Surfactant maturation is not delayed in human fetuses with diaphragmatic hernia
2007

Surfactant Levels in Congenital Diaphragmatic Hernia

publication Evidence: high

Author Information

Author(s): Marcus Davey

Primary Institution: The University of Pennsylvania

Hypothesis

Is pulmonary surfactant content decreased in congenital diaphragmatic hernia?

Conclusion

The study found that pulmonary surfactant content is not decreased in congenital diaphragmatic hernia.

Supporting Evidence

  • Surfactant production of phospholipids is normal in fetuses with congenital diaphragmatic hernia.
  • Fetal lung disaturated PC concentration and SP expression were similar in normal fetuses and those with CDH.
  • Levels of keratinocyte growth factor decreased with age in normal fetuses but remained unchanged in fetuses with CDH.

Takeaway

Babies with a condition called congenital diaphragmatic hernia have normal levels of a substance that helps their lungs work better, so they might not need extra help with it after birth.

Methodology

The study compared surfactant content in human fetuses with congenital diaphragmatic hernia to age-matched controls through autopsy.

Potential Biases

Potential bias due to the small number of fetuses and the inability to assess surfactant levels in airspaces.

Limitations

The study's small sample size limits the ability to correlate surfactant content with the degree of pulmonary hypoplasia.

Participant Demographics

Human fetuses with congenital diaphragmatic hernia and age-matched controls.

Digital Object Identifier (DOI)

10.1371/journal.pmed.0040243

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