Extracellular Vesicles - Advanced Nanocarriers in Cancer Therapy: Progress and Achievements

Int J Nanomedicine. 2020 Aug 26:15:6485-6502. doi: 10.2147/IJN.S238099. eCollection 2020.

Abstract

Extracellular vesicles (EVs) are a class of cell-derived, lipid bilayer membrane composed vesicles, and some of them such as exosomes and ectosomes have been proven, playing remarkable roles in transmitting intercellular information, and being involved in each property of cell physiological activities. Nowadays, EVs are considered as potential nanocarriers which could partially resolve the problems of current chemotherapy because of their distinctive advantages. As endogenous membrane encompassed vesicles with nanosize, EVs are able to pass through the natural barriers with prolonged circulation time in vivo and have intrinsic cell targeting properties, they are less toxic, and less immunogenic. Recently, studies focusing on EV-based drug delivery system for cancer therapy have exploded dramatically. This review aims to outline the current applications of EVs as potential nanosized drug carriers in cancer therapy. Firstly, the characteristics and biofunctions of each EV subtype are described. Then the variety of therapeutic cargoes, the loading methods, and the targeting strategy of engineered EVs are emphatically introduced. Thereafter the pros and cons of EVs applied as therapeutic carriers, as well as the future prospects in this field, are discussed.

Keywords: Extracellular vesicles; drug delivery system; exosomes; nano-sized carriers; tumor.

Publication types

  • Review

MeSH terms

  • Antineoplastic Agents / administration & dosage
  • Antineoplastic Agents / therapeutic use
  • Drug Carriers / chemistry*
  • Drug Delivery Systems
  • Extracellular Vesicles / metabolism*
  • Humans
  • Nanoparticles / chemistry*
  • Neoplasms / drug therapy*

Substances

  • Antineoplastic Agents
  • Drug Carriers

Grants and funding

This work was funded by the Natural Science Basic Research Program of Shaanxi (grant no. 2019JM-046 and 2019JM-360), Henan Provincial Health System Training Program for Study Abroad (grant no. 2017060), Science and Technology Project Henan Province (grant no. 182102310167), Medical Science Research Project of Henan Province (grant no. 201602227), the Guangzhou Science and Technology Program (grant no. 0.201803010094) and the Natural Science Foundation of Guangdong (grant no. 2020A151501158) and the National Training Program of Innovation and Entrepreneurship for Undergraduates (grant no. 201910699168).