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Lirias
Article . 2020
Data sources: Lirias
AJP Lung Cellular and Molecular Physiology
Article . 2020 . Peer-reviewed
Data sources: Crossref
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Intermittent CPAP limits hyperoxia-induced lung damage in a rabbit model of bronchopulmonary dysplasia

Authors: Gie, Andre George; Salaets, Thomas; Vignero, Janne; Regin, Yannick; Vanoirbeek, Jeroen; Deprest, Jan; Toelen, Jaan;

Intermittent CPAP limits hyperoxia-induced lung damage in a rabbit model of bronchopulmonary dysplasia

Abstract

A significant proportion of preterm infants develop bronchopulmonary dysplasia (BPD) leading to poor lifelong respiratory health. Limited treatment options exist with continuous positive airway pressure (CPAP) ventilation being one of the few associated with diminished BPD. However, little is known about the effect of the distending pressure of CPAP on the developing lung exposed to hyperoxia. We aimed to identify the functional and structural effects of CPAP in a preterm hyperoxia rabbit model of BPD. Premature rabbit pups were randomized to normoxia, hyperoxia (≥95% O2), or hyperoxia plus 4 h daily CPAP [fraction of inspired oxygen (FiO2) 0.95, 5 cmH2O]. On day 7 postdelivery we performed invasive pressure-volume- and forced oscillation-based pulmonary function tests, before lung harvest for histological evaluation. Alveolar and vascular morphology, airway smooth muscle content, respiratory epithelium height, extracellular matrix components, and inflammatory cytokine expression were quantified. Hyperoxia-reared pups had restrictive lungs: alveolar walls were thickened, with the lung parenchymal tissue, collagen content, and airway smooth muscle content increased. In addition, peripheral pulmonary artery wall thickness was increased. CPAP increased alveolar recruitment and limited the structural effect of hyperoxia on the respiratory epithelium and pulmonary arteries. Additionally, CPAP improved lung function, mitigating hyperoxia-associated changes to respiratory system resistance, tissue damping, and tissue elastance. Hyperoxia disrupted functional and structural lung development. Daily intermittent CPAP limited hyperoxia-associated decreased lung function and attenuated structural changes to pulmonary arteries and respiratory epithelium while having no structural alveolar consequences. The mechanism by which CPAP has these beneficial effects needs further investigation.

Country
Belgium
Keywords

lung function test, Physiology, Hypertension, Pulmonary, Respiratory System, Continuous positive airway pressure, Hyperoxia, ACTIVATION, RESPIRATORY OUTCOMES, respiratory therapy, bronchopulmonary dysplasia, INJURY, Animals, Humans, Lung, Bronchopulmonary Dysplasia, Science & Technology, Lung Injury, 0606 Physiology, COLLAGEN, Respiratory Function Tests, VENTILATION, Pulmonary Alveoli, 3208 Medical physiology, Disease Models, Animal, Animals, Newborn, 1116 Medical Physiology, hyperoxia, GROWTH, YAP, Rabbits, 3201 Cardiovascular medicine and haematology, Life Sciences & Biomedicine, continuous positive airway pressure, OXYGEN EXPOSURE

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    Top 10%
    influence
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
13
Top 10%
Average
Top 10%
Green
bronze