35Functional interactions between cellular components of the muscle stem cell (MuSC) niche regulate the 36 regenerative ability of skeletal muscles in physiological and pathological conditions; however, the 37 identity of the mediators of these interactions remains largely unknown. We show here that fibro-38 adipogenic progenitor (FAP)-derived Extracellular Vesicles (EVs) mediate microRNA transfer to 39MuSCs, and that exposure of dystrophic FAPs to HDAC inhibitors (HDACi) increases the intra-EV 40 levels of a subset of microRNAs (miRs), which cooperatively target biological processes of therapeutic 41 interest, including regeneration, fibrosis and inflammation. In particular, we found that increased levels 42 of miR206 in EVs released from FAPs of muscles from Duchenne dystrophic patients or mice (mdx) 43 exposed to HDACi were associated with enhanced regeneration and inhibition of fibrosis of dystrophic 44 muscles. Consistently, EVs from HDACi-treated dystrophic FAPs could stimulated MuSC activation and 45 expansion ex vivo, and promoted regeneration, while inhibiting fibrosis and inflammation of dystrophic 46 muscles, upon intramuscular transplantation, in vivo. These data reveal a potential for pharmacological 47 modulation of FAP-derived EV's content as novel strategy for focal therapeutic interventions in 48 Duchenne Muscular Dystrophy (DMD) and possibly other muscular diseases. 49 50 51 Brief Summary 52 Extracellular Vesicles from HDACi-treated dystrophic FAPs promote regeneration, while inhibiting 53 fibrosis and inflammation of dystrophic muscles 54 55 Introduction 56Emerging evidence indicates that reciprocal interactions between distinct cellular components of 57 the regeneration machinery generate either productive or hostile environment for regeneration of 58 dystrophic muscles (1-3). While muscle stem (satellite) cells(4) (therein indicated as MuSCs) are the 59 direct effectors of muscle repair, a variety of other cell types contribute to muscle regeneration by 60 spatially and temporally coordinating the activity of MuSCs (5, 6). These cells comprise components of 61 the inflammatory infiltrate, including macrophages and eosinophils (7, 8), and a heterogeneous 62 population of muscle-derived interstitial cells referred to as fibro-adipogenic progenitors (FAPs)(9-11). 63Disruption of this network compromises the integrity of MuSC niche and has been associated with the 64 progression of many chronic muscular disorders (i.e. muscular dystrophies) and age-related decline in 65 muscle mass and repair (12, 13). 66Upon myofiber damage, FAP accumulation is preceded by the appearance of the inflammatory 67 infiltrate and is followed by MuSC activation (14, 15). This temporal pattern suggests a key role for FAPs 68 in converting inflammatory cues into signals that regulate MuSC activity, and implies reciprocal 69 communications between these cell types, through the exchange of soluble mediators, which are largely 70 unknown. Deciphering the molecular and functional identity of these mediators might reveal sel...