Respirable Particulate Surface Interactions with the Lecithin Component of Pulmonary Surfactant

"Dipalmitoyl glycerophosphorylcholine (lecithin) dispersed in physiologic saline, a model of the primary component of pulmonary surfactant, is adsorbed by respirable quartz and aluminosilicate dusts. Dust cytotoxicity as measured by erythrocyte hemolysis and pulmonary macrophage enzyme release is suppressed by this adsorption. The degree of suppression of hemolytic potential versus specific adsorption of lecithin from dispersion in saline by respirable quartz, kaolin, and alumina dusts are compared with dusts' BET specific surface areas to interpret the prophylactic effect cf lecithin adsorption. Dust hemolytic potential versus media pH are presented. Fourier transform infrared spectroscopy and photoacoustic spectroscopy of lecithin on quartz and of lecithin on kaolin are presented and reviewed with results of studies of the time course of removal of lecithin adsorbed on mineral surfaces by digestion by phospholipase enzyme. Results are discussed in terms of a model of prompt neutralization of respired mineral dusts by pulmonary surfactant, and a gradual re-toxification by digestive processes acting on the adsorbed prophylactic surfactant coating following phagocytosis.Introduction Quarts dust of respirable size is well known to cause fibrotic lung disease, but numerous questions persist in the understanding of the initiation and' progression of this disease. Our approach concentrates on physical and chemical aspects of mineral dusts early-on in their interactions with living organisms, and we have chosen simplified models to investigate that interaction. In the alveolar spaces of the lung, tissue is coated with a surface-active material (pulmonary surfactant), which, sagas other functions, mechanically stabilises the lung from collapse by reducing the surface tension of water in the alveolar sacs.(1) This surfactant is also the material that is first contacted by a mineral particle that is transported to an alveolus and is impacted there. This surfactant material has been studied extensively. The primary components are known to be proteins (about 11% in dog lavage fluid). and phospholipids (about 88%).(2) Fhosphatidyl cholines constitute roughly 80% of the phospholipid fraction; about 70% of the phosphatidyl choline fraction is dipalaitoyl lecithin (DPL).(2) Respirable aluminosilicate particles are capable of adsorbing dipalmitoyl lecithin from dispersion in physiologic saline, a model for a possible initial event occuring upon deposition of a particle in a pulmonary alveolus.(3)"