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First, we have the first generation of protein-free synthetic surfactants. This first generation contained only DPPc. The best known was colcoceryl palmitate.
First, we have the first generation of protein-free synthetic surfactants. This first generation contained only DPPc. The best known was colcoceryl palmitate.


Secondly, we have the second generation of natural surfactants of animal origin. It is obtained from the lungs of cattle or pigs. The surfactants bovine extracts were Infasurd and Alvofact, from porcine extracts were Curosurf and from modified bovine extracts were Survanta. Unlike the first generation newborns with RDS had less oxygen requirement and ventilatory support within 72 hours of drug administration.
Secondly, we have the second generation of natural surfactants of animal origin. It is obtained from the lungs of cattle or pigs. The surfactants bovine extracts were [https://www.vademecum.es/equivalencia-lista-infasurf+suspension+para+instilacion+endotraqueopulmonar+480+mg%2F6+ml-colombia-r07aa02-co_1 Infasurf] and [https://www.vademecum.es/equivalencia-lista-alvofact+endotracheopulmonary+instillation%2C+suspension+54+mg%2F1.2+ml-paises+bajos-r07aa02-nl_1 Alvofact], from porcine extracts were [https://www.vademecum.es/medicamento-curosurf+vial+120+mg%2F1%2C5+ml_20211 Curosurf] and from modified bovine extracts were Survanta. Unlike the first generation newborns with RDS had less oxygen requirement and ventilatory support within 72 hours of drug administration.


Third, we have the third generation of synthetic peptides or recombinant proteins. These use a mixture of different components. DPPc is used as an agent to drecrease surface tension and the rest of the aggregates increase adsorption. The best known are Venicute and Surfaxin. They are still under development so we don't know what are the advantages over the second generation.
Third, we have the third generation of synthetic peptides or recombinant proteins. These use a mixture of different components. DPPc is used as an agent to drecrease surface tension and the rest of the aggregates increase adsorption. The best known are Venicute and Surfaxin. They are still under development so we don't know what are the advantages over the second generation.

Revision as of 10:02, 20 October 2019

File:3D dipalmitoylphosphatidylcholine.gif
Nitrogen in blue, phosphorus in orange and oxygen in red
Dipalmitoylphosphatidylcholine
Identifiers
3D model (JSmol)
ChemSpider
ECHA InfoCard 100.018.322 Edit this at Wikidata
UNII
  • InChI=1S/C40H80NO8P/c1-6-8-10-12-14-16-18-20-22-24-26-28-30-32-39(42)46-36-38(37-48-50(44,45)47-35-34-41(3,4)5)49-40(43)33-31-29-27-25-23-21-19-17-15-13-11-9-7-2/h38H,6-37H2,1-5H3/t38-/m1/s1 checkY
    Key: KILNVBDSWZSGLL-KXQOOQHDSA-N checkY
  • InChI=1/C40H80NO8P/c1-6-8-10-12-14-16-18-20-22-24-26-28-30-32-39(42)46-36-38(37-48-50(44,45)47-35-34-41(3,4)5)49-40(43)33-31-29-27-25-23-21-19-17-15-13-11-9-7-2/h38H,6-37H2,1-5H3/t38-/m1/s1
    Key: KILNVBDSWZSGLL-KXQOOQHDBV
  • O=C(OC[C@@H](OC(=O)CCCCCCCCCCCCCCC)COP([O-])(=O)OCC[N+](C)(C)C)CCCCCCCCCCCCCCC
Properties
C40H80NO8P
Molar mass 734.053 g·mol−1
Surface tension:
4.6 ± 0.5 x 10−10 M[1]
Except where otherwise noted, data are given for materials in their standard state (at 25 °C [77 °F], 100 kPa).
checkY verify (what is checkY☒N ?)

Dipalmitoylphosphatidylcholine (DPPC) is a phospholipid (and a lecithin) consisting of two palmitic acids attached to a phosphatidylcholine head-group.

It is the main constituent of pulmonary surfactants, which reduces the work of breathing and prevents alveolar collapse during breathing. It also plays an important role in the study of liposomes and human bilayers.  

A laminar system consisting of water and gas molecules separated by DPPC lipid layers
A single time-point "snapshot" of a molecular dynamics simulation of DPPC lipid bilayer formation in a two phase system.[clarification needed][citation needed]

DPPC and lung surfactant

Lung surfactant (LS) is a surface active material produced by most air-breathing animals with the aim of reducing the surface tension of water when gas exchange occurs, given that the inhalation and exhalation movements may cause damage if there is not enough energy to sustain it.

The monolayer formed by the LS on the interface is composed mainly by phospholipids (80%), proteins (12%) and neutral lipids (8%). Among these phospholipids, the prevailing is phosphatidylcholine (PC, or lecithin) (70 – 85%), which composes a pool where 50% of the material is DPPC.

DPPC by its own does already have the capacity to minimize the tension, but it requires the presence of proteins and other lipids from the surfactant to ease the adsorption in the air-liquid interphase.

The fact that DPPC is a variant of the lecithin and its structure based on an hydrophilic head and hydrophobic tails grants it such properties. The polar and hidrophilic head is caused by the choline radical, oriented towards the alveolar liquid, and the non-polar and hydrophobic tails are due to the palmitic acid chains, oriented towards the outer side.

Synthesis of DPPC

The synthesis of phospholipids from pulmonary surfactant takes place in the endoplasmic reticulum of type II pneumocytes. Pulmonary surfactant has a protein and a lipid composition. Specifically, we found that phosphatidilcholine is the most abundant phospholipid (70%-80%) and it mostly disaturates in the form of dipalmitoylphosphatidylcholine (DPPC).

The novo synthesis of phospatidilcholine in the lung occurs mainly from the formation of CDP-choline. The passage from CDP-choline to phosphatidilcholine is catalyzed by Choline-phosphate cytidyltransferase. Although the main enzyme acting on its synthesis is Choline-phosphate cytidyltransferase, there are certain conditions under which the enzymes choline kinase, glycerol-3-phosphate acyltransferase and phosphatidate phosphatase may play a regulatory role.

From the novo biosynthesis, we obtain 45% of the total DPPC of the pulmonary surfactant. The rest is formed by disacylation and reacylation mechanisms from unsaturated acyl chains of phosphatidileolin. The elimination of the acyl chain is produced by transacylation, thus obtaining a lysophospholipid. After the disacylation or transacylation process, we obtain lysophosphatidylcholine, which results in DPPC after reacillating it with palinitoilCoa by means of aciltransferated lysophosphatidylcholine.

Characteristics

Its relation with temperature

This phospholipid is found in a solid/gel phase at 37ºC (at the effective temperature of the human body). Its melting point is around 41.3ºC. So, when the temperature is above 41ºC, DPPC is no longer found in a gel phase but in a liquid one.

Amphipathic behaviour

DPPC is an amphipathic lipid. This characteristic is due to its hydrophilic head, composed by the phosphatidylcholine group, and its hydrophobic tail, composed by two palmitic acids. This trait allows DPPC to easily form micelles, monolayers, bilayers and liposomes spontaneously in contact with a polar solvent.

Its work as a surfactant

DPPC is the main phospholipid composant of pulmonary surfactant. it is surface active thanks to its amphipathic behaviour and its adsorption capacity. However, DPPC adsorption is not quite effective at the human body temperature, because at 37ºC it is found in a gel phase. So, it is required the presence of some unsaturated phospholipids (such as dioleoylphosphatidylcholine or phosphatidylglycerol) and cholesterol in surfactant to help making it more fluid, so it adsorbs more efficiently. So, when this mixture contacts with water (for example), it cumulates in the interphase water/air, causing a significant diminution of water surface tension. A thin superficial pellicule of surfactant creates in the interphase, the molecules composing the surfactant (DPPC) feel atracted by the liquid molecules (in this case H20 molecules) which causes the diminution of surface tension.

Actual uses

Research uses

Commonly, DPPC is hihgly used for research purposes. It is mainly used to create liposomes and bilayers which are involved in bigger studies. The Langmuir-Blodgett technique allow the synthesis of liposomal DPPC bilayers. Currently, this liposomes are used in the study of the properties of this phosphatidilcoline and the mechanism of drug delivery in the human body.

Furthermore, the fact that the dynamics of vesicle fusion are different for lipids in the gel phase compared with the fluid phase, allows scientists to use DPPC along with DOPC in Atomic Force Microscopy and Atomic Force Spectroscopy.

Pharmaceutical uses

DPPc is routinely used in formulation of some medicines mainly used for the treatment of RDS in newborn infants. Currently, the drugs in which it is used are still in development as the technique which they are given. Current synthetic surfactants are combinations of DPPc, other phospholipids, neutral lipids and lipoproteins.

The appearance of the treatment of respiratory distress syndrome with surfactants it's originated in the 1960s. The firts treatment administered to some newborns with RDS was with surfactant phospholipids, specifically with dipalmitoylphosphatidylcholine by means of an aerosol (Robillard, 1964). This treatment proved to be infective, as the administration of DPPc alone did not achieve any beneficial effect. Subsequently, various studies were carried out to obtain more efficient drugs for the treatment of this disease.

Pulmonary surfactants can be classified into three types:

First, we have the first generation of protein-free synthetic surfactants. This first generation contained only DPPc. The best known was colcoceryl palmitate.

Secondly, we have the second generation of natural surfactants of animal origin. It is obtained from the lungs of cattle or pigs. The surfactants bovine extracts were Infasurf and Alvofact, from porcine extracts were Curosurf and from modified bovine extracts were Survanta. Unlike the first generation newborns with RDS had less oxygen requirement and ventilatory support within 72 hours of drug administration.

Third, we have the third generation of synthetic peptides or recombinant proteins. These use a mixture of different components. DPPc is used as an agent to drecrease surface tension and the rest of the aggregates increase adsorption. The best known are Venicute and Surfaxin. They are still under development so we don't know what are the advantages over the second generation.

In summary, DPPc is used in formulation of some therapeutical pulmonary surfactants like Survanta and Beraksurf in order to standardize the content of drug.[2] Also is used for liposome formation in order to delivery of drug in the body.[3]


See also


References

  1. ^ Smith, Ross; Tanford, Charles (June 1972). "The critical micelle concentration of l-α-dipalmitoylphosphatidylcholine in water and water/methanol solutions". Journal of Molecular Biology. 67 (1): 75–83. doi:10.1016/0022-2836(72)90387-7. PMID 5042465.
  2. ^ "Surfactant - Medical Countermeasures Database".
  3. ^ Li, Jing; Wang, Xuling; Zhang, Ting; Wang, Chunling; Huang, Zhenjun; Luo, Xiang; Deng, Yihui (2015). "A review on phospholipids and their main applications in drug delivery systems". Asian Journal of Pharmaceutical Sciences. 10 (2): 81–98. doi:10.1016/j.ajps.2014.09.004.