Lung surfactant (LS) was examined in the course of chronic bronchitis
(CB) development in 25 subjects with CB risk factors (RF), 59 with pre
bronchitis (PB), 30 with chronic non-obstructive bronchitis (CNOB) and
45 with chronic obstructive bronchitis (COB). Biochemical study of th
e expirates covered total phospholipids (TP), fractions of neutral lip
ids, several fatty acids (FA), malonic dialdehyde (MDA), antiradical a
ctivity (ARA). Development of CB was accompanied with shifts in LS fun
ctional activity. In patients with RF the shifts reflected adaptation.
In PB, CNOB and COB patients LS got damaged. The damage was detected
by biochemical markers: elevated level of polyunsaturated FA, accumula
tion of MDA and low ARA.