The biology , function , and biomedical applications of exosomes
Open accessAbstract
Clinical uses of cellular communication: Exosomes are a type of extracellular vesicle that contain constituents (protein, DNA, and RNA) of the cells that secrete them. They are taken up by distant cells, where they can affect cell function and behavior. Intercellular communication through exosomes seems to be involved in the pathogenesis of various disorders, including cancer, neurodegeneration, and inflammatory diseases. In a Review, Kalluri and LeBleu discuss the biogenesis and function of exosomes in disease, highlighting areas where more research is needed. They also discuss the potential clinical applications of exosome profiling for diagnostics and exosome-mediated delivery of therapeutics to target disease cells. Science , this issue p. eaau6977
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There are three major categories of EVs: exosomes, microvesicles, and apoptotic bodies, classified based on their biogenesis mechanism.
“There are three major categories of EVs, namely exosomes, microvesicles, and apoptotic bodies, which are classified based on their biogenesis mechanism [39, 40].”
From Extracellular vesicles as nanotheranostic platforms for targeted neurological disorder interventions (2024) · cites this paper as [40]
The paper’s classification passage (page unavailable) says EVs generally fall into two major categories—ectosomes and exosomes—not the three named in the claim. It describes microvesicles as a type of ectosome and does not list apoptotic bodies as a third major category. (LLM, conf=0.90)
Checked by a reasoning model — may be wrong.
Experimental — accuracy not yet measuredEVs have been conventionally classified into three main categories: exosomes, microvesicles, and apoptotic bodies based on their biogenesis mechanism.
“In many prior research into EVs, EVs have been conventionally classified into three main categories: exosomes, microvesicles, and apoptotic bodies based on their biogenesis mechanism [39, 40].”
From Extracellular vesicles as nanotheranostic platforms for targeted neurological disorder interventions (2024) · cites this paper as [40]
The classification passage (indexed under Abstract; page unavailable) says EVs generally fall into two major categories, ectosomes and exosomes, rather than the claimed three. It describes microvesicles as products of ectosome formation, not as a third category alongside apoptotic bodies. (LLM, conf=0.89)
Checked by a reasoning model — may be wrong.
Experimental — accuracy not yet measuredAmong the key proteins found in sEVs are tetraspanins (CD63, CD9, and CD81), membrane trafficking proteins (RAB proteins and annexins), and proteins involved in MVBs formation (ALIX, TSG101, and clathrin).
“Among the key proteins found in sEVs are tetraspanins (CD63, CD9, and CD81), membrane trafficking proteins (RAB proteins and annexins), and proteins involved in MVBs formation (ALIX, TSG101, and clathrin) [40].”
From Extracellular vesicles as nanotheranostic platforms for targeted neurological disorder interventions (2024) · cites this paper as [40]
The biogenesis of exosomes (page unavailable) names Rab, TSG101, ALIX, and tetraspanins as involved in exosome biogenesis; Immune responses and infection (page unavailable) identifies CD9 and CD81 on exosomes. Our copy does not identify CD63 or annexins in this list, and mentions clathrin in connection with exosome uptake rather than MVB formation. The review also cautions that isolated exosomes may be mixed with other EVs, so it does not establish the full protein list specifically for sEVs. (LLM, conf=0.87)
Experimental — accuracy not yet measuredThe enclosure of the molecular components in EVs is mainly mediated by the ESCRT-dependent and ESCRT-independent pathways.
“The enclosure of the molecular components in EVs is mainly mediated by the Endosomal Sorting Complex Required for Transport (ESCRT)-dependent and ESCRT-independent pathways [40].”
From Extracellular vesicles as nanotheranostic platforms for targeted neurological disorder interventions (2024) · cites this paper as [40]
The biogenesis of exosomes section (page unavailable) identifies ESCRT proteins alongside other molecules involved in exosome formation. It does not establish that molecular enclosure is mainly mediated by two ESCRT-dependent and ESCRT-independent pathways, and its discussion concerns exosomes rather than all EVs. (LLM, conf=0.82)
Experimental — accuracy not yet measuredExosomes are endosomal-derived and are 10-150 nm in diameter.
“Exosomes are, among them, endosomal-derived and are 10–150 nm in diameter [12,13].”
From Ferroptosis-dependent extracellular vesicles from macrophage contribute to asbestos-induced mesothelial carcinogenesis through loading ferritin (2021) · cites this paper as [13]
The review states that exosomes are of endosomal origin, supporting that part of the claim. However, its size range is approximately 40–160 nm, not 10–150 nm (opening section and “The biogenesis of exosomes”; no page numbers provided). (LLM, conf=0.89)
Experimental — accuracy not yet measured
The content and function of EVs can differ significantly depending on their cell of origin, reflecting the cellular context and state, especially under disease conditions.
“The content and function of EVs can differ significantly depending on their cell of origin, reflecting the cellular context and state, especially under disease conditions [40, 142].”
From Extracellular vesicles as nanotheranostic platforms for targeted neurological disorder interventions (2024) · cites this paper as [40]
Exosomes are naturally occurring nanovesicles that facilitate intercellular communication via paracrine or other signaling pathways.
“Exosomes are naturally occurring nanovesicles that facilitate intercellular communication via paracrine or other signaling pathways [12].”
From Hydrogel scaffold encapsulating MSC-Exos and ZIF-8 promotes bone regeneration via coordinating osteogenesis and immunomodulation (2025) · cites this paper as [12]
In the mouse model, massive expression of CD63 (an EV marker) was found inside and outside various cells, including macrophages, myofibroblasts and mesothelial cells.
“In the model we found massive expression of CD63, a marker of EVs [12,13], inside and also outside of various cells, including macrophages, myofibroblasts and mesothelial cells.”
From Ferroptosis-dependent extracellular vesicles from macrophage contribute to asbestos-induced mesothelial carcinogenesis through loading ferritin (2021) · cites this paper as [13]
In the citing sentence, [12,13] support the description of CD63 as an EV marker; the mouse-model observation is the citing authors’ own finding. Searches of the indexed paper for CD63 and EV markers found discussion of other exosomal proteins (Immune responses and infection; page unavailable), but no passage identifying CD63 as an EV marker. (LLM, conf=0.72)
Experimental — accuracy not yet measuredEVs play a key role in maintaining tissue homeostasis.
“EVs also play a key role in maintaining tissue homeostasis (Kalluri and LeBleu, 2020, Lee and Schmitt, 2019, van Niel et al., 2018)”
From Small Extracellular Vesicles Have GST Activity and Ameliorate Senescence-Related Tissue Damage (2020) · cites this paper as Kalluri and LeBleu, 2020
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Self-citationLiquid biopsies: Potential and challenges
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- Authors
- Kalluri, R., & LeBleu, V. S.
- Affiliations
- The University of Texas MD Anderson Cancer Center (US)
- Corresponding author
- Kalluri, Raghu
- Venue
- Science
- Published
- 2020-02-07
- Volume
- 367
- Issue
- 6478
- ISSN
- 0036-8075 (ISSN-L)
- 1095-9203
- PMC
- PMC7717626
- OpenAlex
- W3005104290
- Cited by
- 10,770
- References
- 244
- Citations by year
- 2026: 1781 · 2025: 2238 · 2024: 2222 · 2023: 1766 · 2022: 1430 · 2021: 996 · 2020: 328 · 2019: 1 · 2016: 1 · 2014: 1 · 2013: 1
- FWCI
- 108.46
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Science (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Cancer Institute (CA213233, CA195733, CA231465)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Extracellular vesicles in disease
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Cellular transport and secretion
- Physical Sciences › Materials Science › Biomaterials › Nanoparticle-Based Drug Delivery
- Keywords
- exosomes, extracellular vesicles, exosome biogenesis, endosomes, intercellular communication, biomarkers, liquid biopsy, exosome therapy, disease diagnosis
- MeSH terms
- Animals, Cardiovascular Diseases, Cell Communication, Humans, Infections, Metabolic Diseases, Neoplasms, Reproduction, Neurodegenerative Diseases, Exosomes
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