Review Article

Extracellular Vesicles: A Novel Target for Exercise-Mediated Reductions in Type 2 Diabetes and Cardiovascular Disease Risk

Table 1

Acute effects of exercise on circulating extracellular vesicles.

AuthorExercise doseSubtype EVPreanalytical phaseCollection timeResponse

Harrison et al. [76]Cycling for 90 min at 70% VO2peak followed by ten 1 min sprints interspersed with 1 min of recovery in young, recreationally active men.CD31+/CD42b-1600 g for 15 min at 4°CMorning following exercise boutNo change

Mobius-Winkler et al. [63]4 hr cycling at 70% IAT in young, healthy men.CD42bCD42b/CD62E+11,000g for 2 min16 predefined time points during and after finishing cycling.No change

Jenkins et al. [74]Exercise at 70% of VO2peak until 598 kcal was expended in recreationally, healthy active men.CD31+/CD42bCD62E+Double centrifugation of 1500 for 20 min at room temperature(i) Pre-meal
(ii) 1, 2, 3, and 4 hr postprandial
↓CD31+/CD42b
↓CD62E+
Unaffected by high-fat meal

Guiraud et al. [60]Single session of HIIE: 15-second intervals at 100% of PPO and 15-second passive recovery intervals or isocaloric MICE in men with coronary heart disease.CD31+
CD62E+
CD42b
CD42b+
1500g for 15 min followed by a single centrifugation at 13,000 for 2 min(i) 10 min pre-ex
(ii) 20 min post-ex
(iii) 24 hr post-ex
(iv) 72 hr post-ex
No change

Ross et al. [62]3 sets of 6 resistance exercises at 15 RM w/o rest in young, trained men.CD144+
CD146+
CD105+
1500g for 15 min followed by 13,000g for 2 min(i) Pre-ex
(ii) 10 min post-ex
(iii) 2 hr post-ex
(iv) 24 hr post-ex
No change

Wahl et al. [67](1) HVT; 130 min at 55% PPO, (2) 4 × 4 min at 95% PPO, and (3) 4 × 30 sec all-out in healthy male, triathletes.CD31+/CD42b CD31/CD42b CD14/CD161.861g for 10 min at 4°C(i) Pre-ex
(ii) Immediately post-ex
(iii) 60 min post-ex
(iv) 180 min post-ex
↓CD31+/CD42b
↓CD31/CD42b
↓CD14/CD16

Chanda et al. [61]Acute strenuous exercise (treadmill running VO2peak) versus. moderate (75% HRmax for 45 min) in healthy females.Total EVs
CD41a
2500 rpm for 5 min at 4°C(i) Pre-ex
(ii) Immediately post-ex
(iii) 45 min post-ex
↑Total EVs
↑CD41a
Only after strenuous ex;
No moderate ex change

Durrer et al. [72](1) HICE 20 min cycling at just above VT.
(2) HIIE 10 × 1 min at 90% peak aerobic power in young, overweight, inactive males and females.
CD62E+
CD31+/CD42b
Double centrifugation of 1500 for 15 min at room temperature(i) Pre-ex
(ii) Immediate post-ex
(iii) Morning post-ex
↑CD62E+ (females only)
No change CD31+/CD42b ↓CD62E+ (males only)
↓CD31+/CD42b

Lansford et al. [69]Acute bout at 60–75%
VO2peak in healthy, active individuals
CD62E+,
CD34+
CD31+/CD42b
Double centrifugation of 1500 for 20 min at room temperature(i) Pre-ex
(ii) Post-ex
↑CD62E+ in men
↑CD34+ in women
No change CD31+/CD42b

Wilhelm et al. [65]1 h of moderate- (46 ± 2% VO2peak) or heavy- (67 ± 2% VO2peak) intensity semirecumbent cycling in healthy, young men.CD62E+
CD41+
17,500g for 1 hr at 4°C(i) Pre-ex
(ii) Post-ex
↑CD41+ following heavy exercise
No CD62E+ change

Bei et al. [114]Exercise stress test in middle-aged, overweight men and women.CD63+1000g for 10 min and 2500g for 15 min at room temperature(i) Rest
(ii) Peak-ex
(iii) Recovery (15 min after completion
↑EV count

Whitham et al. [66]1 hr (30 min at 55%, 20 min at 70%, and ~10 min at 80% of VO2peak) in healthy males.ACTN4, ADAM10, ALIX, ANAX11, and CD8120,000g for 2x at 60 min(i) Pre-ex
(ii) Exercise
(iii) 4 hr post-ex
↑EV count

IAT: individual anaerobic threshold; HIIE: high-intensity interval exercise; MICE: moderate-intensity continuous exercise; RM: repetition max; HVT: high-volume training; PPO: peak power output; HICE: high-intensity continuous exercise; VT: ventilatory threshold.