Mikko Hallman – A Major Translator of Basic Science into Neonatal Medicine

By the late 1970s, studies on lung maturity and prediction of RDS led him to propose that the large surfactant pool in amniotic fluid from term pregnancies could be harvested, tested and given to preterm infants at risk of RDS [5] . This concept had already been discarded by John Clements and colleagues, who used nebulized saturated Mikko Hallman was born in 1945 in Helsinki where he grew up in a family of five children. His father Niilo, who died in January 2011, was the very well-respected Chairman and Chief of Pediatrics at Helsinki University from 1957 to 1983 [1] . Mikko spent a lot of his childhood within or immersed in the work of the Children’s Hospital. In 1970, he graduated in medicine at Helsinki University and continued his studies in the Department of Medical Chemistry, University of Helsinki. In 1972, he defended his doctoral thesis on ‘Perinatal development of mitochondrial oxidative enzymes’ and decided to specialize in pediatrics. During early residency, he studied lung surfactant and obtained the Fogarty fellowship for neonatal studies with Louis Gluck in San Diego from 1973 to 1975. After this, Mikko completed his education in pediatrics and neonatology in Helsinki, and returned to San Diego from 1979 to 1983 as an Assistant/Associate Professor of Pediatrics. Previous experience in basic research allowed him to define the minor surfactant phospholipids for the first time in the mid-1970s. He expanded these studies to ontogeny, surface activity, turnover and recycling of surfactant phospholipids, and determined the relationship of the new surfactant indices to risk of respiratory distress syndrome (RDS) [2, 3] and later to ARDS. Mikko discovered that myoinositol alters the metabolism of acidic surfactant phospholipids and how it influences differentiation [4] . Published online: October 3, 2011

[1]  M. Hallman,et al.  Enhancing Functional Maturity before Preterm Birth , 2010, Neonatology.

[2]  M. Hallman,et al.  Haplotype analysis of ABCA3: association with respiratory distress in very premature infants , 2008, Annals of medicine.

[3]  M. Hallman,et al.  Surfactant protein polymorphisms and neonatal lung disease. , 2006, Seminars in perinatology.

[4]  M. Hallman,et al.  Intraamniotic interleukin-1 accelerates surfactant protein synthesis in fetal rabbits and improves lung stability after premature birth. , 1997, The Journal of clinical investigation.

[5]  M. Hallman,et al.  Prenatal dexamethasone treatment in conjunction with rescue therapy of human surfactant: a randomized placebo-controlled multicenter study. , 1994, Pediatrics.

[6]  A. Jobe,et al.  Pulmonary surfactant therapy. , 1993, The New England journal of medicine.

[7]  G. Heldt,et al.  The Use of Synthetic Peptides in the Formation of Biophysically and Biologically Active Pulmonary Surfactants , 1991, Pediatric Research.

[8]  G. Heldt,et al.  Randomized, placebo-controlled trial of human surfactant given at birth versus rescue administration in very low birth weight infants with lung immaturity. , 1991, The Journal of pediatrics.

[9]  C. Cochrane,et al.  Use of human surfactant low molecular weight apoproteins in the reconstitution of surfactant biologic activity. , 1988, The Journal of clinical investigation.

[10]  K. Benirschke,et al.  Prophylactic treatment of very premature infants with human surfactant. , 1986, The New England journal of medicine.

[11]  L Gluck,et al.  Exogenous human surfactant for treatment of severe respiratory distress syndrome: a randomized prospective clinical trial. , 1985, The Journal of pediatrics.

[12]  L. Gluck,et al.  Isolation of human surfactant from amniotic fluid and a pilot study of its efficacy in respiratory distress syndrome. , 1983, Pediatrics.

[13]  K. Teramo,et al.  MEASUREMENT OF THE LECITHIN/SPHINGOMYELIN RATIO AND PHOSPHATIDYLGLYCEROL IN AMNIOTIC FLUID: AN ACCURATE METHOD FOR THE ASSESSMENT OF FETAL LUNG MATURITY , 1981, British journal of obstetrics and gynaecology.

[14]  L. Gluck,et al.  Phosphatidylinositol and phosphatidylglycerol in amniotic fluid: indices of lung maturity. , 1976, American journal of obstetrics and gynecology.

[15]  G. Enhorning,et al.  Lung expansion in the premature rabbit fetus after tracheal deposition of surfactant. , 1972, Pediatrics.

[16]  M. Klaus,et al.  PRELIMINARY REPORT. THE PULMONARY HYPOPERFUSION SYNDROME. , 1965, Pediatrics.

[17]  A. Jobe,et al.  Intra-amniotic interleukin-1 alpha treatment alters postnatal adaptation in premature lambs. , 1997, Biology of the neonate.

[18]  M. Hallman,et al.  Transforming growth factor-beta 2 prevents preterm delivery induced by interleukin-1 alpha and tumor necrosis factor-alpha in the rabbit. , 1993, American journal of obstetrics and gynecology.

[19]  R. Porreco,et al.  Role of myoinositol in regulation of surfactant phospholipids in the newborn. , 1985, Early human development.