“…In our previous studies, we reported that ethanol-induced EV miRNAs such as miR-140-3p could mediate aberrant astroglial differentiation, while suppressing neuronal and oligodendroglial lineage markers [ 23 ], and retroviral-like proteins present in EVs, like PEG10 and PNMA2, could lead to apoptosis-resistance [ 22 ]. Moreover, EV reprogramming has been implicated in microglial activation and inflammation-mediated loss of developing hypothalamic neurons [ 45 ], and in the pathogenesis of alcohol-associated liver disease [ 46 , 47 ], suggesting that EVs are a component of a broader cellular and tissue sensitivity to this common perturbagen. These observations advance a novel possibility that EVs secreted by NSCs may reflect NSC reprogramming by the environment and, consequently, transfer the effects of a perturbagen between cells, thereby contributing to the spread and persistence of deleterious effects within the neurogenic niche.…”