Pulmonary surfactant is a complex mixture of phospholipids and proteins that forms a thin film at the air–water interface of the lung alveoli. This surfactant film plays dual physiological roles in reducing surface tension and providing host defense against inhaled pathogens and particulate matter. By lowering alveolar surface tension, pulmonary surfactant stabilizes alveoli against collapse during respiration and preserves the large surface area required for efficient gas exchange.
Deficiency of pulmonary surfactant in premature newborns causes neonatal respiratory distress syndrome (RDS), a major cause of perinatal morbidity and mortality. The development of exogenous surfactant replacement therapy using surfactants extracted from animal lungs has revolutionized neonatal intensive care and dramatically improved the survival of premature infants with RDS. Surfactant therapy has also been explored for the treatment of acute respiratory distress syndrome (ARDS) in both children and adults. However, clinical outcomes for ARDS have thus far shown only limited success, which may be attributable, at least in part, to surfactant inhibition by plasma proteins, inflammatory mediators, and inhaled toxic substances.
Synthesis, transformation, and turnover of pulmonary surfactant (cartoon adapted from Whitsett and Weaver. 2002. N. Eng. J. Med. 347:2141). The EM pictures show the morphological transformation of pulmonary surfactant (adapted from Goerke. 1998. BBA 1408:79) and the multilaminar structure (MS) of surfactant film at the air-water interface of alveoli (adapted from Schürch et al. 1998. BBA 1408:180).
Due to the lack of surfactant, premature infants suffering from RDS exhibit alveolar collapse and decreased lung compliance, which impairs gas exchange in the lung. The inserts show the comparison of normal and collapsed alveolar tissues, which show the reduced alveolar capacity and increased alveolocapillary barrier in the underdeveloped lung.
Research in our laboratory focuses on the multiscale biophysical study of pulmonary surfactant from both macroscopic and microscopic perspectives. At the macroscopic level, we investigate the surface activity of pulmonary surfactant using constrained drop surfactometry (CDS), a droplet-based tensiometric technique developed in our laboratory. At the microscopic level, we probe the molecular interactions between phospholipids and proteins at interfaces using atomic force microscopy (AFM) and molecular dynamics (MD) simulations. This multidisciplinary and multiscale approach enables detailed characterization of the biophysical properties and molecular mechanisms of pulmonary surfactant. The ultimate goal of our research is to translate these fundamental insights into biomedical and clinical applications of pulmonary surfactant for the prevention and treatment of infant and adult respiratory diseases.
A typical compression–expansion cycle of pulmonary surfactant at 37 °C obtained using constrained drop surfactometry (CDS). The adsorbed surfactant film is dynamically compressed and expanded at a rate of 20 cycles/min, with the maximum area reduction controlled to less than 20% of the initial surface area to mimic tidal breathing. The attainment of low surface tension (<5 mN/m) at the end of compression is indicated by flattening of the droplet (Valle et al. 2015, ACS Nano 9:5413 ).
AFM structures of BLES films. Upon compression, BLES monolayers exhibit continuously phase transitions from a fluid-like liquid-expanded (LE) phase to a solid-like tilted-condensed (TC) phase. Upon compression to 50 mN/m, BLES monolayers undergo monolayer-to-multilayer transition, the interfacial monolayer is transformed into multilayers by localized film collapse (Possmayer et al. 2023, Chem. Rev. 123:13209).
Molecular dynamics (MD) is a computational simulation method that models the physical motions and interactions of atoms and molecules by numerically solving Newton’s equations of motion. Using molecular mechanics force fields, a predefined number of molecules—ranging from hundreds to millions—are allowed to interact within a computer-simulated virtual environment with specified initial positions and velocities. The system then evolves over time toward thermodynamic equilibrium. By analyzing the resulting molecular configurations and trajectories using statistical mechanical theories, thermodynamic and kinetic properties of the system can be determined.
We have applied MD simulations extensively to the study of pulmonary surfactant biophysics, particularly to investigate the molecular interactions among surfactant lipids, proteins, and inhaled substances at biologically relevant interfaces. Combined with experimental techniques, MD simulations provide molecular-level insights into the structure, dynamics, and functional mechanisms of pulmonary surfactant films.
Self-assembly of surfactant phospholipids and proteins in an aqueous environment (Hu et al. 2017, ACS Nano 11:6832 ).
Compression of a pulmonary surfactant monolayer at the air–water interface (Hu et al. 2013, ACS Nano 7:10525) .
Zuo YY*, Comparative biophysical study of clinical surfactants using constrained drop surfactometry, Am. J. Physiol. Lung Cell Mol. Physiol. 327 (2024) L535-L546. PDF
Hall SB, Zuo YY. The biophysical function of pulmonary surfactant. Biophys J. 123 (2024) 1519-1530. PDF
Possmayer F*, Zuo YY*, Veldhuizen RAW*, Petersen NO*, Pulmonary surfactant: A thin mighty film. Chem. Rev. 123 (2023) 13209-13290. PDF
Xu X, Li G, Zuo YY*, Constrained drop surfactometry for studying adsorbed pulmonary surfactant at physiologically relevant high concentrations. Am. J. Physiol. Lung Cell Mol. Physiol. 325 (2023) L508-L517. PDF
Xu L, Yang Y, Zuo YY*, Atomic force microscopy imaging of adsorbed pulmonary surfactant films, Biophys. J. 119 (2020) 756-766. (Front Cover) PDF
Xu L, Bosiljevac G, Yu K, Zuo YY*, Melting of the dipalmitoylphosphatidylcholine monolayer. Langmuir 34 (2018) 4688–4694. PDF
Zuo YY*, Chen R, Wang X, Yang J, Policova Z, Neumann AW, Phase transitions in dipalmitoylphosphatidylcholine monolayers, Langmuir 32 (2016) 8501-8506. PDF
Zhang H, Wang YE, Fan Q, Zuo YY*, On the low surface tension of lung surfactant, Langmuir 27 (2011) 8351–8358. PDF
Zhang H, Fan Q, Wang YE, Neal CN, Zuo YY*, Comparative Study of clinical pulmonary surfactants using atomic force microscopy, Biochim. Biophys. Acta 1808 (2011) 1832-1842. PDF
Zuo YY, Veldhuizen RAW, Neumann AW, Petersen NO, Possmayer F, Current perspectives in pulmonary surfactant – inhibition, enhancement and evaluation, Biochim. Biophys. Acta 1778 (2008) 1947-1977. PDF