Glucocorticoids stimulate foetal surfactant synthesis. Therefore, they are used in impending pre-term birth. One mechanism of action on surfactant synthesis is through the induction of neuregulin (NRG) secretion by foetal lung fibroblasts. The direct effects on signalling pathways, and specifically on erbB receptors in foetal type II cell surfactant synthesis, are less well understood.The present authors studied the effect of known promoters of foetal surfactant synthesis (namely dexamethasone and mature (i.e. NRG-containing) fibroblast-conditioned medium (FCM)) on erbB receptor activation, protein content and dimerisation patterns in foetal mouse lung type II cells.Dexamethasone inhibited surfactant synthesis in immature type II cells at day (d)16 of gestation, while the mature FCM had stimulatory effects. Both treatments directly stimulated surfactant synthesis in more mature (d17) cells. At this gestational day, dexamethasone had only a small effect on phosphorylation, but it stimulated the protein levels of all four erbB receptors. Dexamethasone effects were distinct from those of mature FCM, which stimulated both protein content and phosphorylation of all erbB receptors and of the signalling intermediate phospholipase Cc. Dexamethasone modulated erbB receptor dimerisation patterns, such that erbB2 became the main dimerisation partner for erbB4.In conclusion, dexamethasone signalling involves erbB receptors in foetal type II cells, in a manner similar to, but distinct from, neuregulin-containing fibroblast-conditioned medium signalling.KEYWORDS: Dimerisation, epidermal growth factor, neuregulin, phospholipase Cc, surfactant synthesis A ntenatal surfactant production by foetal lung type II epithelial cells is crucial for the perinatal transition from the aquatic intrauterine environment to the gaseous atmosphere. Insufficient surfactant production, a condition present mainly in pre-term infants, leads to respiratory distress syndrome (RDS) [1]. Antenatal glucocorticoids decrease the incidence of RDS by ,50%, but they do not change the incidence of bronchopulmonary dysplasia (BPD), a chronic lung disease affecting surviving preterm infants. Most BPD infants had RDS [2,3]. The pre-natal administration of glucocorticoids has both stimulatory and inhibitory effects on the developing lung [4].Mesenchyme-epithelial interactions play an important role in foetal lung development by controlling the appropriate initiation of foetal surfactant production. This cell-cell communication process was described .25 yrs ago and is stimulated by glucocorticoids in the immature lung [5]. However, there remains a lack of information on the exact signalling pathways and factors involved in both the fibroblast-type II cell communication process and how it is stimulated by glucocorticoids. A better understanding of these mechanisms is crucial for developing therapeutic strategies that will promote the optimal maturation of the foetal surfactant system while avoiding the deleterious side effects of glucocorticoid treatment....