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Extracellular RNA: mechanisms of it’s transporting into target cells


Extracellular RNA (exRNA) is a type of RNA fragment that presents in extracellular fluids with highly stable features. It is carried by vesicles, such as exosomes, apoptotic bodies and other microvesicles, or associated with protein complexes or high-density lipoprotein (HDL). Literature in the past ten years has reported the species of exRNAs in biofluids and the carriers or mediators in exRNA involved cell-to-cell communication. Recently, studies have identified exRNAs to be biomarkers for cancer and other diseases. In addition, mechanisms of exRNA uptake in recipient cells have been reported, especially exosome-mediated transfer. In this review, we will focus on the relevance between exRNAs and their carriers. Furthermore, we will describe the possible ways target cells uptake these carriers with exRNAs.


Extracellular RNA

Extracellular RNA (exRNA) is a type of RNA species that exists in the extracellular fluid and multiple body fluid [1], including in the bloodstream, serum [2], saliva [3], breast milk [4], urine [5], and other biofluids [6, 7]. Previously, classical thinking considered ribonucleases (RNases) outside of cells perform the activity to degrade RNA molecules, often foreign RNAs such as viral RNA, in the extracellular milieu. However, in 2008, Zhang et al. discovered that serum microRNA can resist the digestion of RNase and that the levels of microRNAs (miRNAs) in serum are stable [2]. Thus far, research has shown that some of the exRNAs might maintain their structural stability in the extracellular environment. Some evidence shows that exRNAs are discovered in enclosed conformations or in the form of ribonucleoprotein complexes to prevent degradation. In this review, we will focus on introducing the functions and applications of exRNAs and the ways exRNAs are taken up by recipient cells.

Existing form of exRNA in the extracellular environment

Until now, studies have suggested that different types of exRNA are either encased within various types of vesicles or are tightly associated with proteins to avoid degradation by RNase:

  1. a.

    Vesicle-associated form

    In cell biology, diverse types of extracellular vesicles (EVs) have been recognized, such as apoptotic bodies [8], microvesicles (MVs), membrane particles and exosomes [9,10,11]. All of these vesicles are enclosed structures formed by lipid bilayers. It has become clear over the past few years that extracellular vesicles can play a role as RNA carriers. Numerous studies have focused on the evidence of exosomes as RNA carriers [12, 13], researched by RNA sequencing and/or microarray of purified exosomes [14] and microRNA (miRNA) effector complex localization in multivesicular bodies (MVBs) [15, 16]. Moreover, a number of different types of RNA molecules have been discovered in EVs, including messenger RNA (mRNA), long non-coding RNA (lncRNA), small non-coding RNA (sncRNA), ribosomal RNA (rRNA) and miRNA [17,18,19,20]. These vehicles with exRNAs, presented in the extracellular milieu, could be used to transport protein and RNA cargos between donor and recipient cells and affect the gene expression and relevant phenotype presented by recipient cells [12, 13, 21,22,23,24].

  2. b.

    Non-vesicle-associated form

    In addition, evidence has suggested that some carriers independent of vesicles can play a role as RNA molecule carriers: Argonaute2 (Ago2) protein complexes have the capacity to carry circulating microRNAs in human plasma [25] and lipoprotein protein particles, mainly by high-density lipoproteins (HDLs), transporting endogenous miRNAs to recipient cells in extracellular fluid [26].

The role of exRNA as a biomarker

Contrasted with parental cells, some RNA molecules are enriched in EVs [12, 13, 27]. Recent studies have supported that the application of exRNA in extracellular fluid could be a biomarker recognition in diseases [28], including cancer. For human health, studies reporting exRNA to be biomarkers of cancer can raise the accuracy of clinical diagnosis. In addition, not only can EVs be tumour cell-derived exRNA carriers but can also be found in human biofluids, such as urine [29], serum, plasma [13], cerebrospinal fluid [30], breast milk and saliva [31]. Thus, studies on the relevance between exRNAs and cancer-specific biomarkers have been investigated:

  1. a.

    Potential biomarker of EV-associated mRNA

    Several papers indicate that cancer cell-derived EVs contain particular mRNAs in an elevated level [32]: in prostate cancer, exosomes from the urine of showed specific biomarkers of mRNAs and RNA transcripts [33]; in gastric cancer, mRNAs of VEGF, IL-6 and RANTES increased in blood EVs [34]; in colon cancer, LISCH7 mRNA were enriched in plasma EVs [35].

  2. b.

    Distinctive mRNA transcriptomes

    Some studies describe characteristic mRNA transcriptomes from patients with cancer have been discovered in saliva, and the transcriptomic signatures can serve as biomarkers in cancer detection, including breast cancer [36], ovarian cancer [37], and pancreatic cancer [38].

  3. c.


    Current research has focused on whether the biofluid level of miRNAs can be a source of cancer biomarkers. Notably, studies indicate that patients with lung cancer [17], ovarian cancer [19] and oesophageal squamous cell carcinoma [39] have abnormal characteristic profiles of miRNA levels in their serum. In addition, a similar phenomenon was observed in the saliva of patients with oral cancer [40]. Moreover, EVs released from other types of cancer comprise their individual profiles of miRNAs, such as liver cancer [41], prostate cancer [33, 42] and colorectal cancer [43].

  4. d.

    Other ncRNAs

    Some evidence indicates that high levels of non-coding RNAs (ncRNAs), including lncRNA, small interfering RNA (siRNA), piwi-interacting RNA (piRNA), and small nuclear RNA (snRNA), have been discovered in EVs from patients with cancer [14, 44], such as glioma and brain tumour microvesicles [27, 45].

Mechanisms of transporting exRNA to recipient cells

It has been proposed that once the exRNAs are transported out of the donor cells, three possibly competent carriers might be a mediator to deliver the RNA cargos to the recipient cells: exosomes (or other vesicles), HDL, or Ago2 protein complexes [46]. These types of cell-to-cell communication are the key aspect in many biological processes as follows:

  1. a.


    • Exosomes are the smallest vesicle in all of the endosomal-derived vesicles [47],believed to form by invagination into intraluminal vesicles, as a whole termed MVBs. In addition, exosomes in MVBs can not only transport and fuse into lysosomes for degradation but can also release into the extracellular space by fusing with the plasma membrane [48]. To date, the function and role of exosomes as mediators in intercellular communication have been widely investigated [49,50,51]. In addition, some of the RNA materials comprised in EVs can transport to recipient cells and translate to form protein products, depending on the length, class and characteristic of the RNA molecules [52]. Small RNAs, especially miRNAs, can be transported by EVs effectively and regularly perform their molecular function in recipient cells [53,54,55].

    • Three principal mechanisms have been proposed for exRNA delivered from EVs to enter into the recipient cells [56]: (i) exRNAs in exosomes can be transported into target cells through multiple pathways: endocytosis, caveolin-mediated endocytosis, clathrin-mediated endocytosis, lipid raft-mediated endocytosis, macropinocytosis, phagocytosis and/or pinocytosis, etc. [57, 58]; (ii) exRNAs in exosomes can be transported into the target cells by the particular membrane receptors matched up to the exosomal ligands [59,60,61]; and (iii) exRNA carried by exosomes can release the RNA molecules in vesicles inside the recipient cell cytoplasm by fusing vesicular and cellular membranes together in a non-selective manner. The internalizing process of membrane fusion can incorporate new surface membrane receptors (exosome-membrane originated) and separate lipid components to modify the recipient cells. Other molecules from exosomes can trigger signal pathways and metabolic events in the target cells.

  2. b.

    High-density lipoprotein (HDL) [26]

  3. (a)

    HDL transfers miRNAs to recipient cells (Kasey C. Vickers, Brain T. Palmisano).

    The Vickers group has discovered that ATP-binding cassette transporter A1 (ABCA1) might be involved in the mechanism of miRNA export by HDL. Previously, it was known that during the biogenesis process of HDL, ABCA1 cellular efflux can transform cholesterol and phospholipids into nascent HDL [62]. By inducing the overexpression of ABCA1 in J774 mouse macrophages, they found that the abundance of miR-223 increased. In addition, treating recipient cells (hepatocytes) with the HDL-miR-335 complex (native HDL and exogenous miR-335 incorporated together), they found that the miR-335 level in the intracellular environment increased 11.8-fold. These results indicate the capacity of HDL to deliver genetic materials.

  4. (b)

    Intercellular communication by HDL

    To confirm whether endogenous levels of miRNAs delivered by HDL are sufficient to affect gene expression in target cells, the Vickers group treated hepatocytes (Huh7) with familial hypercholesterolemia HDL and healthy HDL, respectively. Compared with familial hypercholesterolemia HDL, healthy HDL lacks hsa-miR-105, which can be found in hypercholesterolemia HDL only. In addition, Huh7 cells can express hsa-miR-105 by itself. Treatment of healthy HDL to Huh7 cannot alter the intracellular level of miR-150. On the other hand, cells treated with familial hypercholesterolemia HDL, containing ample levels of hsa-miR-150, can notably increase intracellular levels of miRNAs and have significant gene expression changes. Last but not least, in other research, it has been discovered that HDL-associated miRNAs can be transported into the cells by the transfer of a specific receptor (scavenger receptor class B type 1) on the recipient cell membranes [26].

  5. c.

    Argonaute2 [25]

  • Application of Argonaute2 with exRNA carrying capacity.

  • Although the mechanism by which recipient cells take up the Ago2-miRNA complex is still unknown, the relevance between exRNA and Argonaute2 has been revealed.

  • According to research by the Jason D. Arroyo group, evidence supports the hypothesis that 90% of circulating miRNAs are associated with non-membrane enclosed ribonucleoprotein complexes. They also hypothesized that miRNAs associated with vesicles or Ago2 protein complexes originated from different cell types and present distinct mechanisms of miRNA expression or release in particular cells. Other studies support their hypothesis; hepatocyte-specific miRNA miR-122 can only be found and detected in the protein-associated fractions. This result indicates that liver cells may release their unique miRNA through a protein complex [63]. In contrast, the other miRNAs belonging to the vesicle-associated RNAs might derive from cells that have the capacity to generate vesicles, such as reticulocytes that release exosomes containing miR-let-7a [64] during cell maturation and platelets that release microvesicles and exosomes during the activation stage [65, 66].


Currently, extracellular RNA discovery is ground-breaking in molecular biology. The evidence of detecting exRNAs in biofluids and carriers, including EVs, HDL and Ago2, sheds new light on the field of establishing disease biomarkers; examples of this include high levels of specific mRNA in exosomes, distinctive mRNA transcriptomes in saliva and circulating miRNA as potential biomarkers. In addition, studies investigating exRNAs in the role of cell-to-cell communication determined the relevant mechanisms and interactions between recipient cells and exRNA carriers. Studies have shown that the multiple ways for exosomes to enter target cells and HDLs are mediators involved in the uptake of miRNAs in hepatocytes. Nonetheless, although the capacity of Ago2 to be a carrier of circulating miRNA in human serum has been reported, it is still unknown whether Ago2 can mediate exRNA taken up by target cells. Finally, at an objective angle, the mechanism of intercellular communication in exRNAs and their carriers could be the focus of future research. In addition, other undiscovered vehicles for carrying exRNA and the relevance of molecular function in cell biology can be explored in the future.



ATP-binding cassette transporter A1




extracellular vesicle


extracellular RNA


high-density lipoprotein


long non-coding RNA




messenger RNA




non-coding RNA


piwi-interacting RNA




ribosomal RNA


small interfering RNA


small non-coding RNA


small nuclear RNA


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This work was financially supported by grants from Ministry of Science and Technology of the People’s Republic of China (2018YFA0507100), the National Natural Science Foundation of China (31770900), National Key Research and Development Program (2018YFA0507101).

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KCL wrote the article. YZ and ES directed the project. All authors read and approved the final manuscript.

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Lu, KC., Zhang, Y. & Song, E. Extracellular RNA: mechanisms of it’s transporting into target cells. ExRNA 1, 22 (2019).

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