“…Exosomes are multi-vesicular endosomes that originate from the endocytic system and are formed through four processes: outgrowth, invagination, multivesicular body formation and secretion, and are spherical, flat or cup-shaped vesicles with a diameter of 30–150 nm ( Spilak et al, 2021 ; Staubach et al, 2021 ; Sun et al, 2021 ). In recent years, it has been found that exosomes are distributed in human body fluids, including blood, urine, saliva, thoracoabdominal fluid, cerebrospinal fluid, bile, milk, tears and semen ( Yu et al, 2021a ; Zhang et al, 2021b ; Lin et al, 2021 ; Mohammadi et al, 2021 ; Richter and Lehr, 2021 ). In addition, exosomes of different tissue sources carry different nucleic acids, proteins and lipids ( Teng and Fussenegger, 2020 ; Shehzad et al, 2021 ; Wu et al, 2021 ).…”