Exosomes are the most studied EV subtype, with the term ‘exosome’ often used interchangeably with ‘extracellular vesicle’ despite the lack of consensus on exosome-specific biomarkers and unavailability of methods to selectively isolate exosomes from other subtypes of EVs
[1]. Exosomes are specifically defined as EVs of endosomal origin, formed through the inward budding of the membrane of late endosomes/multivesicular bodies (MVBs) to form intraluminal vesicles (ILVs), followed by the fusion of these MVBs with the plasma membrane which then releases exosomes from the cell
[2] (
Figure 1). The endosomal sorting complexes required for the transport (ESCRT)-dependent pathway is the main well-characterised mechanism of exosome biogenesis. It consists of five complexes which work to form ILVs in MVBs
[3]. Briefly, ESCRT-0, consisting of Hrs (hepatocyte growth factor-regulated tyrosine kinase substrate) and STAM1/2 (signal transducing adaptor molecule 1/2) binds phosphatidylinositol 3-phosphate at the endosomal membrane and ubiquitin on ubiquitinated proteins, enabling ubiquitin-dependent sorting into endosomes
[4][5]. ESCRT-0 recruits ESCRT-I (composed of tumour susceptibility gene 101 (Tsg101), human multivesicular body 12 (hMvb12), and the vacuolar protein sorting (Vps) proteins, Vps28 and Vps37)
[6]. ESCRT-I interacts with both ESCRT-0 and ESCRT-II. ESCRT-II consists of Vps22, Vps36 and two Vps25 subunits
[7]. ESCRT-II has a high affinity for phosphatidylinositol 3-phosphate, enabling localisation to endosomes. ESCRT-III is composed of the charged multivesicular body proteins (CHMPs), CHMP2, CHMP3, CHMP4 and CHMP6
[8]. ESCRT-III monomers exist in an autoinhibited state in the cytoplasm and come together upon activation and recruitment by ESCRT-II
[9]. Cargo is then deubiquitinated prior to loading into ILVs and ESCRT-III dissociates from the endosome membrane by the action of ATPase Vps4 and its co-factor, vacuolar protein sorting-associated protein VTA1 homolog (VTA1) which enables the recycling of the ESCRT machinery
[3]. Through this process, the endosomal membrane undergoes inward budding before scission occurs and ILVs are released into the MVB
[10]. RAB proteins then mediate the transport of the MVBs to the plasma membrane along microtubules where the MVBs then dock and SNARE (soluble N-ethylmaleimide-sensitive fusion protein attachment protein receptor) complexes mediate the fusion of MVBs with the plasma membrane, releasing the ILVs as exosomes
[11][12].
Figure 1. Schematic representation of exosome and microvesicle biogenesis, release and cargo. While microvesicles bud directly from the plasma membrane, exosomes are generated within MVB subpopulations that, upon maturation, fuse with the plasma membrane. Alternative MVB pathways include fusion with lysosomes for degradation. (Abbreviations: ALIX, ALG-2 interacting protein X; ARF6, ADP ribosylation factor 6; ER, endoplasmic reticulum; ESCRT, endosomal sorting complexes required for transport; HSPs, heat shock proteins; ILV, intraluminal vesicles; ITGB1, integrin β1; lncRNA, long non-coding RNA; MHC, major histocompatibility complex; miRNA, microRNA; MVB, multivesicular body; TSG101, tumour susceptibility gene 101; VCAMP3, vesicle-associated membrane protein 3).
Additionally, exosomes can be formed in an ESCRT-independent manner. Sphingomyelinase-enriched microdomains containing ceramides within endosome membranes are thought to promote a negative curvature in the membrane, resulting in inward budding
[13]. Tetraspanins also participate in cargo selection
[14]. Furthermore, RAB31 has been recently shown to control an ESCRT-independent pathway where it works through flotillin proteins to selectively package cargo into ILVs and inhibits RAB7, preventing lysosomal degradation and enhancing the release of ILVs as exosomes
[15].