Contribution of Adipose-Derived Factor D/Adipsin to Complement
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Contribution of Adipose-Derived Factor D/Adipsin to Complement Alternative Pathway Activation: Lessons from Lipodystrophy This information is current as of September 25, 2021. Xiaobo Wu, Irina Hutson, Antonina M. Akk, Smita Mascharak, Christine T. N. Pham, Dennis E. Hourcade, Rebecca Brown, John P. Atkinson and Charles A. Harris J Immunol 2018; 200:2786-2797; Prepublished online 12 March 2018; Downloaded from doi: 10.4049/jimmunol.1701668 http://www.jimmunol.org/content/200/8/2786 http://www.jimmunol.org/ References This article cites 51 articles, 25 of which you can access for free at: http://www.jimmunol.org/content/200/8/2786.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 25, 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 © 2018 by The American Association of Immunologists, Inc. All rights reserved. Print ISSN: 0022-1767 Online ISSN: 1550-6606. The Journal of Immunology Contribution of Adipose-Derived Factor D/Adipsin to Complement Alternative Pathway Activation: Lessons from Lipodystrophy Xiaobo Wu,* Irina Hutson,† Antonina M. Akk,* Smita Mascharak,‡ Christine T. N. Pham,*,x Dennis E. Hourcade,* Rebecca Brown,{ John P. Atkinson,* and Charles A. Harris†,‖ Factor D (FD) is an essential component of the complement alternative pathway (AP). It is an attractive pharmaceutical target because it is an AP-specific protease circulating in blood. Most components of the complement activation pathways are produced by the liver, but FD is highly expressed by adipose tissue. Two critical questions are: 1) to what degree does adipose tissue contribute to circulating FD levels and 2) what quantity of FD is sufficient to maintain a functional AP? To address these issues, we studied a novel mouse strain with complete lipodystrophy (LD), the fld mouse with partial LD, an FD-deficient mouse, and samples from lipodystrophic patients. FD Downloaded from was undetectable in the serum of LD mice, which also showed minimal AP function. Reconstitution with purified FD, serum mixing experiments, and studies of partial LD mice all demonstrated that a low level of serum FD is sufficient for normal AP activity in the mouse system. This conclusion was further supported by experiments in which wild-type adipose precursors were transplanted into LD mice. Our results indicate that almost all FD in mouse serum is derived from adipose tissue. In contrast, FD levels were reduced ∼50% in the sera of patients with congenital generalized LD. Our studies further demonstrate that a relatively small amount of serum FD is sufficient to facilitate significant time-dependent AP activity in humans and in mice. Furthermore, this observation highlights the http://www.jimmunol.org/ potential importance of obtaining nearly complete inhibition of FD in treating alternative complement activation in various auto- immune and inflammatory human diseases. The Journal of Immunology, 2018, 200: 2786–2797. omplement is an important arm of innate immunity binding to a microbial surface, it engages the protease precursor against bacteria and viruses and its activated products also (zymogen) factor B (FB) to form C3bB. This bimolecular complex C serve as a bridge between innate and adaptive immunity. is cleaved by factor D (FD), a serine protease unique to AP. The Three distinct but related pathways are responsible for complement cleavage results in C3bBb, known as the AP C3 convertase, which activation: the classical pathway (CP), the alternative pathway is stabilized by properdin (P), an AP-specific positive regulator. FD (AP), and the lectin pathway. All three enzymatic pathways itself is cleaved from a pro-FD zymogen to a mature FD. This by guest on September 25, 2021 converge on the cleavage of C3. This results in the generation of cleavage is mediated by members of the mannose-binding protein- proinflammatory complement fragment C3a and a major opsonin associated serine protease (MASP) family. Mice deficient in both C3b. The latter also serves as gateway to the membrane attack MASP1 and MASP3 only have pro-FD in the serum and no AP complex and a substrate to engage the AP’s amplification loop. In activity, suggesting that MASP1/3 serve as proteases to cleave pro- the CP, C1, via its C1q subcomponent, binds Ab–Ag complexes, FD into FD (1). MASP3 is thought to be the major pro-FD con- thus attacking foreign agents. In the lectin pathway, a plasma vertase whereas MASP1 is the minor convertase (2–4). lectin, such as Abs ficolins, collectins, or mannose-binding lectin, Owing to its low concentration in human serum [2–4 mg/ml (5, 6) binds to the microbial surface. In the AP, upon C3b’s covalent and our data in this study] and highly selective function, FD is a *Division of Rheumatology, Department of Medicine, Washington University School analyzed and interpreted data; and C.T.N.P., D.E.H., R.B., and J.P.A. provided re- of Medicine, St. Louis, MO 63110; †Division of Endocrinology, Metabolism and sources, interpreted data, and revised the manuscript. Lipid Research, Department of Medicine, Washington University School of Medi- The contents do not represent the views of the U.S. Department of Veterans Affairs or cine, St. Louis, MO 63110; ‡Department of Medicine, David Geffen School of x the U.S. Government. Medicine at University of California, Los Angeles, Los Angeles, CA 90095; Section of Rheumatology, Department of Medicine, St. Louis Veterans Affairs Medical Cen- Address correspondence and reprint requests to Dr. Charles A. Harris or Dr. Xiaobo ter, St. Louis, MO 63106; {Diabetes, Endocrinology, and Obesity Branch, National Wu, Division of Endocrinology, Metabolism and Lipid Research, Department of Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Medicine, Washington University School of Medicine, 660 South Euclid Avenue, Health, Bethesda, MD 20814; and ‖Section of Endocrinology, Department of Med- Box 8127, Saint Louis, MO 63110 (C.A.H.) or Division of Rheumatology, Depart- icine, St. Louis Veterans Affairs Medical Center, St. Louis, MO 63106 ment of Medicine, Washington University School of Medicine, 660 South Euclid Avenue, Box 8045, St. Louis, MO 63110 (X.W.). E-mail addresses: harrisc@wustl. ORCIDs: 0000-0002-6703-2272 (X.W.); 0000-0003-1127-3699 (C.T.N.P.); 0000- edu (C.A.H.) or [email protected] (X.W.) 0002-2589-7382 (R.B.); 0000-0002-2514-3441 (J.P.A.); 0000-0003-1815- 5046 (C.A.H.). Abbreviations used in this article: AGL, acquired generalized LD; AMD, age-related macular degeneration; AP, alternative pathway; BAT, brown adipose tissue; BSCL, Received for publication December 1, 2017. Accepted for publication February 15, Berardinelli–Seip congenital LD; CGL, congenital generalized LD; CP, classical 2018. pathway; CVF, cobra venom factor; DIX, dexamethasone, insulin, and 3-isobutyl- This work was supported by National Institutes of Health Grants R01 DK106083 1-methylxanthine; E, embryonic day; FB, factor B; FD, factor D; fld, fatty liver (to C.A.H.), 5 R01 AI041592, U54 HL112303, and 1 P30AR048335 (to J.P.A. and dystrophy; FPL, familial partial LD; hFD, human FD; LD, lipodystrophy; LMNA, X.W.), R01 AR067491 (to C.T.N.P.), and R01 AI051436 (to D.E.H. and C.T.N.P.), lamin A; MASP, mannose-binding protein-associated serine protease; MEF, mouse and by the Intramural Research Program of the National Institute of Diabetes and embryonic fibroblast; P, properdin; PNGase, peptide-N-glycosidase; PPAR, peroxi- Digestive and Kidney Diseases (to R.B.). some proliferator-activated receptor; RT, room temperature; WAT, white adipose tissue; WT, wild-type. X.W. and C.A.H. performed experiments, analyzed and interpreted data, and wrote and revised the manuscript; I.H., A.M.A., and S.M. performed experiments and Copyright Ó 2018 by The American Association of Immunologists, Inc. 0022-1767/18/$35.00 www.jimmunol.org/cgi/doi/10.4049/jimmunol.1701668 The Journal of Immunology 2787 strong candidate for pharmaceutical approaches to block the pow- erful AP and its feedback loop for the treatment of numerous in- flammatory diseases such as atypical hemolytic uremic syndrome (7, 8), paroxysmal nocturnal hemoglobinuria (8), and age-related macular degeneration (AMD) (9–13). Abs to FD can be used to neutralize AP activity in mice (14) and more recently have been developed for the treatment of patients with AMD (15, 16). An mAb to FD was shown to block AP in primates without affecting the CP. AP components FB and C3 in blood are largely produced by the liver but also locally by bone marrow–derived and many other cell types (17). FD is also known as adipsin because it was inde- pendently identified as an abundant transcript in 3T3-L1 adipocytes (18), but it was soon identified as identical to FD (19, 20). In ad- dition to the high level of mRNA expression of adipsin/FD in ad- ipose tissue, adipsin/FD expression has been described in other tissues, including muscle and lung in humans (19) and the sciatic nerve (21) as well as by the adrenal gland and ovary in mice (22). Spiegelman and colleagues (23–26) went on to demonstrate that paradoxically adipsin mRNA is decreased in genetic and chemical Downloaded from models of obesity. More recently, they demonstrated that adipsin plays a role in pancreatic b cell function (27).