Extracellular vesicles (EVs) can be formed by both the budding of the plasma membrane or through the fusion of a multivesicular body (MVB) with the plasma membrane. Cell–cell contact and the subsequent exchange of cellular components through nanotubes is an alternative method of (local) intercellular communication. EV uptake by a myeloid-derived innate immune cell can change its phenotype into an immune-suppressive, tumor-supportive effector cell, inhibiting T cell activation and supporting tumor growth by secretion of specific cytokines. Direct interaction between glioma EV surface programmed death-ligand 1 (PD-L1) and programmed cell death-1 (PD-1) expressed on T cells is an alternative direct method for glioma EVs to suppress the T cell response. Abbreviations: IL-6, interleukin 6; IL-10, interleukin 10; MCP-1, monocyte chemoattractant protein-1; VEGF, vascular endothelial growth factor.