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Phases of Lung Maturation
1. MATURATION OF LUNGS
Dr. Saneed Khaliq
MBBS, MPHIL ANATOMY (3rd batch)
Bahria University Medical and Dental College Karachi
2. DEVELOPMENT OF BRONCHI AND LUNGS
• During 4th week a respiratory bud
appears at the caudal end of
tracheoesophageal diverticulum
• The bud soon divides into two
outpouchings, the primary bronchial
buds
• Soon Secondary and tertiary
bronchial buds develop
3. • During 5th week these
enlarge and form the
primordia of the main
bronchi
• The main bronchi
subdivide into secondary
bronchi that form lobar,
segmental, and
intrasegmental branches
4. • Secondary bronchi divide
repeatedly forming tertiary or
segmental bronchi
Right lung: forms ten
Left: forms eight to nine
• Creating the bronchopulmonary
segments of the adult lung
• By the end of the 24 weeks ,
approximately 17 generations of
subdivisions have formed
5. MATURATION OF THE LUNGS
• Maturation of the lungs is divided
into four histologic stages
1. Pseudoglandular
2. Canalicular
3. Terminal sac
4. Alveolar stages
6. PSEUDOGLANDULAR STAGE
(6-16 weeks)
• Developing lungs somewhat resembles an
exocrine gland during this period
• By 16 weeks all major elements of the
lung have formed except those involved
with gas exchange
• Terminal bronchioles are formed, BUT no
respiratory bronchioles or alveoli are
present
• Respiration is not possible at this stage
• Fetuses born during this period cannot
survive
7. CANALICULAR STAGE
(16-26 weeks)
• During the canalicular stage, the lumina of
bronchi and terminal bronchioles become
larger and the lung tissue becomes highly
vascular
• Each terminal bronchiole divide into 2 or
more Respiratory bronchiole
• Respiratory bronchiole divide into Alveolar
ducts
• Lung is well vascularized
• Fetus born at end of this stage (26 weeks)
may survive but earlier may not survive
8. TERMINAL SAC STAGE
(26 weeks - Late fetal period)
• During this stage, many more terminal sacs
develop and their epithelium becomes very
thin
• Capillaries bulge into the developing sacs
• Epithelium of terminal sac become very thin
(simple squamous)
• Close contact develops between epithelium
of sac & capillary to permit adequate
exchange of gases
• Fetus born prematurely at this stage
survives
9. TERMINAL SAC STAGE
(26 weeks - Late fetal period)
• The terminal sacs are lined mainly by
squamous epithelium called type I
pneumocytes
• Type I cells are responsible for gas
exchange
• Scattered among the squamous epithelial
cells are rounded secretory epithelial
cells called type II pneumocytes
• Type II pneumocytes are responsible for
production of pulmonary surfactant
preventing atelectasis
• Deficiency of surfactant results in RDS
or hyaline membrane disease
10. ALVEOLAR STAGE
(Late Fetal Period to 8 Years)
• The epithelial lining of the sacs attenuates to
a thin squamous epithelial layer
• The type I pneumocytes become so thin
that the adjacent capillaries bulge into the
alveolar sacs
• Formation of true alveoli more and more
• The lungs are capable of respiration because
the alveolocapillary membrane
sufficiently thin to allow gas exchange
11. ALVEOLAR STAGE
(Late Fetal Period to 8 Years)
• Approximately 95% of mature alveoli
develop postnatally
• Alveolar development is largely completed
by 3 years of age, but new alveoli are added
until approximately 8 years of age
• Initially, the septa are relatively thick, but
they are soon transformed into mature thin
septa that are capable of gas exchange
12. References:
• Moore, K. L., Persaud, T. V. N., & Torchia, M. G. (2016). The developing human: Clinically
oriented embryology (10th edition.). Philadelphia, PA: Elsevier