Intraalveolar leukocyte accumulation is one of the hallmarks during respira
tory distress. In the intraalveolar space, leukocyte activation is mediated
by pathogens, cytokines, and different ligands binding to adhesion molecul
es. Leukocyte stimulation via the adhesion molecule L-selectin is specifica
lly induced by ligands expressed on leukocytes, platelets, endothelial cell
s, or lipopolysaccharide. Recently, we have demonstrated that leukocyte act
ivation by L-selectin transmits several intracellular signaling cascades re
sulting in capping and cytoskeletal changes, the activation of kinases and
neutral sphingomyelinase, the recruitment of adaptor proteins to the cell m
embrane, the activation of the small G-proteins Ras and Rac, and the releas
e of oxygen. In the present study, we examined the effects of surfactant on
L-selectin-induced signal transduction in leukocytes. Using fluorescence m
icroscopy, we provide evidence that preincubation of leukocytes with surfac
tant significantly inhibits receptor capping; 28 +/-7% of cells show cappin
g after L-selectin stimulation versus 8+/-5% and 3+/-1% of cells after prei
ncubation with Exosurf and Curosurf, respectively (p < 0.05). The activity
of the neutral sphingomyelinase in cell lysates is also modulated by surfac
tant. In addition, we show that the activation of the tyrosine kinase p561c
k is diminished by approximately 50% after surfactant treatment. This resul
ts in inhibition in tyrosine phosphorylation of certain intracellular prote
ins. The interaction of the L-selectin molecule with its antibody was not i
nfluenced by surfactant as shown by how cytometry. Surfactant inhibits intr
acellular signaling events of the L-selectin receptor in leukocytes and mig
ht therefore contribute to the modulatory effects of surfactant on immune f
unction.