“…14,15,32 Hypoxia caused an increase in the secretion of transforming growth factor-β2; insulin-like growth factor (IGF) binding proteins 2, 3, 4 and 6; IGF-II and interleukin-7, 33,34 and reduced the secretion of stromal cell derived factor-1, macrophage colony stimulating factor, interleukin-1 receptor antagonist, RANTES, chemokine (C-X-C motif) ligand 1, lactate dehydrogenase and chemokine (C-X-C motif) ligand 10 by MSCs. 16,35 In short, hypoxia changes the paracrine secretions of MSCs, which would have implications for the role they play in reducing the loss of function in the brain after cerebral ischemia. Exposure to a hypoxic environment leads to obvious changes in cellular physiology.…”