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Published on: February 14, 2019
Strategic plan for pediatric respiratory diseases research: an NHLBI working group report
Steve Abman1, Alan Jobe, Victor Chernick
1Washington University School of Medicine, Medicine and Pediatrics, St. Louis, Missouri.
Insights
Experts identified key research gaps in childhood lung diseases. Future strategies focus on epigenetic influences, lung repair, pulmonary vascular disease, and personalized medicine for children.
Area of Science:
- Pediatric Pulmonology
- Translational Research
- Respiratory Medicine
Background:
- Childhood lung diseases represent a significant health burden.
- Existing research has gaps in understanding and treatment.
- Translational research is crucial for advancing pediatric lung disease care.
Purpose of the Study:
- To identify knowledge gaps in pediatric lung diseases.
- To define strategies for enhancing translational research.
- To outline priority areas for future investigation.
Main Methods:
- A workshop convened leading experts in laboratory and patient-oriented research.
- Selected areas of pediatric lung diseases were reviewed.
- Proceedings were summarized to provide recommendations.
Main Results:
- Identified priority research areas including epigenetic influences on lung development.
- Highlighted the need for research in lung injury, regeneration, and repair in developing lungs.
- Emphasized pulmonary vascular disease (PVD) in children and the development of ventilatory responses.
Conclusions:
- Future research should focus on epigenetic and environmental factors influencing pediatric lung diseases.
- Investigating injury, regeneration, and repair mechanisms in the developing lung is critical.
- Advancing personalized and predictive medicine approaches is essential for improving outcomes in children with respiratory diseases.
Abstract:
The Division of Lung Diseases of the National Heart, Lung and Blood Institute (NHLBI) recently held a workshop to identify gaps in our understanding and treatment of childhood lung diseases and to define strategies to enhance translational research in this field. Leading experts with diverse experience in both laboratory and patient-oriented research reviewed selected areas of pediatric lung diseases, including perinatal programming and epigenetic influences; mechanisms of lung injury, repair, and regeneration; pulmonary vascular disease (PVD); sleep and control of breathing; and the application of novel translational methods to enhance personalized medicine. This report summarizes the proceedings of this workshop and provides recommendations for emphasis on targeted areas for future investigation. The priority areas identified for research in pediatric pulmonary diseases included: (1) epigenetic and environmental influences on lung development that program pediatric lung diseases, (2) injury, regeneration, and repair in the developing lung, (3) PVD in children, (4) development and adaptation of ventilatory responses to postnatal life, (5) nonatopic wheezing: aberrant large airway development or injury? (6) strategies to improve assessment, diagnosis, and treatment of pediatric respiratory diseases, and (7) predictive and personalized medicine for children.
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