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      Bacterial extracellular vesicles as bioactive nanocarriers for drug delivery: Advances and perspectives

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          Abstract

          Nanosized extracellular vesicles derived from bacteria contain diverse cargo and transfer intercellular bioactive molecules to cells. Due to their favorable intercellular interactions, cell membrane-derived bacterial extracellular vesicles (BEVs) have great potential to become novel drug delivery platforms. In this review, we summarize the biogenesis mechanism and compositions of various BEVs. In addition, an overview of effective isolation and purification techniques of BEVs is provided. In particular, we focus on the application of BEVs as bioactive nanocarriers for drug delivery. Finally, we summarize the advances and challenges of BEVs after providing a comprehensive discussion in each section. We believe that a deeper understanding of BEVs will open new avenues for their exploitation in drug delivery applications.

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          Highlights

          • Bacterial extracellular vesicles (BEVs) are excellent nanomaterials as drug delivery systems.

          • The unique nanosized structures and biofunctions of BEVs are attractive for their use as nanomedicine platforms.

          • BEVs have been investigated as biotherapeutics due to their loading capacity, ease of modification and industrialization.

          • This review provides new insights of BEVs in drug delivery applications, discussing potential opportunities and challenges.

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          Most cited references166

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          Gut microbiome modulates response to anti–PD-1 immunotherapy in melanoma patients

          Pre-clinical mouse models suggest that the gut microbiome modulates tumor response to checkpoint blockade immunotherapy; however, this has not been well-characterized in human cancer patients. Here we examined the oral and gut microbiome of melanoma patients undergoing anti-PD-1 immunotherapy (n=112). Significant differences were observed in the diversity and composition of the patient gut microbiome of responders (R) versus non-responders (NR). Analysis of patient fecal microbiome samples (n=43, 30R, 13NR) showed significantly higher alpha diversity (p<0.01) and relative abundance of Ruminococcaceae bacteria (p<0.01) in responding patients. Metagenomic studies revealed functional differences in gut bacteria in R including enrichment of anabolic pathways. Immune profiling suggested enhanced systemic and anti-tumor immunity in responding patients with a favorable gut microbiome, as well as in germ-free mice receiving fecal transplants from responding patients. Together, these data have important implications for the treatment of melanoma patients with immune checkpoint inhibitors.
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            Gut microbiota in human metabolic health and disease

            Observational findings achieved during the past two decades suggest that the intestinal microbiota may contribute to the metabolic health of the human host and, when aberrant, to the pathogenesis of various common metabolic disorders including obesity, type 2 diabetes, non-alcoholic liver disease, cardio-metabolic diseases and malnutrition. However, to gain a mechanistic understanding of how the gut microbiota affects host metabolism, research is moving from descriptive microbiota census analyses to cause-and-effect studies. Joint analyses of high-throughput human multi-omics data, including metagenomics and metabolomics data, together with measures of host physiology and mechanistic experiments in humans, animals and cells hold potential as initial steps in the identification of potential molecular mechanisms behind reported associations. In this Review, we discuss the current knowledge on how gut microbiota and derived microbial compounds may link to metabolism of the healthy host or to the pathogenesis of common metabolic diseases. We highlight examples of microbiota-targeted interventions aiming to optimize metabolic health, and we provide perspectives for future basic and translational investigations within the nascent and promising research field.
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              The human tumor microbiome is composed of tumor type–specific intracellular bacteria

              Bacteria were first detected in human tumors more than 100 years ago, but the characterization of the tumor microbiome has remained challenging because of its low biomass. We undertook a comprehensive analysis of the tumor microbiome, studying 1526 tumors and their adjacent normal tissues across seven cancer types, including breast, lung, ovary, pancreas, melanoma, bone, and brain tumors. We found that each tumor type has a distinct microbiome composition and that breast cancer has a particularly rich and diverse microbiome. The intratumor bacteria are mostly intracellular and are present in both cancer and immune cells. We also noted correlations between intratumor bacteria or their predicted functions with tumor types and subtypes, patients’ smoking status, and the response to immunotherapy.
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                Author and article information

                Contributors
                Journal
                Bioact Mater
                Bioact Mater
                Bioactive Materials
                KeAi Publishing
                2452-199X
                17 December 2021
                August 2022
                17 December 2021
                : 14
                : 169-181
                Affiliations
                [a ]Institute of Translational Medicine, Shanghai University, Shanghai, 200444, China
                [b ]Department of Orthopedics, Shanghai Zhongye Hospital, Shanghai, China
                Author notes
                []Corresponding author. Institute of Translational Medicine, Shanghai University, Shanghai, 200444, China. jiacansu@ 123456smmu.edu.cn
                [∗∗ ]Corresponding author. drwengweizong@ 123456163.com
                [∗∗∗ ]Corresponding author. jingy4172@ 123456shu.edu.cn
                Article
                S2452-199X(21)00561-2
                10.1016/j.bioactmat.2021.12.006
                8892084
                35310361
                0e9fb526-1fc7-42f6-837c-68e00837222d
                © 2021 The Authors

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                : 23 November 2021
                : 1 December 2021
                : 8 December 2021
                Categories
                Article

                bacterial extracellular vesicles,bioactive nanocarriers,isolation and purification,drug delivery

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