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Structural considerations. Early intervention in childhood asthma

P H Burri1, A A Hislop

  • 1Institute of Anatomy, University of Berne, Switzerland.

The European Respiratory Journal. Supplement
|August 12, 1998
PubMed
Summary
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Therapeutic treatments during development can harm critical organ growth. Perinatal drug exposure, like glucocorticoids, can inhibit lung alveolar development, necessitating cautious drug use in infants.

Area of Science:

  • Developmental Biology
  • Pharmacology
  • Neonatal Medicine

Background:

  • Therapeutic interventions in developing organisms risk interfering with critical organogenesis.
  • Drug dosage and timing are crucial due to potential adverse effects on growth and development.
  • Perinatal factors significantly impact lung development, specifically alveolarization and microvascular maturation.

Purpose of the Study:

  • To review the impact of perinatal factors on lung development.
  • To analyze the mechanism by which glucocorticoids inhibit alveolization.
  • To emphasize the need for caution when administering potent drugs to developing organisms.

Main Methods:

  • Review of existing literature on lung development and perinatal influences.
  • Analysis of animal experimental data on glucocorticoid effects.

Related Experiment Videos

  • Hypothesis generation for the mechanism of glucocorticoid-induced inhibition of alveolization.
  • Main Results:

    • Perinatal exposure to various factors, including drugs like glucocorticoids, can disrupt lung development.
    • Even low doses of perinatal glucocorticoids were shown to inhibit alveolization in animal models.
    • The precise effects on human infants are challenging to assess noninvasively.

    Conclusions:

    • Perinatal drug administration requires careful consideration due to potential long-term consequences on lung structure.
    • Glucocorticoids are identified as a significant factor that can impair lung alveolar development.
    • Strong recommendations are made for the cautious use of potent medications in perinatal and infant care.