Bronchopulmonary dysplasia: A review of pathogenesis and pathophysiology

Renjithkumar Kalikkot Thekkeveedu1, Milenka Cuevas Guaman2, Binoy Shivanna2

  • 1Section of Neonatology, Department of Pediatrics, University of Mississippi, Jackson, MS, USA.

Respiratory Medicine
|December 13, 2017
PubMed

Insights

Bronchopulmonary dysplasia (BPD) is a common chronic lung disease in premature infants. This review summarizes current literature on BPD pathogenesis and pathophysiology to aid in preventing and managing this condition in extremely low birth weight infants.

Area of Science:

  • Neonatology
  • Pediatric Pulmonology
  • Developmental Biology

Background:

  • Bronchopulmonary dysplasia (BPD) is the most frequent respiratory complication in preterm infants, impacting approximately 10,000 neonates annually in the US.
  • While BPD incidence remains stable, its underlying pathophysiology has evolved due to advancements in respiratory support for extremely low birth weight (ELBW) infants.
  • The disease arises from an imbalance between lung injury and repair mechanisms during lung development.

Purpose of the Study:

  • To comprehensively review and synthesize current scientific literature on the pathogenesis and pathophysiology of BPD.
  • To offer insights that can advance the prevention and management strategies for severe BPD in ELBW infants.

Main Methods:

  • Systematic literature review of existing research on BPD.
  • Synthesis of data on lung injury and repair mechanisms in developing lungs.
  • Analysis of changes in BPD pathophysiology linked to modern respiratory management.

Main Results:

  • The review consolidates current understanding of the complex interplay between lung injury and repair in BPD development.
  • It highlights the evolving nature of BPD pathophysiology, particularly in ELBW infants.
  • The literature indicates a shift in disease mechanisms influenced by improved respiratory care.

Conclusions:

  • A thorough understanding of BPD pathogenesis and pathophysiology is crucial for clinical progress.
  • Further research and comprehensive reviews are essential to refine prevention and management of BPD in vulnerable ELBW populations.
  • This review provides a foundation for future therapeutic and preventative strategies targeting BPD.

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