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Native and bioengineered extracellular vesicles for cardiovascular therapeutics.
Ricardo Cerqueira de Abreu1,2,3, Hugo Fernandes4, Paula A da Costa Martins1,2
1CARIM School for Cardiovascular Diseases, Faculty of Health, Medicine and Life Sciences, Maastricht University, Maastricht, Netherlands.
Nature Reviews. Cardiology
|June 3, 2020
Summary
Extracellular vesicles (EVs) show promise for treating cardiovascular diseases due to their natural delivery capabilities. Bioengineering EVs can enhance their therapeutic potential, but clinical translation requires further research and innovative strategies.
Area of Science:
- Biomedical Engineering
- Cardiovascular Research
- Nanomedicine
Background:
- Extracellular vesicles (EVs) are natural particles with inherent properties for intercellular communication and drug delivery.
- EVs can bypass biological barriers and deliver bioactive cargo to target cells, making them relevant for disease treatment.
- The therapeutic applications of native and bioengineered EVs in cardiovascular diseases are underexplored.
Purpose of the Study:
- To review the endogenous properties of EVs that facilitate their role as natural delivery agents.
- To discuss how bioengineering can enhance EV stability, targeting, and therapeutic efficacy.
- To examine the therapeutic potential and clinical translation challenges of EVs for cardiovascular diseases.
Main Methods:
- Review of existing literature on extracellular vesicle biology and bioengineering.
- Analysis of EV properties relevant to drug delivery and disease treatment.
- Discussion of bioengineering strategies for modifying EVs.
Main Results:
- EVs possess natural characteristics suitable for molecular cargo delivery and overcoming biological barriers.
- Bioengineering can significantly improve EV stability, targeting efficiency, and payload delivery.
- Current research on therapeutic EVs for cardiovascular diseases is limited but shows significant promise.
Conclusions:
- EVs represent a promising platform for cardiovascular disease therapeutics, leveraging their natural delivery functions.
- Bioengineering offers avenues to optimize EVs for enhanced therapeutic outcomes and targeted delivery.
- Advancing the clinical translation of EVs requires innovative approaches and integrated knowledge of molecular delivery systems.

