Aptamer-guided extracellular vesicle theranostics in oncology.

Phuong H-L Tran, Dongxi Xiang, Tuong N-G Nguyen, Thao T-D Tran, Qian Chen, Wang Yin, Yumei Zhang, Lingxue Kong, Andrew Duan, Kuisheng Chen, Miomio Sun, Yong Li, Yingchun Hou, Yimin Zhu, Yongchao Ma, Guoqin Jiang, Wei Duan
Author Information
  1. Phuong H-L Tran: School of Medicine and Centre for Molecular and Medical Research, Deakin University, Waurn Ponds, Victoria, Australia.
  2. Dongxi Xiang: Division of Genetics, Department of Medicine, Brigham and Women's Hospital/Harvard Medical School, 77 Avenue Louise Pasteur, Boston, MA 02115, USA.
  3. Tuong N-G Nguyen: School of Medicine and Centre for Molecular and Medical Research, Deakin University, Waurn Ponds, Victoria, Australia.
  4. Thao T-D Tran: Department for Management of Science and Technology Development, Ton Duc Thang University, Ho Chi Minh City, Vietnam.
  5. Qian Chen: Translational Medical Center, The Chinese People's Liberation Army General Hospital, 28 Fuxing Road, Haidian District, Beijing, China, 100853.
  6. Wang Yin: School of Medicine and Centre for Molecular and Medical Research, Deakin University, Waurn Ponds, Victoria, Australia.
  7. Yumei Zhang: School of Medicine and Centre for Molecular and Medical Research, Deakin University, Waurn Ponds, Victoria, Australia.
  8. Lingxue Kong: Institute for Frontier Materials, Deakin University, Waurn Ponds, Victoria, 3216, Australia.
  9. Andrew Duan: School of Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, 27 Rainforest Walk, Clayton VIC 3800, Australia.
  10. Kuisheng Chen: Department of Pathology, The First Affiliated Hospital, Zhengzhou University, He'nan Key Laboratory of Tumor Pathology, Zhengzhou 450052, China.
  11. Miomio Sun: Department of Pathology, The First Affiliated Hospital, Zhengzhou University, He'nan Key Laboratory of Tumor Pathology, Zhengzhou 450052, China.
  12. Yong Li: Cancer Care Centre, St George Hospital, Kogarah, and St George and Sutherland Clinical School, University of New South Wales, Kensington, NSW, Australia.
  13. Yingchun Hou: Laboratory of Tumor Molecular and Cellular Biology, College of Life Sciences, Shaanxi Normal University, 620 West Chang'an Avenue, Xi'an, Shaanxi 710119, China.
  14. Yimin Zhu: CAS Key Laboratory of Nano-Bio Interface, Suzhou Institute of Nano-Tech and Nano-Bionics, Chinese Academy of Sciences, Suzhou 215123, China.
  15. Yongchao Ma: Clinical School, Luohe Medical College, 148, Daxue Road, Luohe City, Henan Province, 462000, China.
  16. Guoqin Jiang: Department of General Surgery, Second Affiliated Hospital of Soochow University, 1055 Sanxiang Road, Suzhou, P.R. China, 215004.
  17. Wei Duan: School of Medicine and Centre for Molecular and Medical Research, Deakin University, Waurn Ponds, Victoria, Australia.

Abstract

In the past decade, the study of exosomes, nanosized vesicles (50-150 nm) released into the extracellular space via the fusion of multivesicular bodies with the plasma membrane, has burgeoned with impressive achievements in theranostics applications. These nanosized vesicles have emerged as key players in homeostasis and in the pathogenesis of diseases owing to the variety of the cargos they can carry, the nature of the molecules packaged inside the vesicles, and the robust interactions between exosomes and target cells or tissues. Accordingly, the development of exosome-based liquid biopsy techniques for early disease detection and for monitoring disease progression marks a new era of precision medicine in the 21 century. Moreover, exosomes possess intrinsic properties - a nanosized structure and unique "homing effects" - that make them outstanding drug delivery vehicles. In addition, targeted exosome-based drug delivery systems can be further optimized using active targeting ligands such as nucleic acid aptamers. Indeed, the aptamers themselves can function as therapeutic and/or diagnostic tools based on their attributes of unique target-binding and non-immunogenicity. This review aims to provide readers with a current picture of the research on exosomes and aptamers and their applications in cancer theranostics, highlighting recent advances in their transition from the bench to the clinic.

Keywords

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MeSH Term

Drug Delivery Systems
Exosomes
Extracellular Vesicles
Humans
Medical Oncology
Neoplasms
Precision Medicine
SELEX Aptamer Technique

Word Cloud

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