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Ghati A, Dam P, Tasdemir D, Kati A, Sellami H, Sezgin GC, Ildiz N, Franco OL, Mandal AK, Ocsoy I. Exogenous pulmonary surfactant: A review focused on adjunctive therapy for severe acute respiratory syndrome coronavirus 2 including SP-A and SP-D as added clinical marker. Curr Opin Colloid Interface Sci 2020; 51:101413. [PMID: 33390762 PMCID: PMC7771299 DOI: 10.1016/j.cocis.2020.101413] [Citation(s) in RCA: 22] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Abstract
Type I and type II pneumocytes are two forms of epithelial cells found lining the alveoli in the lungs. Type II pneumocytes exclusively secrete ‘pulmonary surfactants,’ a lipoprotein complex made up of 90% lipids (mainly phospholipids) and 10% surfactant proteins (SP-A, SP-B, SP-C, and SP-D). Respiratory diseases such as influenza, severe acute respiratory syndrome coronavirus infection, and severe acute respiratory syndrome coronavirus 2 infection are reported to preferentially attack type II pneumocytes of the lungs. After viral invasion, consequent viral propagation and destruction of type II pneumocytes causes altered surfactant production, resulting in dyspnea and acute respiratory distress syndrome in patients with coronavirus disease 2019. Exogenous animal-derived or synthetic pulmonary surfactant therapy has already shown immense success in the treatment of neonatal respiratory distress syndrome and has the potential to contribute efficiently toward repair of damaged alveoli and preventing severe acute respiratory syndrome coronavirus 2–associated respiratory failure. Furthermore, early detection of surfactant collectins (SP-A and SP-D) in the circulatory system can be a significant clinical marker for disease prognosis in the near future.
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Key Words
- ARDS
- COVID-19
- Collectin
- Pulmonary surfactant
- SARS-CoV-2
- Toll-like receptor, TLR
- acute respiratory distress syndrome, ARDS
- angiotensin-converting enzyme 2, ACE2
- coronavirus disease 2019, COVID-19
- dipalmitoylphosphatidylcholine, DPPC
- human immunodeficiency virus, HIV
- interleukin, IL
- palmitoyl-oleoyl-phosphatidylglycerol, POPG
- phosphatidylinositol, PI
- respiratory distress syndrome, RDS
- severe acute respiratory syndrome coronavirus 2, SARS-CoV-2
- surfactant proteins, SP
- tumor necrosis factor, TNF
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Affiliation(s)
- Amit Ghati
- Department of Microbiology, Barrackpore Rastraguru Surendranath College, Kolkata, 700120, India
| | - Paulami Dam
- Centre for Nanotechnology Sciences & Chemical Biology Laboratory, Department of Sericulture, Raiganj University, Raiganj, 733134, India
| | - Didar Tasdemir
- Department of Analytical Chemistry, Faculty of Pharmacy, Erciyes University, Kayseri, 38039, Turkey
| | - Ahmet Kati
- Department of Biotechnology, Institution of Health Sciences, University of Health Sciences, Uskudar, Istanbul, 34668, Turkey
| | - Hanen Sellami
- Laboratory of Treatment and Valorization of Water Rejects (LTVRH), Water Researches and Technologies Center (CERTE), University of Carthage, BP 273-8020 Tourist Route Soliman, Tunisia
| | - Gulten Can Sezgin
- Department of Gastroenterology, Faculty of Medicine, Erciyes University, 38039, Kayseri, Turkey
| | - Nilay Ildiz
- Department of Pharmaceutical Microbiology, Faculty of Pharmacy, Erciyes University, 38039, Kayseri, Turkey
| | - Octavio L Franco
- S-INOVA Biotech, Post-Graduate Program in Biotechnology, Catholic University Dom Bosco, Campo Grande, Mato Grosso Do Sul, Brazil
| | - Amit Kumar Mandal
- Centre for Nanotechnology Sciences & Chemical Biology Laboratory, Department of Sericulture, Raiganj University, Raiganj, 733134, India
| | - Ismail Ocsoy
- Department of Analytical Chemistry, Faculty of Pharmacy, Erciyes University, Kayseri, 38039, Turkey
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