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Table 4 Artificial EV preparation for targeting delivery

From: Current and prospective strategies for advancing the targeted delivery of CRISPR/Cas system via extracellular vesicles

EV types

Principle/mechanism

Engineered strategy

EV sources

Advantages

Disadvantages

Cargo

References

Artificially synthesised EV-like NPs

Top-down strategy

Extrusion, filtration, microfluidic device, nitrogen cavitation, sonication, cell bleb, etc

RBCs, WBCs, platelets, MSCs, cancer cells, and bacteria

Simple and controllable fabrication procedure; high purity; similar size, distribution, zeta potential, and protein markers

May cause biological function loss, hard to incorporate multiple components

Therapeutic oligonucleotides, chemotherapeutic drugs

[166, 167]

EMs

Bottom-up strategy

Supramolecular chemistry

/

Easier to manufacture; safer; high yield and membrane integrity; mimicking the biological complexity of natural EVs

Low homogeneity and purity, less controllable preparation process

Drugs, therapeutic RNAs, and oligonucleotides

[168, 171]

HEs

EVs fused/hybridised with lipid membrane

Microfluidics, sonication, freeze–thaw, extrusion, hybridisation

HEK293T cells, MDA-MB-231, chondrocyte

Easy and controllable production, adjustable physical parameters, prolonged circulation time

May lose biological functions of EVs, difficult fabrication and purification, low homogeneity and yield

CRISPR/Cas9 plasmid, therapeutic RNAs, chemotherapeutic drugs

[9, 18, 49]

EV membrane-camouflaged NPs

EV membrane encapsulating inorganic/organic NPs

/

MSCs, neutrophil

Maintain the complex structure of EVs, specific targeting, immune escape, high therapy efficacy

Low scalability, difficult fabrication, time-consuming

Proteins, therapeutic RNAs, bioactive lipid mediators, imaging agents

[105, 170, 172]