Lung

The human lungs flank the heart and great vessels in the chest cavity.

water enters and leaves the lungs via a conduit of cartilaginous passageways — the bronchi and bronchioles. In this image, lung tissue has been dissected away to reveal the bronchioles

The lung is the essential respiration organ in air-breathing animals, including most tetrapods, a few fish and a few snails. In mammals and the more complex life forms, the two lungs are located in the chest on either side of the heart. Their principal function is to transport oxygen from the atmosphere into the bloodstream, and to release carbon dioxide from the bloodstream into the atmosphere. This exchange of gases is accomplished in the mosaic of specialized cells that form millions of tiny, exceptionally thin-walled air sacs called alveoli.

In order to completely explain the anatomy of the lungs, it is necessary to discuss the passage of air through the mouth to the alveoli. Once air progresses through the mouth or nose, it travels through the oropharynx, nasopharynx, the larynx, the trachea, and a progressively subdividing system of bronchi and bronchioles until it finally reaches the alveoli where the gas exchange of carbon dioxide and oxygen takes place.

The drawing and expulsion of air (ventilation) is driven by muscular action; in early tetrapods, air was driven into the lungs by the pharyngeal muscles, whereas in reptiles, birds and mammals a more complicated musculoskeletal system is used.

Medical terms related to the lung often begin with pulmo-, from the Latin pulmonarius ("of the lungs"), or with pneumo- (from Greek πνεύμων "lung")

Mammalian lungs

Further information: [[:Human lung]]

The lungs of mammals have a spongy texture and are honeycombed with epithelium, having a much larger surface area in total than the outer surface area of the lung itself. The lungs of humans are a typical example of this type of lung.

Breathing is largely driven by the muscular diaphragm at the bottom of the thorax. Contraction of the diaphragm pulls the bottom of the cavity in which the lung is enclosed downward, increasing volume and thus decreasing pressure, causing air to flow into the airways. Air enters through the oral and nasal cavities; it flows through the larynx and into the trachea, which branches out into the main bronchi and then subsequent divisions. During normal breathing, expiration is passive and no muscles are contracted (the diaphragm relaxes). The rib cage itself is also able to expand and contract to some degree, through the action of other respiratory and accessory respiratory muscles. As a result, air is sucked into or expelled out of the lungs. This type of lung is known as a bellows lung as it resembles a blacksmith's bellows.

Anatomy

In humans, the trachea divides into the two main bronchi that enter the roots of the lungs. The bronchi continue to divide within the lung, and after multiple divisions, give rise to bronchioles. The bronchial tree continues branching until it reaches the level of terminal bronchioles, which lead to alveolar sacs. Alveolar sacs are made up of clusters of alveoli, like individual grapes within a bunch. The individual alveoli are tightly wrapped in blood vessels and it is here that gas exchange actually occurs. Deoxygenated blood from the heart is pumped through the pulmonary artery to the lungs, where oxygen diffuses into blood and is exchanged for carbon dioxide in the hemoglobin of the erythrocytes. The oxygen-rich blood returns to the heart via the pulmonary veins to be pumped back into systemic circulation.

File:Diagrama de los pulmones.svg

1:Trachea 2:Pulmonary artery 3:Pulmonary vein 4:Alveolar duct 5:Alveoli 6:Cardiac notch 7:Bronchioles 8:Tertiary bronchi 9:Secondary bronchi 10:Primary bronchi 11:Larynx

Human lungs are located in two cavities on either side of the heart. Though similar in appearance, the two are not identical. Both are separated into lobes by fissures, with three lobes on the right and two on the left. The lobes are further divided into segments and then into lobules, hexagonal divisions of the lungs that are the smallest subdivision visible to the naked eye. The connective tissue that divides lobules is often blackened in smokers and city dwellers. The medial border of the right lung is nearly vertical, while the left lung contains a cardiac notch. The cardiac notch is a concave impression molded to accommodate the shape of the heart. Lungs are to a certain extent 'overbuilt' and have a tremendous reserve volume as compared to the oxygen exchange requirements when at rest. This is one of the reasons that individuals can smoke for years without having a noticeable decrease in lung function while still or moving slowly; in situations like these only a small portion of the lungs are actually perfused with blood for gas exchange. As oxygen requirements increase due to exercise, a greater volume of the lungs is perfused, allowing the body to match its CO₂/O₂ exchange requirements.

The environment of the lung is very moist, which makes it hospitable for bacteria. Many respiratory illnesses are the result of bacterial or viral infection of the lungs. Inflammation of the lungs is known as pneumonia; inflammation of the pleura surrounding the lungs is known as pleurisy.

Vital capacity is the maximum volume of air that a person can exhale after maximum inhalation; it can be measured with a spirometer. In combination with other physiological measurements, the vital capacity can help make a diagnosis of underlying lung disease.

Non respiratory functions

In addition to their function in respiration, the lungs also:

• alter the pH of blood by facilitating alterations in the partial pressure of carbon dioxide
• filter out small blood clots formed in veins
• filter out gas micro-bubbles occurring in the venous blood stream such as those created after scuba diving during decompression.
• influence the concentration of some biologic substances and drugs used in medicine in blood
• convert angiotensin I to angiotensin II by the action of angiotensin-converting enzyme
• may serve as a layer of soft, shock-absorbent protection for the heart, which the lungs flank and nearly enclose.

Reptilian lungs

Reptilian lungs are typically ventilated by a combination of expansion and contraction of the ribs via axial muscles and buccal pumping. Crocodilians also rely on the hepatic piston method, in which the liver is pulled back by a muscle anchored to the pubic bone (part of the pelvis), which in turn pulls the bottom of the lungs backward, expanding them.

Amphibian lungs

The lungs of most frogs and other amphibians are simple balloon-like structures, with gas exchange limited to the outer surface area of the lung. This is not a very efficient arrangement, but amphibians have low metabolic demands and also frequently supplement their oxygen supply by diffusion across the moist outer skin of their bodies. Unlike mammals, which use a breathing system driven by negative pressure, amphibians employ positive pressure. The majority of salamander species are lungless salamanders which conduct respiration through their skin and the tissues lining their mouth. The only other known lungless tetrapods are also amphibians — the Bornean Flat-headed Frog (Barbourula kalimantanensis) and Atretochoana eiselti, a caecilian.

Invertebrate lungs

Some invertebrates have "lungs" that serve a similar respiratory purpose as, but are not evolutionarily related to, vertebrate lungs. Some arachnids have structures called "book lungs" used for atmospheric gas exchange. The Coconut crab uses structures called Branchiostegal lungs to breathe air and indeed will drown in water, hence it breathes on land and holds its breath underwater. The Pulmonata are an order of snails and slugs that have developed "lungs".

Origins of the vertebrate lung

The lungs of today's terrestrial vertebrates and the gas bladders of today's fish have evolved from simple sacs (outpocketings) of the esophagus that allowed early fish to gulp air under oxygen-poor conditions. These outpocketings first arose in the bony fish; in the ray-finned fish the sacs evolved into gas bladders, while in the lobe-finned fish they evolved into lungs. Several lobe-finned fish have lungs, for instance lungfish, gar and bichir. The lobe-finned fish gave rise to the land-based tetrapods. Thus the lungs of vertebrates are homologous to the gas bladders of fish (but not to their gills). This is reflected by the fact that the lungs of a fetus also develop from an outpocketing of the esophagus and in the case of gas bladders, this connection to the gut continues to exist as the pneumatic duct in more "primitive" teleosts, and is lost in the higher orders. (This is an instance of correlation between ontogeny and phylogeny.) No known animals have both a gas bladder and lungs.

See also

• Alveolar-capillary barrier
• Asthma
• Bronchus
• Gills
• Bronchitis
• Pulmonology
• Lung volumes
• Cardiothoracic surgery
• Chronic obstructive pulmonary disease
• Liquid breathing
• Mechanical ventilation
• Drowning
• Dry drowning
• Pneumothorax
• Pneumonia
• Pulmonary contusion
• American Lung Association
• Left lung
• Right lung

Further reading

• Lung Function Fundamentals. http://www.anaesthetist.com/icu/organs/lung/lungfx.htm
• Dr D.R. Johnson: Introductory anatomy, respiratory system
• Franlink Institute Online: The Respiratory System
• Lungs 'best in late afternoon'
• Chronic Respiratory Disease - leading research and articles on respiratory disease.

• Avian lungs and respiration

Footnotes

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