Ramteke et al. [346] compared exosomes generated by hypoxic and normoxic prostate cancer cells (LNCaP and PC3 lines) and found that the hypoxic cancer cells secrete smaller exosomes, which manifested a higher MMP activity and contained more (160 vs. 62) various proteins and greater amounts of tetraspanins (CD63 and CD81); HSP90 and HSP70; annexin II and signaling proteins (TGF-β2, TNF1α, IL6, TSG101, Akt, ILK1 and β-catenin) as compared to exosomes secreted by normoxic cancer cells. The gene discussed is ANXA2; the disease is cancer.