Dear editor,We demonstrated in this study that functional CAR peptide-labelled mitochondria were detectable in venous blood and in lungs of rats after enteric encapsulation and oral administration, and were able to attenuate pulmonary hypertension in two different experimental models.Pulmonary hypertension is characterised by pulmonary vasoconstriction and remodelling, resulting in increased pulmonary vascular resistance eventually leading to right heart failure and death. It is well known that hypoxia induces pulmonary vasoconstriction, 1,2 but causes systemic vessel vasodilation. 3,4 One explication for these discrepancies in terms of hypoxia response may be the function and structure heterogeneity of mitochondria in smooth muscle cells from pulmonary vessels compared to systemic vessels. 5,6 Our recent studies have shown that femoral artery smooth muscle cell-derived mitochondria via intravenous injection can be transplanted into pulmonary artery smooth muscle cells (PASMCs), a process attenuating pulmonary hypertension. 5,6 Mitochondria transplantation for conditions associated with mitochondrial dysfunction is emerging as a novel therapeutic strategy. Previous studies have conducted mitochondrial transplantation mainly by intravenous, 5,6 tissue injection 7 and nebulization. 8 If mitochondrial transplantation could be performed orally, it would greatly improve its safety and convenience.To address this issue and considering the biological specificity of mitochondria, we linked the CAR peptide, a cyclic peptide with cell-penetrating properties and lung targeting properties, 9,10 to mitochondria via the mitochondrial outer membrane localization peptide. Five mitochondrial outer membrane localization peptides were screened to link CAR peptide to the surface of the mitochondrial outer membrane, and then labelled with FITC (Figure 1A). We found higher labelling efficiency for peptides -1, -3, -This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.