“…The immunomodulatory effectiveness of MSCs is contingent upon the nature and intensity of inflammatory signals received, such as interferon-γ (IFN-γ), tumor necrosis factor-α (TNF-α), and Toll-like receptor (TLR)-mediated activation. Under specific inflammatory stimuli (IFN-γ, TNF-α, TLR-mediated activation), MSCs transform, becoming antiapoptotic, proangiogenic, and immunosuppressive ( Meisel et al, 2004 ; Krampera et al, 2006 ; Ghannam et al, 2010 ; Saparov et al, 2016 ; Vereb et al, 2020 ). They contribute to inflammation reduction through the secretion of factors like interleukin-6 (IL-6), indoleamine 2,3-dioxygenase (IDO), HLA G5 (human leukocyte antigen G5), interleukin-10 (IL-10), transforming growth factor beta-1 (TGFb1), hepatocyte growth factor (HGF), HOX-1, IL-1Ra (IL-1 receptor antagonist), prostaglandin E2 (PGE2), and through cell-cell contact ( Bartholomew et al, 2002 ; Meisel et al, 2004 ; Aggarwal SP and Pittenger, 2005 ; Saparov et al, 2016 ).…”