Defective CSF2RA causes SMDP4

Summary
Organism
Homo sapiens (human)
Reactome
R-HSA-5688890
PubChem
R-HSA-5688890
Description
  • Surfactant catabolism by alveolar macrophages plays a small but critical part in surfactant recycling and metabolism. Upon ligand binding, granulocyte-macrophage colony-stimulating factor receptor (GM-CSFR), a heterodimer of alpha (CSF2RA) and beta (CSF2RB) subunits, initiates a signalling process that not only induces proliferation, differentiation and functional activation of hematopoietic cells but can also determine surfactant uptake into alveolar macrophages and its degradation via clathrin-coated vesicles. Defects in human CSF2RA can cause pulmonary surfactant metabolism dysfunction 4 (SMDP4; MIM:300770, aka congenital pulmonary alveolar proteinosis, (PAP)), a rare lung disorder due to impaired surfactant homeostasis characterised by alveoli filling with floccular material. Cellular responses to the misfolded pro-SFTPC products include ER stress, the activation of reactive oxygen species and autophagy. Excessive lipoprotein accumulation in the alveoli results in a form of respiratory distress syndrome in premature infants (RDS; MIM:267450) (Whitsett et al. 2015).
Click on a node on the pathway to see its details. Glycoproteins are marked with a glycoprotein icon in their name.
Displaying all 6 entries
UniProt ID Protein Name Gene Symbol Pathway Viewer
P07988 Pulmonary surfactant-associated protein B
  • SFTP3
  • SFTPB
view
P15509 Granulocyte-macrophage colony-stimulating factor receptor subunit alpha
  • CSF2R
  • CSF2RA
  • CSF2RY
view
P32927 Cytokine receptor common subunit beta
  • CSF2RB
  • IL3RB
  • IL5RB
view
P35247 Pulmonary surfactant-associated protein D
  • COLEC7
  • PSPD
  • SFTP4
  • SFTPD
view
Q8IWL1 Pulmonary surfactant-associated protein A2
  • COLEC5
  • PSAP
  • SFTP1
  • SFTPA
  • SFTPA2
  • SFTPA2B
view
Q8IWL2 Pulmonary surfactant-associated protein A1
  • COLEC4
  • PSAP
  • SFTP1
  • SFTPA
  • SFTPA1
  • SFTPA1B
view
Displaying all 3 entries
GlyCosmos Lectin UniProt ID Lectin Name Pathway Viewer
GL_001020 Q8IWL2 Pulmonary surfactant-associated protein A1 view
GL_001021 Q8IWL1 Pulmonary surfactant-associated protein A2 view
GL_001022 P35247 Pulmonary surfactant-associated protein D view

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Acknowledgements

Supported by JST NBDC Grant Number JPMJND2204

Partly supported by NIH Common Fund Grant #1U01GM125267-01


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Last updated: April 6, 2026