» Articles » PMID: 35327629

Y It Matters-Sex Differences in Fetal Lung Development

Overview
Journal Biomolecules
Publisher MDPI
Date 2022 Mar 25
PMID 35327629
Authors
Affiliations
Soon will be listed here.
Abstract

Within this review, sex-specific differences in alveolar epithelial functions are discussed with special focus on preterm infants and the respiratory disorders associated with premature birth. First, a short overview about fetal lung development, the challenges the lung faces during perinatal lung transition to air breathing and respiratory distress in preterm infants is given. Next, clinical observations concerning sex-specific differences in pulmonary morbidity of human preterm infants are noted. The second part discusses potential sex-specific causes of pulmonary complications, including pulmonary steroid receptors and local lung steroid metabolism. With regard to pulmonary steroid metabolism, it is important to highlight which steroidogenic enzymes are expressed at which stage during fetal lung development. Thereafter, we review the knowledge concerning sex-specific aspects of lung growth and maturation. Special focus is given to alveolar epithelial Na transport as a driver of perinatal lung transition and the sex differences that were noted in this process.

Citing Articles

Sex and gender differences during the lung lifespan: unveiling a pivotal impact.

Tondo P, Meschi C, Mantero M, Scioscia G, Siciliano M, Bradicich M Eur Respir Rev. 2025; 34(175).

PMID: 39971394 PMC: 11836673. DOI: 10.1183/16000617.0121-2024.


Sex-specific differences in the severity of pulmonary hypoplasia in experimental congenital diaphragmatic hernia and implications for extracellular vesicle-based therapy.

Doktor F, Lo E, Fortuna V, Khalaj K, Garcia M, Figueira R Pediatr Surg Int. 2024; 40(1):278.

PMID: 39467854 DOI: 10.1007/s00383-024-05856-0.


Betamethasone improved near-term neonatal lamb lung maturation in experimental maternal asthma.

Robinson J, Roff A, Hammond S, Darby J, Meakin A, Holman S Exp Physiol. 2024; 109(11):1967-1979.

PMID: 39436639 PMC: 11522833. DOI: 10.1113/EP091997.


What about sex, race(ism), and social determinants of health in neonatal outcomes?.

Chaudhary N, Meharwal A Front Pediatr. 2024; 12:1378370.

PMID: 39411278 PMC: 11473345. DOI: 10.3389/fped.2024.1378370.


Sex differences in airway disease: estrogen and airway surface liquid dynamics.

Harvey B, McElvaney N Biol Sex Differ. 2024; 15(1):56.

PMID: 39026347 PMC: 11264786. DOI: 10.1186/s13293-024-00633-z.


References
1.
Heljic S, Maksic H, Kalkan I, Krdalic B . The effects of antenatal corticosteroids and surfactant replacement on neonatal respiratory distress syndrome. Bosn J Basic Med Sci. 2009; 9(3):225-8. PMC: 5632507. DOI: 10.17305/bjbms.2009.2811. View

2.
Miller H, Futrakul P . Birth weight, gestational age, and sex as determining factors in the incidence of respiratory distress syndrome of prematurely born infants. J Pediatr. 1968; 72(5):628-35. DOI: 10.1016/s0022-3476(68)80005-8. View

3.
Fulton C, Cui T, Goldsmith A, Bermick J, Popova A . Gene Expression Signatures Point to a Male Sex-Specific Lung Mesenchymal Cell PDGF Receptor Signaling Defect in Infants Developing Bronchopulmonary Dysplasia. Sci Rep. 2018; 8(1):17070. PMC: 6244280. DOI: 10.1038/s41598-018-35256-z. View

4.
Torday J, Nielsen H, Fencl M, Avery M . Sex differences in fetal lung maturation. Am Rev Respir Dis. 1981; 123(2):205-8. DOI: 10.1164/arrd.1981.123.2.205. View

5.
Mooradian A, Morley J, Korenman S . Biological actions of androgens. Endocr Rev. 1987; 8(1):1-28. DOI: 10.1210/edrv-8-1-1. View