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Cell membrane-based nanomaterials for theranostics of central nervous system ailments | Journal of Nanobiotechnology

CNS ailments are tough to remedy, comprising assorted varieties equivalent to Alzheimer’s illness (AD), Stroke, Spinal Wire Harm (SCI), Parkinson’s illness (PD) and CNS tumors. Owing to the aforementioned glorious properties, cell membrane-based nanomaterials have been used as a really perfect software for the theranostics of CNS ailments.


AD is among the commonest CNS ailments, with psychological, behavioral and useful impairment, and lack of studying as cognitive efficiency deteriorates [64, 65]. In response to WHO, the variety of individuals dwelling with dementia estimated to face at 55 million in 2019 and can rise to 139 million in 2050 [66]. At current, it’s broadly accepted that the hyperphosphorylation of tau protein is carefully associated to the event of AD. The irregular hyperphosphorylation has a excessive tendency to combination, which falls off from the neurocytoskeleton inducing intracellular neurofibrillary tangles [67,68,69]. Past that, reactive oxygen species (ROS)-induced neuronal mitochondrial dysfunction and excessively activated microglia-liberated quite a few inflammatory elements in addition to neurotoxic substances are the numerous causes [69, 70].

Sadly, even when totally different therapeutic methods have been developed, AD continues to be an incurable, power and disabling illness. On the superior stage of AD, the scientific outcomes of the present scientific medication, equivalent to acetylcholinesterase inhibitors (rivastigmine, galantamine, donepezil) and N-methyl d-aspartate receptor antagonist, are restricted [65]. In response to the current research, the poor supply of those medication is among the important causes to trigger the unsatisfactory efficacy [71]. Underneath this circumstance, many research have been developed to discover new medication supply methods.

Gao et al. [35] fabricated T807/RPCNP-CUR (Fig. 1A) that would cross the BBB and localize p-tau in neurons for AD remedy. The RBC membrane is employed to coat PLGA particles (RPCNP) which are loaded with curcumin (CUR). T807 molecules, a novel tau positron emission tomography imaging agent for AD, that may cross the BBB and bind to phosphorylation tau constructive human mind sections are embedded on the floor of the RBC membranes. In response to the transmission electron microscope photographs, RBC membranes are efficiently coated on the floor of T807/RPCNP-CUR nanomaterials as proven in Fig. 1B. To substantiate the in vivo brain-targeting capability, the okadaic acid (OA)-induced AD mouse mannequin was adopted because the animal mannequin. After intravenous injection of the near-infrared dye DIR-tagged T807/ RPCNP-CUR, robust fluorescence sign may be noticed within the mind in vivo (Fig. 1C), suggesting that T807/RPCNP-CUR efficiently penetrate the BBB and accumulate within the mind space. Total, T807/RPCNP has a excessive affinity with hyperphosphorylated tau in nerve cells, which may scale back p-tau ranges and suppress neuronal-like cells loss of life in vitro and in vivo to alleviate AD signs such because the reminiscence impairment bettering. In one other examine, to enhance the anti-AD remedy efficacy, this analysis group [72] chosen triphenylphosphine (TPP) molecules, a form of molecules that may enter mitochondria by exploiting the adverse mitochondrion membrane potential, because the mitochondrion focusing on ligand. With the assistance of TPP molecules, the T807/RPCNP system possesses the power to focus on neuronal mitochondria with greater specificity binding to neurons for AD therapy.

Han et al. [70] devised a dual-modified biomimetic nano-system (RVG/TPP-RSV NPs@RBCm) (Fig. 1D). The RBC membrane is used to coat the nanostructured lipid carriers (NLC), that are loaded with resveratrol (RSV) as a mannequin antioxidant. The rabies virus glycoprotein (RVG29) and TPP molecules are hooked up to the RBC membrane floor. RVG/TPP-RSV NPs@RBCm can accumulate within the neuron after penetrating the BBB with the navigation results of RVG, goal the mitochondria effectively with the assistant of TPP, and at last ship the medication to the important thing pathologic website successfully defending neurons. In one other publication, Han et al. [73] employed the macrophage membrane because the shell to coat each the strong lipid nanoparticles (SLNs) and Genistein (GS) for effectively delivering GS into neuronal mitochondria. The RVG29 and TPP are hooked up to the floor of macrophage membrane (RVG/TPP-MASLNs-GS) (Fig. 1E). Useful from the nice biocompatibility and immunological traits of macrophages membrane, SLNs can keep away from to be rapidly cleared by reticuloendothelial system (RES) elimination to an incredible extent. Moreover, RVG/TPP-MASLNs-GS can cross the BBB and selectively goal to the neurons resulting from TPP and RVG, and precisely launch GS to alleviate AD signs in vivo.

Fig. 1
figure 1

(A) The preparation of T807/RPCNP-CUR by utilizing RBC membrane. (B) TEM picture of T807/RPCNP-CUR. (C) in vivo brain-targeting capability of T807/RPCNP-CUR in AD mannequin mice decided by an IVIS® Spectrum. (D) The preparation of RVG/TPP-RSV NPs@RBCm. (E) The preparation of RVG/TPP-MASLNs-GS. Reproduced with permission from Gao et al. [35], Han et al. [70], Han et al. [73]


Stroke is among the main causes of loss of life worldwide, which is especially together with ischemic stroke and hemorrhagic stroke. It’s reported that the worldwide variety of Ischemic stroke deaths elevated from 2.04 million to three.29 million between 1990 and 2019, and can enhance to 4.90 million by 2030 [74]. This type of CNS illness normally manifests as a sudden or speedy onset of lack of operate of a selected a part of the physique because of the mind, retina or spinal twine injury [75]. The inflicting of stroke is comparatively difficult. Particularly, ischemic stroke could also be induced by stenosis and occlusion of intracranial and intracranial arteries, cerebral artery embolism, hemodynamic elements, hematological elements, irritation, an infection, and many others.; whereas hemorrhagic stroke could normally be provoked by the aneurysm rupture, cerebral artery malformation, trauma and different elements [2, 76]. Roughly one-third of stroke victims die inside a yr, and an analogous variety of sufferers are completely incapacitated [75].

Li et al. [49] ready a biomimetic nanomaterial by loading the l-arginine and γ-Fe2O3 magnetic nanoparticles (PAMNs) into PLT membrane, as proven in Fig. 2A. Underneath the steering of an exterior magnetic area and the pure adhesion functionality of PLTs to plaque, PAMNs can goal the ischemic space in a mouse mannequin of cerebral, cortical ischemic stroke quickly, and launch l-arginine on the thrombus website to advertise vasodilation. As well as, each endothelial cells and recent pure PLTs produce nitric oxide (NO) on the thrombus website resulting in the restoration of blood circulation, disruption of the native PLTs aggregation, and reperfusion of the stroke microvascular as nicely. Consequently, PAMNs efficiently transform the microvasculature community across the damage and recuperate blood circulation to the lesion certainly counting on the pure thrombus-targeted adhesion functionality of the PLT membrane and the magnetic area responsiveness of γ-Fe2O3 magnetic nanoparticles (MNs), that are clearly confirmed by the high-resolution, multimodal optical imaging and cerebral blood circulation measurement. Feng et al. [27] designed a noninvasive focused supply system (MPBzyme@NCM) (Fig. 2B) for ischemic stroke therapy. The mesoporous Prussian blue nanozyme (MPBzyme), which possesses strong anti-inflammatory and antioxidative stress properties, is encapsulated by neutrophil-like cell membrane (NCM). MPBzyme@NCM can efficiently goal the broken mind by the interplay between neutrophil-like cell membrane and the infected mind microvascular endothelial cells. After the ingestion of MPBzyme@NCM, the microglia would polarize towards M2 phenotype, thereby lowering the recruitment of neutrophils and lowering apoptosis of neurons, leading to a long-term therapeutic efficacy towards ischemic stroke. Wang et al. [77] reported a functionalized nanoparticles (McM/RNPs) which are ready by coating rapamycin nanoparticles (RNPs) with monocyte membranes (McM) (Fig. 2C) for avoiding reperfusion-induced damage in ischemic stroke. The obtained McM/RNPs can successfully goal and bind to inflammatory endothelial cells and concurrently inhibit the adhesion between monocytes and endothelium, lowering uncontrollable irritation. As well as, the functionalized nanoparticles can attain the lesion website and launch rapamycin (RAP) drug inhibiting microglia proliferation, relieving irritation and bettering the neural regeneration of transient center cerebral artery occlusion (tMCAO) rats.

Fig. 2
figure 2

(A) Schematic diagram of PAMNs construction. (B) Illustration of MPBzyme@NCM getting ready course of. (C) Schematic drawing of McM/RNPs fabrication. Reproduced with permission from Li et al. [49], Feng et al. [27], Wang et al. [77]


As a neurological dysfunction, SCI is normally attributable to the traumatic damage, referring to the entire or partial lack of spinal nerve operate. It could result in critical penalties, from some limb sensory abnormalities and urinary incontinence to paraplegia, and even mind loss of life. It’s reported that the incidence of the traumatic spinal twine damage is 10.5 instances per 100,000 individuals, and the worldwide annual estimated 768,473 new instances [78]. SCI are irreversible accompanied by a number of problems equivalent to neurogenic bladder and bowel, urinary tract infections, strain ulcers, orthostatic hypotension, fractures, deep vein thrombosis, spasticity, autonomic dysreflexia, pulmonary and cardiovascular issues, and depressive problems [79, 80]. Identical to the BBB, the blood-spinal twine barrier (BSCB) is a thorny barrier for drug supply of SCI. The higher drug ship technique that may cross the BSCB and successfully deal with the SCI is way wanted [53].

Yu et al. [53] ready an environment friendly therapeutic system (Met-CNG-GSH) by loading the metformin (Met) into the glutathione-modified macrophage-derived cell membrane-encapsulated nanogels (CNG-GSH). Such nano-system can cross the BSCB and deal with the SCI successfully. Via in vivo imaging validation, Met-CNG-GSH accumulates on the lesion website with an incredible focusing on capability. As well as, the animal experiments demonstrated that Met-CNG-GSH had a superb therapeutic impact in assuaging oxidative stress, suppression of irritation and apoptosis, which considerably enhance the motor operate restoration of SCI mice fashions. Tang et al. [54] reported a kind of macrophage membrane-camouflaged liposome (RM-LIPs) which may higher escape from the host immune programs and actively accumulate on the trauma website of SCI mice fashions. Significantly, by way of loaded with minocycline, RM-LIP system (RM-LIP/MC) (Fig. 3A) can remarkably inhibit the irritation of damage websites and exhibit an impressive therapeutic impact on SCI mice. In one other work, Bi et al. [57] proposed a nano-decoys technique to advertise useful restoration of SCI through lowering the infiltration of immune cells (equivalent to neutrophils). In typical, the neutrophil decoy (ND), which ready by coating the polydopamine (PDA) nanoparticles with neutrophil membrane (Fig. 3B), possessing robust anti-oxidative and anti inflammatory capacities to wash extreme reactive oxygen and nitrogen species. Through the ND therapy, the infiltration of neutrophils was demonstrated to be successfully lowered, resulting in the reduction of the inflammatory and oxidative state of the microenvironment in contusion mice mannequin of SCI. Via this technique, neural operate is anticipated to be restored.

Fig. 3
figure 3

(A) Preparation of various polarized macrophage membrane-camouflaged liposomes (RM-LIPs). (B) Fabrication means of the neutrophil decoy (ND). Reproduced with permission from Tang et al. [54], Bi et al. [57]


PD is one other customary CNS illness, which is induced by the lack of dopaminergic neurons within the pars compacta of the substantia nigra. Typically, the signs of PD primarily together with tremors, bradykinesia, muscle rigidity, problem with postural stability, accompanied by psychological dysfunction, dementia, and reminiscence impairment [81]. Extra frighteningly, it’s related with a excessive incapacity fee [82]. In response to the statistics, there are 3 million aged sufferers affected by PD in China in 2020, and the variety of sufferers with all ages will probably be as much as 5 million by 2030 [83, 84]. In clinic, therapeutic methods together with chemotherapy and surgical therapy can relieve the signs of sufferers. However, the previous has unavoidable unwanted side effects, whereas the latter is an invasive remedy. As well as, at present obtainable therapies can not predict and modify the evolution of the illness. On this context, the cell membrane-based nanomaterials can function a greater candidate for PD theranostics, which has the potentials to understand the noninvasively and lower-side-effect therapies [85, 86].

Liu et al. [86] coated Cu2-xSe- poly(vinylpyrrolidone) (PVP)-Quercetin (Qe) nanoparticles with the membrane of MES23.5 neuronal cells to provide the nano-drugs, often known as CSPQ@CM nanoparticles. Via a sequence in vitro and in vivo experiments, CSPQ@CM nanoparticles can goal towards microglia particularly by way of the interactions between the floor α4β1 integrin of microglia and vascular cells adhering to molecule-1 (VCAM-1) expressed on the floor of neuronal cells. As well as, CSPQ@CM nanoparticles have been demonstrated to point out robust multienzyme actions, which is beneficial to scavenge the reactive oxygen species and promote the polarization of microglia into the anti-inflammatory M2-like phenotype to alleviate neuroinflammation. After the therapy of nanoparticles, all of the dopamine stage in cerebrospinal fluid, the tyrosine hydroxylase, and the ionized calcium binding adapter protein 1 of PD mice recuperate to regular ranges.

CNS tumors

CNS tumors are one of the vital widespread strong tumors, which include intracranial metastases from systemic cancers, meningiomas, lioblastoma, and many others. In response to the Lancet Neurology, there have been 330, 000 incident instances of CNS most cancers and 227, 000 deaths globally in 2016, severely threatening to human life security [87]. Glioblastoma are the commonest malignant tumors of the central nervous system. The sufferers with mind tumors are at greater dangers of neurocognitive decline, despair, fatigue, endocrinopathies, and venous thromboembolism [88]. CNS tumors are commonest ailments amongst kids, adolescents, and younger adults, with a excessive prevalence [89]. These days, the surgical resection continues to be the popular therapy technique of sufferers. Nevertheless, for these sufferers with particular tumor location, the palliative care normally results in poor prognosis. On this context, tumor-targeted medication are repeatedly being developed for the well timed analysis and coordination of gliomas [29, 90,91,92].

RBC membrane has been used as a typical biomimetic materials for mind tumor analysis and therapy. For instance, Chai et al. [34] reported a form of RBC membrane-coated nanoparticle (RBCNP). The outer RBC membrane of nanoparticles was additional modified with neurotoxin-derived peptide DCDX (DCDX -RBCNPs) to endow the nanoparticles with extremely binding affinity with nicotinic acetylcholine receptors (nAChRs) expressed on the floor of mind endothelial cells. Via a sequence of in vitro and in vivo research, it has been verified that DCDX-RBCNPs can penetrate the BBB and present glorious mind goal capability. Moreover, the standard chemotherapeutic medication, DOX, may be loaded within the DCDX-RBCNPs nanoparticles, which may be delivered into the tumor tissues particularly. In one other work, Fu et al. [93] coated strong lipid nanoparticles into crimson blood cell membrane to acquire the RBCSLN. As well as, T7 peptide (CHAIYPRH) and NGR peptide (CYGGRGNG) have been additional modified on the RBC membrane (T7/NGR-RBCSLNs) (Fig. 4A). The obtained nano-system has the power to focus on glioma by way of the outer useful cell membrane. It’s proved that the ready dual-modified RBCSLNs encapsulating with vincristine (VCR) might effectively enhance the anticancer results of VCR each in vitro and in vivo. As well as, Chai et al. [94] proposed an anticancer drug supply technique by coating the drug nanocrystals (NCs) with RBC membrane. To effectively goal the tumor, a tumor-targeting ligand c(RGDyK) are launched on the floor of RBC-NCs (Fig. 4B). The insoluble chemotherapeutic drug docetaxel (DTX) is chosen as a mannequin payload to synthesize RBC-NC(DTX). Evaluating with NC(DTX), RBC-NC(DTX) can cross the BBB after intravenous administration with greater biosafety. Zou et al. [95] modified the RBC membranes with angiopep-2 (Ang), and coated the pH-sensitive nanomedicine DOX/lexiscan (Lex) with this functionalized RBC membranes, often known as Ang-RBCm@NM-(DOX/Lex) (Fig. 4C). The functionalized RBC membranes can endow the nanoparticles with stealth nature within the blood stream, and the nanoparticles have the sufficient time to penetrate BBB with the assistance of angiopep-2. After arriving the tumor tissues, the chemotherapeutic medication DOX and Lex may be successively launched at a decrease pH, reaching the tumor prohibition.

Fig. 4
figure 4

Preparation procedures of RBC membrane-based nanomaterials of T7/NGR-RBCSLNs (A), RBC-NC (B) and Ang-RBCm@NM-(DOX/Lex) (C). Reproduced with permission from Fu et al. [93], Chai et al. [94], Zou et al. [95]

Other than the membrane of RBCs, most cancers cell membrane can also be a promising selection for establishing the cell membrane-based nanoparticles for mind tumor theranostics. Han et al. [29] utilized C6 rat glioblastoma cells membrane to encapsulate the polyethylenimine (PEI25k)/plasmid DNA (pDNA) complexes (PEI25k/pDNA/CM) for gene supply. With the membranes coating, PEI25k/pDNA has improved colloidal stability with adverse floor cost. As well as, evaluating with no membranes coating (PEI25k/pDNA), PEI25k/pDNA/CM has decrease toxicity in vitro and in vivo. Furthermore, PEI25k/pDNA/CM has greater mobile uptake and transfection effectivity than the PEI25k/pDNA complexes, thus possessing an enhanced gene supply effectivity and tumor limitation results within the intracranial glioblastoma mannequin. Apparently, glioblastoma cells membranes are helpful to gene supply into the mind with improved effectivity and lowered toxicity. In one other examine, Fan et al. [90] utilized homologous focusing on mechanism of glioblastoma cells to design a biomimetic drug-delivery programs (DWSW-CCM-(PTX)NS), as proven in Fig. 5A. The paclitaxel nanosuspensions ((PTX)NS) is coated with glioma C6 most cancers cell membrane (CCM) and the CCM is additional modified with the ligand D-type WSW(DSDYDPDGDWDSDW) peptide DWSW. It’s confirmed that as an efficient camouflaged nanosuspensions, DWSW-CCM-(PTX)NS can successfully keep away from to be cleared by the immune system, and might cross the BBB to selectively goal tumor website. Within the in vivo glioma therapy experiment, the DWSW-CCM-(PTX)NS might successfully restrict the proliferation of glioma cells and clearly extend the survival interval of glioma-bearing mice. As well as, Wang et al. [92] designed a nano-system by way of encapsulating the polymeric nanoparticles into the mind metastatic tumor cell membrane (B16-PCL-ICG or 4T1-PCL-ICG) (Fig. 5B). Intimately, the core of nano-system is indocyanine inexperienced (ICG)-loaded polymeric nanoparticles, that are fabricated from poly(caprolactone) (PCL) and Pluronic copolymer F68. The shell membrane is extracted from B16F10 mouse melanoma cells and 4T1 mammary breast cells, respectively. Total, the nanoparticles protected by the mind metastatic tumor cell membranes present extraordinarily greater capability to cross the intact BBB, extend blood circulation and improve tumor accumulation. As well as, with the assistance of nanoparticles, tumor development might be considerably inhibited by way of the photothermal remedy. Tapeinos et al. [96] synthesized a hybrid nanocubes composed of magnetite (Fe3O4) and manganese dioxide (MnO2). The hybrid nanocubes are coated with human glioblastoma cell traces U-251 MG cell-derived membranes to acquire nano-drug named CM-NCubes. The in vitro BBB penetration experiment demonstrated that 75.0% ± 3.7% of the incubated CM-NCubes within the abluminal a part of a transwell insert have been capable of cross by way of after 48 h, and subsequently be internalized by U-251 MG cells. The CM-NCubes look like a promising choice as a practical theranostic platform for glioblastoma after an additional investigation in vivo examine.

Immune cell membranes, equivalent to macrophage membranes, have additionally been used to change nanomaterials for glioma. Xiao et al. [91] developed an immune membrane biomimetic nanoplatform with macrophage membranes. The poly(N-vinylcaprolactam) (PVCL) NGs, loaded with MnO2 and cisplatin, are co-encapsulated into macrophage membranes (MPM@P NGs). This nanoplatform may be utilized for the MRI analysis, and combinational chemotherapy/chemodynamic remedy (CDT) of orthotopic glioma owing to the excellent tumor focusing on capability. The existence of macrophage membrane prolongs the blood circulation time of nanoparticles to make sure the BBB penetration and glioma focusing on. Furthermore, owing to the presence of endogenous glutathione (GSH) within the tumor microenvironment, the disulfide bond (S-S) contained in the nanoparticles might be collapsed for particularly releasing anti-tumor medication.

Along with the aforementioned cell membrane-based nanoparticles, immediately delivering the nanoparticles by way of the alive cells is one other technique [42,43,44, 60]. Guo et al. [42] co-incubated citric-acid coated iron oxide nanoparticles (CIONPs) with BV2 microglial cells, and the resultant nanoparticles-contained cells have been used for intraoperative optical imaging. The BV2 are additionally loaded with near-infrared fluorescent dye DiD for fluorescence-guided mind tumor surgical procedure. It’s confirmed that the nanoparticle-contained cells, often known as DiDBV2-Fe, present a robust tumor chemotaxis to monocyte chemoattractant protein-1 (CCL2) excreted by U87MG tumor cells. After administered through the carotid artery injection in an orthotopic glioblastoma mouse mannequin, DiDBV2-Fe efficiently penetrates the BBB to visualise the activated microglial cells of the mind. In the meantime, the DiDBV2-Fe can retain within the mind tumor with a protracted interval (4–24 h), which is profit to time-consuming mind resection operations. In one other work, Xue et al. [43] encapsulated paclitaxel (PTX)-loaded liposomes (PTX-CL) into neutrophils to suppress postoperative glioblastoma recurrence (PTX-CL/NEs). PTX-CL/NEs possess the power to cross the BBB and orientate the irritation website within the mind. Due to the concentrated activating indicators, NETs may be shaped and the PTX-CL may be concurrently launched to kill the remaining infiltration tumor cells. This supply system effectively decreases the tumor quantity and restrict the recurrent development with growing survival charges.

Wu et al. [44] utilized neutrophils internalization to coat DOX-loaded magnetic mesoporous silica nanoparticles (MMSNs) (ND-MMSNs), as proven in Fig. 5C. After the intravenous injection of ND-MMSNs into the glioma-bearing mice, the nanoparticles-loaded neutrophils will migrate outdoors the vasculature and accumulate within the infected websites of the tumor, adopted by the discharge of D-MMSNs cargos, leading to exact analysis and excessive anti-glioma efficacy. Wang et al. [60] co-incubated PTX-encapsulated poly(D,L-lactide-co-glycolide) (PLGA) nanoparticles with MSCs. After the nanoparticles have been ingested, the MSCs have been collected for orthotopic glioma remedy, as proven in Fig. 5D. Due to the attribute of MSCs that contain inherent tropism in the direction of tumor cells, MSCs-NPs can effectively goal glioma cells and launch PTX. As well as, nanoparticle-loaded fluorescent MSCs may be tracked all through the tumor mass for two days in vivo after contralateral injection, and the survival time of tumor-bearing rats may be considerably extended compared with the controls.

Fig. 5
figure 5

Preparation procedures of most cancers cell membrane-based nanomaterials of DWSW-CCM-(PTX)NS (A), B16-PCL-ICG or 4T1-PCL-ICG (B), ND-MMSNs (C) and MSCs-NPs (D). Reproduced with permission from Fan et al. [90], Wang et al. [92], Wu et al. [44], Wang et al. [60]

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