“…Other factors such as gender, age, circadian rhythms, fasting state, medication exposure, and physical activity also may influence the number and nature of vesicles under different conditions [6][7][8][9][10][11]. Vesicles have been studied most extensively in plasma and serum [12], but have also been isolated from pleural effusions [13], ocular effluent and aqueous humor [14], breast milk [15], ascites [16], amniotic fluid [17], semen [18], saliva [19], cerebrospinal fluid [20], and urine [21]. In addition, vesicles derive from virtually all tissues in culture.…”