Human multipotent mesenchymal stromal cells (hMSCs) represent stem cells for non-hematopoietic tissues. The main interest in hMSCs is correlated with their ability to suppress the proliferation of CD8+ T lymphocytes regulating the transplantation rejection. Moreover, hMSCs are able to inhibit the differentiation of dendritic cells, the proliferation and antibody production of B lymphocytes and they stimulate the formation of regulatory T cells. The mechanisms at the basis of MSCs activity need cell-cell interaction and the secretion of soluble molecules into the microenvironment as hepatocyte growth factor, transforming growth factor-beta (TGF-beta), interleukin-10 and -2 (IL-10, IL-2), tumour necrosis factor-alpha (TNF-alpha), prostaglandin E2 (PGE2), indoleamine 2,3-dioxygenase (IDO) and Human Leukocyte Antigen (HLA)-G. Human multipotent mesenchymal stromal cells (hMSCs), first described by Friedenstein in '70 years (1) as non-hematopoietic cell precursors with osteogenic potential, represent stem cells for non- hematopoietic tissues (2). The International Society for Cellular Therapy (ISCT) reviewed the functional and immunophenotypic characteristics of stromal cells (3): they are plastic adherent cells that retain in vitro clonogenic potential, defined by the presence of the fibroblast-colony forming unit (CFU-F), capable of supporting hematopoiesis and having differentiation ability towards different cell types, as osteoblasts, chondrocytes, adipocytes, myocytes (4). In vitro and in vivo studies showed that hMSCs could differentiate into cells of non-mesodermal origin such as neurons, skin and gut epithelial cells, hepatocytes and pneumocytes (5). They express surface makers CD73, CD90, and CD105, and lack of expression of stem cell antigens CD34 and CD45 (3). hMSC were initially isolated and characterized from the bone marrow, but further researches identified other sources such as amniotic membrane, skin, adipose tissue, cord blood, fetal liver, placenta and synovium (6). Although these hMSC were thought to be the same general cell population regardless of the tissue source, recent data suggested a different hMSC gene expression profile on the basis of their tissue origin, indicating that hMSC tissue heterogeneity is biologically relevant. In the last years several studies demonstrated the peculiar immunological characteristics of hMSCs, as low antigenicity, caused by the decreased expression of classical HLA (human leukocyte antigen) class I molecules and the complete absence of HLA class II antigens and co-stimulatory molecules as CD80 (B7-1), CD86 (B7-2) and CD40, and high immune-modulatory ability. hMSCs suppress the proliferation of T lymphocytes (7), are resistant to the CD8+ T lymphocyte cytotoxicity, inhibit the differentiation of dendritic cells, the proliferation and antibody production of B lymphocytes and stimulate the formation of regulatory T cells. The mechanisms at the basis of hMSCs activity need cell-cell interaction and the secretion of soluble molecules in the micro-environment, as hepatocyte growth factor, transforming growth factor-beta (TGF-beta), interleukin-10 and -2 (IL-10, IL-2), tumour necrosis factor-alpha (TNF-alpha), prostaglandin E2 (PGE2), indoleamine 2,3-dioxygenase (IDO) (8) and HLA-G antigens (9).