Lung Development Flashcards

1
Q

Lungs and GÌ tract derived from a pouch of the foregut called?

A

Respiratory diverticulum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Specilised endothelial derived from

A

Endoderm - outgrowth from GÌ Tract

Epithelial tissue buds from this

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Budding process of epithelial tissue from endoderm is called?

A

Branching morphogenesis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Pseudoglangular phase

A
Tube epithelium
       |
Bronchus (2 x L, 3 x R)
       |
Bronchioles
      |
Alveoli

Where key elements of lungs have formed: 8 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Alveoli form?

A

16 weeks until approximately 8 years.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Canalicular phase

A

16 weeks

Terminal bronchioles form

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Respiratory bronchioles form at

A

19 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Terminal sac is formed at?

A

28 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Alveolar sac forms?

A

From 16 weeks to 7/8 years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Maturation of alveoli not complete until?

A

7 years

Childhood asthma may resolve at this time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Lung buds are formed from ?

A

Endothelium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Cartilage and muscles derive from?

A

Surrounding mesoderm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Lungs grow to fill the pleural cavity

True or false?

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Maturation of the lungs phases?

A
  1. Pseudoglandular period
  2. Canalicular period
  3. Terminal sac period
  4. Alveolar period
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Name the period:

Branching has continued to form terminal bronchioles
No respiratory bronchioles or alveoli are present

A

Pseudoglandular period

5-16 wk

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Name the period:

Each termina, bronchioles divides into two or more respiratory bronchioles, which in turn divide into three or six alveolar ducts

A

Canalicular period

16-26 wk

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Name the period:

Terminal sacs (primitive alveoli) form, and capillaries establish close contact

A

Terminal sac period

26 wk to birth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Name the period:

Mature alveoli have well- developed epithelial endothelial (capillary) contact

A

Alveolar period

8 mo to childhood

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is Oesophageal atresia and Tracheoesophogeal fistulas?

A
  • Fistula is the joining of the oesophagus to the trachea.
  • 90% of cases the upper portion is a blind pouch (atresia)
  • Cardio vascular defects often associated
20
Q

What is defined as too much amniotic fluid in sac?

A

Polyhydramnios

21
Q

Where the lung is formed is related to positional signalling from?

A

External RA

22
Q

What are Wnts ?

A

Cell signalling molecules.

Involved in patterning, polarity, cell division and differentiation. Links to cancer

23
Q

Importance of Wnts cells?

A

Wnt is important in determining how the lung tissue develops differently from the gut ie ciliated or squamous cell types.

24
Q

Types of alveoli

A

Type I alveoli

Type II alveoli

25
Which type of alveoli epithelial cells appear in the alveoli, enabling an increase in surfactant production?
Type 2
26
What is Surfactant?
Surfactant is a phospho-lipid rich fluid which lines the interior of the alveoli and decreases surface-air tension, allowing the lung to inflate.
27
Phospholipid rich fluid which lines the interior of the alveoli and decreases surface-air tension, allowing the lung to inflate.
Surfactant
28
Production of surfactant is stimulated by
Increase in maternal and fetal cortisol levels
29
Preparation for labour occurs at ?
Week 34
30
What happens during preparation for l’about?
* lungs not air filled but fluid filled. | * Practice “breathing” pushes an exchange of “internal” lung fluid with the “external” amniotic fluid
31
What does the internal lung fluid contain?
* Chloride * Surfactant * phospholipids
32
Imitation of labour in fetal lung
- surfactant level increases | - Surfactant - A escapes into amniotic cavity
33
Initiation of labour in Amniotic cavity
Macrophages activated by exposure Migrate across chorion
34
Initiation of labour in the uterus
- Interleukin 1B production which increases: | - Increased Prostaglandin (PG) production
35
What stimulates uterine contractions to Labour ?
PG - prostaglandins
36
How is lung fluid rapidly reabsorbed during parturition.?
1. Triggered by increasing Cortisol and Thyroid Hormone | 2. Physical expulsion from travel through the uterine canal
37
Water absorption during pregnancy
Chloride in secreted through Cl- channel. Causes water movement into lung spaces
38
Water absorption during labour
- Increasing TH and Cortisol stimulates transepithelial Na+ pump to pull Na + into the epithelial cells. - Water follows and Na+ is pumped back out into spaces between the cells and water is removed.
39
When does the first birth happen after birth ?
10s postnatally Water birth- on emergence from water
40
What happens at birth when breathing ?
Breathing inflates the lungs and triggers changes in the circulatory system.
41
What stimulates breath at birth ?
* Clearing of fluid * High CO2 levels * Temperature change (on head and umbilical cord) * Vagal stimulation
42
Name the problem at birth: Alveolar collapse. (collapsed lung) Not enough surfactant. Common with preterm births.
Atelactasis
43
Atelactasis can lead to?
Respiratory Distress Syndrome
44
Symptoms of Respiratory Distress Syndrome
20% of preterm deaths - Tachypnoea (rapid breathing) - Association with maternal diabetes mellitus
45
What is Transient tachypnea of new-born (TTNB) ?
0.5-4% of all neonates Retention of lung fluid Resolves with Oxygen therapy and antibiotic treatment. Link to Caesarian births.
46
Why is Atelactasis common with preterm births?
Because type 2 alveolar cells are not producing surfactant until week 26, so there’s not enough surfactant tension as there’s no surfactant to line the inside of the alveoli - not enough cortisol