“…Identifying the mechanism that regulates the responses of MSCs to external stimuli has important implications in designing optimal expansion and delivery strategies for MSC therapeutic applications (Galipeau & Sensebe, 2018;Yin et al, 2019). MSCs are highly responsive to microenvironmental stimuli arising from biological parameters, for example, immunomodulatory cytokines (Gao et al, 2016;Zhao, Ren, & Han, 2016), biomechanical regulation, for example, culture surface tension or stiffness (Bijonowski et al, 2019;Cesarz, Funnell, Guan, & Tamama, 2016), and physiological modulation, for example, oxygen tension (Hu, Zhao, Wu, & Li, 2019;Peck et al, 2019). Our previous studies have indicated that the significant alterations of MSC aggregates are due to different levels of cortical compaction-induced metabolic reconfiguration rather than hypoxic core within aggregates (Bijonowski et al, 2019;Liu et al, 2017).…”