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Table 3 Comparison of exosomes with other delivery vectors

From: Exosome-based delivery strategies for tumor therapy: an update on modification, loading, and clinical application

Type of drug delivery vectors

Advantage

Disadvantage

Exosome

Good biocompatibility

Stability

Low immunogenicity and cytotoxicity

Targeting ability

Crossing of biological barriers

Lack of standardized separation and purification methods

Heterogeneity

Low drug loading efficiency

Limited mass production

Liposome

Good biocompatibility

Easy surface modification

Wide adaptability to loaded drugs

Long blood circulation time

High bioavailability and safety

Similar to cell membrane structure

Long-term application only for small molecule drug delivery

Low drug loading rate

Poor stability, easy oxidation of phospholipids, susceptible to metals, radiation, high temperature, PH, and enzymes

Induces a toxic immune response in vivo, mainly in the liver

Polymer nanoparticle

Good biocompatibility, biodegradability

High therapeutic drug load

Easy absorption, controlled drug release

Ligand or targeted modification of polymer surface can achieve multifunctional drug delivery

Easy to bind to negatively charged nonspecific cells or proteins

High cytotoxicity

Low gene transfection efficiency

Micelle

Enter living cells without the use of transfection agents

Long retention time in vivo

Good tissue permeability、 Biocompatibility, biodegradability

Easy structure modification and special "core–shell" structure

Uniformity, small volume

Poor physical stability

Easy to cause drug leakage and sudden release

Inorganic/metallic nanoparticles

Small and uniform size

Unique physical and chemical properties, such as optical, magnetic, electrical, acoustic

Easy to degrade in a short time

Nonimmunogenic

Low biocompatibility

Biotoxicity

  1. Reproduced with permission. [214]. Copyright 2023, Xinyu Lin, Ying Wang, Kai Fang, et al