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Intercellular Mitochondrial Transfer as Endogenous Neuroprotection: Mechanisms and Therapeutic Implications in Ischemic Stroke - PubMed

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  • #mitochondrial transfer
  • #neuroprotection
  • #ischemic stroke
  • Intercellular mitochondrial transfer is an emerging neuroprotective mechanism in ischemic stroke.
  • Mitochondrial dysfunction is central to ischemic injury, causing energy failure and cell death.
  • Transfer of functional mitochondria from donor cells to compromised cells occurs via tunneling nanotubes (TNTs), extracellular vesicles (EVs), and gap junctions.
  • Astrocytes, mesenchymal stem cells (MSCs), and pericytes can transfer mitochondria to neurons or brain microvascular endothelial cells (BMECs), aiding recovery.
  • The process helps maintain blood-brain barrier (BBB) integrity and supports neurological recovery, regulated by inflammatory and metabolic signals.
  • Potential therapeutic approaches include pharmacotherapies, non-pharmacological interventions, and direct mitochondrial transplantation.
  • Challenges for clinical translation include transfer selectivity, durability, delivery efficiency, and immune safety, requiring further research and standardization.