Drugs for the Prevention and Treatment of Bronchopulmonary Dysplasia

被引:49
作者
Mandell, Erica W. [1 ,2 ,3 ]
Kratimenos, Panagiotis [4 ]
Abman, Steven H. [1 ,2 ,5 ,6 ]
Steinhorn, Robin H. [4 ]
机构
[1] Univ Colorado Denver, Sect Neonatol, Pediat Heart Lung Ctr, Anschutz Med Ctr, 12700 E 19th Ave,P14-4460A,MS8614, Aurora, CO 80045 USA
[2] Childrens Hosp Colorado, 12700 E 19th Ave,P14-4460A,MS8614, Aurora, CO 80045 USA
[3] Univ Colorado Denver, Anschutz Med Ctr, Sect Pulm Med, Aurora, CO 80045 USA
[4] Childrens Natl Med Ctr, Div Neonatol Neonatol & Hosp Based Specialties, 111 Michigan Ave NW, Washington, DC 20010 USA
[5] Univ Colorado Denver, Anschutz Med Ctr, Dept Pediat, Mail Stop B395,13123 East 16th Ave, Aurora, CO 80045 USA
[6] Childrens Hosp Colorado, Mail Stop B395,13123 East 16th Ave, Aurora, CO 80045 USA
关键词
Bronchopulmonary dysplasia; Chronic pulmonary insufficiency of prematurity; Pharmacology; Lungs; INHALED NITRIC-OXIDE; VITAMIN-A SUPPLEMENTATION; POSTNATAL SYSTEMIC CORTICOSTEROIDS; MESENCHYMAL STEM-CELLS; EARLY CAFFEINE THERAPY; CHRONIC LUNG-DISEASE; PRETERM INFANTS; PULMONARY-HYPERTENSION; RESPIRATORY OUTCOMES; PREMATURE NEWBORNS;
D O I
10.1016/j.clp.2019.02.011
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Rates of bronchopulmonary dysplasia (BPD) are increasing. After preterm birth, there are important developmental periods in which neonates are more vulnerable to stressful events. These periods are opportunities for pharmacologic interventions. Many drugs remain inadequately tested and no new drugs have been approved in more than 25 years for BPD prevention or therapy. More progress is needed in defining appropriate end points based on the pathophysiology of BPD and post discharge chronic pulmonary insufficiency of prematurity and to develop effective new drugs. In addition, much work is needed to better define perinatal factors, early postnatal findings, and physiologic phenotypes or endotypes.
引用
收藏
页码:291 / +
页数:21
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