Brain delivery of quercetin-loaded exosomes improved cognitive function in AD mice by inhibiting phosphorylated tau-mediated neurofibrillary tangles
Open accessAbstract
It is reported that quercetin (Que) can prevent tau pathology and induce neuroprotection by improving cognitive and functional symptoms in the treatment of Alzheimer's disease (AD). However, its clinical application has been limited due to its poor brain targeting and bioavailability. Exosomes are considered as cargo carriers for intercellular communication and especially serve as a natural and important drug brain delivery platform for achieving better treatment of central neurological diseases. Here, we developed plasma exosomes (Exo) loaded with Que (Exo-Que) to improve the drug bioavailability, enhance the brain targeting of Que and potently ameliorate cognitive dysfunction in okadaic acid (OA)-induced AD mice. Our results showed that Exo-Que improved brain targeting of Que as well as significantly enhanced bioavailability of Que. Furthermore, compared with free Que, Exo-Que better relieved the symptoms of AD by inhibiting cyclin-dependent kinase 5 (CDK5)-mediated phosphorylation of Tau and reducing formation of insoluble neurofibrillary tangles (NFTs), suggesting its therapeutic potential for better treatment of AD.
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Exo-Que significantly enhanced Qc's pharmacokinetic profile, increased its accumulation in the brain, and improved the memory and spatial learning of SD rats.
“Exo-Que significantly enhanced Qc’s pharmacokinetic profile, increased its accumulation in the brain, and improved the memory and spatial learning of SD rats.”
From Advances in Strategies to Transport Nanoparticles Across the Blood–Brain Barrier for Drug Delivery into the Brain for the Treatment of Alzheimer’s Disease (2026) · cites this paper as [115]
The Results sections on bioavailability and brain accumulation report improved pharmacokinetics and increased brain quercetin in SD rats. The cognitive-function Results section reports improved memory and spatial learning in OA-induced AD mice, not SD rats; the claim incorrectly assigns that outcome to the rats. Page numbers are not provided in our copy. (LLM, conf=0.92)
Experimental — accuracy not yet measuredExo-Que administration was safe without systematic toxicity in vivo.
“Their administration was safe without systematic toxicity in vivo.”
From Advances in Strategies to Transport Nanoparticles Across the Blood–Brain Barrier for Drug Delivery into the Brain for the Treatment of Alzheimer’s Disease (2026) · cites this paper as [115]
Exosomes without Qc exerted a synergistic neuroprotection in rescuing memory deficits.
“Ultimately, exosomes without Qc exerted a synergistic neuroprotection in rescuing memory deficits.”
From Advances in Strategies to Transport Nanoparticles Across the Blood–Brain Barrier for Drug Delivery into the Brain for the Treatment of Alzheimer’s Disease (2026) · cites this paper as [115]
Exo-Que showed neuroprotective properties, suppressed the apoptosis of neurons in the hippocampus, and inhibited the formation of NFTs by limiting CDK5-mediated phosphorylation of tau protein.
“Moreover, it showed neuroprotective properties, suppressed the apoptosis of neurons in the hippocampus, and inhibited the formation of NFTs by limiting CDK5-mediated phosphorylation of tau protein, all these consequences derived from OA-injection.”
From Advances in Strategies to Transport Nanoparticles Across the Blood–Brain Barrier for Drug Delivery into the Brain for the Treatment of Alzheimer’s Disease (2026) · cites this paper as [115]
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- Authors
- Qi, Y., Guo, L., Jiang, Y., Shi, Y., Sui, H., & Zhao, L.
- Affiliations
- Jinzhou Medical University (CN)
- Corresponding author
- Zhao, Liang
- Venue
- Drug Delivery
- Publisher
- Informa UK Limited
- Published
- 2020-01
- Volume
- 27
- Issue
- 1
- Pages
- 745-755
- ISSN
- 1071-7544 (ISSN-L)
- 1521-0464
- PMC
- PMC7269046
- OpenAlex
- W3025860373
- Cited by
- 239
- References
- 36
- Citations by year
- 2026: 39 · 2025: 42 · 2024: 48 · 2023: 38 · 2022: 41 · 2021: 29 · 2020: 2
- FWCI
- 16.54
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Drug Delivery (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Natural Science Foundation of Liaoning Province (-ZD-)
- Topics
- Health Sciences › Medicine › Physiology › Alzheimer's disease research and treatments
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Extracellular vesicles in disease
- Physical Sciences › Materials Science › Biomaterials › Nanoparticle-Based Drug Delivery
- Keywords
- quercetin, exosomes, Alzheimer's disease, brain drug delivery, neurofibrillary tangles, tau phosphorylation, cyclin-dependent kinase 5, cognitive impairment, plasma exosomes, drug bioavailability, neuroprotection
- MeSH terms
- Alzheimer Disease, Animals, Biological Availability, Brain, Cognition, Drug Carriers, Mice, Inbred C57BL, Neurons, Phosphorylation, Quercetin, Neurofibrillary Tangles, Rats, Sprague-Dawley, Neuroprotective Agents, Maze Learning, Exosomes
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