A comparative study of exogenous surfactant preparations and tracheal aspirate: interfacial tensiometry and properties of foam films

Surfactant replacement therapy has a vital role in the management of respiratory distress syndrome (RDS). Several techniques and models have been largely used to investigate interfacial physico-chemical properties in vitro and to assist clinical efficiency of exogenous surfactant preparations (ESPs) in vivo. Among them are interfacial tensiometry (Langmuir balance coupled with Wilhelmy plate method for surface tension measurement) and black foam film (BFF) method for measuring the capability of ESPs for bilayer foam film formation.

Here, we report some freshly established data from a comparative study of Exosurf, Survanta, Curosurf, Alveofact and clinical samples of tracheal aspirate (TA) of newborns with RDS treated with Curosurf. New observations concerning the properties of foam films of ESPs are also reported and discussed.

Measured interfacial physico-chemical parameters prove “better” properties in vitro of the SP-B and -C containing preparations Curosurf and Alveofact. Their properties are similar, Alveofact showing a higher surface tension lowering capacity under dynamic conditions.

A comparison with measured interfacial parameters of clinical samples shows that after treatment with Curosurf the phospholipid concentration in tracheal aspirates (367 μg/ml) is higher than the minimum phospholipid concentration for stable black film formation (C_t) of all four ESPs studied, while before treatment this concentration (63 μg/ml) is lower than C_t.

Values of measured “dynamic” parameters of clinical samples after treatment with Curosurf approach those of the exogenous surfactant preparation itself.