New Insights into the Alveolar Epithelium as a Driver of Acute Respiratory Distress Syndrome

The alveolar epithelium serves as a barrier between the body and the external environment. To maintain efficient gas exchange, the alveolar epithelium has evolved to withstand and rapidly respond to an assortment of inhaled, injury-inducing stimuli. However, alveolar damage can lead to loss of alveo...

Full description

Bibliographic Details
Main Authors: Marilia Sanches Santos Rizzo Zuttion, Sarah Kathryn Littlehale Moore, Peter Chen, Andrew Kota Beppu, Jaime Lynn Hook
Format: Article
Language:English
Published: MDPI AG 2022-09-01
Series:Biomolecules
Subjects:
Online Access:https://www.mdpi.com/2218-273X/12/9/1273
_version_ 1827662950983270400
author Marilia Sanches Santos Rizzo Zuttion
Sarah Kathryn Littlehale Moore
Peter Chen
Andrew Kota Beppu
Jaime Lynn Hook
author_facet Marilia Sanches Santos Rizzo Zuttion
Sarah Kathryn Littlehale Moore
Peter Chen
Andrew Kota Beppu
Jaime Lynn Hook
author_sort Marilia Sanches Santos Rizzo Zuttion
collection DOAJ
description The alveolar epithelium serves as a barrier between the body and the external environment. To maintain efficient gas exchange, the alveolar epithelium has evolved to withstand and rapidly respond to an assortment of inhaled, injury-inducing stimuli. However, alveolar damage can lead to loss of alveolar fluid barrier function and exuberant, non-resolving inflammation that manifests clinically as acute respiratory distress syndrome (ARDS). This review discusses recent discoveries related to mechanisms of alveolar homeostasis, injury, repair, and regeneration, with a contemporary emphasis on virus-induced lung injury. In addition, we address new insights into how the alveolar epithelium coordinates injury-induced lung inflammation and review maladaptive lung responses to alveolar damage that drive ARDS and pathologic lung remodeling.
first_indexed 2024-03-10T00:36:02Z
format Article
id doaj.art-12bc290bb4bd4508a0b4f1dc56e106a7
institution Directory Open Access Journal
issn 2218-273X
language English
last_indexed 2024-03-10T00:36:02Z
publishDate 2022-09-01
publisher MDPI AG
record_format Article
series Biomolecules
spelling doaj.art-12bc290bb4bd4508a0b4f1dc56e106a72023-11-23T15:15:57ZengMDPI AGBiomolecules2218-273X2022-09-01129127310.3390/biom12091273New Insights into the Alveolar Epithelium as a Driver of Acute Respiratory Distress SyndromeMarilia Sanches Santos Rizzo Zuttion0Sarah Kathryn Littlehale Moore1Peter Chen2Andrew Kota Beppu3Jaime Lynn Hook4Women’s Guild Lung Institute, Division of Pulmonary and Critical Care Medicine, Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USALung Imaging Laboratory, Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USAWomen’s Guild Lung Institute, Division of Pulmonary and Critical Care Medicine, Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USAWomen’s Guild Lung Institute, Division of Pulmonary and Critical Care Medicine, Department of Medicine, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USALung Imaging Laboratory, Division of Pulmonary, Critical Care, and Sleep Medicine, Department of Medicine, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USAThe alveolar epithelium serves as a barrier between the body and the external environment. To maintain efficient gas exchange, the alveolar epithelium has evolved to withstand and rapidly respond to an assortment of inhaled, injury-inducing stimuli. However, alveolar damage can lead to loss of alveolar fluid barrier function and exuberant, non-resolving inflammation that manifests clinically as acute respiratory distress syndrome (ARDS). This review discusses recent discoveries related to mechanisms of alveolar homeostasis, injury, repair, and regeneration, with a contemporary emphasis on virus-induced lung injury. In addition, we address new insights into how the alveolar epithelium coordinates injury-induced lung inflammation and review maladaptive lung responses to alveolar damage that drive ARDS and pathologic lung remodeling.https://www.mdpi.com/2218-273X/12/9/1273ARDSalveolar epitheliumlung repairlung regenerationlung remodeling
spellingShingle Marilia Sanches Santos Rizzo Zuttion
Sarah Kathryn Littlehale Moore
Peter Chen
Andrew Kota Beppu
Jaime Lynn Hook
New Insights into the Alveolar Epithelium as a Driver of Acute Respiratory Distress Syndrome
Biomolecules
ARDS
alveolar epithelium
lung repair
lung regeneration
lung remodeling
title New Insights into the Alveolar Epithelium as a Driver of Acute Respiratory Distress Syndrome
title_full New Insights into the Alveolar Epithelium as a Driver of Acute Respiratory Distress Syndrome
title_fullStr New Insights into the Alveolar Epithelium as a Driver of Acute Respiratory Distress Syndrome
title_full_unstemmed New Insights into the Alveolar Epithelium as a Driver of Acute Respiratory Distress Syndrome
title_short New Insights into the Alveolar Epithelium as a Driver of Acute Respiratory Distress Syndrome
title_sort new insights into the alveolar epithelium as a driver of acute respiratory distress syndrome
topic ARDS
alveolar epithelium
lung repair
lung regeneration
lung remodeling
url https://www.mdpi.com/2218-273X/12/9/1273
work_keys_str_mv AT mariliasanchessantosrizzozuttion newinsightsintothealveolarepitheliumasadriverofacuterespiratorydistresssyndrome
AT sarahkathrynlittlehalemoore newinsightsintothealveolarepitheliumasadriverofacuterespiratorydistresssyndrome
AT peterchen newinsightsintothealveolarepitheliumasadriverofacuterespiratorydistresssyndrome
AT andrewkotabeppu newinsightsintothealveolarepitheliumasadriverofacuterespiratorydistresssyndrome
AT jaimelynnhook newinsightsintothealveolarepitheliumasadriverofacuterespiratorydistresssyndrome