The Cellular and Molecular Effects of Fetoscopic Endoluminal Tracheal Occlusion in Congenital Diaphragmatic Hernia.

The Cellular and Molecular Effects of Fetoscopic Endoluminal Tracheal Occlusion in Congenital Diaphragmatic Hernia.
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DOI:
10.3389/fped.2022.925106
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发表时间:
2022
影响因子:
2.6
通讯作者:
Keswani, Sundeep G.
Keswani, Sundeep G.
中科院分区:
医学3区
文献类型:
--
作者:
Olutoye, Oluyinka O., II;Short, Walker D.;Gilley, Jamie;Hammond, J. D., II;Belfort, Michael A.;Lee, Timothy C.;King, Alice;Espinoza, Jimmy;Joyeux, Luc;Lingappan, Krithika;Gleghorn, Jason P.;Keswani, Sundeep G.

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先天性腹股沟疝(CDH)是一种与肺发育不良和肺动脉高压相关的复杂疾病。我们在CDH患者的护理能力方面已经取得了很大的进步,特别是在胎儿镜下腔内气管闭塞(FETO)的肺容量和形态学的产前改善方面。虽然已经深入描述了FETO的解剖学效应,但它在细胞和分子水平上诱导的变化仍然是CDH研究的新兴领域。本次审查将深入研究FETO在发育中的肺细胞和分子的影响,强调进一步的研究可能会提高我们对CDH的理解,并强调优化FETO程序以改善出生后结局的机会。
Congenital diaphragmatic hernia (CDH) is a complex disease associated with pulmonary hypoplasia and pulmonary hypertension. Great strides have been made in our ability to care for CDH patients, specifically in the prenatal improvement of lung volume and morphology with fetoscopic endoluminal tracheal occlusion (FETO). While the anatomic effects of FETO have been described in-depth, the changes it induces at the cellular and molecular level remain a budding area of CDH research. This review will delve into the cellular and molecular effects of FETO in the developing lung, emphasize areas in which further research may improve our understanding of CDH, and highlight opportunities to optimize the FETO procedure for improved postnatal outcomes.
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