Am J Perinatol 2022; 39(S 01): S26-S30
DOI: 10.1055/s-0042-1758867
Review Article

Early Biomarkers of Bronchopulmonary Dysplasia: A Quick Look to the State of the Art

Luca Bonadies
1   Neonatal Intensive Care Unit, Department of Woman's and Child's Health, University Hospital of Padova, Padova, Italy
2   Department of Woman's and Child's Health, Institute of Pediatric Research “Città della Speranza,” Padova, Italy
,
Laura Moschino
1   Neonatal Intensive Care Unit, Department of Woman's and Child's Health, University Hospital of Padova, Padova, Italy
2   Department of Woman's and Child's Health, Institute of Pediatric Research “Città della Speranza,” Padova, Italy
,
Enrico Valerio
1   Neonatal Intensive Care Unit, Department of Woman's and Child's Health, University Hospital of Padova, Padova, Italy
2   Department of Woman's and Child's Health, Institute of Pediatric Research “Città della Speranza,” Padova, Italy
,
Giuseppe Giordano
2   Department of Woman's and Child's Health, Institute of Pediatric Research “Città della Speranza,” Padova, Italy
3   Department of Woman's and Child's Health, Mass Spectrometry and Metabolomic Laboratory, University of Padova, Padova, Italy
,
Paolo Manzoni
4   Division of Pediatrics and Neonatology, Department of Maternal, Neonatal and Infant Medicine, University Hospital “Degli Infermi,” Ponderano, Italy
5   Department of Sciences of Public Health and Pediatrics, University of Turin School of Medicine, Turin, Italy
,
Eugenio Baraldi
1   Neonatal Intensive Care Unit, Department of Woman's and Child's Health, University Hospital of Padova, Padova, Italy
2   Department of Woman's and Child's Health, Institute of Pediatric Research “Città della Speranza,” Padova, Italy
3   Department of Woman's and Child's Health, Mass Spectrometry and Metabolomic Laboratory, University of Padova, Padova, Italy
› Author Affiliations
Preview

Abstract

Bronchopulmonary dysplasia (BPD) is one of the most common pulmonary sequelae of extreme preterm birth, with long-lasting respiratory symptoms and reduced lung function. A reliable predictive tool of BPD development is urgent and its search remains one of the major challenges for neonatologists approaching the upcoming arrival of possible new preventive therapies. Biomarkers, identifying an ongoing pathogenetic pathway, could allow both the selection of preterm infants with an evolving disease and potentially the therapeutic targets of the indicted pathogenesis. The “omic” sciences represent well-known promising tools for this objective. In this review, we resume the current laboratoristic, metabolomic, proteomic, and microbiomic evidence in the prediction of BPD.

Key Points

  • The early prediction of BPD development would allow the targeted implementation of new preventive therapies.

  • BPD is a multifactorial disease consequently it is unlikely to find a single disease biomarker.

  • “Omic” sciences offer a promising insight in BPD pathogenesis and its development's fingerprints.



Publication History

Article published online:
05 December 2022

© 2022. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA