journal article·2026-07-27

Rocket‐Inspired Sequentially Targeted Nanotherapeutics for Mitochondrial Regulation and Inflammatory Reprogramming in Ischemic Stroke

He Bai, Zihao Yong, Yang Li, Qingmin Chen, Yong Liu, Xiaomeng Guo, Fukai Li, Shicheng Tang, Zhuo Yang, Yufei Zhang, Ruwei Jie, Xiaohong Lv, Huacheng Wang, Chunming Huang, Liwei Xie, Jianqi Xiao, Qingchun Mu, Longguang Tang

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Abstract

ABSTRACT Mitochondrial dysfunction causes inflammatory cascades in cerebral ischemia‐reperfusion injury (CIRI). However, precise pharmacological interventions are hindered by the restrictive blood‐brain barrier (BBB). Here, we report a neutrophil‐hitchhiking, biomimetic nanoplatform (NeuM@Mdivi‐1) with a “rocket‐inspired” sequential targeting strategy for restoring mitochondrial homeostasis. By co‐opting the innate chemotaxis of circulating neutrophils, NeuM@Mdivi‐1 effectively bypassed the BBB to infiltrate the ischemic penumbra. Within this pathological microenvironment, upregulated matrix metalloproteinase‐9 (MMP9) triggers surface transformation, exposing mitochondrial‐targeting peptides and enabling the precise intracellular release of the fission inhibitor Mdivi‐1. This spatiotemporal delivery approach effectively suppresses aberrant dynamin‐related protein 1 (Drp1)‐mediated fission, thereby silencing the Drp1/mtDNA/cGAS‐STING signaling axis and mitigating neuronal ferroptosis. NeuM@Mdivi‐1 preserves neuronal viability and reengineers the immune microenvironment by decoupling mitochondrial fragmentation from the inflammatory response, thereby establishing a sophisticated therapeutic paradigm for CIRI management.
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Research context

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Affiliations

Affiliated Gaozhou People's Hospital Guangdong Medical University Maoming Guangdong China

College of Life Sciences Mudanjiang Medical University Mudanjiang Heilongjiang People's Republic of China

Department of Pharmacy Center for Regenerative and Aging Medicine and International School of Medicine International Institutes of Medicine The Fourth Affiliated Hospital of School of Medicine Zhejiang University Yiwu China

Shanxi Province Cancer Hospital/Shanxi Hospital Affiliated to Cancer Hospital Chinese Academy of Medical Sciences/Cancer Hospital Affiliated to Shanxi Medical University Taiyuan Shanxi China

Department of Physiology School of Basic Medical Sciences Guilin Medical University Guilin Guangxi China

Faculty of Synthetic Biology Shenzhen University of Advanced Technology Shenzhen China

Department of Neurosurgery Affiliated Hospital of Guangdong Medical University Zhanjiang Guangdong China

Funding

National Natural Science Foundation of China · Natural Science Foundation of Heilongjiang Province

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