“…These promising compounds are currently being tested in combination with standard chemotherapy or allogenic transplantation settings in clinical trials of high-risk MDS and refractory AML patients ( Martínez-Cuadrón et al, 2018 ; Roboz et al, 2018 ; Michelis et al, 2019 ; Bose et al, 2020 ). On the other hand, the anti-tumoral effects displayed by MSCs were attributed to small secreted factors ( Maguire, 2013 ; Moll et al, 2020 ; Wu et al, 2020 ) and led to increased interest in the use of MSC secretome for anti-leukemic therapy as well as for a wide array of other diseases, such as ischemic, neuroinflammatory and pulmonary malignancies (reviewed in Harman et al, 2021 ). Collective proteomic studies demonstrated that the MSC secretome consists of trophic factors (e.g., FGF, HGF, VEGF), cytokines (e.g., IL-6, TGFβ-1…), hormones, small peptides (e.g., SCF, PTG, Leptin) and extracellular vesicles (EVs) containing miRNA, mRNA and biologically active proteins ( Chulpanova et al, 2018 ).…”