A Relationship between Epithelial Maturation, Bronchopulmonary Dysplasia, and Chronic Obstructive Pulmonary Disease

Premature infants frequently develop bronchopulmonary dysplasia (BPD). Lung immaturity and impaired epithelial differentiation contribute together with invasive oxygen treatment to BPD onset and disease progression. Substantial evidence suggests that prematurity is associated with long term pulmonar...

Full description

Saved in:
Bibliographic Details
Main Authors: Abraham B. Roos, Tove Berg, Magnus Nord
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Pulmonary Medicine
Online Access:http://dx.doi.org/10.1155/2012/196194
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832552440655773696
author Abraham B. Roos
Tove Berg
Magnus Nord
author_facet Abraham B. Roos
Tove Berg
Magnus Nord
author_sort Abraham B. Roos
collection DOAJ
description Premature infants frequently develop bronchopulmonary dysplasia (BPD). Lung immaturity and impaired epithelial differentiation contribute together with invasive oxygen treatment to BPD onset and disease progression. Substantial evidence suggests that prematurity is associated with long term pulmonary consequences. Moreover, there is increasing concern that lung immaturity at birth may increase the risk of developing chronic obstructive pulmonary disease (COPD). The mechanisms contributing to this phenomenon remains unknown, largely as a consequence of inadequate experimental models and clinical follow-up studies. Recent evidence suggests that defective transcriptional regulation of epithelial differentiation and maturation may contribute to BPD pathogenesis as well as early onset of COPD. The transcriptional regulators CCAAT/enhancer-binding protein (C/EBP)α and C/EBPβ, SMAD family member (Smad)3, GATA binding protein (GATA)6, and NK2 homeobox (NKX)2-1 are reported to be involved in processes contributing to pathogenesis of both BPD and COPD. Increased knowledge of the mechanisms contributing to early onset COPD among BPD survivors could translate into improved treatment strategies and reduced frequency of respiratory disorders among adult survivors of BPD. In this paper, we introduce critical transcriptional regulators in epithelial differentiation and summarize the current knowledge on the contribution of impaired epithelial maturation to the pathogenesis of inflammatory lung disorders.
format Article
id doaj-art-7874ac4f8b644c4b98bd2c9ac3143cfd
institution Kabale University
issn 2090-1836
2090-1844
language English
publishDate 2012-01-01
publisher Wiley
record_format Article
series Pulmonary Medicine
spelling doaj-art-7874ac4f8b644c4b98bd2c9ac3143cfd2025-02-03T05:58:40ZengWileyPulmonary Medicine2090-18362090-18442012-01-01201210.1155/2012/196194196194A Relationship between Epithelial Maturation, Bronchopulmonary Dysplasia, and Chronic Obstructive Pulmonary DiseaseAbraham B. Roos0Tove Berg1Magnus Nord2Respiratory Medicine Unit, Department of Medicine, Karolinska Institutet and Lung Research Laboratory, L4:01, Karolinska University Hospital, Solna, 17176 Stockholm, SwedenRespiratory Medicine Unit, Department of Medicine, Karolinska Institutet and Lung Research Laboratory, L4:01, Karolinska University Hospital, Solna, 17176 Stockholm, SwedenRespiratory Medicine Unit, Department of Medicine, Karolinska Institutet and Lung Research Laboratory, L4:01, Karolinska University Hospital, Solna, 17176 Stockholm, SwedenPremature infants frequently develop bronchopulmonary dysplasia (BPD). Lung immaturity and impaired epithelial differentiation contribute together with invasive oxygen treatment to BPD onset and disease progression. Substantial evidence suggests that prematurity is associated with long term pulmonary consequences. Moreover, there is increasing concern that lung immaturity at birth may increase the risk of developing chronic obstructive pulmonary disease (COPD). The mechanisms contributing to this phenomenon remains unknown, largely as a consequence of inadequate experimental models and clinical follow-up studies. Recent evidence suggests that defective transcriptional regulation of epithelial differentiation and maturation may contribute to BPD pathogenesis as well as early onset of COPD. The transcriptional regulators CCAAT/enhancer-binding protein (C/EBP)α and C/EBPβ, SMAD family member (Smad)3, GATA binding protein (GATA)6, and NK2 homeobox (NKX)2-1 are reported to be involved in processes contributing to pathogenesis of both BPD and COPD. Increased knowledge of the mechanisms contributing to early onset COPD among BPD survivors could translate into improved treatment strategies and reduced frequency of respiratory disorders among adult survivors of BPD. In this paper, we introduce critical transcriptional regulators in epithelial differentiation and summarize the current knowledge on the contribution of impaired epithelial maturation to the pathogenesis of inflammatory lung disorders.http://dx.doi.org/10.1155/2012/196194
spellingShingle Abraham B. Roos
Tove Berg
Magnus Nord
A Relationship between Epithelial Maturation, Bronchopulmonary Dysplasia, and Chronic Obstructive Pulmonary Disease
Pulmonary Medicine
title A Relationship between Epithelial Maturation, Bronchopulmonary Dysplasia, and Chronic Obstructive Pulmonary Disease
title_full A Relationship between Epithelial Maturation, Bronchopulmonary Dysplasia, and Chronic Obstructive Pulmonary Disease
title_fullStr A Relationship between Epithelial Maturation, Bronchopulmonary Dysplasia, and Chronic Obstructive Pulmonary Disease
title_full_unstemmed A Relationship between Epithelial Maturation, Bronchopulmonary Dysplasia, and Chronic Obstructive Pulmonary Disease
title_short A Relationship between Epithelial Maturation, Bronchopulmonary Dysplasia, and Chronic Obstructive Pulmonary Disease
title_sort relationship between epithelial maturation bronchopulmonary dysplasia and chronic obstructive pulmonary disease
url http://dx.doi.org/10.1155/2012/196194
work_keys_str_mv AT abrahambroos arelationshipbetweenepithelialmaturationbronchopulmonarydysplasiaandchronicobstructivepulmonarydisease
AT toveberg arelationshipbetweenepithelialmaturationbronchopulmonarydysplasiaandchronicobstructivepulmonarydisease
AT magnusnord arelationshipbetweenepithelialmaturationbronchopulmonarydysplasiaandchronicobstructivepulmonarydisease
AT abrahambroos relationshipbetweenepithelialmaturationbronchopulmonarydysplasiaandchronicobstructivepulmonarydisease
AT toveberg relationshipbetweenepithelialmaturationbronchopulmonarydysplasiaandchronicobstructivepulmonarydisease
AT magnusnord relationshipbetweenepithelialmaturationbronchopulmonarydysplasiaandchronicobstructivepulmonarydisease