
The Lung
Development, Aging and the Environment
- 3rd Edition - August 1, 2024
- Imprint: Academic Press
- Editors: Kent Pinkerton, Richard Harding, Elizabeth Georgian
- Language: English
- Paperback ISBN:9 7 8 - 0 - 3 2 3 - 9 1 8 2 4 - 4
- eBook ISBN:9 7 8 - 0 - 3 2 3 - 9 1 5 7 0 - 0
The Lung: Development, Aging and the Environment, Third Edition provides an understanding of the multifaceted nature of lung development, aging and the environment influence… Read more

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Request a sales quoteThe Lung: Development, Aging and the Environment, Third Edition provides an understanding of the multifaceted nature of lung development, aging and the environment influences of these processes. As an essential resource to respiratory, pulmonary and thoracic scientists and physicians, this book provides an interface between the "normal" and "disease" cluster of chapters, allowing for a natural complement. The interface between different lung diseases affecting the pediatric lung also adds a useful source for comparing how different lung diseases share key pathophysiological features. This same complementarity comes across in the logical line up of chapters dealing with the "normal" pediatric lung.
New research, including cell-based strategies for infant lung function, epigenetics and prenatal environmental exposure (including wildfires) on lung development and function are some of the important additions to this edition of this reference work.
- Describes the normal processes of lung development, growth and aging
- Considers the effects of environmental contaminants in the air, water, soil and diet on lung development, growth and health
- Describes genetic factors involved in susceptibility to lung disease
- Covers respiratory health risk in children
- Includes a number of new hot topics surrounding epigenetics, climate influences on growth, development and aging, biomarkers, sex differences, wildfires, coronavirus, E-cigarette vaping, and microbiome
- Title of Book
- Cover image
- Title page
- Table of Contents
- Copyright
- Contributors
- Introduction to the Third Edition
- Part I. Critical events in normal development and aging
- Chapter 1. Lung progenitor cell specification and morphogenesis
- Introduction
- Onset of lung development
- Specification of respiratory progenitors and formation of the lung primordium
- Formation of the trachea
- Branching morphogenesis
- Cell fate choice and differentiation of the airway epithelium
- Conclusions
- Chapter 2. Alveolar development
- Introduction
- Formation of the airways and first gas-exchange area: A brief overview
- Embryonic period/organogenesis (weeks 4–7)
- Pseudoglandular stage (weeks 5–17)
- Canalicular stage (weeks 16–26)
- Saccular stage (weeks 24–38)
- Alveolarization: Increase of pulmonary surface area and maturation of the alveolar septa (week 36–young adulthood)
- Classical alveolarization (week 36–approximately 3 years)
- Microvascular maturation (week 36–young adulthood)
- Continued alveolarization (∼2 years–young adulthood)
- Pulmonary acinus/pulmonary ventilatory unit
- Alveolarization of the respiratory bronchioles
- Clinical aspects of alveolarization
- Disclosures
- Chapter 3. Development of the innervation of the lower airways: structure and function
- Introduction
- Anatomy, morphology, and distribution in the prenatal lung
- Origin of the innervation: The fetal mouse lung
- Mapping the innervation: Fetal pig and human lung
- Pseudoglandular stage
- Canalicular stage
- Saccular stage
- Exposures in utero and the developing lower airways
- Function of the airway innervation during fetal life
- Summary: Ontogeny of lung innervation before birth
- Anatomy, morphology, and distribution in the postnatal lung
- Early postnatal period to late adulthood
- Density of innervation
- Orientation of airway smooth muscle bundles
- Efferent nerves: Long preganglionic and short postganglionic fibres
- The pulmonary neuroendocrine cell system and its innervation
- Definition, general morphologic features, and distribution
- Development of PNECs/NEBs
- PNEC/NEB innervation and its development
- Proposed function(s) and pathobiology of PNECs/NEBs
- Role of PNEC/NEB in lung defences and pulmonary inflammation
- PNEC function as progenitors and progenitor niches
- Ontogeny and reflex control of airway smooth muscle: Functional consequences
- Prenatal airway smooth muscle function
- Postnatal airway smooth muscle function
- Reflex control of airway smooth muscle in the newborn lung
- Muscarinic receptors in the lung
- Muscarinic receptors: Their development and pharmacological antagonists
- Chapter 4. Pulmonary vascular development
- Introduction
- Cellular basis of vessel morphogenesis
- Overview
- Developmental stages of the lung
- Vascular channel formation in the lung
- Development (formation and growth) of endothelial channels
- Overview
- Vasculogenesis
- Angiogenesis (sprouting)
- Angiogenesis (expansion)
- Angiogenesis (IMG, IAR, and IBR)
- Endothelial cell fate (arterial-venous and lymphatic specification)
- Development of vascular mural cells
- Overview
- Pericytes
- Smooth muscle cells and elastic laminae
- Fibroblasts
- Cell–cell signaling: Endothelial/mural cell development
- Overview
- Endothelial channel formation: VEGF/VEGF-R
- Mural cell development: PDGF, ANG, and TGFβ
- Embryonic and fetal vascular development
- Overview
- Early vessel development
- Conventional and supernumerary arteries and veins
- Vessel wall structure
- Distribution of intra-acinar vessels
- Development of bronchial arteries and veins
- Postnatal vascular development and growth
- Overview
- Conventional and supernumerary arteries and veins
- Vessel wall structure
- Distribution of intra-acinar vessels
- Bronchial artery to pulmonary artery connections
- Vascular growth and reorganization in the adult
- Overview
- Conventional and supernumerary arteries and veins
- Vascular wall structure
- Distribution of intra-acinar vessels
- Vessell wall reorganization in aging
- Overview
- Vascular wall structure
- Failure to develop the normal quota of vascular units and a functionally “normal” lung
- Overview
- Single lung in agenesis
- Repair of congenital diaphragmatic hernia
- Musculoskeletal disorders
- Chapter 5. Developmental physiology of the pulmonary circulation
- Introduction
- Lung vascular growth during development
- Physiology of the fetal pulmonary circulation
- Control of the ductus arteriosus
- Mechanisms of pulmonary vasodilation at birth
- Mechanisms that cause failure of pulmonary vasodilation at birth
- Conclusions
- Chapter 6. Physical, endocrine, and growth factors in lung development
- Role of physical factors in regulating fetal lung development
- Regulation of the basal degree of lung expansion in the fetus
- Role of the upper airway and the trans-pulmonary pressure gradient in regulating fetal lung liquid volume
- Role of the chest wall in maintaining lung volumes
- Evidence for the role of basal lung expansion in lung development
- Evidence for the role of phasic lung expansion in lung development
- Mechanotransduction mechanisms
- The role of the ECM and “outside-in” cell signaling
- Stretch-induced activation of intracellular signaling pathways
- Role of locally produced factors in promoting lung growth and maturation
- Role of growth factors in lung development
- MicroRNAs involved in fetal lung growth and development
- Circulating factors and metabolic influences on lung development
- The role of corticosteroids in fetal lung growth and development
- The role of retinoids in fetal lung growth and development
- Other circulating factors involved in fetal lung growth and development
- Metabolic influences on lung development—hypoxia and nutrition
- Treatments for infants with inappropriate lung development
- Conclusions
- Chapter 7. The development and function of the pulmonary surfactant system in health, prematurity, and genetic disease
- Composition of pulmonary surfactant
- Lipids
- Proteins
- Assembly and release of surfactant
- Biophysical function of surfactant
- Modeling of surfactant film function
- Functions of the pulmonary surfactant system
- Lung stability
- Alveolar interdependence and anti-adherence
- Prevention of pulmonary edema and maintenance of airway patency
- Host defense
- Regulation of surfactant secretion
- Lamellar body exocytosis
- Signaling mechanisms of surfactant secretion
- Autonomic agonists
- Ventilation
- Development of the pulmonary surfactant system
- Regulation of surfactant system development
- Neurohormonal factors
- Mechanical factors
- Newborn respiratory distress syndrome: Role of surfactant immaturity or deficiency
- Surfactant system immaturity associated with preterm birth
- Genetic factors affecting surfactant composition and function
- SP-B deficiency
- ABCA3 mutations
- SP-C mutations
- NKX2.1 mutations
- Altered pulmonary surfactant contributes to respiratory dysfunction in the lysosomal storage diseases
- Conclusions
- Chapter 8. Ontogeny of the pulmonary immune system
- Introduction
- Postnatal maturation of systemic immunity
- Innate immunity
- Adaptive immunity
- Postnatal maturation of pulmonary mucosal immunity
- Resident immune/inflammatory cells of developing airways
- Developmental expression of pulmonary cytokines and chemokines
- Developmental regulation of pulmonary immune/inflammatory cell trafficking
- Pulmonary defense mechanisms during infancy
- Conclusions
- Chapter 9. Macrophages and the lung
- Introduction
- The origin of macrophages
- Macrophages in the lungs
- Conclusions
- Chapter 10. Adaptation to mechanical signals in the lung: Recruitment of reserves, remodeling, and regrowth
- Introduction
- Tissue and mechanical forces during lung development
- Mechanical forces following pneumonectomy
- Post-pneumonectomy compensatory response
- Recruitment of physiologic reserves
- Acinar and septal remodeling
- Re-initiation of alveolar septal growth
- Limits of compensatory response
- Compensatory response during somatic maturation
- Manipulating mechanical signals in compensatory lung growth
- Bronchovascular growth and remodeling
- Regulatory pattern in developmental and compensatory lung growth
- Interventions to augment compensatory lung growth
- Role of cytoprotection in compensatory lung growth
- Summary and conclusions
- Chapter 11. Pulmonary transition at birth
- Introduction
- Fetal lung maturation, glucocorticoids and birth
- Airway liquid clearance before birth
- Lung liquid clearance at birth
- Airway liquid clearance after birth
- The physiological consequences of lung aeration
- Changes in pulmonary blood flow at birth
- Dynamic changes in the ductus arteriosus at birth
- Fetal breathing and the onset of continuous breathing at birth
- Conclusions
- Chapter 12. Normal aging of the lung
- Introduction
- Aging, body mass, and the lungs in mammals
- Lifespan characteristics of the mouse
- The aging mouse lung
- Changes in lung volume during aging in mice
- Tracheobronchial airways of aging mice
- Parenchymal lung structure in aging mice
- Macrophages and lung aging in mice
- Antioxidant enzyme activity in the aging mouse
- Conclusions on lung aging in the mouse
- Lifespan characteristics of the rat
- The aging rat lung
- The tracheobronchial tree and epithelium of the aging rat
- Parenchymal lung structure in the aging rat
- Alveolar tissue compartments in the aging rat
- Alveolar macrophages in the aging rat
- Conclusions on lung aging in the rat
- General characteristics of the lungs in aging dogs
- The tracheobronchial tree of the aging dog
- Parenchymal lung structure in the aging dog
- Conclusions on lung aging in the dog
- General characteristics of the lungs in the aging rhesus monkey
- Lung structure in the aging rhesus
- Conclusions on lung aging in the rhesus monkey
- Overall conclusions
- Part II. Environmental and disease influences on lung development and aging
- Chapter 13. Epigenetics and the developmental origins of lung disease
- Introduction
- Understanding the developmental origins of lung disease
- Human evidence for the developmental origins of lung disease
- Lessons from animal studies
- Epigenetics in the developmental origins of lung disease
- Epigenetic basics
- Epigenetics in the developmental origins of lung disease
- Future perspectives
- Conclusions
- Chapter 14. Pulmonary consequences of preterm birth
- Introduction
- Causes of preterm birth
- Definition of preterm birth
- Incidence of preterm birth
- Factors leading to preterm birth
- Preterm birth and perinatal mortality
- Preterm birth and morbidities and adverse outcomes
- Preterm birth as an environmental influence on lung development
- Respiratory distress syndrome
- Bronchopulmonary dysplasia
- Conclusions
- Chapter 15. Preterm birth and the developing lung: Long-term programming effects on respiratory function
- Pathways leading to preterm birth
- Respiratory consequences following preterm birth in humans
- Respiratory outcomes in infants born preterm
- Respiratory outcomes in children born preterm
- Respiratory outcomes in adolescents and adults born preterm
- Prenatal factors contributing to altered lung development and lung function
- Lung development following prenatal infection and inflammation: Human data
- Lung development following prenatal infection and inflammation: Experimental data
- Potential genetic and epigenetic mechanisms by which prenatal inflammation affects the developing lung
- Antenatal corticosteroids
- Lung development following antenatal corticosteroid exposure: Human data
- Lung development following antenatal corticosteroid exposure: Experimental data
- Postnatal factors contributing to altered lung development and lung function
- Supplemental oxygen therapy
- Potential genetic and epigenetic mechanisms by which neonatal hyperoxia affects the developing lung
- Mechanical ventilation
- Lung development following mechanical ventilation: Human data
- Lung development following mechanical ventilation: Experimental data
- Potential genetic and epigenetic mechanisms by which neonatal mechanical ventilation affects the developing lung
- Non-invasive assisted ventilation
- Lung development following non-invasive assisted ventilation: Human data
- Lung development following non-invasive assisted ventilation: Experimental data
- Future directions
- Summary and conclusions
- Chapter 16. The effects of neonatal oxygen exposure on lung development
- Introduction
- Preterm birth
- What are the known effects of neonatal hyperoxia on functional outcomes?
- Long-term pulmonary outcomes of preterm birth
- Pulmonary outcomes during infancy
- Pulmonary outcomes during childhood
- Pulmonary outcomes during adolescence and adulthood
- Effects of neonatal hyperoxia on lung development
- Effects of hyperoxia on development of alveoli
- Effects of hyperoxia on development of conducting airways
- Effects of neonatal hyperoxia on later lung function
- Mechanisms of altered lung development
- Oxidative stress
- Inflammation
- Potential therapies
- Angiogenic factors
- Antioxidant and anti-inflammatory factors
- Stem/progenitor cells
- Conclusions
- Chapter 17. Restricted growth during early development: long-term effects on lung structure and function
- Introduction
- Fetal growth restriction
- Pulmonary consequences of fetal growth restriction in humans
- Experimental data on the impact of restricted fetal growth on lung development
- Pulmonary circulation
- Physical environment of the fetal lung
- Glucocorticoids (corticosteroids)
- Potential genetic and epigenetic mechanisms by which induction of FGR affects the developing lung
- Future research directions
- Summary and conclusions
- Chapter 18. Cell-based strategies for the treatment of injury to the developing lung
- Introduction
- Stem cells: The basics
- General classification
- Stem cell types relevant to neonatal lung injury repair
- Mesenchymal stromal cells (MSCs)
- Isolation of MSCs
- Characterization of MSCs
- Therapeutic potential of exogenous MSCs
- Advantages of MSCs as therapeutic cells
- MSC proposed mechanism of action in neonatal lung injury
- MSCs in experimental BPD animal studies
- Clinical trials of MSCs in preterm infants with BPD
- Pitfalls and challenges to MSC clinical translation: MSC heterogeneity
- Intrinsic MSC heterogeneity
- MSC heterogeneity due to culture conditions
- MSC heterogeneity due to extrinsic/environmental factors in the setting of neonatal lung injury
- MSC production: From cell culture to cell product
- Human amnion epithelial cells (hAECs)
- Isolation and characterization of hAECs
- Therapeutic potential of hAECs
- Proposed mechanism of action
- Advantages of hAECs as therapeutic cells
- hAEC cells in experimental neonatal lung injury studies
- Conclusions
- Chapter 19. Effects of environmental tobacco smoke during early life stages
- Introduction
- Conditions of early life ETS exposure
- ETS and cotinine
- Lung maturation
- Immune system and allergen
- Critical life stages and ETS
- In utero exposure
- Postnatal exposure: Infancy and childhood
- In utero versus postnatal exposure
- Perinatal exposure versus adult exposure
- Effects of prenatal and postnatal smoke exposure on the development of disease later in life
- Asthma
- COPD and cancer
- Cardiovascular disease
- Cognitive decline
- Respiratory/pulmonary infection
- Conclusions
- Chapter 20. Nicotine exposure during early development: Effects on the lung
- Introduction
- Uptake of nicotine
- Daily nicotine intake
- Absorption, distribution, and metabolism of nicotine in pregnancy
- Effects of maternal nicotine intake during gestation and lactation on the placenta and fetal growth
- Effects of nicotine exposure on lung development
- Nicotine and cell signaling: Apoptosis and lung development
- Maternal nicotine exposure during pregnancy and lactation: Effect of restoration of maternal antioxidant status
- Transgenerational effect of grand-maternal nicotine exposure
- Conclusions
- Chapter 21. Implications of early life exposures to electronic nicotine delivery system (ENDS) aerosols
- Introduction
- General context
- Prevalence of ENDS use during pregnancy
- Maternal health effects associated with ENDS use during pregnancy
- Fetal health effects associated with ENDS use during pregnancy
- Health effects in prenatally and secondhand ENDS aerosol-exposed infants/children
- Experimental animal studies
- Neonatal outcomes (birth weight, body length, and body weight gain) in offspring exposed prenatally and in early life to ENDS aerosols
- Pulmonary health effects in offspring exposed prenatally and in early life to ENDS aerosols
- Other health effects in offspring exposed prenatally and in early life to ENDS aerosols
- Cardio/cerebral-vascular and renal systems
- Neurobehavioral impacts
- Prenatal exposures to ENDS aerosols and the developmental origin of health and disease (DOHaD) paradigm
- Conclusions
- Chapter 22. Exposure to allergens during development
- Introduction
- Principles of allergic sensitization: Induction of type 1 hypersensitivity
- Immune modulation by helper T cell subsets
- Influence of in utero exposure to allergens on development of the atopic phenotype
- Maternal influences on the immune status of the fetus
- The influence of genetics on response to allergen exposure during development
- Neonatal exposure to allergens
- The T helper cell type 2 phenotype in the neonate
- Role of dietary factors in allergen sensitization
- The role of infectious diseases in modulating the effects of inhaled allergen during the neonatal period
- Hygiene hypothesis
- Exposure to allergens during the juvenile period
- Interaction of allergens with environmental factors during development
- Summary
- Chapter 23. Effect of environment on the developing and adult pulmonary surfactant system and in the aging lung
- Effect of the intrauterine environment on the developing pulmonary surfactant system
- Intrauterine growth restriction
- Maternal chronic hypoxia
- Umbilical placental embolization
- Single uterine artery ligation
- Carunclectomy
- Roles and interactions of fetal hypoxia, glucocorticoids, and glucose in regulating surfactant development in the IUGR fetus
- Maternal nutrition
- Overnutrition
- Undernutrition
- Maternal addiction/drug use
- Smoking
- Alcohol
- Illicit drugs
- Intrauterine and neonatal respiratory infection
- Chorioamnionitis
- Respiratory syncytial virus (RSV)
- Coronaviruses
- Effects of environmental factors on the adult pulmonary surfactant system
- Effects of changing oxygen on the mature surfactant system
- Experimental hypoxia
- High altitude hypoxia
- Experimental hyperoxia
- Effects of environmental pollutants on the mature pulmonary surfactant system
- Properties and toxic effects of pollutants
- Ozone
- Particulate pollutants
- Interactive effects on the pulmonary surfactant system of pollutants in the aging lung
- Conclusions
- Chapter 24. Environmental determinants of lung aging
- Introduction
- Factors that influence susceptibility of the lung to premature aging
- Cellular homeostasis
- Oxidative stress and lung antioxidant defenses
- Innate and acquired immunity
- Matrix remodeling
- Nutrition, body mass, and physical activity
- Early lung injury
- Regulation of breathing
- Gas exchange
- Endocrine function, diurnal rhythm and airway receptors
- Genetic and familial factors related to a decline in lung function
- Deposition, retention, and clearance of particulates
- Effect of aging on airflow limitation
- Markers of accelerated decline in lung function
- Environmental factors that accelerate declines in lung function
- Ambient air pollution
- Oxidant gases: Nitrogen dioxide and ozone
- Particulates
- Airborne particles and experimental studies
- Micro-plastics
- Ultrafine particles (UFP)
- Cigarette smoke
- Effect of smoking cessation on age-related decline in lung function
- Infections
- Non-neoplastic diseases of the lung associated with aging
- Chronic obstructive pulmonary disease (COPD)
- Emphysema
- Asthma
- Effects of age and environmental exposures
- Atopy and IgE
- Environmental triggers of asthma
- Interstitial lung disease and pulmonary fibrosis
- Can we slow and/or reverse the aging process?
- Conclusions and future directions
- Chapter 25. The role of epigenetic mechanisms in lung diseases and environmental exposure
- Introduction
- The definition of epigenetics and its features
- DNA methylation
- Histone modifications
- Noncoding RNA (ncRNA) and transcriptional gene silencing
- Interactions between epigenetics, genetics, and environmental exposures
- Epigenetic regulation in asthma
- Introduction
- DNA methylation changes in asthma and asthma-related exposures
- The role of histone modifications and noncoding RNA in asthma and asthma-related exposures
- Direct contributions of epigenetic modifiers to asthma
- Epigenetic contributions to chronic obstructive pulmonary disease (COPD)
- Introduction
- The role of DNA methylation in COPD
- The role of histone modifications in COPD
- The role of noncoding RNA (ncRNA) in COPD
- Epigenetics–environment interactions in COPD and the contribution of genetic factors
- Conclusions
- Chapter 26. Dynamic microbiotal changes in the human lung
- Background
- Dynamic changes of the human lung microbiota
- Establishment of the lung microbiota in the fetus
- The microbiota during lung development in newborns to 3-year-olds
- Lung microbiota during lung maturation in 3- to 60-year-olds
- Lung microbiota during lung aging in ≥60-year-olds
- Human lung microbiota, host health, and diseases throughout the human lifespan
- Establishment of the lung microbiota in the fetus
- The microbiota during lung development in newborns to 3-year-olds
- Lung microbiota during lung maturation in 3- to 60-year-olds
- Lung microbiota during lung aging in ≥60-year-olds
- The gut–lung axis
- Conclusions
- Chapter 27. Viral respiratory pathogens and acute lung injury in pregnancy, with a focus on epidemiology and pathophysiology of ARDS amidst the COVID-19 pandemic
- Introduction
- Epidemiology
- Pregnancy-related ARDS
- Pregnancy and H1N1, SARS, and MERS epidemics
- Pregnancy and COVID-19
- ARDS pathophysiology
- General overview
- Viral-induced ARDS sub-phenotype
- RNA viruses: Orthomyxoviruses (i.e., influenza)
- RNA viruses: Coronaviruses
- Physiologic considerations in pregnancy and development of ARDS
- Respiratory changes of pregnancy
- Immunity and pregnancy
- COVID-19 and mechanisms of maternal–fetal immunopathology
- Viral-induced ARDS and fetal outcomes
- H1N1, SARS, and MERS epidemics and fetal outcomes
- COVID-19 and fetal outcomes
- Conclusions
- Chapter 28. The lung exposome: Accelerating precision respiratory health
- Introduction
- Evolution of the exposome concept
- The impact of exposome research on lung health across the lifespan
- Perinatal exposome and lung health in early life
- Plasticity of lung health and the personal exposome
- Exposure memory and lung aging
- Exposome research insights into precision medicine
- Technology operationalizing exposome research
- External exposome at the individual level
- Internal exposome at the molecular level
- Data science in exposome research
- Integrative omics and systems biology
- Concluding remarks and future perspectives
- Index
- Edition: 3
- Published: August 1, 2024
- Imprint: Academic Press
- No. of pages: 1180
- Language: English
- Paperback ISBN: 9780323918244
- eBook ISBN: 9780323915700
KP
Kent Pinkerton
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