Ann Czyzewski1, Nathan J. Brown1, Michelle T. Dohm2, David M. Steinhorn3, and Annelise E. Barron1. (1) Chemical and Biological Engineering, Northwestern University, 2145 Sheridan Road, Evanston, IL 60208, (2) Chemistry, Northwestern University, 2145 Sheridan Rd., Evanston, IL 60208, (3) Children's Memorial Hospital, 2300 Children's Plaza, Box 73, Chicago, IL 60614
The absence or dysfunction of lung surfactant (LS) is causally related to many different disease states, including respiratory distress syndrome (RDS). While animal-derived surfactant replacement therapy (SRT) is effective in the treatment of neonatal RDS, its limitations include high cost, batch-to-batch variability, and potential for an immune sensitization of the recipient. We are developing synthetic mimics of lung surfactant proteins SP-B and SP-C based on oligo-N-substituted glycines, or “peptoids”, that demonstrate the potential to improve pulmonary biophysical functionality while circumventing the shortcomings of animal-derived therapy. Here we report that a formulation including mimics of both SP-B and SP-C can exhibit superior in vitro surface activity than either component alone. Additionally, in vitro biocompatibility screening of peptoids using NIH 3T3 and A549 lung epithelial cells shows that surface-active mimics can be significantly less toxic than their peptide mimic counterparts. We also demonstrate proof-of-concept efficacy of some of our most promising lung surfactant protein mimics using the rat washout model of RDS. Taken together, these results suggest that peptoid-based mimic formulations have the potential to be important therapeutic agents in the treatment of RDS.