Extracellular Vesicle Encapsulated Homer1a As Novel Nanotherapeutics Against Intracerebral Hemorrhage in a Mouse Model

Homer1a and A2 astrocytes are involved in the regulation of inflammation induced by intracerebral hemorrhage (ICH). However, there is no anticipated treatment strategy based on the anti-inflammatory effect of Homer1a and A2 astrocytes. Here, we successfully induced A2 astrocytes in vitro, and then we report an efficient method to prepare Homer1a + EVs derived from A2 astrocytes which making it more stable, safe, and targetable to injured neurons. Homer1a + EVs promotes the conversion of A1 to A2 astrocytes in ICH mice. Homer1a + EVs inhibits activation and nuclear translocation of NF-κB, thereby regulating transcription of IL-17A in neurons. Homer1a + EVs inhibits the RAGE/NF-κB/IL-17 signaling pathway and the binding ability of IL-17A: IL17-AR and RAGE: DIAPH1. In addition, Homer1a + EVs ameliorates the pathology, behavior, and survival rate in GFAP Cre Homer1 fl/− Homer1a ± and Nestin Cre RAGE fl/fl ICH mice. Our study provides a novel insight and potential for the clinical translation of Homer1a + EVs in the treatment of ICH.