Related Experiment Video
Updated: Oct 30, 2025

Author Spotlight: Exercise Test for Evaluation of the Functional Efficacy of the Pig Cardiovascular System
Published on: May 12, 2023
EV Cargo Sorting in Therapeutic Development for Cardiovascular Disease
Cherrie D Sherman1, Shweta Lodha1, Susmita Sahoo1
1Cardiovascular Research Center, Icahn School of Medicine at Mount Sinai, One Gustav L. Levy, P.O. Box 1030, New York, NY 10029, USA.
Insights
Extracellular vesicles (EVs) are crucial for cell communication and show promise for treating cardiovascular disease. Understanding EV cargo sorting and bioengineering are key to developing effective EV-based therapies.
Area of Science:
- Biomedical Engineering
- Cell Biology
- Cardiovascular Research
Background:
- Cardiovascular disease (CVD) is a leading global health concern, necessitating novel therapeutic strategies.
- Extracellular vesicles (EVs) mediate intercellular communication by transferring bioactive molecules, reflecting cellular states.
- EVs are emerging as promising therapeutic agents and drug delivery vehicles for various diseases, including CVD.
Purpose of the Study:
- To review the mechanisms governing the sorting of molecules into EVs.
- To explore methods for bioengineering EVs for therapeutic applications.
- To discuss the potential of engineered EVs in treating cardiovascular disease.
Main Methods:
- Literature review of EV biology, cargo sorting mechanisms, and bioengineering techniques.
- Analysis of current research on EV-based therapies for cardiovascular conditions.
- Synthesis of information on EV cargo sorting and engineering for therapeutic delivery.
Main Results:
- EVs contain diverse biomolecules (proteins, genes, miRNAs) reflecting their cell of origin.
- Understanding EV cargo sorting is crucial for designing targeted therapeutic delivery systems.
- EV bioengineering offers a platform for developing next-generation treatments for cardiovascular disease.
Conclusions:
- Engineered EVs hold significant potential as a therapeutic delivery system for cardiovascular disease.
- Further research into EV cargo sorting and bioengineering will advance their clinical applications.
- EVs represent a promising frontier in the development of novel cardiovascular therapies.
Abstract:
Cardiovascular disease remains the leading cause of morbidity and mortality in the world. Thus, therapeutic interventions to circumvent this growing burden are of utmost importance. Extracellular vesicles (EVs) actively secreted by most living cells, play a key role in paracrine and endocrine intercellular communication via exchange of biological molecules. As the content of secreted EVs reflect the physiology and pathology of the cell of their origin, EVs play a significant role in cellular homeostasis, disease pathogenesis and diagnostics. Moreover, EVs are gaining popularity in clinics as therapeutic and drug delivery vehicles, transferring bioactive molecules such as proteins, genes, miRNAs and other therapeutic agents to target cells to treat diseases and deter disease progression. Despite our limited but growing knowledge of EV biology, it is imperative to understand the complex mechanisms of EV cargo sorting in pursuit of designing next generation EV-based therapeutic delivery systems. In this review, we highlight the mechanisms of EV cargo sorting and methods of EV bioengineering and discuss engineered EVs as a potential therapeutic delivery system to treat cardiovascular disease.
Related Concept Videos
Cardiovascular Drugs: Classification based on Therapeutic Indications
Preclinical Development: Overview
Therapeutic Drug Monitoring: Overview and Classification
Drug Delivery: Overview
Enteral delivery involves administering drugs directly through swallowing, sublingual placement, or buccal application. Orally administered drugs predominantly navigate the...
Drug Administration and Therapy Phases: Overview
The pharmaceutical phase focuses on leveraging the physicochemical properties of the drug to design and manufacture an effective product. Variants include orally administered tablets or capsules, topical creams or ointments, and parenteral-delivery solutions or emulsions.
The pharmacokinetic phase...
Drug Clearance: Overview
Drug clearance is not limited to renal excretion but encompasses all organs involved in drug elimination, including...

