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VEGF levels in humans and animal models with RDS and BPD: temporal relationships
Stephanie Meller1, Vineet Bhandari
1Yale University School of Medicine, New Haven, CT 06520, USA.
Insights
This review emphasizes the critical role of vascular endothelial growth factor (VEGF) in neonatal respiratory distress syndrome (RDS) and bronchopulmonary dysplasia (BPD). Understanding the timing of VEGF in lung development is key for accurate animal models of these conditions.
Area of Science:
- Neonatal Medicine
- Pulmonary Biology
- Developmental Biology
Background:
- Respiratory distress syndrome (RDS) and bronchopulmonary dysplasia (BPD) are major causes of neonatal illness and death.
- Pulmonary function relies on the interplay between alveolar microvasculature and airspace development.
- The role of vascular endothelial growth factor (VEGF) in neonatal respiratory failure is not fully understood, with conflicting data from animal and human studies.
Purpose of the Study:
- To highlight the significance of the temporal relationship between VEGF and lung development.
- To emphasize the importance of developmentally-appropriate animal models for studying human neonatal lung diseases like RDS and BPD.
Main Methods:
- Review of existing literature on VEGF, lung development, RDS, and BPD.
- Analysis of animal models and human studies.
- Focus on the temporal aspects of VEGF expression during lung development.
Main Results:
- VEGF levels increase during normal lung development in animal models.
- Controversial results exist regarding VEGF's pathophysiological role in neonatal respiratory failure.
- Differences in physiology between species necessitate careful timing of animal studies.
Conclusions:
- Accurate correlation of animal models with human lung development requires careful consideration of study timing.
- Further research is needed to clarify the precise role of VEGF in neonatal RDS and BPD.
- Optimizing animal models by considering developmental timelines is crucial for advancing our understanding of these conditions.
Abstract:
Respiratory distress syndrome (RDS) and bronchopulmonary dysplasia (BPD) contribute significantly to neonatal morbidity and mortality. Pulmonary function depends on the interaction between alveolar microvasculature and airspace development. While it has been shown in various animal models that vascular endothelial growth factor (VEGF) and its receptors increase in normal animal lung development, its pathophysiological role in neonatal respiratory failure is not yet entirely clear. Current animal and human studies exhibit controversial results. Though animal models are invaluable tools in the study of human lung disease, inherent differences in physiology mandate clarification of the timing of these studies to ensure that they appropriately correlate with the human stages of lung development. The purpose of this review article is to highlight the importance of considering the temporal relationship of VEGF and lung development in human neonates and developmentally-appropriate animal models with RDS and BPD.

