Abstract:
This invention relates to novel proteins useful for enhancing pulmonary surfactant activity, methods for obtaining said proteins and compositions containing one or more of the proteins.

Description:
This application is a continuation-in-part of U.S. Ser. Nos. 100,372 (filed Sept. 24, 1987 as a CIP of 897,183 and 781,130); 897,183 (filed Aug. 15, 1986 as a CIP of 781,130); and 781,130 (filed September 26, 1985), the contents of which are hereby incorporated by reference. 
    
    
     FIELD OF THE INVENTION 
     This invention relates to proteins originally isolated from human lung lavage, methods for obtaining said proteins and uses thereof. 
     BACKGROUND OF THE INVENTION 
     Throughout this application various publications are referenced. Full citations for these publications may be found at the end of the specification The disclosure of these publications are hereby incorporated by reference in order to more fully describe the state of the art to which this invention pertains. 
     Hyaline Membrane Disease (HMD) and Respiratory Distress Syndrome (RDS) are synonymous terms denoting the clinical condition of pulmonary dysfunction in premature infants. The disease is attributable to the absence of surface active material (surfactant) which lines the air-alveolar interface in the lung and prevents collapse of the alveoli during respiration. Current therapy is predominantly supportive. However, recent clinical trials indicate that one promising therapy is the instillation of bovine-derived surfactant into the lungs of the neonate. 
     Surface tension in the alveoli of the lung is lowered by a lipoprotein complex called pulmonary surfactant. This complex consists of phospholipid and 5-10% protein (King, 1982). The protein fraction of the surfactant is composed of nonserum and serum proteins. The major surfactant associated protein is reportedly a 35,000 dalton nonserum, sialoglycoprotein (Shelly et al., 1982; Bhattacharyya et al, 1975; Sueishin and Benson 1981; King et al, 1973, Katyal &amp; Singh, 1981). This protein reportedly seems to be important for the normal function of the pulmonary surfactant (King et. al., 1983; Hawgood et.al., 1985). It is present in reduced amounts in amniotic fluid samples taken shortly before the birth of infants who subsequently develop respiratory distress syndrome (Katyal and Singh, 1984; Shelly et al., 1982; King et al., 1975). Recently the biosynthesis of a 35,000 dalton protein in normal human lung tissue was studied and in an in vitro translation reaction, proteins of 29 and 31 kDa were identified as the primary translation products (Floros et al., 1985). A 35kDa protein also accumulates in the lungs of patients with alveolar proteinosis (Battacharyya and Lynn, 1978, Battacharyya and Lynn, 1980a). This protein has the same electrophoretic mobility, immunological determinants and peptide mapping as the 35kDa protein from normal human broncho-alveolar lavage material (Phelps et al., 1984; Whitsett et al., 1985). 
     In addition to the above mentioned proteins, the presence in rat lungs of a number of lower molecular weight surfactantassociated proteins has recently been reported. See D. L. Wang, A. Chandler and A. B. Fisher, Fed. Proc. 44(4): 1024 (1985), Abstract No.3587 (ca. 9000 dalton rat protein) and S. Katyal and G. Singh, Fed. Proc. 44(6): 1890 (1985), Abstract No. 8639 (10,000-12,000 dalton rat protein). 
     Additionally, a Feb. 6, 1985 press release from California Biotechnology Inc. reports the cloning and &#34;detailed manipulation&#34; of &#34;the gene encoding human lung surfactant protein.&#34; However, the press release does not characterize that protein or describe the &#34;detailed manipulations.&#34; Two other reports of possible surfactant-related proteins have also been published recently, namely, J.A. Whitsett et al., 1986, Pediatr. Res. 20:460 and A. Takahashi et al., 1986, BBRC 135:527. 
     The present invention relates to a new group of proteins recovered and purified from lung lavage of patients with alveolar proteinosis; methods for obtaining the proteins; corresponding recombinant proteins; antibodies to the proteins (which may be obtained by conventional methods now that the proteins may be obtained in pure form) for use, e.g. in diagnostic products; compositions containing the novel proteins; and methods for using the compositions, e.g. in the treatment of infants afflicted with conditions such as Respiratory Distress Syndrome (RDS), as a drug delivery vehicle in the administration of other therapeutic materials to the lungs or other organs and in the treatment of adult RDS, which can occur during cardiopulmonary operations or in other situations when the lungs are filled with fluid and natural pulmonary surfactant production and/or function ceases. 
     SUMMARY OF THE INVENTION 
     This invention relates to novel purified forms of human proteins useful for enhancing pulmonary surfactant activity, methods for obtaining said proteins in purified form and compositions containing one or more of the proteins. The proteins of this invention include the following: 
     1. A purified protein, i.e. free or substantially free from other human proteins, characterized by: 
     (a) solubility in 1-butanol at 4° C.; 
     (b) substantial insolubility in 1-butanol at -20° C., 
     i.e. permitting protein precipitation therefrom; 
     (c) containing the peptide sequence FPIPLPY-WL--AL (where &#34;-&#34; represents a non-determined amino acid residue); and, 
     (d) a predominant band having an apparent molecular weight (MW) of ˜6 kd as determined by SDS-PAGE analysis. 
     The protein so defined may be obtained and purified from lung lavage of patients suffering from alveolar proteinosis or may be produced by recombinant means, both as described herein, and should be useful in providing or enhancing enhancing pulmonary surfactant activity. Accordingly, this invention encompasses both the purified natural material as well as recombinant versions thereof. The amino acid composition of the protein as purified from lavage material is shown in Table 3. As described elsewhere herein, the recombinant form of the protein is encoded for by the DNA sequence of Table 1 or by a DNA sequence capable, or capable but for the use of synonymous codons, of hybridizing thereto under stringent conditions. &#34;Stringent conditions&#34; as the phrase is used herein are hybrization conditions substantially equivalent to 65° C. in 5 X SSC (1 X SSC=150 mM NaCl/0.15M Na Citrate). Thus this invention also encompasses proteins which are at least about 90% homologous, and preferably at least about 95% homologous, to polypeptide sequences encoded by the DNA sequence of Table 1. 
     2. A purified protein, i.e. free or substantially free from other human proteins, characterized by: 
     (a) solubility in 1-butanol at -20° C.; 
     (b) a predominant band having an apparent MW of about 6 kd as determined by SDS-PAGE; and, 
     (c) an amino acid composition substantially as set forth in Table 2. 
     This protein should also be useful in providing or enhancing enhancing pulmonary surfactant activity. 
     
         TABLE 1  DNA and Corresponding Protein Sequence of 6K Clone   10      28     43     GAATTCCGGT GCC ATG GCT GAG TCA CAC CTG CTG CAG TGG CTG CTG CTG CTG CTG   MET Ala Glu Ser His Leu Leu Gln Trp Leu Leu Leu Leu Leu  58     73     88     103   CCC ACG CTC TGT GGC CCA GGC ACT GCT GCC TGG ACC ACC TCA TCC TTG GCC TGT Pro Thr Leu Cys Gly Pro Gly Thr Ala Ala Trp Thr Thr Ser Ser Leu Ala Cys    118     133     148     163 GCC CAG GGC CCT GAG TTC TGG TGC CAA AGC CTG GAG CAA GCA TTG CAG TGC AGA Ala Gln Gly Pro Glu Phe Trp Cys Gln Ser Leu Glu Gln Ala Leu Gln Cys Arg178     193     208 GCC CTA GGG CAT TGC CTA CAG GAA GTC TGG GGA CAT GTG GGA GCC GAT GAC CTA Ala Leu Gly His Cys Leu Gln Glu Val Trp Gly His Val Gly Ala Asp Asp Leu   223     238     253     268 TGC CAA GAG TGT GAG GAC ATC GTC CAC ATC CTT AAC AAG ATG GCC AAG GAG GCC Cys Gln Glu Cys Glu Asp Ile Val His Ile Leu Asn Lys MET Ala Lys Glu Ala     283     298    313 ATT TTC CAG GAC ACG ATG AGG AAG TTC CTG GAG CAG GAG TGC AAC GTC CTC CCC Ile Phe Gln Asp Thr MET Arg Lys Phe Leu Glu Gln Glu Cys Asn Val Leu Pro  328     343     358     373 TTG AAG CTG CTC ATG CCC CAG TGC AAC CAA GTG CTT GAC GAC TAC TTC CCC CTG Leu Lys Leu Leu MET Pro Gln Cys Asn Gln Val Leu Asp Asp Tyr Phe Pro Leu    388     403     418     433 GTC ATC GAC TAC TTC CAG AAC CAG ACT GAC TCA AAC GGC ATC TGT ATG CAC CTG Val Ile Asp Tyr Phe Gln Asn Gln Thr Asp Ser Asn Gly Ile Cys MET His Leu 448     463     478 GGC CTG TGC AAA TCC CGG CAG CCA GAG CCA GAG CAG GAG CCA GGG ATG TCA GAC Gly Leu Cys Lys Ser Arg Gln Pro Glu Pro Glu Gln Glu Pro Gly MET Ser Asp   493     508     523     538 CCC CTG CCC AAA CCT CTG CGG GAC CCT CTG CCA GAC CCT CTG CTG GAC AAG CTC Pro Leu Pro Lys Pro Leu Arg Asp Pro Leu Pro Asp Pro Leu Leu Asp Lys Leu     553     568 583 GTC CTC CCT GTG CTG CCC GGG GCC CTC CAG GCG AGG CCT GGG CCT CAC ACA CAG Val Leu Pro Val Leu Pro Gly Ala Leu Gln Ala Arg Pro Gly Pro His Thr Gln  598     613     628     643 GAT CTC TCC GAG CAG CAA TTC CCC ATT CCT CTC CCC TAT TGC TGG CTC TGC AGG Asp Leu Ser Glu Gln Gln Phe Pro Ile Pro Leu Pro Tyr Cys Trp Leu Cys Arg    658     673     688     703 GCT CTG ATC AAG CGG ATC CAA GCC ATG ATT CCC AAG GGT GCG CTA GCT GTG GCA Ala Leu Ile Lys Arg Ile Gln Ala MET Ile Pro Lys Gly Ala Leu Ala Val Ala      718733     748 GTG GCC CAG GTG TGC CGC GTG GTA CCT CTG GTG GCG GGC GGC ATC TGC CAG TGC Val Ala Gln Val Cys Arg Val Val Pro Leu Val Ala Gly Gly Ile Cys Gln Cys   763     778     793     808 CTG GCT GAG CGC TAC TCC GTC ATC CTG CTC GAC ACG CTG CTG GGC CGC ATG CTG Leu Ala Glu Arg Tyr Ser Val Ile Leu Leu Asp Thr Leu Leu Gly Arg MET Leu     823     838     853 CCC CAG CTG GTC TGC CGC CTC GTC CTC CGG TGC TCC ATG GAT GAC AGC GCT GGC Pro Gln Leu Val Cys Arg Leu Val Leu Arg Cys Ser MET Asp Asp Ser Ala Gly 868     883     898     913 CCA AGG TCG CCG ACA GGA GAA TGG CTG CCG CGA GAC TCT GAG TGC CAC CTC TGC Pro Arg Ser Pro Thr Gly Glu Trp Leu Pro Arg Asp Ser Glu Cys His Leu Cys    928     943     958     973 ATG TCC GTG ACC ACC CAG GCC GGG AAC AGC AGC GAG CAG GCC ATA CCA CAG GCA MET Ser Val Thr Thr Gln Ala Gly Asn Ser Ser Glu Gln Ala Ile Pro Gln Ala      988 1003     1018 ATG CTC CAG GCC TGT GTT GGC TCC TGG CTG GAC AGG GAA AAG TGC AAG CAA TTT MET Leu Gln Ala Cys Val Gly Ser Trp Leu Asp Arg Glu Lys Cys Lys Gln Phe   1033     1048     1063     1078 GTG GAG CAG CAC ACG CCC CAG CTG CTG ACC CTG GTG CCC AGG GGC TGG GAT GCC Val Glu Gln His Thr Pro Gln Leu Leu Thr Leu Val Pro Arg Gly Trp Asp Ala     1093     1108  1123 CAC ACC ACC TGC CAG GCC CTC GGG GTG TGT GGG ACC ATG TCC AGC CCT CTC CAG His Thr Thr Cys Gln Ala Leu Gly Val Cys Gly Thr MET Ser Ser Pro Leu Gln  1138     1153  1166 1176 1186 1196 TGT ATC CAC AGC CCC GAC CTT TGATGAGAAC TCAGCTGTCC AGCTGCAAAG GAAAAGCCAA Cys Ile His Ser Pro Asp Leu  1 206 1216 1226 1236 1246 1256 1266 GTGAGACGGG CTCTGGGACC ATGGTGACCA GGCTCTTCCC CTGCTCCCTG GCCCTCGCCA GCTGCCAGGC  1276 1286 1296 1306 1316 1326 1336 TGAAAAGAAG CCTCAGCTCC CACACCGCCC TCCTCACCTC CCTTCCTCGG CAGTCACTTC CACTGGTGGA  1346 1356 1366 1376 1386 1396 1406 CCACGGGCCC CCAGCCCTGT GTCGGCCTTG TCTGTCTCAG CTCAACCACA GTCTGACACC AGAGCCCACT  1416 1426 1436 1446 1456 1466 1476 TCCATCCTCT CTGGTGTGAG GCACAGCGAG GGCAGCATCT  GGAGGAGCTC TGCAGCCTCC ACACCTACCA  1486 1496 1506 1516 1526 1536 1546 CGACCTCCCA GGGCTGGGCT CAGGAAAAAC CAGCCACTGC TTTACAGGAC AGGGGGTTGA AGCTGAGCCC  1556 1566 1576 1586 1596 1606 1616 CGCCTCACAC CCACCCCCAT GCACTCAAAG ATTGGATTTT ACAGCTACTT GCAATTCAAA ATTCAGAAGA  1626 1636 1646 1656 1666 1676 1686 ATAAAAAATG CGAACATACA GAACTCTAAA AGATAGACAT CAGAAATTG T TAAGTTAAGC TTTTTCAAAA  1696 1706 1716 1726 1736 1746 1756 AATCAGCAAT TCCCCAGCGT AGTCAAGGGT GGACACTGCA CGCTCTGGCA TGATGGGATG GCGACCGGGC  1766 1776 1786 1796 1806 1816 1826 AAGCTTTCTT CCTCGAGATG CTCTGCTGCT TGAGAGCTAT  TGCTTTGTTA AGATATAAAA AGGGGTTTCT  1836 1846 1856 1866 1876 1886 1896 TTTTGTCTTT CTGTAAGGTG GACTTCCAGC TTTTGATTGA AAGTCCTAGG GTGATTCTAT TTCTGCTGTG  1906 1916 1926 1936 1946 1956 1966 ATTTATCTGC TGAAAGCTCA GCTGGGGTTG TGCAAGCTAG GGACCCATTC CTGTGTAATA CAATGTCTGC  1976 1986 1996 2006 2016 2026 ACCAATGCTA ATAAAGTCCT ATTCTCTTTT AAAAAAAAAA AAAAAAAAAA AACGGAATTC Deduced protein sequence of 6Kd PSP protein is underlined 
    
     
                       TABLES 2 &amp; 3______________________________________Amino acid compositions of the cold butanolinsoluble and soluble &#34;6 kd&#34; proteins, respectively       TABLE 3 TABLE 2______________________________________Asp/Asn       3.06      2.7Thr           1.18      2.0Ser           2.55      2.1Glu/Gln       5.97      1.6Pro           7.64      6.3Gly           7.38      22.9Ala           9.13      3.3Cys           9.14      0.95Val           10.13     5.5Met           3.46      3.4Ile           6.46      4.8Leu           16.23     17.3Tyr           2.31      3.3Phe           1.55      6.3His           .34       2.9Lys           1.62      3.6Arg           7.88      1.94______________________________________ (calculated based on Mw = 10,000 daltons: ave residue Mw = 110) 
    
     Both proteins are referred to herein as &#34;6 kd&#34; proteins for the sake of simplicity, although it should be appreciated that other minor bands believed to represent incompletely processed forms of the proteins (e.g. at ˜12 kd and/or ˜16-18 kd) are also observed upon SDS-PAGE analysis of the proteins. 
     DETAILED DESCRIPTION OF THE INVENTION 
     The proteins of this invention were obtained by subjecting pulmonary lavage material from an alveolar proteinosis patient to a combination of separation techniques followed by chromatographic purification. More specifically, the lavage material was centrifuged, and the protein-containing pellet so obtained was washed with buffer and extracted with a solvent such as 1-butanol to remove lipids and lipid associated proteins. The butanol extract was set aside and treated as described below. 
     The 1-butanol-insoluble material was then washed, redissolved in buffer and purified chromatographically. Two proteins were thus obtained which are characterized by a molecular weight of about 35 kd. Those proteins are described in greater detail in in Published International Application WO 86/02037. 
     Butanol-soluble proteins were obtained by cryoprecipitation. More specifically, storage of the 1-butanol extract at -20° C. yielded a precipitate which was purified chromatographically to yield a protein characterized by a predominant band having an apparent molecular weight of about 6 kd (as determined by SDS-PAGE) and the observed amino acid composition set forth in Table 3. A second 6 kd (as determined by SDS-PAGE) protein was obtained by concentrating the supernatant to dryness and purifying the residue chromatographically. The observed amino acid composition of the latter 6 kd protein is set forth in Table 2. 
     The two low molecular weight proteins of this invention differ significantly from each other with respect to amino acid composition, as well as from the protein described by Tanaka, Chem. Pharm. Bull. 311:4100 (1983). Additionally, the N-terminal peptide sequence of the cold butanol-insoluble 6 kd protein was determined (Table 4). As previously mentioned, for the sake of simplicity, both low molecular weight PSP proteins are referred to hereinafter as &#34;6k&#34; proteins based on the approximate apparent molecular weights of their predominant protein bands as determined by conventional SDS-PAGE. It should be understood, however, that the actual molecular weights of these protein bands are presumably in the range of ˜5-˜9 kilodaltons 
     The fact that these proteins can now be obtained in pure form by the above-described methods made it possible for one to apply conventional methods to elucidate the amino acid composition and sequence of the proteins; to prepare oligonucleotide probes based on the elucidated peptide sequences; to identify genomic DNA or cDNA encoding the proteins by conventional means, e.g., via (a) hybridization of labeled oligonucleotide probes to DNA of an appropriate library (Jacobs et al., 1985), (b) expression cloning (Wong et al., 1985) and screening for surfactant enhancing activity or (c) immunoreactivity of the expressed protein with antibodies to the proteins or fragments thereof; and to produce corresponding recombinant proteins using the identified genomic DNA or cDNA and conventional expression technology i.e. by culturing genetically engineered host cells such as microbial, insect or mammalian host cells containing the DNA so identified, for instance, transformed with the DNA or with an expression vector containing the DNA. 
     By way of example, genes encoding the two 35 kd proteins were cloned as described in detail in WO 86/02037. 
     Additionally, oligonucleotide probes based on the N-terminal sequence of the cold butanol-insoluble 6K protein (See Table 40) were synthesized and were used to screen a cDNA library prepared from human lung mRNA (Toole et al., 1984) as described in greater detail in Example 2, below. Several clones which hybridized to the probes were identified. Based on hybridization intensity one clone was selected, subcloned into M13 and sequenced. Plasmid PSP6K-17-3 was constructed by inserting the cloned cDNA so identified as an EcoRI fragment into the EcoRI site of plasmid SP65 (D.A. Melton et al., 1984, Nucleic Acids Res., 12:7035-7056). No. ATCC 40245. The nucleotide sequence of the cloned cDNA insert is shown in Table 1. 
     
                       TABLE 4______________________________________1                   5                    10                      F   P I P L P Y (--) W L (--) (--) A L______________________________________ (--) = Not determined (positions 8, 11 &amp; 12 were unidentified) 
    
     As those skilled in the art will appreciate, the cDNA insert in pSp6K-17-3 contains an open reading frame encoding a protein having a molecular weight of over 40 kd. It is believed that the primary translation product is further processed, e.g., by Type II pneumocytes (Alveolar Type II cells), to yield the approximately 6K protein. It is contemplated that the cloned cDNA, portions thereof or sequences capable of hybridizing thereto under stringent conditions may be expressed in host cells or cell lines by conventional expression methods to produce &#34;recombinant&#34; proteins having surfactant or surfactant enhancing activity. 
     With respect to the cloned approximately 6K protein, this invention encompasses vectors containing a heterologous DNA sequence encoding the characteristic peptide sequence Ile through Cys corresponding to nucleotides A-656 through C57 of the sequence shown in Table 1, i.e., IKRIQAMIPKGALAVAVAQVCRVVPLVAGGICQC. One such vector contains the nucleotide sequence 
     ATC AAG CGG ATC CAA GCC ATG ATT CCC AAG GGT GCG CTA GCT GTG GCA GTG GCC CAG GTG TGC CGC GTG GTA CCT CTG GTG GCG GGC GGC ATC TGC CAG TGC 
     Other vectors of this invention contain a heterologous DNA sequence encoding at least a portion of the characteristic peptide sequence substantially as depicted in the underlined peptide region of Table 6, i.e., FPIPLPYCWLCRALIKRIQAMIPKGALAVAVAQVCRVVPLVAGGICQCLAERYSVILLDTLLGRML. One such vector contains the DNA sequence substantially as depicted in the underlined nucleotide sequence of Table 1, i.e., 
     TTC CCC ATT CCT CTC CCC TAT TGC TGG CTC TGC AGG GCT CTG ATC AAG CGG ATC CAA GCC ATG ATT CCC AAG GGT GCG CTA GCT GTG GCA GTG GCC CAG GTG TGC CGC GTG GTA CCT CTG GTG GCG GGC GGC ATC TGC CAG TGC CTG GCT GAG CGC TAC TCC GTC ATC CTG CTC GAC ACG CTG CTG GGC ATG CTG 
     Another exemplary vector contains a heterologous DNA sequence, such as the nucleotide sequence depicted in Table 1, which encodes the full-length peptide sequence of Table 1. DNA inserts for such vectors which comprise a DNA sequence shorter than the full-length cDNA of PSP6K-17-3, depicted in Table 1, may be synthesized by known methods, e.g. using an automated DNA synthesizer, or may be prepared from the full-length cDNA sequence by conventional methods such as loop-out mutagenesis or cleavage with restriction enzymes and ligation. Vectors so prepared may be used to express the subject proteins by conventional means or may be used in the assembly of vectors with larger cDNA inserts. In the former case the vector will also contain a promoter to which the DNA insert is operatively linked and may additionally contain an amplifiable and/or selectable marker, all as is well known in the art. 
     The proteins of this invention may thus be produced by recovering and purifying the naturally-occuring proteins from human pulmonary lavage material as described herein. Alternatively, the corresponding &#34;recombinant&#34; proteins may be produced by expression of the DNA sequence encoding the desired protein by conventional expression methodology using microbial or insect or preferably, mammalian host cells. Suitable vectors as well as methods for inserting therein the desired DNA are well known in the art. Suitable host cells for transfection or transformation by such vectors and expression of the cDNA are also known in the art. 
     Mammalian cell expression vectors, for example, may be synthesized by techniques well known to those skilled in this art. The components of the vectors such as the bacterial replicons, selection genes, enhancers, promoters, and the like may be obtained from natural sources or synthesized by known procedures. See Kaufman, Proc. Natl. Acad. Sci. 82: 689-693 (1985). 
     Established cell lines, including transformed cell lines, are suitable as hosts. Normal diploid cells, cell strains derived from in vitro culture of primary tissue, as well as primary explants are also suitable. Candidate cells need not be genotypically deficient in the selection gene so long as the selection gene is dominantly acting. 
     The host cells preferably will be established mammalian cell lines. For stable integration of vector DNA into chromosomal DNA, and for subsequenct amplification of integrated vector DNA, both by conventional methods, CHO (Chinese hamster Ovary) cells are generally preferred. Alternatively, the vector DNA may include all or part of the bovine papilloma virus genome (Lusky et al., Cell, 36:391-401 (1984) and be carried in cell lines such as C127 mouse cells as a stable episomal element. Other usable mammalian cell lines include HeLa, COS-1 monkey cells, mouse L-929 cells, 3T3 lines derived from Swiss, Balb-c or NIH mice, BHK or HaK hamster cell lines and the like. Cell lines derived from Alveolar Type II cells may be preferred in certain cases such as expression of the 6K protein (alone or with one or more other proteins of this invention) using the cDNA insert from PSP6K-13-7 or a fragment thereof. 
     Stable transformants then are screened for expression of the product by standard immunological or enzymatic assays. The presence of the DNA encoding the proteins may be detected by standard procedures such as Southern blotting. Transient expression of the DNA encoding the proteins during the several days after introduction of the expression vector DNA into suitable host cells such as COS-1 monkey cells is measured without selection by activity or immunological assay of the proteins in the culture medium. 
     In the case of bacterial expression, the DNA encoding the protein may be further modified to contain preferred codons for bacterial expression as is known in the art and preferably is operatively linked in-frame to a nucleotide sequence encoding a secretory leader polypeptide permittng bacterial secretion of the mature variant protein, also as is known in the art. The compounds expressed in mammalian, insect or microbial host cells may then be recovered, purified, and/or characterized with respect to physicochemical, biochemical and/or clinical parameters, all by known methods. 
     One or more of the proteins of this invention may be combined with a pharmaceutically acceptable fatty acid or lipid such as dipalmitoylphosphatidyl choline or with mixtures of such fatty acids or lipids which may be obtained from commercial sources or by conventional methods, or with natural surfactant lipids to provide a formulated pulmonary surfactant composition. Natural surfactant lipids may be extracted by known methods from lung lavage, e.g. bovine or human lung lavage. Typically the weight ratios of total lipids to total proteins in the composition will be about 20:1 to about 100:1. At the levels currently being tested in clinical trials, one dose of the surfactant composition corresponds to 1-2 mg of total protein and 98-99 mg. of total lipid. 
     It is contemplated that certain subcombinations of one or more of the proteins of this intention with one or more of the proteins described in WO 86/02037 and compositions containing such subcombinations may be especially useful in the treatment of patients with particular clinical indications. 
    
    
     EXPERIMENTAL EXAMPLES 
     EXAMPLE 1 
     Isolation and Characterization of the Associated Proteins 
     Pulmonary lavage (50 ml) from an alveolar proteinosis patient was centrifuged at 10,000 ×g for 5 min. The pellet was collected and washed 5 times in 20 mm Tris HCl, 0.5 M NaCl, pH 7.4. The lipids and lipid-associated proteins were extracted from the washed pellet by shaking with 50 ml 1-butanol for 1 hr at room temperature. 
     The butanol extract so obtained Was stored at -20° C. causing precipitation of one of the low MW proteins. The precipitate was collected by centrifugation and dried under vacuum. The butanol layer containing butanol-soluble protein was evaporated to dryness. The precipitated cold butanol insoluble protein and the cold butanol-soluble protein were then purified in parallel by the same method as follows. Each crude protein was separately dissolved in CHC13 : MeOH (2:1, v/v), applied to Sephadex LH20 columns and eluted with CHC13:MeOH (2:1). The proteins were then analyzed by SDS-PAGE. Fractions containing the protein were pooled and evaporated to dryness. Amino acid composition was determined by hydrolysis in 6 N HCl at 110° C. for 22 hrs followed by chromatography on a Beckman model 63000 amino acid analyzer. N-terminal sequence was determined on an Applied Biosystems 470A sequencer. Molecular weights were determined on 10-20% gradient SDS polyacrylamide gels. 
     EXAMPLE 2 
     Screening of the cDNA Library and Sequencing of Clones for the 6Kd Proteins 
     Based on the first six amino acids of the sequence shown in Table 4 an oligonucleotide probe was synthesized. The probe consisted of six pools of 17 mers. Three of the pools each contained 128 different sequences, and three of the pools each contained 64 different sequences.Based on the first seven amino acids two pools of 20 mers were synthesized. These pools contained either 384 or 192 different sequences. 
     A cDNA library from human lung mRNA was prepared as described in Toole et al., (1984) and screened with the total mixture of the six pools using tetramethylammoniumchloride as a hybridization solvent (Jacobs et al., 1985). Approximately 100,000 phage were screened, and 100 phage which hybridized to the probe were plaque purified. The phage were then pooled into groups of 25 and screened with the individual 17 mer and 20 mer pools. Six phage which hybridized most intensely to one of the 20 mer oligonucleotide probes and one of the corresponding 17 mer pools (pool 1447 containing 128 different sequences) were plaque purified. The 17 mer pool 1447 was divided into four pools of 32 different sequences and hybridized to a dot blot of DNA prepared from these phage. 
     Based on the hybridization intensity, DNA from one of these six phage were subcloned into M13 for DNA sequence analysis. A sequence corresponding in identity and position to the amino acids shown in Table 4 was obtained, confirming that the isolated clone coded for the approximately 6kd cold butanol-insoluble protein found in the lavage material of alveolar proteinosis patients (see above). 
     The first clone obtained was presumed to be an incomplete copy of the mRNA because it lacked an initiating methionine, and was used to isolate longer clones. Two clones were completely sequenced by generating an ordered set of deletions with Bal 31 nuclease, recloning into other M13 vectors and sequencing via the dideoxynucleotide chain termination procedure (Viera and Messing, 1982; Sanger et al., 1977). One clone corresponded to a full-length copy of the type referred to as 17 (Table 1), the second began at nucleotide 148 of clone 17. Sequence of the 5&#39;end of a third clone confirmed the sequence of the 5&#39;end of clone 17. The clones are identical throughout the coding region and differ only at two positions in the 3&#39;untranslated region. 
     As those of ordinary skill in this art will appreciate, the cloned gene may be conveniently obtained by excision from PSP6K-17-3 (ATCC No. 40245) or may be recloned using sequence information provided herein in Table 1. 
     REFERENCES 
     1. Bhattacharyya, S.N., and Lynn, W.S. (1978) Biochem. Biophys. Acta 537, 329-335 
     2. Bhattacharyya, S.N., and Lynn, W. S. (1980) Biochem. Biophys. Acta 625, 451-458 
     3. Bhattacharyya, S.N., Passero, M.A., DiAugustine, R.P., and Lynn, W. S. (1975) J Clin. Invest. 55, 914-920 
     4. Floros, J., Phelps, D.S., and Taeusch, W.H. (1985) J. Biol. Chem. 260, 495-500 
     5. Hawgood, S., Benson, B. J., and Hamilton, Jr. R. L. (1985) Biochemistry 24, 184-190 
     6. Hunkapiller, M. W. and Hood, L. E. (1983) Methods in Enzymology 91, 486- 
     7. Jacobs, K., Shoemaker, C., Rudersdorf, R., Neil, S. D., Kaufman, R. J., Mufson, A., Seehra, J., Jones, S. S., Hewick, R., Fritsch,E. E., Kawakita, M., Shimizu, T., and Miyake, T. (1985) Nature (Lond.) 313, 806-810. 
     8. Kafatos, E., Jones, W. C., and Efstratiadis, A. (1979) Nucleic acid Rest. 7, 1541-1552. 
     9. Katyal, S. L., Amenta, J. S., Singh, G., and Silverman, J. A. (1984) Am. J. Obstet. Gynecol. 148, 48-53. 
     10. Katyal, S. L. and Singh, G. (1981) Biochem. Biophys. Acta 670, 323-331. 
     11. King, R. J., Carmichael, M. C., and Horowitz, P.M. (1983) J. Biol. Chem. 258, 10672-10680. 
     12. King, R. J. (1982) J. Appl. Physiol. Exercise Physiol. 53, 1-8. 
     13. King. R. J., Klass, D. J., Gikas, E. G., and Clements, J. A. (1973) Am. J. Physiol. 224, 788-795. 
     14. King, R. J., Ruch, J., Gikas, E. G., Platzker, A. C. G., and Creasy, R. K. (1975) J. of Applied Phys. 39, 735-741. 
     15. Laemmli, U. K. (1970) Nature (Lond.) 227, 680-685. 
     16. Miller, J. S., Paterson, B. M., Ricciardi, R. P., Cohen, L and Roberts, B. E. (1983) Methods in Enzymology 101p. 650-674. 
     17. Phelps, D. S., Taeusch, W. H., Benson, B., and Hawgood, S. (1984) Biochem. Biophs. Acta, 791-226-238 
     18. Shelley, S. A., Balis, J. U., Paciga, J. E., Knuppel, R. A., Ruffolo, E. H., and Bouis, P. J. (1982) Am. J. Obstet. Gynecol 144, 224-228. 
     19. Sigrist, H., Sigrist-Nelson, K., and Gither, G. (1977) BBRC 74, 178, 184. 
     20. Sueishi, K., and Benson, G. J. (1981) Biochem. Biophys. Acta 665, 442-453 
     21. Toole, J. J., Knopf, J. L., Wozney, J. M., Sultzman L. A., Bucker, J. L., Pittman, D. D., Kaufman, R. J., Brown, E., Shoemaker, C., Orr, E. C., Amphlett, G. W., Foster, W. G., Coe, M. L., Knutson, G. L., Eass, D. N., Hewick, R. M. (1984) Nature (Lond.) 312, 342-347. 
     22. Whitsett, J A., Hull, W., Ross, G., and Weaver, T. (1985) Pediatric Res. 19, 501-508 23. Wong, G. G. et al., 1985, Science, 228:810-815