Bioengineered extracellular vesicles: future of precision medicine for sepsis

Sepsis is a syndromic response to infection and is frequently a final common pathway to death from many infectious diseases worldwide. The complexity and high heterogeneity of sepsis hinder the possibility to treat all patients with the same protocol, requiring personalized management. The versatili...

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Bibliographic Details
Published in:Intensive care medicine experimental 2023-03, Vol.11 (1), p.11-20, Article 11
Main Authors: Areny-Balagueró, Aina, Solé-Porta, Anna, Camprubí-Rimblas, Marta, Campaña-Duel, Elena, Ceccato, Adrián, Roig, Anna, Closa, Daniel, Artigas, Antonio
Format: Article
Language:English
Subjects:
Cells
Critical Care Medicine
Extracellular vesicles
Intensive
Intensive care
Medical diagnosis
Medicine
Medicine & Public Health
Pathophysiology
Precision medicine
Reviews
Sepsis
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Summary:Sepsis is a syndromic response to infection and is frequently a final common pathway to death from many infectious diseases worldwide. The complexity and high heterogeneity of sepsis hinder the possibility to treat all patients with the same protocol, requiring personalized management. The versatility of extracellular vesicles (EVs) and their contribution to sepsis progression bring along promises for one-to-one tailoring sepsis treatment and diagnosis. In this article, we critically review the endogenous role of EVs in sepsis progression and how current advancements have improved EVs-based therapies toward their translational future clinical application, with innovative strategies to enhance EVs effect. More complex approaches, including hybrid and fully synthetic nanocarriers that mimic EVs, are also discussed. Several pre-clinical and clinical studies are examined through the review to offer a general outlook of the current and future perspectives of EV-based sepsis diagnosis and treatment.
ISSN:2197-425X
2197-425X
DOI:10.1186/s40635-023-00491-w