Stroke is the second
leading cause of death globally and the most
common cause of severe disability. Several barriers need to be addressed
more effectively to treat stroke, including efficient delivery of
therapeutic agents, rapid release at the infarct site, precise imaging
of the infarct site, and drug distribution monitoring. The present
study aimed to develop a bio-responsive theranostic nanoplatform with
signal-amplifying capability to deliver rapamycin (RAPA) to ischemic
brain tissues and visually monitor drug distribution. A pH-sensitive
theranostic RAPA-loaded nanoparticle system was designed since ischemic
tissues have a low-pH microenvironment compared with normal tissues.
The nanoparticles demonstrated good stability and biocompatibility
and could efficiently load rapamycin, followed by its rapid release
in acidic environments, thereby improving therapeutic accuracy. The
nano-drug-delivery system also exhibited acid-enhanced magnetic resonance
imaging (MRI) and near-infrared fluorescence (NIRF) imaging signal
properties, enabling accurate multimodal imaging with minimal background
noise, thus improving drug tracing and diagnostic accuracy.
Finally, in vivo experiments confirmed that the nanoparticles preferentially
aggregated in the ischemic hemisphere and exerted a neuroprotective
effect in rats with transient middle cerebral artery occlusion (tMCAO).
These pH-sensitive multifunctional theranostic nanoparticles could
serve as a potential nanoplatform for drug tracing as well as the
treatment and even diagnosis of acute ischemic stroke. Moreover, they
could be a universal solution to achieve accurate in vivo imaging
and treatment of other diseases.