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Am J Physiol Lung Cell Mol Physiol (September 6, 2002). doi:10.1152/ajplung.00037.2002
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Articles in PresS, published online ahead of print September 6, 2002
Am J Physiol Lung Cell Mol Physiol, 10.1152/ajplung.00037.2002
Submitted on January 23, 2002
Accepted on August 30, 2002

The fibrinolysis-inhibitory capacity of clot-embedded surfactant is enhanced by SP-B and SP-C

Philipp Markart1, Clemens Ruppert1, Friedrich Grimminger1, Werner Seeger1, and Andreas Gunther1*

1 Department of Internal Medicine, Med. Klinik II, Justus-Liebig University, D-35385 Giessen, Germany

* To whom correspondence should be addressed. E-mail: andreas.guenther{at}innere.med.uni-giessen.de.

Incorporation of pulmonary surfactant into fibrin inhibits its plasmic degradation. In the present study we investigated the influence of the surfactant proteins (SP)-A, SP-B and SP-C on the fibrinolysis-inhibitory capacity of surfactant phospholipids. Plasmin-induced fibrinolysis was quantified by means of a 125I-fibrin plate assay and surfactant incorporation into polymerizing fibrin was analysed by measuring the incorporation of 3H-labeled DPPC into the insoluble clot-material.Incorporation of a calf lung surfactant extract(Alveofact®) and of an organic extract of natural rabbit large surfactant aggregates (LSA) into a fibrin clot revealed a stronger inhibitory effect on plasmic cleavage of this clot than a synthetic phospholipid mixture (PLX) and unprocessed LSA. Reconstitution of PLX with SP-B and SP-C increased, whereas reconstitution with SP-A decreased the fibrinolysis-inhibitory capacity of the phospholipids. The SP-B effect was paralleled by an increased incorporation of phospholipids into fibrin. We conclude that the inhibitory effect of surfactant incorporation into polymerizing fibrin on its susceptibility to plasmic cleavage is enhanced by SP-B and SP-C, but reduced by SP-A. In case of SP-B increased phospholipid-incorporation may underly this finding.







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