“…While these observations suggest that AdEVs, including those that contain mitochondrial components, can have beneficial effects locally and systemically, in some circumstances AdEVs can contribute to pathology in obesity (18). It remains unknown whether the lipolysis-p53-mTORC1 pathway identified by Huang et al (12) regulates the release of specific subsets of AdEVs, whether this pathway regulates AdEV production in the endolysosomal system or at the plasma membrane, or whether these AdEVs confer beneficial and/or deleterious effects on WAT or on distant organs. Further research into these topics may reveal previously unknown biological pathways that can be targeted therapeutically to treat metabolic diseases such as obesity.…”