ABSTRAGT Vol. 38, No.5, 1995 Printed ill U.S.A.Pulm onary surfac tant protein B (SP-B) enhances phospholip id film formation in vitro and is essential for normal surfactant functio n in vivo. We examined hum an fetal lung before and during explant culture for content and cellular localization of SP-B mRNA and prote in. SP-B mRNA was low in preculture specime ns (18 -20 wk) but hybridization signal increased ove r epithelial cells dur ing culture and was enha nced by dexa methasone treatment (10 nM). SP-B immunofluorescence was very low in preculture specimens, increased duri ng culture, and was uniformly intense in epithelial cells of dexam ethasone-treated tissue. With a newly developed immunoassay, SP-B protein was undetectable in preculture lung «2% of adult), appeared during culture (26 % of adul t), and was furth er increased~3-fo ld by dexamethasone treatment (86 % of adult); lung tissu e of two newborn infants contained 7-9-fold more SP-B than is found in the adult. Using Western blot with enhanced chemiluminescence, mature SP-B was undetectable in 16-wk specimens but was Pulmonary surfactant isolated from bronchoalveolar lavage fluid contains a variety of lipids and proteins. Three SP have been identified that influence surfactant structure, function, or metabolism. SP-A is a hydrophili c protein of 28 -36-kD monomer size that has a numb er of demonstrated effects on surfactant in vitro both alone and interacting with other surfactant proteins. SP-B and SP-C are lipophilic proteins of approx imately 8 and 4 kD, respectively, that co-isolate with surfactant lipids. Both of these proteins enhance the rate of phospholipid film formation and improve the surface activity of lipid mixtures in vivo (rev iewed in Ref. 1).SP-B appears to be critically important for surfactant function in vivo. Antib odies to SP-B inactivate a replacement surfactant prepared from pig lungs and cause severe respiratory Received November 17, 1994; accepted May 9, 1995 present in 19-24-wk preculture tissue at 0.2-2.9% of the adult level. By comparison, SP-B mRNA content is 14 and 50 % of adult leve l in 19-and 24-wk lung tissue, respec tively; levels increase 3-fold during culture and a further 3-fold with dexamethason e. Based on these observed differences between mRNA and protein content, we conclude that basal SP-B gene exp ression in epithe lial ce lls of hum an fetal lung is regulated primarily at the level of translatio n or prote in stabil ity, where as glucocorticoids act transc riptionally. We specu late that SP-B protein acc umulates only as type II cells differentiate and acquire lamellar bodies for processing and storage of SP-B. (Pediatr R es 38: 668-675, 1995) Abbreviations SP , surfactant protein TBS, Tris-buffered salin e distress when instilled into the trachea of newborn animals or inoculated intraperitoneally into adult mice (2-4). In pulmonary function studies with preterm rabbits, Rider et al. (5) found that the activity of lipid-SP-B preparations was equivalent to that of natural surfactan t. Recently, Nog...