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Updated: Aug 5, 2025

Direct Stochastic Optical Reconstruction Microscopy of Extracellular Vesicles in Three Dimensions
Published on: August 26, 2021
Roles and mechanisms of exosomal microRNAs in viral infections
Lingxiang Mao1, Yiwen Chen2,3, Jiaqi Gu4
1Department of Laboratory Medicine, Affiliated Kunshan Hospital of Jiangsu University, Kunshan, China. maolingxiang@aliyun.com.
Abstract:
Exosomes are small extracellular vesicles with a diameter of 30-150 nm that originate from endosomes and fuse with the plasma membrane. They are secreted by almost all kinds of cells and can stably transfer different kinds of cargo from donor to recipient cells, thereby altering cellular functions for assisting cell-to-cell communication. Exosomes derived from virus-infected cells during viral infections are likely to contain different microRNAs (miRNAs) that can be transferred to recipient cells. Exosomes can either promote or suppress viral infections and therefore play a dual role in viral infection. In this review, we summarize the current knowledge about the role of exosomal miRNAs during infection by six important viruses (hepatitis C virus, enterovirus A71, Epstein-Barr virus, human immunodeficiency virus, severe acute respiratory syndrome coronavirus 2, and Zika virus), each of which causes a significant global public health problem. We describe how these exosomal miRNAs, including both donor-cell-derived and virus-encoded miRNAs, modulate the functions of the recipient cell. Lastly, we briefly discuss their potential value for the diagnosis and treatment of viral infections.
Insights
Exosomes carrying microRNAs (miRNAs) play a dual role in viral infections, either promoting or suppressing them. This review explores exosomal miRNAs in six major viral infections and their diagnostic and therapeutic potential.
Area of Science:
- Cell Biology
- Virology
- Molecular Biology
Background:
- Exosomes are nanoscale extracellular vesicles involved in intercellular communication.
- Exosomes can transfer various molecules, including microRNAs (miRNAs), between cells.
- Virus-infected cells release exosomes containing viral and host-derived miRNAs.
Purpose of the Study:
- To review the role of exosomal miRNAs in infections caused by six significant viruses.
- To elucidate how these exosomal miRNAs modulate recipient cell functions.
- To discuss the diagnostic and therapeutic potential of exosomal miRNAs in viral infections.
Main Methods:
- Literature review of studies on exosomal miRNAs in viral infections.
- Analysis of miRNA content in exosomes derived from virus-infected cells.
- Examination of the impact of exosomal miRNAs on recipient cell behavior.
Main Results:
- Exosomal miRNAs exhibit dual roles, promoting or suppressing viral infections.
- Specific exosomal miRNAs are implicated in hepatitis C virus, enterovirus A71, Epstein-Barr virus, human immunodeficiency virus, SARS-CoV-2, and Zika virus infections.
- These miRNAs alter recipient cell functions, influencing viral pathogenesis.
Conclusions:
- Exosomal miRNAs are critical mediators in viral infections.
- Understanding exosomal miRNA profiles offers insights into viral disease mechanisms.
- Exosomal miRNAs hold promise as biomarkers for viral infection diagnosis and targets for novel therapies.
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