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Potential Therapeutic Applications of Pulmonary Surfactant Lipids in the Host Defence Against Respiratory Viral Infections

Journal

FRONTIERS IN IMMUNOLOGY
Volume 12, Issue -, Pages -

Publisher

FRONTIERS MEDIA SA
DOI: 10.3389/fimmu.2021.730022

Keywords

pulmonary surfactant lipids; therapeutic applications; respiratory viral infections; COVID-19; ARDS

Categories

Funding

  1. National Natural Science Foundation of China [82004204, 81774156]
  2. Qing Lan Project
  3. Natural Science Foundation of Nanjing University of Chinese Medicine [NZY82004204]
  4. Open Projects of the Discipline of Chinese Medicine of Nanjing University of Chinese Medicine - Subject of Academic priority discipline of Jiangsu Higher Education Institutions [ZYX03KF053, ZYX03KF050]
  5. Natural Science Foundation of Jiangsu Province of China [BK20180825]
  6. Graduate Student Scientific Research Innovation Projects in Jiangsu Province [SJCX21-0696]

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Pulmonary surfactant, composed of 90% lipids and 10% proteins, reduces surface tension in the lungs, preventing alveolar collapse and reducing mechanical work during breathing. Surfactant lipids have shown potential for therapeutic applications in respiratory viral infections due to their anti-inflammatory and antiviral properties.
Pulmonary surfactant is a complex and highly surface-active material. It covers the alveolar epithelium and consists of 90% lipids and 10% proteins. Pulmonary surfactant lipids together with pulmonary surfactant proteins facilitate breathing by reducing surface tension of the air-water interface within the lungs, thereby preventing alveolar collapse and the mechanical work required to breathe. Moreover, pulmonary surfactant lipids, such as phosphatidylglycerol and phosphatidylinositol, and pulmonary surfactant proteins, such as surfactant protein A and D, participate in the pulmonary host defense and modify immune responses. Emerging data have shown that pulmonary surfactant lipids modulate the inflammatory response and antiviral effects in some respiratory viral infections, and pulmonary surfactant lipids have shown promise for therapeutic applications in some respiratory viral infections. Here, we briefly review the composition, antiviral properties, and potential therapeutic applications of pulmonary surfactant lipids in respiratory viral infections.

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