Tunneling nanotubes (TNTs) are thin membranous tubes that interconnect cells and enable transfer of cellular components over long distances. TNTs have an actin core surrounded by a lipid bilayer and can be formed through filopodia-like protrusions or after cell collision. They transport organelles, vesicles, proteins, and pathogens between cells and play roles in signaling, immune response, embryogenesis, and cancer progression. TNTs allow spread of pathogens like viruses and bacteria and transfer of proteins involved in diseases such as Parkinson's.