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The mesenchymal stem cell (MSC) secretome encompasses a complex mixture of bioactive molecules, including cytokines, chemokines, growth factors, and extracellular vesicles, released by MSCs through paracrine signaling. This secretome orchestrates potent immunomodulatory actions across multiple arms of the immune system, influencing both innate and adaptive immune responses. Its effects are mediated through indirect intercellular communication pathways, impacting a wide array of immune cell types, including T lymphocytes, B lymphocytes, dendritic cells, natural killer cells, macrophages, and neutrophils. The MSC secretome's ability to fine-tune immunity makes it a promising therapeutic approach for various conditions involving immune dysregulation.
Multiple mechanisms including receptor binding, intracellular signaling modulation via secreted factors, and cellular reprogramming through extracellular vesicles
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