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氧化应激与支气管肺发育不良。

Oxidative stress and bronchopulmonary dysplasia.

机构信息

Department of Newborn Medicine, The Affiliated Hospital of Southwest Medical University, 25 Taiping Road, Luzhou, Sichuan 646000, People's Republic of China.

Department of Newborn Medicine, The Affiliated Hospital of Southwest Medical University, 25 Taiping Road, Luzhou, Sichuan 646000, People's Republic of China.

出版信息

Gene. 2018 Dec 15;678:177-183. doi: 10.1016/j.gene.2018.08.031. Epub 2018 Aug 9.

DOI:10.1016/j.gene.2018.08.031
PMID:30098433
Abstract

With the progress of modern medicine, oxygen therapy has become a crucial measure for the treatment of premature infants. As an environmental stimulus, in the normal development of lungs, oxygen plays a very important regulatory role. However, the problem is that long-term exposure to hyperoxia can interfere with the development of lungs, leading to irreversible developmental abnormalities. Now, the incidence of bronchopulmonary dysplasia (BPD) is increasing year by year. The existing related research shows that although BPD is a multi-factor triggered disease, its main risk factors are the premature exposure to hyperoxia and the role of reactive oxygen species (ROS). As for premature infants, especially very premature babies and those with very low birth weight, prolonged exposure to high oxygen can affect and alter the normal developmental trajectories of lung tissue and vascular beds, triggering developmental disorders, such as BPD. In the relevant studies about human BPD, a large number of them support that ROS is associated with impaired lung development. Neonates, due to the damage in the development of alveolar, are specific to hyperoxia-induced inflammatory damage. This review while focusing on the role of oxidative stress in the pathogenesis of BPD, suggests that antioxidant measures may be effective to guard against BPD of preterm infants.

摘要

随着现代医学的进步,氧气疗法已成为治疗早产儿的重要措施。作为一种环境刺激因素,在肺部的正常发育过程中,氧气起着非常重要的调节作用。然而,问题是,长期暴露于高氧环境会干扰肺部的发育,导致不可逆转的发育异常。如今,支气管肺发育不良(BPD)的发病率逐年上升。现有的相关研究表明,虽然 BPD 是一种多因素触发的疾病,但主要的危险因素是过早暴露于高氧环境和活性氧(ROS)的作用。对于早产儿,特别是非常早产儿和极低出生体重儿,长时间暴露于高氧环境会影响和改变肺组织和血管床的正常发育轨迹,引发发育障碍,如 BPD。在关于人类 BPD 的相关研究中,大量研究支持 ROS 与肺发育受损有关。由于肺泡发育受损,新生儿对高氧诱导的炎症损伤具有特异性。本综述重点关注氧化应激在 BPD 发病机制中的作用,提出抗氧化措施可能对预防早产儿 BPD 有效。

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