Surfactant proteins A (SP-APulmonary surfactant is a complex mixture of lipids and proteins that functions to keep alveoli from collapsing at the end of expiration (1). Surfactant proteins A (SP-A) 1 and D (SP-D) are glycoprotein constituents of lung surfactant (2). SP-A and SP-D belong to the collectin subgroup of the C-type lectin superfamily along with mannose-binding proteins A and C, conglutinin, and CL43 (3). These proteins possess similar characteristic structures consisting of a short intersubunit disulfide forming the NH 2 terminus region, a collagen-like domain, a coiled-coil motif neck domain, and a carbohydrate recognition domain (CRD) (2). The CRD region of SP-A is essential for dipalmitoylphosphatidylcholine and galactosylceramide binding, liposome aggregation, the inhibitory effect on lipid secretion, and the augmentation of lipid uptake by alveolar type II cells (4 -11). Likewise, the CRD region of SP-D functions in the recognition of the ligands phosphatidylinositol and glucosylceramide (12,13). In addition to their interaction with lipids and alveolar type II cells, lung collectins interact with macrophages (14 -16) and enhance phagocytosis of a wide spectrum of microorganism (17-25). Lung collectins are now thought to be important components of the innate immune system of the lung (26 -28).Studies with transgenic mice provide strong support for a role of pulmonary collectins in host defense properties. Mice homozygous for null alleles of SP-A exhibit increased susceptibility to group B streptococcal and Pseudomonas aeruginosa infections (29 -31). These mice clear the bacteria from the lungs at a slower rate than wild-type mice. Phagocytosis of P. aeruginosa by alveolar macrophages in SP-A Ϫ/Ϫ mice is also significantly decreased (30). Coadministration of SP-A with bacteria into the airway of SP-A Ϫ/Ϫ mice enhance phagocytosis of the bacteria by alveolar macrophages. Secretion of proinflammatory cytokines into the alveolar space is significantly elevated in SP-A Ϫ/Ϫ mice compared with SP-A ϩ/ϩ mice after intratracheal challenge with P. aeruginosa. These studies suggest that SP-A modulates innate immune responses by several different mechanisms. Although these in vivo studies explicitly indicate that SP-A plays a crucial role in host defense of the lung, the molecular basis of SP-A-mediated modification of inflammatory responses remains to be elucidated.Lipopolysaccharide (LPS), derived from Gram-negative bacteria, is a potent stimulator of inflammation (32). Smooth LPS is composed of O-antigen, core oligosaccharides, and lipid A, while rough LPS lacks O-antigen and a part of the core oligosaccharides (33). The cellular responses to physiological amounts of LPS depend on membrane CD14 that is phosphatidylinositol-anchored to the plasma membrane of myeloid cells (34). A soluble form of CD14 which exists in serum also facilitates the responsiveness of the cells to LPS (35,36). The principal role of CD14 is to bind LPS, but how CD14 acts in transmitting LPS signal remains to be resolved. Recently, ...