Structure and Function

Pulmonary system provides the most intimate interface with the external environment .  epresents the largest body surface area exposed to the environment

A coronally reformatted 3D image revealing the bronchial anatomy, from the trachea, (about) 1.6cms mainstem bronchi to the medium sized airways and finally to the small airways (2mm and less).
TheCommonVein.net 32679
Alveolus
Parts and Bonds
Ashley Davidoff MD

Size

The surface area of the alveoli is equal to about  1/2 a tennis court.  A tennis court is  78 by 36 feet equal to an area of 2,808 sq feet. Estimates for the surface area for the alveoli  are between  800-1100 sq feet.

The skin in comparison of an adult is approximately 22 square feet

The surface area of the lungs is as large as 1/2 a tennis court which is 78 by 36 feet equal to an area of 2,808 sq feet. (estimates 800-1100 sq feet )

 

Each day, the lungs are exposed to 7,000 L of air and all it contains.

  • At the level of the alveoli where gas exchange occurs, the biological barrier presents as an extremely attenuated interface composed of the
    • surfactant
    • 1 cell layer thick membranes
      • alveolar lining and its lamina base
      • endothelial lining and its fused basal lamina.
    • Cellular Makeup of the Normal Alveolus
      The diagram shows the lining of the normal alveolus composed of type 1 pneumocyte squamous in nature and the cuboidal cell (type pneumocyte) which rest on a lamina propria, and basement membrane (not shown) shared with the inner endothelial layer of the capillary. Intra-alveolar macrophage lies within the alveolar lumen
      Ashley Davidoff
      TheCommonVein.net
  • Surfactant
    • first line of defense against immunological, biological and non-biological threats
    • thickness
      •  less than 0.1 ?m
    • major components are
      • phospholipids – 90%
      • proteins
Alveolus at a Cytologic Level
The diagram shows an alveolus (a) above, lined by a single layer of squamous cells, surrounded by a capillary with red cells which is also lined by a single layer of squamous endothelial cells . The images below show progressive magnification of the alveolar wall demonstrating the two thin layer of the alveolar membrane .
Courtesy Ashley Davidoff 2019
lungs-0028-low res

Cellular Environment

In order to protect this thin surface from the chemical and biological environment, the immune mechanisms at the interface have to be quite sophisticated  There are about  40 different cell types have been described in the lining tissues, bronchial tree and respiratory tissues

Macrophage
Ashley Davidoff MD
The Alveolus –
The Buck Ends Here
The alveolus is lined by a simple epithelium ? one cell layer thick. There are two types of lining cells; Type 1 pneumocytes are squamous cells that cover 90% of the surface of the inner lining of the lung , and type II cuboidal pneumocytes that are in fact much more numerous than Type I. They are involved in the production of surfactant . In the lumen there are resident macrophages which play a crucial role in the immune system. The mucosa is grounded by a basement membrane and a lamina propria, and connected to the lamina propria and basement membrane of the surrounding capillary. The alveolus is lined by a thin layer of surfactant. (teal blue)
Ashley Davidoff
TheCommonVein.net

 

Links and References

Scott, J.E The Pulmonary Surfactant: Impact of Tobacco Smoke and Related Compounds on Surfactant and Lung Development
 Tob Induc Dis. 2004; 2(1): 3?25.