“…MVs derived from bone marrow mesenchymal stem cell (BMMSC) can promote tumorigenesis and development (Crompot et al, 2017;Boyiadzis and Whiteside, 2018). miRNAs in MVs, as post-transcriptional regulatory elements, directly regulate gene expression, target mRNA expression and translation or induce mRNA degradation to reduce protein synthesis by directly binding with the 3 ′ -untranslation region (3 ′ -UTR) of specific mRNA targets (Braicu et al, 2015;Jerez et al, 2019), ultimately induce multiple pathophysiological processes, such as leukemia stem cell formation, regulation of tumor cell proliferation, angiogenesis, invasion, metastasis, and immune escape to modulate leukemia development (Braicu et al, 2015;Del Principe et al, 2017). microRNAs (miRNA) are a class of evolutionarily conserved 22 to 24-nucleotide small RNAs in length, which are widely found in eukaryotic cells with molecular functions to regulate cell differentiation, proliferation and apoptosis (Summerer et al, 2013;Zheng et al, 2013).…”