Function and Disorders of the Alveoli

Tiny Sacs in the Lung That Exchange Oxygen and Carbon Dioxide

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Alveoli are an important part of the respiratory system. The respiratory system is the part of your body that helps you breathe. 

Alveoli are tiny, balloon-shaped air sacs. Their job is to move oxygen and carbon dioxide (CO2) molecules into and out of your bloodstream.

This article will discuss the structure and function of the alveoli. It will also describe some of the medical conditions that can affect the alveoli.

What Are Alveoli?
Verywell / JR Bee 

Structure of the Alveoli

Alveoli are tiny balloon-shaped structures. They are the smallest structures in the respiratory system.

The alveoli are arranged in clusters throughout the lungs. They sit at the ends of the branches of your respiratory tree. This is the term used to describe the tree-like structure of passageways that brings air into the lungs.

The walls of the alveoli are very thin. This lets oxygen and CO2 pass easily between the alveoli and capillaries, which are very small blood vessels.

One cubic millimeter of lung tissue contains around 170 alveoli. Human lungs have a surface area of roughly 70 square meters.

Though the total number varies from person to person, this means there are millions of alveoli in a person's lungs.

Cells of the Alveoli

The alveoli are made up of two different types of cells. Each type has different functions:

  • Type I pneumocytes. These are the cells responsible for the exchange of oxygen and CO2.
  • Type II pneumocytes. These cells perform two important functions. They produce surfactant, which helps keep the balloon shape from collapsing. They can also turn into type I cells in order to repair damage.

Alveoli also contain immune cells called alveolar macrophages. Macrophages are like the garbage trucks of the immune system. These cells phagocytize, or eat debris.

Macrophages clean up any particles that are breathed in and make it to the alveoli. They also remove dead cells and bacteria.

What the Alveoli Do

Alveoli are the endpoint of the respiratory system. The respiratory process starts when you inhale air into your mouth or nose. The air travels down the trachea, also called the windpipe. Then the air travels through airways called the bronchi and into the lungs.

From there, the air is directed through smaller and smaller passages, called bronchioles. The air moves through a tiny duct called the alveolar duct and finally enters an individual alveolus.

Alveoli are lined by a fluid called surfactant. This fluid maintains the shape of the air sac and helps keep it open so that oxygen and CO2 can pass.

At this point, the oxygen molecules move through a single layer of lung cells in the alveolus, then through a single cell layer in a capillary to enter the bloodstream.

CO2 is a byproduct of the process in cells that uses oxygen to produce energy. As oxygen moves out of the alveolus, CO2 molecules pass into it. They are then breathed out of the body through the nose or mouth.

Alveoli in the lungs.
Alveoli in the lungs.

Dorling Kindersley / Getty Images

Oxygen can pass from the alveoli to the capillaries because the concentration of oxygen is lower in the capillaries than in alveoli.

Similarly, CO2 moves the other way because the concentration of carbon dioxide is lower in the alveoli than in the capillaries.

Your diaphragm is the muscle that controls your breathing. When you inhale, your diaphragm contracts. This creates negative pressure in your chest, causing the alveoli to expand and pull in air. When you exhale, your diaphragm relaxes. This causes the alveoli to recoil or spring back, pushing out air.


The alveoli exchange oxygen and carbon dioxide in the lungs. Oxygen is needed for the body's cells to make energy. Carbon dioxide is a waste product of that process.

Medical Conditions That Affect the Alveoli

Certain medical conditions can directly affect the alveoli. These are called alveolar lung diseases.

These diseases can cause the alveoli to become inflamed and scarred. Some diseases may also cause them to fill with water, pus, or blood. Inflammation or infection within the alveoli can damage them.

The alveoli will only function correctly if they're inflated the right amount. Some conditions and injuries can cause this balance to be off:

  • Overdistention: This means the alveoli have been stretched. A healthy connective tissue support system usually prevents this. The use of mechanical ventilation, or a respirator that helps a patient breathe, can cause overdistention.
  • Surfactant dysfunction: Surfactant prevents the alveoli from collapsing between breaths. Medical conditions like respiratory distress syndrome in infants can cause problems with surfactant function. Certain genetic conditions can also cause this. These problems can cause alveoli to collapse, making it harder for the lungs to work.

A number of medical conditions involve the alveoli. These include:


Pneumonia is a lung infection. It can be caused by bacteria, viruses, or fungus. Pneumonia causes inflammation in the alveoli in one or both lungs. The inflamed alveoli fill with pus, which makes breathing difficult.


Emphysema is a chronic, or long-term lung disease. It usually develops in people with a long history of smoking. Emphysema patients have inflammation in their lungs. This causes the destruction of alveoli.

The alveoli that remain do not work as well. They lose their ability to stretch or spring back when a patient exhales. This leads to a condition called air trapping, which means air remains in the lungs even after exhaling.

Emphysema patients usually have more trouble exhaling than inhaling. The inability to expel air from the lungs leads to more stretching of the alveoli. This increases the loss of function.


Tuberculosis (TB) is an infectious disease caused by bacteria. The disease causes the growth of nodules (masses) in lung tissue. TB bacteria multiply in the alveoli. The disease can cause the destruction of alveolar cells.

Alveolar Proteinosis

Pulmonary alveolar proteinosis (PAP) is a rare disease. PAP causes proteins to accumulate in the alveoli. It is most often an autoimmune condition, in which the immune system attacks healthy cells.

PAP usually occurs in adults aged 20 to 50. It may also occur as a congenital condition. Congenital conditions are present at birth.

Bronchioloalveolar Carcinoma

Bronchioloalveolar carcinoma (BAC) is a type of lung cancer. It is a subtype of lung adenocarcinoma, one of the most common types of lung cancer. BAC begins in the alveoli and is often found in one or both lungs.

Acute Respiratory Distress Syndrome

Acute respiratory distress syndrome (ARDS) is a life-threatening lung condition. In ARDS, fluids accumulate in the alveoli. This prevents oxygen from getting to the lungs. ARDS is common in critically ill patients.

Respiratory Distress Syndrome

Respiratory distress syndrome (RDS) is seen in premature babies. Babies born too early do not have enough surfactant lining the alveoli. This means there is less surface area available for the exchange of oxygen and CO2.

Pulmonary Edema

Pulmonary edema is a condition caused by excess fluid in the lungs. This fluid collects in the alveoli and can cause respiratory failure. Respiratory failure is when your blood does not get enough oxygen.


Many medical conditions involve the alveoli. These conditions can be long-term or short-term. Some can lead to respiratory failure.

How Smoking Affects the Alveoli

Smoking is an important risk factor for lung disease. Tobacco smoke affects the respiratory tract at every level. This includes the alveoli.

Cigarette smoke affects how the alveoli work. Smoke causes damage down to the molecular level. It disrupts your body's ability to repair itself after an infection or trauma. If exposure to smoke continues, alveolar damage continues to worsen.


The alveoli are an important part of the respiratory system. They are responsible for moving oxygen into, and CO2 out of, the bloodstream.

Diseases that affect the alveoli can cause serious health problems. These include chronic lung conditions like emphysema and tuberculosis. Certain cancers can also begin in the alveoli.

Other diseases, like pneumonia, are short-term but still serious. Some conditions that affect the alveoli can lead to respiratory failure.

Smoking is an important risk factor for lung disease. Quitting smoking can lower your risk of developing diseases related to the alveoli.

A Word From Verywell

The alveoli perform one of the body's most important functions. They are the gateway through which oxygen enters the bloodstream. They are also the primary way that the waste product carbon dioxide exits the body.

Diseases that damage the alveoli affect the entire body. Damaged alveoli deliver less oxygen to tissues. This is called hypoxia. Hypoxia can cause damage to every major organ.

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3 Sources
Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
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