TY - JOUR KW - Biomedical Engineering KW - Biomimetics KW - Lab-on-a-chip KW - Respiratory system models KW - Tissue engineering AU - Jungwook Paek AU - Lakshminarayan Reddy Teegala AU - Farid Alisafaei AU - Anika Alim AU - Joseph W. Song AU - Sunghee E. Park AU - Jeehan Chang AU - Haijiao Liu AU - Bang-Jin Kim AU - Sandra Ryeom AU - Vivek Shenoy AU - Geremy C. Clair AU - Charles Thodeti AU - Sailaja M. Paruchuri AU - Dan Dongeun Huh AB - Structural remodelling of living tissues due to mechanical forces is a common occurrence that plays an essential role in development, health and disease, but preclinical investigation of this dynamic process in human-relevant conditions remains a challenge. Here we present a microphysiological system integrated with pneumatically addressable soft actuators to emulate dynamic mechanical loading of mucosal tissues in the human respiratory tract. Using this system, we created a clinically relevant model of airway constriction in distal regions of asthmatic lungs to show compressive force-induced fibrotic airway remodelling. Following in vivo validation, we generated vascularized airway constructs in this model to investigate abnormal vascular remodelling in asthma, revealing airway constriction-induced subepithelial fibrosis as a key contributor to increased vascularity of asthmatic airways. Furthermore, we identified molecular mediators of abnormal airway remodelling through proteomics analysis of our microphysiological system and tested the feasibility of pharmacologically modulating their activity. We believe that our technology provides a useful tool for studying biophysical control and dysregulation of dynamic tissue remodelling in lungs and other mechanically active organs. BT - Nature Biomedical Engineering DA - 2026-05-11 DO - 10.1038/s41551-026-01669-9 LA - en N2 - Structural remodelling of living tissues due to mechanical forces is a common occurrence that plays an essential role in development, health and disease, but preclinical investigation of this dynamic process in human-relevant conditions remains a challenge. Here we present a microphysiological system integrated with pneumatically addressable soft actuators to emulate dynamic mechanical loading of mucosal tissues in the human respiratory tract. Using this system, we created a clinically relevant model of airway constriction in distal regions of asthmatic lungs to show compressive force-induced fibrotic airway remodelling. Following in vivo validation, we generated vascularized airway constructs in this model to investigate abnormal vascular remodelling in asthma, revealing airway constriction-induced subepithelial fibrosis as a key contributor to increased vascularity of asthmatic airways. Furthermore, we identified molecular mediators of abnormal airway remodelling through proteomics analysis of our microphysiological system and tested the feasibility of pharmacologically modulating their activity. We believe that our technology provides a useful tool for studying biophysical control and dysregulation of dynamic tissue remodelling in lungs and other mechanically active organs. PY - 2026 SP - 1 EP - 22 T2 - Nature Biomedical Engineering TI - Mechanical force-induced tissue remodelling in a clinically relevant microphysiological model of asthmatic human lungs UR - https://www.nature.com/articles/s41551-026-01669-9 Y2 - 2026-05-18 SN - 2157-846X ER -