Mechanisms of injury to the preterm lung and airway: implications for long-term pulmonary outcome

Neonatology. 2012;101(4):345-52. doi: 10.1159/000337355. Epub 2012 Jun 1.

Abstract

Despite changes in the epidemiology of bronchopulmonary dysplasia (BPD), longer-term morbidity, particularly in the form of airway dysfunction, remains a substantial problem in former preterm infants. The stage for this respiratory morbidity may begin as early as the transition from fetal to neonatal life. Newer therapeutic approaches for BPD should be directed toward minimizing this longer-term respiratory morbidity. Neonatal animal models focused primarily on hyperoxic exposure may provide important insights into the pathogenesis of longer-term airway hyperreactivity in this population.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Bronchopulmonary Dysplasia / diagnosis
  • Bronchopulmonary Dysplasia / etiology
  • Bronchopulmonary Dysplasia / physiopathology
  • Humans
  • Infant, Newborn
  • Infant, Premature* / physiology
  • Infant, Premature, Diseases / diagnosis*
  • Infant, Premature, Diseases / etiology*
  • Infant, Premature, Diseases / physiopathology
  • Lung / physiopathology*
  • Models, Biological
  • Prognosis
  • Respiratory System / physiopathology
  • Time Factors
  • Ventilator-Induced Lung Injury / diagnosis*
  • Ventilator-Induced Lung Injury / etiology*
  • Ventilator-Induced Lung Injury / physiopathology