Perspectives on Probiotics and Bronchopulmonary Dysplasia

Kun Yang1, Wenbin Dong1

  • 1Department of Newborn Medicine, The Affiliated Hospital of Southwest Medical University, Luzhou, China.

Frontiers in Pediatrics
|November 16, 2020
PubMed

Insights

Bronchopulmonary dysplasia (BPD) in preterm infants is linked to lung microbiota dysbiosis. This review explores probiotics as a potential treatment to restore gut-lung axis balance and improve BPD outcomes.

Area of Science:

  • Neonatal Medicine
  • Microbiology
  • Pulmonology

Background:

  • Bronchopulmonary dysplasia (BPD) is a significant chronic respiratory disease in preterm infants, leading to high morbidity and healthcare costs.
  • Emerging evidence links lung microbiota dysbiosis to the development and progression of BPD.
  • Current therapeutic strategies for BPD do not fully address the role of lung microbiota.

Purpose of the Study:

  • To review the current understanding of lung microbiota dysbiosis in BPD.
  • To explore the potential of probiotic interventions for BPD treatment.
  • To provide insights into novel therapeutic approaches targeting the gut-lung axis in BPD.

Main Methods:

  • Literature review of studies on BPD, lung microbiota, and probiotics.
  • Analysis of evidence regarding the gut-lung axis in respiratory diseases.
  • Synthesis of findings on probiotic mechanisms and their relevance to BPD.

Main Results:

  • Lung microbiota dysbiosis is increasingly recognized as a factor in BPD pathogenesis.
  • Probiotics demonstrate potential for modulating microbiota, reducing inflammation, and supporting the gut-lung axis.
  • Evidence suggests probiotics could offer a novel therapeutic avenue for BPD.

Conclusions:

  • Lung microbiota dysbiosis plays a role in BPD.
  • Probiotics represent a promising, yet under-investigated, therapeutic strategy for BPD.
  • Further research into probiotic applications is warranted to improve BPD management.

Related Concept Videos

COPD: Management Using Bronchodilators and Corticosteroids01:26

COPD: Management Using Bronchodilators and Corticosteroids

Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
574
Asthma: Pathogenesis and Management01:20

Asthma: Pathogenesis and Management

Asthma is a chronic pulmonary condition involving inflammation of the airways, hyper-reactivity, and reversible obstruction of the airways. This condition can significantly impact a person's quality of life, making breathing difficult and leading to distressing symptoms.
Asthma is classified as allergic and non-allergic. Allergens such as dust mites, pollen, and pet dander trigger allergic asthma, while factors like cold air, intense emotions, or exercise can induce non-allergic asthma.
1.0K
Pulmonary Cycle: Exhalation01:17

Pulmonary Cycle: Exhalation

In terms of human respiration, the act of expelling air, known as exhalation (or expiration), operates on the principle of pressure gradients. During expiration, the pressure within the lungs exceeds that of the surrounding atmosphere. Under normal conditions, quiet breathing involves passive exhalation and is free of muscular contractions. This is because the exhalation process is driven by the natural elastic recoil of the lungs and chest wall, both of which have an inherent tendency to...
2.7K
Pneumonia II: Pathophysiology01:29

Pneumonia II: Pathophysiology

The pathophysiology of pneumonia involves the following steps:
2.1K
Pneumonia V: Nursing management and Prevention01:30

Pneumonia V: Nursing management and Prevention

Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed....
3.1K
Microorganisms in Medicine and Therapeutics01:29

Microorganisms in Medicine and Therapeutics

Microorganisms play a fundamental role in vaccine development, gene therapy, and therapeutic production. Their biological properties are harnessed to advance medicine and public health. Beyond immunization, microorganisms contribute to gut health, antibiotic synthesis, and genetic disease treatment.Live Attenuated and Inactivated VaccinesLive attenuated vaccines, such as the measles, mumps, and rubella (MMR) vaccine, utilize weakened forms of pathogens to closely resemble natural infections.
710