Niver Danielle
Columbia University School of Nursing, New York.
Adv Neonatal Care. 2014 Feb;14(1):E1-E11. doi: 10.1097/ANC.0000000000000050.
Bronchopulmonary dysplasia (BPD) continues to be a significant cause of morbidity and mortality for premature infants. Currently, most treatment strategies are mainly palliative and do not address the underlying structural changes of the lungs leading to the symptoms. New research and ongoing experiments with mesenchymal stem cells are showing capabilities to mitigate structural damage and promote vascular growth that leads to normal lung architecture in animal models. Looking at the pathophysiology that contributes to BPD and assessing current treatment options available, there still appears to be a gap in treatment that addresses the structural issues within the lungs. This article reviews the findings of several mesenchymal stem cell experiments and the potential for future treatment to help repair the lungs in infants with BPD.
支气管肺发育不良(BPD)仍然是早产婴儿发病和死亡的重要原因。目前,大多数治疗策略主要是姑息性的,并未解决导致这些症状的肺部潜在结构变化。间充质干细胞的新研究和正在进行的实验表明,在动物模型中,其有能力减轻结构损伤并促进血管生长,从而形成正常的肺结构。审视导致BPD的病理生理学并评估现有的治疗选择,在解决肺部结构问题的治疗方面似乎仍存在差距。本文综述了几项间充质干细胞实验的结果以及未来治疗帮助修复BPD婴儿肺部的潜力。