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Extracellular vesicles (EVs) have demonstrated remarkable potential as crucial biomedical tools for COVID\u201019 diagnosis and treatment. However, due to limitations in the performance and titer of natural vesicles, their clinical use remains limited. Nonetheless, EV\u2010inspired strategies are gaining increasing attention. Notably, biomimetic vesicles, inspired by EVs, possess specific receptors that can act as \u201cTrojan horses,\u201d preventing the virus from infecting host cells. Genetic engineering can enhance these vesicles by enabling them to carry more receptors, significantly increasing their specificity for absorbing the novel coronavirus. Additionally, biomimetic vesicles inherit numerous cytokine receptors from parent cells, allowing them to effectively mitigate the \u201ccytokine storm\u201d by adsorbing pro\u2010inflammatory cytokines. Overall, this EV\u2010inspired strategy offers new avenues for the treatment of emerging infectious diseases. Herein, this review systematically summarizes the current applications of EV\u2010inspired strategies in the diagnosis and treatment of COVID\u201019. The current status and challenges associated with the clinical implementation of EV\u2010inspired strategies are also discussed. The goal of this review is to provide new insights into the design of EV\u2010inspired strategies and expand their application in combating emerging infectious diseases.<\/jats:p>","DOI":"10.1002\/adhm.202402103","type":"journal-article","created":{"date-parts":[[2024,6,25]],"date-time":"2024-06-25T02:39:27Z","timestamp":1719283167000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":21,"title":["Extracellular Vesicle\u2010Inspired Therapeutic Strategies for the COVID\u201019"],"prefix":"10.1002","volume":"13","author":[{"given":"Ziwei","family":"Hu","sequence":"first","affiliation":[{"name":"Institute of Otolaryngology Head and neck surgery Guangzhou Red Cross Hospital of Jinan University  Guangzhou 510282 P. R. 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