Abstract:
BACKGROUND:Vitamin A (VA) is crucial for lung growth and development. In premature infants, inadequate VA levels are associated with an increased risk of bronchopulmonary dysplasia (BPD). Intramuscular VA supplementation has been shown to decrease the incidence of BPD, but is not widely used in the clinical setting due to concerns about feasibility and pain. We studied VA kinetics, distribution, and the induction of early genetic expression of retinoid homeostatic genes in the lung after endotracheal and intravenous application in a preterm lamb model. METHODS:Lambs were delivered prematurely after 85% of gestation, intubated, and ventilated for 3 hours. The animals were randomized to receive no VA ("control"), a bolus of VA intravenously ("i.v."), or VA endotracheally directly after administration of surfactant ("e.t."). RESULTS:Animals treated with VA endotracheally directly after administration of surfactant showed significant increases of VA in serum and lung compared to controls. Animals treated with a bolus of VA intravenously showed significant increases of VA in serum, lung, and liver; however, peak serum concentrations and mRNA levels of homeostatic genes raised concerns about toxicity in this group. CONCLUSIONS:Endotracheal VA supplementation in preterm lambs is feasible and might offer advantages in comparison to i.v. Further studies are warranted to explore biological effects in the context of BPD.
journal_name
J Aerosol Med Pulm Drug Delivjournal_title
Journal of aerosol medicine and pulmonary drug deliveryauthors
Wahl HB,Hütten MC,Monz D,Tutdibi E,Ophelders D,Nikiforou M,Tschernig T,Gortner L,Nohr D,Biesalski HK,Kramer BWdoi
10.1089/jamp.2017.1438subject
Has Abstractpub_date
2018-12-01 00:00:00pages
323-330issue
6eissn
1941-2711issn
1941-2703journal_volume
31pub_type
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journal_title:Journal of aerosol medicine and pulmonary drug delivery
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journal_title:Journal of aerosol medicine and pulmonary drug delivery
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doi:10.1089/jamp.2017.1369
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journal_title:Journal of aerosol medicine and pulmonary drug delivery
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doi:10.1089/jamp.2014.1193
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journal_title:Journal of aerosol medicine and pulmonary drug delivery
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journal_title:Journal of aerosol medicine and pulmonary drug delivery
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journal_title:Journal of aerosol medicine and pulmonary drug delivery
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journal_title:Journal of aerosol medicine and pulmonary drug delivery
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doi:10.1089/jamp.2015.1219
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journal_title:Journal of aerosol medicine and pulmonary drug delivery
pub_type: 杂志文章,随机对照试验
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journal_title:Journal of aerosol medicine and pulmonary drug delivery
pub_type: 杂志文章,评审
doi:10.1089/jamp.2016.1300
更新日期:2017-02-01 00:00:00
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journal_title:Journal of aerosol medicine and pulmonary drug delivery
pub_type: 杂志文章
doi:10.1089/jamp.2009.0778
更新日期:2010-10-01 00:00:00
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journal_title:Journal of aerosol medicine and pulmonary drug delivery
pub_type: 杂志文章,多中心研究
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更新日期:2016-04-01 00:00:00