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Archives of Disease in Childhood - Fetal and Neonatal Edition 2006;91:F132-F135; doi:10.1136/adc.2004.068544
Copyright © 2006 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health.

REVIEW

Contribution of inflammation to lung injury and development

S G Kallapur, A H Jobe

Cincinnati Children’s Hospital, Divisions of Pulmonary Biology and Neonatology, University of Cincinnati, Cincinnati, OH 45229, USA

Correspondence to:
Correspondence to:
Dr Kallapur
Cincinnati Children’s Hospital Medical Center, Division of Pulmonary Biology, 3333 Burnet Avenue, Cincinnati, OH 45229-3039, USA; Suhas.Kallapur{at}cchmc.org

ABSTRACT

Inflammation interferes with lung development in model systems and is present chronically in the lungs of preterm infants who develop bronchopulmonary dysplasia (BPD). Antenatal inflammation is very commonly associated with preterm deliveries, but there is generally minimal information about the duration, intensity, or organisms associated with chorioamnionitis. In preterm lamb models, chorioamnionitis causes a lung injury similar to BPD and also causes clinical lung maturation. Continuous exposure of the developing lung before and after delivery to inflammation may be central to the development of BPD.

Abbreviations: BPD, bronchopulmonary dysplasia; CPAP, continuous positive airway pressure; IL, interleukin; RDS, respiratory distress syndrome

Keywords: respiratory distress syndrome; bronchopulmonary dysplasia; cytokines; surfactant; mechanical ventilation


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