Compostion and function of surfactant

Vivian Imbriotis | May 2, 2026

Surfactant is a substances produced by T2 pneumocytes in the lung

It is composed of

  1. 90% phospholipids (80% DPPC)
  2. 8% proteins
  3. 2% carbohydrates

Fast turnover, \(T_{1/2} \approx\)12 hours

Surface tension forces

In alvoli there is a air-fluid interface. Water molecules attract each other, which tends to collapse the alveolus. The collapsing pressure is given by the young-laplace equation for a sphere: $$\Delta P = \frac{2 T}{r}$$

Small alveoli would tend to collapse due to pressure diffrerence with large alveoli, and low intraalveolar pressure draws in fluid \(\to\) pulmonary oedema

Effect of surfactant

DPPC is amphipathic (hydrophilic glycerol lead, hydrophobic fatty acid tail). Sits at air-fluid interface \(\to\) steric hindrance \(\to\ \ \downarrow\)tension.

\(\downarrow\)Alveolar radius \(\to\ \ \uparrow\)[surfactant] \(\to\) larger effect, stabilizing small alveoli.

Therefore

  1. Prevents collapse \(\to\) better V\Q matching
  2. Improves compliance by decreasing recoil from ST
  3. Prevents transudation of fluid into alveoli

Hysteresis

During inspiration, surfactant moves slowly from fluid phase \(\to\) interface; during expiration already at interface. This produces hysteresis (for any given pressure, lung volume is higher during expiration than inspiration).