Surfactant inhibition by plasma: gestational age and surfactant
treatment effects in preterm lambs.
Ikegami, Machiko, Celso M. Rebello, Alan H. Jobe.
Department of Pediatrics, Harbor-UCLA Medical Center, Torrance, CA
90502, Machiko Ikegami, M.D., Ph.D., Department of Pediatrics,
Harbor-UCLA Medical Center, 1124 W. Carson St., RB-1 Torrance, CA
90502, TEL: (310) 222-5396, FAX: (310) 533-0627
APStracts 3:0387A, 1996.
The preterm infant with respiratory distress syndrome has edematous
lungs and small amounts of surfactant that does not function
normally. We reported that surfactant recovered from preterm lambs
after surfactant treatment can have decreased sensitivity to
inhibition of surface tension by plasma. We asked if this augmented
resistance to inhibition was dependent on lung development
(gestational age) by testing sensitivity to plasma inhibition of 1)
endogenous surfactant from preterm lambs and 2) surfactant from
preterm lambs after treatment with an organic solvent extracted
natural sheep surfactant. Surfactant recovered after surfactant
treatment of 121 d or 128 d gestation lambs had the same sensitivity
to plasma inhibition as did the surfactant used to treat the lambs.
Surfactant recovered from 134 d gestation lambs had decreased
sensitivity to inhibition. Lung maturation is a variable influencing
surfactant inhibition by plasma.
Received 22 April 1996; accepted in final form 30 July 1996.
APS Manuscript Number A388-6.
Article publication pending Journal of Applied Physiology.
ISSN 1080-4757 Copyright 1996 The American Physiological Society.
Published in APStracts on 29 August 1996