Complement Proteins As Soluble Pattern Recognition Receptors for Pathogenic Viruses

Total Page:16

File Type:pdf, Size:1020Kb

Complement Proteins As Soluble Pattern Recognition Receptors for Pathogenic Viruses viruses Review Complement Proteins as Soluble Pattern Recognition Receptors for Pathogenic Viruses Valarmathy Murugaiah 1,†, Praveen M. Varghese 1,† , Nazar Beirag 1, Syreeta DeCordova 1, Robert B. Sim 2 and Uday Kishore 1,* 1 Biosciences, College of Health, Medicine and Life Sciences, Brunel University London, Uxbridge UB8 3PH, UK; [email protected] (V.M.); [email protected] (P.M.V.); [email protected] (N.B.); [email protected] (S.D.) 2 Department of Biochemistry, University of Oxford, South Parks Road, Oxford OX1 3QU, UK; [email protected] * Correspondence: [email protected] or [email protected] † These authors contributed equally to this work. Abstract: The complement system represents a crucial part of innate immunity. It contains a diverse range of soluble activators, membrane-bound receptors, and regulators. Its principal function is to eliminate pathogens via activation of three distinct pathways: classical, alternative, and lectin. In the case of viruses, the complement activation results in effector functions such as virion op- sonisation by complement components, phagocytosis induction, virolysis by the membrane attack complex, and promotion of immune responses through anaphylatoxins and chemotactic factors. Recent studies have shown that the addition of individual complement components can neutralise viruses without requiring the activation of the complement cascade. While the complement-mediated effector functions can neutralise a diverse range of viruses, numerous viruses have evolved mecha- Citation: Murugaiah, V.; Varghese, nisms to subvert complement recognition/activation by encoding several proteins that inhibit the P.M.; Beirag, N.; DeCordova, S.; Sim, complement system, contributing to viral survival and pathogenesis. This review focuses on these R.B.; Kishore, U. Complement complement-dependent and -independent interactions of complement components (especially C1q, Proteins as Soluble Pattern Recognition Receptors for Pathogenic C4b-binding protein, properdin, factor H, Mannose-binding lectin, and Ficolins) with several viruses Viruses. Viruses 2021, 13, 824. and their consequences. https://doi.org/10.3390/v13050824 Keywords: innate immunity; complement system; complement evasion; DNA viruses; RNA viruses; Academic Editor: Reinhard Würzner retroviruses; cytokine storm Received: 7 April 2021 Accepted: 28 April 2021 Published: 2 May 2021 1. Introduction The innate immune system is characterised by its ability to distinguish between Publisher’s Note: MDPI stays neutral “self” and “non-Self”. The complement system plays a crucial part in the innate immune with regard to jurisdictional claims in surveillance against viruses through several mechanisms that prevent host viral infection. published maps and institutional affil- It can be activated through three pathways: the classical, the alternative, and the lectin, iations. depending upon the recognition subcomponents and the ligand that trigger its activation. The classical pathway is activated (Figure1) by either direct binding of complement component C1q to the invading pathogen’s surface, or the binding of IgM, IgG1, and IgG3 to the antigen’s surface and the subsequent binding of C1q to this immune complex. The Copyright: © 2021 by the authors. binding of C1q to either antibodies or pathogen surface triggers the autoactivation of serine Licensee MDPI, Basel, Switzerland. protease, C1r, which subsequently cleaves and activates another serine protease, C1s [1]. This article is an open access article This generates a C1-complex consisting of one molecule of C1q and two molecules each of distributed under the terms and C1r and C1s. The C1 complex then cleaves C4 and C2, generating C4a, C4b, C2a, and C2b. conditions of the Creative Commons The C4b and C2a bind to form the C4b2a complex, the C3-convertase [2–4]. Attribution (CC BY) license (https:// creativecommons.org/licenses/by/ 4.0/). Viruses 2021, 13, 824. https://doi.org/10.3390/v13050824 https://www.mdpi.com/journal/viruses Viruses 2021, 13, 824 2 of 29 Viruses 2021, 13, x FOR PEER REVIEW 2 of 27 Figure 1.FigureActivation 1. Activation and regulation and regulation of the of classicalthe classical and and lectin lectin pathways pathways and their their targeting targeting by byvirally virally encoded encoded molecules. molecules. In In the classical pathway (CP), C1 complex recognizes the antigen-antibody complexes present on the viral surface (1). In the classicalthe lectin pathway pathway (CP), (LP), C1 MBL/ficolin complex recognizes-MASP complexes the antigen-antibody can recognise other complexes carbohydrate present patterns on on the the viral surfaces surface of vi- (1). In the lectin pathwayruses (2). (LP), Upon MBL/ficolin-MASP activation, these complexes complexes can cleave can C4 recognise and C2 (3a) other that can carbohydrate lead to the formation patterns of onC4bC2a the surfaces (CP/LP C3 of viruses (2). Uponconvertase) activation, (3b). these The C3 complexes convertase can further cleave cleaves C4 C3 and into C2 C3b (3a) and that C3a; can C3b lead is known to the to formation opsonise th ofe viral C4bC2a surfac (CP/LPes, C3 whereas C3a can lead to an enhanced acquired immune responses (4). C3b-C3 convertase interaction can generate C5 convertase) (3b). The C3 convertase further cleaves C3 into C3b and C3a; C3b is known to opsonise the viral surfaces, convertase (5), which cleaves C5 into C5b and C5a (6). C5b further interacts with C6 and C7 (C5b-7) (7) that can bind to whereas C3athe viral can surface, lead to while an enhancedC5a induces acquiredfurther infiltration. immune C5b responses-7 then binds (4). to C3b-C3C8, which convertase can generate interaction C5b-8 that penetrates can generate C5 convertasethe (5), membrane which cleaves(8). Finally, C5 intothe C9 C5b binds and to C5athe C5b (6).-8 C5b and furtherresults in interacts MAC formation with C6 leading and C7 to (C5b-7)the virolysis (7) that(10). canThese bind to the viral surface,activation while pathways C5a induces are regulat furthered at infiltration. different steps C5b-7 by host then complement binds to C8, regulators which such can generateas C1 inhibitor, C5b-8 C4b that-binding penetrates the protein (C4BP), complement receptor 1 (CR1; CD35), membrane cofactor protein (MCP; CD46), decay-accelerating factor membrane(DAF; (8). CD55), Finally, and the CD59. C9 binds Viral toproteins the C5b-8 that target and resultsthese pathways in MAC are: formation Vaccinia virus leading complement to the virolysis control protein (10). These (VCP), activation pathwaysSmallpox are regulated inhibitor at of different complement steps enzymes by host (SPICE), complement Monkeypox regulators inhibitor such of complement as C1 inhibitor, enzymes C4b-binding (MOPICE), Kaposi’s protein (C4BP), complementsarcoma receptor-associated 1 (CR1; herpesvirus CD35), membraneinhibitor of complement cofactor protein activation (MCP; (KCP), CD46), Murine decay-accelerating gamma-herpesvirus factor 68 regulator (DAF; CD55),of and complement activation (γ-HV68 RCA), Herpesvirus saimiri complement control protein homologue (CCPH), Herpesvirus CD59. Viralsaimiri proteins CD59 thathomologue target (HVS these CD59), pathways Flavivirus are: Vaccinianon-structural virus protein complement 1 (NS1), HSV control-1 glycoprotein protein (VCP), C (gC Smallpox-1), human inhibitor of complementastrovirus enzymes coat protein (SPICE), (CoPt), Monkeypox and Influenza inhibitor virus matrix of complementprotein 1 (M1).enzymes These are identified (MOPICE), as black/grey Kaposi’s protein sarcoma-associated with herpesviruswhite inhibitor text, and of pink complement inhibitory arrows activation mark the (KCP), regulator Murine they gamma-herpesvirusinhibit. 68 regulator of complement activation (γ-HV68 RCA), Herpesvirus saimiri complement control protein homologue (CCPH), Herpesvirus saimiri CD59 homologue The lectin pathway is a homologue of the classical pathway. It is triggered by the (HVS CD59), Flavivirus non-structuralbinding protein of mannan 1 (NS1),-binding HSV-1 lectin glycoprotein (MBL) and C (gC-1),ficolins human to carbohydrate astrovirus patterns coat protein on the (CoPt), and Influenza virus matrix proteinpathogen 1 (M1). surface These areor carbohydrate identified as black/greystructures on protein antibodies, with including white text, the and common pink inhibitory IgG arrows mark the regulator they inhibit.glycosylation variant IgG-G0 and polymeric IgA [1,5–8]. In serum, MBL is found com- plexed with homologues of C1r and C1s, called MBL-associated serine proteases (MASPs) [1,9]The. lectinUpon MBL pathway binding is ato homologue a target, MASP of the-1 and classical MASP- pathway.2 autoactivate It is independently. triggered by the bind- ing ofMASP mannan-binding-2 cleaves C4 and lectin C2, triggering (MBL) and the ficolins formation to of carbohydrate the C3-conver patternstase similar on to the the pathogen surfaceclassical or carbohydrate pathway. structures on antibodies, including the common IgG glycosylation variant IgG-G0 and polymeric IgA [1,5–8]. In serum, MBL is found complexed with homo- logues of C1r and C1s, called MBL-associated serine proteases (MASPs) [1,9]. Upon MBL binding to a target, MASP-1 and MASP-2 autoactivate independently. MASP-2 cleaves C4 and C2, triggering the formation of the C3-convertase similar to the classical pathway. A distinct mechanism (Figure2) activates the alternative pathway. It has both antibody- dependent (IgG) and antibody-independent
Recommended publications
  • C3b Catalog Number: A114 Sizes Available
    Name: C3b Catalog Number: A114 Sizes Available: 250 µg/vial Concentration: 1.0 mg/mL (see Certificate of Analysis for actual concentration) Form: Liquid Purity: >90% by SDS-PAGE Buffer: 10 mM sodium phosphate, 145 mM NaCl, pH 7.3 Extinction Coeff. A280 nm = 1.03 at 1.0 mg/mL Molecular Weight: 176,000 Da (2 chains) Preservative: None, 0.22 µm filtered Storage: -70oC or below. Avoid freeze/thaw. Source: Normal human serum (shown by certified tests to be negative for HBsAg and for antibodies to HCV, HIV-1 and HIV-II). Precautions: Use normal precautions for handling human blood products. Origin: Manufactured in the USA. General Description C3b is derived from native C3 upon cleavage and release of C3a. It is prepared by cleavage with the alternative pathway C3 convertase. This is important because only a single bond in C3 is cleaved by the native convertase, while cleavage by other proteases, such as trypsin, results in multiple cleavages at many other sites in the protein. Native human C3b is a glycosylated (~2.8%) polypeptide containing two disulfide-linked chains. C3b is central to the function of all three pathways of complement (Law, S.K.A. and Reid, K.B.M. (1995)). Initiation of each pathway generates proteolytic enzyme complexes (C3 convertases) which are bound to the target surface. These enzymes cleave a peptide bond in C3 releasing the anaphylatoxin C3a and activating C3b. For a brief time (~60 µs) this nascent C3b is capable of reacting with and covalently coupling to hydroxyl groups on the target surface.
    [Show full text]
  • The Membrane Complement Regulatory Protein CD59 and Its Association with Rheumatoid Arthritis and Systemic Lupus Erythematosus
    Current Medicine Research and Practice 9 (2019) 182e188 Contents lists available at ScienceDirect Current Medicine Research and Practice journal homepage: www.elsevier.com/locate/cmrp Review Article The membrane complement regulatory protein CD59 and its association with rheumatoid arthritis and systemic lupus erythematosus * Nibhriti Das a, Devyani Anand a, Bintili Biswas b, Deepa Kumari c, Monika Gandhi c, a Department of Biochemistry, All India Institute of Medical Sciences, New Delhi 110029, India b Department of Zoology, Ramjas College, University of Delhi, India c University School of Biotechnology, Guru Gobind Singh Indraprastha University, India article info abstract Article history: The complement cascade consisting of about 50 soluble and cell surface proteins is activated in auto- Received 8 May 2019 immune inflammatory disorders. This contributes to the pathological manifestations in these diseases. In Accepted 30 July 2019 normal health, the soluble and membrane complement regulatory proteins protect the host against Available online 5 August 2019 complement-mediated self-tissue injury by controlling the extent of complement activation within the desired limits for the host's benefit. CD59 is a membrane complement regulatory protein that inhibits the Keywords: formation of the terminal complement complex or membrane attack complex (C5b6789n) which is CD59 generated on complement activation by any of the three pathways, namely, the classical, alternative, and RA SLE the mannose-binding lectin pathway. Animal experiments and human studies have suggested impor- Pathophysiology tance of membrane complement proteins including CD59 in the pathophysiology of rheumatoid arthritis Disease marker (RA) and systemic lupus erythematosus (SLE). Here is a brief review on CD59 and its distribution, structure, functions, and association with RA and SLE starting with a brief introduction on the com- plement system, its activation, the biological functions, and relations of membrane complement regu- latory proteins, especially CD59, with RA and SLE.
    [Show full text]
  • Regulation of the Complement System by Pentraxins
    REVIEW published: 02 August 2019 doi: 10.3389/fimmu.2019.01750 Regulation of the Complement System by Pentraxins Karita Haapasalo 1 and Seppo Meri 1,2,3* 1 Department of Bacteriology and Immunology and Translational Immunology Research Program, University of Helsinki, Helsinki, Finland, 2 HUSLAB, Helsinki University Hospital, Helsinki, Finland, 3 Department of Biomedical Sciences, Humanitas University, Milan, Italy The functions of pentraxins, like C-reactive protein (CRP), serum amyloid protein P (SAP) and pentraxin-3 (PTX3), are to coordinate spatially and temporally targeted clearance of injured tissue components, to protect against infections and to regulate related inflammation together with the complement system. For this, pentraxins have a dual relationship with the complement system. Initially, after a focused binding to their targets, e.g., exposed phospholipids or cholesterol in the injured tissue area, or microbial components, the pentraxins activate complement by binding its first component C1q. However, the emerging inflammation needs to be limited to the target area. Therefore, pentraxins inhibit complement at the C3b stage to prevent excessive damage. The complement inhibitory functions of pentraxins are based on their ability to interact with complement inhibitors C4bp or factor H (FH). C4bp binds to SAP, while FH binds to Edited by: both CRP and PTX3. FH promotes opsonophagocytosis through inactivation of C3b to Barbara Bottazzi, Milan University, Italy iC3b, and inhibits AP activity thus preventing formation of the C5a anaphylatoxin and the Reviewed by: complement membrane attack complex (MAC). Monitoring CRP levels gives important Livija Deban, clinical information about the extent of tissue damage and severity of infections. CRP is a Prokarium, United Kingdom valuable marker for distinguishing bacterial infections from viral infections.
    [Show full text]
  • Complement Recognition Pathways in Renal Transplantation
    BRIEF REVIEW www.jasn.org Complement Recognition Pathways in Renal Transplantation Christopher L. Nauser, Conrad A. Farrar, and Steven H. Sacks Medical Research Council Centre for Transplantation, Division of Transplantation Immunology and Mucosal Biology, King’s College London, National Health Service Guy’s and St. Thomas’ Trust, London, United Kingdom ABSTRACT The complement system, consisting of soluble and cell membrane–bound compo- weigh its effect on organ injury and nents of the innate immune system, has defined roles in the pathophysiology of renal rejection with dampening the antimi- allograft rejection. Notably, the unavoidable ischemia-reperfusion injury inherent to crobial functions of the complement sys- transplantation is mediated through the terminal complement activation products tem, such as opsonisation, cell lysis, and C5a and C5b-9. Furthermore, biologically active fragments C3a and C5a, produced recruitment of neutrophils and other in- during complement activation, can modulate both antigen presentation and T cell flammatory cells.7 It is our belief that priming, ultimately leading to allograft rejection. Earlier work identified renal tubule therapeutic strategies can be designed cell synthesis of C3, rather than hepatic synthesis of C3, as the primary source of C3 to specificallytargetthekeyinitiators driving these effects. Recent efforts have focused on identifying the local triggers of of complement activation at the relevant complement activation. Collectin-11, a soluble C-type lectin expressed in renal tis- location, such as complement-binding sue, has been implicated as an important trigger of complement activation in renal anti-HLA antibodies in the vascular tissue. In particular, collectin-11 has been shown to engage L-fucose at sites of compartment or the initiator(s) of local ischemic stress, activating the lectin complement pathway and directing the innate complement activation in the extravas- immune response to the distressed renal tubule.
    [Show full text]
  • More Than a Pore: Nonlytic Antimicrobial Functions of Downloaded from Complement and Bacterial Strategies for Evasion
    REVIEW More than a Pore: Nonlytic Antimicrobial Functions of Downloaded from Complement and Bacterial Strategies for Evasion Elisabet Bjanes,a Victor Nizeta,b aDivision of Host-Microbe Systems and Therapeutics, Department of Pediatrics, UC San Diego, La Jolla, California, USA bSkaggs School of Pharmacy and Pharmaceutical Sciences, UC San Diego, La Jolla, California, USA http://mmbr.asm.org/ SUMMARY ........................................................................1 INTRODUCTION ...................................................................2 BY THE BOOK: CANONICAL COMPLEMENT CASCADES ...............................2 Off to the Races—Pathway Activation . 2 More and More—Amplification . 3 End of the Line—Termination . 3 Pump the Brakes—Inhibition . 5 Surviving MAC Attack—Evasion of Complement Lysis by Gram-Negative Bacteria . 6 NONLYTIC COMPLEMENT FUNCTIONS AND BACTERIAL EVASION MECHANISMS ......8 Special Considerations in Gram-Positive Bacteria . 8 on January 27, 2021 at UNIV OF CALIF SAN DIEGO Preparing the Meal—Complement Aids Opsonization and Phagocytosis . 8 Food for Thought—Complement Traffics to Autophagy . 10 Fueling the Fire—Complement Modulates Inflammatory Responses . 11 Casting a Wider NET—Complement and Neutrophil Synergy . 12 Inside Scoop—Novel Roles of Intracellular Complement . 13 Tying the Clot—Complement and Coagulation Cross Talk . 15 Bridging the Gap—Complement Instructs Adaptive Immunity . 17 REFRAMING SCIENTIFIC PARADIGMS AND THERAPEUTIC APPROACHES TO ENCOMPASS COMPLEMENT ..................................................18
    [Show full text]
  • Blocking Properdin Prevents Complement-Mediated Hemolytic Uremic Syndrome and Systemic Thrombophilia
    BASIC RESEARCH www.jasn.org Blocking Properdin Prevents Complement-Mediated Hemolytic Uremic Syndrome and Systemic Thrombophilia Yoshiyasu Ueda,1 Takashi Miwa,1 Damodar Gullipalli,1 Sayaka Sato,1 Daisuke Ito,1 Hangsoo Kim,1 Matthew Palmer,2 and Wen-Chao Song1 Departments of 1Systems Pharmacology and Translational Therapeutics and 2Pathology and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania ABSTRACT Background Properdin (P) is a positive regulator of the alternative pathway of complement activation. Although P inhibition is expected and has been shown to ameliorate the alternative pathway of comple- ment-mediated tissue injury in several disease models, it unexpectedly exacerbated renal injury in a murine model of C3 glomerulopathy. The role of P in atypical hemolytic uremic syndrome (aHUS) is uncertain. Methods We blocked P function by genetic deletion or mAb-mediated inhibition in mice carrying a factor H (FH) point mutation, W1206R (FHR/R), that causes aHUS and systemic thrombophilia with high mortality. Results Pdeficiency completely rescued FHR/R mice from premature death and prevented thrombocyto- penia, hemolytic anemia, and renal disease. It also eliminated macrovessel thrombi that were prevalent in FHR/R mice. All mice that received a function-blocking anti-P mAb for 8 weeks survived the experimental period and appeared grossly healthy. Platelet counts and hemoglobin levels were significantly improved in FHR/R mice after 4 weeks of anti-P mAb treatment. One half of the FHR/R mice treated with an isotype control mAb but none of the anti-P mAb-treated mice developed stroke-related neurologic disease. Anti-P mAb-treated FHR/R mice showed largely normal renal histology, and residual liver thrombi were detected in only three of 15 treated mice.
    [Show full text]
  • Nephrology Clinical Laboratory Research Compendium
    Nephrology Clinical Laboratory Research Compendium The Nephrology Clinical Laboratory at Cincinnati Children’s Hospital Medical Center has expanded its clinical testing menu to now offer testing on a research basis. The CAP and CLIA certified laboratory operates under Good Clinical Laboratory Practice principles to ensure testing can be used to support findings of clinical trials. CONTACT US Our state of the art laboratory offers a broad testing menu to support research and pharmaceutical projects. We have the capability to perform traditional For more information on research or ELISA’S, multiplexing using the MSD Meso discovery, luminex magnetic bead clinical testing, please contact us at: assays, nephelometry and clinical chemistry. Phone: 513-636-4530 [email protected] The Nephrology Clinical Laboratory Research Compendium offers clinical chemistry, therapeutic drug monitoring, immunology, complement quantitation, www.cincinnatichildrens.org function and activation, specialty proteins and testing for various forms of thrombotic microangiopathies. COMPLEMENT SPECIALTY TESTING Autoantibody Testing Complement Components • Factor H Autoantibody (Quantitative) • C3 Nephritic Factor • C1 inhibitor (quantitative) • Factor B Autoantibody • C1q • C2 Functional Testing • C3 • CH50 • C4 • Alternative Pathway Functional Assay • C5 • MBL Pathway Functional Assay • C6 • C1 inhibitor Functional Assay • C7 • C8 Complement Activation Fragments • C9 • Complement Bb • Factor B • Complement Ba • Factor H • C3a • Factor I • C3c • Properdin • C3d
    [Show full text]
  • Application Note
    APPLICATION NOTE Quantification of functional C5a using iLite® C5a Assay Ready Cells For research and professional use only. Not for use in diagnostic procedures. This application note contains a suggested protocol and performance data. Each individual laboratory must set up their own method and perform relevant validations. Background Complement component 5a (C5a) is a 74 amino acid small protein fragment of complement protein 5 (C5). C5 is cleaved to C5a and C5b by C5 convertase enzymes as a result of complement activation. Factors of the coagulation and fibrinolytic pathway are also able to cleave C5 to C5a. (1) C5a is a highly potent anaphylatoxin and chemoattracting peptide, with the ability to increase blood vessel permeability, stimulate cytokine release from myeloid cells, and expression of adhesion molecules on endothelial cells. (2) Main pro-inflammatory effector functions are induced by C5a binding to a seven-transmembrane G- protein-coupled receptor, C5aR1 (CD88). Rapidly after cleavage of C5 into C5a and C5b, C5a is metabolized by carboxypeptidases which removes the C-terminal arginine and forms C5a-desArg, a less potent ligand of C5aR1. C5a can also bind to a second receptor, C5aR2 (C5L2 or GPR77), however the biological effects associated with C5a binding C5aR2 are less well understood, both anti- inflammatory and pro-inflammatory effects have been described in literature. The C5a receptors are expressed in a wide range of cells and tissues, and the effect of C5a activation is dependent on the location of the C5a receptors. (3, 4) While the complement system is an important part of the innate immune defense against pathogens, research has shown that excessive complement activation including C5a-C5aR interaction plays a central role in several autoimmune and neurodegenerative disorders as well as in acute and chronic inflammatory conditions.
    [Show full text]
  • Activation Regulates Alternative Pathway Complement Necrotic
    Properdin Binds to Late Apoptotic and Necrotic Cells Independently of C3b and Regulates Alternative Pathway Complement Activation This information is current as of September 27, 2021. Wei Xu, Stefan P. Berger, Leendert A. Trouw, Hetty C. de Boer, Nicole Schlagwein, Chantal Mutsaers, Mohamed R. Daha and Cees van Kooten J Immunol 2008; 180:7613-7621; ; doi: 10.4049/jimmunol.180.11.7613 Downloaded from http://www.jimmunol.org/content/180/11/7613 References This article cites 56 articles, 27 of which you can access for free at: http://www.jimmunol.org/ http://www.jimmunol.org/content/180/11/7613.full#ref-list-1 Why The JI? Submit online. • Rapid Reviews! 30 days* from submission to initial decision • No Triage! Every submission reviewed by practicing scientists by guest on September 27, 2021 • Fast Publication! 4 weeks from acceptance to publication *average Subscription Information about subscribing to The Journal of Immunology is online at: http://jimmunol.org/subscription Permissions Submit copyright permission requests at: http://www.aai.org/About/Publications/JI/copyright.html Email Alerts Receive free email-alerts when new articles cite this article. Sign up at: http://jimmunol.org/alerts The Journal of Immunology is published twice each month by The American Association of Immunologists, Inc., 1451 Rockville Pike, Suite 650, Rockville, MD 20852 Copyright © 2008 by The American Association of Immunologists All rights reserved. Print ISSN: 0022-1767 Online ISSN: 1550-6606. The Journal of Immunology Properdin Binds to Late Apoptotic and Necrotic Cells Independently of C3b and Regulates Alternative Pathway Complement Activation1,2 Wei Xu,* Stefan P. Berger,* Leendert A.
    [Show full text]
  • Clinical Study High Complement Factor I Activity in the Plasma of Children with Autism Spectrum Disorders
    Hindawi Publishing Corporation Autism Research and Treatment Volume 2012, Article ID 868576, 6 pages doi:10.1155/2012/868576 Clinical Study High Complement Factor I Activity in the Plasma of Children with Autism Spectrum Disorders Naghi Momeni,1 Lars Brudin,2 Fatemeh Behnia,3 Berit Nordstrom,¨ 4 Ali Yosefi-Oudarji,5 Bengt Sivberg,4 Mohammad T. Joghataei,5 and Bengt L. Persson1 1 School of Natural Sciences, Linnaeus University, 39182 Kalmar, Sweden 2 Department of Clinical Physiology, Kalmar County Hospital, 39185 Kalmar, Sweden 3 Department of Occupational Therapy, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran 4 Department of Health Sciences, Autism Research, Faculty of Medicine, Lund University, Box 157, 22100 Lund, Sweden 5 Cellular and Molecular Research Centre, Tehran University of Medical Sciences (TUMS), Tehran, Iran Correspondence should be addressed to Bengt Sivberg, [email protected] Received 17 June 2011; Revised 22 August 2011; Accepted 22 August 2011 Academic Editor: Judy Van de Water Copyright © 2012 Naghi Momeni et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Autism spectrum disorders (ASDs) are neurodevelopmental and behavioural syndromes affecting social orientation, behaviour, and communication that can be classified as developmental disorders. ASD is also associated with immune system abnormality. Im- mune system abnormalities may be caused partly by complement system factor I deficiency. Complement factor I is a serine pro- tease present in human plasma that is involved in the degradation of complement protein C3b, which is a major opsonin of the complement system.
    [Show full text]
  • Advances in Hematology
    ADVANCES IN HEMATOLOGY Current Developments in the Management of Hematologic Disorders Hematology Section Editor: Craig M. Kessler, MD Atypical Hemolytic Uremic Syndrome: The Role of Complement Pathway Gene Mutation Analysis Ilene C. Weitz, MD Associate Professor of Clinical Medicine Jane Anne Nohl Division of Hematology Keck School of Medicine of USC Los Angeles, California H&O What causes atypical hemolytic uremic H&O Which mutations in complement alternative syndrome (aHUS)? pathway genes are linked to aHUS? IW We think that most people with aHUS have problems IW Multiple genetic mutations have been linked to with regulation of complement. As a result of excess com- aHUS, especially those involved in the complement plement, endothelial and organ damage occur. We know alternative pathway. These include mutations in comple- that mutations in the genes of complement regulatory pro- ment factor H, complement factor I, membrane cofactor teins are associated with aHUS. In addition, factors other protein, complement factor B, and C3 nephritic factor. than underlying mutations may play a role in increasing Mutations may cause the protein to be normal but low in activation and the expression of the clinical syndrome. quantity, or normal in quantity but abnormal in function; the degree of the abnormality may depend on whether the H&O How is the complement system activated patient is heterozygous or homozygous. and regulated? In addition, other factors such as thrombomodulin have been described that work through other enzymes. IW The complement system is a part of the innate Thrombomodulin is involved in complement regulation immune system that is necessary for fighting infections by activating thrombin activatable fibrinolytic inhibitor and aberrant immunologic stimuli.
    [Show full text]
  • Blood Cell Changes in Complement Activation- Related Pseudoallergy
    Eur. J. Nanomed. 2015; 7(3): 233–244 Mini Review Zsófia Patkó* and János Szebeni Blood cell changes in complement activation- related pseudoallergy DOI 10.1515/ejnm-2015-0021 Introduction Received April 13, 2015; accepted May 19, 2015 Complement activation-related pseudoallergy (CARPA), as the name implies, is a non-Ig-E-mediated (pseudo- Abstract: The characteristic physiological changes allergic) hypersensitivity reaction (HSR) that is triggered in complement (C) activation-related pseudoallergy by C activation, or C activation plays a major contributing (CARPA) include thrombocytopenia, leukocytosis and role. CARPA is best known in the context of nanotoxicity, leukopenia with or without compensatory leukocytosis. since nanomedicines, i.e. particulate drugs and agents in In the background of these phenomena it is known that the nano (10−9–10 −6 m) size range often cause such reac- anaphylatoxins, the triggers of CARPA, can activate white tions. As reviewed earlier (1–8), and also discussed in blood cells (WBCs) and platelets, and that this activation other papers of this issue, the phenomenon represents can lead to the binding of these cells to each other and an immune barrier to the clinical use of many promising also to capillary endothelial cells, entailing microthrom- nanomedicines. In essence, CARPA may be perceived as bus formation and circulatory blockage mainly in the pul- a biological stress on blood that arises as a consequence monary and coronary microcirculation. These changes of the similarity of nanomedicines to viruses, between are key contributors to the hemodynamic alterations in which the immune system cannot make difference (8). CARPA, and can lead to anaphylactic shock.
    [Show full text]