REVIEW article

Front. Mol. Biosci.

Sec. Molecular Diagnostics and Therapeutics

Volume 12 - 2025 | doi: 10.3389/fmolb.2025.1583992

Engineered Exosomes: A Promising Drug Delivery Platform with Therapeutic Potential

Provisionally accepted
Jinyu  ZhangJinyu Zhang1*Genevieve  Mo SchwarzGenevieve Mo Schwarz1Xuechen  RenXuechen Ren1Wen  XieWen Xie2Haitao  GuoHaitao Guo2Yong  JiangYong Jiang1*
  • 1University of Toledo, Toledo, United States
  • 2University of Pittsburgh, Pittsburgh, Pennsylvania, United States

The final, formatted version of the article will be published soon.

Exosomes, small membranous vesicles naturally secreted by living cells, have garnered attention for their role in intercellular communication and therapeutic potential. Their low immunogenicity, high biocompatibility, and efficient biological barrier penetration make them promising drug delivery vehicles. This review spans research developments from 2010 to 2025, covering the engineering of exosomes to optimize cargo loading and targeting specificity. We discuss their applications in treating cardiovascular diseases, liver fibrosis, immune diseases, and neurological diseases, alongside ongoing clinical trials and industry progress. Future challenges include scalability, standardization, and minimizing off-target effects. We propose strategies to address these hurdles, such as bioengineering techniques and improved isolation methods. By synthesizing current knowledge and outlining future directions, this review aims to guide researchers toward harnessing exosomes for disease treatment.

Keywords: Exosomes1, cardiovascular diseases2, Liver fibrosis3, immune diseases4, and nervous disorders5

Received: 26 Feb 2025; Accepted: 22 Apr 2025.

Copyright: © 2025 Zhang, Mo Schwarz, Ren, Xie, Guo and Jiang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence:
Jinyu Zhang, University of Toledo, Toledo, United States
Yong Jiang, University of Toledo, Toledo, United States

Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.