Effect of serum proteins on an exogenous pulmonary surfactant: ESR analysis of structural changes and their relation with surfactant activity.

The study of the structural changes in surfactant microviscosity and bilayer organization would help to understand the mechanisms by which surfactant could be inactivated by serum components. The in vitro effects of human serum, albumin and gamma-globulin on dynamic and structural properties of surfactant suspensions and their heavy fractions were evaluated by electronic spin resonance and surface tension measurements. Our results showed that albumin and serum modified the aggregation state, transforming the active into inactive subtype, but only serum decreased the fluidity in the polar region and inactivated surfactant. In contrast, albumin and gamma-globulin generated a greater proportion of fluid-like disordered phase, without loss of surface activity. Statistical analysis showed that surface activity correlated with the fluidity in the polar area but not with that in the hydrophobic region. We concluded that one or more serum components different from albumin or gamma-globulin cause a structural change in the surfactant bilayer, increasing the rigidity in the polar area, which would be critical for proper physiological activity.