Special delEVery: Extracellular Vesicles as Promising Delivery Platform to the Brain.

Special delEVery: Extracellular Vesicles as Promising Delivery Platform to the Brain.
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DOI:
10.3390/biomedicines9111734
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发表时间:
2021-11-20
期刊:
影响因子:
4.7
通讯作者:
Vandenbroucke RE
Vandenbroucke RE
中科院分区:
工程技术3区
文献类型:
--
作者:
Pauwels MJ;Vandendriessche C;Vandenbroucke RE

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中枢神经系统(CNS)病理的治疗受到严格调节的CNS屏障的存在的严重阻碍,所述CNS屏障限制药物递送至脑。越来越多的数据表明,细胞外囊泡(EV),即,固有地保护和在细胞之间转移生物货物的膜衍生的囊泡自然地穿过CNS屏障。此外,EV可以用靶向配体工程化以获得富集的组织靶向和递送能力。在这篇综述中,我们提供了一个详细的文献综述,描述了天然和工程CNS靶向和不同细胞类型衍生的EV的治疗效率。因此,我们特别关注外周给药途径在广泛的中枢神经系统疾病。此外,我们强调的潜力,旨在阐明跨不同的中枢神经系统障碍的囊泡运输机制的研究。最后,我们阐述了电动汽车作为脑药物输送系统的应用的实际考虑。
The treatment of central nervous system (CNS) pathologies is severely hampered by the presence of tightly regulated CNS barriers that restrict drug delivery to the brain. An increasing amount of data suggests that extracellular vesicles (EVs), i.e., membrane derived vesicles that inherently protect and transfer biological cargoes between cells, naturally cross the CNS barriers. Moreover, EVs can be engineered with targeting ligands to obtain enriched tissue targeting and delivery capacities. In this review, we provide a detailed overview of the literature describing a natural and engineered CNS targeting and therapeutic efficiency of different cell type derived EVs. Hereby, we specifically focus on peripheral administration routes in a broad range of CNS diseases. Furthermore, we underline the potential of research aimed at elucidating the vesicular transport mechanisms across the different CNS barriers. Finally, we elaborate on the practical considerations towards the application of EVs as a brain drug delivery system.
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