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Development of a Neonatal Piglet Acute Lung Injury Model Recreating the Early Environment of Preterm Infant Lungs
Published on: October 31, 2025
Chronic lung disease of prematurity: long-term respiratory outcome
Dania El Mazloum1, Laura Moschino, Sara Bozzetto
1Unit of Pediatric Respiratory Medicine and Allergy, Women's and Children's Health Department, University of Padova, Padova, Italy.
Insights
Preterm birth can lead to chronic lung disease, particularly bronchopulmonary dysplasia (BPD). This review details the long-term respiratory issues in infants born prematurely, focusing on BPD complications.
Area of Science:
- Neonatology
- Pulmonology
- Pediatric Respiratory Medicine
Background:
- Preterm birth is a significant risk factor for chronic respiratory morbidity.
- Bronchopulmonary dysplasia (BPD) is a leading cause of long-term lung dysfunction in premature infants, imposing a substantial healthcare burden.
- Long-term respiratory symptoms can persist into adulthood, exacerbated by environmental factors like smoking.
Purpose of the Study:
- To review the clinical and functional changes associated with long-term pulmonary sequelae of preterm birth.
- To focus specifically on the characteristics of bronchopulmonary dysplasia (BPD) in survivors of preterm birth.
- To highlight the persistent challenges and management considerations for BPD.
Main Methods:
- This is a review article.
- It synthesizes existing clinical and functional data on long-term respiratory outcomes in preterm infants.
- The focus is on the pathophysiology and clinical manifestations of BPD.
Main Results:
- Infants born prematurely, especially those with BPD, experience persistent lung dysfunction.
- BPD represents an early-onset obstructive lung disease with prolonged effects.
- Environmental factors can worsen airflow obstruction in affected individuals.
Conclusions:
- Preventing BPD remains challenging.
- Minimizing neonatal lung injury is crucial.
- Close monitoring of survivors is essential for managing long-term respiratory morbidity.
Abstract:
Chronic respiratory morbidity is a common adverse outcome of preterm birth, especially in infants who develop bronchopulmonary dysplasia (BPD), which is still a major cause of long-term lung dysfunction with a heavy burden on health care services and medical resources throughout childhood. The most severely affected patients remain symptomatic even in adulthood, and this may be influenced also by environmental variables (e.g. smoking), which can contribute to persistent obstruction of airflow. Of all obstructive lung diseases in humans, BPD has the earliest onset and probably lasts the longest. Since the prevention of BPD is an elusive goal, minimizing neonatal lung injury and closely monitoring survivors remain the best courses of action. This review describes the clinical and functional changes characteristic of the long-term pulmonary sequelae of preterm birth, focusing particularly on BPD.
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