“… 16 They are involved in the immune response, 15 , 17 , 18 , 19 antigen presentation, cell migration, differentiation and angiogenesis, 20 , 21 inflammatory induction, 22 oxidative stress and apoptosis, 23 atherosclerosis, 24 , 25 tumor initiation, progression, invasion and metastasis, and drug resistance. 26 , 27 Given the ability of exosomes to carry and transfer bioactive substances, 28 the potential of exosomes to reveal the pathogenesis of diseases such as cancer, 29 , 30 , 31 , 32 , 33 brain diseases, 34 , 35 , 36 , 37 cardiovascular diseases, 38 , 39 , 40 , 41 , 42 , 43 , 44 and metabolic diseases, 45 , 46 , 47 as well as to diagnose and treat diseases as biomarkers are being studied and explored. 48 , 49 , 50 , 51 , 52 …”