“…Epithelial [ 77 , 89 ] and immune [ 79â81 , 90 ] cells and platelets [ 91 , 92 ] that come into contact with bacterial pathogens [ 77 , 79 , 80 , 89 , 90 ] or the toxins pathogens secrete [ 91 , 92 ], release EVs that contain signals, including regulatory RNAs [ 77 , 93 ] cytokines [ 91 , 92 ], pathogen-associated molecular patterns (PAMPs) [ 79 , 80 , 89 , 90 ] and even toxins [ 46 , 94 ] that may activate endothelial cells [ 81 , 92 ], amplify the release of proinflammatory signals from immune cells [ 79 , 90 ], recruit macrophages/neutrophils [ 91 , 95 ] or promote B-cell/T-cell interactions that lead to antibody production [ 71 , 96 , 97 ].…”