Exosomes: from basic research to clinical diagnostic and therapeutic applications in cancer

Salomé Araujo-Abad1, José Marcos Berna2,3, Elena Lloret-Lopez2,3

  • 1Cancer Research Group, Faculty of Engineering and Applied Sciences, Universidad de Las Américas, Quito, 170124, Ecuador.

Insights

Exosomes, a type of small extracellular vesicle (EV), show promise for targeted cancer therapy and diagnosis due to their natural biocompatibility and targeting capabilities. Further research is needed to overcome challenges for clinical application.

Area of Science:

  • Biomedical Engineering
  • Nanotechnology
  • Oncology

Background:

  • Cancer remains a significant global health challenge, with current treatments often causing side effects.
  • There is a critical need for advanced, multifunctional therapeutic strategies to improve patient outcomes.

Purpose of the Study:

  • To explore the therapeutic potential of exosomes as drug delivery systems and cancer vaccines.
  • To evaluate the clinical relevance of exosomes as biomarkers for cancer diagnosis and monitoring.
  • To review exosome sources, cargo, and methodologies for cancer applications.

Main Methods:

  • Review of existing literature on exosome biology and therapeutic applications in cancer.
  • Analysis of exosome surface molecules for tissue-specific targeting.
  • Discussion of exosome cargo loading techniques (nucleic acids, drugs).

Main Results:

  • Exosomes offer advantages over synthetic carriers, including high biocompatibility, low immunogenicity, and inherent targeting abilities.
  • Exosomes can be engineered to deliver therapeutic payloads (drugs, nucleic acids) and serve as contrast agents.
  • Exosomes show potential as cancer vaccines and diagnostic biomarkers.

Conclusions:

  • Exosomes represent a promising platform for targeted cancer therapy, diagnostics, and monitoring.
  • Challenges in exosome production, standardization, and clinical translation must be addressed.
  • Future prospects for exosome-based cancer treatments are significant.