ABSTRACT

I. Introduction 59

II. Structure/Function Relationship 62 A. Domains Required for Oligomeric Assembly 62

B. The Globular Domain 64

Carbohydrate Binding and Specificity 66

Lipid Ligands for SP-A and the Nature of SP-A/Lipid Interaction 67

III. SP-A Functions 69

A. Surfactant-Related Functions 69

B. Host-Defense and Immunomodulation of the Inflammatory

Response in the Alveolus 72

Binding of SP-A to Pathogen Surfaces 72

Interaction of SP-A with Immune Cell Membranes 75

IV. Concluding Remarks 77

Acknowledgment 78

References 78

I. Introduction

Surfactant protein A (SP-A) is a large oligomeric apolipoprotein primarily

found in the alveolar fluid of mammalians. SP-A belongs to the “collectin”

(collagen-lectin) family characterized by an N-terminal collagen-like domain

and a globular C-terminal domain that includes a C-type carbohydrate recog-

nition domain (CRD). Collectins bind to a wide range of sugar residues that

are rich in microbial surfaces in a Ca2þ-dependent manner. The collectin family has five well-characterized members: lung surfactant protein A (SP-A)

and D (SP-D), serum mannose binding protein (MBP), serum bovine conglutinin,

and collectin-43 (1). Recently, another novel human collectin from liver (CL-L1)

has been cloned (2). Together with the first component of the complement (C1q),

these proteins are also called defense collagens, and play important roles in innate

immunity (1).