Modulation of microglial polarization by sequential targeting surface-engineered exosomes improves therapy for

Xintong Liu1, Yunni Hao1, Zhixuan Huang1

  • 1School of Pharmacy, Jinzhou Medical University, Jinzhou, 121000, People's Republic of China.

Insights

This study developed mannose-conjugated luteolin-loaded platelet-derived exosomes (lut/man-pEXO) to target microglia in ischemic stroke. The engineered exosomes effectively deliver drugs to the brain, reducing inflammation and protecting the neurovascular unit.

Area of Science:

  • Neuroscience
  • Biomedical Engineering
  • Pharmacology

Background:

  • Microglia play a crucial role in regulating neuroinflammation and neurofunction following ischemic stroke (IS).
  • Targeting microglia in ischemic regions is vital for effective therapy and attenuating cerebral ischemic injury.
  • Efficient drug accumulation in microglia is a key challenge in treating IS.

Purpose of the Study:

  • To design and evaluate surface-engineered, multifunctional cascade-delivery drug carriers for targeting ischemic stroke.
  • To enhance drug accumulation in microglia and induce neuroprotection of the neurovascular unit (NVU).
  • To utilize mannose-conjugated luteolin-loaded platelet-derived exosomes (lut/man-pEXO) for targeted delivery.

Main Methods:

  • Design of lut/man-pEXO as drug carriers targeting ischemic blood vessels and microglia.
  • Evaluation of lut/man-pEXO's ability to bind to platelets and target ischemic injury sites.
  • Assessment of mannose receptor-mediated selective binding to microglia and drug uptake.

Main Results:

  • lut/man-pEXO demonstrated efficient targeting of ischemic cerebral vessels and injury sites.
  • Superior microglia-targeting properties were observed due to mannose-mannose receptor affinity, increasing luteolin uptake.
  • lut/man-pEXO modulated microglia from detrimental M1 to anti-inflammatory M2 phenotype, reducing infarct area, protecting the blood-brain barrier (BBB), and preventing astrocyte inflammation.

Conclusions:

  • Surface-engineered lut/man-pEXO effectively targets microglia in ischemic stroke.
  • This targeted delivery system enhances neuroprotection by modulating microglial activation and reducing ischemic damage.
  • lut/man-pEXO represents a promising therapeutic strategy for ischemic stroke treatment.

Related Concept Videos