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The article explores how BEVs engage with host cells, transporting short interfering RNAs (sRNAs) and transfer RNA-derived fragments (tRFs) to host cells and modulate the immune response by influencing key signaling pathways in diseases such as cystic fibrosis. The article particularly focuses on how BEVs contribute to biofilms and chronic infections through epigenetic modifications that alter immune responses in lung epithelial and immune cells. 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