4.8 Review

Overcoming the blood-brain barrier: Exosomes as theranostic nanocarriers for precision neuroimaging

Journal

JOURNAL OF CONTROLLED RELEASE
Volume 349, Issue -, Pages 902-916

Publisher

ELSEVIER
DOI: 10.1016/j.jconrel.2022.08.002

Keywords

Blood-brain barrier; Drug delivery; Exosomes; Brain targeting; Precision radiology; Neurological disorders

Funding

  1. Clinical research center for medical imaging in Hunan Province [2020SK4001]
  2. Prediction model of heroin addiction relapse mechanism based on radiomics [61971451]
  3. Prediction model of methamphetamine addiction relapse mechanism based on radiomics and genomics [2019SK2131]
  4. Leading talents of scientific and technological innovation in Hunan Province in 2021 [2021RC4016]
  5. Accurate localization study of mild traumatic brain injury based on deep learning through multimodal image and neural network [2021gfcx05]
  6. Construction of radiological imaging diagnostic quality control information platform in Hunan Province [202209044797]

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Exosomes, as nanocarriers, have the potential to be used in personalized/precision radiology due to their low immunogenicity, low toxicity, biocompatibility, and ability to penetrate the blood-brain barrier.
Exosomes are cell-derived vesicles with a lipid bilayer membrane that play important roles in intercellular communication. They provide an unprecedented opportunity for the development of drug delivery nanoplatforms due to their low immunogenicity, low toxicity, biocompatibility, stability, and ability to change the functions of recipient cells. In addition, exosomes can penetrate the blood-brain barrier and then target and accumulate in relevant pathological brain regions. However, few studies have focused on the applications of exosomes as nanocarriers for use in precision neuroimaging studies. Thus, this report presents the feasibility of fabricating specific exosome-based diagnostic reagents for the application of personalized/precision radiology in the central nervous system based on important recent fundamental discoveries and technological advances.

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