Abstract
Stroke remains a leading cause of death and disability worldwide, yet the contribution of elemental imbalance to its pathogenesis is not fully understood. Experimental evidence suggests that disturbances in the concentrations of essential and toxic elements contribute to neuronal injury through excitotoxicity, oxidative stress, and inflammation. In this study, we examined regional concentration in 15 elements (Na, K, Ca, Mg, P, Fe, Zn, Cu, Mn, Se, Cr, V, Pb, Al, B) in the subacute phase of ischemic stroke using the middle cerebral artery occlusion (MCAO) rat model. Male Sprague-Dawley rats underwent MCAO or sham surgery, after which the contralateral cortex, dorsal striatum, and hippocampus were collected seven days post-surgery. Elemental concentrations were determined by inductively coupled plasma-mass spectrometry (ICP-MS) and analyzed by Student's t-test, cluster analysis, and principal component analysis (PCA). The t-test revealed widespread changes in Ca, while Na was least affected. PCA identified three principal components that explained 81.63% of the variance, with Mn, Zn, Se, K, Mg, Fe, and P contributing most strongly. Cluster analysis distinguished MCAO from sham groups and revealed region-specific responses. Our findings demonstrate long-lasting, region-dependent elemental imbalance after stroke, suggesting a valuable role of elemental profiling. Future investigations should aim to identify elements whose concentrations exhibit alterations not only within central nervous system regions but also in peripheral compartments, such as blood serum, as these changes may hold significant diagnostic and prognostic value.