M2 macrophage-derived exosomes mitigate acute inflammation following ischemic stroke

Jinyang Song1, Gang Su2, Wei Chen1

  • 1The Second Hospital & Clinical Medical School, Lanzhou University, Lanzhou, Gansu, China.

Frontiers in Neurology
|February 20, 2026
PubMed
Abstract

Insights

M2 macrophage-derived exosomes (M2-exo) show potent anti-inflammatory effects, reducing brain injury after stroke. They deliver miR-330-5p, which targets Syk and Stat3 pathways, offering a novel therapeutic strategy for ischemic stroke.

Area of Science:

  • Neuroscience
  • Immunology
  • Biochemistry

Background:

  • Ischemic stroke triggers acute inflammation, worsening brain damage.
  • Oxidative stress during stroke exacerbates injury, with limited therapeutic options.
  • Targeting neuroinflammation is a key strategy for stroke treatment.

Purpose of the Study:

  • To investigate the therapeutic potential of macrophage-derived exosomes in ischemic stroke.
  • To elucidate the anti-inflammatory mechanisms of M2 macrophage-derived exosomes (M2-exo).
  • To identify key molecular players involved in the therapeutic effects of M2-exo.

Main Methods:

  • Exosomes from M0 and M2 macrophages were administered to microglia and mice models of ischemic stroke (tMCAO).
  • Bioinformatic analysis and experimental validation were used to explore anti-inflammatory mechanisms.
  • miRNA sequencing identified specific microRNAs enriched in M2-exo.

Main Results:

  • Exosome treatment significantly suppressed pro-inflammatory factors and reduced infarct volume.
  • M2-exo demonstrated superior anti-inflammatory effects compared to M0-exo.
  • miR-330-5p in M2-exo was found to suppress Syk and Stat3 signaling in microglia, reducing inflammation.

Conclusions:

  • M2-exo exert significant anti-inflammatory effects in ischemic stroke models.
  • The miR-330-5p/Syk/Stat3 pathway represents a novel therapeutic target for stroke.
  • Macrophage-derived exosomes offer promising therapeutic insights for stroke treatment.