Perinatal infection, inflammation, and retinopathy of prematurity.

Autor: Lee J; Division of Newborn Medicine, Box 44, Floating Hospital for Children at Tufts Medical Center, 800 Washington St, Boston, MA 02111-1526, USA. jlee9@tuftsmedicalcenter.org, Dammann O
Jazyk: angličtina
Zdroj: Seminars in fetal & neonatal medicine [Semin Fetal Neonatal Med] 2012 Feb; Vol. 17 (1), pp. 26-9. Date of Electronic Publication: 2011 Sep 07.
DOI: 10.1016/j.siny.2011.08.007
Abstrakt: The major known risk factors for retinopathy of prematurity (ROP) are extremely low gestational age, exposure to high levels of oxygen early after birth (phase I) and relatively lower oxygen levels later (phase II). In this review, we summarize recent data suggesting that exposure to perinatal infection/inflammation is associated with an increased risk for ROP. Part of this effect might be due to direct exposure of the developing retina to circulating products of infection and/or inflammation. Another potential mechanism that deserves exploration is that inflammation and/or oxidative stress can modify the known increased risk of oxygen-associated ROP. Taken together, accumulating evidence suggests that prenatal, perinatal, and postnatal systemic inflammation contribute to a 'pre-phase', sensitizing the pre-ROP retina for subsequent insults, setting the stage for what are now called phase I and phase II of ROP pathogenesis. Strategies targeting inflammatory responses might help reduce the risk for ROP in extremely low gestational age newborns.
(Copyright © 2011 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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