Activity and inhibition resistance of a phospholipase-resistant synthetic surfactant in rat lungs.
Activity and inhibition resistance of a phospholipase-resistant synthetic surfactant in rat lungs.
复制标题
大鼠肺中抗磷脂酶合成表面活性剂的活性和抑制抗性。
DOI:
10.1165/rcmb.2006-0434oc
复制
发表时间:
2007
影响因子:
6.4
通讯作者:
Notter,RobertH
中科院分区:
文献类型:
--
作者:
Wang,Zhengdong;Chang,Yusuo;Schwan,AdrianL;Notter,RobertH
This study investigates the activity and inhibition resistance in excised rat lungs of a novel synthetic surfactant containing the phospholipase-resistant diether phosphonolipid DEPN-8 plus 1.5% bovine surfactant protein (SP)-B/C compared to calf lung surfactant extract (CLSE). DEPN-8 + 1.5% SP-B/C surpassed CLSE in normalizing surfactant-deficient pressure–volume (P–V) deflation mechanics in lavaged excised lungs in the presence of phospholipase A2(PLA2) or C18:1 lyso-phosphatidylcholine (LPC). DEPN-8 + 1.5% SP-B/C had activity equal to CLSE in normalizing P–V mechanics in the absence of inhibitors or in the presence of serum albumin. These physiologic activity findings were directly consistent with surface activity measurements on the pulsating bubble surfactometer. In the absence of inhibitors, DEPN-8 + 1.5% SP-B/C and CLSE rapidly reached minimum surface tensions < 1 mN/m (0.5 and 2.5 mg surfactant phospholipid/ml). DEPN-8 + 1.5% SP-B/C maintained its high surface activity in the presence of PLA2, while the surface activity of CLSE was significantly inhibited by exposure to this enzyme. DEPN-8 + 1.5% SP-B/C also had greater surface activity than CLSE in the presence of LPC, and the two surfactants had equivalent surface activity in the presence of albumin. DEPN-8 + 1.5% SP-B/C also had slightly greater surface activity than CLSE when exposed to peroxynitrite in pulsating bubble studies. These results support the potential of developing highly active and inhibition-resistant synthetic exogenous surfactants containing DEPN-8 + apoprotein/peptide constituents for use in treating direct pulmonary forms of clinical acute lung injury (ALI) and the acute respiratory distress syndrome (ARDS).