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Pulmonary Surfactant: A Mighty Thin Film
Fred Possmayer1,2, Yi Y Zuo3,4, Ruud A W Veldhuizen5,6,7
1Department of Biochemistry, Western University, London, Ontario N6A 3K7, Canada.
Chemical Reviews
|October 20, 2023
Summary
Pulmonary surfactant, essential for breathing, may not rely on compression for function. Research suggests an adsorption process forms the vital lipid film, challenging existing theories on lung mechanics.
Area of Science:
- Pulmonary physiology
- Biophysics
- Respiratory medicine
Background:
- Pulmonary surfactant lowers alveolar surface tension, crucial for effortless breathing.
- Current models propose a compression-driven squeeze-out mechanism for surfactant film formation.
- This mechanism involves unsaturated phospholipids being squeezed out during exhalation.
Purpose of the Study:
- To challenge the prevailing compression-driven squeeze-out mechanism for pulmonary surfactant film formation.
- To propose and provide evidence for an adsorption-driven sorting process in surfactant film formation.
- To present a new model for pulmonary surfactant function and its implications for research.
Main Methods:
- Comprehensive review of existing and recent literature on pulmonary surfactant function.
- Analysis of biophysical evidence supporting and refuting the compression-driven squeeze-out mechanism.
- Presentation of biophysical evidence for rapid, adsorption-driven formation of a saturated lipid-enriched film.
Main Results:
- Evidence suggests the compression-driven squeeze-out mechanism may be inaccurate.
- A rapid, adsorption-driven sorting process, facilitated by hydrophobic proteins, forms the enriched surfactant film.
- The composition of the surfactant film is proposed to remain stable during normal breathing.
Conclusions:
- Pulmonary surfactant film enrichment likely occurs via adsorption, not compression.
- A new model for surfactant function based on adsorption is proposed.
- Further biophysical research is needed to validate this new perspective on surfactant function in neonatal and adult lungs.

