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An update on pharmacologic approaches to bronchopulmonary dysplasia
Sailaja Ghanta1, Kristen Tropea Leeman, Helen Christou
1Division of Newborn Medicine, Boston Children's Hospital, Harvard Medical School, Boston, MA, USA.
Insights
Bronchopulmonary dysplasia (BPD) is a common lung condition in extremely preterm infants. This review explores current and future pharmacotherapies to prevent and treat BPD, aiming to improve infant outcomes.
Area of Science:
- Neonatology
- Pediatric Pulmonology
- Pharmacology
Background:
- Bronchopulmonary dysplasia (BPD) is the most common chronic lung disease in extremely preterm infants.
- BPD is associated with significant risks, including reactive airways disease, pulmonary hypertension, and adverse neurodevelopmental outcomes.
- Prevalence rates are high, affecting up to 60% of infants born before 26 weeks of gestation.
Purpose of the Study:
- To review recent advancements in the pharmacotherapy for Bronchopulmonary dysplasia (BPD).
- To detail current research and evidence for existing and novel BPD treatments.
- To explore potential future experimental therapies for BPD.
Main Methods:
- Literature review of current and emerging pharmacotherapies for BPD.
- Analysis of evidence supporting various treatment approaches.
- Synthesis of research on the evolving understanding of BPD pathophysiology.
Main Results:
- Approaches to BPD prevention and treatment are continuously evolving.
- Pharmacotherapy remains a key area of research for managing BPD.
- Understanding BPD's complex pathophysiology guides therapeutic development.
Conclusions:
- Continued research into pharmacotherapy is crucial for managing BPD.
- Evolving understanding of BPD pathogenesis necessitates adaptive treatment strategies.
- Future therapies hold promise for improving outcomes in affected infants.
Abstract:
Bronchopulmonary dysplasia (BPD) is the most prevalent long-term morbidity in surviving extremely preterm infants and is linked to increased risk of reactive airways disease, pulmonary hypertension, post-neonatal mortality, and adverse neurodevelopmental outcomes. BPD affects approximately 20% of premature newborns, and up to 60% of premature infants born before completing 26 weeks of gestation. It is characterized by the need for assisted ventilation and/or supplemental oxygen at 36 weeks postmenstrual age. Approaches to prevention and treatment of BPD have evolved with improved understanding of its pathogenesis. This review will focus on recent advancements and detail current research in pharmacotherapy for BPD. The evidence for both current and potential future experimental therapies will be reviewed in detail. As our understanding of the complex and multifactorial pathophysiology of BPD changes, research into these current and future approaches must continue to evolve.
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