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1 Division of Pulmonary Biology, Children's Hospital Medical Center, Cincinnati, Ohio 45229-3039; and 2 Pulmonary Section/Critical Care, Denver Health Medical Center, University of Colorado Health Sciences Center, Denver, Colorado 80204-4507
Mice with
surfactant protein (SP)-D deficiency have three to four times more
surfactant lipids in air spaces and lung tissue than control mice. We
measured multiple aspects of surfactant metabolism and function to
identify abnormalities resulting from SP-D deficiency. Relative to
saturated phosphatidylcholine (Sat PC), SP-A and SP-C were decreased in
the alveolar surfactant and the large-aggregate surfactant fraction.
Although large-aggregate surfactant from SP-D gene-targeted [(
/
)]
mice converted to small-aggregate surfactant more rapidly,
surface tension values were comparable to values for surfactant from
SP-D wild-type [(+/+)] mice. 125I-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
[3H]palmitic acid and [14C]choline into Sat
PC were similar, the labeled Sat PC was lost from the lungs of
SP-D(+/+) mice more rapidly than from SP-D(
/
) mice. Clearance rates
of intratracheal [3H]dipalmitoylphosphatidylcholine were
used to estimate 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. SP-D deficiency results in multiple
abnormalities in surfactant forms and metabolism that cannot be
attributed to a single mechanism.
dipalmitoylphosphatidylcholine; surfactant protein A; surfactant protein B; surfactant protein C; surfactant protein D
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