Abstract

Yearly more than 15 million babies are born premature (<37 weeks gestational age), accounting for more than 1 in 10 births worldwide. Lung injury caused by maternal chorioamnionitis or preeclampsia, postnatal ventilation, hyperoxia, or inflammation can lead to the development of bronchopulmonary dysplasia (BPD), one of the most common adverse outcomes in these preterm neonates. BPD patients have an arrest in alveolar and microvascular development and more frequently develop asthma and early-onset emphysema as they age. Understanding how the alveoli develop, and repair, and regenerate after injury is critical for the development of therapies, as unfortunately there is still no cure for BPD. In this review, we aim to provide an overview of emerging new concepts in the understanding of perinatal lung development and injury from a molecular and cellular point of view and how this is paving the way for new therapeutic options to prevent or treat BPD, as well as a reflection on current treatment procedures.

Highlights

  • Over 15 million babies are born premature (

  • postnatal risk factors lead to decreased microbiome diversity

  • bronchopulmonary dysplasia (BPD) develops as a result of lung injury caused by

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Summary

INTRODUCTION

Over 15 million babies are born premature (

Overview of Lung Development
Current Understanding of Perinatal Risk Factors
Current Treatment Procedures
Stem Cells in Development and for Therapy of BPD
Potential Therapies
Pulmonary Macrophages Contribute to Alveolar Development and Repair
Based on Novel Pathophysiological
Conclusion and Future Directions

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