Targeting capabilities of engineered extracellular vesicles for the treatment of neurological diseases

Recent advances in research on extracellular vesicles have significantly enhanced their potential as therapeutic agents for neurological diseases. Owing to their therapeutic properties and ability to cross the blood–brain barrier, extracellular vesicles are recognized as promising drug delivery vehi...

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Main Authors: Xinyu Yang, Xiangyu Gao, Xiaofan Jiang, Kangyi Yue, Peng Luo
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-11-01
Series:Neural Regeneration Research
Subjects:
Online Access:https://journals.lww.com/10.4103/NRR.NRR-D-24-00462
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author Xinyu Yang
Xiangyu Gao
Xiaofan Jiang
Kangyi Yue
Peng Luo
author_facet Xinyu Yang
Xiangyu Gao
Xiaofan Jiang
Kangyi Yue
Peng Luo
author_sort Xinyu Yang
collection DOAJ
description Recent advances in research on extracellular vesicles have significantly enhanced their potential as therapeutic agents for neurological diseases. Owing to their therapeutic properties and ability to cross the blood–brain barrier, extracellular vesicles are recognized as promising drug delivery vehicles for various neurological conditions, including ischemic stroke, traumatic brain injury, neurodegenerative diseases, glioma, and psychosis. However, the clinical application of natural extracellular vesicles is hindered by their limited targeting ability and short clearance from the body. To address these limitations, multiple engineering strategies have been developed to enhance the targeting capabilities of extracellular vesicles, thereby enabling the delivery of therapeutic contents to specific tissues or cells. Therefore, this review aims to highlight the latest advancements in natural and targeting-engineered extracellular vesicles, exploring their applications in treating traumatic brain injury, ischemic stroke, Parkinson’s disease, Alzheimer’s disease, amyotrophic lateral sclerosis, glioma, and psychosis. Additionally, we summarized recent clinical trials involving extracellular vesicles and discussed the challenges and future prospects of using targeting-engineered extracellular vesicles for drug delivery in treating neurological diseases. This review offers new insights for developing highly targeted therapies in this field.
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institution Kabale University
issn 1673-5374
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language English
publishDate 2025-11-01
publisher Wolters Kluwer Medknow Publications
record_format Article
series Neural Regeneration Research
spelling doaj-art-d2b2e6d8f55944f4abd8a85564874c5e2025-01-07T09:49:28ZengWolters Kluwer Medknow PublicationsNeural Regeneration Research1673-53741876-79582025-11-0120113076309410.4103/NRR.NRR-D-24-00462Targeting capabilities of engineered extracellular vesicles for the treatment of neurological diseasesXinyu YangXiangyu GaoXiaofan JiangKangyi YuePeng LuoRecent advances in research on extracellular vesicles have significantly enhanced their potential as therapeutic agents for neurological diseases. Owing to their therapeutic properties and ability to cross the blood–brain barrier, extracellular vesicles are recognized as promising drug delivery vehicles for various neurological conditions, including ischemic stroke, traumatic brain injury, neurodegenerative diseases, glioma, and psychosis. However, the clinical application of natural extracellular vesicles is hindered by their limited targeting ability and short clearance from the body. To address these limitations, multiple engineering strategies have been developed to enhance the targeting capabilities of extracellular vesicles, thereby enabling the delivery of therapeutic contents to specific tissues or cells. Therefore, this review aims to highlight the latest advancements in natural and targeting-engineered extracellular vesicles, exploring their applications in treating traumatic brain injury, ischemic stroke, Parkinson’s disease, Alzheimer’s disease, amyotrophic lateral sclerosis, glioma, and psychosis. Additionally, we summarized recent clinical trials involving extracellular vesicles and discussed the challenges and future prospects of using targeting-engineered extracellular vesicles for drug delivery in treating neurological diseases. This review offers new insights for developing highly targeted therapies in this field.https://journals.lww.com/10.4103/NRR.NRR-D-24-00462alzheimer’s diseaseamyotrophic lateral sclerosisengineered extracellular vesiclesgliomaischemic strokeneurological diseasesparkinson’s diseasepsychosistargeted drug deliverytraumatic brain injury
spellingShingle Xinyu Yang
Xiangyu Gao
Xiaofan Jiang
Kangyi Yue
Peng Luo
Targeting capabilities of engineered extracellular vesicles for the treatment of neurological diseases
Neural Regeneration Research
alzheimer’s disease
amyotrophic lateral sclerosis
engineered extracellular vesicles
glioma
ischemic stroke
neurological diseases
parkinson’s disease
psychosis
targeted drug delivery
traumatic brain injury
title Targeting capabilities of engineered extracellular vesicles for the treatment of neurological diseases
title_full Targeting capabilities of engineered extracellular vesicles for the treatment of neurological diseases
title_fullStr Targeting capabilities of engineered extracellular vesicles for the treatment of neurological diseases
title_full_unstemmed Targeting capabilities of engineered extracellular vesicles for the treatment of neurological diseases
title_short Targeting capabilities of engineered extracellular vesicles for the treatment of neurological diseases
title_sort targeting capabilities of engineered extracellular vesicles for the treatment of neurological diseases
topic alzheimer’s disease
amyotrophic lateral sclerosis
engineered extracellular vesicles
glioma
ischemic stroke
neurological diseases
parkinson’s disease
psychosis
targeted drug delivery
traumatic brain injury
url https://journals.lww.com/10.4103/NRR.NRR-D-24-00462
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AT xiaofanjiang targetingcapabilitiesofengineeredextracellularvesiclesforthetreatmentofneurologicaldiseases
AT kangyiyue targetingcapabilitiesofengineeredextracellularvesiclesforthetreatmentofneurologicaldiseases
AT pengluo targetingcapabilitiesofengineeredextracellularvesiclesforthetreatmentofneurologicaldiseases