2021
DOI: 10.3390/ijms22105278
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Clinical Implications of Exosomes: Targeted Drug Delivery for Cancer Treatment

Abstract: Exosomes are nanoscale vesicles generated by cells for intercellular communication. Due to their composition, significant research has been conducted to transform these particles into specific delivery systems for various disease states. In this review, we discuss the common isolation and loading methods of exosomes, some of the major roles of exosomes in the tumor microenvironment, as well as discuss recent applications of exosomes as drug delivery vessels and the resulting clinical implications.

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Cited by 21 publications
(14 citation statements)
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“…Genetic materials, lipids, and proteins are contained inside the exosomes. Because of their biomimetic features and targeting capabilities, exosomes can be used as nanocarriers for drug delivery [ 166 ]. Xia et al [ 167 ] designed an exosome-guided cell technique with miRNA-125b transfection to elicit cutaneous wound healing.…”
Section: Approaches For Improving Mirna Deliverymentioning
confidence: 99%
“…Genetic materials, lipids, and proteins are contained inside the exosomes. Because of their biomimetic features and targeting capabilities, exosomes can be used as nanocarriers for drug delivery [ 166 ]. Xia et al [ 167 ] designed an exosome-guided cell technique with miRNA-125b transfection to elicit cutaneous wound healing.…”
Section: Approaches For Improving Mirna Deliverymentioning
confidence: 99%
“…However, the results of the Manufacturer’s kit are easily affected by the laboratory environment and extractive technique. Ultracentrifugation has low yields, which can even damage exosomes due to the centrifugal forces applied to the vesicles ( Massey et al, 2021 ). Other isolation methods, such as ultrafiltration, microfluidics-based isolation, and immunoaffinity capture, may obtain higher quality results.…”
Section: Interplay Between Exosomes and Tcm Syndromesmentioning
confidence: 99%
“…Besides, co-incubation was the most common strategy for cargos incorporated into exosomes and cargos-containing exosomes’ cellular uptake by recipient cells ( Table 3 ). Although co-incubation is perhaps the simplest method to incorporate therapeutic agents into exosomes or target recipient cells, it is affected by multiple factors, such as temperature and humidity ( Massey et al, 2021 ). Electroporation, sonication, freeze-thaw cycling, and chemical transfection are also methods for therapeutic loading in exosomes.…”
Section: Interplay Between Exosomes and Tcm Syndromesmentioning
confidence: 99%
“…As intercellular transport vesicles, exosomes have remarkable properties, including not stimulating the immune system, avoiding degradation, carrying endogenous bioactive molecules, long persistence, and crossing multiple biological barriers [ 51 , 52 ]. Small molecule drugs, including functional nucleic acid nanoparticles, may be incorporated into and carried by exosomes [ 53 , 54 ]. Exosomes have a high degree of biological stability and can stably exist in the blood for an extended time [ 55 ].…”
Section: Exosome Featuresmentioning
confidence: 99%