Highlights of ISEV meeting 2013, Boston (USA).- The recent boost of the research in extracellular vesicles was displayed during the third meeting that the international laboratories grouped into the ISEV society (www.isevmeeting.org) celebrated on the past April in Boston (USA). In the 4-days meeting more than 700 participants all over the world gathered and discussed more than 400 presentations on extracellular vesicle research. An elevated number of presentations highlighted the active implications of extracellular vesicles in the progression of solid and hematological cancers, also in neurologic diseases such as Alzheimer’s and Parkinson’s. Some molecules involved in the biogenesis and secretion of different types of extracellular vesicles were introduced during the presentations including the named SIMPLE protein and some galectins. Great interest was given to novel strategies to characterize these vesicles; for example combining microfluidic device with magnetic-resonance (NMR) in phenotyping glioblastoma-derived vesicles, or the use of surface plasmon resonance to detect the vesicles in tissue culture media. Several structural laboratories highlighted the heterogeneity in the size and shape (by cryoelectron microscopy) that these vesicles may display in nature. A significant number of "omics" studies were presented covering from proteomics, transcriptomics through glycomics and lipidomics, helping to complete the catalogue of molecules carried by these vesicles. Physiological roles in inflammation, tumor and metastasis progression, drug resistance or cellular signaling and differentiation were highly represented among the functional aspects discussed for these vesicles. Some presentations focused on urinary vesicles supported the utility of them in the prediction and diagnosis of different pathologies including prostate cancer, kidney transplantation and kidney stone formers. Another important topic in the meeting was the vesicles released by pathogens that were highlighted not only from a diagnostic point of view but also as important mediators in the progression through the life cycle of the pathogen. Therapeutics possibilities of the extracellular vesicles were also highlighted during the meeting, where photoactive vesicles were introduced for cancer therapy. Apart of the nomenclature issue, many discussions that took place during the coffee-breaks were about the lack of reference products. How the ISEV community take care of this problem will be crucial for the success to translate extracellular vesicles research to the clinics. The development of standard references, as well as accurate, high-resolution characterization techniques will allow comparing and reproducing results at different laboratories that at this moment is one of the main problems limiting the progress of the field. In conclusion, the significant increase in cross-talk between and among different disciplines showed the high potential of the extracellular vesicles field for clinical applications. The industrial market has also noted this and many companies (i.e. Apogee Flow Systems, Nanosight, Izon, Life technologies, Exosome diagnostics, JSR Life Science, Toray, Hitachi Chemical, Excytex and Caris Life Sciences) has specialized in this field.