Abstract:
:Hemolytic uremic syndrome (HUS) is an important cause of acute renal failure in children. Mutations in one or more genes encoding complement-regulatory proteins have been reported in approximately one-third of nondiarrheal, atypical HUS (aHUS) patients, suggesting a defect in the protection of cell surfaces against complement activation in susceptible individuals. Here, we identified a subgroup of aHUS patients showing persistent activation of the complement alternative pathway and found within this subgroup two families with mutations in the gene encoding factor B (BF), a zymogen that carries the catalytic site of the complement alternative pathway convertase (C3bBb). Functional analyses demonstrated that F286L and K323E aHUS-associated BF mutations are gain-of-function mutations that result in enhanced formation of the C3bBb convertase or increased resistance to inactivation by complement regulators. These data expand our understanding of the genetic factors conferring predisposition to aHUS, demonstrate the critical role of the alternative complement pathway in the pathogenesis of aHUS, and provide support for the use of complement-inhibition therapies to prevent or reduce tissue damage caused by dysregulated complement activation.
journal_name
Proc Natl Acad Sci U S Aauthors
Goicoechea de Jorge E,Harris CL,Esparza-Gordillo J,Carreras L,Arranz EA,Garrido CA,López-Trascasa M,Sánchez-Corral P,Morgan BP,Rodríguez de Córdoba Sdoi
10.1073/pnas.0603420103subject
Has Abstractpub_date
2007-01-02 00:00:00pages
240-5issue
1eissn
0027-8424issn
1091-6490pii
0603420103journal_volume
104pub_type
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