ABSTRACT

I. Introduction 275

II. SP-B Surfactant Peptide Synthesis 277

III. NMR Structure of SP-B Peptides 283

IV. Effect of SP-B Peptides on LS Monolayer Collapse 288

V. Elastic Theory of LS Monolayers 293

A. The Monolayer as an Elastic Sheet 293

B. Mesa Topographies 295

C. Instability 296

References 297

I. Introduction

Lung surfactant (LS), a complex mixture of lipids and proteins, lines the alveoli,

and is responsible for the proper functioning of the lung (1). LS works both by

lowering the surface tension inside the lungs to reduce the work of breathing

and by stabilizing the alveoli through varying the surface tension as a function

of alveolar volume. To accomplish this, the LS mixture must adsorb rapidly to the

air-fluid interface of the alveoli after being secreted. Once at the interface, it

must form a monolayer that can both achieve low surface tensions upon

compression and vary the surface tension as a function of the alveolar radius.

Insufficient levels of surfactant, owing to either immaturity in premature

infants or disease or trauma in adults, can result in respiratory distress syndrome

(RDS), a potentially lethal disease in both populations.