“…Recently, extracellular vesicles (EVs), such as exosomes and microvesicles, have been attracting a strong research interest for use as natural drug delivery systems (Chen et al, 2018;Tang and Wang, 2020). Mesenchymal stem cell (MSC)-derived exosomes have been reported to be involved in multiple physiology and pathology activities including osteogenesis, bone regeneration, osteoarthritis, cardiomyoblast hypoxia-reperfusion, cognitive impairment, inflammation, stroke, sepsis, and tumorigenesis (Zheng et al, 2018;Huang et al, 2020;Jin et al, 2020;Nakano et al, 2020;Tan et al, 2020;Venkat et al, 2020;Xu et al, 2020;Zou et al, 2020). Jia et al (2020) report that exosomes secreted by young MSCs promote osteogenesis and bone formation in older rats.…”