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Bio-clickable, small extracellular vesicles-COCKTAIL therapy for ischemic stroke

Haroon, Khan, Ruan, Huitong, Zheng, Haoran, Wu, Shengju, Liu, Ze, Shi, Xiaojing, Tang, Yaohui, Yang, Guo-Yuan, Zhang, Zhijun·2023·Journal of Controlled Release

Abstract

Delivering large therapeutic molecules via the blood-brain barrier to treat ischemic stroke remains challenging. NR2B9c is a potent neuroprotective peptide but it's safe and targeted delivery to the brain requires an efficient, natural, and non-immunogenic delivery technique. Small extracellular vesicles (sEVs) have shown great potential as a non-immunogenic, natural cargo delivery system; however, tailoring of its inefficient brain targeting is desired. Here, we coupled rabies virus glycoprotein 29 with sEVs surface via bio-orthogonal click chemistry reactions, followed by loading of NR2B9c, ultimately generating stroke-specific therapeutic COCKTAIL (sEVs-COCKTAIL). Primary neurons and Neuro-2a cells were cultured for in vitro and transient middle cerebral artery occlusion model was used for in vivo studies to evaluate neuron targeting and anti-ischemic stroke potential of the sEVs-COCKTAIL. Bio-clickable sEVs were selectively taken up by neurons but not glial cells. In the in vitro ischemic stroke model of oxygen-glucose deprivation, the sEVs-COCKTAIL exhibited remarkable potential against reactive oxygen species and cellular apoptosis. In vivo studies further demonstrated the brain targeting and increased half-life of bio-clickable sEVs, delivering NR2B9c to the ischemic brain and reducing stroke injury. Treatment with the sEVs-COCKTAIL significantly increased behavioral recovery and reduced neuronal apoptosis after transient middle cerebral artery occlusion. NR2B9c was de…

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Metadata

Authors
Haroon, K., Ruan, H., Zheng, H., Wu, S., Liu, Z., Shi, X., Tang, Y., Yang, G.-Y., & Zhang, Z.
Venue
Journal of Controlled Release
Publisher
Elsevier BV
Published
2023-11
Volume
363
Pages
585-596
ISSN
0168-3659
Cited by
25
References
5
Language
en
Funders
  • National Natural Science Foundation of China (82271320, 81974179, 82003658, 82071284)
  • National Key Research and Development Program of China Stem Cell and Translational Research
  • Shanghai Municipal Education Commission
  • Shanghai Education Development Foundation
  • National Key Research and Development Program of China (2019YFA0112000, 2022YFA1603604)

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