“…EVs orchestrate physiological regulation in all tissues. The involvement of EVs is reported in many physiological processes such as angiogenesis [i.e., via the shedding of EV-encapsulated angiogenetic factors such as tetraspanin8, L-selectin, vascular endothelium growth factor receptor 1 (VEGFR1), and CD147], liver function and metabolism (i.e., asialoglycoprotein receptor-, apolipoprotein E/AV-and glutathione S-transferase-enriched EVs), bone resorption (i.e., pro-osteoclastogenic RANKL-positive EVs from osteoblasts), cornea wounding (i.e., fibronectinand thrombospondin 1-enriched EVs from corneal epithelial cells), lung cell differentiation (i.e., EV-mediated shuttling and de novo transcription of pulmonary epithelial cell mRNAs), muscle regeneration (i.e., shuttling of a-Klotho transcript inducing muscle rejuvenating), bowel barrier integrity (epithelial cellderived EVs alleviate gut injury after intestinal ischemia/ reperfusion by miR-23a-3p), gut microbiota (Escherichia coli Nissle 1917 release vesicles positively modulates the intestinal epithelial barrier through upregulation zonulin-1/-2 and claudin-14), and immunity (macrophage-derived EVs contains alarmins orchestrating immune regulation) (16)(17)(18)(19)(20)(21)(22)(23)(24). Similarly, tissue dysfunctions and diseases are sustained by EV exchange including but not limited to stroke, obesity, skeletal muscle atrophy, colitis, and major depressive disorder (25)(26)(27)(28)(29)(30)(31)(32).…”