The role of maternal dietary fat in the regulation of fetal and newbor
n lung surfactant lipid synthesis has not been completely elucidated.
Dietary fat can modulate cell membrane phospholipid fatty acid composi
tion, resulting in altered membrane fluidity and affecting cellular fu
nctions, including binding to hormone receptors and the binding and ac
tivity of membrane-associated enzymes. Two examples are discussed that
support the hypothesis that exogenous fatty acids modulate phospholip
id synthesis in the lung. In the first example, long-chain unsaturated
fatty acids were found to inhibit glucocorticoid receptor binding in
L2 cells, suggesting that fatty acids may affect steroid responsivenes
s during different developmental stages of the lung. In the second exa
mple, a relationship was established between changes in membrane lipid
composition during lung development and the activity of cholinephosph
ate cytidylyltransferase, the rate-limiting enzyme in phosphatidylchol
ine synthesis. The effects demonstrated in these in vitro studies will
need to be confirmed by dietary studies of pregnant animals.