Research progress on pathophysiologic mechanisms, clinical treatment and predictive biomarkers in bronchopulmonary dysplasia: from the perspective of oxidative stress

With the global rise in preterm birth rates, bronchopulmonary dysplasia (BPD) continues to be a significant problem, affecting morbidity and mortality in surviving preterm infants. Preterm infants are particularly susceptible to oxidative stress induced by sudden increases in oxygen concentration, w...

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Main Authors: Min Li, Wen-Xiang Cheng, Shuo Li, Jing Wang, Yan-Rui Chen, Liang Li, Gui Yang
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-03-01
Series:Frontiers in Pediatrics
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Online Access:https://www.frontiersin.org/articles/10.3389/fped.2024.1343870/full
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author Min Li
Min Li
Min Li
Wen-Xiang Cheng
Shuo Li
Jing Wang
Yan-Rui Chen
Liang Li
Gui Yang
Gui Yang
author_facet Min Li
Min Li
Min Li
Wen-Xiang Cheng
Shuo Li
Jing Wang
Yan-Rui Chen
Liang Li
Gui Yang
Gui Yang
author_sort Min Li
collection DOAJ
description With the global rise in preterm birth rates, bronchopulmonary dysplasia (BPD) continues to be a significant problem, affecting morbidity and mortality in surviving preterm infants. Preterm infants are particularly susceptible to oxidative stress induced by sudden increases in oxygen concentration, which plays a crucial role in the pathogenesis of BPD. Herein, we addressed the pathophysiologic mechanisms, clinical treatment, and predictive biomarkers of BPD from an oxidative stress perspective. We first review the importance of oxygen in preterm infants and point out that sustained exposure to hyperoxia exacerbates the susceptibility of the immature lung to free radicals. The antioxidant properties of clinical therapies for BPD in preterm infants are then summarized. Subsequently, based on lipid, protein, and DNA damage mechanisms, we obtained the most comprehensive, accurate, and representative oxidative stress biomarkers. A total of 37 research papers on oxidative stress in BPD were collected. We conclude that 8-OHdG is the most promising biomarker for early prediction of BPD pathogenesis compared to lipid and protein oxidative stress biomarkers.
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publisher Frontiers Media S.A.
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series Frontiers in Pediatrics
spelling doaj-art-4aa746f5ef7d4cd1a779437360e9e2322025-08-20T02:54:03ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602025-03-011210.3389/fped.2024.13438701343870Research progress on pathophysiologic mechanisms, clinical treatment and predictive biomarkers in bronchopulmonary dysplasia: from the perspective of oxidative stressMin Li0Min Li1Min Li2Wen-Xiang Cheng3Shuo Li4Jing Wang5Yan-Rui Chen6Liang Li7Gui Yang8Gui Yang9Department of Otolaryngology, Longgang Central Hospital, Shenzhen, ChinaShenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen, ChinaGuangxi Hospital Division of the First Affiliated Hospital, Sun Yat-sen University, Nanning, ChinaShenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen, ChinaDepartment of Otolaryngology, Huazhong University of Science and Technology Union Shenzhen Hospital, Shenzhen, ChinaDepartment of Otolaryngology, Longgang Central Hospital, Shenzhen, ChinaDepartment of Otolaryngology, Longgang Central Hospital, Shenzhen, ChinaSchool of Medicine, Southern University of Science and Technology, Shenzhen, ChinaDepartment of Otolaryngology, Longgang Central Hospital, Shenzhen, ChinaDepartment of Otolaryngology & Allergy Center, The Central Hospital of Shenzhen Longgang District, Shenzhen, ChinaWith the global rise in preterm birth rates, bronchopulmonary dysplasia (BPD) continues to be a significant problem, affecting morbidity and mortality in surviving preterm infants. Preterm infants are particularly susceptible to oxidative stress induced by sudden increases in oxygen concentration, which plays a crucial role in the pathogenesis of BPD. Herein, we addressed the pathophysiologic mechanisms, clinical treatment, and predictive biomarkers of BPD from an oxidative stress perspective. We first review the importance of oxygen in preterm infants and point out that sustained exposure to hyperoxia exacerbates the susceptibility of the immature lung to free radicals. The antioxidant properties of clinical therapies for BPD in preterm infants are then summarized. Subsequently, based on lipid, protein, and DNA damage mechanisms, we obtained the most comprehensive, accurate, and representative oxidative stress biomarkers. A total of 37 research papers on oxidative stress in BPD were collected. We conclude that 8-OHdG is the most promising biomarker for early prediction of BPD pathogenesis compared to lipid and protein oxidative stress biomarkers.https://www.frontiersin.org/articles/10.3389/fped.2024.1343870/fullbronchopulmonary dysplasiahyperoxia exposureoxidative stressantioxidant treatmentspredictive biomarkers
spellingShingle Min Li
Min Li
Min Li
Wen-Xiang Cheng
Shuo Li
Jing Wang
Yan-Rui Chen
Liang Li
Gui Yang
Gui Yang
Research progress on pathophysiologic mechanisms, clinical treatment and predictive biomarkers in bronchopulmonary dysplasia: from the perspective of oxidative stress
Frontiers in Pediatrics
bronchopulmonary dysplasia
hyperoxia exposure
oxidative stress
antioxidant treatments
predictive biomarkers
title Research progress on pathophysiologic mechanisms, clinical treatment and predictive biomarkers in bronchopulmonary dysplasia: from the perspective of oxidative stress
title_full Research progress on pathophysiologic mechanisms, clinical treatment and predictive biomarkers in bronchopulmonary dysplasia: from the perspective of oxidative stress
title_fullStr Research progress on pathophysiologic mechanisms, clinical treatment and predictive biomarkers in bronchopulmonary dysplasia: from the perspective of oxidative stress
title_full_unstemmed Research progress on pathophysiologic mechanisms, clinical treatment and predictive biomarkers in bronchopulmonary dysplasia: from the perspective of oxidative stress
title_short Research progress on pathophysiologic mechanisms, clinical treatment and predictive biomarkers in bronchopulmonary dysplasia: from the perspective of oxidative stress
title_sort research progress on pathophysiologic mechanisms clinical treatment and predictive biomarkers in bronchopulmonary dysplasia from the perspective of oxidative stress
topic bronchopulmonary dysplasia
hyperoxia exposure
oxidative stress
antioxidant treatments
predictive biomarkers
url https://www.frontiersin.org/articles/10.3389/fped.2024.1343870/full
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