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Table 1 Exosomes loading methods

From: Mesenchymal stem cells-derived exosomes: novel carriers for nanoparticle to combat cancer

Example

Advantage

Disadvantage

Direct methods

Passive

Electroporation: creating an electric field in the microvesicles membrane to increase membrane permeability

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Complications in changing cellular gene expression

Safer↑

Extrusion: a combination of two membranes

Fast transfer ↑

Change the membrane proteins in EVs cytotoxicity↑

Freeze–thaw: combination of drug with extracellular vesicle in liquid nitrogen at -80 temperature

Simple and loading↑

Loading ↓ increase the size of EVs and accumulation of exosomes

Sonication: creating a mechanical cut using an ultrasound probe

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Damage the EVs structure

Active

Hybridization: Combining extracellular vesicles with nanovesicles

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Potential toxicity

EVs surface modifying: making connections between the ligand of the extracellular vesicle and the membrane of the target molecule

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Potential toxicity↑

Biomimetic EVs production: combination of metallic or inorganic nanoparticles with extracellular vesicles

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Potential toxicity↑

Indirect methods

Co-incubation: modifying parent cells with drugs and transferring and encapsulating them in cells

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Aggregation therapeutic drugs↑

Safer↑

Simple and cheap

Gene editing (transfection): plasmid or vector transfer for protein production

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Sensitivity and biocompatibility problem

Safer↑