# The prospective approach for aptamers applied in the treatment and molecular diagnostics of ischemic stroke

**Authors:** Wenfeng Li, Junyi Wu, Zijian Hu, Jixuan Zhang, Guangming Ye, Fengling Luo, Zhikun Zeng, Yi Luo

PMC · DOI: 10.3389/fphar.2025.1553337 · Frontiers in Pharmacology · 2025-04-28

## TL;DR

This paper reviews how aptamers can be used for diagnosing and treating ischemic stroke by targeting clotting, inflammation, and biomarkers.

## Contribution

The paper highlights recent advances in aptamer applications for stroke prevention, treatment, and diagnosis.

## Key findings

- Aptamers can cross the blood-brain barrier and be chemically modified for targeted therapy.
- Aptamers show potential in targeting pathological clotting and inflammatory responses in ischemic stroke.
- Aptamers aid in biomarker discovery for key cells involved in stroke.

## Abstract

Ischemic stroke is a leading cause of death and disability worldwide. Therefore, there is a critical need to explore the underlying mechanisms and develop effective treatment strategies for ischemic stroke. As small and non-immunogenic nucleic acid molecules, aptamers can be easily chemically modified, break through the blood-brain barrier, and be screened using the classic Systematic Evolution of Ligands by Exponential Enrichment. With the advancements in emerging technologies, aptamer-based strategies have provided diagnostic and therapeutic potential for applications in central nervous system diseases. Aptamers have become a useful tool for targeted therapy and biomarker discovery in ischemic stroke. This review presents recent advances and perspectives on aptamer applications in stroke prevention, treatment, and diagnosis, focusing on targeting pathological blood clotting or thrombosis, inflammatory responses, and specific biomarkers in key cells.

## Linked entities

- **Diseases:** ischemic stroke (MONDO:1060198)

## Full-text entities

- **Genes:** F2 (coagulation factor II, thrombin) [NCBI Gene 2147] {aka PT, RPRGL2, THPH1}, Reg1 (regenerating islet-derived 1) [NCBI Gene 19692] {aka PSP, PTP}, TLR4 (toll like receptor 4) [NCBI Gene 7099] {aka ARMD10, CD284, TLR-4, TOLL}, C5AR1 (complement C5a receptor 1) [NCBI Gene 728] {aka C5A, C5AR, C5R1, CD88}, Vcam1 (vascular cell adhesion molecule 1) [NCBI Gene 22329] {aka CD106, Vcam-1}, GRIN2A (glutamate ionotropic receptor NMDA type subunit 2A) [NCBI Gene 2903] {aka EPND, FESD, GluN2A, LKS, NMDAR2A, NR2A}, AGER (advanced glycosylation end-product specific receptor) [NCBI Gene 177] {aka RAGE, SCARJ1, sRAGE}, PLAT (plasminogen activator, tissue type) [NCBI Gene 5327] {aka T-PA, TPA}, VWF (von Willebrand factor) [NCBI Gene 7450] {aka F8VWF, VWD}, APP (amyloid beta precursor protein) [NCBI Gene 351] {aka AAA, ABETA, ABPP, AD1, APPI, CTFgamma}, CAMK2B (calcium/calmodulin dependent protein kinase II beta) [NCBI Gene 816] {aka CAM2, CAMK2, CAMKB, CaMKIIbeta, MRD54}, GP1BA (glycoprotein Ib platelet subunit alpha) [NCBI Gene 2811] {aka BDPLT1, BDPLT3, BSS, CD42B, CD42b-alpha, DBPLT3}, PDXP (pyridoxal phosphatase) [NCBI Gene 57026] {aka CIN, PLP, dJ37E16.5}, CRP (C-reactive protein) [NCBI Gene 1401] {aka PTX1}, RENBP (renin binding protein) [NCBI Gene 5973] {aka RBP, RNBP}, IL33 (interleukin 33) [NCBI Gene 90865] {aka C9orf26, DVS27, IL1F11, NF-HEV, NFEHEV}, LRP1 (LDL receptor related protein 1) [NCBI Gene 4035] {aka A2MR, APOER, APR, CD91, DDH3, IGFBP-3R}, ST2 (suppression of tumorigenicity 2) [NCBI Gene 6761], CKB (creatine kinase B) [NCBI Gene 1152] {aka B-CK, BCK, CKBB, CPK-B, HEL-211, HEL-S-29}, AREG (amphiregulin) [NCBI Gene 374] {aka AR, AREGB, CRDGF, SDGF}, MAPT (microtubule associated protein tau) [NCBI Gene 4137] {aka DDPAC, FTD1, FTDP-17, MAPTL, MSTD, MTBT1}, Vwf (Von Willebrand factor) [NCBI Gene 22371] {aka 6820430P06Rik, B130011O06Rik, C630030D09, F8VWF, VWD}, Hdlbp (high density lipoprotein (HDL) binding protein) [NCBI Gene 110611] {aka 1110005P14Rik, D1Ertd101e}, PLAU (plasminogen activator, urokinase) [NCBI Gene 5328] {aka ATF, BDPLT5, QPD, UPA, URK, u-PA}
- **Diseases:** large artery atherosclerosis (MESH:D050197), diabetes (MESH:D003920), allergic reactions (MESH:D004342), neurotoxicity (MESH:D020258), neuronal apoptosis (MESH:D065703), cancer (MESH:D009369), AIS (MESH:D000083242), basilar artery occlusion (MESH:D001157), inflammation (MESH:D007249), neuroinflammation (MESH:D000090862), death (MESH:D003643), system diseases (MESH:D034721), Stroke (MESH:D020521), CNS diseases (MESH:D002493), blood clotting (MESH:D013927), ischemia (MESH:D007511), neuronal damage (MESH:D009410), Ischemic stroke (MESH:D002544), cognitive impairment (MESH:D003072), reperfusion injury (MESH:D015427), dementia (MESH:D003704), neurological diseases (MESH:D020271), toxicity (MESH:D064420), middle cerebral artery occlusion (MESH:D020244), bleeding (MESH:D006470), brain damage (MESH:D001925), central (MESH:D020210), anemia (MESH:D000740), Brain ischemia (MESH:D002545), neurological disorders (MESH:D009461)
- **Chemicals:** oligonucleotide (MESH:D009841), graphene oxide (MESH:C000628730), AGEs (MESH:D017127), cysteine (MESH:D003545), L (MESH:D007930), ARC1779 (MESH:C526287), AYA1809002 (-), Hcy (MESH:D006710), gold (MESH:D006046), L1 (MESH:D000077543), L-glutamate (MESH:D018698), carbon nanotubes (MESH:D037742)
- **Species:** Mus musculus (house mouse, species) [taxon 10090], Rattus norvegicus (brown rat, species) [taxon 10116], Homo sapiens (human, species) [taxon 9606]

## Full text

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## References

92 references — full list in the complete paper: https://tomesphere.com/paper/PMC12079141/full.md

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Source: https://tomesphere.com/paper/PMC12079141