“…MSCs display resistance to TRAIL due to their low expression of both DR4 and DR5 ( Grisendi et al., 2010 ). In addition, is possible to consistently isolate and modify MSCs from human adipose tissue by minimally invasive surgical procedures ( Foppiani et al., 2019 ; Starnoni et al., 2019 ). The wild-type gene coding for membrane-bound TRAIL, as well as modified cassettes expressing soluble ligand forms, have been used in MSC-based therapeutic strategies, demonstrating antitumor effects in vitro and in vivo in a wide variety of human solid neoplasms, including lung cancer, pancreatic cancer, glioblastoma, sarcoma, and hepatocarcinoma ( Loebinger et al., 2009 ; Sasportas LS et al., 2009 ; Grisendi et al., 2010 ; Grisendi et al., 2011 ; Yan et al., 2014 ; D’Souza et al., 2015 ; Grisendi et al., 2015 ; Guiho et al., 2016 ; Golinelli et al., 2018 ; Candini et al., 2019 ; Rossignoli et al., 2019 ; Spano et al., 2019 ).…”