Chorioamnionitis: Is a major player in the development of bronchopulmonary dysplasia?

Chorioamnionitis is an inflammation in the fetal membranes or placenta. When chorioamnionitis develops, fetal lungs are exposed to inflammatory cytokines and mediators via amniotic fluid. Because inflammation plays a pivotal role in the development of bronchopulmonary dysplasia (BPD), a chronic lung...

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Main Author: Chang Won Choi
Format: Article
Language:English
Published: Korean Pediatric Society 2017-07-01
Series:Korean Journal of Pediatrics
Subjects:
Online Access:http://kjp.or.kr/upload/pdf/kjped-60-203.pdf
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author Chang Won Choi
author_facet Chang Won Choi
author_sort Chang Won Choi
collection DOAJ
description Chorioamnionitis is an inflammation in the fetal membranes or placenta. When chorioamnionitis develops, fetal lungs are exposed to inflammatory cytokines and mediators via amniotic fluid. Because inflammation plays a pivotal role in the development of bronchopulmonary dysplasia (BPD), a chronic lung disease of prematurity, fetal lung inflammation induced by chorioamnionitis has been considered to be one of the major pathogenetic factors for BPD. Although there have been a number of studies that demonstrated the relationship between chorioamnionitis and BPD, there are still controversies on this issue. The controversies on the relationship between chorioamnionitis and BPD arise from not-unified definitions of chorioamnionitis and BPD, different study populations, and the proportion of contribution between inflammation and infectious microorganisms. The publication bias also contributes to the controversies. Clinical trials targeting chorioamnionitis or microorganisms that cause chorioamnionitis will answer on the actual relationship between chorioamnionitis and BPD and provide a novel prophylactic strategy against BPD based on that relationship.
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spelling doaj.art-714722179f634e2583cf3419152776422022-12-21T18:23:06ZengKorean Pediatric SocietyKorean Journal of Pediatrics1738-10612092-72582017-07-0160720320710.3345/kjp.2017.60.7.20320125550658Chorioamnionitis: Is a major player in the development of bronchopulmonary dysplasia?Chang Won Choi0Department of Pediatrics, Seoul National University College of Medicine, Seoul, Korea.Chorioamnionitis is an inflammation in the fetal membranes or placenta. When chorioamnionitis develops, fetal lungs are exposed to inflammatory cytokines and mediators via amniotic fluid. Because inflammation plays a pivotal role in the development of bronchopulmonary dysplasia (BPD), a chronic lung disease of prematurity, fetal lung inflammation induced by chorioamnionitis has been considered to be one of the major pathogenetic factors for BPD. Although there have been a number of studies that demonstrated the relationship between chorioamnionitis and BPD, there are still controversies on this issue. The controversies on the relationship between chorioamnionitis and BPD arise from not-unified definitions of chorioamnionitis and BPD, different study populations, and the proportion of contribution between inflammation and infectious microorganisms. The publication bias also contributes to the controversies. Clinical trials targeting chorioamnionitis or microorganisms that cause chorioamnionitis will answer on the actual relationship between chorioamnionitis and BPD and provide a novel prophylactic strategy against BPD based on that relationship.http://kjp.or.kr/upload/pdf/kjped-60-203.pdfChorioamnionitisBronchopulmonary dysplasiaUreaplasma
spellingShingle Chang Won Choi
Chorioamnionitis: Is a major player in the development of bronchopulmonary dysplasia?
Korean Journal of Pediatrics
Chorioamnionitis
Bronchopulmonary dysplasia
Ureaplasma
title Chorioamnionitis: Is a major player in the development of bronchopulmonary dysplasia?
title_full Chorioamnionitis: Is a major player in the development of bronchopulmonary dysplasia?
title_fullStr Chorioamnionitis: Is a major player in the development of bronchopulmonary dysplasia?
title_full_unstemmed Chorioamnionitis: Is a major player in the development of bronchopulmonary dysplasia?
title_short Chorioamnionitis: Is a major player in the development of bronchopulmonary dysplasia?
title_sort chorioamnionitis is a major player in the development of bronchopulmonary dysplasia
topic Chorioamnionitis
Bronchopulmonary dysplasia
Ureaplasma
url http://kjp.or.kr/upload/pdf/kjped-60-203.pdf
work_keys_str_mv AT changwonchoi chorioamnionitisisamajorplayerinthedevelopmentofbronchopulmonarydysplasia