Dynamic tension and adsorption behavior of aqueous lung surfactants

The dynamic tension behavior, at constant or at pulsating area conditions, of two commercial lung surfactants in saline is reported. The bubble method, at constant or pulsating area, at 37°C and the pendant drop method at 23°C were used. For Exosurf, a commercial synthetic lung surfactant consisting of dissolved tyloxapol and dispersed dipalmitoylphosphatidylcholine (or DPPC) and hexadecanol (H), the equilibrium and dynamic tensions are high (over 30 mN m⁻¹) and similar to those of tyloxapol alone. Aqueous DPPC/H mixtures have lower tensions than Exosurf. Survanta, a commercial lung surfactant replacement drug consisting of DPPC, other lipids, and two hydrophobic lung surfactant proteins, produces dynamic surface tensions that are substantially lower than those of Exosurf. Diluted 10-fold, Survanta produces under pulsating area (at 20 cycles min⁻¹) lower minimum tensions than undiluted Survanta (6 vs. 12 mN m⁻¹), but higher maximum tensions. In addition, Survanta tension behavior is unusual, having three local maxima and three local minima per cycle, suggesting major variations of its surface composition in each cycle. Monolayer pressure-area isotherms and Fourier transform infrared-attenuated total reflection (FTIR-ATR) spectroscopy results on deposited Langmuir–Blodgett films support this suggestion. They also provide direct evidence of the presence of phospholipids (DPPC or others) on the surface, but only indirect evidence of the presence of other components, on the surface of aqueous Exosurf or Survanta.