Abstract
Extracellular vesicles (EVs) are membrane-derived messengers which have been playing an important role in the inflammation and pathogenesis of lung diseases. EVs contain varieties of DNA, RNA, and membrane receptors through which they work as a delivery system for bioactive molecules as well as intracellular communicators. EV signaling mediates tumor progression and metastasis. EVs are linked with many diseases and perform a diagnostic role in lung injury and inflammation so are used to diagnose the severity of diseases. EVs containing a variety of biomolecules communicate with the recipient cells during pathophysiological mechanisms thereby acquiring the attention of clinicians toward the diagnostic and therapeutic potential of EVs in different lung diseases. In this review, we summarize the role of EVs in inflammation with an emphasis on their potential as a novel candidate in the diagnostics and therapeutics of chronic obstructive pulmonary disease, asthma, and sarcoidosis.
Similar content being viewed by others
Data availability
Not applicable.
References
Möller A, Lobb RJ (2020) The evolving translational potential of small extracellular vesicles in cancer. Nat Rev Cancer 20(12):697–709
Doyle LM, Wang MZ (2019) Overview of extracellular vesicles, their origin, composition, purpose, and methods for exosome isolation and analysis. Cells 8(7):727
Andaloussi SE et al (2013) Extracellular vesicles: biology and emerging therapeutic opportunities. Nat Rev Drug Discov 12(5):347–357
Lee Y, El Andaloussi S, Wood MJ (2012) Exosomes and microvesicles: extracellular vesicles for genetic information transfer and gene therapy. Hum Mol Genet 21(R1):R125–R134
Raposo G, Stoorvogel W (2013) Extracellular vesicles: exosomes, microvesicles, and friends. J Cell Biol 200(4):373–383
Pan B-T, Johnstone RM (1983) Fate of the transferrin receptor during maturation of sheep reticulocytes in vitro: selective externalization of the receptor. Cell 33(3):967–978
Yáñez-Mó M et al (2015) Biological properties of extracellular vesicles and their physiological functions. J Extracell Vesicles 4(1):27066
Van Niel G, d’Angelo G, Raposo G (2018) Shedding light on the cell biology of extracellular vesicles. Nat Rev Mol Cell Biol 19(4):213
Valter M et al (2020) Extracellular vesicles in inflammatory bowel disease: small particles, big players. J Crohn’s Colitis 15:499
Bose S et al (2020) Extracellular vesicles: an emerging platform in gram-positive bacteria. Microbial Cell (Graz, Austria) 7(12):312–322
Beveridge TJ (1999) Structures of gram-negative cell walls and their derived membrane vesicles. J Bacteriol 181(16):4725–4733
Ellis TN, Kuehn MJ (2010) Virulence and immunomodulatory roles of bacterial outer membrane vesicles. Microbiol Mol Biol Rev 74(1):81–94
Tominaga N, Yoshioka Y, Ochiya T (2015) A novel platform for cancer therapy using extracellular vesicles. Adv Drug Deliv Rev 95:50–55
Zhuang X et al (2011) Treatment of brain inflammatory diseases by delivering exosome encapsulated anti-inflammatory drugs from the nasal region to the brain. Mol Ther 19(10):1769–1779
Dagnelie MA et al (2020) Bacterial extracellular vesicles: a new way to decipher host-microbiota communications in inflammatory dermatoses. Exp Dermatol 29(1):22–28
Lee EY et al (2009) Gram-positive bacteria produce membrane vesicles: proteomics-based characterization of Staphylococcus aureus-derived membrane vesicles. Proteomics 9(24):5425–5436
Rajabi H et al (2022) Emerging role of exosomes in the pathology of chronic obstructive pulmonary diseases; destructive and therapeutic properties. Stem Cell Res Ther. https://doi.org/10.1186/s13287-022-02820-4
Teng F, Fussenegger M (2021) Shedding light on extracellular vesicle biogenesis and bioengineering. Adv Sci 8:2003505
Kalluri R, Lebleu V (2020) The biology, function, and biomedical applications of exosomes. Science 367:eaau6977
Srinivas AN et al (2021) Extracellular vesicles as inflammatory drivers in NAFLD. Front Immunol. https://doi.org/10.3389/fimmu.2020.627424
Mo Z et al (2020) Extracellular vesicle-associated organotropic metastasis. Cell Prolif 54:e12948
Vallhov H et al (2015) Dendritic cell-derived exosomes carry the major cat allergen F el d 1 and induce an allergic immune response. Allergy 70(12):1651–1655
Admyre C et al (2007) B cell–derived exosomes can present allergen peptides and activate allergen-specific T cells to proliferate and produce TH2-like cytokines. J Allergy Clin Immunol 120(6):1418–1424
Raposo G et al (1996) B lymphocytes secrete antigen-presenting vesicles. J Exp Med 183(3):1161–1172
Barnes PJ (2016) Inflammatory mechanisms in patients with chronic obstructive pulmonary disease. J Allergy Clin Immunol 138(1):16–27
Pelgrim CE et al (2019) Psychological co-morbidities in COPD: targeting systemic inflammation, a benefit for both? Eur J Pharmacol 842:99–110
Hikichi M et al (2019) Pathogenesis of chronic obstructive pulmonary disease (COPD) induced by cigarette smoke. J Thorac Dis 11(Suppl 17):S2129-s2140
Wang L et al (2021) Cigarette smoke extract-treated airway epithelial cells-derived exosomes promote M1 macrophage polarization in chronic obstructive pulmonary disease. Int Immunopharmacol 96:107700
Martin PJ et al (2019) Cellular response and extracellular vesicles characterization of human macrophages exposed to fine atmospheric particulate matter. Environ Pollut 254:112933
Moon H-G et al (2014) CCN1 secretion and cleavage regulate the lung epithelial cell functions after cigarette smoke. Am J Physiol 307(4):L326–L337
Fujita Y et al (2015) Suppression of autophagy by extracellular vesicles promotes myofibroblast differentiation in COPD pathogenesis. J Extracell Vesicles 4(1):28388
Stockley RA, Turner AM (2014) α-1-Antitrypsin deficiency: clinical variability, assessment, and treatment. Trends Mol Med 20(2):105–115
Lockett AD et al (2014) Active trafficking of alpha 1 antitrypsin across the lung endothelium. PLoS ONE 9(4):e93979
Li C-X et al (2016) Prediction of COPD-and smoking status by network-based multi-‘omics data fusion analysis. Eur Respir J 48:130
Lambrecht BN, Hammad H (2015) The immunology of asthma. Nat Immunol 16(1):45
Locksley RM (2010) Asthma and allergic inflammation. Cell 140(6):777–783
Sandford AJ et al (2000) Polymorphisms in the IL4, IL4RA, and FCERIB genes and asthma severity. J Allergy Clin Immunol 106(1):135–140
Howard TD et al (2002) Gene-gene interaction in asthma: IL4RA and IL13 in a Dutch population with asthma. Am J Hum Genet 70(1):230–236
Levänen B et al (2013) Altered microRNA profiles in bronchoalveolar lavage fluid exosomes in asthmatic patients. J Allergy Clin Immunol 131(3):894-903.e8
Schauberger E et al (2016) Lipid mediators of allergic disease: pathways, treatments, and emerging therapeutic targets. Curr Allergy Asthma Rep 16(7):48
Gabrielsson S et al (2017) Pulmonary extracellular vesicles as mediators of local and systemic inflammation. Front Cell Dev Biol. https://doi.org/10.3389/fcell.2017.00039
Gaddam M et al (2021) Sarcoidosis—various presentations, coexisting diseases and malignancies. Cureus 13:e16967
Chen E, Moller D (2015) Etiologies of Sarcoidosis. Clin Rev Allergy Immunol 49:6
Qazi KR et al (2010) Proinflammatory exosomes in bronchoalveolar lavage fluid of patients with sarcoidosis. Thorax 65(11):1016–1024
Martinez-Bravo M-J et al (2017) Pulmonary sarcoidosis is associated with exosomal vitamin D–binding protein and inflammatory molecules. J Allergy Clin Immunol 139(4):1186–1194
Kaur G et al (2020) Differential plasma exosomal long non-coding RNAs expression profiles and their emerging role in E-cigarette users, cigarette, waterpipe, and dual smokers. PLoS ONE 15(12):e0243065
Makiguchi T et al (2016) Serum extracellular vesicular miR-21-5p is a predictor of the prognosis in idiopathic pulmonary fibrosis. Respir Res 17:1–15
Hough K, Deshane J (2019) Exosomes in allergic airway diseases. Curr Allergy Asthma Rep. https://doi.org/10.1007/s11882-019-0857-3
Fu C et al (2020) Plasmacytoid dendritic cells cross-prime naive CD8 T cells by transferring antigen to conventional dendritic cells through exosomes. Proc Natl Acad Sci 117(38):23730–23741
Hough K, Deshane J (2019) Exosomes in allergic airway diseases. Curr Allergy Asthma Rep 19(5):1–8
McKelvey KJ et al (2015) Exosomes: mechanisms of uptake. J Circ Biomark 4:7
Hough K et al (2018) Unique lipid signatures of extracellular vesicles from the airways of asthmatics. Sci Rep 8:10340
Segura E et al (2007) CD8+ dendritic cells use LFA-1 to capture MHC-peptide complexes from exosomes in vivo. J Immunol 179(3):1489–1496
Nolte-‘t Hoen EN, Buschow SI, Anderton SM, Stoorvogel W, Wauben MHM (2009) Activated T cells recruit exosomes secreted by dendritic cells via LFA-1. Blood 113(9):1977–1981
Loving CL, Brockmeier SL, Sacco RE (2007) Differential type I interferon activation and susceptibility of dendritic cell populations to porcine arterivirus. Immunology 120(2):217–229
Hanisch F-G et al (2014) Human trefoil factor 2 is a lectin that binds α-GlcNAc-capped mucin glycans with antibiotic activity against Helicobacter pylori. J Biol Chem 289(40):27363–27375
Chiba M et al (2018) Exosomes released from pancreatic cancer cells enhance angiogenic activities via dynamin-dependent endocytosis in endothelial cells in vitro. Sci Rep 8(1):1–9
Wang J et al (2017) Exosomes: a novel strategy for treatment and prevention of diseases. Front Pharmacol. https://doi.org/10.3389/fphar.2017.00300
Esser J et al (2010) Exosomes from human macrophages and dendritic cells contain enzymes for leukotriene biosynthesis and promote granulocyte migration. J Allergy Clin Immunol 126(5):1032–104.e4
Skotland T, Sandvig K, Llorente A (2017) Lipids in exosomes: current knowledge and the way forward. Prog Lipid Res 66:30–41
Podbielska M et al (2016) Cytokine-induced release of ceramide-enriched exosomes as a mediator of cell death signaling in an oligodendroglioma cell line. J Lipid Res 57(11):2028–2039
Kakazu E et al (2016) Hepatocytes release ceramide-enriched pro-inflammatory extracellular vesicles in an IRE1α-dependent manner. J Lipid Res 57(2):233–245
Qiao Y et al (2018) Identification of exosomal miRNAs in rats with pulmonary neutrophilic inflammation induced by zinc oxide nanoparticles. Front Physiol 9:217
Alexander M et al (2015) Exosome-delivered microRNAs modulate the inflammatory response to endotoxin. Nat Commun 6:7321–7321
Real JM et al (2018) Exosomes from patients with septic shock convey miRNAs related to inflammation and cell cycle regulation: new signaling pathways in sepsis? Crit Care 22(1):1–11
Kishore A et al (2018) Expression analysis of extracellular microRNA in bronchoalveolar lavage fluid from patients with pulmonary sarcoidosis. Respirology 23:1166
Murugaiyan G et al (2015) MicroRNA-21 promotes Th17 differentiation and mediates experimental autoimmune encephalomyelitis. J Clin Investig 125(3):1069–1080
Pua HH et al (2016) MicroRNAs 24 and 27 suppress allergic inflammation and target a network of regulators of T helper 2 cell-associated cytokine production. Immunity 44(4):821–832
Essandoh K et al (2016) MiRNA-mediated macrophage polarization and its potential role in the regulation of inflammatory response. Shock (Augusta, Ga.) 46(2):122
Sangaphunchai P, Todd I, Fairclough LC (2020) Extracellular vesicles and asthma: a review of the literature. Clin Exp Allergy 50(3):291–307
Prado N et al (2008) Exosomes from bronchoalveolar fluid of tolerized mice prevent allergic reaction. J Immunol (Baltimore, Md. : 1950) 181:1519–1525
Prado N et al (2010) Bystander suppression to unrelated allergen sensitization through intranasal administration of tolerogenic exosomes in mouse. Mol Immunol 47:2148–2151
Almqvist N et al (2008) Serum-derived exosomes from antigen-fed mice prevent allergic sensitization in a model of allergic asthma. Immunology 125:21–27
Lässer C et al (2016) Exosomes in the nose induce immune cell trafficking and harbour an altered protein cargo in chronic airway inflammation. J Transl Med. https://doi.org/10.1186/s12967-016-0927-4
Sangaphunchai P, Todd I, Fairclough L (2020) Extracellular Vesicles and Asthma: a review of the literature. Clin Exp Allergy 50:291
Kadota T et al (2016) Extracellular vesicles in chronic obstructive pulmonary disease. Int J Mol Sci 17(11):1801
Kosaka N et al (2016) Versatile roles of extracellular vesicles in cancer. J Clin Investig 126:1163
Lener T et al (2015) Applying extracellular vesicles based therapeutics in clinical trials—an ISEV position paper. J Extracell Vesicles 4:30087
Escudier B et al (2005) Vaccination of metastatic melanoma patients with autologous dendritic cell (DC) derived-exosomes: results of thefirst phase I clinical trial. J Transl Med 3:10
Morse M et al (2005) A phase I study of dexosome immunotherapy in patients with advanced non-small cell lung cancer. J Transl Med 3:9
Besse B et al (2015) Dendritic cell-derived exosomes as maintenance immunotherapy after first line chemotherapy in NSCLC. OncoImmunology 5:00–00
Dal Collo G et al (2020) Functional dosing of mesenchymal stromal cell-derived extracellular vesicles for the prevention of acute graft-versus-host-disease. Stem Cells (Dayton, Ohio) 38:698
Nagano T et al (2019) Crucial role of extracellular vesicles in bronchial asthma. Int J Mol Sci 20:2589
Holgate S (2000) Genetic and environmental interaction in allergy and asthma. J Allergy Clin Immunol 104:1139–1146
Levänen B et al (2013) Altered microRNA profiles in bronchoalveolar lavage fluid exosomes in asthmatic patients. J Allergy Clin Immunol 131:894
Holtzman J, Lee H (2020) Emerging role of extracellular vesicles in the respiratory system. Exp Mol Med 52:887
Xie H, He S-H (2005) Roles of histamine and its receptors in allergic and inflammatory bowel diseases. World J Gastroenterol 11:2851–2857
Srinivasan A et al (2021) Recent updates on the role of extracellular vesicles in the pathogenesis of allergic asthma. Extracell Vesicles Circ Nucl Acids 2:127–174
Fazel S et al (1992) B lymphocyte accumulations in human pulmonary sarcoidosis. Thorax 47:964–967
Qazi K et al (2010) Proinflammatory exosomes in bronchoalveolar lavage fluid of patients with sarcoidosis. Thorax 65:1016–1024
Ullsten-Wahlund C (2018) Extracellular vesicles: mediators of immune modulation in the lung and as therapeutic vehicles
Martinez-Bravo M-J et al (2016) Pulmonary sarcoidosis is associated with exosomal vitamin d-binding protein and inflammatory molecules. J Allergy Clin Immunol 139:1186
Prame Kumar K, Nicholls A, Wong C (2018) Partners in crime: neutrophils and monocytes/macrophages in inflammation and disease. Cell Tissue Res 371:551
Eken C et al (2010) Ectosomes released by polymorphonuclear neutrophils induce a MerTK-dependent anti-inflammatory pathway in macrophages. J Biol Chem 285(51):39914–39921
Van Hezel ME et al (2017) The ability of extracellular vesicles to induce a pro-inflammatory host response. Int J Mol Sci 18(6):1285
Halim ATA, Ariffin NAFM, Azlan M (2016) The multiple roles of monocytic microparticles. Inflammation 39(4):1277–1284
Prakash PS et al (2012) Human microparticles generated during sepsis in patients with critical illness are neutrophil-derived and modulate the immune response. J Trauma Acute Care Surg 73(2):401
Johnson BL III et al (2017) Neutrophil derived microparticles increase mortality and the counter-inflammatory response in a murine model of sepsis. Biochim Biophys Acta 1863(10):2554–2563
Sadallah S et al (2014) Ectosomes released by platelets induce differentiation of CD4+ T cells into T regulatory cells. Thromb Haemost 112(12):1219–1229
Edelstein LC (2017) The role of platelet microvesicles in intercellular communication. Platelets 28(3):222–227
Sercombe L et al (2015) Advances and challenges of liposome assisted drug delivery. Front Pharmacol. https://doi.org/10.3389/fphar.2015.00286
Agrawal U et al (2014) Is nanotechnology a boon for oral drug delivery? Drug Discov Today 19:1530
Raemdonck K et al (2013) ChemInform abstract: merging the best of both worlds: hybrid lipid-enveloped matrix nanocomposites in drug delivery. Chem Soc Rev 43:444
Ha D, Yang N, Nadithe V (2016) Exosomes as therapeutic drug carriers and delivery vehicles across biological membranes: current perspectives and future challenges. Acta Pharm Sin B 6:287
Vashisht M et al (2017) Curcumin encapsulated in milk exosomes resists human digestion and possesses enhanced intestinal permeability in vitro. Appl Biochem Biotechnol 183:993
Aqil F et al (2017) Exosomes for the enhanced tissue bioavailability and efficacy of curcumin. AAPS J 19:1691
Aqil F et al (2016) Exosomal formulation enhances therapeutic response of celastrol against lung cancer. Exp Mol Pathol 101:12
Melo S et al (2014) Cancer exosomes perform cell-independent microRNA biogenesis and promote tumorigenesis. Cancer Cell 26:707–721
Zhou W et al (2014) Cancer-secreted miR-105 destroys vascular endothelial barriers to promote metastasis. Cancer Cell 25:501–515
Aga M et al (2014) Exosomal HIF1 supports invasive potential of nasopharyngeal carcinoma-associated LMP1-positive exosomes. Oncogene 33:4613
Ohno S-I et al (2012) Systemically injected exosomes targeted to EGFR deliver antitumor microRNA to breast cancer cells. Mol Ther 21:185
Mortaz E et al (2013) Probiotics in the management of lung diseases. Mediators Inflamm 2013:751068
Medellin-Peña M, Griffiths M, Medellin-Pena MJ, Griffiths MW (2009) Effect of molecules secreted by Lactobacillus acidophilus strain La-5 on Escherichia coli O157:H7 colonization. Appl Environ Microbiol 75:1165–1172
Stiles M, Holzapfel W (1997) Lactic acid bacteria of foods and their current taxonomy. Int J Food Microbiol 36:1–29
Techtmann S, Robb F (2010) Archaeal-like chaperonins in bacteria. Proc Natl Acad Sci USA 107:20269–20274
Yáñez-Mó M et al (2015) Biological properties of extracellular vesicles and their physiological functions. J Extracell Vesicles 4:27066
Kuehn M, Kesty N (2005) Bacterial outer membrane vesicles and the host-pathogen interaction. Genes Dev 19:2645–2655
Janssen R (2017) Circulating desmosine levels in idiopathic pulmonary fibrosis and chronic obstructive pulmonary disease. Am J Respir Crit Care Med 195:A2451
Sze M et al (2015) Loss of GD1-positive Lactobacillus correlates with inflammation in human lungs with COPD. BMJ Open 5:e006677
Li M et al (2017) Lactobacillus-derived extracellular vesicles enhance host immune responses against vancomycin-resistant enterococci. BMC Microbiol 17:1–8
Lanyu Z, Feilong H (2019) Emerging role of extracellular vesicles in lung injury and inflammation. Biomed Pharmacother 113:108748
Properzi F, Logozzi M, Fais S (2013) Exosomes: the future of biomarkers in medicine. Biomark Med 7:769–778
Bastarache J et al (2009) Procoagulant alveolar microparticles in the lungs of patients with acute respiratory distress syndrome. Am J Physiol 297:L1035–L1041
Guervilly C et al (2011) High levels of circulating leukocyte microparticles are associated with better outcome in acute respiratory distress syndrome. Crit Care (London, England) 15:R31
Shaver C et al (2017) Circulating microparticle levels are reduced in patients with ARDS. Crit Care. https://doi.org/10.1186/s13054-017-1700-7
Amabile N et al (2008) Circulating endothelial microparticle levels predict hemodynamic severity of pulmonary hypertension. Am J Respir Crit Care Med 177:1268–1275
Thomashow MA et al (2013) Endothelial microparticles in mild chronic obstructive pulmonary disease and emphysema. The Multi-Ethnic Study of Atherosclerosis Chronic Obstructive Pulmonary Disease study. Am J Respir Crit Care Med 188(1):60–68
Lacedonia D et al (2016) Microparticles in sputum of COPD patients: a potential biomarker of the disease? Int J Chron Obstruct Pulmon Dis 11:527
Serban K et al (2016) Structural and functional characterization of endothelial microparticles released by cigarette smoke. Sci Rep 6:31596
Letsiou E et al (2014) Pathologic mechanical stress and endotoxin exposure increases lung endothelial microparticle shedding. Am J Respir Cell Mol Biol 52:193
Sun X et al (2012) Sphingosine-1–phosphate receptor–3 is a novel biomarker in acute lung injury. Am J Respir Cell Mol Biol 47:628
Yuan Z, Singh B, Sadikot R (2018) Bronchoalveolar lavage exosomes in lipopolysaccharide-induced septic lung injury. J Vis Exp. https://doi.org/10.3791/57737-v
Yang K et al (2015) Changed profile of microRNAs in acute lung injury induced by cardio-pulmonary bypass and its mechanism involved with SIRT1. Int J Clin Exp Pathol 8:1104–1115
Pinkerton M et al (2013) Differential expression of microRNAs in exhaled breath condensates of patients with asthma, patients with chronic obstructive pulmonary disease, and healthy adults. J Allergy Clin Immunol 132:217
Guiot J et al (2019) Exosomal miRNAs in lung diseases: from biologic function to therapeutic targets. J Clin Med 8(9):1345
Admyre C et al (2003) Exosomes with major histocompatibility complex class II and co-stimulatory molecules are present in human BAL fluid. Eur Respir J 22(4):578–583
Njock M-S et al (2019) Sputum exosomes: promising biomarkers for idiopathic pulmonary fibrosis. Thorax 74(3):309–312
Donaldson A et al (2013) Increased skeletal muscle-specific microRNA in the blood of patients with COPD. Thorax 68(12):1140–1149
Burke H et al (2018) Late breaking abstract—differentially expressed exosomal miRNAs target key inflammatory pathways in COPD. Eur Respir Soc. https://doi.org/10.1183/13993003.congress-2018.OA4922
Maes T et al (2016) Asthma inflammatory phenotypes show differential microRNA expression in sputum. J Allergy Clin Immunol 137(5):1433–1446
Suzuki M et al (2016) Altered circulating exosomal RNA profiles detected by next-generation sequencing in patients with severe asthma. Eur Respir J 48:PA3410
Pua HH et al (2016) MicroRNAs 24 and 27 suppress allergic inflammation and target a network of regulators of T helper 2 cell-associated cytokine production. Immunity 44:821
Lu T, Munitz A, Rothenberg M (2009) MicroRNA-21 is up-regulated in allergic airway inflammation and regulates IL-12p35 expression. J Immunol (Baltimore, Md. : 1950) 182:4994–5002
Lu T et al (2011) MicroRNA-21 limits in vivo immune response-mediated activation of the IL-12/IFN-γ pathway, Th1 polarization, and the severity of delayed-type hypersensitivity. J Immunol (Baltimore, Md. : 1950) 187:3362–3373
Thery C et al (2018) Minimal information for studies of extracellular vesicles 2018 (MISEV2018): a position statement of the International Society for Extracellular Vesicles and update of the MISEV2014 guidelines. J Extracell Vesicles 7:1535750
Witwer K et al (2013) Standardization of sample collection, isolation and analysis methods in extracellular vesicle research. J Extracell Vesicles. https://doi.org/10.3402/jev.v2i0.20360
Essandoh K et al (2016) MiRNA-mediated macrophage polarization and its potential role in the regulation of inflammatory response. Shock 46:1
Kim Y-Y, Joh J-S, Lee J (2020) Importance of microbial extracellular vesicle in the pathogenesis of asthma and chronic obstructive pulmonary disease and its diagnostic potential. Asia Pac Allergy 10:e25
Donaldson A et al (2013) Increased skeletal muscle-specific microRNA in the blood of patients with COPD. Thorax 68:1140
Acknowledgements
The authors are thankful to the Vice-chancellors of the University of Narowal, Narowal, Pakistan, the University of the Punjab, Lahore, Pakistan, and the University of Okara, Punjab, Pakistan, for providing support for the accomplishment of this study.
Funding
This study received no external funding.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
The authors declare no conflict of interest.
Ethical approval
This article does not contain any studies with human participants or animals performed by any of the authors.
Informed consent
Not applicable.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Afzal, A., Khawar, M.B., Habiba, U. et al. Diagnostic and therapeutic value of EVs in lungs diseases and inflammation. Mol Biol Rep 51, 26 (2024). https://doi.org/10.1007/s11033-023-09045-5
Received:
Accepted:
Published:
DOI: https://doi.org/10.1007/s11033-023-09045-5