Nano-structured derivatives of natural organisms are enabling advances in biomaterial design, offering an innovative strategy to endow materials with specific biofunctions. In the regeneration of nervous tissue, neurogenesis and angiogenesis are intricately linked processes, yet their crosstalk in therapeutic strategies remains underexplored. This study develops an approach to produce engineered nanovisicles by pre-conditioning neural stem cells (NSCs) with brain-derived neurotrophic factor (BDNF). Compared with naive NSC exosomes, BDNF-preconditioned NSC exosomes (BNE) exhibited presented altered miRNA profiles enriched in pathways regulating neurogenesis, angiogenesis, and inflammation. In vitro assays demonstrated that BNE significantly enhanced NSC migration, neuronal/oligodendrocytic differentiation, and neuronal maturation, while promoting human umbilical vein endothelial cell (HUVEC) migration, invasion, and angiogenesis. Critically, a coculture system confirmed bidirectional crosstalk between neurogenesis and angiogenesis, which was amplified by the BNE. In a rat traumatic brain injury (TBI) model, the BNE-laden hydrogel synergistically mitigated neuroinflammation, recruited endogenous neural stem/progenitor cells (NSPCs) to the lesion, enhanced their neuronal differentiation and maturation, and stimulated angiogenesis. This pro-regenerative microenvironment, facilitated by neurovascular crosstalk, led to significant neural network reconstruction, tissue restoration, and improved functional recovery. These findings establish BDNF-preconditioned NSC exosomes delivered via a biomimetic hydrogel as a potent platform for CNS repair, harnessing the critical crosstalk between neurogenesis and angiogenesis.
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