Strategic design of extracellular vesicle drug delivery systems.

Strategic design of extracellular vesicle drug delivery systems.
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DOI:
10.1016/j.addr.2018.06.017
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发表时间:
2018-05
影响因子:
16.1
通讯作者:
Stevens MM
Stevens MM
中科院分区:
医学1区
文献类型:
--
作者:
Armstrong JPK;Stevens MM

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细胞外囊泡(EVs),用于细胞间通讯的纳米载体,已被证明是很有前途的天然药物输送系统。最近的报告详细描述了预装载治疗性货物(包括小分子、纳米颗粒、蛋白质和寡核苷酸)的EV给药的令人印象深刻的体内结果。这些结果引发了广泛的疾病模型的研究兴趣。然而,有持久的限制,限制了广泛的临床和制药采用。从这个角度来看,我们讨论了这些实际和生物学问题,批判性地比较了电动汽车和合成药物递送系统的相对优点,并强调需要更全面地了解体内运输和递送。在此框架内,我们寻求建立电动汽车可以获得竞争优势的关键领域,以提供广泛翻译所需的有形附加值。
Extracellular vesicles (EVs), nanoscale vectors used in intercellular communication, have demonstrated great promise as natural drug delivery systems. Recent reports have detailed impressive in vivo results from the administration of EVs pre-loaded with therapeutic cargo, including small molecules, nanoparticles, proteins and oligonucleotides. These results have sparked intensive research interest across a huge range of disease models. There are, however, enduring limitations that have restricted widespread clinical and pharmaceutical adoption. In this perspective, we discuss these practical and biological concerns, critically compare the relative merit of EVs and synthetic drug delivery systems, and highlight the need for a more comprehensive understanding of in vivo transport and delivery. Within this framework, we seek to establish key areas in which EVs can gain a competitive advantage in order to provide the tangible added value required for widespread translation.
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