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Exosomes as cell-derivative carriers in the diagnosis and treatment of central nervous system diseases

期刊

DRUG DELIVERY AND TRANSLATIONAL RESEARCH
卷 12, 期 5, 页码 1047-1079

出版社

SPRINGER HEIDELBERG
DOI: 10.1007/s13346-021-01026-0

关键词

Exosomes; Blood-brain barrier; CNS diseases; Targeted delivery; Diagnosis

资金

  1. Manipal Academy of Higher Education, Manipal Indian Council for Medical Research (ICMR), New Delhi (India)
  2. Department of Health Research (DHR), New Delhi (India)

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Exosomes, extracellular vesicles found in various body fluids, have the potential to serve as biomarkers for diagnosing and treating brain diseases. They can be used to deliver therapeutics to the brain parenchyma by utilizing their natural ability to cross the blood-brain barrier.
Exosomes are extracellular vesicles with the diameter ranging from 50 to 100 nm and are found in different body fluids such as blood, cerebrospinal fluid (CSF), urine and saliva. Like in case of various diseases, based on the parent cells, the content of exosomes (protein, mRNA, miRNA, DNA, lipids and metabolites) varies and thus can be utilized as potential biomarker for diagnosis and prognosis of the brain diseases. Furthermore, utilizing the natural potential exosomes to cross the blood-brain barrier and by specifically decorating it with the ligand as per the desired brain sites therapeutics can be delivered to brain parenchyma. This review article conveys the importance of exosomes and their use in the treatment and diagnosis of brain/central nervous system diseases.

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