Reinitiating lung development: a novel approach in the management of bronchopulmonary dysplasia

Abstract Bronchopulmonary dysplasia (BPD) is the predominant chronic lung disease in preterm infants, linked with various adverse long-term outcomes. Multiple prenatal and postnatal risk factors can impede lung development, leading to BPD. Current management of BPD relies heavily on pharmacotherapie...

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Main Authors: Xuewei Cui, Jianhua Fu
Format: Article
Language:English
Published: BMC 2024-10-01
Series:Respiratory Research
Subjects:
Online Access:https://doi.org/10.1186/s12931-024-02996-8
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author Xuewei Cui
Jianhua Fu
author_facet Xuewei Cui
Jianhua Fu
author_sort Xuewei Cui
collection DOAJ
description Abstract Bronchopulmonary dysplasia (BPD) is the predominant chronic lung disease in preterm infants, linked with various adverse long-term outcomes. Multiple prenatal and postnatal risk factors can impede lung development, leading to BPD. Current management of BPD relies heavily on pharmacotherapies and alterations in ventilatory strategies. However, these interventions only mitigate BPD symptoms without addressing underlying alveolar, vascular, structural, and functional deficiencies. Given the retarded lung development in infants with BPD and the limitations of existing modalities, new therapeutic approaches are imperative. The induced differentiation of stem/progenitor cells and the spatiotemporal expression patterns of growth factors associated with lung developmental processes are critical for lung development reactivation in BPD, which focuses on stimulating pulmonary vasculogenesis and alveolarization. This review summarizes the process of lung development and offers a comprehensive overview of advancements in therapies designed to reinitiate lung development in BPD. Furthermore, we assessed the potential of these therapies for maintaining lung homeostasis and effectively restoring pulmonary structure and function through stem/progenitor cells and growth factors, which have been widely researched.
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spelling doaj-art-aab42bb55fc3408fa918700eec9d9b732025-08-20T02:11:55ZengBMCRespiratory Research1465-993X2024-10-0125111510.1186/s12931-024-02996-8Reinitiating lung development: a novel approach in the management of bronchopulmonary dysplasiaXuewei Cui0Jianhua Fu1Department of Pediatrics, Shengjing Hospital of China Medical UniversityDepartment of Pediatrics, Shengjing Hospital of China Medical UniversityAbstract Bronchopulmonary dysplasia (BPD) is the predominant chronic lung disease in preterm infants, linked with various adverse long-term outcomes. Multiple prenatal and postnatal risk factors can impede lung development, leading to BPD. Current management of BPD relies heavily on pharmacotherapies and alterations in ventilatory strategies. However, these interventions only mitigate BPD symptoms without addressing underlying alveolar, vascular, structural, and functional deficiencies. Given the retarded lung development in infants with BPD and the limitations of existing modalities, new therapeutic approaches are imperative. The induced differentiation of stem/progenitor cells and the spatiotemporal expression patterns of growth factors associated with lung developmental processes are critical for lung development reactivation in BPD, which focuses on stimulating pulmonary vasculogenesis and alveolarization. This review summarizes the process of lung development and offers a comprehensive overview of advancements in therapies designed to reinitiate lung development in BPD. Furthermore, we assessed the potential of these therapies for maintaining lung homeostasis and effectively restoring pulmonary structure and function through stem/progenitor cells and growth factors, which have been widely researched.https://doi.org/10.1186/s12931-024-02996-8Reinitiate lung developmentStem/progenitor cellGrowth factorBronchopulmonary dysplasiaPreterm infants
spellingShingle Xuewei Cui
Jianhua Fu
Reinitiating lung development: a novel approach in the management of bronchopulmonary dysplasia
Respiratory Research
Reinitiate lung development
Stem/progenitor cell
Growth factor
Bronchopulmonary dysplasia
Preterm infants
title Reinitiating lung development: a novel approach in the management of bronchopulmonary dysplasia
title_full Reinitiating lung development: a novel approach in the management of bronchopulmonary dysplasia
title_fullStr Reinitiating lung development: a novel approach in the management of bronchopulmonary dysplasia
title_full_unstemmed Reinitiating lung development: a novel approach in the management of bronchopulmonary dysplasia
title_short Reinitiating lung development: a novel approach in the management of bronchopulmonary dysplasia
title_sort reinitiating lung development a novel approach in the management of bronchopulmonary dysplasia
topic Reinitiate lung development
Stem/progenitor cell
Growth factor
Bronchopulmonary dysplasia
Preterm infants
url https://doi.org/10.1186/s12931-024-02996-8
work_keys_str_mv AT xueweicui reinitiatinglungdevelopmentanovelapproachinthemanagementofbronchopulmonarydysplasia
AT jianhuafu reinitiatinglungdevelopmentanovelapproachinthemanagementofbronchopulmonarydysplasia