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Published in: Respiratory Research 1/2001

Open Access 01-12-2002 | Review

Lung surfactant in subacute pulmonary disease

Authors: Gehan Devendra, Roger G Spragg

Published in: Respiratory Research | Issue 1/2001

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Abstract

Pulmonary surfactant is a surface active material composed of both lipids and proteins that is produced by alveolar type II pneumocytes. Abnormalities of surfactant in the immature lung or in the acutely inflamed mature lung are well described. However, in a variety of subacute diseases of the mature lung, abnormalities of lung surfactant may also be of importance. These diseases include chronic obstructive pulmonary disease, asthma, cystic fibrosis, interstitial lung disease, pneumonia, and alveolar proteinosis. Understanding of the mechanisms that disturb the lung surfactant system may lead to novel rational therapies for these diseases.
Literature
1.
go back to reference Crouch E, Wright JR: Surfactant proteins A and D and pulmonary host defense. Annu Rev Physiol 2001, 63:521–554.CrossRefPubMed Crouch E, Wright JR: Surfactant proteins A and D and pulmonary host defense. Annu Rev Physiol 2001, 63:521–554.CrossRefPubMed
2.
go back to reference Enhorning G, Duffy LC, Welliver RC: Pulmonary surfactant maintains patency of conducting airways in the rat. Am J Respir Crit Care Med 1995, 151:554–556.CrossRefPubMed Enhorning G, Duffy LC, Welliver RC: Pulmonary surfactant maintains patency of conducting airways in the rat. Am J Respir Crit Care Med 1995, 151:554–556.CrossRefPubMed
3.
go back to reference Veletza SV, Rogan PK, TenHave T, Olowe SA, Floros J: Racial differences in allelic distribution at the human pulmonary surfactant protein B gene locus (SP-B). Exp Lung Res 1996, 22:489–494.CrossRefPubMed Veletza SV, Rogan PK, TenHave T, Olowe SA, Floros J: Racial differences in allelic distribution at the human pulmonary surfactant protein B gene locus (SP-B). Exp Lung Res 1996, 22:489–494.CrossRefPubMed
4.
go back to reference Nogee LM, Dunbar AE, Wert SE, Askin F, Hamvas A, Whitsett JA: A mutation in the surfactant protein C gene associated with familial interstitial lung disease. N Engl J Med 2001, 344:573–579.CrossRefPubMed Nogee LM, Dunbar AE, Wert SE, Askin F, Hamvas A, Whitsett JA: A mutation in the surfactant protein C gene associated with familial interstitial lung disease. N Engl J Med 2001, 344:573–579.CrossRefPubMed
5.
go back to reference Wang Z, Notter RH: Additivity of protein and nonprotein inhibitors of lung surfactant activity. Am J Respir Crit Care Med 1998, 158:28–35.CrossRefPubMed Wang Z, Notter RH: Additivity of protein and nonprotein inhibitors of lung surfactant activity. Am J Respir Crit Care Med 1998, 158:28–35.CrossRefPubMed
6.
go back to reference Zhu S, Basiouny KF, Crow JP, Matalon S: Carbon dioxide enhances nitration of surfactant protein A by activated alveolar macrophages. Am J Physiol Lung Cell Mol Physiol 2000, 278:L1025-L1031.PubMed Zhu S, Basiouny KF, Crow JP, Matalon S: Carbon dioxide enhances nitration of surfactant protein A by activated alveolar macrophages. Am J Physiol Lung Cell Mol Physiol 2000, 278:L1025-L1031.PubMed
7.
go back to reference Hohlfeld J, Fabel H, Hamm H: The role of pulmonary surfactant in obstructive airways disease. Eur Respir J 1997, 10:482–491.CrossRefPubMed Hohlfeld J, Fabel H, Hamm H: The role of pulmonary surfactant in obstructive airways disease. Eur Respir J 1997, 10:482–491.CrossRefPubMed
8.
go back to reference Kurashima K, Fujimura M, Matsuda T, Kobayashi T: Surface activity of sputum from acute asthmatic patients. Am J Respir Crit Care Med 1997, 155:1254–1259.CrossRefPubMed Kurashima K, Fujimura M, Matsuda T, Kobayashi T: Surface activity of sputum from acute asthmatic patients. Am J Respir Crit Care Med 1997, 155:1254–1259.CrossRefPubMed
9.
go back to reference Liu M, Wang L, Enhorning G: Surfactant dysfunction develops when the immunized guinea-pig is challenged with ovalbumin aerosol. Clin Exp Allergy 1995, 25:1053–1060.CrossRefPubMed Liu M, Wang L, Enhorning G: Surfactant dysfunction develops when the immunized guinea-pig is challenged with ovalbumin aerosol. Clin Exp Allergy 1995, 25:1053–1060.CrossRefPubMed
10.
go back to reference Becher G: Lung surfactant prevents allergic bronchial constriction in ovalbumin sensitized guinea pigs. Biomed Biochim Acta 1985, 44:K57-K61.PubMed Becher G: Lung surfactant prevents allergic bronchial constriction in ovalbumin sensitized guinea pigs. Biomed Biochim Acta 1985, 44:K57-K61.PubMed
11.
go back to reference Cheng G, Ueda T, Sugiyama K, Toda M, Fukuda T: Compositional and functional changes of pulmonary surfactant in a guinea-pig model of chronic asthma. Respir Med 2001, 95:180–186.CrossRefPubMed Cheng G, Ueda T, Sugiyama K, Toda M, Fukuda T: Compositional and functional changes of pulmonary surfactant in a guinea-pig model of chronic asthma. Respir Med 2001, 95:180–186.CrossRefPubMed
12.
go back to reference Oetomo SB, Dorrepaal C, Bos H, Gerritsen J, van der Mark TW, Koeter GH, van Aalderen WM: Surfactant nebulization does not alter airflow obstruction and bronchial responsiveness to histamine in asthmatic children. Am J Respir Crit Care Med 1996, 153:1148–1152.CrossRefPubMed Oetomo SB, Dorrepaal C, Bos H, Gerritsen J, van der Mark TW, Koeter GH, van Aalderen WM: Surfactant nebulization does not alter airflow obstruction and bronchial responsiveness to histamine in asthmatic children. Am J Respir Crit Care Med 1996, 153:1148–1152.CrossRefPubMed
13.
go back to reference Kurashima K, Ogawa H, Ohka T, Fujimura M, Matsuda T, Kobayashi T: A pilot study of surfactant inhalation in the treatment of asthmatic attack. Arerugi 1991, 40:160–163.PubMed Kurashima K, Ogawa H, Ohka T, Fujimura M, Matsuda T, Kobayashi T: A pilot study of surfactant inhalation in the treatment of asthmatic attack. Arerugi 1991, 40:160–163.PubMed
14.
go back to reference Wirtz HR, Schmidt M: Acute influence of cigarette smoke on secretion of pulmonary surfactant in rat alveolar type II cells in culture. Eur Respir J 1996, 9:24–32.CrossRefPubMed Wirtz HR, Schmidt M: Acute influence of cigarette smoke on secretion of pulmonary surfactant in rat alveolar type II cells in culture. Eur Respir J 1996, 9:24–32.CrossRefPubMed
15.
go back to reference Repine JE, Bast A, Lankhorst I: Oxidative stress in chronic obstructive pulmonary disease. Oxidative Stress Study Group. Am J Respir Crit Care Med 1997, 156:341–357.CrossRefPubMed Repine JE, Bast A, Lankhorst I: Oxidative stress in chronic obstructive pulmonary disease. Oxidative Stress Study Group. Am J Respir Crit Care Med 1997, 156:341–357.CrossRefPubMed
16.
go back to reference Honda Y, Takahashi H, Kuroki Y, Akino T, Abe S: Decreased contents of surfactant proteins A and D in BAL fluids of healthy smokers. Chest 1996, 109:1006–1009.CrossRefPubMed Honda Y, Takahashi H, Kuroki Y, Akino T, Abe S: Decreased contents of surfactant proteins A and D in BAL fluids of healthy smokers. Chest 1996, 109:1006–1009.CrossRefPubMed
17.
go back to reference Anzueto A, Jubran A, Ohar JA, Piquette CA, Rennard SI, Colice G, Pattishall EN, Barrett J, Engle M, Perret KA, Rubin BK: Effects of aerosolized surfactant in patients with stable chronic bronchitis: a prospective randomized controlled trial. JAMA 1997, 278:1426–1431.CrossRefPubMed Anzueto A, Jubran A, Ohar JA, Piquette CA, Rennard SI, Colice G, Pattishall EN, Barrett J, Engle M, Perret KA, Rubin BK: Effects of aerosolized surfactant in patients with stable chronic bronchitis: a prospective randomized controlled trial. JAMA 1997, 278:1426–1431.CrossRefPubMed
18.
go back to reference Griese M, Birrer P, Demirsoy A: Pulmonary surfactant in cystic fibrosis. Eur Respir J 1997, 10:1983–1988.CrossRefPubMed Griese M, Birrer P, Demirsoy A: Pulmonary surfactant in cystic fibrosis. Eur Respir J 1997, 10:1983–1988.CrossRefPubMed
19.
go back to reference von Bredow C, Birrer P, Griese M: Surfactant protein A and other bronchoalveolar lavage fluid proteins are altered in cystic fibrosis. Eur Respir J 2001, 17:716–722.CrossRefPubMed von Bredow C, Birrer P, Griese M: Surfactant protein A and other bronchoalveolar lavage fluid proteins are altered in cystic fibrosis. Eur Respir J 2001, 17:716–722.CrossRefPubMed
20.
go back to reference Griese M, Bufler P, Teller J, Reinhardt D: Nebulization of a bovine surfactant in cystic fibrosis: a pilot study. Eur Respir J 1997, 10:1989–1994.CrossRefPubMed Griese M, Bufler P, Teller J, Reinhardt D: Nebulization of a bovine surfactant in cystic fibrosis: a pilot study. Eur Respir J 1997, 10:1989–1994.CrossRefPubMed
21.
go back to reference Schmidt R, Meier U, Yabut-Perez M, Walmrath D, Grimminger F, Seeger W, Günther A: Alteration of fatty acid profiles in different pulmonary surfactant phospholipids in acute respiratory distress syndrome and severe pneumonia. Am J Respir Crit Care Med 2001, 163:95–100.CrossRefPubMed Schmidt R, Meier U, Yabut-Perez M, Walmrath D, Grimminger F, Seeger W, Günther A: Alteration of fatty acid profiles in different pulmonary surfactant phospholipids in acute respiratory distress syndrome and severe pneumonia. Am J Respir Crit Care Med 2001, 163:95–100.CrossRefPubMed
22.
go back to reference Mikawa K, Maekawa N, Nishina K, Takao Y, Yaku H, Obara H: Selective intrabronchial instillation of surfactant in a patient with pneumonia: a preliminary report. Eur Respir J 1993, 6:1563–1566.PubMed Mikawa K, Maekawa N, Nishina K, Takao Y, Yaku H, Obara H: Selective intrabronchial instillation of surfactant in a patient with pneumonia: a preliminary report. Eur Respir J 1993, 6:1563–1566.PubMed
23.
go back to reference Günther A, Schmidt R, Nix F, Yabut-Perez M, Guth C, Rosseau S, Siebert C, Grimminger F, Morr H, Velcovsky HG, Seeger W: Surfactant abnormalities in idiopathic pulmonary fibrosis, hypersensitivity pneumonitis and sarcoidosis. Eur Respir J 1999, 14:565–573.CrossRefPubMed Günther A, Schmidt R, Nix F, Yabut-Perez M, Guth C, Rosseau S, Siebert C, Grimminger F, Morr H, Velcovsky HG, Seeger W: Surfactant abnormalities in idiopathic pulmonary fibrosis, hypersensitivity pneumonitis and sarcoidosis. Eur Respir J 1999, 14:565–573.CrossRefPubMed
24.
go back to reference Takahashi H, Kuroki Y, Tanaka H, Saito T, Kurokawa K, Chiba H, Sagawa A, Nagae H, Abe S: Serum levels of surfactant proteins A and D are useful biomarkers for interstitial lung disease in patients with progressive systemic sclerosis. Am J Respir Crit Care Med 2000, 162:258–263.CrossRefPubMed Takahashi H, Kuroki Y, Tanaka H, Saito T, Kurokawa K, Chiba H, Sagawa A, Nagae H, Abe S: Serum levels of surfactant proteins A and D are useful biomarkers for interstitial lung disease in patients with progressive systemic sclerosis. Am J Respir Crit Care Med 2000, 162:258–263.CrossRefPubMed
25.
go back to reference McCormack FX, King TEJ, Bucher BL, Nielsen L, Mason RJ, McCormac FX: Surfactant protein A predicts survival in idiopathic pulmonary fibrosis. Am J Respir Crit Care Med 1995, 152:751–759.CrossRefPubMed McCormack FX, King TEJ, Bucher BL, Nielsen L, Mason RJ, McCormac FX: Surfactant protein A predicts survival in idiopathic pulmonary fibrosis. Am J Respir Crit Care Med 1995, 152:751–759.CrossRefPubMed
26.
go back to reference Hamm H, Luhrs J, Guzman , Costabel U, Fabel H, Bartsch W: Elevated surfactant protein A in bronchoalveolar lavage fluids from sarcoidosis and hypersensitivity pneumonitis patients. Chest 1994, 106:1766–1770.CrossRefPubMed Hamm H, Luhrs J, Guzman , Costabel U, Fabel H, Bartsch W: Elevated surfactant protein A in bronchoalveolar lavage fluids from sarcoidosis and hypersensitivity pneumonitis patients. Chest 1994, 106:1766–1770.CrossRefPubMed
27.
go back to reference Reed JA, Ikegami M, Cianciolo ER, Lu W, Cho PS, Hull W, Jobe AH, Whitsett JA: Aerosolized GM-CSF ameliorates pulmonary alveolar proteinosis in GM-CSF-deficient mice. Am J Physiol 1999, 276:L556-L563.PubMed Reed JA, Ikegami M, Cianciolo ER, Lu W, Cho PS, Hull W, Jobe AH, Whitsett JA: Aerosolized GM-CSF ameliorates pulmonary alveolar proteinosis in GM-CSF-deficient mice. Am J Physiol 1999, 276:L556-L563.PubMed
28.
go back to reference Kitamura T, Tanaka N, Watanabe J, Uchida K, Kanegasaki S, Yamada Y, Nakata K: Idiopathic pulmonary alveolar proteinosis as an autoimmune disease with neutralizing antibody against granulocyte/macrophage colony-stimulating factor. J Exp Med 1999, 190:875–880.CrossRefPubMedPubMedCentral Kitamura T, Tanaka N, Watanabe J, Uchida K, Kanegasaki S, Yamada Y, Nakata K: Idiopathic pulmonary alveolar proteinosis as an autoimmune disease with neutralizing antibody against granulocyte/macrophage colony-stimulating factor. J Exp Med 1999, 190:875–880.CrossRefPubMedPubMedCentral
29.
go back to reference Doyle IR, Davidson KG, Barr HA, Nicholas TE, Payne K, Pfitzner J: Quantity and structure of surfactant proteins vary among patients with alveolar proteinosis. Am J Respir Crit Care Med 1998, 157:658–664.CrossRefPubMed Doyle IR, Davidson KG, Barr HA, Nicholas TE, Payne K, Pfitzner J: Quantity and structure of surfactant proteins vary among patients with alveolar proteinosis. Am J Respir Crit Care Med 1998, 157:658–664.CrossRefPubMed
30.
go back to reference Suzuki Y, Shen HQ, Sato A, Nagai S: Analysis of fused-membrane structures in bronchoalveolar lavage fluid from patients with alveolar proteinosis. Am J Respir Cell Mol Biol 1995, 12:238–249.CrossRefPubMed Suzuki Y, Shen HQ, Sato A, Nagai S: Analysis of fused-membrane structures in bronchoalveolar lavage fluid from patients with alveolar proteinosis. Am J Respir Cell Mol Biol 1995, 12:238–249.CrossRefPubMed
31.
go back to reference Kavuru MS, Sullivan EJ, Piccin R, Thomassen MJ, Stoller JK: Exogenous granulocyte-macrophage colony-stimulating factor administration for pulmonary alveolar proteinosis. Am J Respir Crit Care Med 2000, 161:1143–1148.CrossRefPubMed Kavuru MS, Sullivan EJ, Piccin R, Thomassen MJ, Stoller JK: Exogenous granulocyte-macrophage colony-stimulating factor administration for pulmonary alveolar proteinosis. Am J Respir Crit Care Med 2000, 161:1143–1148.CrossRefPubMed
Metadata
Title
Lung surfactant in subacute pulmonary disease
Authors
Gehan Devendra
Roger G Spragg
Publication date
01-12-2002
Publisher
BioMed Central
Published in
Respiratory Research / Issue 1/2001
Electronic ISSN: 1465-993X
DOI
https://doi.org/10.1186/rr168

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