RT Journal Article SR Electronic T1 Neural stem cells traffic functional mitochondria via extracellular vesicles to correct mitochondrial dysfunction in target cells JF bioRxiv FD Cold Spring Harbor Laboratory SP 2020.01.29.923441 DO 10.1101/2020.01.29.923441 A1 Luca Peruzzotti-Jametti A1 Joshua D. Bernstock A1 Giulia Manferrari A1 Rebecca Rogall A1 Erika Fernandez-Vizarra A1 James C Williamson A1 Alice Braga A1 Aletta van den Bosch A1 Tommaso Leonardi A1 Ágnes Kittel A1 Cristiane Benincá A1 Nunzio Vicario A1 Sisareuth Tan A1 Carlos Bastos A1 Iacopo Bicci A1 Nunzio Iraci A1 Jayden A. Smith A1 Paul J Lehner A1 Edit Iren Buzas A1 Nuno Faria A1 Massimo Zeviani A1 Christian Frezza A1 Alain Brisson A1 Nicholas J Matheson A1 Carlo Viscomi A1 Stefano Pluchino YR 2020 UL http://biorxiv.org/content/early/2020/01/29/2020.01.29.923441.abstract AB Neural stem cell (NSC) transplantation induces recovery in animal models of central nervous system (CNS) diseases. Although the replacement of lost endogenous cells was originally proposed as the primary healing mechanism of NSC grafts, it is now clear that transplanted NSCs operate via multiple mechanisms, including the horizontal exchange of therapeutic cargoes to host cells via extracellular vesicles (EVs).EVs are membrane particles trafficking nucleic acids, proteins, metabolites and metabolic enzymes, lipids and entire organelles. However, the function and the contribution of these cargoes to the broad therapeutic effects of NSCs is yet to be fully understood. Mitochondrial dysfunction is an established feature of several inflammatory and degenerative CNS disorders, most of which are potentially treatable with exogenous stem cell therapeutics.Herein we investigated the hypothesis that NSCs release and traffic functional mitochondria via EVs to restore mitochondrial function in target cells.Untargeted proteomics revealed a significant enrichment of mitochondrial proteins spontaneously released by NSCs in EVs. Morphological and functional analyses confirmed the presence of ultrastructurally intact mitochondria within EVs (Mito-EVs) with conserved membrane potential and respiration. We found that the transfer of Mito-EVs to mtDNA-deficient L929 Rho0 cells rescued mitochondrial function and increased Rho0 cell survival. Furthermore, the incorporation of Mito-EVs into inflammatory professional phagocytes restored normal mitochondrial dynamics and cellular metabolism and reduced the expression of pro-inflammatory markers in target cells. When transplanted in an animal model of multiple sclerosis, exogenous NSCs actively transferred mitochondria to mononuclear phagocytes and induced a significant amelioration of clinical deficits.Our data provide the first evidence that NSCs deliver functional mitochondria to target cells via Mito-EVs, paving the way for the development of novel (a)cellular approaches aimed at restoring mitochondrial dysfunction not only in multiple sclerosis, but also in degenerative neurological diseases.