Rapid synergistic thrombolysis of ischemic stroke guided by high-resolution and high-speed photoacoustic cerebrovascular imaging

Thrombosis is the major cause of ischemic stroke and poses a serious health burden globally. Current thrombolytic strategies, such as systematic administration of recombinant human tissue plasminogen activator (rt-PA), are challenged by limited thrombolysis efficiency due to low targeting ability an...

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Main Authors: Mengtao Han, Zhiwei Xue, Mengchen Yu, Nanlin You, Yaguang Ren, Zhiqiang Xu, Zhifeng Wu, Yiming He, Zonghai Sheng, Chengbo Liu, Donghai Wang, Jingqin Chen
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:Photoacoustics
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Online Access:http://www.sciencedirect.com/science/article/pii/S221359792500045X
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author Mengtao Han
Zhiwei Xue
Mengchen Yu
Nanlin You
Yaguang Ren
Zhiqiang Xu
Zhifeng Wu
Yiming He
Zonghai Sheng
Chengbo Liu
Donghai Wang
Jingqin Chen
author_facet Mengtao Han
Zhiwei Xue
Mengchen Yu
Nanlin You
Yaguang Ren
Zhiqiang Xu
Zhifeng Wu
Yiming He
Zonghai Sheng
Chengbo Liu
Donghai Wang
Jingqin Chen
author_sort Mengtao Han
collection DOAJ
description Thrombosis is the major cause of ischemic stroke and poses a serious health burden globally. Current thrombolytic strategies, such as systematic administration of recombinant human tissue plasminogen activator (rt-PA), are challenged by limited thrombolysis efficiency due to low targeting ability and a short plasma half-life. Here, we report a rapid synergistic strategy that integrates sonothrombolysis and rt-PA mediated pharmacological thrombolysis to achieve accurate and efficient treatment of ischemic stroke. The strategy (PLPA@PFP) uses a platelet-biomimetic membrane as a carrier to deliver both perfluoropentane (PFP) and rt-PA, prolonging half-life and effectively accumulating at the thrombus within 0.5 hours. Upon exposure to focused ultrasound, PFP-based cavitation effects significantly enhance thrombus breakdown and rt-PA penetration, enabling synergistic sono/pharmacological thrombolysis both in vitro and in vivo. High-resolution photoacoustic (PA) imaging provides direct assessment of vascular reperfusion following therapeutic intervention in a murine model of ischemic stroke, offering important guidance for clinical treatment.
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series Photoacoustics
spelling doaj-art-c7d8c0cc175149e9bca5518633f06da82025-08-20T01:55:38ZengElsevierPhotoacoustics2213-59792025-06-014310072210.1016/j.pacs.2025.100722Rapid synergistic thrombolysis of ischemic stroke guided by high-resolution and high-speed photoacoustic cerebrovascular imagingMengtao Han0Zhiwei Xue1Mengchen Yu2Nanlin You3Yaguang Ren4Zhiqiang Xu5Zhifeng Wu6Yiming He7Zonghai Sheng8Chengbo Liu9Donghai Wang10Jingqin Chen11Department of Neurosurgery, Qilu Hospital of Shandong University, Cheeloo College of Medicine and Institute of Brain and Brain-Inspired Science, Shandong University, Jinan 250012, China; Research Center for Biomedical Optics and Molecular Imaging, Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen 518055, China; Shandong Key Laboratory of Brain Health and Function Remodeling, Jinan 250012, ChinaDepartment of Neurosurgery, Qilu Hospital of Shandong University, Cheeloo College of Medicine and Institute of Brain and Brain-Inspired Science, Shandong University, Jinan 250012, China; Shandong Key Laboratory of Brain Health and Function Remodeling, Jinan 250012, ChinaDepartment of Neurosurgery, Qilu Hospital of Shandong University, Cheeloo College of Medicine and Institute of Brain and Brain-Inspired Science, Shandong University, Jinan 250012, China; Shandong Key Laboratory of Brain Health and Function Remodeling, Jinan 250012, ChinaDepartment of Neurosurgery, Qilu Hospital of Shandong University, Cheeloo College of Medicine and Institute of Brain and Brain-Inspired Science, Shandong University, Jinan 250012, China; Shandong Key Laboratory of Brain Health and Function Remodeling, Jinan 250012, ChinaResearch Center for Biomedical Optics and Molecular Imaging, Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen 518055, China; State Key Laboratory of Biomedical Imaging Science and System, Shenzhen 518055, ChinaResearch Center for Biomedical Optics and Molecular Imaging, Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen 518055, China; State Key Laboratory of Biomedical Imaging Science and System, Shenzhen 518055, ChinaResearch Center for Biomedical Optics and Molecular Imaging, Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen 518055, China; State Key Laboratory of Biomedical Imaging Science and System, Shenzhen 518055, ChinaDepartment of Neurosurgery, Qilu Hospital of Shandong University, Cheeloo College of Medicine and Institute of Brain and Brain-Inspired Science, Shandong University, Jinan 250012, China; Shandong Key Laboratory of Brain Health and Function Remodeling, Jinan 250012, ChinaState Key Laboratory of Biomedical Imaging Science and System, Shenzhen 518055, China; Research Center for Advanced Detection Materials and Medical Imaging Devices, Institute of Biomedical and Health Engineering, Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen 518055, ChinaResearch Center for Biomedical Optics and Molecular Imaging, Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen 518055, China; State Key Laboratory of Biomedical Imaging Science and System, Shenzhen 518055, China; Corresponding authors at: Research Center for Biomedical Optics and Molecular Imaging, Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen 518055, China.Department of Neurosurgery, Qilu Hospital of Shandong University, Cheeloo College of Medicine and Institute of Brain and Brain-Inspired Science, Shandong University, Jinan 250012, China; Shandong Key Laboratory of Brain Health and Function Remodeling, Jinan 250012, China; Department of Neurosurgery, Qilu Hospital of Shandong University Dezhou Hospital, Dezhou 253000, China; Corresponding author at: Department of Neurosurgery, Qilu Hospital of Shandong University, Cheeloo College of Medicine and Institute of Brain and Brain-Inspired Science, Shandong University, Jinan 250012, China.Research Center for Biomedical Optics and Molecular Imaging, Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen 518055, China; State Key Laboratory of Biomedical Imaging Science and System, Shenzhen 518055, China; Corresponding authors at: Research Center for Biomedical Optics and Molecular Imaging, Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen 518055, China.Thrombosis is the major cause of ischemic stroke and poses a serious health burden globally. Current thrombolytic strategies, such as systematic administration of recombinant human tissue plasminogen activator (rt-PA), are challenged by limited thrombolysis efficiency due to low targeting ability and a short plasma half-life. Here, we report a rapid synergistic strategy that integrates sonothrombolysis and rt-PA mediated pharmacological thrombolysis to achieve accurate and efficient treatment of ischemic stroke. The strategy (PLPA@PFP) uses a platelet-biomimetic membrane as a carrier to deliver both perfluoropentane (PFP) and rt-PA, prolonging half-life and effectively accumulating at the thrombus within 0.5 hours. Upon exposure to focused ultrasound, PFP-based cavitation effects significantly enhance thrombus breakdown and rt-PA penetration, enabling synergistic sono/pharmacological thrombolysis both in vitro and in vivo. High-resolution photoacoustic (PA) imaging provides direct assessment of vascular reperfusion following therapeutic intervention in a murine model of ischemic stroke, offering important guidance for clinical treatment.http://www.sciencedirect.com/science/article/pii/S221359792500045XIschemic strokePhotoacoustic imagingRapid thrombolysisCerebrovascular imagingBiomimetic drug delivery system
spellingShingle Mengtao Han
Zhiwei Xue
Mengchen Yu
Nanlin You
Yaguang Ren
Zhiqiang Xu
Zhifeng Wu
Yiming He
Zonghai Sheng
Chengbo Liu
Donghai Wang
Jingqin Chen
Rapid synergistic thrombolysis of ischemic stroke guided by high-resolution and high-speed photoacoustic cerebrovascular imaging
Photoacoustics
Ischemic stroke
Photoacoustic imaging
Rapid thrombolysis
Cerebrovascular imaging
Biomimetic drug delivery system
title Rapid synergistic thrombolysis of ischemic stroke guided by high-resolution and high-speed photoacoustic cerebrovascular imaging
title_full Rapid synergistic thrombolysis of ischemic stroke guided by high-resolution and high-speed photoacoustic cerebrovascular imaging
title_fullStr Rapid synergistic thrombolysis of ischemic stroke guided by high-resolution and high-speed photoacoustic cerebrovascular imaging
title_full_unstemmed Rapid synergistic thrombolysis of ischemic stroke guided by high-resolution and high-speed photoacoustic cerebrovascular imaging
title_short Rapid synergistic thrombolysis of ischemic stroke guided by high-resolution and high-speed photoacoustic cerebrovascular imaging
title_sort rapid synergistic thrombolysis of ischemic stroke guided by high resolution and high speed photoacoustic cerebrovascular imaging
topic Ischemic stroke
Photoacoustic imaging
Rapid thrombolysis
Cerebrovascular imaging
Biomimetic drug delivery system
url http://www.sciencedirect.com/science/article/pii/S221359792500045X
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