/db mice due to diabetes and obesity, and may
not reflect post-stroke neurological deficits in these
strains.
When analyzing intragroup dynamics (i.e., chang-
es relative to each animal’s pre-stroke baseline), all
three genotypes exhibited significant functional de-
terioration after PT (Table  1). In all behavioral tests,
performance markedly declined on post-stroke days
3 and/or 7. However, db/db mice demonstrated the
greatest relative decline in performance, as evi-
denced by the marked increase in number of slips
in the grid walking test (1642.9% of baseline on day  3
and 1381.0% on day  7) and poor performance in the
rotarod test (37.9% of baseline on day  3 and 59.4%
on day  6). In contrast, ob/ob mice exhibited a degree
of relative impairment comparable to that observed
in WT animals. Thus, despite similar lesion volumes,
db/db mice demonstrated the most pronounced func-
tional deterioration, suggesting possible differences in
the mechanisms of early post-stroke functional com-
pensation in leptin-deficient and LepR-deficient ani-
mals with metabolic syndrome.
Analysis of gene expression after PT. To assess
the extent of damage to the sensorimotor cortex and
the severity of post-ischemic inflammatory response,
we analyzed expression profiles of several proinflam-
matory cytokines and markers of macrophage polar-
ization and activation of microglia and astrocytes
in brain samples. On day  10 after PT, expression of
genes for the proinflammatory markers cystatin  F
(Cst7) (Fig.  5a) and chemokine (C-C motif) ligand  3
(Ccl3) (Fig.  5b) was upregulated in all animal groups.
In contrast, pronounced stroke-induced increase in
the mRNA level of the classical proinflammatory cy-
tokine tumor necrosis factor  α (TNFa) was found only
in WT and ob/ob groups (Fig.  5c), while the expression
of the proinflammatory marker C-X-C motif chemo-
kine ligand  1 (Cxcl1) remained unchanged (Fig.  5d).
At the same time, expression of monokine induced
by gamma-interferon (Cxcl9) (Fig.  5e) increased only
in the WT group. Baseline expression of cyclooxy-
genase  2 (Cox2) was higher in both genetically mod-
ified strains and decreased after the stroke (Fig.  5g).
A similar trend was observed for interleukin-6 (Il6)
expression in db/db mice (Fig.  5f). The damage to
the sensorimotor cortex in WT mice led to a signifi-
cant upregulation of genes for the Toll-like receptor  2
(Tlr2) and cluster of differentiation 36 (Cd36), which
are markers of M1 and M2 macrophages, respectively
(Fig.  5, h  and  i). However, increased Cd36 expression
was observed only in WT and db/db mice, but not
in ob/ob mice (Fig.  5i). The expression of markers
associated with nerve tissue damage, such as glial
fibrillar acid protein (Gfap) and matrix metallopro-
teinase 3 (Mmp3), increased significantly after stroke
in db/db mice (Fig.  5, j  and  k). WT and ob/ob mice
also showed a significant increase in Gfap expres-
sion, while upregulation of Mmp3 in response to PT
in these animals did not reach the level of statistical
significance (Fig.  5k). The baseline expression of the
brain-derived neurotrophic factor (Bdnf ) (Fig.  5l) was
higher in db/db mice and decreased significantly after
the stroke only in this group.
Analysis of phosphorylation of signaling kinas-
es after PT. To assess the level and phosphorylation
status of key kinases associated with leptin signaling
in the cerebral cortex after PT, we analyzed the total
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Fig.  5. Expression of key markers associated with tissue damage and post-ischemic responses in the cerebral cortex 10 days
after PT: Changes in expression of are shown for genes of proinflammatory factors Cst7 (a), Ccl3 (b), Tnfa (c), Cxcl1 (d),
Cxcl9 (e), Il6 (f), Cox2 (g), macrophage markers Tlr2 (h) and Cd36 (i), astrocyte marker Gfap (j), neurotrophic factor Bdnf (l),
and matrix metalloproteinase Mmp3 (k). *  p <  0.05, **  p <  0.005, ***  p <  0.001, ****  p <0.0001, statistically significant differ-
ences with baseline (two-way ANOVA with Tukey’s post  hoc test).
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Fig.  6. Analysis of key signaling pathways and their components involved in leptin-mediated signaling and responsible for
neuroprotection in the cerebral cortex. a)  Total Akt and phosphorylated Akt (p-Akt) levels. b)  Total ERK1/2 (p44/p42) and
phosphorylated ERK1/2 (p-ERK1/2) levels. Protein expression was normalized to the total protein load (see TGX® gels shown
below the corresponding immunoblots).
levels of Akt (protein kinase  B) and ERK1/2 (extra-
cellular signal-regulated kinase 1/2) and their phos-
phorylated forms by Western blotting. Quantitative
analysis revealed no significant differences in the
phosphorylation levels of Akt or ERK1/2 among the
studied genotypes on day  10 after PT (Fig.  6), indicat-
ing the absence of sustained changes in the activi-
ty of PI3K/Akt and MAPK/ERK signaling pathways in
the subacute phase of damage, despite the observed
differences in functional parameters. The lack of
differences in these signaling pathways at the stud-
ies time point suggests that the observed functional
impairments in db/db mice are not associated with
sustained dysregulation of these signaling cascades in
the subacute phase or may reflect earlier or transient
changes in their activity.
DISCUSSION
It has been well established that ischemic stroke
is more severe in patients with obesity, diabetes,
and other metabolic disorders  [1,  3]. This phenome-
non has often been studied in mouse models with
impaired leptin signaling [2, 10]. However, the mech-
anisms underlying an increased vulnerability of ner-
vous tissue to ischemia in these conditions, partic-
ularly the respective contributions of diabetes and
leptin signaling, remain poorly understood, partly due
to limitations inherent to the available experimental
models. In this study, we employed the photoinduced
cerebral vascular thrombosis model that generates a
volume-standardized lesion while minimizing the im-
pact of collateral blood flow on the penumbra  [14].
Using this approach, we demonstrated that neither
leptin deficiency (ob/ob mice) nor complete inactiva-
tion of all LepR isoforms (our db/db line) increased
the primary infarct volume.
Despite the known metabolic differences between
these mutant strains and WT animals, stroke severity,
as assessed morphologically, was comparable across
all mouse strains (Fig.  3). In contrast, the functional
consequences of stroke differed markedly, as db/db
mice showed more pronounced sensorimotor deficits
following stroke (Fig.  4, Table  1). This suggests that
leptin signaling is unlikely to play a major role in
the mechanisms of acute nervous tissue damage but
may contribute to other pathogenic processes that
influence post-stroke outcomes. We found no signifi-
cant differences in the phosphorylation levels of Akt
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or ERK1/2 on day 10 after PT, indicating the absence
of persistent changes in these signaling pathways
during the subacute phase of damage. Therefore, the
observed genotype-dependent differences in the func-
tional recovery between genotypes are unlikely to re-
sult from prolonged dysregulation of these cascades
and may instead be related to other mechanisms,
including impaired neuroplasticity. It should be not-
ed that mortality was higher in the knockout lines,
probably reflecting increased systemic susceptibility
of these animals to ischemia. This observation does
not contradict the lack of differences in infarct vol-
ume among surviving animals.
It should be emphasized that most previously
published studies investigating the effect of diabetes
mellitus on brain resistance to ischemia have used
the classical transient MCAO model. In this model,
ob/ob and db/db mice consistently exhibit significant-
ly larger infarct volume and more severe functional
outcomes than WT animals [11, 17-20]. However, in-
terpretation of these findings requires consideration
of the model’s specifics. MCAO and other models in-
volving mechanical vascular occlusion mimic throm-
bosis of a major cerebral artery, and the severity
of ischemic damage in such experiments is strongly
influenced by systemic and cerebral hemodynamics.
Critical factors include the capacity for blood supply
compensation through collateral vessels and the cir-
cle of Willis, as well as the functional state of the en-
dothelium  [21]. Moreover, unlike PT, MCAO produces
extensive regions of ischemic penumbra. Functional
outcomes, therefore, depend largely on the survival
of neurons in this area, which is governed by a com-
plex interplay of hemodynamic and metabolic factors.
Therefore, the greater infarct volume observed in
ob/ob and db/db mice following MCAO may primar-
ily be due to the vascular components of pathogene-
sis, including endothelial dysfunction, increased BBB
permeability, and impaired angiogenesis [19, 22-24].
Together, these vascular abnormalities promote expan-
sion of the infarct area in MCAO, making it difficult
to distinguish their contribution from that of intrin-
sic neuronal susceptibility to ischemia. Nevertheless,
available evidence suggests that neuronal survival
in diabetes remains compromised even when the in-
fluence of vascular factors is minimized, which has
been attributed to chronic systemic inflammation and
changes in inflammatory responses in brain tissue  [2,
25,  26]. Unlike MCAO, PT induces local thrombosis in
distal vessels without affecting major arteries. Lesion
size and location are determined primarily by the pa-
rameters of laser irradiation and are only minimally
affected by collateral blood flow and other vascular
factors. As a result, vascular abnormalities play much
less prominent role in this model, allowing a more
direct assessment of the resistance of neurons and
astrocytes to ischemia, which has been proposed to
be impaired under diabetic conditions based on find-
ings from MCAO studies in ob/ob and db/db mice  [27].
Our data indicate that when the lesion is standard-
ized, the diabetic phenotype alone does not increase
the extent of primary damage, even in the complete
absence of LepR signaling, which supports the idea
that the exacerbation of stroke in diabetic animals in
the MCAO model is driven predominantly by vascular
factors.
Analysis of the subacute inflammatory response
on day 10 after PT revealed increased expression of
markers associated with microglial and astroglial ac-
tivation (Cst7, Ccl3, and Gfap) in animals of all geno-
types (Fig.  5, a,  b, and  j). These genes are commonly
used as conventional markers of brain damage  [28,
29]. The upregulation of Cst7 was consistent with its
role as a mediator of microglial reactivity  [30], while
the increase in Ccl3 expression reflected the develop-
ment of a pro-inflammatory response  [31]. The simi-
larity of expression patterns of these markers among
the experimental groups indicates that the overall
microglial response to damage was largely preserved
in mice with impaired leptin signaling. We also ob-
served upregulated expression of the proinflammato-
ry cytokine Tnfa gene in WT and ob/ob mice (Fig.  5c),
together with the elevated expression levels of mac-
rophage phenotype-associated markers Tlr2 and Cd36
(Fig.  5, h  and  i). The absence of expression activation
for Tnfa and Cxcl9 in the brains of db/db mice may
be due to suppression of the acute inflammatory
response in this strain, possibly resulting from im-
paired immune response or chronic inflammation,
as indicated by an elevated baseline Tnfa expression.
Upregulated Tlr2 expression has previously been as-
sociated with poor stroke outcomes, while increased
Cd36 expression in the prolonged post-stroke period
may be associated with the resolution of inflamma-
tion and activation of reparative processes  [32,  33].
In this context, a less pronounced increase in Cd36
expression on day  10 after PT in the ob/ob mice may
indicate a disruption of the balance between pro- and
anti-inflammatory signaling and a predominance of
pro-inflammatory processes during the late post-
stroke phase  [34]. The observed upregulation of Gfap
and Mmp3 is consistent with the well-established post-
stroke mechanisms of reactive gliosis and extracellu-
lar matrix remodeling [35-39]. A more pronounced
increase in Mmp3 expression in the db/db mice (but
not in ob/ob mice) may lead to the increased BBB per-
meability in these animals. The baseline expression
of the neurotrophic factor Bdnf gene was elevated
in db/db mice, possibly representing a compensatory
response to chronic inflammatory stress. However,
PT induced a significant decrease in Bdnf expres-
sion exclusively in this group, whereas no significant
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Fig. 7. Proposed mechanisms by which impaired leptin signaling affects the severity of PT-induced stroke in ob/ob and db/db
mice. PDK1, 3-phosphoinositide-dependent protein kinase-1; Raf, Raf (rapidly accelerated fibrosarcoma) kinase. Created in
https://BioRender.com (license: cue7l0x).
changes were detected in WT and ob/ob mice. The
downregulation of Bdnf during the late post-stroke
stages may indicate impaired neuroplasticity in db/db
mice. Interestingly, reduced plasma BDNF levels were
found in stroke patients with type  2 diabetes mellitus
[40,  41], despite evidence that baseline BDNF concen-
trations may be higher in diabetic individuals than
in healthy controls  [41]. Therefore, the pattern of
changes in Bdnf expression in our model is broadly
consistent with clinical observations. Despite compa-
rable infarct volumes and similar inflammatory re-
sponses, db/db mice exhibited the greatest relative
decline in motor functions (Table  1). This observation
is unlikely to reflect decreased tolerance to acute in-
jury itself, but rather suggests that impaired leptin
signaling may adversely affect post-stroke recovery
mechanisms, particularly those involving brain neu-
roplasticity. It should be noted that in our study,
neuroplasticity was not evaluated directly, and this
conclusion is therefore based on indirect data, in-
cluding functional outcomes and changes in Bdnf ex-
pression.
It has already been established that neurogene-
sis in db/db mice is disrupted  [42,  43], and these an-
imals are often referred to as a model of impaired
cognitive plasticity  [44]. In addition, axonal shorten-
ing has been observed in neurons derived from db/db
mouse  [45], along with changes in the expression of
neuroplasticity-related genes  [46].
In addition to its role in regulating metabolism,
leptin is a key modulator of neuronal plasticity and
inflammatory processes in the CNS  [47]. Its effects
on NMDA receptors, as well as on the MEK (mito-
gen-activated protein kinase kinase)/ERK and PI3K
(phosphatidylinositol  3-kinase)/Akt signaling pathways
[48,  49], are central to adaptive responses following
brain damage. However, only the long leptin recep-
tor isoform (LepRb) possesses the full spectrum of
signaling activity and activates the JAK/STAT, MAPK,
and PI3K cascades  [7] associated with neuropro-
tection and synaptic plasticity. Beyond the nervous
system, leptin signaling via the JAK/STAT pathway
in macrophages and T-cells modulates immune re-
sponses and inflammation, including secretion of
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pro-inflammatory cytokines IL6 and TNFα, in particu-
lar, by the microglia  [50,  51]. In contrast, short recep-
tor isoforms (LepRa, LepRc, LepRe, LepRf) perform
other functions, such as leptin transport across the
BBB (LepRa, LepRc) and regulation of leptin bioavail-
ability in the brain (LepRe)  [52,  53]. In the db/db mice
(B6-LepR
d10
strain generated for this study), a muta-
tion in LepR causes a frameshift early in the coding
sequence, leading to inactivation of all LepR isoforms.
Consequently, both LepRb-dependent signaling and
the functions of short LepR isoforms (leptin transport
and accumulation) were abolished in this model. This
allowed us to consider this strain as a model of com-
plete leptin signaling ablation, equivalent to leptin
deficiency, but without the influence of isoform-spe-
cific factors.
Unlike the db/db strain, ob/ob mice do not pro-
duce leptin due to a mutation in the Lep gene  [54,  55].
In these animals, LepRb and other isoforms remain
structurally and functionally intact; however, the ab-
sence of their ligand prevents the activation of leptin
signaling despite preserved receptor architecture. In
contrast, the db/db strain carries a mutation that caus-
es complete inactivation of entire LepR family and,
therefore, fully suppresses leptin signaling even in the
presence of ligand excess. Together, these models pro-
vide a complementary framework for distinguishing
the contributions of leptin deficiency and LepR defi-
ciency to post-stroke processes, unlike conventional
db/db mouse strains with preserved activity of short
receptor isoforms. In ob/ob mice, leptin deficiency
likely disrupts neuroplasticity by limiting activation
of LepRb and related PI3K/Akt-dependent mechanisms
of neuronal survival and axonal sprouting, whereas
complete loss of LepR in the db/db strain leads to a
more profound disruption of leptin-dependent trophic
support and reduces the capacity of neural networks
for functional compensation after damage.
Therefore, disruptions in leptin signaling in the
pathogenesis of post-stroke injury occur via two pos-
sible mechanisms (Fig.  7): leptin deficiency in ob/ob
mice restricts neurotrophic support by preventing ac-
tivation of LepR-dependent processes, while complete
loss of LepR signaling due to the absence of all recep-
tor isoforms in db/db mice promotes chronic metabol-
ic syndrome, which compromises post-stroke recovery.
At the same time, LepR signaling-mediated activation
of neuroinflammation was not observed in our db/db
model, as confirmed by transcriptional analysis. It is
important to note that complete inactivation of all
LepR isoforms in these mice is an important meth-
odological advantage, because it eliminates residual
signaling activity characteristic of conventional db/db
strains and enables evaluation of the leptin pathway
involvement without contribution of individual LepR
isoforms. These findings also highlight the potential
of therapeutic approaches aimed at modulating in-
flammation or alternative neuroplasticity pathways.
CONCLUSION
Our study demonstrates that leptin signaling
affects stroke outcomes by modulating post-stroke
neuroplasticity rather than exacerbating primary
ischemic damage. In the used PT model providing
standardized lesion size, neither leptin deficiency nor
LepR inactivation increased infarct volume. However,
both conditions impaired functional recovery after
the stroke. Importantly, disruption of leptin signaling
occurred via two different mechanisms: ob/ob mice
were deficient for leptin while retaining function-
al leptin receptors, whereas generated db/db mice
lacked all functional LepR isoforms, which eliminat-
ed potential isoform-specific effects and strengthened
the conclusion that LepR signaling does not directly
affect infarct volume. Our findings also highlight the
importance of adapting neurological assessment pro-
tocols for obesity and diabetes models, since altered
locomotor performance in these animals makes abso-
lute values of behavioral indicators unreliable crite-
ria for neurological deficits. Furthermore, the differ-
ences between the PT and MCAO models emphasize
the critical importance of model selection when in-
vestigating stroke mechanisms. Unlike MCAO, PT min-
imizes the contribution of vascular factors, thereby
enabling identification of direct effects of metabolic
disorders on the neural tissue.
Abbreviations
BBB blood–brain barrier
BDNF brain-derived neurotrophic factor
Ccl3 chemokine (C-C motif) ligand 3
(macrophage inflammatory protein 1a)
Cox2 cyclooxygenase 2
Cst7 cystatin F
Cxcl9 gamma interferon-induced monokine
GFAP glial fibrillar acid protein
IL6 interleukin 6
LepRb leptin receptor long isoform
MCAO middle cerebral artery occlusion
Mmp3 matrix metalloproteinase 3
PT photothrombosis
qPCR quantitative polymerase chain reac-
tion
Tlr2 Toll-like receptor 2 (CD282)
TNFa tumor necrosis factor α
WT wild-type
Supplementary information
The online version contains supplementary material
available at https://doi.org/10.1134/S0006297926600134.
STROKE IN LEPTIN-DEFICIENT MICE 953
BIOCHEMISTRY (MOSCOW) Vol. 91 No. 6 2026
Contributions
E.Y.P. and P.V.S. developed the concept and supervised
the study; A.D.B., P.A.A., E.I.Y., O.A.A., O.O.G., A.V.P.,
S.A.G., O.A.P., and I.B.P. conducted experiments; E.Y.P.,
P.V.S., A.D.B., P.A.A., I.B.P., N.V.A, and A.A.B. discussed
research results; E.Yu.P., A.D.B., and P.A.A. wrote the
text of the article; E.Y.P., A.D.B., P.A.A., I.B.P., N.V.A, and
A.A.B. edited the manuscript.
Funding
The work was supported by the Ministry of Science
and Higher Education of the Russian Federation
(agreement no. 075-15-2025-489).
Ethics approval and consent to participate
All animal procedures complied with the ethical stan-
dards of the Belozersky Research Institute of Physi-
co-Chemical Biology and other institutions and legal
acts of the Russian Federation and international or-
ganizations. Animal research protocol was approved
by the Ethics Committee of the Belozersky Research
Institute of Physico-Chemical Biology (protocol no.
015-8/10/2024; June 09, 2025).
Conflict of interest
The authors of this work declare that they have no
conflicts of interest.
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