Pulmonary surfactant protein B (SP-B) is a 79 amino acid peptide that is in
timately associated with surfactant phospholipids in the alveolar airspace,
Mutations of the SP-B gene that result in complete absence of SP-B are inv
ariably fatal in the neonatal period. The pathology associated with SP-B de
ficiency suggests that SP-B plays a critical role in integrating the synthe
sis, assembly a nd metabolism of the surfactant complex. A strategy is desc
ribed to elucidate the role of SP-B in surfactant homeostasis by characteri
zing the pathophysiology associated with cell specific expression of SP-B c
onstructs in vivo. Human SP-B constructs, under control of lung cell-specif
ic promoters, were expressed in SP-B knockout mice in order to achieve expr
ession of the human transgene in a null background. The effect of transgene
expression on lung structure and function was assessed by biochemical, mor
phological and physiological analyses of the surfactant system in fetal and
postnatal offspring.