understanding of the underlying interaction mechanisms between tumor cells and the TME, as well as derivative tumor treatment strategies, is of great significance for oncology and diagnostic development.Exosomes represent a kind of nanosized (30-150 nm) lipid bilayer membrane vesicles that are naturally secreted by almost all types of cells and exist widely in various body fluids, such as plasma, [4] saliva, [5] perspiration, urine, [6] latex, cerebrospinal fluid, nasal mucus, and ascites. After their discovery in 1983, exosomes were widely considered as useless "cellular waste" for a long time. [7] In 1996, Raposo et. al. [8] demonstrated that exosomes derived from human and murine B lymphocytes could transfer antigen and induce antigen-specific T cell responses, which discovery changed the "cellular waste concept" of exosomes. Renewed interest in exosomes followed recent reports demonstrating that exosomes contribute to various aspects of cellular homeostasis, physiology and pathobiology. [9] Intercellular communication is considered as one of the most fascinating roles of exosomes. [10] As the intercellular vehicles to transport message, exosomes inherit various molecular information (including proteins, nucleic acids, lipids) from the origin cell and reflect the phenotypic state. Moreover, these biological entities subsequently affect physiological and pathological processes such as inflammation, immune surveillance, tumorigenesis. [11] As important parts of the tumor microenvironment (TME), exosomes have been widely investigated in past decades and demonstrated to possess specialized functions in tumor initiation, progression, metastasis, angiogenesis, and drug resistance. [12,13] Moreover, the specific molecular signature inherited from the origin tumor cell endow tumor-derived exosomes with the capacity to predict tumor progression and prognosis. [14,15] On the other hand, immune cell-derived exosomes, such as DC-derived exosomes, NK-derived exosomes and M1 macrophage-derived exosomes, play vital roles in activating antitumor immune response, which properties endow these exosomes with promising potential in acting as tumor therapeutic vaccine. In addition, the vesicular biocompatibility, nanometer dimension size and biochemical properties make sophisticated exosomes a novel promising therapeutic nanoplatform in cancer. [16] In this review, efforts are made to provide a comprehensive and critical overview about recent advances in exosome-related research field, ranging from their biogenesis, secretion, isolation and biological function in tumor pathogenesis to their extensive antitumor applications.As natural secreted nanovesicles through the endolysosomal pathway, exosomes have attracted increasing attention over the past decades. An overwhelming number of studies have provided evidence for the intriguing roles that exosomes play in intercellular communication. They are widely involved in the transmission of biomolecule cargos between original cells and neighboring/distant cells in normal physiologica...