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Publication Date:
June 2009
ISSN:
1619-3997
DOI:
10.1515/JPM.2009.100

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Journal of Perinatal Medicine

Official Journal of the World Association of Perinatal Medicine

Editor-in-Chief: Dudenhausen, Joachim W.

Editorial Board Member: / Bancalari, Eduardo / Greenough, Anne / Genc, Mehmet R. / Chervenak, Frank A. / Aslam, Muhammad / Bergmann, Renate L. / Bernardes, J.F. / Bevilacqua, G. / Blickstein, Isaac / Brezinka, Christoph / Cabero Roura, Luis / Carbonell-Estrany, Xavier / Carrera, Jose M. / D`Addario, Vincenzo / Dimitrou, G. / Foulon, Walter / Grunebaum, G. E. / Harding, Jane / Hentschel, Roland / Kawabata, Ichiro / Keirse, M.J.M.C. / Kurjak M.D., Asim / Levene, Malcolm / Lockwood, Charles J. / Marsal, Karel / Nishida, Hiroshi / Papp, Zoltán / Makatsariya, Alexander / Pejaver, Ranjan Kumar / Pooh, Ritsuko K. / Saugstad, Ola D. / Schenker, Joseph G. / Sen, Cihat / Geijn, Herman P. / Vetter, Klaus / Young, Bruce K. / Zimmermann, Roland / Köpcke, W.

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Effect of exogenous surfactant therapy on levels of pulmonary surfactant proteins A and D in preterm infants with respiratory distress syndrome

Young Min Bae1 / Chong-Woo Bae1 / Myung Ho Oh2 / Sang Han Lee3 / Kee Min Woo3 / Keum Bun Jung3

1Department of Pediatrics, College of Medicine, Kyunghee University, Seoul 134-727, Korea

2Department of Pediatrics, College of Medicine, Soonchunhyang University, Cheonan 330-721, Korea

3Department of Biochemistry, College of Medicine, Soonchunhyung University, Cheonan 330-721, Korea

Corresponding author: Chong-Woo Bae, MD, PhD Department of Pediatrics College of Medicine Kyunghee University East-West Neo Medical Center 149 Sangil-dong Kangdong-ku Seoul 134-727 Korea Tel.: +82-2-440-6130 Fax: +82-2-440-7175

Citation Information: Journal of Perinatal Medicine. Volume 37, Issue 5, Pages 561–564, ISSN (Online) 1619-3997, ISSN (Print) 0300-5577, DOI: 10.1515/JPM.2009.100, June 2009

Publication History:
Received:
2008-12-11
Revised:
2009-03-19
Accepted:
2009-04-03
Published Online:
2009-06-03

Abstract

Objectives: To examine whether exogenous pulmonary surfactants (exPS) substitute for or merely supplement endogenous pulmonary surfactants (enPS) by looking at sequential changes in the surfactant proteins (SP) SP-A and SP-D in alveolar pools.

Methods: Fourteen preterm infants with RDS treated with an artificial surfactant were compared to five normal-term infants without RDS who were treated with artificial ventilation at birth.

Results: Immediately after birth, SP-A and SP-D were essentially absent in the alveolar pools of the RDS group, but were present at normal levels in the controls. Treatment with exPS apparently stimulated enPS production.

Conclusions: In infants who responded well to exPS therapy, the SP concentration reached essentially normal levels within 48–72 h after birth.

Keywords: Endogenous pulmonary surfactants; exogenous pulmonary surfactants; surfactant proteins

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