“…51 Recently, it was shown that MVs of P. aeruginosa upon contact with the host plasma membrane lipid rafts, release virulence factors such as b-lactamase, ALP, hemolytic phospholipase C, and cystic fibrosis transmembrane factors (CiF) into the cytoplasm of the host cell. 101 Furuta et al 102 consider MVs of Porphyromonas gingivalis as 'targeted transport vehicles' that facilitate entry of virulence factors such as gingipains, which degrade host membrane proteins such as transferrin receptor, paxillin, and focal adhesion kinase, ultimately leading to cellular disruption. The shedding and release of such microvesicles in dental plaque accelerates inflammation in the surrounding host tissue through the release of proinflammatory mediators, thus leading to periodontitis.…”