2016
DOI: 10.1086/688890
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Unique Aspects of the Developing Lung Circulation: Structural Development and Regulation of Vasomotor Tone

Abstract: This review summarizes our current knowledge on lung vasculogenesis and angiogenesis during normal lung development and the regulation of fetal and postnatal pulmonary vascular tone. In comparison to that of the adult, the pulmonary circulation of the fetus and newborn displays many unique characteristics. Moreover, altered development of pulmonary vasculature plays a more prominent role in compromised pulmonary vasoreactivity than in the adult. Clinically, a better understanding of the developmental changes i… Show more

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Cited by 42 publications
(29 citation statements)
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References 243 publications
(548 reference statements)
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“…During normal lung development angiogenesis is coordinated precisely, leading to a balance in factors that promote expansion with those that promote stability of the endothelial barrier [30,31]. Normal alveolar development has been shown to be dependent on angiogenesis [4,32,33] and dysregulated vascular growth is a well-established feature of the BPD phenotype [1,4].…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…During normal lung development angiogenesis is coordinated precisely, leading to a balance in factors that promote expansion with those that promote stability of the endothelial barrier [30,31]. Normal alveolar development has been shown to be dependent on angiogenesis [4,32,33] and dysregulated vascular growth is a well-established feature of the BPD phenotype [1,4].…”
Section: Discussionmentioning
confidence: 99%
“…Regulation of the balance of vascular growth factors in the developing lung is known to be critical in the creation of the extensive network of blood vessels necessary to support alveolarization [30,31]. The Ang-Tie2 axis has been shown to play an essential role in maintaining both vascular homeostasis and expansion during lung development [31,40].…”
Section: Discussionmentioning
confidence: 99%
“…Angiogenesis follows, and is responsible for the remodelling and expansion of the pulmonary vascular network through both endothelial sprouting and intussusceptive growth (Peng & Morrisey, ; Gao et al . ). During the canalicular stage of lung development (human gestation weeks 16–26), there is a dramatic rise in the number of lung capillaries to form the first air–blood interface, which continue to mature during the saccular stage (weeks 24–38).…”
Section: Normal Vascular Developmentmentioning
confidence: 97%
“…Left‐to‐right shunts, as seen in septal defects or patent ductus arteriosus, may accentuate pulmonary vascular sheer stress and promote vascular remodelling (Gao et al . ).…”
Section: Impaired Pulmonary Vascularizationmentioning
confidence: 97%
“…; Gao et al . ). After a primary vascular plexus is formed, angiogenesis takes over as new capillaries sprout from the primary vascular structures constructed by differentiated endothelial cells.…”
Section: Introductionmentioning
confidence: 97%