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A recipe for a good clinical pulmonary surfactant.
Pérez-Gil, Jesús.
  • Pérez-Gil J; Dpt. Biochemistry, Faculty of Biology, and Research Institute "Hospital 12 de Octubre (i+12)", Complutense University, Madrid, Spain. Electronic address: jperezgil@bio.ucm.es.
Biomed J ; 45(4): 615-628, 2022 08.
Article in English | MEDLINE | ID: covidwho-2060465
ABSTRACT
The lives of thousands premature babies have been saved along the last thirty years thanks to the establishment and consolidation of pulmonary surfactant replacement therapies (SRT). It took some time to close the gap between the identification of the biophysical and molecular causes of the high mortality associated with respiratory distress syndrome in very premature babies and the development of a proper therapy. Closing the gap required the elucidation of some key questions defining the structure-function relationships in surfactant as well as the particular role of the different molecular components assembled into the surfactant system. On the other hand, the application of SRT as part of treatments targeting other devastating respiratory pathologies, in babies and adults, is depending on further extensive research still required before enough amounts of good humanized clinical surfactants will be available. This review summarizes our current concepts on the compositional and structural determinants defining pulmonary surfactant activity, the principles behind the development of efficient natural animal-derived or recombinant or synthetic therapeutic surfactants, as well as a the most promising lines of research that are already opening new perspectives in the application of tailored surfactant therapies to treat important yet unresolved respiratory pathologies.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Respiratory Distress Syndrome, Newborn / Respiratory Distress Syndrome / Pulmonary Surfactants Type of study: Prognostic study Limits: Animals / Humans / Infant, Newborn Language: English Journal: Biomed J Year: 2022 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Respiratory Distress Syndrome, Newborn / Respiratory Distress Syndrome / Pulmonary Surfactants Type of study: Prognostic study Limits: Animals / Humans / Infant, Newborn Language: English Journal: Biomed J Year: 2022 Document Type: Article