Early respiratory development begins with the specification of the lung cell fate, followed by the emergence of lung buds from the ventral foregut endoderm. The respiratory tree is then elaborated through branching morphogenesis, and proliferation and differentiation of specialised cell types along the proximal–distal axis produces airways and alveoli, respectively. Lung development is orchestrated through crosstalk between the epithelium and the mesenchyme; morphogenesis and differentiation of the lung relies on diffusible signalling molecules that cross tissue layers to activate a complex network of transcription factors to drive development. Significant progress has been made in understanding the molecular regulation of lung morphogenesis through paracrine signalling pathways and transcription factors essential for lung development.
Key Concepts
Following specification of respiratory progenitor cells that are committed to the respiratory lineage, the lung buds emerge from the ventral foregut endoderm and subsequently elaborate the pulmonary tree through branching morphogenesis.
Reciprocal interactions between the epithelium and the mesenchyme govern lung organogenesis and are mediated by diffusible factors.
Critical signalling pathways known to be involved in lung development include Fgfs, Shh, Wnts, RA and TGF‐β superfamily. These factors are diffusible and act as means of communication and instruction between the tissue layers to drive development.
The lung comprises specialised cell types that function to protect the lung, secrete surfactant or allow for gas exchange.