Table 3.
New experimental drugs for BPD.
| Experimental drug | Proposed mechanism of action as seen in animal models |
|---|---|
| Stem cell therapy • MSC • MSC exosomes/extracellular vesicles • Endothelial progenitor cells • Human amnion epithelial cells |
• Improved cell growth, cell proliferation, and angiogenesis. • ↓ inflammation/fibrosis • ↓ oxidative injury |
| Other anti-inflammatory agents • DHA • CC10/CC16 • IL1RA • Pentoxifylline |
• ↓ inflammation |
| Antioxidants • Superoxide dismutase |
• ↓ inflammation • ↓ oxidative injury • Preservation of pulmonary angiogenesis |
| Nutritional supplements • Inositol • L-Citrulline |
• Inositol: ↑ production of phosphatidylcholine and phosphatidylinositol • L-Citrulline: ↑ production of nitric oxide via role on arginine/NO pathway |
| Hormones • Erythropoietin (EPO) |
• Upregulation of epidermal growth factor-line domain 7 • ↓ alveolar simplification • ↓ fibrosis • Improved angiogenesis |
| Growth factors and RNAs • rhIGF1/rhIGFBP3 • HIF-α • VEGF • miRNA, lncRNA |
• ↑ cellular proliferation • Regulation of alveolarization and angiogenesis • ↓ oxidative stress |
The above experimental drugs, although promising, lack evidence of safety and efficacy, and must be used in research settings only.