Abstract
Extracellular vesicles (EVs) are cell-derived particles that facilitate intercellular communication by carrying bioactive molecules like proteins and RNA, impacting both health and disease. Herein, the EVs' significance in physiological and pathological processes is reviewed, emphasising their potential as biomarkers for diseases including for instance, cancer, neurodegenerative disorders and cardiovascular conditions. The principles and applications of Raman spectroscopy (RS) - a powerful tool offering detailed molecular insights into EVs, are further examined. The non-destructive nature of this spectroscopic technique renders it invaluable for studying the molecular composition, purity and concentration of EVs. When EVs are isolated from accessible biofluids such as blood, urine or saliva, the overall process remains minimally invasive, enhancing its clinical applicability. The review highlights Raman spectroscopy's role in identifying disease-related EVs, distinguishing subpopulations and enhancing our understanding of EVs in disease mechanisms and therapeutic applications.