Extracellular vesicles for improved tumor accumulation and penetration

Adv Drug Deliv Rev. 2022 Sep:188:114450. doi: 10.1016/j.addr.2022.114450. Epub 2022 Jul 14.

Abstract

Extracellular vesicles (EVs), including microparticles and exosomes, have emerged as potential tools for tumor targeting delivery during the past years. Recently, mass of strategies are applied to assist EVs to accumulate and penetrate into deep tumor sites. In this review, EVs from different cells with unique innate characters and engineered approaches (e.g. chemical engineering, genetical engineering and biomimetic engineering) as drug delivery systems to enhance tumor accumulation and penetration are summarized. Meanwhile, efficient biological function modulation (e.g. extracellular matrix degradation, mechanical property regulation and transcytosis) is introduced to facilitate tumor accumulation and penetration of EVs. Finally, the prospects and challenges on further clinical applications of EVs are discussed.

Keywords: Drug delivery; Extracellular matrix regulation; Extracellular vesicles; Mechanical deformability; Transcytosis; Tumor accumulation and penetration; Tumor-homing targeting.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Drug Delivery Systems
  • Exosomes* / metabolism
  • Extracellular Vesicles* / metabolism
  • Humans
  • Neoplasms* / drug therapy
  • Neoplasms* / metabolism
  • Transcytosis