New insights into mesenchymal stem cells in inflammatory subtypes of asthma

Asthma is a heterogeneous disease characterized by chronic airway inflammation, heightened reactivity, and structural remodeling. The responses of different phenotypes to traditional corticosteroid therapy vary significantly, with steroid resistance in low T-helper type 2 asthma remaining an urgent...

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Main Authors: Zheng-yan Hou, Yu-qiu Hao, Lin Zhang, Wei Li, Peng Gao
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-08-01
Series:Frontiers in Immunology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2025.1649597/full
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author Zheng-yan Hou
Yu-qiu Hao
Lin Zhang
Wei Li
Peng Gao
author_facet Zheng-yan Hou
Yu-qiu Hao
Lin Zhang
Wei Li
Peng Gao
author_sort Zheng-yan Hou
collection DOAJ
description Asthma is a heterogeneous disease characterized by chronic airway inflammation, heightened reactivity, and structural remodeling. The responses of different phenotypes to traditional corticosteroid therapy vary significantly, with steroid resistance in low T-helper type 2 asthma remaining an urgent clinical challenge. In recent years, mesenchymal stem cells (MSCs) and their exosomes—mesenchymal stem cell-derived extracellular vesicles (MSC-EVs)—have emerged as promising therapeutic agents due to their potent immunomodulatory properties. In this review, we systematically explain how MSCs and MSC-EVs inhibit airway inflammation in asthma through multi-target immunoregulation, highlight their therapeutic potential in steroid-resistant asthma, and outline the challenges and optimization strategies involved in clinical translation, thereby providing a theoretical foundation for the development of novel therapies.
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institution Kabale University
issn 1664-3224
language English
publishDate 2025-08-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Immunology
spelling doaj-art-56583c1884bb4537863c0aaba40778dc2025-08-26T04:12:45ZengFrontiers Media S.A.Frontiers in Immunology1664-32242025-08-011610.3389/fimmu.2025.16495971649597New insights into mesenchymal stem cells in inflammatory subtypes of asthmaZheng-yan HouYu-qiu HaoLin ZhangWei LiPeng GaoAsthma is a heterogeneous disease characterized by chronic airway inflammation, heightened reactivity, and structural remodeling. The responses of different phenotypes to traditional corticosteroid therapy vary significantly, with steroid resistance in low T-helper type 2 asthma remaining an urgent clinical challenge. In recent years, mesenchymal stem cells (MSCs) and their exosomes—mesenchymal stem cell-derived extracellular vesicles (MSC-EVs)—have emerged as promising therapeutic agents due to their potent immunomodulatory properties. In this review, we systematically explain how MSCs and MSC-EVs inhibit airway inflammation in asthma through multi-target immunoregulation, highlight their therapeutic potential in steroid-resistant asthma, and outline the challenges and optimization strategies involved in clinical translation, thereby providing a theoretical foundation for the development of novel therapies.https://www.frontiersin.org/articles/10.3389/fimmu.2025.1649597/fullasthmainflammationmesenchymal stem cellsexosomesimmunomodulationcell-based therapy
spellingShingle Zheng-yan Hou
Yu-qiu Hao
Lin Zhang
Wei Li
Peng Gao
New insights into mesenchymal stem cells in inflammatory subtypes of asthma
Frontiers in Immunology
asthma
inflammation
mesenchymal stem cells
exosomes
immunomodulation
cell-based therapy
title New insights into mesenchymal stem cells in inflammatory subtypes of asthma
title_full New insights into mesenchymal stem cells in inflammatory subtypes of asthma
title_fullStr New insights into mesenchymal stem cells in inflammatory subtypes of asthma
title_full_unstemmed New insights into mesenchymal stem cells in inflammatory subtypes of asthma
title_short New insights into mesenchymal stem cells in inflammatory subtypes of asthma
title_sort new insights into mesenchymal stem cells in inflammatory subtypes of asthma
topic asthma
inflammation
mesenchymal stem cells
exosomes
immunomodulation
cell-based therapy
url https://www.frontiersin.org/articles/10.3389/fimmu.2025.1649597/full
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AT linzhang newinsightsintomesenchymalstemcellsininflammatorysubtypesofasthma
AT weili newinsightsintomesenchymalstemcellsininflammatorysubtypesofasthma
AT penggao newinsightsintomesenchymalstemcellsininflammatorysubtypesofasthma