Exosomes as Biomimetic Nanoplatforms for Synergistic Targeted Chemotherapy and Photothermal Treatment of Breast Cancer. (PubMed, J Biochem Mol Toxicol)
We present engineered exosomes as next-generation Trojan horses for TNBC: NIR-activatable photothermal agents (polydopamine, BPQDs, or ICG) are integrated into the membrane and chemotherapeutics or nucleic acids (doxorubicin, paclitaxel, siKRAS, siPD-L1, miR-145) encapsulated in the lumen. Future directions include AI/CRISPR-optimized design, NIR-II platforms, checkpoint inhibitor synergy, with early-stage clinical translation of photothermal and immunomodulatory exosome-based therapeutics currently underway, highlighting their potential to advance precision oncology. "However, challenges including scalability, batch variability, and regulatory standardization remain significant barriers to clinical translation."