“…In order to explain the high content of dipalmitoyl-PtdCho, three different mechanisms have been suggested: (i) synthesis de novo (Crecelius & Longmore, 1984b); (ii) reacylation of lyso-PtdCho with palmitoyl-CoA by the forward reaction of the acyl-CoA:lysoPtdCho acyltransferase (Mason & Dobbs, 1980;Post et al, 1983); and (iii) acyl exchange between unsaturated fatty acid in the sn-2 position of PtdCho and palmitoyl-CoA, involving the reverse reaction of the acyltransferase, as shown in lung microsomes (Stymne & Stobert, 1985), and possibly also indirectly by transacylation of unsaturated fatty acids from PtdCho to lysoPtdEtn (Nijssen & Van den Bosch, 1986b). In contrast with the surfactant lipids PtdCho, PtdGro and Ptdlns (Goerke, 1974;Hallman et al, 1985;Schlame et al, 1986;Rustow et al, 1988), surfactant PtdEtn contained only trace amounts of dipalmitoyl species.…”