Platelet microvesicles engineered Pt-Se aggregates treat intracerebral hemorrhage by reshaping the immune microenvironment and inhibiting neuronal ferroptosis
摘要
Following the primary injury of intracerebral hemorrhage (ICH), the accumulation of excessive iron leads to neuronal ferroptosis. At the same time, the pro-inflammatory cascade reaction in the perihematomal region composed of activated resident microglia can propagate neural cell death. The progressive secondary brain injury following ICH is driven by a persistent reactive oxygen species (ROS) accumulation in the cerebral microenvironment and dysregulation of the glutathione (GSH)/glutathione peroxidase 4 (GPX4) antioxidant system. Targeting ROS clearance and reactivating this antioxidant defense system represent promising therapeutic strategies for mitigating secondary damage in ICH management. Here, we have designed a selenium-enriched ultrafine nanoparticle (PtSe) with enzyme-like reactivity, simultaneously serving as a ROS scavenger and a selenium reservoir for GPX4 biosynthesis. By aggregating and encapsulating PtSe into platelet-derived microvesicles, PtSe@PMV was obtained. In vitro and in vivo studies showed that the engineered modification of platelet-derived microvesicles resulted in multivalent targeting characteristics of PtSe@PMV to the site of ICH, with a local drug concentration 11.9 times higher than the control group. In mice with ICH, PtSe@PMV was found to effectively inhibit neuronal ferroptosis, reshape the immune microenvironment of the lesion area, and inhibit the deterioration of ICH. This study provides a new method for treating secondary injury caused by ICH and demonstrates the potential of cell-derived drug carriers and enzyme-like drugs in biomedicine.