“…These MSC properties of cancer support are originally licensed by tumorinfiltrating macrophages which establish a pro-inflammatory chemotactants-studded milieu (Coffelt et al, 2009;Rigo et al, 2010). This milieu evokes MSCs to (i) differentiate into highly proliferative myofibroblasts (Von Ahrens et al, 2017) and vascular cells , (ii) produce tumor-nurturing pro-angiogenic cytokines, miRNA, and exosomes (Roccaro et al, 2013;Zhang et al, 2013;Dong et al, 2018), (iii) secrete extracellular matrix-forming lysosomal oxidase (El-Haibi et al, 2012), (iv) provide a niche for malignant cells to thrive (Lin et al, 2019), and (v) adopt the immunomodulatory MSC2 phenotype (see section "Immunological Properties: A Paradigm") (Patel et al, 2010). As previously mentioned, MSC2 further polarizes macrophages into the M2 phenotype which is pro-tumorigenic (Rivera-Cruz et al, 2017).…”