Article

A modified tail suspension test for the assessment of behavioral despair in mice after stroke

Pei-ran Kong1, Lu Gan1, Jia-li Zhang1, Long Lin1, Hai-yin Wu1, Yu-hui Lin1, Dong-ya Zhu1, Lei Chang1, Chun-xia Luo1,2,3
1 Department of Pharmacology, School of Pharmacy, Nanjing Medical University, Nanjing 211166, China
2 Jiangsu Key Laboratory of Oral Diseases, Nanjing Medical University, Nanjing 211166, China
3 The Key Laboratory of Modern Toxicology of Ministry of Education, Nanjing Medical University, Nanjing 211166, China
Correspondence to: Lei Chang: leichang@njmu.edu.cn, Chun-xia Luo: chunxialuo@njmu.edu.cn,
DOI: 10.1038/s41401-025-01735-z
Received: 5 August 2025
Accepted: 9 December 2025
Advance online: 23 February 2026

Abstract

Stroke survivors usually suffer from mood and emotional disturbances, especially depression. However, research on poststroke depression (PSD) is limited by the measurement of behavioral despair in animals. The tail suspension test (TST) is a classic method for assessing behavioral despair in mice based on an increased immobility time. Ischemic mice assessed using the classic TST instinctively struggled because of incoordination, which influenced the immobility time and caused misleading results. In this study, we modified the classic TST equipment by introducing a smooth and transparent plate inclined at 60° to help the suspended mouse maintain its balance during testing, without an obvious reduction in the aversive stress occurring during suspension. Finally, we validated the modified TST using mouse models of chronic mild stress, middle cerebral artery occlusion and PSD. Thus, the modified TST is an efficient method for assessing behavioral despair in mice with impaired motor coordination, especially after stroke.
Keywords: modified tail suspension test; focal cerebral ischemia; chronic mild stress; poststroke depression; behavioral despair

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