Recent advances in exosome-mediated nucleic acid delivery for cancer therapy

Ying Zhang1,2, Qiqi Liu2, Xinmeng Zhang2

  • 1Central Laboratory of Longgang District People's Hospital of Shenzhen & The Second Affiliated Hospital, The Chinese University of Hong Kong, Shenzhen, 518172, China.

Insights

Exosomes, tiny vesicles, show promise for delivering genetic material like DNA and RNA to treat cancer, overcoming limitations of current gene therapies. This review explores their potential in cancer treatment and ongoing clinical trials.

Area of Science:

  • Biomedical Engineering
  • Molecular Biology
  • Oncology

Background:

  • Cancer remains a significant global health challenge with limitations in current treatment efficacy due to poor specificity and bioavailability.
  • Gene therapy offers a promising avenue for cancer treatment, but effective delivery methods are crucial for its success.
  • Exosomes, naturally occurring extracellular vesicles, possess favorable biocompatibility, low toxicity, and inherent designability, making them attractive for therapeutic applications.

Purpose of the Study:

  • To review the characteristics of exosomes as potential delivery vehicles for nucleic acids in cancer therapy.
  • To summarize the applications of exosomes in delivering various nucleic acids, including DNA, mRNA, miRNA, siRNA, and circRNA.
  • To discuss the current advances and challenges in exosome-mediated nucleic acid delivery for cancer treatment and related clinical trials.

Main Methods:

  • Systematic review and analysis of existing literature on exosome characteristics and functions.
  • Focused review on exosome applications as carriers for diverse nucleic acid types (DNA, mRNA, miRNA, siRNA, circRNA).
  • Discussion of exosome-based cancer therapy strategies and an overview of relevant clinical trials.

Main Results:

  • Exosomes exhibit excellent biocompatibility, low toxicity, and immunogenicity, along with high designability, positioning them as effective natural carriers.
  • Exosomes can be engineered to deliver various nucleic acids, enhancing targeted delivery and therapeutic outcomes in preclinical cancer models.
  • Exosome-mediated nucleic acid delivery has shown potential in improving cancer treatment specificity and bioavailability, with several exosome-based clinical trials underway.

Conclusions:

  • Exosomes represent a promising platform for nucleic acid delivery in cancer gene therapy, addressing key limitations of conventional treatments.
  • Further research and development in exosome engineering and clinical translation are essential to fully realize their therapeutic potential.
  • This review provides a comprehensive overview of exosome-mediated nucleic acid delivery, offering a foundation for future advancements in nucleic acid-based cancer therapeutics.

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