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Table 4 Comparison of different strategies for sEV regulation

From: Regulating the production and biological function of small extracellular vesicles: current strategies, applications and prospects

Strategy

Advantages

Disadvantages

Proper application scenarios

Gene engineering methods

Abundant regulatory targets

Easy to design genetic modification methods based on the biogenesis and release mechanisms of sEVs

Easy to load customed nucleic acid

Complicated and expensive

Easy to cause unknown mutations in donor cells

Low throughput of modulating donor cell

Cancer treatment & gene therapy

Stress-inducing conditions

Convenient operation

Capable to enhance sEV yield and strengthen desired biological function

High throughput of modulating donor cell

Need to accurately control the stress-inducing conditions

Easy to damage donor cells

Cardiovascular disease treatment

Chemical regulators

Convenient operation

Capable to enhance sEV yield and strengthen desired biological function

High throughput of modulating donor cell

Need to screen chemical regulators from a huge number of chemical molecules

Potential cytotoxicity

Cancer treatment

Physical methods

Capable to enhance sEV yield and strengthen desired biological function

High throughput of modulating donor cell

Need additional equipment

Difficult to accurately control the parameters of physical stimulus

Easy to damage donor cells

Unclear regulatory mechanism

Tissue repair

Biomaterial stimulations

Capable to enhance sEV yield and strengthen desired biological function

Cause no damage to donor cells

High safety

Need to prepare various biomaterials with different components and structures

Unclear regulatory mechanism

Tissue repair