RT Journal Article T1 Effect of therapeutic hypothermia on surfactant proteins, anti-inflammatory and pro-fibrotic mediators A1 Autilio, Chiara A1 Touqui, Lhousseine A1 Foligno, Silvia A1 Arroyo, Raquel A1 Kingma, Paul S. A1 Alonso Eugenio, Alejandro A1 Pérez Gil, Jesús A1 De Luca, Daniele AB ObjectivesTo study the effect of hypothermia on surfactant proteins, anti-inflammatory and pro-fibrotic mediatorsDesignProspective, pragmatic study enrolling asphyxiated neonates without lung injury. Surfactant proteins (SP), Club cell secretory protein (CC-10), tumor growth factor-β1 (TGF-β1), human fibroblast growth factor-2 (hFGF) and anti-inflammatory interleukins (IL) were measured in broncho-alveolar lavage fluids obtained before, during and after hypothermia.ResultsTwelve neonates were studied. SP-A, -B, -C, -D and CC-10 levels were similar before, during and after hypothermia. IL-10, IL-13, IL-14 were inconsistently detected only in five out of twelve patients and not in all timepoints; TGF-β1 was always undetectable. hFGF decreased during hypothermia (pre = 92 [52–193.6], during = 19.4 [0–42.6], post = 31.8 [0–83] ng/mL, p = 0.026) with levels before hypothermia being significantly higher than those obtained during and after the treatment (post hoc p = 0.025).ConclusionsIn cooled neonates without any lung disorder, hypothermia is associated with lower hFGF but not with any changes in surfactant proteins or anti-inflammatory molecules. PB Springer Nature SN 0743-8346 YR 2025 FD 2025-04 LK https://hdl.handle.net/20.500.14352/124019 UL https://hdl.handle.net/20.500.14352/124019 LA eng NO Autilio, C., Touqui, L., Foligno, S. et al. Effect of therapeutic hypothermia on surfactant proteins, anti-inflammatory and pro-fibrotic mediators. J Perinatol (2025). https://doi.org/10.1038/s41372-025-02285-2 DS Docta Complutense RD 9 abr 2026