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Alveolar capillary dysplasia
Naomi B Bishop1, Pawel Stankiewicz, Robin H Steinhorn
1Pediatric Critical Care Medicine, Weill Cornell Medical College, New York, NY 10065, USA. bishopn@med.cornell.edu
Abstract:
Alveolar capillary dysplasia with misalignment of the pulmonary veins (ACD/MPV) is a rare, fatal developmental lung disorder of neonates and infants. This review aims to address recent findings in the etiology and genetics of ACD/MPV and to raise awareness of this poorly known disease, which may also present as milder, unclassified forms. Successively discussed are what is known about the epidemiology, pathogenesis, pathophysiology, diagnostic indicators and approaches, genetic testing, treatment, and cases of delayed onset. The review concludes with suggestions for future directions to answer the many unknowns about this disorder.
Insights
Alveolar capillary dysplasia with misalignment of the pulmonary veins (ACD/MPV) is a rare, fatal infant lung disorder. This review covers recent findings on its causes, genetics, and diagnosis, aiming to improve awareness and future research.
Area of Science:
- Pediatric Pulmonology
- Developmental Biology
- Medical Genetics
Background:
- Alveolar capillary dysplasia with misalignment of the pulmonary veins (ACD/MPV) is a rare, fatal neonatal and infant lung disorder.
- The disease is poorly understood and may present with milder, unclassified forms.
- Limited awareness and research hinder diagnosis and treatment.
Purpose of the Study:
- To review recent findings on the etiology and genetics of ACD/MPV.
- To raise awareness of this rare developmental lung disorder.
- To consolidate current knowledge on epidemiology, pathogenesis, diagnosis, and treatment.
Main Methods:
- Comprehensive literature review of recent studies on ACD/MPV.
- Synthesis of information on genetic testing, diagnostic approaches, and pathophysiology.
- Discussion of treatment strategies and delayed onset cases.
Main Results:
- Recent advances in understanding the genetic basis and pathogenesis of ACD/MPV.
- Identification of diagnostic indicators and emerging diagnostic approaches.
- Recognition of milder and delayed-onset presentations of the disorder.
Conclusions:
- ACD/MPV remains a significant challenge due to its rarity and severity.
- Further research is crucial to elucidate the many unknowns surrounding ACD/MPV.
- Increased awareness and improved diagnostic tools are needed for better patient outcomes.
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