“…The biological importance of exosomes and exosomal-miRNA (exoMiR) is reflected by their association with a range of inflammatory ( Van Hezel et al, 2017 ; Cypryk et al, 2018 ), autoimmune ( Long et al, 2018 ; Anel et al, 2019 ) and neurodegenerative diseases ( Jan et al, 2017 ; Soria et al, 2017 ; Jain et al, 2019 ). These include diabetes ( Saeedi et al, 2018 ), rheumatoid arthritis ( Skriner et al, 2006 ; Zhang et al, 2006 ; Wan et al, 2019 ), and Alzheimer’s and Parkinson’s disease ( Gupta and Pulliam, 2014 ; Li et al, 2018 ; Jain et al, 2019 ; Sackmann et al, 2019 ). exoMiR have been reported to play pathogenic roles in these diseases by promoting angiogenesis ( Kosaka et al, 2013 ; Atienzar−Aroca et al, 2016 ), and modulating immune responses, including in the recruitment of immune cells ( Théry et al, 2002 ; Abusamra et al, 2005 ; Robbins and Morelli, 2014 ; Ye et al, 2014 ; Wong et al, 2016 ; Van Hezel et al, 2017 ); features that contribute to cell death.…”