Effects of Antioxidants in Human Milk on Bronchopulmonary Dysplasia Prevention and Treatment: A Review

Bronchopulmonary dysplasia (BPD) is a severe chronic lung illness that affects neonates, particularly premature infants. It has far-reaching consequences for infant health and their families due to intractable short- and long-term repercussions. Premature infant survival and long-term quality of lif...

Full description

Bibliographic Details
Main Authors: Xianpeng Yang, Shanyu Jiang, Xianhui Deng, Zichen Luo, Ailing Chen, Renqiang Yu
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-07-01
Series:Frontiers in Nutrition
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnut.2022.924036/full
_version_ 1811217698160377856
author Xianpeng Yang
Shanyu Jiang
Xianhui Deng
Zichen Luo
Ailing Chen
Renqiang Yu
author_facet Xianpeng Yang
Shanyu Jiang
Xianhui Deng
Zichen Luo
Ailing Chen
Renqiang Yu
author_sort Xianpeng Yang
collection DOAJ
description Bronchopulmonary dysplasia (BPD) is a severe chronic lung illness that affects neonates, particularly premature infants. It has far-reaching consequences for infant health and their families due to intractable short- and long-term repercussions. Premature infant survival and long-term quality of life are severely harmed by BPD, which is characterized by alveolarization arrest and hypoplasia of pulmonary microvascular cells. BPD can be caused by various factors, with oxidative stress (OS) being the most common. Premature infants frequently require breathing support, which results in a hyperoxic environment in the developing lung and obstructs lung growth. OS can damage the lungs of infants by inducing cell death, inhibiting alveolarization, inducing inflammation, and impairing pulmonary angiogenesis. Therefore, antioxidant therapy for BPD relieves OS and lung injury in preterm newborns. Many antioxidants have been found in human milk, including superoxide dismutase, glutathione peroxidase, glutathione, vitamins, melatonin, short-chain fatty acids, and phytochemicals. Human milk oligosaccharides, milk fat globule membrane, and lactoferrin, all unique to human milk, also have antioxidant properties. Hence, human milk may help prevent OS injury and improve BPD prognosis in premature infants. In this review, we explored the role of OS in the pathophysiology of BPD and related signaling pathways. Furthermore, we examined antioxidants in human milk and how they could play a role in BPD to understand whether human milk could prevent and treat BPD.
first_indexed 2024-04-12T06:59:12Z
format Article
id doaj.art-5b47bb9848d1442281acb4c99cc6bf62
institution Directory Open Access Journal
issn 2296-861X
language English
last_indexed 2024-04-12T06:59:12Z
publishDate 2022-07-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Nutrition
spelling doaj.art-5b47bb9848d1442281acb4c99cc6bf622022-12-22T03:43:03ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2022-07-01910.3389/fnut.2022.924036924036Effects of Antioxidants in Human Milk on Bronchopulmonary Dysplasia Prevention and Treatment: A ReviewXianpeng Yang0Shanyu Jiang1Xianhui Deng2Zichen Luo3Ailing Chen4Renqiang Yu5Department of Neonatology, Wuxi Maternity and Child Health Care Hospital, Wuxi School of Medicine, Jiangnan University, Wuxi, ChinaDepartment of Neonatology, Wuxi Maternity and Child Health Care Hospital, Wuxi School of Medicine, Jiangnan University, Wuxi, ChinaDepartment of Neonatology, Wuxi Maternity and Child Health Care Hospital, Wuxi School of Medicine, Jiangnan University, Wuxi, ChinaDepartment of Neonatology, Wuxi Maternity and Child Health Care Hospital, Wuxi School of Medicine, Jiangnan University, Wuxi, ChinaTranslational Medicine Laboratory, Research Institute for Reproductive Health and Genetic Diseases, The Affiliated Wuxi Maternity and Child Health Care Hospital of Nanjing Medical University, Wuxi, ChinaDepartment of Neonatology, Wuxi Maternity and Child Health Care Hospital, Wuxi School of Medicine, Jiangnan University, Wuxi, ChinaBronchopulmonary dysplasia (BPD) is a severe chronic lung illness that affects neonates, particularly premature infants. It has far-reaching consequences for infant health and their families due to intractable short- and long-term repercussions. Premature infant survival and long-term quality of life are severely harmed by BPD, which is characterized by alveolarization arrest and hypoplasia of pulmonary microvascular cells. BPD can be caused by various factors, with oxidative stress (OS) being the most common. Premature infants frequently require breathing support, which results in a hyperoxic environment in the developing lung and obstructs lung growth. OS can damage the lungs of infants by inducing cell death, inhibiting alveolarization, inducing inflammation, and impairing pulmonary angiogenesis. Therefore, antioxidant therapy for BPD relieves OS and lung injury in preterm newborns. Many antioxidants have been found in human milk, including superoxide dismutase, glutathione peroxidase, glutathione, vitamins, melatonin, short-chain fatty acids, and phytochemicals. Human milk oligosaccharides, milk fat globule membrane, and lactoferrin, all unique to human milk, also have antioxidant properties. Hence, human milk may help prevent OS injury and improve BPD prognosis in premature infants. In this review, we explored the role of OS in the pathophysiology of BPD and related signaling pathways. Furthermore, we examined antioxidants in human milk and how they could play a role in BPD to understand whether human milk could prevent and treat BPD.https://www.frontiersin.org/articles/10.3389/fnut.2022.924036/fullbronchopulmonary dysplasiapremature infantsoxidative stresshuman milkantioxidants
spellingShingle Xianpeng Yang
Shanyu Jiang
Xianhui Deng
Zichen Luo
Ailing Chen
Renqiang Yu
Effects of Antioxidants in Human Milk on Bronchopulmonary Dysplasia Prevention and Treatment: A Review
Frontiers in Nutrition
bronchopulmonary dysplasia
premature infants
oxidative stress
human milk
antioxidants
title Effects of Antioxidants in Human Milk on Bronchopulmonary Dysplasia Prevention and Treatment: A Review
title_full Effects of Antioxidants in Human Milk on Bronchopulmonary Dysplasia Prevention and Treatment: A Review
title_fullStr Effects of Antioxidants in Human Milk on Bronchopulmonary Dysplasia Prevention and Treatment: A Review
title_full_unstemmed Effects of Antioxidants in Human Milk on Bronchopulmonary Dysplasia Prevention and Treatment: A Review
title_short Effects of Antioxidants in Human Milk on Bronchopulmonary Dysplasia Prevention and Treatment: A Review
title_sort effects of antioxidants in human milk on bronchopulmonary dysplasia prevention and treatment a review
topic bronchopulmonary dysplasia
premature infants
oxidative stress
human milk
antioxidants
url https://www.frontiersin.org/articles/10.3389/fnut.2022.924036/full
work_keys_str_mv AT xianpengyang effectsofantioxidantsinhumanmilkonbronchopulmonarydysplasiapreventionandtreatmentareview
AT shanyujiang effectsofantioxidantsinhumanmilkonbronchopulmonarydysplasiapreventionandtreatmentareview
AT xianhuideng effectsofantioxidantsinhumanmilkonbronchopulmonarydysplasiapreventionandtreatmentareview
AT zichenluo effectsofantioxidantsinhumanmilkonbronchopulmonarydysplasiapreventionandtreatmentareview
AT ailingchen effectsofantioxidantsinhumanmilkonbronchopulmonarydysplasiapreventionandtreatmentareview
AT renqiangyu effectsofantioxidantsinhumanmilkonbronchopulmonarydysplasiapreventionandtreatmentareview