Vascular and pulmonary effects of ibuprofen on neonatal lung development

Xueyu Chen1, Dongshan Han1, Xuan Wang1

  • 1Laboratory of Neonatology, Department of Neonatology, Affiliated Shenzhen Maternity and Child Healthcare Hospital, The First School of Clinical Medicine, Southern Medical University, Shenzhen, China.

Respiratory Research
|February 2, 2023
PubMed

Insights

Ibuprofen, used for premature infants, may harm neonatal lung development by inhibiting blood vessel growth. However, it also reduces inflammation and structural damage in experimental bronchopulmonary dysplasia (BPD).

Area of Science:

  • Neonatal physiology and pharmacology
  • Pulmonary medicine and developmental biology
  • Endothelial cell biology and angiogenesis

Background:

  • Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) used to close patent ductus arteriosus (PDA) in premature infants.
  • NSAID use in neonates may negatively impact lung development, potentially causing bronchopulmonary dysplasia (BPD).

Purpose of the Study:

  • To investigate ibuprofen's effects on angiogenesis in human umbilical cord vein endothelial cells (HUVECs).
  • To evaluate the therapeutic potential of ibuprofen in a rat model of hyperoxia-induced experimental BPD.

Main Methods:

  • Assessed ibuprofen's impact on HUVEC angiogenesis, including tube formation, migration, and cell proliferation.
  • Administered daily subcutaneous ibuprofen (50 mg/kg) to neonatal Wistar rats with experimental BPD.
  • Evaluated lung histopathology, growth, survival, and mRNA expression in treated rat pups.

Main Results:

  • Ibuprofen inhibited angiogenesis in HUVECs by impeding the cell cycle and promoting apoptosis.
  • In neonatal rats, ibuprofen reduced pulmonary vessel density but attenuated experimental BPD.
  • Beneficial effects in rats included reduced lung inflammation and structural abnormalities like alveolar enlargement and arteriolar wall thickening.

Conclusions:

  • Ibuprofen exhibits dual effects on neonatal lung development: it impairs angiogenesis but offers benefits for alveolarization and inflammation.
  • Caution is advised when considering ibuprofen for premature infants with BPD due to potential adverse effects on lung angiogenesis.
Abstract

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