A
cell genetically modified to comprise at least one mechanism for providing a local
immunosuppression at a transplant site when transplanted in an allogeneic host, and methods for making and using the same are provided. The
cell comprises a set of transgenes, each
transgene encoding a
gene product that is cytoplasmic,
membrane bound, or local acting, and whose function is one or more of: to mitigate
antigen presenting
cell activation and function; to mitigate graft attacking leukocyte activity or cytolytic function; to mitigate macrophage cytolytic function and
phagocytosis of allograft cells; to induce
apoptosis in graft attacking leukocytes; to mitigate local inflammatory proteins; and to protect against leukocyte-mediated
apoptosis. The transgenes comprise two or more of the followinggenes: PD-L 1, HLAG or H2-M3, Cd47, Cd200, FASLG or Fasl, Ccl21 or Ccl21b, Mfge8, and
Serpin B9 or Spi6.