Extracellular vesicles (EVs) have emerged as pivotal players in cancer therapy, particularly in the context of drug delivery and biomarker discovery. A significant advancement in this field is the development of engineered artificial vesicles (EAVs) designed for targeted therapy in glioblastoma multiforme (GBM). These EAVs, constructed from HEK293T cells expressing ANG-TRP-PK1 peptides, demonstrate enhanced targeting capabilities and improved drug delivery across the blood-brain barrier, addressing a major challenge in GBM treatment (ref: Liu doi.org/10.1002/adma.202303660/). Additionally, the use of EV-encapsulated adeno-associated viruses (AAVs) has shown superior gene delivery efficacy compared to free AAVs, particularly in the presence of neutralizing antibodies, highlighting the potential of EVs in overcoming immunological barriers in therapeutic applications (ref: Li doi.org/10.1161/CIRCULATIONAHA.122.063759/). Furthermore, the integration of machine learning models with genome-wide mutation profiles from cell-free DNA has enabled the non-invasive detection of lung cancer, achieving over 90% detection rates in early-stage patients, underscoring the diagnostic potential of EVs in cancer (ref: Bruhm doi.org/10.1038/s41588-023-01446-3/). Overall, these studies illustrate the multifaceted roles of EVs in enhancing therapeutic efficacy and facilitating early cancer detection, paving the way for innovative cancer treatment strategies.