Mechanically robust neuroprotective stent by sequential Mg ions release for ischemic stroke therapy

Abstract Most acute ischemic stroke patients with large vessel occlusion require stent implantation post-thrombectomy for complete recanalization, yet they exhibit a high rate of poor prognosis due to ischemia-reperfusion injury. Thus, combining reperfusion therapy with neuroprotective treatment off...

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Main Authors: Hongkang Zhang, Yang Zhang, Lili Sheng, Xiaofeng Cao, Chuanjie Wu, Baoying Song, Yunong Shen, Zikai Xu, Ge Song, Hao Sun, Qing Liu, Xunming Ji, Miaowen Jiang, Ming Li, Yufeng Zheng
Format: Article
Language:English
Published: Nature Portfolio 2025-07-01
Series:Nature Communications
Online Access:https://doi.org/10.1038/s41467-025-61199-x
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author Hongkang Zhang
Yang Zhang
Lili Sheng
Xiaofeng Cao
Chuanjie Wu
Baoying Song
Yunong Shen
Zikai Xu
Ge Song
Hao Sun
Qing Liu
Xunming Ji
Miaowen Jiang
Ming Li
Yufeng Zheng
author_facet Hongkang Zhang
Yang Zhang
Lili Sheng
Xiaofeng Cao
Chuanjie Wu
Baoying Song
Yunong Shen
Zikai Xu
Ge Song
Hao Sun
Qing Liu
Xunming Ji
Miaowen Jiang
Ming Li
Yufeng Zheng
author_sort Hongkang Zhang
collection DOAJ
description Abstract Most acute ischemic stroke patients with large vessel occlusion require stent implantation post-thrombectomy for complete recanalization, yet they exhibit a high rate of poor prognosis due to ischemia-reperfusion injury. Thus, combining reperfusion therapy with neuroprotective treatment offers significant advantages. This study introduces a novel Mg2+ eluting stent by incorporating neuroprotective MgSO4 particles into a PLCL (poly (l-lactide-co-ε-caprolactone)) substrate using 3D printing technology. A novel MgSO4-particle/Mg2+-ions combined-mechanical reinforcement mechanism was introduced. Subsequently, the neuroprotective efficacy of the stents was validated through oxygen-glucose deprivation/reoxygenation-injured neuron cells in vitro and via the transient middle cerebral artery occlusion rat model to emulate human brain ischemia/reperfusion injury in vivo. The staged-release of Mg2+ is supposed to provide sequential neuroprotection that aligns with the treatment window for acute ischemic stroke. This study marks the first development of biodegradable neuroprotective brain stents and presents an effective strategy to alleviate cerebral ischemia-reperfusion injury.
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id doaj-art-b5e655b857b9401b9bfb7a9574f8b0cb
institution Kabale University
issn 2041-1723
language English
publishDate 2025-07-01
publisher Nature Portfolio
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spelling doaj-art-b5e655b857b9401b9bfb7a9574f8b0cb2025-08-20T03:46:23ZengNature PortfolioNature Communications2041-17232025-07-0116112210.1038/s41467-025-61199-xMechanically robust neuroprotective stent by sequential Mg ions release for ischemic stroke therapyHongkang Zhang0Yang Zhang1Lili Sheng2Xiaofeng Cao3Chuanjie Wu4Baoying Song5Yunong Shen6Zikai Xu7Ge Song8Hao Sun9Qing Liu10Xunming Ji11Miaowen Jiang12Ming Li13Yufeng Zheng14School of Materials Science and Engineering, Peking UniversityChina-America Institute of Neuroscience and and Beijing Institute of Geriatrics, Xuanwu Hospital, Capital Medical UniversityBeijing Advanced Medical Technologies, Ltd. IncSchool of Materials Science and Engineering, Peking UniversityChina-America Institute of Neuroscience and and Beijing Institute of Geriatrics, Xuanwu Hospital, Capital Medical UniversityDepartment of Neurology and Neurosurgery, Xuanwu Hospital, Capital Medical UniversitySchool of Materials Science and Engineering, Peking UniversitySchool of Life science University of GlasgowBeijing Advanced Medical Technologies, Ltd. IncBeijing Advanced Medical Technologies, Ltd. IncBeijing Advanced Medical Technologies, Ltd. IncChina-America Institute of Neuroscience and and Beijing Institute of Geriatrics, Xuanwu Hospital, Capital Medical UniversityBeijing Institute of Brain Disorders, Capital Medical UniversityChina-America Institute of Neuroscience and and Beijing Institute of Geriatrics, Xuanwu Hospital, Capital Medical UniversitySchool of Materials Science and Engineering, Peking UniversityAbstract Most acute ischemic stroke patients with large vessel occlusion require stent implantation post-thrombectomy for complete recanalization, yet they exhibit a high rate of poor prognosis due to ischemia-reperfusion injury. Thus, combining reperfusion therapy with neuroprotective treatment offers significant advantages. This study introduces a novel Mg2+ eluting stent by incorporating neuroprotective MgSO4 particles into a PLCL (poly (l-lactide-co-ε-caprolactone)) substrate using 3D printing technology. A novel MgSO4-particle/Mg2+-ions combined-mechanical reinforcement mechanism was introduced. Subsequently, the neuroprotective efficacy of the stents was validated through oxygen-glucose deprivation/reoxygenation-injured neuron cells in vitro and via the transient middle cerebral artery occlusion rat model to emulate human brain ischemia/reperfusion injury in vivo. The staged-release of Mg2+ is supposed to provide sequential neuroprotection that aligns with the treatment window for acute ischemic stroke. This study marks the first development of biodegradable neuroprotective brain stents and presents an effective strategy to alleviate cerebral ischemia-reperfusion injury.https://doi.org/10.1038/s41467-025-61199-x
spellingShingle Hongkang Zhang
Yang Zhang
Lili Sheng
Xiaofeng Cao
Chuanjie Wu
Baoying Song
Yunong Shen
Zikai Xu
Ge Song
Hao Sun
Qing Liu
Xunming Ji
Miaowen Jiang
Ming Li
Yufeng Zheng
Mechanically robust neuroprotective stent by sequential Mg ions release for ischemic stroke therapy
Nature Communications
title Mechanically robust neuroprotective stent by sequential Mg ions release for ischemic stroke therapy
title_full Mechanically robust neuroprotective stent by sequential Mg ions release for ischemic stroke therapy
title_fullStr Mechanically robust neuroprotective stent by sequential Mg ions release for ischemic stroke therapy
title_full_unstemmed Mechanically robust neuroprotective stent by sequential Mg ions release for ischemic stroke therapy
title_short Mechanically robust neuroprotective stent by sequential Mg ions release for ischemic stroke therapy
title_sort mechanically robust neuroprotective stent by sequential mg ions release for ischemic stroke therapy
url https://doi.org/10.1038/s41467-025-61199-x
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