A new diagnostic tool for brain disorders: extracellular vesicles derived from neuron, astrocyte, and oligodendrocyte
Open accessAbstract
Brain disorders are the leading cause of disability worldwide, affecting people’s quality of life and causing economic burdens. The current clinical diagnosis of brain disorders relies solely on individual phenotypes and lacks accurate molecular biomarkers. An emerging field of research centers around extracellular vesicles (EVs), nanoscale membrane vesicles which can easily cross the blood–brain barrier. EVs in the blood are derived from various tissues, including the brain. Therefore, purifying central nervous system (CNS)-derived EVs from the blood and analyzing their contents may be a relatively non-invasive way to analyze brain molecular alterations and identify biomarkers in brain disorders. Recently, methods for capturing neuron-derived EVs (NDEs), astrocyte-derived EVs (ADEs), and oligodendrocyte-derived EVs (ODEs) in peripheral blood were reported. In this article, we provide an overview of the research history of EVs in the blood, specifically focusing on biomarker findings in six major brain disorders (Alzheimer’s disease, Parkinson’s disease, schizophrenia, bipolar disorder, depression, and autism spectrum disorder). Additionally, we discuss the methodology employed for testing CNS-derived EVs. Among brain disorders, Alzheimer’s disease has received the most extensive attention in EV research to date. Most studies focus on specific molecules, candidate proteins, or miRNAs. Notably, the most studied molecules implicated in the pathology of these diseases, such as Aβ, tau, and α-synuclein, exhibit good reproducibility. These findings suggest that CNS-derived EVs can serve as valuable tools for observing brain molecular changes minimally invasively. However, further analysis is necessary to understand the cargo composition of these EVs and improve isolation methods. Therefore, research efforts should prioritize the analysis of CNS-derived EVs’ origin and genome-wide biomarker discovery studies.
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EVs suggest a revolutionary shift in addressing the critical demands of therapy and monitoring for CNS diseases.
“EVs suggest a revolutionary shift in addressing the critical demands of therapy and monitoring for CNS diseases [119].”
From Extracellular vesicles as nanotheranostic platforms for targeted neurological disorder interventions (2024) · cites this paper as [119]
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Kapogiannis, D., Dobrowolny, H., Tran, J., Mustapić, M., Frodl, T., Meyer-Lotz, G., Schiltz, K., Schanze, D., Rietschel, M., Bernstein, H., et al. (2019) · European Psychiatry · doi:10.1016/j.eurpsy.2019.08.012 · Cited by 52 · see citing works
Deficient neurotrophic factors of CSPG4‐type neural cell exosomes in Alzheimer disease
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Goetzl, E. J., Srihari, V. H., Gülöksüz, S., Ferrara, M., Tek, C., & Heninger, G. R. (2021) · The FASEB Journal · doi:10.1096/fj.202002519r · Cited by 45 · see citing works
Hwang, S. B., & Lee, J. (2003) · Journal of Molecular Biology · doi:10.1016/j.jmb.2003.08.055 · Cited by 44 · see citing works
Prieto, D. M. M., Murrieta-Coxca, J. M., Stojiljkovic, M. R., Diezel, C., Streicher, P. E., Henao-Restrepo, J. A., Röstel, F., Lindner, J., Witte, O. W., Weis, S., et al. (2022) · Cells · doi:10.3390/cells11040625 · Cited by 40 · see citing works
Lee, E., Winston-Gray, C., Barlow, J. W., Rissman, R. A., & Jeste, D. V. (2021) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2020.532624 · Cited by 39 · see citing works
Blood Neuroexosomal Mitochondrial Proteins Predict Alzheimer Disease in Diabetes
Chi, H., Yao, R., Sun, C., Leng, B., Shen, T., Wang, T., Zhang, S., Li, M., Yang, Y., Sun, H., et al. (2022) · Diabetes · doi:10.2337/db21-0969 · Cited by 39 · see citing works
Chou, S., Chan, L., Chung, C., Chiu, J.-Y., Hsieh, Y., & Hong, C. (2020) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2020.564641 · Cited by 37 · see citing works
Goetzl, E. J., Srihari, V. H., Gülöksüz, S., Ferrara, M., Tek, C., & Heninger, G. R. (2020) · Translational Psychiatry · doi:10.1038/s41398-020-01046-3 · Cited by 36 · see citing works
TGF-β1 affects cell-cell adhesion in the heart in an NCAM1-dependent mechanism
Ackermann, M. A., Petrosino, J. M., Manring, H. R., Wright, P. J., Shettigar, V. K., Kilic, A., Janssen, P., Ziolo, M., & Accornero, F. (2017) · Journal of Molecular and Cellular Cardiology · doi:10.1016/j.yjmcc.2017.08.015 · Cited by 33 · see citing works
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Human Brain Disorders: A Review
Naz, F., & Siddique, Y. H. (2020) · The Open Biology Journal · doi:10.2174/1874196702008010006 · Cited by 28 · see citing works
Discovery of Novel Markers for Identifying Cognitive Decline Using Neuron-Derived Exosomes
Zhong, J., Ren, X., Liu, W., Wang, S., Lv, Y., Nie, L., Lin, R., Tian, X., Yang, X., Zhu, F., et al. (2021) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2021.696944 · Cited by 28 · see citing works
Review on the roles of specific cell-derived exosomes in Alzheimer's disease
Zou, Y., Mu, D., Ma, X., Wang, D., Zhong, J., Gao, J., Yu, S., & Qiu, L. (2022) · Frontiers in Neuroscience · doi:10.3389/fnins.2022.936760 · Cited by 26 · see citing works
Mizohata, Y., Toda, H., Koga, M., Saito, T., Fujita, M., Kobayashi, T., Hatakeyama, S., & Morimoto, Y. (2021) · Human Cell · doi:10.1007/s13577-021-00553-9 · Cited by 24 · see citing works
Jaśkiewicz, Ł., Hejne, K., Szostak, B., Osowiecka, K., Skowroński, M. T., Lepiarczyk, E., Doboszyńska, A., Majewska, M., Kordowitzki, P., & Skowrońska, A. (2022) · Journal of Clinical Medicine · doi:10.3390/jcm11195954 · Cited by 16 · see citing works
Glutamate drives ‘local Ca2+ release’ in cardiac pacemaker cells
Xie, D., Xiong, K., Su, X., Wang, G., Zou, Q., Wang, L., Zhang, C., Cao, Y., Shao, B., Zhang, Y., et al. (2022) · Cell Research · doi:10.1038/s41422-022-00693-z · Cited by 15 · see citing works
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Nanoparticle Tracking Analysis: An Effective Tool to Characterize Extracellular Vesicles
Kowkabany, G., & Bao, Y. (2024) · Molecules · doi:10.3390/molecules29194672 · Cited by 115 · see citing works
Extracellular Vesicles for Clinical Diagnostics: From Bulk Measurements to Single-Vesicle Analysis
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CNS cell-derived exosome signatures as blood-based biomarkers of neurodegenerative diseases
Park, C., Weerakkody, J. S., Schneider, R., Miao, S., & Pitt, D. (2024) · Frontiers in Neuroscience · doi:10.3389/fnins.2024.1426700 · Cited by 31 · see citing works
Extracellular vesicles as nanotheranostic platforms for targeted neurological disorder interventions
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Neuron-derived extracellular vesicle-based diagnostics for Tau and Alzheimer’s disease
Chinnathambi, S., Kumarappan, M., Malik, S., Velmurugan, G., & Chandrashekar, M. (2025) · Brain Network Disorders · doi:10.1016/j.bnd.2024.12.006 · Cited by 21 · see citing works
MicroRNAs as Regulators, Biomarkers, and Therapeutic Targets in Autism Spectrum Disorder
Yao, T.-T., Chen, L., Du, Y., Jiang, Z., & Cheng, Y. (2024) · Molecular Neurobiology · doi:10.1007/s12035-024-04582-x · Cited by 21 · see citing works
Bridging metabolic syndrome and cognitive dysfunction: role of astrocytes
Li, Z., Jiang, Y., Long, C., Peng, X., Tao, J., Pu, Y., & Yue, R. (2024) · Frontiers in Endocrinology · doi:10.3389/fendo.2024.1393253 · Cited by 21 · see citing works
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Kawiková, I., Špička, V., Lai, J. C. K., Askenase, P. W., Li, W., Kejík, Z., Jakubek, M., Valeš, K., & Španiel, F. (2025) · Frontiers in Immunology · doi:10.3389/fimmu.2025.1454306 · Cited by 6 · see citing works
Update on the roles and applications of extracellular vesicles in depression
Wu, J., Lu, J. L., Pan, M.-Z., Gu, X., Dai, L., Wang, Y., Shen, B., & Zhang, X.-B. (2025) · World Journal of Psychiatry · doi:10.5498/wjp.v15.i3.102643 · Cited by 5 · see citing works
Mitsuhashi, M., Epps, D. V., Sun, H., Xing, L., Kawata, K., Jiménez, V., Williams, V. B., Sasannejad, C., James, M. L., Edwardson, M. A., et al. (2025) · Cells · doi:10.3390/cells14221771 · Cited by 4 · see citing works
Tomita, Y., Toriumi, K., Miyashita, M., Suzuki, K., Kawaji, H., Itokawa, M., & Arai, M. (2025) · Schizophrenia · doi:10.1038/s41537-025-00706-x · Cited by 3 · see citing works
Humble, M. B., Mobarrez, F., Eklund, D., Bejerot, S., & Wetterberg, L. (2025) · Schizophrenia Research · doi:10.1016/j.schres.2025.08.006 · Cited by 3 · see citing works
de la Monte, S. M., & Tong, M. (2026) · Biomedicines · doi:10.3390/biomedicines14010251 · Cited by 2 · see citing works
Age-dependent effects of fibroblast-derived exosomes on keratinocyte differentiation
Rorteau, J., Béchetoille, N., & Lamartine, J. (2026) · Biogerontology · doi:10.1007/s10522-026-10406-3 · Cited by 2 · see citing works
Glia cell-derived extracellular vesicles as modulators in spinal cord injury repair
Millesi, F., Millesi, E., Haertinger, M., Steinwenter, S., Rührnößl, A., Naghilou, A., & Radtke, C. (2026) · Spinal Cord · doi:10.1038/s41393-026-01231-z · Cited by 2 · see citing works
Miquel-Rio, L., Anmella, G., & Bortolozzi, A. A. (2025) · European Neuropsychopharmacology · doi:10.1016/j.euroneuro.2024.12.011 · Cited by 2 · see citing works
Microglia modulate concussion biomarkers and cognitive recovery in male mice
Anderson, E. D., Augustin, D. V., Georges, A. P., Kim, T., Issadore, D., & Meaney, D. F. (2026) · Journal of Neuroinflammation · doi:10.1186/s12974-026-03999-6 · Cited by 2 · see citing works
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Incretin-Related Pathology and Serum Exosome Detection in Experimental Alcohol-Related Brain Damage
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Extracellular Vesicles in Depression
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MicroRNA-7: a versatile player and core target in brain disorders
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Extracellular Vesicle Translational Research
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Extracellular vesicles in neurodegenerative diseases: A new frontier in diagnosis and therapy
Mohammad, S. I., Vasudevan, A., Oriquat, G., Gajjar, T. B., Hanumanthayya, M., Shukla, S. K., Tailor, N. K., Baig, M. R., Fadaam, O., & Abdul, A. S. (2026) · Behavioural Brain Research · doi:10.1016/j.bbr.2026.116455
Utility of extracellular vesicles in the diagnosis of central nervous system diseases
Wang, M., 杨俊文, Gao, C., Qu, S., Mi, H., Guo, Y., Gui, T., & Gai, Z. (2026) · Frontiers in Neurology · doi:10.3389/fneur.2026.1959745
- Authors
- Wang, X., Yang, H., Liu, C., & Liu, K.
- Affiliations
- Central South University (CN)
- Corresponding author
- Liu, Kefu
- Venue
- Frontiers in Molecular Neuroscience
- Publisher
- Frontiers Media SA
- Published
- 2023-08-09
- Volume
- 16
- Pages
- 1194210-1194210
- ISSN
- 1662-5099 (ISSN-L)
- PMC
- PMC10445044
- OpenAlex
- W4385703405
- Cited by
- 36
- References
- 98
- Citations by year
- 2026: 11 · 2025: 16 · 2024: 9
- FWCI
- 0.95
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Frontiers in Molecular Neuroscience (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Central South University
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Extracellular vesicles in disease
- Physical Sciences › Materials Science › Biomaterials › Nanoparticle-Based Drug Delivery
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Caveolin-1 and cellular processes
- Keywords
- extracellular vesicles, blood-based biomarkers, brain disorders, neuron-derived extracellular vesicles, Alzheimer's disease, Parkinson's disease, schizophrenia, bipolar disorder, depression, autism spectrum disorder, amyloid-beta, tau protein, alpha-synuclein, microRNA, EV isolation methods, non-invasive diagnosis
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