Acute lung injury (ALI) and
acute respiratory distress syndrome (ARDS) is a common clinical problem, leading to significant morbidity and mortality, and no effective
pharmacotherapy exists. The problem of ARDS causing mortality became more apparent during the
COVID-19 pandemic. Biotherapeutic products containing multipotent mesenchymal stromal cell (
MMSC) secretome may provide a new therapeutic paradigm for human healthcare due to their immunomodulating and regenerative abilities. The content and regenerative capacity of the secretome depends on cell origin and type of cultivation (two- or three-dimensional (2D/3D)). In this study, we investigated the proteomic profile of the secretome from 2D- and 3D-cultured placental
MMSC and lung fibroblasts (LFBs) and the effect of inhalation of freeze-dried secretome on survival,
lung inflammation, lung tissue regeneration,
fibrin deposition in a lethal ALI model in mice. We found that three inhaled administrations of freeze-dried secretome from 2D- and 3D-cultured placental
MMSC and LFB protected mice from death, restored the histological structure of damaged lungs, and decreased
fibrin deposition. At the same time, 3D
MMSC secretome exhibited a more pronounced trend in lung recovery than 2D
MMSC and LFB-derived secretome in some measures. Taking together, these studies show that inhalation of cell secretome may also be considered as a potential
therapy for the management of ARDS in patients suffering from severe
pneumonia, including severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), however, their effectiveness requires further investigation.