Pulmonary surfactant protein A (SP-A) is synthesized by type II cells and stored intracellularly in secretory granules (lamellar bodies) together with surfactant lipids and hydrophobic surfactant proteins B and C (SP-B and SP-C).We asked whether the progressive decrease in pH along the exocytic pathway could influence the secondary structure and lipid binding and aggregation properties of porcine SP-A. Conformational analysis from CD spectra of SP-A at various pH values indicated that the percentage of ␣-helix progressively decreased and that of -sheet increased as the pH was reduced. The protein underwent a marked self-aggregation at mildly acidic pH in the presence of Ca
2؉, conditions thought to resemble those existing in the trans-Golgi network. Protein aggregation was greater as the pH was reduced. We also found that both neutral and acidic vesicles either with or without SP-B or SP-C bound to SP-A at acidic pH as demonstrated by co-migration during centrifugation. However, the binding of acidic but not neutral vesicles to SP-A led to 1) a striking change in the CD spectra of the protein, which was interpreted as a decrease of the level of SP-A self-aggregation, and 2) a protection of the protein from endoproteinase Glu-C degradation at pH 4.5. SP-A massively aggregated acidic vesicles but poorly aggregated neutral vesicles at acidic pH. Aggregation of dipalmitoylphosphatidylcholine (DPPC) vesicles either with or without SP-B and/or SP-C strongly depended on pH, being progressively decreased as the pH was reduced and markedly increased when pH was shifted back to 7.0. At the pH of lamellar bodies, SP-A-induced aggregation of DPPC vesicles containing SP-B or a mixture of SP-B and SP-C was very low, although SP-A bound to these vesicles. These results indicate that 1) DPPC binding and DPPC aggregation are different phenomena that probably have different SP-A structural requirements and 2) aggregation of membranes induced by SP-A at acidic pH is critically dependent on the presence of acidic phospholipids, which affect protein structure, probably preventing the formation of large aggregates of protein.Pulmonary surfactant is a mixture of approximately 80% phospholipids, 10% other lipids, and 5-10% surfactant-specific proteins that lines the alveolar space and is essential for breathing (for reviews, see Refs. 1-3). The alveolar type II cell is the sole cell type in the lung that produces all components of pulmonary surfactant. The surfactant apolipoproteins (SP-A, 1 SP-B, and SP-C) and all of the surfactant phospholipids are stored intracellularly in lamellar bodies and are secreted as a complex (4 -7). The release of surfactant to the alveolar lumen occurs by exocytosis of lamellar body content in response to secretagogue stimulation (8, 9). The regulated secretory pathway of the type II cell is atypical because the lamellar body not only functions as a classic secretory granule, but it also intersects with the endocytic pathway (10, 11). Like the storage granules in other secretory cells, lamellar bodies ha...