ABSTRACT

I. Introduction 330

II. Clues from the Biophysical Characteristics of SP-B and SP-C 331

III. Clues from the Channel Activities of

Amyloid-Forming Peptides 332

IV. Clues from the Channel Activities of SAPLIPs 334

V. Observed Cation Channel Insertion by SP-B/C in Planar Lipid Bilayers 335

A. Electrophysiology of Planar Lipid Bilayers 336

B. Channel Activity Inserted by Commercial Surfactant

Containing SP-B and SP-C 337

C. Channel Activity Inserted by Extracted SP-B and SP-C 338

VI. Observed Neutrophil Depolarization and G Protein-Mediated

Calcium Mobilization by Surfactant with SP-B/C 342 A. Surfactant with SP-B/C Depolarize Neutrophils 342 B. Surfactant with SP-B/C Induces Transient Ca2þ Activity 343 C. Pertussis Toxin Inhibits Surfactant-Induced

Ca2þ Changes 345 VII. Observed Inhibition of Neutrophil Activation by Surfactant

with SP-B/C 345

VIII. Conclusions 350

References 350

I. Introduction

Reduction of surface tension created by alveolar air-liquid interfaces is a

primary function of pulmonary surfactant (PS). Of the four apoproteins associ-

ated with PS, SP-B, and SP-C are necessary and sufficient for reduction of alveo-

lar surface tension (1). This occurs through the transformation, stabilization, and

recycling of the phospholipid surface film. Although the other two apoproteins,

SP-A and SP-D, support surface film homeostasis, they are not necessary for

normal gas exchange (2), and their primary functions appear related to host

defense and anti-inflammation (3).