“…EVs have been studied as potential biomarkers of liver injury in the settings of ALD, NAFLD, drug-induced liver disease, and cholangiopathies [13,27,55,56], as well as being considered diagnostic tools for liver cancer (e.g., hepatocellular carcinoma and cholangiocarcinoma) [19,56]. In this regard, determination of the number of circulating EVs and nucleic-acid based, lipid-based, and protein-based diagnostics have been applied to measure EVs enriched in liver-derived DNA, microRNAs, lipids, or proteins [13,27]. However, before implementing EV-based biomarkers in clinical settings, standardization of sample processing (e.g., collection, transportation, storage, and handling) and assay systems is needed, as well as large replicative studies to allow EV molecular signatures to be conclusively linked to specific liver diseases.…”