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Unlocking extracellular mitochondria from bench to clinical application in stroke
Gen Hamanaka1, Dong-Bin Back1, Ji-Hyun Park1
1Neuroprotection Research Laboratories, Departments of Radiology and Neurology, Massachusetts General Hospital and Harvard Medical School, Charlestown, MA 02129, United States.
Stem Cells Translational Medicine
|November 14, 2025
Summary
Extracellular mitochondria in the central nervous system (CNS) can be neuroprotective or damaging. Their release under disease conditions offers potential as biomarkers and for therapeutic transplantation in CNS disorders like stroke.
Area of Science:
- Neuroscience
- Cell Biology
- Biochemistry
Background:
- Mitochondria are crucial for energy metabolism and cellular functions in the central nervous system (CNS).
- Extracellular mitochondria are increasingly recognized for their roles in intercellular communication within the CNS.
- Both beneficial and detrimental effects of extracellular mitochondria depend on their functional state and the pathological context.
Purpose of the Study:
- To review recent advances in mitochondrial transfer between cells in the CNS.
- To explore the potential of extracellular mitochondria as biomarkers for CNS recovery.
- To discuss the prospects of mitochondria transplantation as a therapeutic strategy for CNS disorders, particularly stroke.
Main Methods:
- Review of current literature on mitochondrial intercellular transfer in the CNS.
- Analysis of studies investigating extracellular mitochondrial components as biomarkers.
- Examination of preclinical and clinical research on mitochondria transplantation for CNS diseases.
Main Results:
- Mitochondria can be released into the extracellular space and taken up by other cells in the CNS.
- Functional extracellular mitochondria can exert neuroprotective effects, while damaged ones can promote neurodegeneration.
- Pathologically released mitochondria show promise as diagnostic biomarkers for CNS conditions.
Conclusions:
- Mitochondrial transfer is a significant biological process in the CNS with implications for health and disease.
- Extracellular mitochondria represent a novel class of biomarkers for monitoring CNS recovery.
- Mitochondria transplantation holds therapeutic potential for various CNS disorders, including stroke, warranting further investigation.

