dPattle, who provided some of the initial direct evidence for the presence
of pulmonary surfactant in the lung, was also the first to show surfactant
was susceptible to proteases such as trypsin. Pattle concluded surfactant w
as a lipoprotein, Our group has investigated the roles of the surfactant pr
oteins (SP-) SP-A, SP-B, and SP-C using a captive bubble tensiometer. These
studies show that SP-C > SP-B > SP-A in enhancing surfactant lipid adsorpt
ion (film formation) to the equilibrium surface tension of similar to 22-25
mN/m from the 70 mN/m of saline at 37 degreesC, In addition to enhancing a
dsorption, surfactant proteins can stabilize surfactant films so that later
al compression induced through surface area reduction results in the loweri
ng of surface tension (gamma) from similar to 25 mN/m (equilibrium) to valu
es near 0 mN/m. These low tensions, which are required to stabilize alveoli
during expiration, are thought to arise through exclusion of fluid phospho
lipids from the surface monolayer, resulting in an enrichment in the gel ph
ase component dipalmitoylphosphatidylcholine (DPPC), The results are consis
tent with DPPC enrichment occurring through two mechanisms, selective DPPC
adsorption and preferential squeeze-out of fluid components such as unsatur
ated phosphatidylcholine (PC) and phospharidylglycerol (PG) from the monola
yer, Evidence for selective DPPC adsorption arises from experiments showing
that the surface area reductions required to achieve gamma near 0 mN/m wit
h DPPC/PG samples containing SP-B or SP-A plus SP-B films were less than th
ose predicted for a pure squeeze-out mechanism. Surface activity improves d
uring quasi-static or dynamic compression-expansion cycles, indicating the
squeeze-out mechanism also occurs. Although SP-C was not as effective as SP
-B in promoting selective DPPC adsorption, this protein is more effective i
n promoting the reinsertion of lipids forced out of the surface monolayer f
ollowing overcompression at low gamma values. Addition of SP-A to samples c
ontaining SP-B but not SP-C limits the increase in gamma during expansion.
It is concluded that the surfactant apoproteins possess distinct overlappin
g functions. SP-B is effective in selective DPPC insertion during monolayer
formation and in PG squeeze-out during monolayer compression. SP-A can pro
mote adsorption during film formation, particularly in the presence of SP-B
. SP-C appears to have a superior role to SP-B in formation of the surfacta
nt reservoir and in reinsertion of collapse phase lipids. (C) 2001 Elsevier
Science Inc, All rights reserved.