Respiratory Surface Research Articles

GEOCHEMISTRY AND MINERAL CONTENT OF ASH FLOW FROM THE MONTSERRAT SOUFRIERE HILLS VOLCANO

The Soufriere Hills Volcano of Montserrat has ancient origins and roared back to life in 1995 wreaking severe havoc and damage to the inhabitants, geography, and ecosystems of the Island. The pyroclastic ash flow reached temperatures of 1500 °F and progressed down the hillsides at speeds of 80 mph, causing incineration and virtual destruction of everything in its path, while the gaseous and particulate laden plume reached altitudes of 35,000 feet, impacting air quality and aircraft navigation. The local health authorities recommended masking and physical protection from any potentially harmful effects from the ash to all residents who remained on Island following the 1995 eruption. Volcanic ash can be an irritant to exposed skin and respiratory surfaces upon contact due in part to the sharp and jagged nature of the microcrystalline particulate matter. In addition, the minute size of the smallest particulate matter can impact deep into the unprotected respiratory tree in humans and animals, potentially causing severe respiratory injury. The composition and physicochemical nature of the ash was largely unknown in 1995 and subsequent years. The current study was designed to determine the geochemical composition of the ash. Samples of ash were collected from 7 locations and water samples from three free flowing creeks in Montserrat and indicated that the creek water was acidic in nature. The mean pH of water was 5.2, while the ash showed abundant levels of Iron, Phosphorus, Calcium, Magnesium, Sodium, Aluminum, and sulfur, in addition to lower concentrations of potassium, boron, copper and zinc and intermediate concentrations of Manganese and was devoid of toxic minerals including lead and mercury. The emergence of acute respiratory issues was not found to exceed similar events in other healthy populations including individuals relocated to the UK. In conclusion, direct human and animal exposure to Montserrat volcanic ash was deemed non-harmful to humans when adequate protective measures including masking and exposure precautions were undertaken, while the rich mineral content of the ash can provide a rich source of micronutrient mineralization to soils and surrounding seawaters and support vigorous revegetation and recovery of affected land and sea zones throughout the island community.

The innate immune brakes of the lung.

Respiratory mucosal surfaces are continuously exposed to not only innocuous non-self antigens but also pathogen-associated molecular patterns (PAMPs) originating from environmental or symbiotic microbes. According to either "self/non-self" or "danger" models, this should systematically result in homeostasis breakdown and the development of immune responses directed to inhaled harmless antigens, such as T helper type (Th)2-mediated asthmatic reactions, which is fortunately not the case in most people. This discrepancy implies the existence, in the lung, of regulatory mechanisms that tightly control immune homeostasis. Although such mechanisms have been poorly investigated in comparison to the ones that trigger immune responses, a better understanding of them could be useful in the development of new therapeutic strategies against lung diseases (e.g., asthma). Here, we review current knowledge on innate immune cells that prevent the development of aberrant immune responses in the lung, thereby contributing to mucosal homeostasis.

Reference patterns for thermoregulation in Italian Massese ewes

The Massese is an autochthonous Italian sheep breed, used for meat and mainly milk production and thermoregulatory variations can directly affect the performance of these animals. We evaluated the thermoregulatory patterns of Massese ewes and identified the changes due to environmental variations. Data was collected from 159 healthy ewes from herds of four farms/institutions. For thermal environmental characterization, air temperature (AT), relative humidity (RH) and wind speed were measured, and Black Globe Temperature, Humidity Index (BGHI) and Radiant Heat Load (RHL) were calculated. The thermoregulatory responses evaluated were: respiratory (RR), heart rate (HR), rectal temperature (RT) and coat surface temperature (ST). All variables were subjected to analysis of variance with repeated measures over time. A factor analysis was conducted to determine the relationship between environmental and thermoregulatory variables. Multiple regression analyses were also examined using General Linear Models, and Variance Inflation Factors were calculated. Logistic and Broken line non-linear regressions for RR, HR and RT were analyzed. The RR and HR values were outside reference values and associated with normal values of RT. In the factor analysis, most environmental variables were seen to affect the thermoregulation pattern of the ewes, except for RH. In the logistic regression analysis, RT was not affected by any of the variables studied, maybe because BGHI and RHL were not sufficiently high enough. Nevertheless, BGHI and RHL affected RR and HR. The study shows a divergence for Massese ewes from reference thermoregulatory values for sheep.

Associations of mayfly larvae with Corbicula clams

Abstract Currently, the parasitic and endosymbiontic fauna of Corbicula clams remain poorly studied throughout their range. Here, using samples from the Mekong basin, we describe two Symbiocloeon species new to science: Symbiocloeon corbiculinus sp. nov. and Symbiocloeon laoensis sp. nov. Our results and a review of available published data indicate that freshwater bivalve-associated mayflies are narrow host specialists, being associated with one or a few closely related species of freshwater bivalves. The bivalve-associated mayfly larvae have several specific morphological traits compared with free-living species, which include a reduction of integument chitinization and a significant reduction of the surface structures on segments. An increase in area of the respiratory surface of larval tergalia was also recorded. The possible positive and negative effects of mayflies on the clam hosts are discussed. This study is an example of the many possible hidden associations between aquatic species that remain to be described.

Intracellular immunoglobulin A (icIgA) in protective immunity and vaccines.

Virus neutralization at respiratory mucosal surfaces is important in the prevention of infection. Mucosal immunity is mediated mainly by extracellular secretory immunoglobulin A (sIgA) and its role has been well studied. However, the protective role of intracellular specific IgA (icIgA) is less well defined. Initially, in vitro studies using epithelial cell lines with surface expressed polymeric immunoglobulin receptor (pIgR) in transwell culture chambers have shown that icIgA can neutralize influenza, parainfluenza, HIV, rotavirus and measles viruses. This effect appears to involve an interaction between polymeric immunoglobulin A (pIgA) and viral particles within an intracellular compartment, since IgA is transported across the polarized cell. Co-localization of specific icIgA with influenza virus in patients' (virus culture positive) respiratory epithelial cells using well-characterized antisera was initially reported in 2018. This review provides a summary of in vitro studies with icIgA on colocalization and neutralization of the above five viruses. Two other highly significant respiratory infectious agents with severe global impacts viz. SARS-2 virus (CoViD pandemic) and the intracellular bacterium-Mycobacterium tuberculosis-are discussed. Further studies will provide more detailed understanding of the mechanisms and kinetics of icIgA neutralization in relation to viral entry and early replication steps with a specific focus on mucosal infections. This will inform the design of more effective vaccines against infectious agents transmitted via the mucosal route.

Probing nanomechanical interactions of SARS-CoV-2 variants Omicron and XBB with common surfaces.

The emergence of SARS-CoV-2 variants has further raised concerns about viral transmission. A fundamental understanding of the intermolecular interactions between the coronavirus and different surfaces is needed to address the transmission of SARS-CoV-2 through respiratory droplet-contaminated surfaces or fomites. The receptor-binding domain (RBD) of the spike protein is a key target for the adhesion of SARS-CoV-2 on the surface. To understand the effect of mutations on adhesion, atomic force microscopy-based single-molecule force spectroscopy (AFM-SMFS) was used to quantify the interactions between wild-type, Omicron, and XBB with several surfaces. The measurement revealed that RBD exhibits relatively higher forces on paper and gold surfaces, with the average force being 1.5 times greater compared to that on plastic surface. In addition, the force elevation on paper and gold surfaces for the variants can reach ∼28% relative to the wild type. These findings enhance our understanding of the nanomechanical interactions of the virus on common surfaces.

Light-sheet laser speckle imaging for cilia motility assessment

Mucociliary clearance is an important innate defense mechanism predominantly mediated by ciliated cells in the upper respiratory tract. Ciliary motility on the respiratory epithelium surface and mucus pathogen trapping assist in maintaining healthy airways. Optical imaging methods have been used to obtain several indicators for assessing ciliary movement. Light-sheet laser speckle imaging (LSH-LSI) is a label-free and non-invasive optical technique for three-dimensional and quantitative mapping of velocities of microscopic scatterers. Here, we propose to use an inverted LSH-LSI platform to study cilia motility. We have experimentally confirmed that LSH-LSI can reliably measure the ciliary beating frequency and has the potential to provide many additional quantitative indicators for characterizing the ciliary beating pattern without labeling. For example, the asymmetry between the power stroke and the recovery stroke is apparent in the local velocity waveform. PIV (particle imaging velocimetry) analysis of laser speckle data could determine the cilia motion directions in different phases.

Pseudomurraytrema fergusoni n. sp. (Monogenea: Dactylogyridae) from gills of Pealip Redhorse, Moxostoma pisolabrum (Catostomidae) from Arkansas, USA, with a description of gill pathology.

Pseudomurraytrema fergusoni n. sp. is described from the Pealip Redhorse, Moxostoma pisolabrum from the Black River (White River drainage), Lawrence County, Arkansas, USA. This represents the second monogenean described from M. pisolabrum as well as the second species of Pseudomurraytrema reported from an Arkansas catostomid. The description includes partial 18S rRNA and 28S rRNA gene sequences (732 bp and 851 bp, respectively), helping fill a void in sequence data from North American monogeneans, particularly those in the genus Pseudomurraytrema. In addition, histopathologic changes associated with the infection resulted in severe localized pathologic lesions in gills of the host, suggesting compromise of respiratory surfaces within affected areas adjacent to the worms.

Identification, 16S rRNA-based characterization, and antimicrobial profile of Gallibacterium isolates from broiler and layer chickens.

Gallibacterium spp., particularly G. anatis, have received much attention as poultry pathogens in recent years. We report here the presence and antimicrobial resistance profile of 69 Gallibacterium isolates obtained from 2,204 diagnostic submissions of broiler and layer chickens in 2019-2021. Gallibacterium-positive chickens had lesions primarily in the respiratory tract, reproductive tract, and related serosal surfaces. Gallibacterium spp. were initially identified based on their typical cultural characteristics on blood agar. The isolates were confirmed by a genus-specific PCR spanning 16S-23S rRNA and MALDI-TOF mass spectrometry. Phylogenetic analysis based on 16S rRNA gene sequence revealed distinct clades. Of the 69 isolates, 68 clustered with the reference strains of G. anatis and 1 with Gallibacterium genomospecies 1 and 2. Antimicrobial susceptibility testing of 58 of the 69 isolates by a MIC method showed variable responses to antimicrobials. The isolates were all susceptible to enrofloxacin, ceftiofur, florfenicol, and gentamicin. There was a high level of susceptibility to trimethoprim-sulfamethoxazole (98.0%), streptomycin (98.0%), amoxicillin (84.0%), sulfadimethoxine (71.0%), and neomycin (71.0%). All of the isolates were resistant to tylosin. There was resistance to penicillin (98.0%), erythromycin (95.0%), clindamycin (94.0%), novobiocin (90.0%), tetracycline (88.0%), oxytetracycline (76.0%), and sulfathiazole (53.0%). A high rate of intermediate susceptibility was observed for spectinomycin (67.0%) and sulfathiazole (40.0%). Our findings indicate a potential role of G. anatis as an important poultry pathogen and cause of subsequent disease, alone or in combination with other pathogens. Continuous monitoring and an antimicrobial susceptibility assay are recommended for effective treatment and disease control.

Acute Hypoxia Stress-Induced Apoptosis in Gill of Japanese Flounder (Paralichthys olivaceus) by Modulating the Epas1/Bad Pathway.

The physiological responses and molecular mechanisms of apoptosis in Japanese flounder under hypoxic stress remain unclear. In the present study, we performed acute hypoxia stress on Japanese flounder (2.39 ± 0.84 mg/L) and detected gills responses in histomorphology and molecular mechanisms. The results showed that the volume of the interlamellar cell mass decreased and the gill lamellae prolonged, indicating the expansion of the respiratory surface area. Additionally, the fluorescence signal of apoptosis increased under hypoxic stress. In addition, the expression of two genes (EPAS1 and Bad) related to apoptosis increased about four-fold and two-fold, respectively, at 6 h of hypoxia. Meanwhile, the result of the dual-luciferase reporter assay showed that EPAS1 is a transcription factor, which could regulate (p < 0.05) the expression of the Bad gene, and we identified the binding site of EPAS1 was the AATGGAAAC sequence located near -766. DNA methylation assay showed that hypoxia affected the methylation status of CpG islands of EPAS1 and Bad genes. All results indicated that hypoxia could activate the EPAS1/Bad signal pathway to induce gill apoptosis of Japanese flounder. Our study provides new light on understanding the molecular mechanism of hypoxia-induced apoptosis in Japanese flounder.

Gill structure and neurochemical markers in the African bonytongue (Heterotis niloticus): A preliminary study

We have conducted a morphological and immunohistochemical study of the gills of juvenile specimens of the obligate air-breathing fish Heterotis niloticus. The study has been performed under normoxic and hypoxic conditions. The gills showed a reduced respiratory surface area by development of an interlamellar cellular mass (ILCM). The ILCM persisted without changes under both normoxia and hypoxia. Neuroepithelial cells (NECs), the major oxygen and hypoxia sensing cell type, were located in the distal end of the gill filaments and along the ILCM edges. These cells expressed 5HT, the neuronal isoform of the nitric oxide synthase (nNOS) and the vesicular acetylcholine transporter (VAChT). Furthermore, NECs appeared associated with nitrergic nerve fibres. The O2 levels did not modify the location, number or the immunohistochemical characteristics of NECs. Pavement cells covering the ILCM were also positive to nNOS and VAChT. The mechanisms of O2 sensing in the gills of Heterotis appears to involve several cell populations, the release of multiple neurotransmitters and a diversity of excitatory, inhibitory and modulatory mechanisms.

Gill remodeling increases the respiratory surface area of grass carp (Ctenopharyngodon idella) under hypoxic stress

Seasonal changes, diurnal variations, and eutrophication result in periodic hypoxia in fish habitats, thus affecting the success of commercial aquaculture. In this study, the grass carp (Ctenopharyngodon idella) presented moderate hypoxia tolerance; they showed a medium critical oxygen tension during the loss of equilibrium. In response to 7 d of hypoxic exposure, the erythrocyte count and hemoglobin (Hb) concentration significantly increased (p < 0.01). To cope with the hypoxic environment, the grass carp underwent gill remodeling marked by reduction in the interlamellar cell mass (ILCM) and an increase in respiratory surface area. The gill remodeling under hypoxia was enabled by apoptosis induction. Although apoptotic signals were not found on ILCM cells, transferase dUTP nick end labeling (TUNEL) assay results indicated that after 1 d of hypoxic exposure, the number of TUNEL-positive cells per lamella increased until 4 d and then began to decrease. Consistent with the results of the TUNEL assay, the mRNA expression of apoptosis-related genes, caspase-3, Bax, and Bcl-2, increased at 1, 4, and 7 d of the hypoxia treatment. In addition, gill remodeling significantly (p < 0.01) decreased the concentration of sodium and chloride ions in the fish serum. These findings provide evidence that grass carps increase their respiratory surface area through gill remodeling by apoptosis in the gill filaments to acclimate to a hypoxic environment. This study expands our understanding of the morphological and physiological changes in grass carp in response to a hypoxic environment; therefore, it could be useful for maintaining grass carp production.

Heart position and pulmonary vasculature in snakes with different lung morphologies

Abstract The respiratory system of snakes, composed of a trachea and one or two lungs, shows considerable variation in terms of size and complexity, especially in terms of length and distribution of the respiratory epithelium. The importance of heart position within snakes has previously been investigated concerning gravitational stress. The relationship between respiratory gas exchange epithelium and heart position, however, has not been addressed in detail, which seems necessary, since the heart needs to pump blood through the pulmonary circulation for effective gas exchange. Herein, we analyze the morphology of the respiratory epithelium in Boa constrictor and Crotalus durissus stereologically regarding the composition of the gas exchange tissue and the distribution of blood vessels within the vascularized parts of the respiratory system. The gas exchange epithelium is composed of blood capillaries, larger vessels, trabeculae, and septa, forming an overall faveolar-type epithelium in both species. Pulmonary capillaries and respiratory surface area showed a tendency to be more concentrated in the anterior and middle portions of each lung’s respiratory epithelium, suggesting a tendency toward greater parenchymal development in these regions. Therefore, there seems to be no conclusive relationship between the position of the heart and pulmonary circulation, since in C. durissus the anterior and middle parenchymal regions are distant from the heart, whereas in B. constrictor the anterior and middle parenchymal regions are close to the heart, facilitating blood transport between the heart and the gas exchange epithelium.

Insights Gained Into the Treatment of COVID19 by Pulmonary Surfactant and Its Components.

Pulmonary surfactant constitutes an important barrier that pathogens must cross to gain access to the rest of the organism via the respiratory surface. The presence of pulmonary surfactant prevents the dissemination of pathogens, modulates immune responses, and optimizes lung biophysical activity. Thus, the application of pulmonary surfactant for the treatment of respiratory diseases provides an effective strategy. Currently, several clinical trials are investigating the use of surfactant preparations to treat patients with coronavirus disease 2019 (COVID-19). Some factors have been considered in the application of pulmonary surfactant for the treatment COVID-19, such as mechanical ventilation strategy, timing of treatment, dose delivered, method of delivery, and preparation utilized. This review supplements this list with two additional factors: accurate measurement of surfactants in patients and proper selection of pulmonary surfactant components. This review provides a reference for ongoing exogenous surfactant trials involving patients with COVID-19 and provides insight for the development of surfactant preparations for the treatment of viral respiratory infections.

Airway mucins promote immunopathology in virus-exacerbated chronic obstructive pulmonary disease.

The respiratory tract surface is protected from inhaled pathogens by a secreted layer of mucus rich in mucin glycoproteins. Abnormal mucus accumulation is a cardinal feature of chronic respiratory diseases, but the relationship between mucus and pathogens during exacerbations is poorly understood. We identified elevations in airway mucin 5AC (MUC5AC) and MUC5B concentrations during spontaneous and experimentally induced chronic obstructive pulmonary disease (COPD) exacerbations. MUC5AC was more sensitive to changes in expression during exacerbation and was therefore more predictably associated with viral load, inflammation, symptom severity, decrements in lung function, and secondary bacterial infections. MUC5AC was functionally related to inflammation, as Muc5ac-deficient (Muc5ac–/–) mice had attenuated RV-induced (RV-induced) airway inflammation, and exogenous MUC5AC glycoprotein administration augmented inflammatory responses and increased the release of extracellular adenosine triphosphate (ATP) in mice and human airway epithelial cell cultures. Hydrolysis of ATP suppressed MUC5AC augmentation of RV-induced inflammation in mice. Therapeutic suppression of mucin production using an EGFR antagonist ameliorated immunopathology in a mouse COPD exacerbation model. The coordinated virus induction of MUC5AC and MUC5B expression suggests that non-Th2 mechanisms trigger mucin hypersecretion during exacerbations. Our data identified a proinflammatory role for MUC5AC during viral infection and suggest that MUC5AC inhibition may ameliorate COPD exacerbations.

Perspectives on the Structure and Function of the Avian Respiratory System: Functional Efficiency Built on Structural Complexity

Among the air-breathing vertebrates, regarding respiratory efficiency, the avian respiratory system rests at the evolutionary zenith. Structurally, it is separated into a lung that serves as a gas exchanger and air sacs that mechanically ventilate the lung continuously and unidirectionally in a caudocranial direction. Largely avascular, the air sacs are delicate, transparent, compliant and capacious air-filled spaces that are not meaningfully involved in gas exchange. The avian lungs are deeply and firmly attached to the vertebrae and the ribs on the dorsolateral aspects, rendering them practically rigid and inflexible. The attachment of the lung to the body wall allowed extreme subdivision of the exchange tissue into minuscule and stable terminal respiratory units, the air capillaries. The process generated a large respiratory surface area in small lungs with low volume density of gas exchange tissue. For the respiratory structures, invariably, thin blood-gas barrier, large respiratory surface area and large pulmonary capillary blood volume are the foremost adaptive structural features that confer large total pulmonary morphometric diffusing capacities of O2. At parabronchial level, the construction and the arrangement of the airway- and the vascular components of the avian lung determine the delivery, the presentation and the exposure of inspired air to capillary blood across the blood-gas barrier. In the avian lung, crosscurrent-, countercurrent- and multicapillary serial arterialization systems that stem from the organization of the structural parts of the lung promote gas exchange. The exceptional respiratory efficiency of the avian respiratory system stems from synergy of morphological properties and physiological processes, means by which O2uptake is optimized and high metabolic states and capacities supported. Given that among the extant animal taxa insects, birds and bats (which accomplished volancy chronologically in that order) possess structurally much different respiratory systems, the avian respiratory system was by no means a prerequisite for evolution of powered flight but was but one of the adaptive solutions to realization of an exceptionally efficient mode of locomotion.

Divergent physiological acclimation responses to warming between two co-occurring salamander species and implications for terrestrial survival

Small differences in physiological responses are known to influence demographic rates such as survival. We tested for differences in the physiological acclimation responses of two closely-related salamander species that often co-occur, Ambystoma maculatum and A. opacum. Specifically, we measured changes in critical thermal maxima (CTmax), standard metabolic rates (SMRs), and respiratory surface area water loss (RSAWL) following exposure to three temperature treatments under laboratory conditions. While the magnitude of RSAWL and CTmax acclimation responses to warming did not differ between the study species, SMR was maintained across acclimation temperatures among A. maculatum, but declined among A. opacum acclimated to warmer temperatures. Metabolic compensation may facilitate maintained A. maculatum activity levels during warm periods following the relatively cool spring breeding season. In contrast, metabolic suppression may allow A. opacum to conserve energy when exposed to surface conditions during fall breeding and nest guarding. We simulated how these different SMR responses would likely alter post-metamorphic survival in our study species using previously collected data representing six weeks under relatively warm seminatural conditions. Our simulation indicated that, following warming and under identical study conditions, metabolic compensation may allow juvenile A. maculatum to maintain survival likelihoods, whereas metabolic depression may cause juvenile A. opacum to experience increased survivorship. These findings underscore that comparable physiological responses among ecologically similar, sympatric species cannot be assumed. Further, results of this study suggest that metabolic responses may play an important role in amphibian species persistence as temperatures increase due to habitat modification and climate change.

Increasing shade area in feedlot heifers during heat stress: physiological and performance parameters.

Heat stress is a great challenge for feedlot operations established in arid zones. The aim of this study was to evaluate if increasing shade area in the pen improved physiological and productive variables in feedlot heifers under hot climate. A total of 510 European and Zebu heifers were randomly assigned to six pens which were divided in two treatments: (1) three pens with 100 heifers each with a shade area of 2.7 m2/head (control group [C]); and (2) three pens with 70 heifers each with a shade area of 3.7 m2/head (treated group [T]). Physiological variables respiratory frequency (RF) and body surface temperature (BST) of several anatomic regions were taken from 30 heifers per treatment (i.e., 10 heifers/pen). Feed intake on pen basis was recorded weekly and heifers were individually weighted on days 1, 26, and 66 of the study to calculate performance variables. Relative humidity (RH) and ambient temperature (AT) were recorded and used to estimate the temperature-humidity index (THI). Data was analyzed with analysis of variance. The average THI during the study was 81.7 units, which was categorized as dangerous heat stress. In both shaded areas, European heifers showed higher (P < 0.05) RF than Zebu heifers. In the afternoon, the temperature of head, neck, loin, paddle, and belly was higher (P < 0.05) in C compared with T. Heifers under T showed better (P < 0.05) daily weight gain (DWG), total weight gain (TWG), feed conversion (FC), and feed efficiency (FE) than heifers in C, with no effect on dry matter intake (DMI). Results indicate that during hot summer months, Zebu showed more tolerance to heat stress than European heifers; however, heifers under a shade area of 3.7 m2/head had better productive performance than those under a shade area of 2.7 m2/head during the finishing phase of the feedlot. Increasing the shade area in the finishing phase of beef cattle on feedlot improved some physiological and productive responses during heat stress.

Hyper-Ig E syndrome in adult patient: a clinical case and a review of the literature

Hyper-Ig E syndrome (HIES) includes a rare group of primary immunodeficiency conditions with frequently recurrent lung and skin infections. The respiratory system is affected by acute and chronic bronchitis, otitis, recurrent pneumonia, pneumocele, pleurisy, severe and prolonged sinusitis. Cutaneous manifestations are presented with “cold abscesses” and eczema/dermatitis. A pathognomic feature for the syndrome is the increased level of serum Ig E. The etiology of HIES still remains unclear. HIES occurs sporadically or is inherited - as an autosomal dominant HIES or autosomal recessive HIES. The type of inheritance determines the variable clinical picture of the syndrome. The pathogenetic diversity, the absence of specific clinical criteria as well as the presentation of few or minor symptoms in some patients complicate the diagnosis. We report а clinical case of a sporadic hyper-Ig E syndrome in an adult man suffering from atopic dermatitis since childhood presented with recurrent bacterial, viral, fungal and protozoan infections of the respiratory tract, gastrointestinal tract, skin and mucosal surfaces. A brief review of the scientific literature is also included.

Amniotic fluid surfactant: a new approach to the study of structure and function of pulmonary surfactant

To allow breathing dynamics, the lung requires a substance able to overwhelm the surface tension of alveoli. This substance, called pulmonary surfactant, is synthetized as tightly packed multi-layered lipid assemblies that have optimal adsorption capabilities to the air-liquid interface. Pulmonary surfactant forms a surface-active monolayer lining the respiratory surface, connected to a membrane reservoir that nurtures the interface with new lipids when it is needed. The two hydrophobic pulmonary surfactant proteins, SP-B and SP-C, optimize the structure of surfactant complexes and enhance its surface-active properties.