“…OMVs can take on both defensive and offensive tasks during infection (MacDonald and Kuehn, 2012). Defensively, they can be used to sequester antibiotics, bacteriophages, and antibodies, bind or degrade antimicrobial peptides, as well as bait antigens to distract the immune system (Manning and Kuehn, 2011;MacDonald and Kuehn, 2012;Duperthuy et al, 2013;O'Donoghue and Krachler, 2016;Urashima et al, 2017;Reyes-Robles et al, 2018). The potential of OMVs as offensive weapons is evident in their ability to deliver virulence factors into host cells ( Figure 1BIII) Tan et al, 2007;Bomberger et al, 2009;Amano et al, 2010;Ellis and Kuehn, 2010;Kulp and Kuehn, 2010;Schaar et al, 2011;Rompikuntal et al, 2012;Bielaszewska et al, 2013Bielaszewska et al, , 2017Kunsmann et al, 2015;O'Donoghue and Krachler, 2016;Rüter et al, 2018) as well as to induce sepsis, sepsis-associated cardiomyopathy or disseminated intravascular coagulation in the absence of intact bacterial cells (Park et al, 2010;Shah et al, 2012;Svennerholm et al, 2017;Wang et al, 2019).…”