Good Things : Small Packages

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Good Things. Small Packages.
Specialized microvesicles can efficiently deliver tissue-specific drugs while avoiding adverse effects.
Imagine a drug therapy system capable of distributing treatment straight to infected or damaged cells while avoiding healthy cell “friendly fire” and its resulting side effects. Where chemotherapy drugs or genetic therapy RNAs are delivered right to a cell in need using microscopic packages. Thanks to expanding knowledge of cellular exosomes, a new drug delivery method fitting these qualifications could be right around the corner.
Exosomes are tiny vesicular packages produced by every cell in the body. Scientist can fill these double membrane spheres to the brim with signaling molecules, proteins, or genetic materials. After stamping the target cell’s address via arrangement of membrane proteins, the cell can send off the exosome to surrounding recipient cells as a signaling method. A process called exocytosis ships these packages out from the cellular post office. Acting as water-tight bubble wrap, the exosome protects its fragile contents such as RNA from harsh extracellular environments while making its way through circulation. Unique receptors of the recipient cell allow it to recognize and bind the exosome. Through membrane fusion, the contents sent from the dispatcher cell are released into recipient cytosol. This starts a cellular response ranging from genetic expression to even cellular death.
With this information in mind, scientists have utilized these versatile delivery devices to carry cargo of their own design. Research involving exosomes as drug delivery vehicles has been a hot topic and the sheer volume of positive, supporting results is staggering. Bioengineering and synthetic pa...

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...of the three Johnson says to be “the most widely used approach,” as cells can be manipulated to genetically express specific targeting proteins on surfaces of the exosomes they produce.
Finally, for a patient to take a drug such as this, comfortable-or at least bearable- administration is ideal. Forms of drug administration of studies noted and those compiled by Johnson and his team include injection as a vaccine into the blood stream, injection straight into the infected area such as right into a tumor, orally as a pill, and through the nasal passage likely as a spray. Although patient comfort is a consideration, it is also of great importance that the administration route be the most effective in treating the disease. The right balance between patient comfort and drug efficiency is necessary before exosome-based delivery systems will be available to the public.

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