“…In this context it is surprising that many aspects of dampening the innate immune system in the overwhelming response of the neonatal lung secondary to repeated airway lavage have not been studied yet (Table 12). While the early studies considering immunologic aspects measured protein content in BALF, histopathology scores, and the concentrations of TNF-α, LTB 4 , IL-1β, and MPO as a surrogate parameter for neutrophil infiltration (Sood et al, 1996a; Merz et al, 2002; van Kaam et al, 2005), more recent studies put light on the selective inhibition of NF-κB (von Bismarck et al, 2007), IL-1β metabolism (Chada et al, 2008), general immune suppression by dexamethasone or budenoside (von Bismarck et al, 2009; Yang et al, 2010), eicosanoid suppression (Ankermann et al, 2006), and blockade of IL-8 (Ankermann et al, 2005b). The impact of the ceramide metabolism in nARDS has been investigated (Barnes, 2004; von Bismarck et al, 2008; Spengler et al, 2018), and the important role of NLRP3 (nucleotide-binding domain, leucine-rich repeat-containing protein-3) in a triple-hit lung injury model has been studied (Dos Santos et al, 2012; Spengler et al, 2018).…”