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Vol. 83, Issue 5, 1545-1550, 1997
Departments of 1 Pediatrics, 2 Anesthesiology, and 3 Physiology and Biophysics, University of Alabama at Birmingham, Birmingham, Alabama 35294
Received 3 April 1997; accepted in final form 25 June 1997.
Haddad, Imad Y., Bedford Nieves-Cruz, and Sadis Matalon.
Inhibition of surfactant function by copper-zinc superoxide dismutase (CuZn-SOD). J. Appl.
Physiol. 83(5): 1545-1550, 1997.
The efficacy of
antioxidant enzymes to limit oxidant lung injury by instillation with
surfactant mixtures in preterm infants with hyaline membrane disease is
under investigation. However, there is concern that instillation of
proteins in the alveolar space may inactivate pulmonary surfactant. We
studied the effects of bovine copper-zinc superoxide dismutase
(CuZn-SOD) on the biophysical properties of two distinct surfactant
preparations. Incubation of calf lung surfactant extract (CLSE, 1 mg
phospholipid/ml) and Exosurf (0.1 mg phospholipid/ml) with CuZn-SOD
(1-10 mg/ml) prevented the fall of surface tension at minimal
bubble radius (Tmin) to low
values with dynamic compression in a pulsating bubble surfactometer. CuZn-SOD also enhanced the sensitivity to inactivation by albumin, normal human serum, and after treatment with peroxynitrite. The inhibitory effects of CuZn-SOD on CLSE, but not Exosurf, were abolished
at high lipid concentrations (3 mg/ml) and after the addition of human
surfactant protein A (by weight). We conclude that CuZn-SOD may
interfere with the surface activity of surfactant mixtures, leading to
decreased effectiveness of surfactant replacement therapy.
surfactant protein A; calf lung surfactant extract; Exosurf; peroxynitrite; surface tension; bubble surfactometer
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