Early lung development: lifelong effect on respiratory health and disease
Abstract
Interest in the contribution of changes in lung development during early life to subsequent respiratory morbidity is increasing. Most evidence of an association between adverse intrauterine factors and structural effects on the developing lung is from animal studies. Such evidence has been augmented by epidemiological studies showing associations between insults to the developing lung during prenatal and early postnatal life and adult respiratory morbidity or reduced lung function, and by physiological studies that have elucidated mechanisms underlying these associations. The true effect of early insults on subsequent respiratory morbidity can be understood only if the many prenatal and postnatal factors that can affect lung development are taken into account. Adverse factors affecting lung development during fetal life and early childhood reduce the attainment of maximum lung function and accelerate lung function decline in adulthood, initiating or worsening morbidity in susceptible individuals. In this Review, we focus on factors that adversely affect lung development in utero and during the first 5 years after birth, thereby predisposing individuals to reduced lung function and increased respiratory morbidity throughout life. We focus particularly on asthma and COPD.
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Tobacco exposure during pregnancy reduces pulmonary function.
“Maternal smoking during pregnancy has adverse effects outside the central nervous system, most notably on lung development, causing lifelong decreases in pulmonary function.”
From Developmental toxicity of nicotine: A transdisciplinary synthesis and implications for emerging tobacco products (2017) · cites this paper as [199]
Maternal smoking during pregnancy causes lifelong decreases in pulmonary function.
“Maternal smoking during pregnancy has adverse effects outside the central nervous system, most notably on lung development, causing lifelong decreases in pulmonary function.”
From Developmental toxicity of nicotine: A transdisciplinary synthesis and implications for emerging tobacco products (2017) · cites this paper as [199]
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Lao, J. C., Bui, C. B., Pang, M. A., Cho, S., Rudloff, I., Elgass, K., Schröder, J., Maksimenko, A. S., Mangan, N. E., Starkey, M. R., et al. (2022) · Science Translational Medicine · doi:10.1126/scitranslmed.aaz8454 · Cited by 34 · see citing works
McEvoy, C. T., Milner, K. F., Scherman, A. J., Schilling, D., Tiller, C. J., Vuylsteke, B., Shorey‐Kendrick, L. E., Spindel, E. R., Schuff, R. A., Mitchell, J., et al. (2017) · Contemporary Clinical Trials · doi:10.1016/j.cct.2017.05.008 · Cited by 33 · see citing works
Davies, G., Stocks, J., Thia, L. P., Hoo, A., Bush, A., Aurora, P., Brennan, L., Lee, S., Lum, S., Cottam, P., et al. (2017) · European Respiratory Journal · doi:10.1183/13993003.00326-2017 · Cited by 33 · see citing works
Self-citationLong-term effects of severe acute malnutrition on lung function in Malawian children: a cohort study
Lelijveld, N., Kerac, M., Seal, A., Chimwezi, E., Wells, J. C. K., Heyderman, R. S., Nyirenda, M., Stocks, J., & Kirkby, J. C. (2017) · European Respiratory Journal · doi:10.1183/13993003.01301-2016 · Cited by 31 · see citing works
Self-citationLung Function Trajectories and Associated Mortality among Adults with and without Airway Obstruction
Bäckman, H., Blomberg, A., Lundquist, A., Strandkvist, V. J., Sawalha, S., Nilsson, U. A., Ström, J. E., Hedman, L., Stridsman, C., Rönmark, E., et al. (2023) · American Journal of Respiratory and Critical Care Medicine · doi:10.1164/rccm.202211-2166oc · Cited by 30 · see citing works
- Authors
- Stocks, J., Hislop, A., & Sonnappa, S.
- Affiliations
- University College London (GB)
- Corresponding author
- Stocks, Janet
- ORCID
- Sonnappa, Samatha
- Venue
- The Lancet Respiratory Medicine
- Publisher
- Elsevier BV
- Published
- 2013-11
- Volume
- 1
- Issue
- 9
- Pages
- 728-742
- ISSN
- 2213-2600 (ISSN-L)
- OpenAlex
- W2153070821
- Cited by
- 390
- References
- 184
- Citations by year
- 2026: 22 · 2025: 43 · 2024: 48 · 2023: 33 · 2022: 28 · 2021: 26 · 2020: 42 · 2019: 30 · 2018: 20 · 2017: 32 · 2016: 26 · 2015: 27 · 2014: 13
- FWCI
- 2.43
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Lancet Respiratory Medicine (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Birth, Development, and Health
- Keywords
- lung development, fetal lung development, early postnatal life, reduced lung function, lung function decline, respiratory morbidity, asthma, chronic obstructive pulmonary disease, developmental origins of health and disease
- MeSH terms
- Environmental Exposure, Humans, Lung, Morbidity, Respiratory Tract Diseases, Global Health, Disease Progression
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