Early Changes and Indicators Characterizing Lung Aging in Neonatal Chronic Lung Disease.

Early Changes and Indicators Characterizing Lung Aging in Neonatal Chronic Lung Disease.
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新生儿慢性肺病肺衰老的早期变化和指标。

DOI:
10.3389/fmed.2021.665152
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发表时间:
2021
影响因子:
3.9
通讯作者:
Hilgendorff A
Hilgendorff A
中科院分区:
医学3区
文献类型:
--
作者:
Sucre J;Haist L;Bolton CE;Hilgendorff A

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患有新生儿慢性肺病的婴儿,即,支气管肺发育不良面临着由个体遗传背景、感染的存在和出生后治疗策略(如机械通气和氧中毒)决定的长期后果。这些措施引起的不良反应包括炎症过程、氧化应激、改变的生长因子信号传导和细胞外基质重塑。急性和长期后果都取决于未成熟肺应对上述挑战的能力。随后的肺生长受损转化为以后生活中肺功能的改变轨迹。在这里,当向该患者群体倡导生活方式建议时,关于通过环境侮辱引起的第二次和第三次击中事件的知识具有特别重要的意义。在制定未来的监测和治疗策略时,迫切需要在所涉及的不同卫生保健专业人员之间进行深入交流,并需要考虑疾病的起源。
Infants suffering from neonatal chronic lung disease, i.e., bronchopulmonary dysplasia, are facing long-term consequences determined by individual genetic background, presence of infections, and postnatal treatment strategies such as mechanical ventilation and oxygen toxicity. The adverse effects provoked by these measures include inflammatory processes, oxidative stress, altered growth factor signaling, and remodeling of the extracellular matrix. Both, acute and long-term consequences are determined by the capacity of the immature lung to respond to the challenges outlined above. The subsequent impairment of lung growth translates into an altered trajectory of lung function later in life. Here, knowledge about second and third hit events provoked through environmental insults are of specific importance when advocating lifestyle recommendations to this patient population. A profound exchange between the different health care professionals involved is urgently needed and needs to consider disease origin while future monitoring and treatment strategies are developed.
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