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Updated: Oct 18, 2025

Paramyxoviruses for Tumor-targeted Immunomodulation: Design and Evaluation Ex Vivo
Published on: January 7, 2019
Functional intersections between extracellular vesicles and oncolytic therapies
Ryan A Clark1, Zoe G Garman2, Richard J Price3
1Department of Biomedical Engineering, University of Virginia, Charlottesville, VA, USA; J. Crayton Pruitt Family Department of Biomedical Engineering, University of Florida, Gainesville, FL 32611, USA.
Abstract:
Minimally invasive focal therapies for nonviral oncolysis are a cornerstone of cancer therapeutics. Our ability to optimally deploy oncolytic therapies and identify synergistic combination approaches requires a deeper understanding of elicited biological responses. Extracellular vesicles (EV), which orchestrate a variety of pathophysiological processes and have a critical role in the evolution of primary and disseminated tumors, are now known to be potently modulated by oncolytic focal therapies, such as radiotherapy, photodynamic therapy (PDT), and therapeutic ultrasound (TUS). In this review, we summarize the diverse impacts of the aforementioned therapeutic modalities on EV biology, and highlight the most recent advances in EV-based drug delivery systems leveraging these modalities.
Insights
Minimally invasive cancer therapies like radiotherapy and photodynamic therapy significantly impact extracellular vesicles (EVs). Understanding these effects is key to developing advanced EV-based drug delivery systems for cancer treatment.
Area of Science:
- Oncology
- Nanotechnology
- Biomedical Engineering
Background:
- Minimally invasive focal therapies are crucial for nonviral oncolysis in cancer treatment.
- Extracellular vesicles (EVs) play a significant role in tumor progression and are modulated by oncolytic therapies.
- A deeper understanding of biological responses is needed to optimize oncolytic therapies and combinations.
Purpose of the Study:
- To review the impact of focal therapies on EV biology.
- To highlight advances in EV-based drug delivery systems utilizing these therapies.
Main Methods:
- Review of current literature on radiotherapy, photodynamic therapy (PDT), and therapeutic ultrasound (TUS) and their effects on EVs.
- Analysis of recent developments in EV-mediated drug delivery strategies.
Main Results:
- Focal therapies like radiotherapy, PDT, and TUS potently modulate EV production and content.
- EVs can be engineered for targeted drug delivery, enhanced by oncolytic therapies.
- Emerging strategies leverage therapeutic modalities to improve EV-based cancer treatments.
Conclusions:
- Modulation of EVs by focal therapies offers new avenues for cancer treatment strategies.
- EV-based drug delivery systems show promise when combined with oncolytic focal therapies.
- Further research into EV-therapy interactions can optimize combination approaches for improved patient outcomes.
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