This study interrogates human mesenchymal stem cell (hMSC) derived treatments (cells versus secretome) in a preclinical transient ischemic stroke model. Biochemical markers of tissue recovery measured longitudinally over 21 d via sodium chemical shift imaging and proton relaxation-enhanced MR spectroscopy demonstrated that the arterial injection of extracellular vesicles produced in vitro by hMSC improved outcomes over ischemic stroke, albeit not to the level of direct cellular implantation. For the first time, novel MRI-compatible labeling provided the initial visualization of biodistribution and estimated permanence of hMSC-derived extracellular vesicles in the ischemic brain.
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