Basic and translational science advances in congenital diaphragmatic hernia

Semin Perinatol. 2020 Feb;44(1):151170. doi: 10.1053/j.semperi.2019.07.009. Epub 2019 Jul 30.

Abstract

Congenital Diaphragmatic Hernia (CDH) is a birth defect that is characterized by lung hypoplasia, pulmonary hypertension and a diaphragmatic defect that allows herniation of abdominal organs into the thoracic cavity. Although widely unknown to the public, it occurs as frequently as cystic fibrosis (1:2500). There is no monogenetic cause, but different animal models revealed various biological processes and epigenetic factors involved in the pathogenesis. However, the pathobiology of CDH is not sufficiently understood and its mortality still ranges between 30 and 50%. Future collaborative initiatives are required to improve our basic knowledge and advance novel strategies to (prenatally) treat the abnormal lung development. This review focusses on the genetic, epigenetic and protein background and the latest advances in basic and translational aspects of CDH research.

Keywords: Basic science; Congenital diaphragmatic hernia; Preclinical studies; Translational science.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Disease Models, Animal
  • Epigenesis, Genetic
  • Fetal Therapies
  • Fetoscopy*
  • Hernias, Diaphragmatic, Congenital / genetics
  • Hernias, Diaphragmatic, Congenital / metabolism
  • Hernias, Diaphragmatic, Congenital / therapy*
  • Humans
  • Hypertension, Pulmonary / therapy*
  • MicroRNAs
  • Prenatal Diagnosis
  • Stem Cell Transplantation*
  • Trachea / surgery
  • Translational Research, Biomedical
  • Vascular Remodeling

Substances

  • MicroRNAs

Grants and funding