MSCs regulate oxidative stress through the Nrf2 pathway to treat chronic obstructive pulmonary disease

Abstract Background Chronic obstructive pulmonary disease (COPD) has become a great public health concern. While existing treatments can provide relief from COPD, they do not cure the disease. Stem cell transplantation is an emerging treatment modality that may play an important role in COPD treatme...

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Main Authors: Yunchun Zhou, Wenrui Zhou, Yinghua Li, Jing Zhang
Format: Article
Language:English
Published: BMC 2025-07-01
Series:BMC Pulmonary Medicine
Subjects:
Online Access:https://doi.org/10.1186/s12890-025-03770-2
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author Yunchun Zhou
Wenrui Zhou
Yinghua Li
Jing Zhang
author_facet Yunchun Zhou
Wenrui Zhou
Yinghua Li
Jing Zhang
author_sort Yunchun Zhou
collection DOAJ
description Abstract Background Chronic obstructive pulmonary disease (COPD) has become a great public health concern. While existing treatments can provide relief from COPD, they do not cure the disease. Stem cell transplantation is an emerging treatment modality that may play an important role in COPD treatment. Methods A COPD model was constructed by exposing mice to tobacco smoke and administering bacterial lipopolysaccharide via intranasal drops. The progression of COPD was monitored after the transplantation of MSCs, and oxidative stress-related pathways were evaluated to explore the relationship among COPD, oxidative stress and stem cell transplantation. HE staining and Masson’s trichrome staining were used to detect pulmonary lesions and the degree of pulmonary fibrosis. The levels of oxidative stress-related molecules were evaluated via qRT‒PCR and ELISA. Nrf2 pathway molecule expression was detected by immunofluorescence. Results Compared with the control group, we successfully established a tobacco smoke-induced COPD model with an increased lung macrophage number, inflammatory cell infiltration, enlarged alveoli, and pulmonary fibrosis. After MSC transplantation, the oxidative stress level was reduced, and the lung condition improved, 4-HNE in COPD mice decreased by 90pg/mg prot, IL-6 decreased by 15.55pg/ml, ROS decreased by 1.9 × 107, PCT in the blood decreased by 0.51 µg/L, EOS decreased by 29.02%, and WBC decreased by 3.41^9/L. CRP decreased by 15.8 mg/ml. In addition, our data suggest that MSCs may mitigate lung injury from COPD by reducing oxidative stress through the regulation of the Nrf2 pathway. Conclusion This study confirmed the therapeutic effect of transplanted MSCs on tobacco- and lipopolysaccharide-induced COPD and revealed that MSCs ameliorate COPD by regulating oxidative stress-related pathways. Clinical trial number Not applicable.
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spelling doaj-art-5e62aeafa2c14792b62277ac2dc34c032025-08-20T04:01:24ZengBMCBMC Pulmonary Medicine1471-24662025-07-012511910.1186/s12890-025-03770-2MSCs regulate oxidative stress through the Nrf2 pathway to treat chronic obstructive pulmonary diseaseYunchun Zhou0Wenrui Zhou1Yinghua Li2Jing Zhang3The People’s Hospital of Yu Xi City (The Sixth Affiliated Hospital of Kunming Medical University)The People’s Hospital of Yu Xi City (The Sixth Affiliated Hospital of Kunming Medical University)The People’s Hospital of Yu Xi City (The Sixth Affiliated Hospital of Kunming Medical University)The People’s Hospital of Yu Xi City (The Sixth Affiliated Hospital of Kunming Medical University)Abstract Background Chronic obstructive pulmonary disease (COPD) has become a great public health concern. While existing treatments can provide relief from COPD, they do not cure the disease. Stem cell transplantation is an emerging treatment modality that may play an important role in COPD treatment. Methods A COPD model was constructed by exposing mice to tobacco smoke and administering bacterial lipopolysaccharide via intranasal drops. The progression of COPD was monitored after the transplantation of MSCs, and oxidative stress-related pathways were evaluated to explore the relationship among COPD, oxidative stress and stem cell transplantation. HE staining and Masson’s trichrome staining were used to detect pulmonary lesions and the degree of pulmonary fibrosis. The levels of oxidative stress-related molecules were evaluated via qRT‒PCR and ELISA. Nrf2 pathway molecule expression was detected by immunofluorescence. Results Compared with the control group, we successfully established a tobacco smoke-induced COPD model with an increased lung macrophage number, inflammatory cell infiltration, enlarged alveoli, and pulmonary fibrosis. After MSC transplantation, the oxidative stress level was reduced, and the lung condition improved, 4-HNE in COPD mice decreased by 90pg/mg prot, IL-6 decreased by 15.55pg/ml, ROS decreased by 1.9 × 107, PCT in the blood decreased by 0.51 µg/L, EOS decreased by 29.02%, and WBC decreased by 3.41^9/L. CRP decreased by 15.8 mg/ml. In addition, our data suggest that MSCs may mitigate lung injury from COPD by reducing oxidative stress through the regulation of the Nrf2 pathway. Conclusion This study confirmed the therapeutic effect of transplanted MSCs on tobacco- and lipopolysaccharide-induced COPD and revealed that MSCs ameliorate COPD by regulating oxidative stress-related pathways. Clinical trial number Not applicable.https://doi.org/10.1186/s12890-025-03770-2Chronic obstructive pulmonary diseaseMesenchymal stem cellsOxidative stressTobacco smoke
spellingShingle Yunchun Zhou
Wenrui Zhou
Yinghua Li
Jing Zhang
MSCs regulate oxidative stress through the Nrf2 pathway to treat chronic obstructive pulmonary disease
BMC Pulmonary Medicine
Chronic obstructive pulmonary disease
Mesenchymal stem cells
Oxidative stress
Tobacco smoke
title MSCs regulate oxidative stress through the Nrf2 pathway to treat chronic obstructive pulmonary disease
title_full MSCs regulate oxidative stress through the Nrf2 pathway to treat chronic obstructive pulmonary disease
title_fullStr MSCs regulate oxidative stress through the Nrf2 pathway to treat chronic obstructive pulmonary disease
title_full_unstemmed MSCs regulate oxidative stress through the Nrf2 pathway to treat chronic obstructive pulmonary disease
title_short MSCs regulate oxidative stress through the Nrf2 pathway to treat chronic obstructive pulmonary disease
title_sort mscs regulate oxidative stress through the nrf2 pathway to treat chronic obstructive pulmonary disease
topic Chronic obstructive pulmonary disease
Mesenchymal stem cells
Oxidative stress
Tobacco smoke
url https://doi.org/10.1186/s12890-025-03770-2
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