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. 2022 Nov 7;23(21):13637. doi: 10.3390/ijms232113637

Table 5.

Lists studies exploring exosomes for in vivo delivery of therapeutic ncRNA as treatment modality.

Exosomes Source of Exosomes Delivery Cargo Loading Method Target Gene Mechanism of Loaded Therapeutics Cancer Types (Cell Lines) Therapeutic Effects Reference
Engineered exosomes
(iRGD peptide modified)
HEK293T cells KRAS siRNA Lipofectamine 2000 transfection reagent KRAS Knock-down KRAS gene expression Lung cancer (A549) tumor growth
Inhibition
[205]
Engineered exosomes
(tLyp-1-modifed EVs)
HEK293T cells siR1, siR2, siR3 Electroporation SOX2 Knock-down the SOX2 gene expression Non-small cell lung cancer (A549) Silenced the target gene expression and reduced the stemness of cancer stem cells [206]
Engineered exosomes
(EGFR RNA aptamer- modified)
HEK293T Survivin siRNA ExoFect
exosome transfection
survivin Silencing the expression of survivin Non-small-cell lung cancer (A549) Leading to sufficient gene silencing, chemotherapy sensitization, and regression of tumor [207]
Engineered exosomes
with PDL-1 antibody
(Exo-PEG-PEI-PD)
A549 Cells PD-L1 siRNA Incubation PD-L1 Silencing PD-L1 gene expression Lung cancer (A549) In vitro Inhibition of tumor cell proliferation and promoted the apoptosis [186]
Engineered exosomes
With TAT peptide modification
A549 cells miR-449a Interaction with TAT protein Bcl-2 BCL-2 expression Non-small cell lung
cancer (A549)
Promoting
cell apoptosis by inhibition of
cell proliferation
[189]
Human cell-derived exosomess HEK293T cells Mimic of miRNA-497 Transfection YAP1, HDGF, CCNE1,
VEGF-A
Knockdown of YAP1,
HDGF, CCNE1, VEGF-A
expression
Non-small cell lung
cancer (A549)
Angiogenesis
and inhibition of tumor
growth
[191]
exosomes isolated from
SK-LU-1 cells
SK-LU-1 cells miRNA-125b Chemical transfection by
Hyaluronic acid-polyethyleneimine (HA-PEI)/hyaluronic acid-polyethylene glycol (HA-PEG)
p53 Modulation of wt-p53 and miR-125b expression and reprogramed global miRNA profile for activation of pathways associated with apoptosis as well as p53 signaling SK-LU-1 lung cancer cells miR-449a Exo was found to control the progression of mouse tumors and prolong their survival
in vivo
[203]
Lung cancer derived exosome A549 cells miR-563 electrophoresed Bcl-2 Inhibiting the function of Bcl-2 Non-small cell lung
cancer (A549)
miR449a significantly inhibited the expression of apoptosis inhibitor protein Bcl-2 in A549 cells and thereby promoted cell apoptosis. Tumor regression and improved survival of in vivo [208]