One mode of miRNA transport in body fluids is via exosomes. Exosomes are small extracellular vesicles originating from the inward budding of the plasma membrane. They carry mRNAs and miRNAs to recipient cells via circulation, with functional gene regulatory consequences. However, exosomes do not incorporate everything that is present in the parent cell, suggesting that this well-regulated process is dynamically altered by signaling cues. Thus, the composition of these vesicles varies depending on the source, the physiological conditions of cells releasing them and disease states. Exosome uptake results in modulation of gene expression in recipient cells and represents a novel mechanism of cellular communication. We are investigating alterations in composition, function and signaling mechanisms of small extracellular vesicles using in vitro approaches and rodent models of pain.