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Recent progresses in exosome-based systems for targeted drug delivery to the brain

Journal

JOURNAL OF CONTROLLED RELEASE
Volume 348, Issue -, Pages 723-744

Publisher

ELSEVIER
DOI: 10.1016/j.jconrel.2022.06.011

Keywords

Brain drug delivery systems; Exosomes; Brain diseases; Neurodegenerative diseases; Brain cancers

Funding

  1. National Research Foundation of Korea (NRF) - Ministry of Sciences, ICT & Future Planning [NRF-2022R1A2C1010017]
  2. Ministry of Education [NRF-2016R1A6A1A03011325]

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This article provides an overview of recent exosome-based drug delivery nanoplatforms and discusses the potential of using exosomes as drug delivery vehicles for treating brain diseases. Exosomes possess advantages such as barrier penetration, targeting capability, and stability, but also face challenges that need to be addressed through future research efforts.
Despite the multiple ongoing and novel initiatives for developing brain-targeted drug delivery systems, insurmountable obstacles remain. A perfect drug delivery device that can bypass the brain-blood barrier and boost therapeutic efficacy is urgently needed for clinical applications. Exosomes hold unrivaled benefits as a drug delivery vehicle for treating brain diseases due to their endogenous and innate attributes. Unique properties, such as the ability to penetrate physical barriers, biocompatibility, innate targeting features, ability to leverage natural intracellular trafficking pathways, favored tumor homing, and stability, make exosomes suitable for brain-targeted drug delivery. Herein, we provide an overview of recent exosome-based drug delivery nanoplatforms and discuss how these inherent vesicles can be used to deliver therapeutic agents to the brain to cure neurodegenerative diseases, brain tumors, and other brain disorders. Moreover, we review the current roadblocks associated with exosomes and other brain-targeted drug delivery systems and discuss future directions for achieving successful therapy outcomes.

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