SummaryThis study was designed to evaluate the efficacy of well-sonicated, 9:l mixtures of DPL with various other phospholipids (i.e.. he surfactant depleted adult rat lung model previously reported ~p p~, U-PI, u-ps, u-pG, u-Lecithin), DPL alone, URI DPL us was used determine the certain phospholipids analog alone, and natural surfactant in restoring the PV charac-(PL), either singly Or in combination, to restore the lung pressure-teristics of adult rat lungs from which surfactant was removed by volume (PV) characteristics to normal. Seventy-one adult rats saline were used for this study. Before depletion of surfactant, a PV curve was obtained and the mean percent total lung capacity (% MATERIALS AND METHODS TLC) at 5 cm HzO on the deflation limb was 53.8. Maximal removal of surfactant was done by repeated lung washings, and a Seventy-one adult rats weighing 300-450 g were used. After second PV curve was obtained (mean % TLC was 9.2). Various injecting 60 mg sodium barbital into the peritoneal cavity, each P L suspensions were prepared by sonication of dipalmitoyl lecithin rat was killed by transecting the abdominal aorta and allowing and another P L in saline at a molar ratio of 91. The final exsanguination to occur. The heart and lungs were then removed concentration was 5 mg DPL/ml. Each suspension was instilled carefully en bloc. directly into the trachea and the lung was ventilated for 5 min atThe same methods were used as in our previous study (12) to a rate of riO/min, a volume of 7 ml, PEEP of 5 cm HzO, and an obtain a PV curve except that the degassed lungs were placed in inspiration to total cycle ratio of 0.4. A third PV curve was then a saline water bath at 37OC. The lungs were inflated gradually done. For all PV curves, the percent of original TLC at 5 cm H 2 0 with air to 30 cm HzO and then deflated in a similar manner. The was calculated. The % TLC at 5 cm HzO after treatment with volume reached at 30 cm Hz0 was assumed to be the TLC. On phospholipid suspensions, showed: DPL/unsaturated phosphatidyl the deflation limb of each PV curve, the volume at a pressure of glycerol (u-PC), 37.2; DPL/unsaturated phosphatidyl inositol (u-5 cm Hz0 was expressed as a percent of TLC. PV measurements PI), 28.3; DPL, 25.8; DPL/unsaturated phosphatidyl serine (u-were made three times on each lung: initially; after removal of PS), 25.7; DPL/unsaturated lecithin (u-Lecithin), 24.1; DPL/di-surfactant; and after treatment with various synthetic surfactants. palmitoyl phosphatidyl glycerol (DPPG), 7.7; and an analog of As described previously (12), surfactant was removed by wash-DPL from the University of Rhode Island (URI analog), 20.1. ing the lung 20 times. A total volume of 200 ml saline was used to Although six of the seven suspensions possessed varying ability to insure maximal removal of surfactant. Lungs with volumes over restore the PV characteristics toward normal, none was as effec-13% of total lung capacity at 5 cm Hz0 on the deflation limb after tive as natural surfactant which gave a mean of 46.8.washing ...