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Table 3 Possible challenges related to Exo application in regenerative medicine

From: Applications, challenges and prospects of mesenchymal stem cell exosomes in regenerative medicine

Challenges

Description

Isolation and purification methods

Lack of standard protocol for Exo isolation, leading to heterogeneity in Exo quality and quantity

Impurity and contamination with non-Exo components

The possibility of Exo damage

Biosafety

Contamination of Exo samples with infectious agents during isolation from biofluids or in vitro systems

Storage and maintenance

Temperature- and pH-dependent changes in Exo profile and physicochemical properties

In vivo administration

Possibility of thrombosis and biodistribution to nontarget organs

Allo-reactive responses and elimination of Exo by the reticuloendothelial system

In vitro culture system condition

Effect of culture medium components on Exo production and cargo profile

Contamination of Exo samples with exogenous Exo, protein and other biomolecules