ABSTRACT
In acute lung injuries, secretory phospholipase A2 (sPLA2) inhibits surfactants by hydrolyzing phospholipids. Because hyaluronan (HA) reduces hydrolysis of phospholipids by sPLA2, and because sPLA2 inhibits surfactant in vitro, the authors hypothesized HA would reduce sPLA2 inhibition. Surfactants were used alone or mixed with HA and/or sPLA2 then tested for surface activity in 2 separate assays, or for sPLA2 activity. Equilibrium surface pressures were identical for surfactant with or without HA. sPLA2 inhibited surface activity but this inhibitory effect was reduced with HA by 14% in the spreading trough and by 63% in a modified bubble surfactometer. Hyaluronan caused a modest reduction (39%) of sPLA2 breakdown of labeled phospholipid. Therefore hyaluronan reduces inhibition of surfactants by sPLA2 in vitro, and reduces the activity of the enzyme.
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