Role of platelet-activating factor in the pathophysiology of necrotizing enterocolitis

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18 Citations (Scopus)

Abstract

UNLABELLED: Necrotizing enterocolitis (NEC) is a devastating gastrointestinal illness that affects predominantly preterm infants. Treatment options are limited and NEC remains a significant cause of morbidity and mortality. The precise aetiology of NEC remains unclear but evidence strongly suggests that the cause is multifactorial and there are four main aetiological factors: prematurity, hypoxia, enteral feeding and bacterial colonization. The presence of similar intestinal lesions, regardless of aetiological trigger, strongly implicates a final common pathway in the pathogenesis. There is now a substantial body of evidence to indicate that endogenous inflammatory mediators, particularly platelet-activating factor (PAF), play a vital role in this final pathway.

CONCLUSION: The use of agents that antagonize PAF may provide therapeutic options in the management of NEC.

Original languageEnglish
Pages (from-to)2-5
Number of pages4
JournalWiadomosci Ubezpieczeniowe (Insurance News)
Volume91
Issue number437
Publication statusPublished - 2002

Keywords

  • Animals
  • Animals, Newborn
  • Disease Models, Animal
  • Enterocolitis, Necrotizing
  • Female
  • Humans
  • Infant, Newborn
  • Infant, Premature, Diseases
  • Inflammation Mediators
  • Intestinal Mucosa
  • Male
  • Platelet Activating Factor
  • Platelet Aggregation Inhibitors
  • Prognosis
  • Rats
  • Risk Assessment
  • Swine

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