Mice with surfactant protein (SP)-D deficiency have three to four times mor
e surfactant lipids in air spaces and lung tissue than control mice. We mea
sured multiple aspects of surfactant metabolism and function to identify ab
normalities resulting from SP-D deficiency. Relative to saturated phosphati
dylcholine (Sat PC), SP-A and SP-C were decreased in the alveolar surfactan
t and the large-aggregate surfactant fraction. Although large-aggregate sur
factant from SP-D gene-targeted [(-/-)] mice converted to small-aggregate s
urfactant more rapidly, surface tension values were comparable to values fo
r surfactant from SP-D wild-type [(-/-)] mice. I-125-SP-D was cleared with
a half-life of 7 h from SP-D(-/-) mice vs. 13 h in SP-D(+/+) mice. Although
initial incorporation and secretion rates for [H-3] palmitic acid and [C-1
4] choline into Sat PC were similar, the labeled Sat PC was lost from the l
ungs of SP-D(+/+) mice more rapidly than from SP-D(+/+) mice. Clearance rat
es of intratracheal [H-3] dipalmitoylphosphatidylcholine were used to estim
ate net clearances of Sat PC, which were approximately threefold higher for
alveolar and total lung Sat PC in SP-D(-/-) mice than in SP-D(+/+) mice. S
P-D deficiency results in multiple abnormalities in surfactant forms and me
tabolism that cannot be attributed to a single mechanism.