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早期氧暴露对肺正常发育和呼吸道病毒感染反应的影响。

Affect of Early Life Oxygen Exposure on Proper Lung Development and Response to Respiratory Viral Infections.

机构信息

Department of Pediatrics, School of Medicine and Dentistry, The University of Rochester , Rochester, NY , USA ; Department of Environmental Medicine, School of Medicine and Dentistry, The University of Rochester , Rochester, NY , USA.

Department of Pediatrics, School of Medicine and Dentistry, The University of Rochester , Rochester, NY , USA.

出版信息

Front Med (Lausanne). 2015 Aug 10;2:55. doi: 10.3389/fmed.2015.00055. eCollection 2015.

Abstract

Children born preterm often exhibit reduced lung function and increased severity of response to respiratory viruses, suggesting that premature birth has compromised proper development of the respiratory epithelium and innate immune defenses. Increasing evidence suggests that premature birth promotes aberrant lung development likely due to the neonatal oxygen transition occurring before pulmonary development has matured. Given that preterm infants are born at a point of time where their immune system is also still developing, early life oxygen exposure may also be disrupting proper development of innate immunity. Here, we review current literature in hopes of stimulating research that enhances understanding of how the oxygen environment at birth influences lung development and host defense. This knowledge may help identify those children at risk for disease and ideally culminate in the development of novel therapies that improve their health.

摘要

早产儿通常表现出肺功能降低和对呼吸道病毒反应加重,这表明早产已经损害了呼吸道上皮和固有免疫防御的正常发育。越来越多的证据表明,早产会促进肺部发育异常,可能是由于新生儿在肺成熟之前就经历了氧过渡。鉴于早产儿出生时免疫系统仍在发育,早期的氧气暴露也可能破坏固有免疫的正常发育。在这里,我们回顾了目前的文献,希望能激发更多的研究,以加深对出生时氧气环境如何影响肺部发育和宿主防御的理解。这一知识可能有助于识别那些有患病风险的儿童,理想情况下还能开发出改善他们健康的新疗法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cf0e/4530667/fe438225caa2/fmed-02-00055-g001.jpg

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