reviewCellular and Molecular ImmunologyJul 14, 2025HYBRID OA

The role of exosomes in immunopathology and potential therapeutic implications

Second Affiliated Hospital of Zhejiang University · Zhejiang University · +2 more institutions

PubMed
Indexed incrossrefpubmed

Abstract

Extracellular vesicles (EVs), including exosomes, ectosomes, and apoptotic bodies, are released by various cells. Among these subtypes, exosomes have been extensively studied and demonstrated to be crucial mediators of intercellular communication involving multiple physiological and pathological processes. Four primary steps influence the biogenesis of exosomes: generation of early endosomes, formation and maturation of multivesicular bodies (MVBs), MVB and plasma membrane fusion for exosome release, and MVB fusion with lysosomes for degradation. During the formation and maturation of MVBs, the main effector molecules, such as RNAs and proteins, are sorted into exosomes via diverse mechanisms. However, the…

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