Evidence map›Paper›PMID 42169098›Full record

ArticleRespiratory research2026

Prenatal non-infectious mild stressor modulates early-life lung development in a time-specific manner.

Ying Dong, Stefan Hadzic, Annika Leidner, Manuela Marega, Stefano Rivetti, Harald Ehrhardt, Saverio Bellusci

Abstract read
In one paragraph

Article in Respiratory research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Ying DongDepartment of Neonatology, Charité-Universitätsmedizin Berlin, Berlin, Germany. ying.dong@charite.de.
Stefan HadzicCardio-Pulmonary Institute (CPI), Universities of Giessen and Marburg Lung Center (UGMLC), member of the German Center for Lung Research (DZL), Justus-Liebig University Giessen, Giessen, Germany.
Annika LeidnerCardio-Pulmonary Institute (CPI), Universities of Giessen and Marburg Lung Center (UGMLC), member of the German Center for Lung Research (DZL), Justus-Liebig University Giessen, Giessen, Germany.
Manuela MaregaCardio-Pulmonary Institute (CPI), Universities of Giessen and Marburg Lung Center (UGMLC), member of the German Center for Lung Research (DZL), Justus-Liebig University Giessen, Giessen, Germany.
Stefano RivettiCardio-Pulmonary Institute (CPI), Universities of Giessen and Marburg Lung Center (UGMLC), member of the German Center for Lung Research (DZL), Justus-Liebig University Giessen, Giessen, Germany.
Harald EhrhardtDepartment of Neonatology, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Saverio BellusciDepartment of Respiratory and Critical Care Medicine, The Quzhou Affiliated Hospital of Wenzhou Medical University, Quzhou People's Hospital, Quzhou, Zhejiang, China. saverio.bellusci@innere.med.uni-giessen.de.

Funding

Deutsche Forschungsgemeinschaft BE4443/18-1, BE4443/1-1, BE4443/4-1, BE4443/6-1, BE443/14-1, KFO309 284237345 P7 and SFB CRC1213 268555672 projects A02 and A04Else-Kroener-Fresenius Stiftung 2022_EKEA.43
6 · The paper itself

Abstract

backgroundMaternal exposure to various insults during pregnancy can influence early-life organ development. Whether this applies to seemingly mild stressors remains unclearly defined. Better understanding of the nature and strength of prenatal exposure factor to trigger fetal programming effect in the lung may help to optimize perinatal-neonatal health care.

methodsPregnant wild type C57BL/6J mice were randomized at 15.5 day post coitum (dpc) or 18.5 dpc to intraperitoneal (i.p.) injection of sterile physiological saline. Mice undergoing a natural process of pregnancy without any intervention served as blank controls. Newborn mice were euthanized at postnatal day 1 for lung harvests. Lung tissues were subjected to Weigert staining to visualize elastic fiber distribution and quantify total parenchymal cells. Additionally, qPCR, immunofluorescence staining and western blot were performed to assess the expression of signature markers of the lung epithelium and other compartments.

resultsNo adverse perinatal outcomes occurred except a non-significant reduction in maternal weight gain after i.p. injection of sterile physiological saline. Pups demonstrated similar birth weights across groups. The total number of lung parenchymal cells increased in exposed pups compared with blank controls, with no significant difference in elastin fiber distribution. Enhanced macrophage infiltration with predominant type 2 cytokine responses was observed in newborn mice lungs following maternal i.p. injection of saline. There was an elevated surfactant protein C (Sftpc) expression in alveolar type 2 (AT2) cells in the 15.5 dpc exposure group compared to blank controls. No sex-dependent difference was demonstrated in Sftpc expression. Correlational analysis of signature gene expression indicated crosstalk between AT2 cells and other lung cellular compartments. The expression of stem cell antigen (Sca1) in lung mesenchymal progenitor cells demonstrated a time-related response without sex differentiation upon prenatal exposure to maternal i.p. injection of sterile physiological saline.

conclusionsResults of this preclinical study in newborn mice contribute to current understanding of fetal programming by showing that maternal exposure to even non-infectious mild stressors before birth is able to modulate early-life lung development. This underscores an intensified sensibility of unborn fetus to seemingly harmless low-magnitude maternal stressors.

Indexed as

LungPrenatal Exposure Delayed EffectsAnimalsAnimals, NewbornFemaleMaleMiceMice, Inbred C57BLPregnancyTime FactorsAlveolar type 2 cellsFetal programmingMesenchymal progenitor cellPregnancyPretermPulmonary macrophageStressorSurfactant protein C

Identifiers

PMID42169098
PMCPMC13270764

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.