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The extracellular vesicle (EV) surface interactome represents the collective assembly of proteins, lipids, glycans, and nucleic acids present on the exterior of EVs, including exosomes and microvesicles [1, 2]. This interactome serves as the primary interface for intercellular communication, where surface molecules act as molecular addresses that dictate the targeting and uptake of EVs by specific recipient cells [4, 6]. Key components include tetraspanins (such as CD63, CD9, and CD81), integrins, and various receptors that facilitate docking, adhesion, and signal transduction [1, 4]. In pathological conditions, the EV surface interactome is often hijacked; for instance, cancer-derived EVs use specific surface proteins to prepare pre-metastatic niches or transfer oncogenic receptors like EGFRvIII to neighboring cells [6, 14]. Therapeutically, this interactome is targeted through the use of antibodies or peptides to block disease-promoting interactions or by engineering EVs to display specific ligands for targeted drug delivery [12, 13]. Despite its potential, the high heterogeneity of EV populations and the ubiquitous expression of many surface markers present significant challenges for clinical translation [10, 14].
Modulation of intercellular communication by blocking specific EV-cell surface interactions, facilitating immunoisolation for diagnostic profiling, or utilizing engineered surface ligands to achieve cell-specific delivery of therapeutic cargoes [2, 12, 13].
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