Table 4.
Ref | [207,208,209] | [210,211,213] | [214,215,216,218] | [221,222] | [227,228] | [230,233,234] [231,235] |
---|---|---|---|---|---|---|
Examples | AAV9-hIFNβ, retroviral herpes simplex virus-thymidine kinase (HSV-tk), Toca 511 delivers suicide gene, cytosine deaminase (CD), and in combination with oral prodrug, adenoviral vector carrying the wild-type p53 gene (Ad-p53) | Paclitaxel with bEND.3 cell-derived exosome, doxorubicin with U-87 MG cell-derived exosome, miRNA-486-5p transferred exosomes, siKrasG12D iExosomes, tumor-cell-derived exosomes and α-GalCer on a DC-based vaccine | Neutrophil-mediated paclitaxel cationic liposomes, carboxylesterase-expressing allogeneic neural stem cells, bone morphogenetic protein 4 (BMP4) expressing adipose-derived mesenchymal stem cells, neural stem cells engineered to express membrane-bound TRAIL (NSCs-mTRAIL) | Iron oxide nanoparticles, gold nanoclusters, mesoporous silica nanoparticles, lanthanide upconversion particles | Cationized bovine serum albumin modified NPs, polysorbate 80 or poloxamer 188 overcoated NPs, apolipoprotein bound nanoparticles, | Transferrin receptor-targeted (OX26) immunoliposomes, LDLR-DHA nanoparticles, insulin-mAb-modified HSA NPs; Glutathione-modified liposomes, choline-derivate-modified NPs |
Disadvantages | i. Limited brain tumor penetration ii. Highly invasive administration method iii. Prevailing risk of oncogenesis and lethality |
i. Lacking standardized isolation and purification procedure, ii. Donor cells choice iii. Potential tumor induction risk of tumor cell-derived exosomes |
i. Potentially toxic effects of the cargo on the cell carrier itself ii. Spatial and temporal release of the therapeutic agent iii. Limited loading efficiency |
i. Neurotoxicity ii. Unspecific distribution |
i. Poor selectivity ii. Protein adsorption and corona formation |
i. Protein adsorption and corona formation ii. Potential neurotoxicity iii. Difficulty of manufacturing |
Advantages | i. High efficiency for gene delivery, ii. Innate ability to infect cells |
i. Nonimmunogenic ii. Stable and long circulation iii. Cross BBB iv. Target the tissue via their natural surface proteins |
i. Cross BBB ii. Naturally recruited to sites of brain tumors |
i. Ultrasmall size ii. Easily modified iii. Contrast imaging iv. Phototherapeutics |
i. Electrostatic adsorption ii. Improve cellular uptake iii. Improve penetrating efficiency |
i. High selectivity ii. Enhanced brain accumulation iii. Cross BBB iv. Decrease systemic toxicity |
Strategy | AMT | RMT and TMT | ||||
Viral vectors | Exosomes | Cell carriers | Passive diffusion | Actively targeted delivery | ||
Biological vectors | Synthetic vehicles |