Insulin-like growth factor-1: A potential target for bronchopulmonary dysplasia treatment (Review)

Shujian Zhang1, Xue Luan2, Huiwen Li1

  • 1Department of Pediatrics, Affiliated Hospital of Yanbian University, Yanji, Jilin 133000, P.R. China.

Insights

Insulin-like growth factor-1 (IGF-1) shows promise for treating bronchopulmonary dysplasia (BPD) in preterm infants. Studies indicate IGF-1 can reduce lung inflammation and improve alveolar development, suggesting it as a potential therapeutic target.

Area of Science:

  • Neonatal respiratory medicine
  • Pediatric pulmonology
  • Endocrinology

Background:

  • Bronchopulmonary dysplasia (BPD) is a prevalent respiratory complication in preterm infants, especially low-birth-weight infants (LBWIs) and very-low-birth-weight infants (VLBWIs).
  • Despite decades of research, effective preventative or therapeutic strategies for BPD remain elusive.
  • Pulmonary development is critically dependent on cellular processes like mitosis, proliferation, and DNA synthesis.

Purpose of the Study:

  • To review the definition, pathogenesis, and current research status of BPD.
  • To analyze the role of Insulin-like Growth Factor-1 (IGF-1) in BPD pathogenesis.
  • To explore the potential of IGF-1 as a therapeutic target for BPD treatment.

Main Methods:

  • Literature review and analysis of existing studies on BPD and IGF-1.
  • Examination of IGF-1's biological functions related to pulmonary development.
  • Evaluation of experimental findings on IGF-1's effects in BPD models.

Main Results:

  • IGF-1 plays a significant role in fetal and postnatal lung development.
  • IGF-1 influences BPD development and progression through various biological pathways.
  • Exogenous IGF-1 administration has demonstrated potential in mitigating lung inflammation, apoptosis, and alveolar developmental issues in BPD.

Conclusions:

  • IGF-1 is implicated in the pathogenesis of bronchopulmonary dysplasia.
  • The findings suggest that IGF-1 could serve as a novel therapeutic target for managing BPD.
  • Further research into IGF-1's mechanisms and clinical application is warranted for BPD treatment.

Related Concept Videos