TGF-β regulates lung cancer metastasis via exosomes. TGF-β can affect lung tumor cell invasion, migration, and metastasis by modulating the cargo carried by A549 cell-derived exosomes. In this process, TGF-β can decrease E-cadherin and increase β-catenin, miR-23a and lnc-MMP2-2. Decreased E-cadherin and increased β-catenin can then promote EMT. Increased miR-23a can decrease E-cadherin to enhance EMT. Up-regulated lnc-MMP2-2 can inhibit E-cadherin, as well as increase N-cadherin and vimentin to promote invasion and migration; it can also increase vascular permeability by repressing occludin and Zo-1. Moreover, lnc-MMP2-2 can augment MMP2 to accelerate metastasis.