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在早产婴儿中定义支气管肺形的内型,以改善基于精度的治疗方法
Megha Sharma1,2, Gangaram Akangire3, Noah H Hillman4
1Department of Pediatrics, Division of Neonatology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
JCI insight
|October 22, 2025
概括
支气管肺功能障碍症 (BPD) 是早产婴儿的复杂肺部疾病. 使用先进方法识别独特的BPD内型对于开发向治疗和改善婴儿结果至关重要.
科学领域:
- 新生儿医学 新生儿医学
- 儿科肺病学 儿科肺病学
- 医疗成像医学成像
背景情况:
- 支气管肺功能障碍 (BPD) 是早产婴儿慢性肺病的重要原因之一.
- 目前的BPD定义缺乏特异性,未能解决疾病异质性和内型,这阻碍了临床试验的成功.
- 由于产前和产后因素,理解BPD病变是复杂的.
研究的目的:
- 审查潜在的不同BPD内型的致病机制.
- 讨论先进技术如何识别这些内型.
- 突出结尾型特异性治疗在BPD中的潜力.
主要方法:
- 综述使用先进肺成像,心声和肺功能测试的最新研究.
- 对导致BPD异质性的致病机制的分析.
- 探索生物标志物,功能研究和人工智能用于内型特征.
主要成果:
- 识别明显的BPD内型,包括气道,体和血管.
- 承认这些内型具有不同的预后.
- 有证据表明,为了获得最佳结果,需要对内型特异性治疗.
结论:
- 结节障碍是一种异质性疾病,具有不同的内型,需要定制的治疗策略.
- 先进的诊断是识别BPD内型的关键.
- 结合生物标志物,功能数据和人工智能,可以指导BPD的精准医学.
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