Wang Jin, Yin Bohang, Lian Jiabing, Wang Xia
School of Life Sciences, Liaoning University, Shenyang 110036, China.
Department of Surgical Oncology and General Surgery, The First Hospital of China Medical University, Shenyang 110001, China.
Pharmaceutics. 2024 Aug 1;16(8):1029. doi: 10.3390/pharmaceutics16081029.
In recent decades, the pursuit of drug delivery systems has led to the development of numerous synthetic options aimed at enhancing drug efficacy while minimizing side effects. However, the practical application of these systems is often hindered by challenges such as inefficiency, cytotoxicity, and immunogenicity. Extracellular vesicles, natural carriers for drugs, emerge as promising alternatives with distinct advantages over synthetic carriers. Notably, EVs exhibit biocompatibility, low immunogenicity, and inherent tissue-targeting capabilities, thus opening new avenues for drug delivery strategies. This review provides an overview of EVs, including their biogenesis and absorption mechanisms. Additionally, we explore the current research efforts focusing on harnessing their potential as drug carriers, encompassing aspects such as purification techniques, drug loading, and bioengineering for targeted delivery. Finally, we discuss the existing challenges and future prospects of EVs as therapeutic agents in clinical settings. This comprehensive analysis aims to shed light on the potential of EVs as versatile and effective tools for drug delivery, particularly in the realm of cancer therapy.
近几十年来,对药物递送系统的追求促使人们开发了众多合成选项,旨在提高药物疗效,同时将副作用降至最低。然而,这些系统的实际应用常常受到效率低下、细胞毒性和免疫原性等挑战的阻碍。细胞外囊泡作为药物的天然载体,成为有前景的替代物,相较于合成载体具有明显优势。值得注意的是,细胞外囊泡具有生物相容性、低免疫原性和固有的组织靶向能力,从而为药物递送策略开辟了新途径。本综述概述了细胞外囊泡,包括其生物发生和吸收机制。此外,我们探讨了目前致力于利用其作为药物载体潜力的研究工作,涵盖纯化技术、药物装载和靶向递送的生物工程等方面。最后,我们讨论了细胞外囊泡作为临床治疗剂的现有挑战和未来前景。这一全面分析旨在阐明细胞外囊泡作为通用且有效的药物递送工具的潜力,尤其是在癌症治疗领域。