**Background:** Ischemic stroke incidence and mortality increase with age, yet most experimental studies use young animals. Aging alters brain extracellular matrix (ECM) properties, which may affect stroke pathophysiology. The ECM comprises core molecules (e.g., perineuronal nets, basal membrane) and modifying enzymes (MMPs, ADAMTS, TIMPs). This study aimed to identify age-related ECM changes that could explain increased ischemic sensitivity in aged brain.
**Methods:** The authors re-analyzed a previously published RNA-Seq dataset (Androvic et al., 2020) from the parietal cortex of young adult (3-month-old, 3M) and aged (18-month-old, 18M) female C57Black/6 mice, either non-ischemic controls or 3 days after permanent middle cerebral artery occlusion (pMCAo). A targeted set of 56 ECM-related genes was selected. Differential expression was analyzed using DESeq2 (padj < 0.05, log2FC > 1 for upregulation, < -0.65 for downregulation). Proteomic analysis (LC-MS/MS) was performed on separate cohorts at 3 and 7 days post-pMCAo, detecting 18 proteins from the gene set. Statistical comparisons used two-way ANOVA with Tukey post-hoc tests.
**Key Results:**
- **Aging alone:** Only 4 of 56 genes differed significantly between 3M and 18M controls: *Hapln2* (padj = 6.29E-09), *Sdc4* (padj = 0.001), *Mmp12* (padj = 0.005) upregulated; *Ncan* (padj = 0.005) downregulated.
- **Stroke vs. age-matched controls:** In 3M mice, 39 genes were differentially expressed; in 18M mice, 40 genes. Most were upregulated. Only 6 genes were downregulated: *Bcan* (3M padj = 0.02; 18M padj = 3.3E-06), *Mmp24* (3M padj = 0.007), *Ncan* (3M padj = 0.008), *Sparcl1* (3M padj = 0.0008; 18M padj = 6.78E-08), *Adamts17* (18M padj = 0.0026), *Hapln4* (18M padj = 8.25E-07). Upregulated genes included multiple MMPs (e.g., *Mmp3*, *Mmp9*, *Mmp13*), all four TIMPs (*Timp1* most pronounced: 3M padj = 5.84E-25; 18M padj = 4.99E-30), ADAMTS family members (*Adamts1*, *4*, *5*, *7*, *9*, *14*), syndecans (*Sdc1*, *Sdc3*, *Sdc4*), and other ECM genes (*Fn1*, *Vcan*, *Hapln2*, *Hapln3*, *Tnc*, *Cspg4*, *Ecm1*, *Hspg2*, *Lum*, *Mgp*).
- **Stroke: young vs. aged:** Nine genes showed significantly different expression between 3M and 18M post-ischemic mice: *Bcan* downregulated in aged (padj = 0.018); eight upregulated in aged: *Adamts1* (padj = 0.0031), *Ecm1* (padj = 0.047), *Hapln2* (padj = 6.59E-06), *Hpse* (padj = 0.0026), *Lum* (padj = 0.03), *Mgp* (padj = 0.01), *Mmp13* (padj = 0.008), *Sdc3* (padj = 0.0009).
- **Proteomic findings:** Only 18 proteins were detected. Significant changes were found in Hapln2 (upregulated in aged controls, padj = 7.80E-03; and more elevated in aged vs. young post-ischemic at D3 and D7, both padj < 0.0001), fibronectin (Fn1; upregulated in both ages post-stroke at D3 and D7, padj < 0.0001; higher in aged vs. young at D3, padj = 0.0214), and vitronectin (Vtn; upregulated in aged at D3, padj < 0.0001; in young at D7, padj = 1.90E-03). In aged post-ischemic mice, Fn1 and Vtn expression dropped significantly from D3 to D7 (Fn1 padj < 0.0001; Vtn padj = 0.0205).
**Clinical Implications:** The study demonstrates that aging shifts the ECM balance toward degradation, with increased expression of proteases (MMPs, ADAMTS) and decreased expression of protective ECM components (brevican, Hapln4). This imbalance likely contributes to the greater ischemic damage and worse outcomes observed in elderly stroke patients. The identification of nine genes and two proteins (Hapln2, Fn1) with age-specific post-stroke expression changes provides potential targets for future therapeutic interventions aimed at modulating ECM remodeling to improve recovery in aged individuals. Limitations include the use of only female mice, a single time point for gene analysis (D3), and limited proteomic detection due to standard tissue processing.