4.7 Article

Can Prophylactic High Flow of Humidified and Warmed Filtered Air Improve Survival from Bacterial Pneumonia and SARS-CoV-2 in Elderly Individuals? The Role of Surfactant Protein A

Journal

ANTIOXIDANTS
Volume 10, Issue 5, Pages -

Publisher

MDPI
DOI: 10.3390/antiox10050640

Keywords

ventilation; HFNC; COVID-19; innate immunity; surfactant protein A

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This opinion article discusses a serendipitous observation made in a study on survival in aged mice after bacterial infection, where a non-invasive ventilation approach led to variable and higher survival rates in mice with different genetic backgrounds and sexes for the innate immune molecule surfactant protein A (SP-A). The authors suggest that using the best ventilatory modality, such as high-flow nasal cannula oxygen therapy or another method, may enhance the role of factors like SP-A genetics and sex in a personalized approach, ultimately improving outcomes.
In this opinion article, we discuss a serendipitous observation we made in a study investigating survival in aged mice after bacterial infection. This observation involved a non-invasive ventilation approach that led to variable and higher survival in male and female mice with different genetic backgrounds for the innate immune molecule, surfactant protein A (SP-A). We suggest that employing the best ventilatory modality, whether that be HFNC or another method, may augment the role of other factors such as SP-A genetics and sex in a personalized approach, and may ultimately improve the outcome.

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