“…In one large animal transplant study, swine lungs were perfused with human umbilical cord MSCs after 24 hours of static cold storage and an additional 12 hours of EVLP. Once transplanted and reperfused, lungs treated with MSCs had significantly reduced acute lung injury scores, improved wetto-dry ratios, lower levels of inflammatory cytokines, and higher levels of growth factors than the control group, suggesting an amelioration of IRI associated with the transplantation process (86). Previous studies from the same group confirmed that intravascular perfusion led to better retention of cells in the parenchyma than intrabronchial delivery of MSCs, and that larger numbers of cells perfused offered little benefit over the optimum dose of 5 million cells/kg (143,144).…”