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Dermal Fibroblasts-derived Exosomes Alleviated Bronchopulmonary Dysplasia in Neonatal Rats Partially by Regulating
Shi Wang1, Cuie Chen2, Xixi Zhang3
1Department of Anesthesiology, Women’s Hospital, School of Medicine, Zhejiang University, 310002, Hangzhou, Zhejiang, China
Current Stem Cell Research & Therapy
|September 5, 2025
Summary
Dermal fibroblast-derived exosomes (DF-Exos) show promise in treating bronchopulmonary dysplasia (BPD) by improving lung repair and reducing inflammation. These exosomes enhance autophagy, a key cellular process, offering a potential therapeutic avenue for this infant lung disorder.
Area of Science:
- Neonatal Medicine
- Pulmonology
- Cell Biology
- Regenerative Medicine
Background:
- Bronchopulmonary dysplasia (BPD) is a chronic lung disease in preterm infants, marked by impaired lung development and inflammation.
- Dermal fibroblast-derived exosomes (DF-Exos) are known to reduce inflammation and aid tissue repair, but their effect on lung injury is unexplored.
Purpose of the Study:
- To investigate the therapeutic potential of DF-Exos in a hyperoxia-induced BPD rat model.
- To explore the relationship between DF-Exos treatment and autophagy in the context of BPD.
Main Methods:
- DF-Exos were isolated via ultracentrifugation.
- A BPD model was established in neonatal rats using 7 days of hyperoxia (90% O₂).
- Lung morphology, vascularization, inflammatory markers (IL-1β, IL-6, TNF-α, IL-10), and autophagy proteins (Beclin1, LC3B, p62) were analyzed.
Main Results:
- Hyperoxia induced alveolar simplification, reduced vascular density, and increased pro-inflammatory cytokines.
- DF-Exos treatment improved alveolar structure, increased microvascular density, and reduced inflammation.
- DF-Exos administration enhanced autophagy markers (increased Beclin1 and LC3B conversion, decreased p62).
Conclusions:
- DF-Exos partially ameliorated lung injury in the BPD model, promoting alveolar and vascular repair.
- The therapeutic effects of DF-Exos are linked to the enhancement of autophagic activity.
- Further research is needed to clarify mechanisms and determine optimal therapeutic doses, considering potential transient injury.

