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Utilizing engineered extracellular vesicles as delivery vectors in the management of ischemic stroke: a special outlook on mitochondrial delivery
Jiali Chen1; Yiyang Li1; Xingping Quan1; Jinfen Chen1; Yan Han1; Li Yang2; Manfei Zhou1; Greta Seng Peng Mok1; Ruibing Wang1; Yonghua Zhao1
2025-08
Source PublicationNeural Regeneration Research
Volume20Issue:8Pages:2181-2198
AbstractIschemic stroke is a secondary cause of mortality worldwide, imposing considerable medical and economic burdens on society. Extracellular vesicles, serving as natural nano-carriers for drug delivery, exhibit excellent biocompatibility in vivo and have significant advantages in the management of ischemic stroke. However, the uncertain distribution and rapid clearance of extracellular vesicles impede their delivery efficiency. By utilizing membrane decoration or by encapsulating therapeutic cargo within extracellular vesicles, their delivery efficacy may be greatly improved. Furthermore, previous studies have indicated that microvesicles, a subset of large-sized extracellular vesicles, can transport mitochondria to neighboring cells, thereby aiding in the restoration of mitochondrial function post-ischemic stroke. Small extracellular vesicles have also demonstrated the capability to transfer mitochondrial components, such as proteins or deoxyribonucleic acid, or their sub-components, for extracellular vesicle-based ischemic stroke therapy. In this review, we undertake a comparative analysis of the isolation techniques employed for extracellular vesicles and present an overview of the current dominant extracellular vesicle modification methodologies. Given the complex facets of treating ischemic stroke, we also delineate various extracellular vesicle modification approaches which are suited to different facets of the treatment process. Moreover, given the burgeoning interest in mitochondrial delivery, we delved into the feasibility and existing research findings on the transportation of mitochondrial fractions or intact mitochondria through small extracellular vesicles and microvesicles to offer a fresh perspective on ischemic stroke therapy.
DOI10.4103/NRR.NRR-D-24-00243
Indexed BySCIE
Language英語English
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Document TypeJournal article
CollectionInstitute of Chinese Medical Sciences
Corresponding AuthorYonghua Zhao
Affiliation1.University of Macau
2.Hunan Provincial People’s Hospital
First Author AffilicationUniversity of Macau
Corresponding Author AffilicationUniversity of Macau
Recommended Citation
GB/T 7714
Jiali Chen,Yiyang Li,Xingping Quan,et al. Utilizing engineered extracellular vesicles as delivery vectors in the management of ischemic stroke: a special outlook on mitochondrial delivery[J]. Neural Regeneration Research, 2025, 20(8), 2181-2198.
APA Jiali Chen., Yiyang Li., Xingping Quan., Jinfen Chen., Yan Han., Li Yang., Manfei Zhou., Greta Seng Peng Mok., Ruibing Wang., & Yonghua Zhao (2025). Utilizing engineered extracellular vesicles as delivery vectors in the management of ischemic stroke: a special outlook on mitochondrial delivery. Neural Regeneration Research, 20(8), 2181-2198.
MLA Jiali Chen,et al."Utilizing engineered extracellular vesicles as delivery vectors in the management of ischemic stroke: a special outlook on mitochondrial delivery".Neural Regeneration Research 20.8(2025):2181-2198.
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