“…These 88 upregulated miRNAs included miRNAs that have been reported to suppress/inhibit tumor growth and metastasis such as miR-16-2-3p, miR-92b-3p, miR-197-3p, miR-204-5p, miR-320a, miR-411-5p, miR-424-5p, miR-708-5p, miR-718, miR-944, let-7a-5p, and let-7e-5p [52][53][54][55][56][57][58][59][60][61][62][63][64], suggesting that EVs from HPM culture may have superior anti-tumor effects. On the other hand, miRNAs known to protect articular cartilage and enhance cartilage regeneration such as miR-23a-3p, miR-26a-5p, miR-31-5p, miR-100-5p, and miR-140-3p are included in the 46 downregulated miRNAs [44,[65][66][67][68], suggesting that EVs from HPM culture may have less therapeutic effects in the treatment for osteoarthritis. These findings indicate that different culture conditions likely produce EVs with different therapeutic effects.…”