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Preventing bronchopulmonary dysplasia: new tools for an old challenge
María Álvarez-Fuente1, Laura Moreno2, Jane A Mitchell3
1Pediatric Cardiology Department, Ramón y Cajal University Hospital, Madrid, Spain.
Insights
Bronchopulmonary dysplasia (BPD) is a major challenge in premature infants. New research explores biomarkers and advanced lung models to predict and treat this chronic lung disease.
Area of Science:
- Neonatology
- Pulmonology
- Biomarker Discovery
Background:
- Bronchopulmonary dysplasia (BPD) is the most common chronic lung disease in preterm infants.
- Current preventive and treatment strategies for BPD are limited, posing a significant therapeutic challenge.
- The development of BPD in premature infants is multifactorial, with unknown factors contributing alongside known risks.
Purpose of the Study:
- To identify prognostic biomarkers for early prediction of BPD in very low birth weight infants.
- To develop novel, complex in vitro human lung models for BPD research.
- To explore new therapeutic strategies for protecting the immature lung from injury.
Main Methods:
- Utilizing advancements in -omics technologies for biomarker identification.
- Developing sophisticated 3D organoid models of the human lung.
- Applying principles of regenerative medicine for therapeutic development.
Main Results:
- Identification of potential prognostic biomarkers for BPD risk.
- Establishment of advanced in vitro models for studying BPD pathophysiology.
- Exploration of novel therapeutic avenues based on recent scientific progress.
Conclusions:
- New approaches involving biomarkers and advanced lung models offer opportunities to address BPD's complex pathophysiology.
- Early prediction and targeted therapies are crucial for managing BPD in premature infants.
- Integration of -omics, organoids, and regenerative medicine holds promise for developing effective BPD treatments.
Abstract:
Bronchopulmonary dysplasia (BPD) is the most prevalent chronic lung disease in infants and presents as a consequence of preterm birth. Due to the lack of effective preventive and treatment strategies, BPD currently represents a major therapeutic challenge that requires continued research efforts at the basic, translational, and clinical levels. However, not all very low birth weight premature babies develop BPD, which suggests that in addition to known gestational age and intrauterine and extrauterine risk factors, other unknown factors must be involved in this disease's development. One of the main goals in BPD research is the early prediction of very low birth weight infants who are at risk of developing BPD in order to initiate the adequate preventive strategies. Other benefits of determining the risk of BPD include providing prognostic information and stratifying infants for clinical trial enrollment. In this article, we describe new opportunities to address BPD's complex pathophysiology by identifying prognostic biomarkers and develop novel, complex in vitro human lung models in order to develop effective therapies. These therapies for protecting the immature lung from injury can be developed by taking advantage of recent scientific progress in -omics, 3D organoids, and regenerative medicine.
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