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Exosome-based drug delivery systems for enhanced neurological therapeutics
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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“While exosomes are natural nanoparticles with the potential to cross cell membranes, their ability to penetrate the BBB is limited due to their size, lipid bilayer structure, and surface proteins.”
From Emerging role of exosomes in cancer therapy: progress and challenges (2025) · cites this paper as [209]
In the citing paper
“The main challenge in applying exosomes for treating neurological tumors lies in overcoming BBB.”
From Emerging role of exosomes in cancer therapy: progress and challenges (2025) · cites this paper as [209]
In the citing paper
“The BBB effectively restricts most therapeutic agents, including exosomes, from reaching the brain, which poses a significant obstacle in their use for neurological tumor treatment.”
From Emerging role of exosomes in cancer therapy: progress and challenges (2025) · cites this paper as [209]
Citations
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Sorted by citations
Emerging role of exosomes in cancer therapy: progress and challenges
Li, J., Wang, J., & Chen, Z. (2025) · Molecular Cancer · doi:10.1186/s12943-024-02215-4 · Cited by 297
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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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