Gut microbiota and bronchopulmonary dysplasia

Pediatr Pulmonol. 2021 Aug;56(8):2460-2470. doi: 10.1002/ppul.25508. Epub 2021 Jun 2.

Abstract

Bronchopulmonary dysplasia is a relatively common and severe complication of prematurity, and its pathogenesis remains ambiguous. Revolutionary advances in microbiological analysis techniques, together with the growing sophistication of the gut-lung axis hypothesis, have resulted in more studies linking gut microbiota dysbiosis to the occurrence and development of bronchopulmonary dysplasia. The present article builds on current findings to examine the intrinsic associations between gut microbiota and bronchopulmonary dysplasia. Gut microbiota dysbiosis may insult the intestinal barrier, triggering inflammation, metabolic disturbances, and malnutrition, consequences of which might impact bronchopulmonary dysplasia by altering the gut-lung axis. By evaluating the potential mechanisms, new therapeutic targets and potential therapeutic modalities for bronchopulmonary dysplasia can be identified from a microecological perspective.

Keywords: bronchopulmonary dysplasia; dysbiosis; gut microbiota; gut-lung axis.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Bronchopulmonary Dysplasia*
  • Dysbiosis / complications
  • Gastrointestinal Microbiome*
  • Humans
  • Infant, Newborn
  • Inflammation
  • Lung