Evidence map›Paper›PMID 41789067›Full record

ReviewFrontiers in immunology2026

Stem cell-based therapies for silicosis: mechanisms, sources, clinical translation, and emerging strategies.

Xinru Feng, Bo Xiao, Lixia Hou, Bingxi Zhang, Lincha Tian, Biwen Mo, Dong Yao

Abstract readReview
In one paragraph

Review in Frontiers in immunology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Xinru Feng *Department of Respiratory and Critical Care Medicine, The Second Affiliated Hospital of Guilin Medical University, Guilin, China.
Bo Xiao *The Laboratory of Respiratory Disease, The Affiliated Hospital of Guilin Medical University, Guilin, China.
Lixia Hou *The Laboratory of Respiratory Disease, The Affiliated Hospital of Guilin Medical University, Guilin, China.
Bingxi ZhangThe Laboratory of Respiratory Disease, The Affiliated Hospital of Guilin Medical University, Guilin, China.
Lincha TianDepartment of Respiratory and Critical Care Medicine, The Second Affiliated Hospital of Guilin Medical University, Guilin, China.
Biwen MoThe key laboratory of Respiratory Diseases (Guilin Medical University), Education Department of Guangxi Zhuang Autonomous Region, Guilin, China.
Dong YaoDepartment of Respiratory and Critical Care Medicine, The Second Affiliated Hospital of Guilin Medical University, Guilin, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Silicosis is an irreversible fibrotic interstitial lung disease triggered by chronic exposure to respirable crystalline silica (RCS). Currently, effective therapeutic interventions for this disease remain lacking, as existing clinical approaches are limited to mitigating disease progression rather than reversing or halting pathological changes. Stem cell-based therapies have emerged as a promising therapeutic modality for silicosis, leveraging their inherent biological properties to target key pathogenic cascades, such as NLRP3 inflammasome activation, TGF-β1/Smad-mediated fibrotic progression, and Th1/Th2 immune homeostasis imbalance. Notably, mesenchymal stem cells (MSCs) have advanced to early-phase (I/II) clinical trials for related pulmonary fibrotic diseases, demonstrating preliminary safety and potential for stabilizing lung function. This review synthesizes the latest advancements in stem cell-based therapeutic strategies for silicosis, with a systematic comparison of three key cell sources. The discussion encompasses adult stem cells, such as the readily accessible and immunomodulatory mesenchymal stem cells (MSCs) and the epithelium-regenerative airway basal stem cells (ABSCs), as well as the pluripotent but ethically debated induced pluripotent stem cells (iPSCs). Additionally, this review discusses critical challenges impeding the clinical translation of these therapies, including the standardization of GMP-compliant production processes, suboptimal homing efficiency of transplanted stem cells within the fibrotic pulmonary microenvironment, and inherent safety risks. Finally, this review highlights innovative translational strategies-such as CRISPR-engineered stem cells, stem cell-driven nano-delivery systems, and alveolar organoid models-and underscores the future potential of combination therapies and targeted approaches for silicosis-associated comorbidities. By integrating current knowledge, analyzing translational barriers, and exploring these forward-looking directions, this review aims to provide both theoretical insights and practical guidance for advancing the development and clinical application of stem cell-based therapies for silicosis.

Indexed as

Mesenchymal Stem Cell TransplantationSilicosisStem Cell TransplantationAnimalsHumansMesenchymal Stem CellsTranslational Research, Biomedicalclinical translationmesenchymal stem cellspulmonary fibrosissilicosisstem cell therapy

Identifiers

PMID41789067
PMCPMC12956527

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.