“…The International Society for Cellular and Gene Therapies (ISCT) and the International Society for Extracellular Vesicles (ISEV) recognize the potential of extracellular vesicles (EVs, including exosomes) from mesenchymal stromal cells (MSCs) and possibly other cell sources as treatments for OA (Grimm & Widera, 2019 ; Haque et al., 2019 ; Mellows et al., 2017 ; Skurikhin et al., 2019 ; Wang et al., 2017 ; Zeuner et al., 2016 ). The focus is shifting toward natural alternatives (Dudics et al., 2018 ; Grimm et al., 2016 ; Wang et al., 2019 ).…”