There are several loading strategies. Passive incubation lets small hydrophobic molecules diffuse into membranes. Electroporation drives nucleic acids or proteins into vesicles under an electric field. Other methods include sonication or extrusion. Genetic engineering modifies the producing cell so it packages the cargo during EV biogenesis.
Genetic approaches using fusion proteins with EV-sorting domains, such as CD63 or PTGFRN, give the most reproducible endogenous loading.