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Volume 350:2715-2718 June 24, 2004 Number 26
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Postnatal Dexamethasone for Lung Disease of Prematurity

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 by Jobe, A. H.
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 by Yeh, T. F.
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To the Editor: Yeh et al.1 report impairments in neuromotor skills and cognition in school-age children who were treated with dexamethasone as preterm infants, but they do not propose an underlying mechanism. Brain-derived neurotrophic factor is crucial for normal development and for the maintenance of motor function and cognition.2 Lack of brain-derived neurotrophic factor in the prenatal and early postnatal stages of life reduces the survival, differentiation, and synapse formation of central and peripheral neurons.2,3 Expression of brain-derived neurotrophic factor in brain regions critical for cognitive functions (such as the hippocampus) is suppressed by dexamethasone.4 As we can show, dexamethasone . . . [Full Text of this Article]


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