“…We postulate that, RPE increased release of drusen proteins via EVs in response to AMD stressors such as chronic oxidative stress may initially represent a protective mechanism, since proteins found in drusen are known to play important roles as anti‐angiogenic (Browning et al., 1994 ), anti‐inflammatory (Kelly et al., 1994 ; Mclaughlin et al., 2000 , Wasmuth et al., 2009 ) and anti‐oxidative factors (Kim et al., 2010 ; Tangirala et al., 2001 ), as well as neuroprotective of RPE and photoreceptor cells (Vargas et al., 2017 ). In turn, excessive production and secretion of these proteins, would lead to the spread of the toxic forms of proteins (Alvarez‐Erviti et al., 2011 ; Sardar Sinha et al., 2018 ), propagation of RPE disfunction (Anderson et al., 2002 ; Datta et al., 2017 ; Sakaguchi et al., 2002 ), and formation of drusen deposits (Anderson et al., 2004 ; Bergen et al., 2019 ; Hageman et al., 1999 ; Sakaguchi et al., 2002 ).…”