A. Baritussio et al., SP-A, SP-B, AND SP-C IN SURFACTANT SUBTYPES AROUND BIRTH - REEXAMINATION OF ALVEOLAR LIFE-CYCLE OF SURFACTANT, The American journal of physiology, 266(4), 1994, pp. 120000436-120000447
Transformations of surfactant after secretion are incompletely underst
ood. To clarify them, we lavaged lungs in fetuses and in newborn rabbi
ts, fractionated the lavage fluid by differential and density gradient
centrifugation, and analyzed the distribution of surfactant protein (
SP) phospholipids, SP-A, SP-B, and SP-C. Furthermore, we administered
into trachea of newborn rabbits labeled surfactant and compared the al
veolar clearance of SP-A, SP-B, SP-C and saturated phosphatidylcholine
. We found that, in the fetus, secreted lamellar bodies contain all co
mponents of surfactant, except a small amount of SP-A. As breathing st
arts and new surfactant subtypes are generated, the proteins are mostl
y associated with dense subtypes, but SP-B and SP-C are especially con
centrated in dense materials that contain minor amounts of phospholipi
ds and SP-A. Furthermore, we found that, during breathing, alveolar su
rfactant is degraded into more than one type of remnant, that the lava
ge fluid contains a pool of SP-A not associated with membranes, and th
at SP-A, SP-B, and SP-C are all turned over at a faster rate than satu
rated phosphatidylcholine.