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SIRP-EV is a therapeutic platform consisting of mesenchymal stem cell (MSC)-derived extracellular vesicles (EVs) engineered to express a high-affinity variant of the signal regulatory protein alpha (SIRPα) on their surface. Developed by SHIFTBIO, this platform leverages the high-affinity binding between SIRPα and CD47 to selectively target pathogenic cells that overexpress CD47, such as inflammatory macrophages and activated fibroblasts. In preclinical studies, SIRP-EV has been utilized both as a standalone agent for treating metabolic dysfunction-associated steatohepatitis (MASH)-associated liver fibrosis and as a delivery vehicle for antisense oligonucleotides (ASOs) targeting the NLRP3 inflammasome in models of inflammatory bowel disease (IBD). The dual-action approach combines the innate regenerative properties of MSC-derived EVs with precise targeting of the CD47-mediated "don't eat me" signaling axis and intracellular inflammasome inhibition.
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