Abstract

Lung organogenesis is a highly coordinated process governed by a network of conserved signaling pathways that ultimately control patterning, growth, and differentiation. This rigorously regulated developmental process culminates with the formation of a fully functional organ. Conversely, failure to correctly regulate this intricate series of events results in severe abnormalities that may compromise postnatal survival or affect/disrupt lung function through early life and adulthood. Conditions like congenital pulmonary airway malformation, bronchopulmonary sequestration, bronchogenic cysts, and congenital diaphragmatic hernia display unique forms of lung abnormalities. The etiology of these disorders is not yet completely understood; however, specific developmental pathways have already been reported as deregulated. In this sense, this review focuses on the molecular mechanisms that contribute to normal/abnormal lung growth and development and their impact on postnatal survival.

Highlights

  • Lung organogenesis is a highly coordinated process governed by a network of conserved signaling pathways that control patterning, growth, and differentiation

  • Key signaling pathways play a role in this process, for instance, Fibroblast Growth Factor (FGF) [1], Retinoic Acid (RA) [2], Sonic Hedgehog (SHH) [3], Wingless-related Integration Site (WNT) [4], Transforming Growth Factor β (TGFβ), Bone

  • The embryonic phase of human lung development is characterized by the formation of two primordial right and left buds that emerge from the foregut endoderm

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Summary

Overview

Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations. Lung development is a highly orchestrated and conserved multistage process sustained by molecular, cellular, and physical events, traversing all gestational ages. Proper lung formation relies upon the crosstalk between epithelial and mesenchymal compartments, which controls the temporal and spatial distribution of a multitude of factors and diffusible signals. Key signaling pathways play a role in this process, for instance, Fibroblast Growth Factor (FGF) [1], Retinoic Acid (RA) [2], Sonic Hedgehog (SHH) [3], Wingless-related Integration Site (WNT) [4], Transforming Growth Factor β (TGFβ), Bone. Congenital lung malformations arise due to abnormal embryonic development caused by an impairment of signaling and/or genetic factors. The following sections will address the key regulatory factors involved throughout the different lung developmental stages and the molecular determinants of the most common lung congenital anomalies

Lung Development distributed under the terms and
Embryonic Stage
Pseudoglandular Stage
Canalicular Stage
Saccular Stage
Alveolar Stage
Congenital Lung Malformations
Congenital Pulmonary Airway Malformation
Bronchopulmonary Sequestration
Bronchogenic Cyst
Congenital Diaphragmatic Hernia
Findings
Concluding Remarks

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