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The number of apoptotic cells in the VP group plaques have been considerably enhanced compared together with the SP group (68.082.00 VS 32.67.85) (P 0.05). Right after MSC transplantation, apoptotic cells decreased markedly compared with the VP group (45.17.66 VS 68.082.00) (P 0.05). In addition, the apoptotic cells in plaques in the MSC group were greater than that inside the SP group. From our H&E and Masson's staining, it appeared that the number of apoptotic cells varied official website between groups; therefore we used TUNEL staining to quantify the number of apoptotic cells in the three groups. We found that the number of apoptotic cells present in plaques inside the VP group was drastically higher than within the SP group (P 0.05) (Fig 6, Table G in S1 File). The MSC group showed a significant decrease in the quantity of apoptotic cells in plaques compared with the VP group (P 0.05). These data clearly indicate that MSCs inhibited cell apoptosis in vulnerable plaques. We next analyzed the expression in the anti-inflammatory factor TSG-6. TSG-6 plays an important role within the inflammatory process due to its anti-inflammatory effects. We found that both TSG-6 mRNA and protein had been up-regulated right after MSC transplantation compared using the VP and SP groups (P 0.001) (Fig 7, Table H in S1 File). These results revealed that MSC transplantation improved RNA and protein expression of TSG-6 in atherosclerotic plaque. Cardiovascular and cerebrovascular diseases, including myocardial infarction and stroke, are the most frequent causes of morbidity and mortality within the world and represent a central challenge for modern research and medicine. Rupture and thrombo-occlusion of your atherosclerotic plaque accounts for approximately 70% of fatal acute myocardial infarctions and/or sudden coronary deaths [1]. Clinical risk is determined by assessing the stability of atherosclerotic plaques rather than the size with the plaques. It is generally accepted that plaques with a thin fibrous cap, large lipid core and a large variety of mononuclear macrophages are unstable and prone to rupturing, which can lead to the occurrence of acute cardio-cerebrovascular events. Atherosclerosis has been suggested by many to be a nonlinear process whereby plaques can alternate between stable and vulnerable states according to the changes of internal environment. However, the inflammatory response persists throughout the development of atherosclerosis and is thus considered a critical factor inside the development of vulnerable plaques. Bone marrowerived mesenchymal stem cells have received a lot of attention for their efficacy as a medical therapeutic strategy. MSCs have a wide range of advantages compared with other stem cell populations including their low immunogenicity, multi-differentiation characteristics, easy cultivation and amplification in vitro, and a unique "homing" feature following transplantation. Recently, the therapeutic benefits of intravenous or local MSC transplantation have been observed in many diseases and injury models including acute lung injury [9,21], myocardial infarction [22], acute renal failure [23], cerebral ischemia [24], Alzheimer's disease [25] and corneal damage [26]. These studies highlight the feasibility of using MSCs, as well as the anti-inflammatory properties of MSCs, as being key mechanisms by which MSCs convert vulnerable plaques into stable plaques. Inside the present study, we investigated w