Extracellular Vesicles in Neurodegenerative Diseases: From Biomarker Discovery to Precision Therapeutics

A special issue of Cells (ISSN 2073-4409). This special issue belongs to the section "Cellular Aging".

Deadline for manuscript submissions: closed (30 June 2026) | Viewed by 1103

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Guest Editor
Center for Clinical and Translational Research, Nationwide Children's Hospital, Columbus, OH, USA
Interests: extracellular vesicles; wound healing; neurodegenerative diseases; therapeutic delivery.
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Special Issue Information

Dear Colleagues,

Neurodegenerative diseases, including Alzheimer’s disease, Parkinson’s disease, and multiple sclerosis, continue to present significant global health challenges due to their complex pathogenesis, progressive nature, and limited therapeutic options. In recent years, extracellular vesicles (EVs)—nanosized membrane-bound particles including exosomes and microvesicles—have emerged as key players in this field, revolutionizing our understanding of intercellular communication in the central nervous system. EVs naturally carry a rich cargo of bioactive molecules, including proteins, lipids, and nucleic acids, which they deliver to recipient cells. Their ability to cross the blood–brain barrier (BBB) and influence neuroinflammatory, neurodegenerative, and neuroregenerative pathways has propelled them to the forefront of neurological research. Crucially, EVs exhibit a dual role: they may contribute to disease pathogenesis by spreading pathological agents such as amyloid-beta (Aβ), tau, and α-synuclein, or, conversely, serve as protective agents capable of modulating immune responses, preserving BBB integrity, and promoting neuronal repair. Furthermore, their stability in circulation and presence in easily accessible biofluids like blood, urine, and cerebrospinal fluid make EVs ideal candidates for non-invasive biomarkers. Molecular profiling of EVs has revealed disease-specific cargo signatures—including altered microRNAs, phosphorylated tau, and inflammatory cytokines—that enable early diagnosis, monitoring of disease progression, and evaluation of therapeutic responses. In the realm of therapeutics, engineered and stem-cell-derived EVs are being explored as novel delivery systems for neuroprotective agents, anti-inflammatory compounds, siRNA, and gene-editing tools. These EV-based platforms hold promise for precision medicine approaches, offering targeted delivery with reduced immunogenicity and enhanced biocompatibility.

This Special Issue invites cutting-edge research articles and comprehensive reviews focused on the mechanisms of EV biogenesis, cargo selection, and uptake within the nervous system; the role of EVs in neuroinflammation, synaptic plasticity, and neuronal degeneration; EV-based biomarker discovery for early diagnosis and disease monitoring; innovations in EV engineering for targeted drug and gene delivery; advances in scalable EV isolation, characterization, and standardization for clinical applications; and the development of personalized and patient-derived EV-based therapies in neurology. By bringing together multidisciplinary perspectives from neuroscience, molecular biology, clinical research, and nanotechnology, this Special Issue aims to illuminate the transformative potential of extracellular vesicles in diagnosing and treating neurodegenerative disorders and accelerate their translation into clinical practice.

Dr. Mangesh Dattu Hade
Guest Editor

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Keywords

  • neurodegenerative diseases
  • extracellular vesicles
  • Alzheimer's disease
  • Parkinson's disease
  • multiple sclerosis
  • blood–brain barrier
  • neuroinflammation
  • biomarker discovery
  • EV-based therapeutics
  • precision medicine

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Published Papers (1 paper)

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Review

27 pages, 2686 KB  
Review
Platelet-Derived Granules and Extracellular Vesicles in Neurodegenerative Diseases: Neurovascular Mechanisms and Clinical Implications
by Bo Kyung Lee, Jae-Ryeong Yoo and Yi-Sook Jung
Cells 2026, 15(8), 692; https://doi.org/10.3390/cells15080692 - 14 Apr 2026
Cited by 1 | Viewed by 731
Abstract
Platelets are increasingly recognized as multifunctional regulators that extend beyond hemostasis to actively engage in immunological regulation and neurovascular homeostasis. Platelets employ specialized secretory mechanisms, including granule-dependent release and extracellular vesicle (EV) shedding, to convey diverse bioactive mediators to vascular, immune, and neural [...] Read more.
Platelets are increasingly recognized as multifunctional regulators that extend beyond hemostasis to actively engage in immunological regulation and neurovascular homeostasis. Platelets employ specialized secretory mechanisms, including granule-dependent release and extracellular vesicle (EV) shedding, to convey diverse bioactive mediators to vascular, immune, and neural cells. Growing evidence indicates that platelet-derived granules and EVs significantly influence the neurovascular unit, regulate inflammatory signaling, and modify neuronal function in both health and disease. In neurodegenerative disorders, particularly Alzheimer’s disease (AD), accumulating evidence suggests that platelet activation may be increased in neurodegenerative conditions, including AD, although the extent and causality of this activation remain under investigation. This review delineates the secretory apparatus of platelets and their mechanistic functions in intercellular communication, underscores platelet contributions to AD and other neurological disorders, and explores novel clinical prospects for biomarker development and therapeutic targeting based on platelet-derived EVs. Full article
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