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Departments of 2 Pediatrics, 4 Environmental Medicine, and 1 Chemical Engineering, University of Rochester, Rochester, New York 14642; and 3 Department of Pediatrics, State University of New York at Buffalo, Buffalo, New York 14214
Bulk shear viscosities were
measured with a cone and plate microviscometer as a function of
concentration, shear rate, and temperature for lavaged calf lung
surfactant (LS), Exosurf, Infasurf, Survanta, and synthetic lipid
mixtures dispersed in normal saline. Viscosity increased with
phospholipid concentration for all surfactants, but its magnitude and
shear dependence varied widely among the different preparations. Saline
dispersions of Exosurf and synthetic phospholipids had low viscosities
of only a few centipoise (cp) and exhibited minimal shear dependence.
LS, Infasurf, Survanta, and lipid mixtures containing palmitic acid and
tripalmitin had larger non-Newtonian viscosities that increased as
shear rate decreased. At 35 mg of phospholipid/ml and 37°C, viscosity
values were 52.3 cp (Survanta), 31.1 cp (LS), and 25 cp (Infasurf) at a
shear rate of 77 s
1 and 16.9 cp (Survanta), 10.1 cp (LS),
and 6.6 cp (Infasurf) at 770 s
1. At 25 mg of
phospholipid/ml and 37°C, viscosity values at 77 s
1
were 28.8 cp (Survanta), 4.7 cp (LS), and 12.5 cp (Infasurf). At fixed
shear rate, viscosity was substantially decreased at 23°C compared
with 37°C for LS and Infasurf but was increased for Survanta. Calcium
(5 mM) greatly reduced the viscosity of both Survanta and Infasurf at
37°C. Studies on synthetic mixtures indicated that
phospholipid/apoprotein interactions were important in the rheology of
lung-derived surfactants and that palmitic acid and tripalmitin
contributed to the increased viscosity of Survanta. The viscous
behavior of clinical exogenous surfactants potentially influences their
delivery and distribution in lungs and varies significantly with
composition, concentration, temperature, ionic environment, and
physical formulation.
clinical exogenous surfactants; shear viscosity; dispersion viscosity
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