Separation of surfactant subtypes is now commonly used as a parameter
in assessing the amount of active compared with inactive material in v
arious models of lung injury. The protein content, morphology and surf
ace activity were determined of the heavy and light subtype isolated b
y differential centrifugation. Here we report the presence of surfacta
nt proteins B and C in the heavy subtype but not in the light subtype.
Adsorption studies revealed that separation of fast adsorbing broncho
alveolar lavage resulted in slowly adsorbing heavy and light subtypes.
Surfactant, reconstituted from heavy and light fractions, did not sho
w a high adsorption rate. It is concluded that the isolation procedure
s might result in a loss of fast adsorbing surfactant structures. Surf
ace area cycling was used as a model in vitro for the extracellular su
rfactant metabolism The heavy subtype is converted into the light subt
ype during conversion. Conversion performed with resuspended heavy sub
type revealed the generation of a disparate subtype. Furthermore it wa
s found that the conversion was dependent on preparation and handling
of the samples before cycling. Finally, adsorption studies at low surf
actant concentrations revealed a delayed adsorption of lipid-extracted
surfactants compared with natural surfactants. These observations emp
hasize the importance of the (surfactant-associated protein A-dependen
t) structural organization of surfactant lipids in the adsorption proc
ess.