“…Importantly, MSCs express CD59, a complement regulatory protein, and also release complement factor H that protects them from complement lysis (Tu et al 2010;Moll et al 2011). In addition, stimulation through C3aR and C5aR protect MSCs from oxidative damage (Schraufstatter et al 2009) and MSCs produce a number of antioxidants including hemeoxygenase-1 and superoxide dismutase (Kemp et al 2010;Mougiakakos et al 2011), and have been shown to suppress oxidative stress and inflammation in ischemia reperfusion injury models in vivo (Chen et al 2011Sun et al 2011;Du et al 2012). The exact mechanisms of action are unclear; however, MSC protection in these models was associated with increased expression of IL-10, heme oxygenase-1 (HO-1), and hepatocyte growth factor, decreased expression of the proinflammatory cytokines IL-1b, TNF-a, and interferon g (IFN-g), reduced reactive oxygen species, reduced apoptosis and decreased numbers of activated T cells, and infiltrating immune cells (Hara et al 2011;Sun et al 2011;Chen et al 2012;Du et al 2012).…”