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Published on: May 30, 2020
Modulators of inflammation in Bronchopulmonary Dysplasia
1Center for Pulmonary & Vascular Biology, Division of Neonatal-Perinatal Medicine, The Department of Pediatrics, The University of Texas Southwestern Medical Center, 5323 Harry Hines Boulevard, Dallas, TX 75390-9063, USA.
Insights
Bronchopulmonary Dysplasia (BPD) is a severe lung condition in preterm infants. This review explores anti-inflammatory therapies to prevent or treat BPD, aiming to reduce infant mortality and healthcare costs.
Area of Science:
- Neonatal Medicine
- Pediatric Pulmonology
- Developmental Biology
Background:
- Bronchopulmonary Dysplasia (BPD) affects 30-50% of preterm infants under 1000g.
- BPD results from ventilator and oxygen-induced lung injury, leading to inflammation and abnormal lung development.
- High morbidity and mortality rates underscore the need for effective BPD interventions.
Purpose of the Study:
- To review established and promising anti-inflammatory strategies for BPD prevention and treatment.
- To highlight the role of inflammation, growth factors, and cytokines in BPD pathogenesis.
- To assess the potential impact of anti-inflammatory therapies on BPD outcomes.
Main Methods:
- Literature review of anti-inflammatory approaches for BPD.
- Analysis of studies investigating the mechanisms of BPD development.
- Examination of clinical trials and preclinical research on BPD therapies.
Main Results:
- Inflammation is a key factor in BPD development.
- Dysregulated angiogenesis and alveolarization are hallmarks of BPD.
- Various anti-inflammatory agents have been explored for BPD management.
Conclusions:
- Targeting inflammation holds significant promise for reducing BPD incidence and severity.
- Further research into anti-inflammatory therapies could improve outcomes for preterm infants.
- Effective BPD treatments can decrease long-term morbidity, mortality, and healthcare costs.
Abstract:
Over 50 years after its first description, Bronchopulmonary Dysplasia (BPD) remains a devastating pulmonary complication in preterm infants with respiratory failure and develops in 30-50% of infants less than 1000-gram birth weight. It is thought to involve ventilator- and oxygen-induced damage to an immature lung that results in an inflammatory response and ends in aberrant lung development with dysregulated angiogenesis and alveolarization. Significant morbidity and mortality are associated with this most common chronic lung disease of childhood. Thus, any therapies that decrease the incidence or severity of this condition would have significant impact on morbidity, mortality, human costs, and healthcare expenditure. It is clear that an inflammatory response and the elaboration of growth factors and cytokines are associated with the development of BPD. Numerous approaches to control the inflammatory process leading to the development of BPD have been attempted. This review will examine the anti-inflammatory approaches that are established or hold promise for the prevention or treatment of BPD.
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