“…Moreover, the translation of a research-grade cell culturing process into a scalable, clinical-grade protocol is expensive, time-consuming, and vulnerable to contamination [58]. Therefore, the use of biological fluids, such as plasma or serum, as alternative sources, offers undeniable advantages [56]: (i) they are particularly enriched with EVs, reaching 1–5 × 10 8 vesicles/mL, even if the yield depends on the isolation protocol adopted [59]; (ii) plasma and serum are “ready to use” and “cheap” sources, allowing to obtain a huge amount of vesicles without the need of setting up in vitro cell cultures; (iii) EV isolation can be realized with an autologous procedure (the patient’s own blood can be used), a more advisable choice to prevent immune-mediated adverse reactions. In the case of patients debilitated by severe diseases or under chemotherapy regimens, fresh frozen plasma (FFP) from compatible healthy donors could be used as a clinical translational source for vesicle isolation.…”