Human peritoneal dialysis effluent (PDE) contains a phosphatidylcholin
e-rich compound similar to the surfactant that lines lung alveoli. Thi
s material is secreted by mesothelial cells. Lung surfactant is also c
haracterized by four proteins essential to its function. After having
long been considered as lung-specific, some of them have been found in
gastric and intestinal epithelial cells. To explore further the simil
arity between lung and peritoneal surfactants, we investigated whether
mesothelial cells also produce surfactant proteins. We used rat trans
parent mesentery, human visceral peritoneum biopsies and PDE. Surfacta
nt proteins were searched for after one-and two-dimensional SDS/ PAGE
and Western blotting. On a one-dimensional Western blot, bands at 38 a
nd 66 kDa in rat mesentery, and at 38 and 66 kDa in human peritoneal m
esothelial cells (in vivo and in vitro) and PDE, corresponded to monom
eric and dimeric forms of lung surfactant protein A (SP-A). On two-dim
ensional Western blots, the 32 and 38 kDa spots in mesentery and PDE l
ocalized at the acidic pH appropriate to the SP-A monomer's isoelectri
c point. SP-D was also identified at the same 43 kDa molecular mass as
in lung. SP-B was not detected in mesenteric samples. Expression of S
P mRNA species was also assessed by reverse transcriptase-PCR, which w
as performed with specific primers of surfactant protein cDNA sequence
s. With primers of SP-A and SP-D, DNA fragments of the same size were
amplified in lung and mesentery, indicating the presence of SP-A and S
P-D mRNA species. These fragments were labelled by appropriate probes
in a Southern blot. No amplification was obtained for SP-B. These resu
lts show that mesentery cells produce SP-A and SPD, although they are
of embryonic origin (mesodermal) and are different from those of the l
ung and digestive tract (endodermal) that secrete these surfactants.