RT Journal Article T1 Barrier or carrier? Pulmonary surfactant and drug delivery A1 Hidalgo Román, Alberto A1 Cruz Rodríguez, Antonio A1 Pérez-Gil, Jesús AB To consider the lung as a target for drug delivery and to optimise strategies directed at the pulmonary route, it is essential to consider the role of pulmonary surfactant, a thin lipid–protein film lining the respiratory surface of mammalian lungs. Membrane-based surfactant multilayers are essential for reducing the surface tension at the respiratory air–liquid interface to minimise the work of breathing. Different components of surfactant are also responsible for facilitating the removal of potentially pathological entities such as microorganisms, allergens or environmental pollutants and particles. Upon inhalation, drugs or nanoparticles first contact the surfactant layer, and these interactions critically affect their lifetime and fate in the airways. This review summarises the current knowledge on the possible role and effects of the pulmonary surfactant system in drug delivery strategies. It also summarises the evidence that suggests that pulmonary surfactant is far from being an insuperable barrier and could be used as an efficient shuttle for delivering hydrophobic and hydrophilic compounds deep into the lung and the organism. PB Elsevier SN 0939-6411 YR 2015 FD 2015-09 LK https://hdl.handle.net/20.500.14352/23375 UL https://hdl.handle.net/20.500.14352/23375 LA eng NO Ministerio de Economía y Competitividad (MINECO) NO Comunidad de Madrid DS Docta Complutense RD 27 sept 2024