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2016 ; 291
(10
): 4974-81
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Mutations in Complement Factor H Impair Alternative Pathway Regulation on Mouse
Glomerular Endothelial Cells in Vitro
#MMPMID26728463
Loeven MA
; Rops AL
; Lehtinen MJ
; van Kuppevelt TH
; Daha MR
; Smith RJ
; Bakker M
; Berden JH
; Rabelink TJ
; Jokiranta TS
; van der Vlag J
J Biol Chem
2016[Mar]; 291
(10
): 4974-81
PMID26728463
show ga
Complement factor H (FH) inhibits complement activation and interacts with
glomerular endothelium via its complement control protein domains 19 and 20,
which also recognize heparan sulfate (HS). Abnormalities in FH are associated
with the renal diseases atypical hemolytic uremic syndrome and dense deposit
disease and the ocular disease age-related macular degeneration. Although FH
systemically controls complement activation, clinical phenotypes selectively
manifest in kidneys and eyes, suggesting the presence of tissue-specific
determinants of disease development. Recent results imply the importance of
tissue-specifically expressed, sulfated glycosaminoglycans (GAGs), like HS, in
determining FH binding to and activity on host tissues. Therefore, we
investigated which GAGs mediate human FH and recombinant human FH complement
control proteins domains 19 and 20 (FH19-20) binding to mouse glomerular
endothelial cells (mGEnCs) in ELISA. Furthermore, we evaluated the functional
defects of FH19-20 mutants during complement activation by measuring C3b
deposition on mGEnCs using flow cytometry. FH and FH19-20 bound dose-dependently
to mGEnCs and TNF-? treatment increased binding of both proteins, whereas
heparinase digestion and competition with heparin/HS inhibited binding.
Furthermore, 2-O-, and 6-O-, but not N-desulfation of heparin, significantly
increased the inhibitory effect on FH19-20 binding to mGEnCs. Compared with wild
type FH19-20, atypical hemolytic uremic syndrome-associated mutants were less
able to compete with FH in normal human serum during complement activation on
mGEnCs, confirming their potential glomerular pathogenicity. In conclusion, our
study shows that FH and FH19-20 binding to glomerular endothelial cells is
differentially mediated by HS but not other GAGs. Furthermore, we describe a
novel, patient serum-independent competition assay for pathogenicity screening of
FH19-20 mutants.