Cyanobacteria-derived near-infrared autofluorescent exosomes enabling synergistic brain lesion imaging and neuroprotection.

Pan, Jingmei; Wang, Yayun; Feng, Yikun; Wang, Jiaoyang; Huang, Qiongya; Yan, Lei; Zhou, Xiaobo; Sun, Huili et al. · Bioact Mater · 2026

basic_science · Level V

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Abstract

Precision diagnosis and treatment of central nervous system (CNS) diseases are hindered by limited probe penetration, toxicity risks, and low imaging signal-to-noise ratio (SNR). The blood-brain barrier (BBB) further restricts drug delivery, especially in stroke therapy. This study proposes and validates a natural exosome (sExos) from cyanobacteria, featuring intrinsic near-infrared-I (NIR-I) autofluorescence, with strong imaging and neuroprotective functions. As a theranostic nanoplatform, sExos enable integrated diagnosis and treatment of stroke and other brain disorders. Enriched with the fluorescent phycobiliprotein ApcE, sExos support label-free, high-SNR brain imaging in the NIR-I window. <i>In vivo</i>, sExos cross the BBB and accumulate in ischemic lesions, enabling dynamic visualization. Mechanistically, sExos regulate lipid metabolism and inhibit NF-κB signaling, reducing oxidative stress and neuroinflammation, while promoting neural recovery. Toxicity and immunogenicity evaluations confirm excellent biocompatibility and safety. In summary, this naturally autofluorescent exosome offers a label-free, brain-penetrant, and therapeutically promising imaging-intervention strategy, opening avenues for noninvasive stroke therapy and precision CNS disease management.