PTEN and neoplasm: Since one literature has revealed that PTEN could decrease the expression of CCL2 and VEGF-A to inhibit macrophage polarization from innate macrophages to M2 phenotypes in the tumor microenvironment 7, combined with our results, we conclude that exosomes containing Cav-1 could inhibit the PTEN/CCL2/VEGF-A signaling pathway to promote the M2 polarization and angiogenesis of lung macrophages, which may play an important role in the PMN formation and BC lung metastasis.