“…A few routes for OMV entry into host cells have been proposed: (1) endocytosis, in eukaryotic cells it can be clathrin-or caveolin-dependent, (2) pinocytosis, an actin-induced process where nonspecific uptake of extracellular components occur, (3) by lipid rafts in the host plasma membrane via caveolins or GTPases, (4) phagocytosis, and (5) by direct membrane fusion (18,22,51,53,54,56,59,(62)(63)(64)(65)70,33,(71)(72)(73)(37)(38)(39)(40)43,46,50). In that sense, OMVs have an intrinsic ability to fuse with the cell and spill their contents into the host's cytoplasm (39,46,64,72,74).…”