Microenvironmental Modulation for Therapeutic Efficacy of Extracellular Vesicles

Abstract Extracellular vesicles (EVs) hold significant promise for the prevention and treatment of various diseases. However, the translation of EV‐based therapies into clinical practice faces considerable challenges, particularly in terms of production yield and therapeutic efficacy. Recent studies...

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Main Authors: Bilu Xiang, Shiying Zhang, Irene Shuping Zhao, Xueqi Gan, Yang Zhang
Format: Article
Language:English
Published: Wiley 2025-05-01
Series:Advanced Science
Subjects:
Online Access:https://doi.org/10.1002/advs.202503027
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author Bilu Xiang
Shiying Zhang
Irene Shuping Zhao
Xueqi Gan
Yang Zhang
author_facet Bilu Xiang
Shiying Zhang
Irene Shuping Zhao
Xueqi Gan
Yang Zhang
author_sort Bilu Xiang
collection DOAJ
description Abstract Extracellular vesicles (EVs) hold significant promise for the prevention and treatment of various diseases. However, the translation of EV‐based therapies into clinical practice faces considerable challenges, particularly in terms of production yield and therapeutic efficacy. Recent studies have emphasized the heterogeneity of EVs and the influence of parental cell microenvironmental signals on their biogenesis, cargo composition, and therapeutic outcomes. This review offers a comprehensive overview of strategies to optimize the therapeutic efficacy of EVs through physical, biochemical, and mechanical modulation. Additionally, it explores how microenvironmental signals affect EV cargoes and the mechanisms by which these signals can improve therapeutic efficacy. The review also addresses current challenges and potential solutions to accelerate the clinical translation of EV therapies. Ultimately, it highlights the potential of microenvironmental modulation in unlocking the full therapeutic capacity of EVs, providing key insights into their production and clinical use for treating various diseases.
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issn 2198-3844
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spelling doaj-art-adb38577e1a44f2eb7026dc892d0de212025-08-20T03:11:14ZengWileyAdvanced Science2198-38442025-05-011218n/an/a10.1002/advs.202503027Microenvironmental Modulation for Therapeutic Efficacy of Extracellular VesiclesBilu Xiang0Shiying Zhang1Irene Shuping Zhao2Xueqi Gan3Yang Zhang4School of Dentistry Shenzhen University Medical School Shenzhen 518055 ChinaSchool of Dentistry Shenzhen University Medical School Shenzhen 518055 ChinaSchool of Dentistry Shenzhen University Medical School Shenzhen 518055 ChinaState Key Laboratory of Oral Disease National Clinical Research Center for Oral Diseases West China Hospital of Stomatology Sichuan University Chengdu 610041 ChinaSchool of Dentistry Shenzhen University Medical School Shenzhen 518055 ChinaAbstract Extracellular vesicles (EVs) hold significant promise for the prevention and treatment of various diseases. However, the translation of EV‐based therapies into clinical practice faces considerable challenges, particularly in terms of production yield and therapeutic efficacy. Recent studies have emphasized the heterogeneity of EVs and the influence of parental cell microenvironmental signals on their biogenesis, cargo composition, and therapeutic outcomes. This review offers a comprehensive overview of strategies to optimize the therapeutic efficacy of EVs through physical, biochemical, and mechanical modulation. Additionally, it explores how microenvironmental signals affect EV cargoes and the mechanisms by which these signals can improve therapeutic efficacy. The review also addresses current challenges and potential solutions to accelerate the clinical translation of EV therapies. Ultimately, it highlights the potential of microenvironmental modulation in unlocking the full therapeutic capacity of EVs, providing key insights into their production and clinical use for treating various diseases.https://doi.org/10.1002/advs.202503027exosomesextracellular vesiclesmicroenvironmentstimulitherapeutic efficacy
spellingShingle Bilu Xiang
Shiying Zhang
Irene Shuping Zhao
Xueqi Gan
Yang Zhang
Microenvironmental Modulation for Therapeutic Efficacy of Extracellular Vesicles
Advanced Science
exosomes
extracellular vesicles
microenvironment
stimuli
therapeutic efficacy
title Microenvironmental Modulation for Therapeutic Efficacy of Extracellular Vesicles
title_full Microenvironmental Modulation for Therapeutic Efficacy of Extracellular Vesicles
title_fullStr Microenvironmental Modulation for Therapeutic Efficacy of Extracellular Vesicles
title_full_unstemmed Microenvironmental Modulation for Therapeutic Efficacy of Extracellular Vesicles
title_short Microenvironmental Modulation for Therapeutic Efficacy of Extracellular Vesicles
title_sort microenvironmental modulation for therapeutic efficacy of extracellular vesicles
topic exosomes
extracellular vesicles
microenvironment
stimuli
therapeutic efficacy
url https://doi.org/10.1002/advs.202503027
work_keys_str_mv AT biluxiang microenvironmentalmodulationfortherapeuticefficacyofextracellularvesicles
AT shiyingzhang microenvironmentalmodulationfortherapeuticefficacyofextracellularvesicles
AT ireneshupingzhao microenvironmentalmodulationfortherapeuticefficacyofextracellularvesicles
AT xueqigan microenvironmentalmodulationfortherapeuticefficacyofextracellularvesicles
AT yangzhang microenvironmentalmodulationfortherapeuticefficacyofextracellularvesicles