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. 2021 May 10;9:650003. doi: 10.3389/fcell.2021.650003

FIGURE 3.

FIGURE 3

Possible mechanisms underlying the paracrine effect of human umbilical cord mesenchymal stem cells (HUMSCs). HUMSCs, HUMSCs-CM and HUMSCs-MVs all ameliorate ovarian senescence through paracrine effects. Regulation of Bax, Bcl-2, caspase-3 helps to inhibit apoptosis; VEGF, HGF, IGF-1 and angiopoietin play important roles in angiogenesis; Th1/Th2 cytokines play important roles in balanced local immune response; AMPK/mTOR signaling pathway plays an important role in antioxidant process. The mechanism of antifibrosis is not clear.