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. 2022 Dec 10;12(12):1845. doi: 10.3390/biom12121845

Table 1.

Processes in the COVID-19 lungs related to surfactant dysfunction.

Surfactant
Upregulation Downregulation SARS-CoV-2 Infection Effects
- TTF1
SFTPC
SFTPD
Altered immunomodulation
Altered air exchange
Ineffective alveolar surface tension regulation
SFTPB - Ineffective alveolar surface tension regulation
GATA6
SFTPA
- Disrupted immune and anti-inflammation processes
- LMCD1 Disrupted immune and anti-inflammation processes
SREBP2 cholesterol biosynthesis genes Reduction in the phospholipids in the lungs
Nonfunctional surfactant proteins
Cytokine storm induction