Rocket-Inspired Sequentially Targeted Nanotherapeutics for Mitochondrial Regulation and Inflammatory Reprogramming in
He Bai1, Zihao Yong2, Yang Li3
1Affiliated Gaozhou People's Hospital, Guangdong Medical University, Maoming, Guangdong, China.
Advanced Science (Weinheim, Baden-Wurttemberg, Germany)
|July 27, 2026
Summary
This study introduces a novel nanoplatform that uses neutrophils to cross the blood-brain barrier, delivering drugs to treat cerebral ischemia-reperfusion injury and protect neurons.
Area of Science:
- Biomedical Engineering
- Neuroscience
- Pharmacology
Background:
- Mitochondrial dysfunction is a key factor in cerebral ischemia-reperfusion injury (CIRI).
- The blood-brain barrier (BBB) limits effective pharmacological treatment for CIRI.
- Targeting mitochondrial homeostasis is crucial for managing CIRI.
Purpose of the Study:
- To develop a novel nanoplatform for targeted drug delivery across the BBB in CIRI.
- To restore mitochondrial homeostasis and mitigate neuronal damage in CIRI.
- To investigate a sequential targeting strategy for enhanced therapeutic efficacy.
Main Methods:
- Development of a neutrophil-hitchhiking, biomimetic nanoplatform (NeuM@Mdivi-1).
- Utilizing neutrophil chemotaxis to bypass the BBB and target the ischemic penumbra.
- Employing a MMP9-triggered surface transformation for intracellular drug release of Mdivi-1.
Main Results:
- NeuM@Mdivi-1 successfully infiltrated the ischemic penumbra by co-opting neutrophils.
- The nanoplatform enabled precise intracellular release of Mdivi-1, inhibiting Drp1-mediated mitochondrial fission.
- Therapeutic intervention suppressed the Drp1/mtDNA/cGAS-STING signaling axis, mitigating neuronal ferroptosis and preserving neuronal viability.
Conclusions:
- NeuM@Mdivi-1 offers a sophisticated therapeutic paradigm for CIRI management.
- The nanoplatform effectively restores mitochondrial homeostasis and reduces inflammation.
- This approach demonstrates potential for treating BBB-restricted neurological disorders.
Related Concept Videos
Electron Transport Chain: Complex I and II
The mitochondrial electron transport chain (ETC) is the main energy generation system in the eukaryotic cells. However, mitochondria also produce cytotoxic reactive oxygen species (ROS) due to the large electron flow during oxidative phosphorylation. While Complex I is one of the primary sources of superoxide radicals, ROS production by Complex II is uncommon and may only be observed in cancer cells with mutated complexes.
ROS generation is regulated and maintained at moderate levels necessary...
ROS generation is regulated and maintained at moderate levels necessary...
Ischemic Stroke ll: Pathophysiology
An ischemic stroke occurs when a cerebral blood vessel becomes obstructed, most often by a thrombus or embolus, interrupting the delivery of oxygen and glucose to brain tissue. Because neurons rely on continuous aerobic metabolism, energy failure begins within minutes of reduced perfusion. The region receiving the least blood flow becomes the infarct core, an area of irreversible cellular death. Surrounding this core lies the penumbra, a zone of hypoperfused but still viable tissue that is...

