“…In AD, EVs have been proposed to contribute to the spread of Aβ and Aβ pathology in the brain (Rajendran et al, 2006) as well as the spread of hyper-phosphorylated pathogenic tau between neurons (Saman et al, 2012;Wang et al, 2017;Guix et al, 2018;Winston et al, 2019). We and others have shown that EVs contain full-length APP, the CTFs of APP generated through cleavage by β-secretase (βCTFs) or α-secretase (αCTFs), Aβ, and the enzymes that are responsible for these cleavage steps (Rajendran et al, 2006;Vingtdeux et al, 2007;Escrevente et al, 2008;Sharples et al, 2008;Pérez-González et al, 2012;Laulagnier et al, 2018;Miranda et al, 2018). The endosomal pathway is critical for the processing of APP (Nixon, 2017), with β-secretase cleavage mediated by BACE1 occurring in endosomes (Koo, 2002;Kinoshita et al, 2003;Small and Gandy, 2006).…”