“…H. pylori OMVs have been extensively studied with respect to composition, proteome, and virulence functions ( Mullaney et al, 2009 ; Olofsson et al, 2010 ), and play multiple roles in bacterial pathogenesis including biofilm formation, cancer development, and immune evasion ( Parker and Keenan, 2012 ). Furthermore, OMVs display immunomudulatory effects by inducing IL-8 secretion from epithelial cells, activating phagoctyes, and suppressing immune cells of the adaptive immune system ( Mullaney et al, 2009 ; Olofsson et al, 2010 ; Ko et al, 2016 ).…”