Table 1.
Developmental Stage | Gestational Age (approximate) | Processes |
---|---|---|
Embryonic period / Organogenesis | Week 1 through 7 | - Lungs appear at ~day 26 - Early lung lobes form - Dichotomous divisions form the bronchial tree (branching morphogenesis) [27] - Pulmonary arteries [28-31] and veins [32] form via angiogenesis, vasculogenesis or both. - Epithelial-mesenchymal “cross-talk” is important [33-35] |
Pseudoglandular | Week 5 through 17 | - Bronchial tree forms to terminal bronchiole via branching morphogenesis [36] - Epithelial-based acinus/alveolus forms via cell differentiation [37, 38] - Arterial and venous system develop in parallel to the airways [31, 32] - Capillary plexus forms connecting arteries and veins [39, 40] - Epithelial-mesenchymal “cross-talk” is important [33-35] |
Canalicular | Week 16 through 26 | - Respiratory epithelial growth and differentiation - Respiratory bronchiole formation - Further development of acinus/alveolus - Lung parenchyma “canalization” by capillaries [24, 26] -Air-blood barrier is formed |
Saccular | Week 24 through term | - Distal saccule formation (lung size increases) - Alteration of capillary network (inter-air-space wall capillaries increase in number) - Interstitial elastic fibers are laid and differentiation of cells further advances -Surfactant production by type II epithelial cells begins - Larger vessels muscularize [41] |
Alveolarization | Week 36 through 18 months post-natally | - Alveoli form via septation of the saccules (~90% post-natally in humans) [24, 25, 42] |
Microvascular Maturation | Starts shortly after birth and continues through the first few years of life | - Capillary network morphs from bi-layered to single-layered through capillary fusion [24, 25, 43] |