Impaired lung development is a major negative factor in the survival of preterm neonates. The present study was aimed to investigate the impact of constant
oxygen, intermittent
hyperoxia, and
hypoxia on the lung development in preterm rat neonates. Neonatal rats were exposed to 40% O2 with or without brief
hyperoxia episodes (95% O2 ) or brief
hypoxia episodes (10% O2 ) from day 0 to day 14, or to room air. The
body weight, radical alveolar count (RAC), and total
antioxidant capacity (TAOC) were significantly lower whereas the lung coefficient and
malondialdehyde (MDA) were significantly higher in the
hyperoxia and
hypoxia groups than the air control and constant
oxygen group at day 7, day 14, and day 21 after birth. The lung function indexes were reduced by intermittent
hyperoxia and
hypoxia. In contrast, the constant
oxygen therapy increased the lung function. HIF-1α and
VEGF expression were significantly increased by
hypoxia and decreased by
hyperoxia. The constant
oxygen therapy only decreased the HIF-1α expression at day 14 and 21. In summary, the constant
oxygen treatment promoted lung function without affecting the antioxidative capacity in preterm rat neonates. While intermittent
hyperoxia and
hypoxia inhibited lung development, decreased antioxidative capacity, and dysregulated HIF-1α/
VEGF signaling in preterm rat neonates.