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The role of surfactant protein SP-A in innate immunity is:

  • A Reducing alveolar surface tension alone, with no other contributing immune function, a role actually performed by the lipid component of surfactant, not the SP-A protein
  • B Pattern recognition (opsonizing bacteria/viruses by binding their surface patterns) to enhance phagocytosis by alveolar macrophages
  • C Directly stimulating B cells to increase circulating antibody production, despite SP-A acting locally on macrophages rather than systemically on B lymphocytes
  • D Actively inhibiting the complement cascade within the alveolar space, despite SP-A enhancing rather than suppressing local innate defence mechanisms

Correct answer: B. Pattern recognition (opsonizing bacteria/viruses by binding their surface patterns) to enhance phagocytosis by alveolar macrophages

Explanation: Surfactant proteins A and D (SP-A, SP-D) are collectins that function as opsonins -- binding pathogen surface patterns (PAMPS), enhancing alveolar macrophage phagocytosis and innate defense.

Concept context

Innate and adaptive immunity, B cells, T cells, antibodies, vaccines, and immune disorders. Critical for NEET.

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