Engineered Exosomes as Next-generation Nanotherapeutics for Glioma: Crossing the Blood-brain Barrier Toward Precision

Shatrudhan Prajapati1,2, Shikha Yadav1

  • 1Department of Pharmacy, School of Medical and Allied Sciences, Galgotias University, Greater Noida, Uttar Pradesh, India.

Abstract

Insights

Exosomes show promise for treating aggressive brain tumors like glioma by overcoming drug resistance and the blood-brain barrier. Further research is needed to standardize exosome production and clinical application for effective glioma therapy.

Area of Science:

  • Neuro-oncology
  • Nanomedicine
  • Biotechnology

Background:

  • Glioma is a highly aggressive and treatment-resistant central nervous system malignancy with poor prognosis.
  • Conventional treatments face limitations due to the blood-brain barrier and tumor cell heterogeneity.

Purpose of the Study:

  • To review preclinical and clinical evidence on exosome biology and therapeutic engineering for glioma.
  • To highlight advances in exosome-based delivery systems for glioma management.

Main Methods:

  • Critical analysis of current literature on exosome biogenesis, cargo, and engineering.
  • Review of exosome-based delivery of chemotherapeutics, microRNAs, and gene-editing systems.

Main Results:

  • Exosomes can cross biological barriers and modulate the tumor microenvironment.
  • Engineered exosomes show potential in enhancing drug sensitivity and reducing glioma proliferation.
  • Exosomes offer stability, low immunogenicity, and surface modification capabilities for nanocarrier applications.

Conclusions:

  • Exosome-based platforms hold therapeutic potential for glioma, overcoming resistance and biological barriers.
  • Challenges include standardization of isolation, cargo loading, targeting specificity, and in vivo stability.
  • Further optimization and clinical validation are crucial for integrating exosome therapeutics into standard glioma treatment.

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