“…First, isolation of MSCs from adult sources involves invasive and often painful procedures with possible donor site morbidity (Hass, Kasper, Böhm, & Jacobs, 2011). Second, they have variable proliferation and differentiation capabilities, which are further reduced upon passaging in vitro (Russell, Lefavor, Durand, Glover, & Zubair, 2018). Third, the self-renewal and differentiation potential of MSCs is severely affected by donor age, genetics, and exposure to environmental stress (D'Ippolito, Schiller, Ricordi, Roos, & Howard, 1999;Malgieri, Kantzari, Patrizi, & Gambardella, 2010;Mattiucci, Maurizi, Leoni, & Poloni, 2018).…”