Mercury (Hobart)

Research advance for prem babies

- BRIGID O’CONNELL

A WORLD-FIRST treatment using cells from a human placenta to protect and repair the damaged lungs of premature babies has been successful­ly trialled in humans, raising hopes for the first effective treatment for our smallest and most vulnerable patients.

In the first in-human trial – the result of 10 years of research and $10 million in investment – six extremely premature babies with chronic lung disease received the cell therapy at Victoria’s Monash Children’s Hospital, jumping one of the first hurdles of medical research, proving the treatment is safe.

With results from the landmark trial published today, the next stage starts this month to test if the treatment actually works to normalise the growth of underdevel­oped lungs.

Researcher­s from the Hudson Institute of Medical Research and Monash University say they are hopeful these placental cells can reduce the need for ventilatio­n, the lifelong respirator­y problems premature babies suffer, and associated brain-related injuries such cerebral palsy.

Co-lead author and neonatolog­ist Atul Malhotra said the very ventilatio­n technology that was keeping smaller and younger babies alive, was stopping the developmen­t of their immature lungs, born not yet ready for this world.

“The premature babies we worry about make up 2 per cent of all babies born – those born under 32 weeks and weighing less than 1.5kg – because more than half have this incurable significan­t lung disease called bronchopul­monary dysplasia,” Dr Malhotra said.

“We think if we fix their breathing problems, their brain outcomes will be better, too.”

Hudson Institute stem cell researcher and co-lead author Rebecca Lim said their previous research testing these amnion epithelial cells — extracted from the amnion sac within the placenta — in multiple types of animals, showed they could fully repair damaged lungs by kickstarti­ng the lung’s own repair process.

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