Abstract: Compositions and methods for delivery of mRNA agents to subjects are provided in which the mRNA agents are encapsulated in exosomes prepared from human stem cells or progenitor cells, such as human mesenchymal stem cells, human embryonic stem cells or human cardiac progenitor cells. The compositions and methods can be used for delivery of mRNA agents encoding therapeutics, such as enzymes (e.g., metabolic enzymes), cytokines, growth factors, antigens, antibodies or immunomodulatory agents, by administering the compositions to the subject. Methods of preparing compositions comprising exosomes encapsulating mRNA agents are also provided.

Abstract: Methods of delivering cells and other therapeutic agents to organs and extravascular sites using an endoluminal delivery device are provided that allow for retention of the cells or agents at the delivery site at significantly improved levels as compared to needle delivery. Optimal delivery rates using the endoluminal delivery device are also provided. The methods allow for delivery of a variety of therapeutic agents to organs including heart, kidney and pancreas.

Abstract: This disclosure relates to compositions including mesenchymal stem or stromal cells (MSCs) that harbor one or more modified RNA molecules encoding a bone morphogenetic protein (BMP), e.g., human BMP, and one or more modified RNA molecules encoding vascular endothelial growth factor (VEGF), e.g., human VEGF or VEGF-A, or first and second separate pluralities of MSCs, wherein each MSC in the first plurality of MSCs harbors one or more modified RNA molecules encoding BMP, and wherein each MSC in the second plurality of MSCs harbors one or more modified RNA molecules encoding VEGF; and a carrier, e.g., a solid or semi-solid carrier. The disclosure also relates to methods and uses of these compositions to treat bone defects.