Acute lung injury (ALI) is a complex condition frequently encountered in the clinical setting. The aim of the present study was to investigate the effect of conditioned media (CM) from human adipose-derived mesenchymal stromal cells (MSCs) activated by flagellin (F-CM), a Toll-like receptor 5 ligand, on inflammation-induced lung injury. In the
in vitro
study, RAW264.7 macrophages treated with F-CM had a higher proportion of cells with the M2 phenotype, lower expression of pro-inflammatory factors and stronger expression of anti-inflammatory genes compared with the CM from normal adipose-derived MSCs. Furthermore,
in vivo
experiments were performed in mice with ALI induced by intraperitoneal injection of lipopolysaccharide. F-CM significantly alleviated the lung exudation, inhibited inflammatory cell recruitment in lung tissues and decreased the concentration of inflammatory factors in the bronchoalveolar lavage fluid. These findings indicated that F-CM has superior anti-inflammation ability compared with CM, and that it may represent a promising therapeutic approach to the treatment of inflammation-induced ALI.