Exosomes are the consummate delivery vehicle for "systems therapeutics." Naturally produced by stem cells, the exosome can be considered a smart liposome given its ability to protect, target, and co-deliver a payload of about 20,000 proteins in space and in time to the target of choice. Thus, an emergent, systems level effect is achieved by the multiple molecule types acting together as a collective at the one target. Given that thousands of exosomes are released from one stem cell type in a short duration of time, the emergent, systems level effects occur across many targets, affecting many pathways.