Podcast
Questions and Answers
What primarily determines the elastic behavior of the lungs?
What primarily determines the elastic behavior of the lungs?
- Airway pressure during ventilation
- Elastic connective tissue and alveolar surface tension (correct)
- Muscular contraction of the diaphragm
- Volume of the lungs at rest
What is described as the stretchability of the lungs?
What is described as the stretchability of the lungs?
- Alveolar pressure
- Elastic recoil
- Resilience
- Compliance (correct)
What condition is characterized by decreased lung compliance?
What condition is characterized by decreased lung compliance?
- Pneumonia
- Pulmonary fibrosis (correct)
- Asthma
- Chronic bronchitis
What factor does elastic recoil of the lungs depend on?
What factor does elastic recoil of the lungs depend on?
What do we call a lung that lacks normal stretchability?
What do we call a lung that lacks normal stretchability?
What percentage of surfactant DPPC is typically recycled back into type II pneumocytes?
What percentage of surfactant DPPC is typically recycled back into type II pneumocytes?
What is a primary cause of respiratory distress syndrome (RDS) in newborns?
What is a primary cause of respiratory distress syndrome (RDS) in newborns?
Which of the following surfactant treatments is derived from cow lung?
Which of the following surfactant treatments is derived from cow lung?
How does vaginal delivery contribute to surfactant production in premature lungs?
How does vaginal delivery contribute to surfactant production in premature lungs?
Which of the following medications is a synthetic pulmonary surfactant?
Which of the following medications is a synthetic pulmonary surfactant?
What role does nitric oxide (NO) play in human physiology?
What role does nitric oxide (NO) play in human physiology?
What is one of the therapeutic uses of surfactant in newborns?
What is one of the therapeutic uses of surfactant in newborns?
Which substance reduces surface tension in the lungs to prevent collapse?
Which substance reduces surface tension in the lungs to prevent collapse?
What is the main function of lamellar bodies in the lungs?
What is the main function of lamellar bodies in the lungs?
At what developmental stage do lamellar bodies first appear in the cytoplasm?
At what developmental stage do lamellar bodies first appear in the cytoplasm?
What structure do lamellar bodies transform into after being secreted into the alveolar lining fluid?
What structure do lamellar bodies transform into after being secreted into the alveolar lining fluid?
Which surfactant protein plays a crucial role in the formation of tubular myelin?
Which surfactant protein plays a crucial role in the formation of tubular myelin?
What is the estimated amount of surfactant stored in full-term infants?
What is the estimated amount of surfactant stored in full-term infants?
What happens to surfactant during the process of alveolar respiration?
What happens to surfactant during the process of alveolar respiration?
What happens to surfactant phospholipids in the alveolar space?
What happens to surfactant phospholipids in the alveolar space?
What is the estimated amount of surfactant present in preterm infants at birth?
What is the estimated amount of surfactant present in preterm infants at birth?
What is the primary role of pulmonary surfactant in the alveoli?
What is the primary role of pulmonary surfactant in the alveoli?
Which substance constitutes the majority of pulmonary surfactant?
Which substance constitutes the majority of pulmonary surfactant?
What effect does pulmonary surfactant have on lung compliance?
What effect does pulmonary surfactant have on lung compliance?
What composition primarily includes surfactant proteins?
What composition primarily includes surfactant proteins?
Why is the fluidity of surfactant important for its function?
Why is the fluidity of surfactant important for its function?
What is one of the defense roles of pulmonary surfactant?
What is one of the defense roles of pulmonary surfactant?
How does pulmonary surfactant affect the likelihood of lung collapse?
How does pulmonary surfactant affect the likelihood of lung collapse?
What property of dipalmitoyl phosphatidylcholine (DPPC) makes it particularly suitable for surfactant function?
What property of dipalmitoyl phosphatidylcholine (DPPC) makes it particularly suitable for surfactant function?
What role do collectins, such as SP-A and SP-D, serve in the immune system?
What role do collectins, such as SP-A and SP-D, serve in the immune system?
Which component of surfactant is primarily responsible for increasing the spread of surfactant over the surface of the lungs?
Which component of surfactant is primarily responsible for increasing the spread of surfactant over the surface of the lungs?
What happens to individuals born without SP-B?
What happens to individuals born without SP-B?
How are SP-B and SP-C processed in the cell before being secreted into the alveolar airspaces?
How are SP-B and SP-C processed in the cell before being secreted into the alveolar airspaces?
What structural feature distinguishes the protein SP-A in the collectin family?
What structural feature distinguishes the protein SP-A in the collectin family?
Which proteins are crucial for the proper biophysical function of the lung surfactant?
Which proteins are crucial for the proper biophysical function of the lung surfactant?
What is the primary result of lacking surfactant protein SP-C?
What is the primary result of lacking surfactant protein SP-C?
During which stage of lung development does surfactant production begin in humans?
During which stage of lung development does surfactant production begin in humans?
What is meant by lung compliance?
What is meant by lung compliance?
Which factor contributes to elastic recoil in the lungs?
Which factor contributes to elastic recoil in the lungs?
How does pulmonary fibrosis affect lung compliance?
How does pulmonary fibrosis affect lung compliance?
What role does alveolar surface tension play in the elastic behavior of the lungs?
What role does alveolar surface tension play in the elastic behavior of the lungs?
What happens to the lungs during expiration?
What happens to the lungs during expiration?
What role do the carbohydrate recognition domains of collectins play in the immune response?
What role do the carbohydrate recognition domains of collectins play in the immune response?
How many trimers assemble to form the mature SP-A protein?
How many trimers assemble to form the mature SP-A protein?
What is the consequence for humans born without surfactant protein SP-C?
What is the consequence for humans born without surfactant protein SP-C?
In which cells does surfactant production begin during lung development?
In which cells does surfactant production begin during lung development?
What type of proteins are SP-B and SP-C classified as?
What type of proteins are SP-B and SP-C classified as?
What happens to SP-B and SP-C after they are synthesized in type II cells?
What happens to SP-B and SP-C after they are synthesized in type II cells?
Which structural region of SP-A contributes to its classification as a collectin?
Which structural region of SP-A contributes to its classification as a collectin?
Which protein is primarily responsible for facilitating surfactant dynamics and spreading over the lung surface?
Which protein is primarily responsible for facilitating surfactant dynamics and spreading over the lung surface?
What is the primary function of surfactant in the alveoli?
What is the primary function of surfactant in the alveoli?
What type of cells are responsible for secreting surfactant?
What type of cells are responsible for secreting surfactant?
What structural feature is essential for the alveoli to maintain proper gas exchange?
What structural feature is essential for the alveoli to maintain proper gas exchange?
How does surfactant influence the effort required to breathe?
How does surfactant influence the effort required to breathe?
What would likely occur if the surfactant in the alveoli were absent?
What would likely occur if the surfactant in the alveoli were absent?
Which statement best describes the proportion of inspired air that is exchanged during respiration?
Which statement best describes the proportion of inspired air that is exchanged during respiration?
Which component helps to maintain the structural integrity of alveoli during exhalation?
Which component helps to maintain the structural integrity of alveoli during exhalation?
Why does the presence of surfactant improve gas exchange efficiency in the alveoli?
Why does the presence of surfactant improve gas exchange efficiency in the alveoli?
What is the main benefit of pulmonary surfactant in the alveoli?
What is the main benefit of pulmonary surfactant in the alveoli?
Which component primarily contributes to the fluidity of pulmonary surfactant?
Which component primarily contributes to the fluidity of pulmonary surfactant?
How does pulmonary surfactant help prevent the collapse of alveoli?
How does pulmonary surfactant help prevent the collapse of alveoli?
What percentage of pulmonary surfactant consists of surfactant proteins?
What percentage of pulmonary surfactant consists of surfactant proteins?
Which of the following is a key function of pulmonary surfactant aside from lowering surface tension?
Which of the following is a key function of pulmonary surfactant aside from lowering surface tension?
What is the primary lipid found in pulmonary surfactant?
What is the primary lipid found in pulmonary surfactant?
What role do surfactant proteins SP-A and SP-D play in the lungs?
What role do surfactant proteins SP-A and SP-D play in the lungs?
What are lamellar bodies primarily involved in during surfactant production?
What are lamellar bodies primarily involved in during surfactant production?
What is tubular myelin primarily formed from?
What is tubular myelin primarily formed from?
What role does surfactant protein SP-A play in tubular myelin formation?
What role does surfactant protein SP-A play in tubular myelin formation?
How are lamellar bodies secreted into the alveolar lining fluid?
How are lamellar bodies secreted into the alveolar lining fluid?
What happens to surfactant during repeated lung contractions?
What happens to surfactant during repeated lung contractions?
At what gestational age do lamellar bodies first appear in the cytoplasm?
At what gestational age do lamellar bodies first appear in the cytoplasm?
What is the primary function of tubular myelin in the lungs?
What is the primary function of tubular myelin in the lungs?
What is the significance of cortisol administration to pregnant mothers at risk of preterm delivery?
What is the significance of cortisol administration to pregnant mothers at risk of preterm delivery?
Which of the following statements about surfactant recycling is true?
Which of the following statements about surfactant recycling is true?
What is primarily responsible for the higher incidence of respiratory distress syndrome in babies delivered by cesarean section?
What is primarily responsible for the higher incidence of respiratory distress syndrome in babies delivered by cesarean section?
How does the composition of synthetic pulmonary surfactants compare to animal-derived surfactants?
How does the composition of synthetic pulmonary surfactants compare to animal-derived surfactants?
What is the primary function of pulmonary surfactant in the lungs?
What is the primary function of pulmonary surfactant in the lungs?
What is a likely consequence of a deficiency in surfactant in newborns?
What is a likely consequence of a deficiency in surfactant in newborns?
Which statement accurately describes the treatment options for newborns with respiratory distress syndrome?
Which statement accurately describes the treatment options for newborns with respiratory distress syndrome?
What gas is described as having no known cellular storage mechanism in humans?
What gas is described as having no known cellular storage mechanism in humans?
Which type of alveolar cell is responsible for secreting surfactant?
Which type of alveolar cell is responsible for secreting surfactant?
What percentage of inspired air remains in the respiratory tract during the next cycle of expiration and inspiration?
What percentage of inspired air remains in the respiratory tract during the next cycle of expiration and inspiration?
What type of epithelium comprises the alveoli?
What type of epithelium comprises the alveoli?
What effect does surfactant have on alveolar expansion and contraction?
What effect does surfactant have on alveolar expansion and contraction?
The 'air-blood' barrier in the alveoli is primarily composed of what?
The 'air-blood' barrier in the alveoli is primarily composed of what?
Why is it difficult for alveoli to re-open after being collapsed?
Why is it difficult for alveoli to re-open after being collapsed?
What role do elastic connective tissues play in the lungs?
What role do elastic connective tissues play in the lungs?
Flashcards
Lung compliance
Lung compliance
The ability of the lungs to change volume in response to pressure changes.
Stiff lung
Stiff lung
A condition where the lungs are stiff and less stretchable, making it harder to breathe.
Elastic recoil
Elastic recoil
The force that causes the lungs to return to their original size after being stretched.
Pulmonary elastic connective tissue
Pulmonary elastic connective tissue
Connective tissue in the lungs that contains elastin fibers, giving the lungs their elasticity.
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Alveolar surface tension
Alveolar surface tension
The force created by the surface tension of fluid in the alveoli, contributing to lung elasticity.
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Pulmonary Surfactant
Pulmonary Surfactant
A substance that reduces surface tension in the alveoli, preventing them from collapsing and making breathing easier.
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Surface Tension
Surface Tension
The force that draws liquid molecules together, causing a liquid to resist stretching or expanding.
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Pulmonary Compliance
Pulmonary Compliance
A property of the lungs that describes their ability to stretch and expand.
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Dipalmitoylphosphatidylcholine (DPPC)
Dipalmitoylphosphatidylcholine (DPPC)
The main phospholipid in pulmonary surfactant responsible for reducing surface tension.
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Surfactant Proteins (SP-A, SP-B, SP-C, SP-D)
Surfactant Proteins (SP-A, SP-B, SP-C, SP-D)
Proteins that help regulate the production, function, and stability of pulmonary surfactant.
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Alveoli
Alveoli
Tiny air sacs in the lungs where gas exchange occurs.
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Alveolar Fluid
Alveolar Fluid
A thin layer of fluid that lines the alveoli, containing surfactant.
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Lung Recoil
Lung Recoil
The tendency of the lungs to recoil back to their original size after being stretched.
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What are pulmonary alveoli?
What are pulmonary alveoli?
The tiny air sacs in the lungs where gas exchange takes place. They are responsible for transferring oxygen from inhaled air into the bloodstream and carbon dioxide from the blood into the air to be exhaled.
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What is 'simple' squamous epithelium?
What is 'simple' squamous epithelium?
The thin layer of cells that forms the walls of the alveoli, allowing for efficient gas exchange between the air and the blood.
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What is the 'air-blood' barrier?
What is the 'air-blood' barrier?
The combined structure of the alveolar epithelium, basement membrane, and capillary endothelium, which acts as a barrier for gas exchange between the air and the blood in the alveoli.
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What are the two main types of alveolar cells?
What are the two main types of alveolar cells?
Type I alveolar cells are thin, flat cells responsible for gas exchange, while Type II cells produce surfactant.
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What is surfactant?
What is surfactant?
A mixture of lipids and proteins secreted by Type II alveolar cells that reduces surface tension in the alveoli, preventing them from collapsing.
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What is alveolar recoil?
What is alveolar recoil?
The tendency of the alveoli to resist being stretched and to recoil back to their original size after being expanded. It's important for efficient breathing.
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What is surface tension in the alveoli?
What is surface tension in the alveoli?
The force that causes water molecules to stick together, which can lead to the alveoli collapsing if not counteracted by surfactant.
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How does surfactant affect surface tension in the alveoli?
How does surfactant affect surface tension in the alveoli?
Surfactant reduces surface tension in the alveoli by interfering with the attractive forces between water molecules, preventing them from collapsing.
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Lamellar Bodies
Lamellar Bodies
Specialized organelles within type II alveolar cells responsible for storing and secreting surfactant.
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Tubular Myelin
Tubular Myelin
A lung-specific structure formed from surfactant phospholipids and surfactant protein A (SP-A). It acts as a reservoir of surfactant and helps insert lipids into the air-liquid interface.
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Exocytosis of lamellar bodies
Exocytosis of lamellar bodies
The process by which lamellar bodies release surfactant into the alveolar space.
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Surfactant Production
Surfactant Production
The process by which surfactant is synthesized, processed, and assembled within type II alveolar cells.
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Alveolar Surfactant Pool
Alveolar Surfactant Pool
The amount of surfactant stored within the alveoli of a newborn.
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Surfactant Deficiency
Surfactant Deficiency
A condition characterized by insufficient surfactant production, leading to respiratory distress in newborns.
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Surfactant Degradation and Recycling
Surfactant Degradation and Recycling
The process by which surfactant is broken down and recycled by type II alveolar cells.
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What are collectins?
What are collectins?
Collectins are a family of proteins that play a vital role in innate immunity. They possess a collagen domain and a lectin domain, allowing them to recognize and bind to pathogens like bacteria and viruses.
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Describe the structure and function of SP-A.
Describe the structure and function of SP-A.
SP-A is one of the collectins found in the lungs. It forms a flower-shaped structure with 18 subunits, allowing it to effectively bind multiple pathogens.
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What are the roles of SP-B and SP-C in surfactant function?
What are the roles of SP-B and SP-C in surfactant function?
SP-B and SP-C are hydrophobic proteins that are crucial for the proper functioning of surfactant. They regulate the spread and mechanical properties of surfactant within the alveoli.
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Where is surfactant produced?
Where is surfactant produced?
Type II cells, found in the alveoli of the lungs, are the primary producers of surfactant. These cells synthesize and package the lipid and protein components of surfactant into lamellar bodies for secretion.
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What are the consequences of missing SP-B or SP-C?
What are the consequences of missing SP-B or SP-C?
Humans born without SP-B experience severe respiratory problems, while those lacking SP-C develop a progressive lung inflammation. These conditions highlight the importance of these proteins for normal lung function.
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How is surfactant synthesized?
How is surfactant synthesized?
The synthesis of surfactant involves separate pathways for lipids and proteins. Both components are packaged and stored in lamellar bodies before being released into the alveoli.
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When does surfactant production begin?
When does surfactant production begin?
Surfactant production begins during fetal development in type II cells, ensuring that the immature lungs are ready for their first breath.
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What is pulmonary surfactant?
What is pulmonary surfactant?
A natural substance produced by type II pneumocytes in the lungs, it reduces surface tension and helps prevent alveolar collapse.
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What is Respiratory Distress Syndrome (RDS)?
What is Respiratory Distress Syndrome (RDS)?
It's a life-threatening respiratory disorder in newborn premature babies caused by a deficiency of surfactant.
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What is cortisol's role in surfactant production?
What is cortisol's role in surfactant production?
It's a stress hormone that enhances surfactant production in premature lungs.
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How is surfactant recycled?
How is surfactant recycled?
The recycling of surfactant involves type II pneumocytes taking up 90% of surfactant back into the alveolar space, while macrophages handle the remaining 10%.
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What is the composition of pulmonary surfactant?
What is the composition of pulmonary surfactant?
It's a mixture of phospholipids, mainly DPPC, combined with spreading agents like SP-B and SP-C.
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What is Colfosceril palmitate (Exosurf)?
What is Colfosceril palmitate (Exosurf)?
It's a synthetic pulmonary surfactant made of DPPC, along with spreading agents hexadecanol and tyloxapol.
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What is cortisol administration therapy for RDS?
What is cortisol administration therapy for RDS?
This therapy approach involves administering cortisol to pregnant mothers at risk of preterm delivery.
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What is surfactant treatment for RDS?
What is surfactant treatment for RDS?
This treatment approach involves giving surfactant directly to the premature baby.
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What is lung compliance?
What is lung compliance?
It is the change in lung volume per unit change in airway pressure. Essentially, it tells us how stretchy the lungs are.
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What is Elastic Recoil?
What is Elastic Recoil?
This force makes the lungs recoil back to their original size after being stretched. It's like a balloon returning to normal after you let go of it.
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What is Alveolar Surface Tension?
What is Alveolar Surface Tension?
It is the thin layer of fluid found inside the alveoli that helps with the expansion and recoil of the lungs. It's responsible for the tension that the lungs experience.
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What is Pulmonary Elastic Connective Tissue?
What is Pulmonary Elastic Connective Tissue?
This special connective tissue in the lungs, rich in elastin fibers, surrounds the alveoli and allows them to expand and recoil. Think of it as the elastic band that gives your lungs their stretchiness.
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Pulmonary Alveoli
Pulmonary Alveoli
Tiny air sacs in the lungs where oxygen and carbon dioxide are exchanged between the air and blood.
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Simple squamous epithelium
Simple squamous epithelium
A thin layer of cells that forms the walls of the alveoli, allowing for efficient gas exchange.
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Air-blood barrier
Air-blood barrier
The combination of the alveolar epithelium, basement membrane, and capillary endothelium, acting as a barrier for gas exchange.
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Type II Alveolar Cells
Type II Alveolar Cells
Cells that secrete surfactant, a substance that reduces surface tension in the alveoli.
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Surfactant
Surfactant
A mixture of lipids and proteins that reduces surface tension in the alveoli, preventing them from collapsing.
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Alveolar Recoil
Alveolar Recoil
The tendency of the alveoli to resist being stretched and to recoil back to their original size after being expanded, essential for efficient breathing.
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Surface Tension in Alveoli
Surface Tension in Alveoli
The force that causes water molecules to stick together, which can lead to the alveoli collapsing if not counteracted by surfactant.
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Surfactant and Surface Tension
Surfactant and Surface Tension
Surfactant reduces surface tension by interfering with the attractive forces between water molecules, preventing the alveoli from collapsing.
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What is Dipalmitoylphosphatidylcholine (DPPC)?
What is Dipalmitoylphosphatidylcholine (DPPC)?
The main phospholipid in pulmonary surfactant responsible for reducing surface tension. It helps keep the alveoli inflated.
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What are lamellar bodies?
What are lamellar bodies?
Specialized organelles within type II alveolar cells responsible for storing and secreting surfactant. They act like tiny packages for surfactant.
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What is tubular myelin?
What is tubular myelin?
A lung-specific structure formed from surfactant phospholipids and surfactant protein A (SP-A). It acts as a reservoir of surfactant and helps insert lipids into the air-liquid interface.
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What is exocytosis of lamellar bodies?
What is exocytosis of lamellar bodies?
The process by which lamellar bodies release surfactant into the alveolar space. This ensures the alveoli have enough surfactant.
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What is surfactant deficiency?
What is surfactant deficiency?
A condition characterized by insufficient surfactant production, leading to respiratory distress in newborns.
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Tubular myelin formation
Tubular myelin formation
The formation of tubular myelin from surfactant phospholipids and SP-A, highlighting the importance of this protein in surfactant function.
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Describe the structure of SP-A.
Describe the structure of SP-A.
SP-A is a collectin protein, forming a 18-subunit structure with a collagen domain, carbohydrate recognition domain, and a cysteine-rich NH2-terminal domain.
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What are the roles of SP-B and SP-C?
What are the roles of SP-B and SP-C?
SP-B and SP-C, hydrophobic membrane proteins, increase the rate at which surfactant spreads and regulate its mechanical properties within the alveoli.
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Where and when is surfactant produced?
Where and when is surfactant produced?
The production of surfactant starts in type II cells during the alveolar sac stage of lung development. These cells synthesize and package lipids and proteins into lamellar bodies, which are later secreted into the alveoli.
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What happens if SP-B or SP-C are missing?
What happens if SP-B or SP-C are missing?
Humans born without SP-B experience severe respiratory problems, while those lacking SP-C develop progressive lung inflammation. This highlights the importance of these proteins for normal lung function.
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What is the role of type II cells in surfactant production?
What is the role of type II cells in surfactant production?
Type II cells are specialized cells in the alveoli of the lungs that produce surfactant. They synthesize and package lipid and protein components into lamellar bodies for secretion into the alveoli.
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What is the composition of surfactant?
What is the composition of surfactant?
Surfactant is a mixture of phospholipids and proteins, primarily dipalmitoylphosphatidylcholine (DPPC) and surfactant proteins (SP-A, SP-B, SP-C, SP-D).
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Respiratory Distress Syndrome (RDS)
Respiratory Distress Syndrome (RDS)
A life-threatening condition in premature babies caused by a deficiency of surfactant. Surfactant is crucial for keeping the lungs expanded -- without it, the alveoli collapse, leading to breathing difficulties.
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Surfactant Recycling
Surfactant Recycling
The recycling process of surfactant involves type II pneumocytes taking up 90% of the surfactant from the alveoli, while alveolar macrophages handle the remaining 10%. It's like a continuous cleaning and replenishing process for those tiny air sacs.
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Colfosceril Palmitate (Exosurf)
Colfosceril Palmitate (Exosurf)
A synthetic pulmonary surfactant made of DPPC, hexadecanol, and tyloxapol (spreading agents). It's used as a medication to treat and prevent RDS in newborns, helping those tiny lungs breathe easier.
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Cortisol's Role in Surfactant Production
Cortisol's Role in Surfactant Production
The stress hormone cortisol plays a vital role in boosting surfactant production in premature lungs, helping them mature faster and breathe more effectively. This is one reason why vaginal deliveries often lead to better lung development in babies.
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Cortisol Administration Therapy for RDS
Cortisol Administration Therapy for RDS
Administration of cortisol to pregnant mothers at risk of preterm delivery is a therapy approach for RDS, helping to stimulate the production of surfactant in the developing lungs of the baby.
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Surfactant Treatment for RDS
Surfactant Treatment for RDS
Direct administration of surfactant to a premature baby using a respirator is a common treatment for RDS, helping to replace the missing surfactant and improve lung function.
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Surfactant Half-Life
Surfactant Half-Life
The half-life of surfactant is 5 to 10 hours, meaning it's constantly breaking down and being replenished. It's like an ongoing 'cleanup and renewal cycle' for the lungs.
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