Comparison of surfactant lipids between pleural and pulmonary lining fluids

Abstract

Saturated phospholipids (PCs), particularly dipalmitoylphosphatidylcholine (DPPC), predominate in surfactant lining the alveoli, although little is known about the relationship between saturated and unsaturated PCs on the outer surface of the lung, the pleura. Seven healthy cats were anesthetized and a bronchoalveolar lavage (BAL) was performed, immediately followed by a pleural lavage (PL). Lipid was extracted from lavage fluid and then analyzed for saturated, primarily dipalmitoylphosphatidylcholine (DPPC), and unsaturated PC species using high-performance liquid chromatography (HPLC) with combined fluorescence and ultraviolet detection. Dilution of epithelial lining fluid (ELF) in lavage fluids was corrected for using the urea method. The concentration of DPPC in BAL fluid (85.3±15.7 μg/mL) was significantly higher ( P=0.021) than unsaturated PCs (∼40 μg/mL). However, unsaturated PCs (∼34 μg/mL), particularly stearoyl-linoleoyl-phosphatidylcholine (SLPC; 17.4±6.8), were significantly higher ( P=0.021) than DPPC (4.3±1.8 μg/mL) in PL fluid. These results show that unsaturated PCs appear functionally more important in the pleural cavity, which may have implications for surfactant replenishment following pleural disease or thoracic surgery.