Biogenesis of extracellular vesicles in relation to COPD. Environmental factors including air pollution, noxious particles and bacterial/viral infections can influence the bioactive cargo delivered by EVs. EVs biogenesis begins through the formation of intraluminal vesicles inside MVBs which then bud into early endosomes through to late endosomes. MVBs will then fuse with the plasma membrane, causing the release of content into the extracellular space (exosomes) or through outwards budding and fission with the plasma membrane (microvesicles). Apoptotic bodies are formed during programmed cell death through actin-myosin mediated membrane blebbing. COPD, chronic obstructive pulmonary disease; EV, extracellular vesicle; MVBs, multivesicular bodies.