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Review
. 2024 Feb:85:103067.
doi: 10.1016/j.copbio.2024.103067. Epub 2024 Jan 25.

Extracellular vesicles as therapeutics for inflammation and infection

Affiliations
Review

Extracellular vesicles as therapeutics for inflammation and infection

Daniel Levy et al. Curr Opin Biotechnol. 2024 Feb.

Abstract

Extracellular vesicles (EVs) are an emergent next-generation biotechnology with broad application potential. In particular, immunomodulatory bioactivity of EVs leading to anti-inflammatory effects is well-characterized. Cell source and culture conditions are critical determinants of EV therapeutic efficacy, while augmenting EV anti-inflammatory bioactivity via diverse strategies, including RNA cargo loading and protein surface display, has proven effective. Yet, translational challenges remain. Additionally, the potential of direct antimicrobial EV functionality has only recently emerged but offers the possibility of overcoming drug-resistant bacterial and fungal infections through novel, multifactorial mechanisms. As discussed herein, these application areas are brought together by the potential for synergistic benefit from technological developments related to EV cargo loading and biomanufacturing.

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Conflict of interest statement

Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Figures

Figure 1:
Figure 1:. Schematic of modes of interaction of host cell-derived extracellular vesicles with pathogenic microbes.
Created with BioRender.com.

References

    1. Kordelas L, Rebmann V, Ludwig AK, Radtke S, Ruesing J, Doeppner TR, Epple M, Horn PA, Beelen DW, Giebel B: MSC-derived exosomes: a novel tool to treat therapy-refractory graft-versus-host disease. Leukemia 2014, 28:970–973. - PubMed
    1. Biologics D: Direct Biologics Announces FDA Authorization to Expand Ongoing Phase 3 Clinical Study of ExoFlo™ to All-Cause Moderate-to-Severe ARDS. Edited by; 2023.
    2. *Highlights how rapidly clinical translation of EV therapeutics is approaching with the announcement of a Phase 3 clinical trial.

    1. Halder LD, Babych S, Palme DI, Mansouri-Ghahnavieh E, Ivanov L, Ashonibare V, Langenhorst D, Prusty B, Rambach G, Wich M, et al.: Candida albicans Induces Cross-Kingdom miRNA Trafficking in Human Monocytes To Promote Fungal Growth. mBio 2022, 13:e03563–03521. - PMC - PubMed
    2. * Demonstrates that EVs released from C. Albicans infected monocytes can transfer human miRNA hsa-miR-24–3p decreasing translation of cell cycle regulator Sol1.

    1. Wagner W, Horn P, Castoldi M, Diehlmann A, Bork S, Saffrich R, Benes V, Blake J, Pfister S, Eckstein V, et al.: Replicative senescence of mesenchymal stem cells: a continuous and organized process. PLoS One 2008, 3:e2213. - PMC - PubMed
    1. Costa LA, Eiro N, Fraile M, Gonzalez LO, Saa J, Garcia-Portabella P, Vega B, Schneider J, Vizoso FJ: Functional heterogeneity of mesenchymal stem cells from natural niches to culture conditions: implications for further clinical uses. Cell Mol Life Sci 2021, 78:447–467. - PMC - PubMed

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