2015
DOI: 10.1513/annalsats.201411-507fr
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The Role of Surfactant in Lung Disease and Host Defense against Pulmonary Infections

Abstract: Pulmonary surfactant is essential for life as it lines the alveoli to lower surface tension, thereby preventing atelectasis during breathing. Surfactant is enriched with a relatively unique phospholipid, termed dipalmitoylphosphatidylcholine, and four surfactant-associated proteins, SP-A, SP-B, SP-C, and SP-D. The hydrophobic proteins, SP-B and SP-C, together with dipalmitoylphosphatidylcholine, confer surface tension-lowering properties to the material. The more hydrophilic surfactant components, SP-A and SP-… Show more

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Cited by 330 publications
(275 citation statements)
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“…The more rigid ECM molecules of collagen I, II and III are found in the bronchus, bronchioles and veins, whereas collagen IV and V are present in the basement membrane of capillaries and alveoli [35]. Lung-specific ECM components include the surfactants which consist of lipoproteins that are present in the alveoli where they decrease the air–liquid tension and thus protect alveoli from collapse [36]. …”
Section: Resultsmentioning
confidence: 99%
“…The more rigid ECM molecules of collagen I, II and III are found in the bronchus, bronchioles and veins, whereas collagen IV and V are present in the basement membrane of capillaries and alveoli [35]. Lung-specific ECM components include the surfactants which consist of lipoproteins that are present in the alveoli where they decrease the air–liquid tension and thus protect alveoli from collapse [36]. …”
Section: Resultsmentioning
confidence: 99%
“…Surfactant is crucial for maintaining alveolar functional stability through lowering surface tension at the air–liquid interface and, thereby preventing lung collapse at end-expiration [13]. The biological role of surfactant, however, in modulating and maintaining pulmonary host defence against infection and inflammation has become increasingly recognised [14], with several studies reporting increased risk of infection and inflammation in term-born children and adults with surfactant deficiency or inactivation (Figure 1) [15,16].
10.1080/20018525.2018.1487214-F0001Figure 1.Schematic diagram showing pathways whereby exposure to perinatal and early postnatal influences associated with preterm birth may result in diminished immune responses and increased susceptibility to acute respiratory infection and thereby, increased vulnerability to suboptimal lung health and function later in life.
…”
Section: Preterm Birth and Bronchopulmonary Dysplasia: An Immature Symentioning
confidence: 99%
“…The surfactant proteins are translated within the endoplasmic reticulum (ER) and transported to lamellar bodies where they are stored prior to secretion into the alveolar space. Pulmonary surfactant serves two main functions: (1) to reduce surface tension and prevent atelectasis, and (2) to opsonise pathogens and modulate the innate immune response 71. Rare variants in the genes encoding surfactant protein A and C ( SFTPA1 , SFTPA2 and SFTPC ) have been associated with adult-onset pulmonary fibrosis.…”
Section: Rare Variants In Genes Involved With Surfactant Metabolismmentioning
confidence: 99%