Alterations of exhaled nitric oxide in pre-term infants with chronic lung disease

Roiha, H L; Kuehni, C E; Zanolari, M; Zwahlen, M; Baldwin, D N; Casaulta, C; Nelle, M; Frey, U (2007). Alterations of exhaled nitric oxide in pre-term infants with chronic lung disease. European respiratory journal, 29(2), pp. 251-8. Sheffield, UK: European Respiratory Society 10.1183/09031936.00016106

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Animal models suggest that reduced nitric oxide (NO) synthase activity results in lower values of exhaled NO (eNO) present at birth in those individuals who are going to develop chronic lung disease of infancy (CLDI). Online tidal eNO was measured in 39 unsedated pre-term infants with CLDI (mean gestational age (GA) 27.3 weeks) in comparison with 23 healthy pre-term (31.6 weeks) and 127 term infants (39.9 weeks) at 44 weeks post-conceptional age, thus after the main inflammatory response. NO output (NO output (V'(NO)) = eNO x flow) was calculated to account for tidal- flow-related changes. Sex, maternal atopic disease and environmental factors (smoking, caffeine) were controlled for. The mean eNO was not different (14.9 ppb in all groups) but V'(NO) was lower in CLDI compared with healthy term infants (0.52 versus 0.63 nL x s(-1)). Values for healthy pre-term infants were between these two groups (0.58 nL x s(-1)). Within all pre-term infants (n = 62), V'(NO) was reduced in infants with low GA, high clinical risk index for babies scores and longer duration of oxygen therapy but not associated with post-natal factors, such as ventilation or corticosteroid treatment. After accounting for flow, the lower nitric oxide output in premature infants with chronic lung disease of infancy is consistent with the hypothesis of nitric oxide metabolism being involved in chronic lung disease of infancy.

Item Type:	Journal Article (Original Article)
Division/Institute:	04 Faculty of Medicine > Pre-clinic Human Medicine > Institute of Social and Preventive Medicine (ISPM) 04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Paediatric Medicine
UniBE Contributor:	Kühni, Claudia, Zwahlen, Marcel, Casaulta, Carmen, Nelle, Mathias, Frey, Urs Peter
ISSN:	0903-1936
ISBN:	17050555
Publisher:	European Respiratory Society
Language:	English
Submitter:	Anette van Dorland
Date Deposited:	04 Oct 2013 14:48
Last Modified:	02 Mar 2023 23:22
Publisher DOI:	10.1183/09031936.00016106
PubMed ID:	17050555
Web of Science ID:	000244283900007
URI:	https://boris.unibe.ch/id/eprint/19983 (FactScience: 3062)