miRNA in blood-brain barrier repair: role of extracellular vesicles in stroke recovery

Ischemic stroke is a leading cause of mortality and long-term disability globally. One of its aspects is the breakdown of the blood-brain barrier (BBB). The disruption of BBB’s integrity during stroke exacerbates neurological damage and hampers therapeutic intervention. Recent advances in regenerati...

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Main Authors: Vojtech Sprincl, Nataliya Romanyuk
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-02-01
Series:Frontiers in Cellular Neuroscience
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Online Access:https://www.frontiersin.org/articles/10.3389/fncel.2025.1503193/full
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author Vojtech Sprincl
Vojtech Sprincl
Nataliya Romanyuk
author_facet Vojtech Sprincl
Vojtech Sprincl
Nataliya Romanyuk
author_sort Vojtech Sprincl
collection DOAJ
description Ischemic stroke is a leading cause of mortality and long-term disability globally. One of its aspects is the breakdown of the blood-brain barrier (BBB). The disruption of BBB’s integrity during stroke exacerbates neurological damage and hampers therapeutic intervention. Recent advances in regenerative medicine suggest that mesenchymal stem cells (MSCs) derived extracellular vesicles (EVs) show promise for restoring BBB integrity. This review explores the potential of MSC-derived EVs in mediating neuroprotective and reparative effects on the BBB after ischemic stroke. We highlight the molecular cargo of MSC-derived EVs, including miRNAs, and their role in enhancing angiogenesis, promoting the BBB and neural repair, and mitigating apoptosis. Furthermore, we discuss the challenges associated with the clinical translation of MSC-derived EV therapies and the possibilities of further enhancing EVs’ innate protective qualities. Our findings underscore the need for further research to optimize the therapeutic potential of EVs and establish their efficacy and safety in clinical settings.
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spelling doaj-art-7261ca794e914e07af47bc29edd61b2e2025-02-07T06:49:38ZengFrontiers Media S.A.Frontiers in Cellular Neuroscience1662-51022025-02-011910.3389/fncel.2025.15031931503193miRNA in blood-brain barrier repair: role of extracellular vesicles in stroke recoveryVojtech Sprincl0Vojtech Sprincl1Nataliya Romanyuk2Department of Neuroregeneration, Institute of Experimental Medicine of the Czech Academy of Sciences, Prague, CzechiaDepartment of Neuroscience, 2nd Medical Faculty, Charles University, Prague, CzechiaDepartment of Neuroregeneration, Institute of Experimental Medicine of the Czech Academy of Sciences, Prague, CzechiaIschemic stroke is a leading cause of mortality and long-term disability globally. One of its aspects is the breakdown of the blood-brain barrier (BBB). The disruption of BBB’s integrity during stroke exacerbates neurological damage and hampers therapeutic intervention. Recent advances in regenerative medicine suggest that mesenchymal stem cells (MSCs) derived extracellular vesicles (EVs) show promise for restoring BBB integrity. This review explores the potential of MSC-derived EVs in mediating neuroprotective and reparative effects on the BBB after ischemic stroke. We highlight the molecular cargo of MSC-derived EVs, including miRNAs, and their role in enhancing angiogenesis, promoting the BBB and neural repair, and mitigating apoptosis. Furthermore, we discuss the challenges associated with the clinical translation of MSC-derived EV therapies and the possibilities of further enhancing EVs’ innate protective qualities. Our findings underscore the need for further research to optimize the therapeutic potential of EVs and establish their efficacy and safety in clinical settings.https://www.frontiersin.org/articles/10.3389/fncel.2025.1503193/fullacute ischemic strokemesenchymal stem cellextracellular vesicleexosomemiRNAblood-brain barrier
spellingShingle Vojtech Sprincl
Vojtech Sprincl
Nataliya Romanyuk
miRNA in blood-brain barrier repair: role of extracellular vesicles in stroke recovery
Frontiers in Cellular Neuroscience
acute ischemic stroke
mesenchymal stem cell
extracellular vesicle
exosome
miRNA
blood-brain barrier
title miRNA in blood-brain barrier repair: role of extracellular vesicles in stroke recovery
title_full miRNA in blood-brain barrier repair: role of extracellular vesicles in stroke recovery
title_fullStr miRNA in blood-brain barrier repair: role of extracellular vesicles in stroke recovery
title_full_unstemmed miRNA in blood-brain barrier repair: role of extracellular vesicles in stroke recovery
title_short miRNA in blood-brain barrier repair: role of extracellular vesicles in stroke recovery
title_sort mirna in blood brain barrier repair role of extracellular vesicles in stroke recovery
topic acute ischemic stroke
mesenchymal stem cell
extracellular vesicle
exosome
miRNA
blood-brain barrier
url https://www.frontiersin.org/articles/10.3389/fncel.2025.1503193/full
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AT nataliyaromanyuk mirnainbloodbrainbarrierrepairroleofextracellularvesiclesinstrokerecovery