“…Studies show that altered airway structure and function in neonates contributes to childhood asthma: children less than 3 years old with thickened airways display recurrent wheeze prior to the emergence of pediatric asthma (Baldwin & Roche, 2002 ; O'Reilly et al., 2013 ; Saglani et al., 2007 ). Additionally, in vitro studies using human fetal ASM exposed to moderate O 2 show increased intracellular calcium, proliferation, extracellular matrix deposition, and cellular senescence (Britt Jr. et al., 2015 ; Hartman et al., 2012 ; Parikh et al., 2018 ; Roesler et al., 2021 ). Similarly, in vivo studies using a neonatal mouse model of moderate hyperoxia exposure show increased ASM thickness, collagen deposition, AHR following methacholine (MCh) challenge, and sex differences in response to O 2 (Bartman et al., 2024 ; Faksh et al., 2016 ; Wang et al., 2014 ).…”