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Exosome-based drug delivery systems for enhanced neurological therapeutics

Vahab, Safa A, V, Vyshma K, Kumar, Vrinda S·2025·Drug Delivery and Translational Research

Abstract

Exosomes are small extracellular vesicles naturally secreted by cells into body fluids, enriched with bioactive molecules such as RNAs, proteins, and lipids. These nanosized vesicles play a crucial role in physiological and pathological processes by facilitating intercellular communication and modulating cellular responses, particularly within the central nervous system (CNS). Their ability to cross the blood-brain barrier and reflect the characteristics of their parent cells makes exosomal cargo a promising candidate for biomarkers in the early diagnosis and clinical assessment of neurological conditions. This review offers a comprehensive overview of current knowledge on the characterization of mammalian-derived exosomes, their application as drug delivery systems for neurological disorders, and ongoing clinical trials involving exosome-loaded cargo. Despite their promising attributes, a significant challenge remains the lack of standardized isolation methods, as current techniques are often complex, costly, and require sophisticated equipment, affecting the scalability and affordability of exosome-based therapies. The review highlights the engineering potential of exosomes, emphasizing their ability to be customized for targeted therapeutic delivery through surface modification or conjugation. Future advancements in addressing these challenges and leveraging the unique properties of exosomes could lead to innovative and effective therapeutic strategies in neurology.

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Metadata

Authors
Vahab, S. A., V, V. K., & Kumar, V. S.
Venue
Drug Delivery and Translational Research
Published
2024-09-26
Volume
15
Issue
4
Pages
1121-1138
ISSN
  • 2190-393X
  • 2190-3948
Cited by
34
References
17
Language
en

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Vahab, S. A., V, V. K., & Kumar, V. S. (2025). Exosome-based drug delivery systems for enhanced neurological therapeutics. Drug Delivery and Translational Research. https://doi.org/10.1007/s13346-024-01710-x