Surfactant proteins (SPs) are essential for the proper structure and respiratory
function of the lungs. There are four subtypes of SPs: SP-A, SP-B, SP-C, and SP-D. The
expectorant drug ambroxol hydrochloride is clinically used to stimulate pulmonary
surfactant and airway serous secretion. In addition, previous studies showed that ambroxol
regulated SP production and attenuated pulmonary inflammation, with ambroxol hydrochloride
being found to suppress quartz-induced lung inflammation via stimulation
of pulmonary surfactant and airway serous secretion. In this study, we investigated the
expression of SP-A, SP-B, SP-C, and SP-D in neoplastic and inflammatory lung lesions in
rodents, as well as their possible application as potential markers for diagnostic
purposes. SP-B and SP-C showed strong expression in lung hyperplasia and adenoma, whereas
SP-A and SP-D were expressed in the mucus or exudates of inflammatory alveoli. Rodent
tumorigenic hyperplasic tissues induced by various carcinogens were positive for napsin A,
an aspartic proteinase involved in the maturation of SP-B; this indicated a focal increase
in type II pneumocytes in the lungs. Therefore, high expression of napsin A in the
alveolar walls may serve as a useful marker for prediction of the tumorigenic potential of
lung hyperplasia in rodents.