Extracellular vesicle-based therapeutics: natural versus engineered targeting and trafficking

Extracellular vesicles (EVs) are increasingly being recognized as mediators of intercellular signaling via the delivery of effector molecules. Interestingly, certain types of EVs are also capable of inducing therapeutic responses. For these reasons, the therapeutic potential of EVs is a topic of int...

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Main Authors: Murphy, DE, de Jong, OG, Brouwer, M, Wood, MJ, Lavieu, G, Schiffelers, RM, Vader, P
Format: Journal article
Language:English
Published: Springer Nature 2019
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author Murphy, DE
de Jong, OG
Brouwer, M
Wood, MJ
Lavieu, G
Schiffelers, RM
Vader, P
author_facet Murphy, DE
de Jong, OG
Brouwer, M
Wood, MJ
Lavieu, G
Schiffelers, RM
Vader, P
author_sort Murphy, DE
collection OXFORD
description Extracellular vesicles (EVs) are increasingly being recognized as mediators of intercellular signaling via the delivery of effector molecules. Interestingly, certain types of EVs are also capable of inducing therapeutic responses. For these reasons, the therapeutic potential of EVs is a topic of intense research, both in the context of drug delivery and regenerative medicine. However, to fully utilize EVs for therapeutic purposes, an improved understanding of the mechanisms by which they function would be highly advantageous. Here, the current state of knowledge regarding the cellular uptake and trafficking of EVs is reviewed, along with a consideration of how these pathways potentially influence the functions of therapeutic EVs. Furthermore, the natural cell-targeting abilities, biodistribution profiles, and pharmacokinetics of exogenously administered EVs, along with the components responsible for these features are discussed. An overview of the potential clinical applications and preclinical examples of their successful use is also provided. Finally, examples of EV modifications that have successfully been employed to improve their therapeutic characteristics receive a particular focus. We suggest that, in addition to investigation of EV cell targeting and routes of uptake, future research into the routes of intracellular trafficking in recipient cells is required to optimally utilize EVs for therapeutic purposes.
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spelling oxford-uuid:36ef037f-cf51-4890-885f-4d5134052db52022-03-26T13:40:57ZExtracellular vesicle-based therapeutics: natural versus engineered targeting and traffickingJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:36ef037f-cf51-4890-885f-4d5134052db5EnglishSymplectic ElementsSpringer Nature2019Murphy, DEde Jong, OGBrouwer, MWood, MJLavieu, GSchiffelers, RMVader, PExtracellular vesicles (EVs) are increasingly being recognized as mediators of intercellular signaling via the delivery of effector molecules. Interestingly, certain types of EVs are also capable of inducing therapeutic responses. For these reasons, the therapeutic potential of EVs is a topic of intense research, both in the context of drug delivery and regenerative medicine. However, to fully utilize EVs for therapeutic purposes, an improved understanding of the mechanisms by which they function would be highly advantageous. Here, the current state of knowledge regarding the cellular uptake and trafficking of EVs is reviewed, along with a consideration of how these pathways potentially influence the functions of therapeutic EVs. Furthermore, the natural cell-targeting abilities, biodistribution profiles, and pharmacokinetics of exogenously administered EVs, along with the components responsible for these features are discussed. An overview of the potential clinical applications and preclinical examples of their successful use is also provided. Finally, examples of EV modifications that have successfully been employed to improve their therapeutic characteristics receive a particular focus. We suggest that, in addition to investigation of EV cell targeting and routes of uptake, future research into the routes of intracellular trafficking in recipient cells is required to optimally utilize EVs for therapeutic purposes.
spellingShingle Murphy, DE
de Jong, OG
Brouwer, M
Wood, MJ
Lavieu, G
Schiffelers, RM
Vader, P
Extracellular vesicle-based therapeutics: natural versus engineered targeting and trafficking
title Extracellular vesicle-based therapeutics: natural versus engineered targeting and trafficking
title_full Extracellular vesicle-based therapeutics: natural versus engineered targeting and trafficking
title_fullStr Extracellular vesicle-based therapeutics: natural versus engineered targeting and trafficking
title_full_unstemmed Extracellular vesicle-based therapeutics: natural versus engineered targeting and trafficking
title_short Extracellular vesicle-based therapeutics: natural versus engineered targeting and trafficking
title_sort extracellular vesicle based therapeutics natural versus engineered targeting and trafficking
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