中枢神経損傷への新しい治療法を開発(Researchers Develop Novel Treatment for Central Nervous System Injury)

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2025-08-27 中国科学院(CAS)

中国科学院過程工程研究所(IPE)と深圳市第二人民医院の研究チームは、外傷性中枢神経系損傷(TBI・SCI)に対する新規治療法を開発した(Cell Reports Medicine掲載)。従来治療は外科的処置や支持療法に限られ、抗酸化剤は血液脳関門を通過しにくく、神経幹細胞(NSC)療法も病的環境で効果が制限されていた。研究者らはNSC由来エクソソーム(NExo)に着目し、さらに超微小セレンナノ粒子(約3.5nm)を脂質媒介で組み込んだ改良型「SeNExo」を開発。SeNExoはAPOE_LRP-1経路で血液脳関門を通過し、損傷部位に到達後、活性酸素種を除去すると同時に神経修復を促進する。マウスTBIモデルでは脳損傷縮小や学習・記憶機能の改善を確認し、遺伝子発現解析から酸化ストレス・アポトーシス抑制、炎症反応の転写プログラム修正、神経–グリア相互作用の正常化が示された。SCIモデルでも運動機能回復が得られ、優れた生体適合性と安定性が確認された。本成果は、臨床応用可能なCNS損傷治療薬開発への大きな一歩となる。

中枢神経損傷への新しい治療法を開発(Researchers Develop Novel Treatment for Central Nervous System Injury)
Schematic diagram of the preparation, blood-brain barrier penetration, and synergistic neural repair of SeNExo. (Image by WANG Wenjing)

<関連情報>

セレン化神経幹細胞由来エクソソーム:中枢神経系外傷性損傷に対する新種の治療剤 Selenized neural stem cell-derived exosomes: A neotype therapeutic agent for traumatic injuries of the central nervous system

Wenjing Wang ∙ Guihong Lu ∙ Peilin Guo ∙ … ∙ Hui Tan, ∙ Guanghui Ma ∙ Wei Wei
Cell Reports Medicine  Published:August 28, 2025
DOI:https://doi.org/10.1016/j.xcrm.2025.102319

Highlights

  • NSC-derived exosomes are functionalized with ultrasmall nano-selenium
  • SeNExo crosses the BBB by utilizing APOE_LRP-1 interaction
  • SeNExo exhibits ROS scavenging and neuroprotection abilities
  • Therapeutic efficacies are demonstrated in TBI and SCI model mice

Summary

Oxidative damage and neuroinflammation are the key features of central nervous system (CNS) injury. Inspired by the neuroprotective properties of neural stem cell-derived exosomes (NExo) and the reactive oxygen species (ROS) scavenging ability of selenium, we develop an advanced NExo bearing ultrasmall nano-selenium (∼3.5 nm) via lipid-mediated nucleation (SeNExo). In addition to maintaining the biological components of NExo, the resulting SeNExo exhibits a Se–O bond that dramatically enhances its ROS-scavenging performance. SeNExo penetrates the blood-brain barrier (BBB) via the apolipoprotein E and prolow-density lipoprotein receptor-related protein 1 (APOE_LRP-1) interaction. Through proteomics, microRNA (miRNA) omics, and single-nucleus RNA sequencing, we find that SeNExo can alleviate neuronal apoptosis, restore glia homeostasis, and remodel glia-neuron networks. Therefore, SeNExo confers potent therapeutic benefits, significantly reducing cerebral lesions in a murine traumatic brain injury model. Even extending to a murine spinal cord injury model, SeNExo promotes locomotory recovery, further supporting SeNExo as a neotype and a promising therapeutic agent for treating traumatic CNS injury.

医療・健康
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