Harnessing the power of exosomes in leukemia: from molecular messengers to clinical applications. (PubMed, Discov Oncol)
Paradoxically, exosomes also mediate treatment resistance through intercellular transfer of resistant phenotypes, particularly in imatinib-resistant CML and chemoresistant AML, revealing both challenges and therapeutic targets. Clinical translation faces significant hurdles, including standardization of isolation protocols, optimization of cargo loading, scalable manufacturing, and regulatory framework development. The convergence of enhanced biological understanding, technological innovation, and evolving regulatory landscapes positions exosome-based strategies to revolutionize leukemia management through precision diagnostics and targeted therapies with reduced systemic toxicity.