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Here, we advance a perspective that Extracellular Vesicles (EVs) act as active mediators bridging SARS\u2010CoV\u20102 infection and neurodegenerative processes. As nanoscale messengers capable of crossing the blood\u2010brain barrier, EVs can transmit post\u2010viral signals and orchestrate multi\u2010target gene regulation in recipient cells through their microRNA (EV\u2010miRNA) cargo. Our integrative analysis suggests that EV\u2010miRNAs dysregulated in acute COVID\u201019, Alzheimer's Disease (AD), and Parkinson's Disease (PD) converge on pathways governing neurovascular integrity, redox and metabolic homeostasis, and neuronal proteostasis. We propose that sustained dysregulation of these interconnected modules\u2014driven by EV\u2010mediated signalling\u2014may underlie the perpetuation of neuro\u2010PASC and accelerate neurodegeneration in susceptible individuals. Viewing EVs as mechanistic agents that both transmit and amplify pathogenic cues reframes them as actionable targets for intervention and risk stratification. This perspective calls for translational frameworks that leverage EVs to illuminate, predict, and modify the trajectory of post\u2010viral neurodegeneration.<\/jats:p>","DOI":"10.1002\/jev2.70272","type":"journal-article","created":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T19:07:27Z","timestamp":1777576047000},"source":"Crossref","is-referenced-by-count":2,"title":["When Viruses Talk through Extracellular Vesicles: a New Perspective on Sars\u2010Cov\u20102\u2010Induced Neurodegeneration"],"prefix":"10.1002","volume":"15","author":[{"given":"Gunjan","family":"Bawne","sequence":"first","affiliation":[{"name":"Department of Advanced In vitro Model Systems Biomedical Primate Research Centre  Rijswijk The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Loet","family":"Coenen","sequence":"additional","affiliation":[{"name":"Department of Neurobiology and Aging Biomedical Primate Research Centre  Rijswijk The 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