“…A large number of experimental studies demonstrated that MSC-derived secretome, particularly MSC-Exos, may be used for cardiac regeneration (Table 5) [31,32,33,108,109,110,111,112,113,114,115,116,117,118,119,120,121] Importantly, cardioprotective effects of MSC-EVs corresponded to beneficial effects of their parental MSCs [31,32,33]. By using an animal model of myocardial ischemia/reperfusion injury, Lai and colleagues showed that MSC-Exos significantly reduced infarct size [31] while Arslan and co-workers revealed that MSC-Exos enhanced myocardial viability through the activation of PI3K/Akt signaling pathway [32].…”