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Table 3 Application of immune cell-based DDS in ischemic stroke

From: Immune cells: potential carriers or agents for drug delivery to the central nervous system

Immune cells

Components

Loaded drugs/nanoparticles

Methods

Model

Functions

References

Neutrophil

Cell

cRGD-modified liposome (Edaravone)

Trojan horse

MCAO model

[144]

 

Cell

Neutrophil-targeted polymeric nanoparticles

Trojan horse

MCAO model

[145]

 

Membrane

Mesoporous Prussian blue nanozyme

Hypotonic lysis and homogenizer

Co-extrusion

MCAO model

Reduce the recruited neutrophils

Promote microglia polarization from M1 to M2

Decrease apoptosis of neurons

Upregulate neurogenesis

[146]

 

Nanovesicles

Resolvin D2

Centrifugal separation; Sonication and incubation

MCAO model

Suppression of inflammation

[147]

Macrophage

Cell

Spleen-targeted glabridin-loaded nanoparticles

Trojan horse

MCAO model

Enhance the polarization of Mo/Mϕ into M2-macrophages in the spleen

Inhibit the inflammatory cascade in the penumbra

[157]

 

Exosomes

Edaravone

Incubation and centrifugal separation (pre-loading)

MCAO model

Reducing the damage and death of neuronal cells

Promote the polarization of microglia from M1 to M2

[158]

 

Exosomes

CUR

Incubation and centrifugal separation (pre-loading)

MCAO model

Alleviate BBB damage

Suppress mitochondria-mediated neuronal apoptosis

[159]

 

Exosomes

LPS-induced macrophage exosomes

Ultrafiltration

MCAO model

Promote the conversion of microglia from M1 to M2 phenotypes

Reduced M1 microglia-induced neuronal toxicity

[160]

 

Membrane

Fingolimod-loaded MnO2 nanoparticles

Hypotonic lysis, freezing and thawing, and homogenizer

Co-extrusion

MCAO model

Reduce oxidative stress

Modulate inflammatory microenvironment

Reinforce the survival of damaged neuron

[161]

 

Membrane

Tetramethylpyrazine-loaded ROS-responsive nanoparticles

Lysis buffers and homogenizers

Co-extrusion

MCAO mode

Eliminate ROS

Promote the regeneration of neural cells

Suppression of inflammation

[162]

 

Membrane

CUR-loaded ROS-responsive nanoparticles

Lysis buffers and homogenizers

Co-extrusion

MCAO model

Eliminate ROS

Promote the regeneration of neural cells

Suppression of inflammation

[163]

 

Membrane

BA loaded liposome

Sonication and centrifugal; Co-extrusion

MCAO model

Improve the circulation of BA in blood

Improve neuroprotective effect

[164]

Microglia

Membrane

Catalase-loaded acid-responsive nanoparticle

Lysis buffers and co-extrusion

MCAO model

Eliminate excessive Fe2+ in-situ

Eliminate ROS

Promote microglia polarization from M1 to M2

[165]

  1. BA baicalin, BBB blood–brain barrier, cRGD cyclo (Arg-Gly-Asp-d-Tyr-Lys), CUR curcumin, LPS lipopolysaccharide, Mo/Mφ monocyte/macrophage, MCAO middle cerebral artery occlusion, ROS reactive oxygen species. “–” represent not mentioned