Pulmonary surfactant protein D (SP-D)5 is a collagenous C-type lectin (collectin) that plays important, if not critical, roles in antimicrobial host defense, inflammatory regulation, and surfactant homeostasis (1-3). Although SP-D is primarily synthesized by respiratory epithelial cells and secreted in the alveolar spaces, it is also expressed at mucosal surfaces and other extrapulmonary sites, including the gastrointestinal and genitourinary tracts, where it could play similar roles in inflammatory and immune regulation (4).SP-D consists of one or more trimeric subunits, each with four structurally distinct domains (5, 6). The N-terminal domains mediate the association of subunits and contain conserved cysteine residues (Cys 15 and Cys 20 of the mature protein) that participate in intersubunit cross-links. By contrast, the C-terminal lectin domains mediate binding to microbial cell wall glycoconjugates, such as lipopolysaccharides (LPS), organic particulate antigens, nucleic acids, and specific cellular receptors (5,7,8). The intervening collagenous and neck domains maintain the trimeric structure of SP-D subunits and ensure an appropriate spatial distribution of the terminal lectin domains. Although the trimerization of CRDs is necessary for high affinity binding, higher order oligomerization of trimeric subunits is required for aggregation and bridging interactions of particulate ligands and effects on surfactant metabolism.Acute inflammation is characteristically accompanied by the recruitment and activation of neutrophils. SP-D can directly interact with neutrophils and modulate the antimicrobial functions of neutrophils in vitro (9, 10); it can also modestly enhance macrophage uptake of apoptotic neutrophils (11). SP-D-deficient mice show an exaggerated neutrophil response to viral and bacterial challenge (12,13). Recently, we demonstrated degradation of SP-D by neutrophil serine proteases (NSPs) in vitro and in vivo (14). Notably, all three granule-associated NSPs were able to cleave at specific sites within the functionally important lectin domain, abrogating carbohydrate recognition and bacterial aggregation. Together, these observations suggest a complex interplay between neutrophils and SP-D at sites of acute inflammation in vivo.In addition to proteases, neutrophil granules contain potent oxidant-generating enzymes, and recruited neutrophils are the major source of oxidants in the setting of acute inflammation