“…Important mediators secreted by MSCs are prostaglandin E2 (PGE2) [13,14], indolamine 2,3-dioxygenase enzyme [15,16], nitric oxide [17,18], transforming growth factor-beta, and hepatocyte growth factor [8,19]. In addition, MSCs have been shown to express the coinhibitory molecules B7-H1 and B7-H4 [20,21], the notch ligand Jagged-1 [22], and galectin-1 [23] on their surface, which negatively interfere with immune responses. Furthermore, maximum anti-inflammatory and immunosuppressive effects can be evoked if MSCs are activated in a proinflammatory microenvironment by the presence of cytokines such as interferon-gamma, tumor necrosis factor-alpha (TNF-a), and/or interleukin-1-beta (IL-1b) [24,25].…”