Exosomes are a type of extracellular vesicle (EV) with diameters of 30-150 nm secreted by most of the cells into the extracellular spaces and can alter the microenvironment through cell-to-cell interactions by fusion with the plasma membrane and subsequent endocytosis and release of their cargo. [1][2][3][4][5][6] Irrespective of the origin of parent cells, exosomes share common features such as certain tetraspanins (CD9, CD63, and CD81), heat shock proteins (HSP 60, Hsp 70, and Hsp 90), biogenesis-related proteins (Alix and TSG 101), membrane transport and fusion proteins (GTPases, annexins, and Rab proteins), nucleic acids (mRNA, miRNA, and long noncoding RNAs and DNAs), and lipids (cholesterol and ceramide). 2,7,8 Because of their biocompatibility, low toxicity and immunogenicity, permeability (even through the blood-brain barrier (BBB)), stability in biological fluids, and ability to accumulate in the lesions with higher specificity, 9-15 investigators have started making designer's exosomes or engineered exosomes to carry biologically active protein on the surface or inside the exosomes as well as using exosomes to carry drugs, micro RNA, and other products to the site of interest. 11,[16][17][18][19]