“…Extracellular vesicles (EVs) are secreted by most mammalian cells and widely found in various body fluids with sizes varying from approximately 30 to 100 nm. , Among these, small EVs (sEVs) with diameters under 200 nm can carry much biological information, such as functional nucleic acids and proteins from parental cells to recipient cells. , Notably, tumor-derived sEVs (tEVs) with multiple biomarkers play significant roles in the initiation and progression of cancers. , Therefore, tEVs have emerged as promising biomarkers in cancer diagnosis. , Nevertheless, the ultrasensitive phenotyping and identification of tEVs remain challenging due to their high heterogeneity and low abundance. , Recent advances have demonstrated the features and applications of different nuclear acid amplification strategies, such as hybridization chain reaction (HCR), , rolling cycle amplification, clustered regularly interspaced short palindromic repeats (CRISPR) amplification, − and so on. CRISPR-associated (CRISPR-Cas) effector protein system with nonspecific trans -cleavage activity enables amplified nucleic acid detection. , Among CRISPR/Cas family, the CRISPR/Cas12a system can cleave DNA labeled with a fluorophore-quencher (FQ) reporter and generate fluorescence signals for target detection. − Thus, the trans -cleavage ability of Cas12a activated by specific targets provides a versatile strategy to develop fluorescence biosensors. − However, the sensitivity of CRISPR/Cas12a system alone is insufficient to detect trace biomarkers in the early stage of diseases. , To improve its sensitivity, cascade amplification that combines CRISPR/Cas12a with other signal amplification methods is necessary. Thus, some CRISPR/Cas12a-based methods have been developed for tEV detection. − For example, Xing et al developed a dual amplification system based on HCR and CRISPR/Cas12a for nucleolin + or programmed death ligand 1+ (PD-L1+) tEV detection with a limit of detection (LOD: 10 2 particles/μL) through corresponding aptamer targeted recognition, respectively .…”