“…Others reported that immunomodulatory functions of MSC could be altered by pro-infl ammatory cytokines such as IL-1b, IL-6 and IL-23. However, suppressive ability and effi cacy of MSC in cell-based therapy was preserved through proinfl ammatory cytokine modulation [60].Effect of nature and treatment of responding immunological cells on MSC response to inhibitory effectExpression of IDO[10,28,65,66], HLA-G[7,63,67,68], LIF[31,69], PGE2[70] , IL-10[11,17,30,32], TGF-B[8,17,32] and other mediators were reported by many researchers despite use of variable culture conditions with different density, ratio, treatment protocol, nature and method of selection of immune cells. MSC act as secretome with universal constitutive secretion of immunomediators as evidenced by several reports worldwide.…”