“… 10 Recent findings indicate that TDSEVs harbor a diverse array of molecular constituents, including lipids, membrane-associated proteins, long noncoding RNAs (lncRNAs), and miRNAs, 10 which contribute to key processes in tumor initiation and progression, such as angiogenesis, proliferation, metastasis, and immune evasion. 11 Moreover, the prominent biological features of TME, such as hypoxia, extracellular acidosis and low nutrients, can induce heterogeneous changes in TDSEVs release, cargo composition and transport, which are also key determinants for malignancy, proliferation, and metastasis. 9 , 12 , 13 Therefore, it is imperative not to overlook the role of TDSEVs in maintaining the survival environment of tumor cells and promoting their invasion and metastasis.…”