The hydrophobic proteins SP-B and SP-C are important components of natural
surfactant preparations currently used in clinical practice, and physiologi
cally active surfactants can be made from. isolated SP-B and/or SP-C recons
tituted with synthetic lipids. Efforts have been made to produce these poly
peptides, or analogues with similar function, by organic synthesis or expre
ssion in heterologous systems. It is important to obtain proper folding of
the synthetic peptides, as required for optimal interaction with the surfac
tant lipids. Another issue is to avoid loss of SP-C activity due to alpha -
helix to beta -sheet transition. This latter problem can be circumvented by
replacing the polyvaline stretch of SP-C with a polyleucine stretch contai
ning a few lysines. Palmitoylation of cysteines or serines at positions 5 a
nd 6 also seems important for the properties of SP-C. SP-B, which is too bi
g a molecule to be easily produced by organic synthesis, apparently can be
replaced in an artificial surfactant by a peptide capable of cross-linking
phospholipid bilayers. The development of synthetic analogues of the surfac
tant proteins might make it possible to tailor artificial surfactants for s
pecific therapeutic missions,for instance by enhancing resistance to inacti
vation by meconium, plasma proteins, or oxygen radicals or maximizing bacte
riostatic effects.