Background: Bronchopulmonary dysplasia (BPD) is a multifactor chronic lung disease that mainly affects premature infants. In this study, we investigate the preventive effects of Astragalus polysaccharides (APS) on BPD, and explore its potential molecular mechanisms. Methods: Lung tissues of newborn Sprague-Dawley rats from the control group, the room air plus low-dose APS group, the room air plus high-dose APS group, the BPD model group, the low-dose APS group (20 mg/kg d), and the high-dose APS group (40 mg/kg d) were examined at the 4th, 10th, and 14th d of life. The pathomorphological change was evaluated by hematoxylin-eosin staining. The content levels of superoxide dismutase (SOD) and malondialdehyde (MDA) were measured by the assay kit. Moreover, the protein and/or mRNA expression levels of NF-κBp65, CD31, ICAM-1, and TNF-α were also detected by corresponding methods. results: APS decreased the inflammatory cells infiltrating compared with the BPD group. For the APS group, the activity of SOD was increased and the content of MDA was reduced compared with the BPD group at any time point. The protein and mRNA expression levels of NF-κBp65, ICAM-1, and TNF-α were all decreased, while the protein expression level of CD31 was increased in the APS-treated group, with the most significant difference of the high-dose group (P < 0.01) compared with the BPD group after birth on the 4th, 10th, and 14th d. conclusion: APS can reduce airway remodeling and alveolar damage by its modulation of inflammatory mediators and antioxidation, suggesting some protective effects on BPD of neonatal rats.B ronchopulmonary dysplasia (BPD) is a multifactor chronic lung disease, which is characterized by simplified alveolarization and arrested vascular development of the lung with associated evidence of endothelial dysfunction, inflammation, and increased oxidative damage that continues to affect premature infants despite advances in clinical care (1,2).Although the exact etiology and pathophysiology are complex and still remain unclear, recent studies do support the roles for oxidative stress and inflammation-mediated damage, which including reactive oxygen species (ROS) and cytokines contribute to the inflammatory cascade in modulating the immune system of BPD. The proinflammatory cytokines, such as tumor necrosis factor-alpha (TNF-α), interleukin-1β (IL-1β), and interleukin-6 (IL-6) in the serum and tracheal aspirate, were significantly increased. However, the anti-inflammatory cytokines, such as interleukin-10 (IL-10), were significantly decreased in BPD (3). Moreover, TNF-α has overlapping and synergetic activities to induce the production of nuclear factor-κB (NF-κB) (4). Although steroids could inhibit inflammatory mediators through various mechanisms, the adverse effects on growth and development limit their use (5,6). Therefore, the therapeutic tool of BPD still remains an important unsolved problem.APS is an extract from the Chinese traditional herb Astragalus membranaceus, which has strong antioxidant and anti-inflammatory ...