“…But we did not detect the presence of exogenous hucMSCs in the present study, which is in line with expectations. The main reasons might be as follows: The subjects in the previous studies, in which the MSCs could cross the BBB, always had brain disease, such as glioma ( Pacioni et al, 2017 ; Abdi et al, 2018 ), traumatic brain injury ( Darkazalli et al, 2017 ), ischemic stroke ( Do et al, 2021 ; Yarygin et al, 2021 ) or encephalitis ( Bian et al, 2017 ). In these cases, the BBB was damaged, and lots of inflammatory mediators or chemokines released from inflammatory or tumor lesions in the brain became a decisive factor in promoting the recruitment and migration of therapeutic MSCs through BBB into infarct areas ( Huang et al, 2018 ; Al-Kharboosh et al, 2020 ).…”