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Intercellular mitochondrial transfer: A novel neuroprotective strategy in stroke management
Xihang Piao1, Xiaolei Tang2, Li Li3
1Academic Affairs Office, Changchun University of Chinese Medicine, Jilin, China.
European Journal of Pharmacology
|December 5, 2025
Summary
Healthy mitochondria can be transferred between cells after stroke, offering a promising neuroprotective strategy. This intercellular mitochondrial transfer helps repair injured neurons and restore energy balance.
Area of Science:
- Neuroscience
- Cell Biology
- Biomedical Research
Background:
- Stroke is a major cause of death and disability globally.
- Current acute treatments are insufficient for long-term recovery.
- Neuroprotection strategies are urgently needed.
Purpose of the Study:
- To review the mechanisms of intercellular mitochondrial transfer in stroke.
- To explore the roles of different cell types in this process.
- To evaluate the clinical potential of mitochondrial transfer for stroke therapy.
Main Methods:
- Literature review of studies on intercellular mitochondrial transfer.
- Analysis of cellular sources and transfer routes (tunneling nanotubes, extracellular vesicles, cell fusion).
- Examination of regulatory mechanisms and cell contributions (astrocytes, MSCs, microglia, endothelial cells).
Main Results:
- Intercellular mitochondrial transfer is an endogenous repair mechanism in stroke.
- Mitochondria transfer restores bioenergetic homeostasis in injured neurons.
- This process offers advantages over genetic therapies, including targeted delivery and mtDNA complementation.
Conclusions:
- Mitochondrial transfer represents a promising therapeutic avenue for stroke.
- Further research is needed to overcome barriers to clinical application.
- Understanding cellular contributions is key to harnessing this repair mechanism.

