The present invention provides, among other things, improved compositions and methods for the treatment of tissue damage (e.g., acute or chronic) and related diseases, disorders or conditions based on the use of pathfinder cells, extracellular secretomes thereof, and/or pathfinder cell-associated microRNAs. In some embodiments, the present invention provides a method for treating tissue damage (e.g., acute or chronic) comprising a step of administering a population of cells to an individual suffering from a disease, disorder or condition characterized by acute damage to one or more tissues, wherein the cells are originated from an adult tissue and wherein the cells induce tissue repair, regeneration, remodeling, reconstitution or differentiation. In some embodiments, the present invention provides a method for treating inflammation comprising a step of administering a population of cells, or extracellular secretomes thereof, to an individual suffering from a disease, disorder or condition characterized by inflammation of one or more tissues, wherein the cells are originated from an adult tissue and wherein the cells induce an anti-inflammatory response.本発明は、種々の疾患、障害および状態を処置するための、微小水泡に基づく改善された方法および組成物を提供する。具体的には、本発明は、微小水泡が、細胞または組織の再生、リモデリング、再構築、再プログラミングまたは分化転換に関与する細胞間の調節因子として機能し得る特異的なマイクロRNAを含有するという認識を包含する。したがって、とりわけ、本発明は、さらに予測可能かつ有効な治療結果をもたらす、微小水泡および/または関連するマイクロRNAに基づく方法および組成物を提供する。