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Updated: Dec 10, 2025

Direct Stochastic Optical Reconstruction Microscopy of Extracellular Vesicles in Three Dimensions
Published on: August 26, 2021
Extracellular vesicles in virus infection and pathogenesis
Ryan P McNamara1, Dirk P Dittmer1
1Lineberger Comprehensive Cancer Center, The University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC 27599, United States; Department of Microbiology and Immunology, The University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, NC 27599, United States.
Viruses hijack cellular communication via extracellular vesicles (EVs) to spread and cause disease. These EVs can serve as biomarkers for chronic viral infections.
Area of Science:
- Virology
- Cell Biology
- Immunology
Background:
- Viruses are obligate intracellular parasites that manipulate host cell signaling pathways.
- Extracellular vesicles (EVs) mediate intercellular communication and are increasingly recognized in virus-host interactions.
- EVs can transmit viral components and influence host responses without triggering innate immunity, aiding pathogen persistence.
Purpose of the Study:
- To review recent advances in understanding virus-host communication through EVs.
- To explore the role of EVs in chronic, persistent, or latent viral infections.
- To discuss the potential of EVs as biomarkers for these infections.
Main Methods:
- Literature review of recent studies on viral EVs.
- Analysis of mechanisms by which viruses utilize EVs for communication.
- Evaluation of EV content (viral molecules, entire virions) and their functional impact.
Main Results:
- Viruses employ diverse strategies to incorporate viral molecules (e.g., microRNAs, proteins) and virions into EVs.
- EV-mediated signaling facilitates pathogen spread, disease progression, and establishment of chronic infections.
- EVs act as crucial mediators in the virus-host interaction network, promoting a favorable niche for pathogens.
Conclusions:
- Extracellular vesicles represent a significant axis for virus-host communication, particularly in chronic infections.
- Viruses have convergently evolved to exploit EV pathways for their propagation and persistence.
- EVs hold promise as diagnostic biomarkers for detecting and monitoring chronic, persistent, or latent viral infections.
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