Artificial Intelligence-Enabled Bioengineering of Extracellular Vesicle Platforms in Cardiovascular Medicine

Extracellular vesicles (EVs) hold significant potential in cardiovascular diagnosis and treatment. However, their clinical applications are limited by challenges such as isolation efficiency, subpopulation heterogeneity, analytical standardization, and manufacturing scalability. Artificial intelligence (AI) and machine learning (ML) offer a computational framework to address these constraints through data-driven platform engineering. This review examines AI-assisted strategies in three interconnected EV platform pillars in cardiovascular medicine. These include: (i) isolation and processing platforms where ML algorithms optimize microfluidic separation and improve signal accuracy; (ii) analytical and diagnostic platforms where deep learning supports single vesicle phenotyping, multi-omics biomarker engineering, and biosensor interpretation; and (iii) therapeutic and manufacturing platforms where AI guides cargo loading, biodistribution estimation, and process control. We also assess key translational challenges, including MISEV2023 compliance, dataset bias, reproducibility, and regulatory alignment. This review positions artificial intelligence as the fundamental layer of the EV bioengineering process, providing a structured framework for advancing EV-based cardiovascular platforms from laboratory research to clinical application.