“…Although allogeneic MSCs can modulate the immune system, the immune recognition can still occur in some cases, leading to cellular and humoral reactions against donor MSCs (Berglund and Schnabel, 2017). Also, despite exhibiting good results due to direct modulation of cell death in the recipient and to their paracrine action (Naji et al, 2019), MSCs efficacy can be affected by the inflammation, especially in acute cases (Rosa et al, 2020), and freely injected MSCs can also migrate to other tissues (Santos et al, 2019). In this sense, MSC encapsulation creates a physical barrier that does not allow crossing of cells or high molecular weight particles-like antibodies and complement factors-but allows the diffusion of nutrients, metabolites and oxygen at the same time (Orive et al, 2003;Hernández et al, 2010;Nafea et al, 2011).…”