“…Mutations in SP-A, SP-B, and SP-C have all been reported in the human population. , Many of the clinical observations are phenocopied in animals, showing, for example, that SP-B expression is essential for surfactant function and hence life ,, and that SP-C mutations, although not lethal, are often associated with the development of childhood or adult pulmonary fibrosis. , Other mutations, for example in the gene encoding for thyroid transcription factor-1 (TTF-1), a transcription factor for surfactant proteins, and the ABCA3 transporter, responsible for intracellular transport of surfactant lipids, can impact the surfactant system as well . Mutations in ABCA3 can affect intracellular lamellar body size and content, resulting in Type II cell dysplasia which contributes to pulmonary fibrosis. , Other mutations, such as those associated with Niemann–Pick Disease and Hermansky–Pudlak Syndrome, also affect surfactant metabolism and lung function. − These latter two conditions, however, are multisystemic, in which many additional organs are affected. , …”