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Updated: May 18, 2026

A Novel Inhalation Mask System to Deliver High Concentrations of Nitric Oxide Gas in Spontaneously Breathing Subjects
Published on: May 4, 2021
Can nitric oxide-based therapy prevent bronchopulmonary dysplasia?
Thomas M Raffay1, Richard J Martin, James D Reynolds
1Division of Neonatology, Department of Pediatrics, Rainbow Babies & Children's Hospital, Case Medical Center/University Hospitals, 11100 Euclid Avenue, Cleveland, OH 44106-6010, USA.
Understanding nitric oxide (NO) biology aids in developing targeted NO therapies. This review examines inhaled NO in preterm infants with bronchopulmonary dysplasia and future research directions.
Area of Science:
- Pulmonary Medicine
- Neonatology
- Biomedical Science
Background:
- Endogenous nitric oxide (NO) biology is increasingly understood.
- This knowledge informs the potential benefits and risks of exogenous NO administration.
- It also guides the development of novel NO-based therapeutic strategies.
Purpose of the Study:
- To review clinical trials using inhaled NO in preterm infants with bronchopulmonary dysplasia.
- To explore the biological rationale for new NO therapeutics.
- To identify future research avenues in NO-focused developmental lung disease research.
Main Methods:
- Review of clinical trial data for inhaled NO in preterm infants.
- Analysis of endogenous NO biology.
- Consideration of therapeutic applications of NO.
Main Results:
- Inhaled NO clinical trial results in preterm infants are contextualized.
- The biological basis for novel NO therapeutics is examined.
- Future research directions are identified.
Conclusions:
- Understanding NO biology is crucial for targeted NO therapies.
- Inhaled NO has been studied in preterm infants with bronchopulmonary dysplasia.
- Further research is needed to optimize NO-based treatments for developmental lung diseases.
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