Conclusions
The alternative pathway of complement mediates immune defense and regulates tissue integrity. The recent characterization of the role of this complement activation pathway in distinct diseases, such as MPGN, atypical form of hemolytic uremic syndrome, age-related macular degeneration of the eye and in microbial immune evasion, highlight the importance of this branch of complement for the integrity of the human body. Proper regulation maintains tissue integrity, and improper regulation results in local defects which eventuate in severe diseases. The detailed understanding of the individual reactions and of the local role of the individual regulators defines how this part of complement maintains tissue integrity and how defects result in diseases. This understanding is essential to define proper tools and approaches for diagnosis and all kind of treatments which modulate the action of the complement system systemically and locally.
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References
Davison AM, Cameron JS, GrĂĽnfeld JP et al (2005) Oxford Textbook of Clinical Nephrology. Oxford University Press, Oxford
Appel GB, Cook HT, Hageman G, Jennette JC, Kashgarian M, Kirschfink M, Lambris JD, Lanning L, Lutz HU, Meri S et al (2005) Membranoproliferative glomerulonephritis Type II (dense deposit disease): an update. J Am Soc Nephrol 16: 1392–13403
Orth SR, Ritz E (1998) The nephrotic syndrome. N Engl J Med 338: 1202–1211
Habib R, Gubler MC, Loriat C, Maiz HB, Levy M (1975) Dense deposit disease. A variant of membranoproliferative glomerulonephritis. Kidney Int 7: 204–215
Cameron JS, Turner Dr, Heaton J, Gwyn Williams D, Ogg CS, Chantler C, Haycock GB, Hicks J (1983) Idiopathic mesangiocapillary glomerulonephritis. Comparison of types I and II in children and adults and long-term prognosis. Am J Med 74: 175–192
Walport MJ (2001) Complement. First of two parts. N Engl J Med 344: 1058–1066
Walport MJ (2001) Complement. Second of two parts. N Engl J Med 344: 1140–1144
Muller Eberhard HJ (1988) Molecular organization and function of the complement system. Annu Rev Biochem 57: 321–347
Pangburn MK (1998) Alternative Pathway: Activation and Regulation. In: K Rother, GO Till, GM Hänsch (eds): The Complement System. Springer, Berlin, 93–115
Pangburn MK, Muller-Eberhard HJ (1986) The C3 convertase of the alternative pathway of human complement. Biochem J 235: 723–730
Zipfel PF, Jokiranta TS, Hellwage J, Koistinen V, Meri S (1999) The factor H protein family. Immunopharmacology 42: 53–60
RodrĂguez de CĂłrdoba S, Esparza-Gordillo J, Goicoechea de Jorge E, Lopez-Trascasa M, Sánchez-Corral P (2004) The human complement factor H: functional roles, genetic variations and disease associations. Molecular Immunol 41: 355–367
Józsi M, Manuelian T, Heinen S, Oppermann M, Zipfel PF (2004) Attachment of the soluble complement regulator factor H to cell and tissue surfaces: relevance for pathology. Histol Histopathol 19: 251–258
Hourcade D, Liszewski MK, Krych-Goldberg M, Atkinson JP (2000) Functional domains, structural variations and pathogen interactions of MCP, DAF and CR1. Immunopharmacology 49: 103–116
Krych-Goldberg M, Atkinson JP (2001) Structure-function relationships of complement receptor type 1. Immunol Rev 180: 112–122
Liszewski MK, Atkinson JP (1998) Regulatory proteins of complement. In: JE Volonakis, MM Frank (eds): The Human Complement System in Health and Disease. M. Dekker, Inc., New York
Manuelian T, Hellwage J, Meri S, Caprioli J, Noris M, Heinen S, Jozsi M, Neumann HP, Remuzzi G, Zipfel PF (2003 Mutations in factor H reduce binding affinity to C3b and heparin and surface attachment to endothelial cells in hemolytic uremic syndrome. J Clin Invest 111: 1181–1190
Zipfel, PF, Skerka C, Hellwage J, Jokiranta ST, Meri S, Brade V, Kraiczy P, Noris M, Remuzzi G (2002) Factor H family proteins: on complement, microbes and human diseases. Biochem Soc Trans 30: 971–978
van den Dobbelsteen ME, Verhasselt V, Kaashoek JG, Timmerman JJ, Schroeijers WE, Verweij CL, van der Woude FJ, van Es LA, Daha MR (1994) Regulation of C3 and fac tor H synthesis of human glomerular mesangial cells by IL-1 and interferon-gamma. Clin Exp Immunol 95: 173–180
Timmerman JJ, van der Woude FJ, van Gijlswijk-Janssen DJ, Verweij CL, van Es LA, Daha MR (1996) Differential expression of complement components in human fetal and adult kidneys. Kidney Int 49: 730–740
Nangaku M (1998) Complement regulatory proteins in glomerular diseases. Kidney Int 54: 1419–1428
Bao L, Spiller OB, St John PL, Haas M, Hack BK, Ren G, Cunningham PN, Doshi M, Abrahamson DR, Morgan BP, Quigg RJ (2002) Decay-accelerating factor expression in the rat kidney is restricted to the apical surface of podocytes. Kidney Int 62: 2010–2021
Pavenstädt H, Kriz W, Kretzler M (2003) Cell Biology of the glomerular podocyte. Physiol Rev 83: 253–307
Cunningham PN, Qigg RJ (2005) Contrasting role of complement activation and its regulation in membranous nephropahty. J Am Soc Nephrol 16: 1214–1222
Thompson RA, Winterborn MH (1981) Hypocomplementaemia due to a genetic deficiency of beta 1H globulin. Clin Exp Immunol 46: 110–119
Wyatt RJ, Julian BA, Weinstein A, Rothfield NF, McLean RH (1982) Partial H beta 1H) deficiency and glomerulonephritis in two families. J Clin Immunol 2: 110–117
Levy M, Halbwachs-Mecarelli L, Gubler MC, Kohout G, Bensenouci A, Niaudet P, Hauptmann G, Lesavre P (1986) H deficiency in two brothers with atypical dense intramembranous deposit disease. Kidney Int 30: 949–956
Nielsen HE, Christensen KC, Koch C, Thomsen BS, Heegaard NH, Tranum-Jensen HE (1989) Hereditary, complete deficiency of complement factor H associated with recurrent meningococcal disease. Scand J Immunol 30: 711–718
Rougier N, Kazatchkine MD, Rougier JP, Fremeaux-Bacchi V, Blouin J, Deschenes G, Soto B, Baudouin V, Pautard B, Proesmans W et al (1998) Human complement factor H deficiency associated with hemolytic uremic syndrome. J Am Soc Nephrol 9: 2318–2326
Fijen CA, Kuijper EJ, Te Bulte M, van de Heuvel MM, Holdrinet AC, Sim RB, Daha MR, Dankert J (1996). Heterozygous and homozygous factor H deficiency states in a Dutch family. Clin Exp Immunol 105: 511–516
Brai M, Misiano G, Maringhini S, Cutaja I, Hauptmann G (1988) Combined homozygous factor H and heterozygous C2 deficiency in an Italian family. J Clin Immunol 8: 50–56
Vogt BA, Wyatt RJ, Burke BA, Simonton SC, Kashtan CE (1995) Inherited factor H deficiency and collagen type III glomerulopathy. Pediatr Nephrol 9: 11–15
Kirschfink M, Binder R (1998) Deficiencies in the Alternative pathway: Factors I and H. In: K Rother, GO Till, GM Hänsch (eds): The Complement System. Springer, Berlin, 420–427
Licht C, Heinen S, Józsi M, Löschmann I, Saunders RE, Perkins SJ, Waldherr R, Skerka C, Kirschfink M, Hoppe B, Zipfel PF (2004) Deletion of a single amino acid (K224) in the regulatory domain of the immune inhibitor Factor H reveals a novel pathomechanism for membranoproliferative glomerulonephritis type II. Immunobiol 209: 328
Dragon-Durey MA, Fremeaux-Bacchi V, Loirat C, Blouin J, Niaudet P, Deschenes G, Coppo P, Herman Fridman W, Weiss L (2004) Heterozygous and homozygous factor H deficiencies associated with hemolytic uremic syndrome or membranoproliferative glomerulonephritis: report and genetic analysis of 16 cases. J Am Soc Nephrol 15: 787–795
Ault BH, Schmidt BZ, Fowler NL, Kashtan CE, Ahmed AE, Vogt BA, Colten HR (1997) Human factor H deficiency. Mutations in framework cysteine residues and block in H protein secretion and intracellular catabolism. J Biol Chem 272: 25168–25175
Schmitt Schmidt BZ, Fowler NL, Hidvegi T, Perlmutter DH, Colten HR (1999) Disruption of disulfide bonds is responsible for impaired secretion in human complement factor H deficiency. J Biol Chem 274: 11782–11788
Hegasy GA, Manuelian T, Hogasen K, Jansen JH, Zipfel PF (2002) The molecular basis for hereditary porcine membranoproliferative glomerulonephritis type II. Am J Pathol 161: 2027–2034
Meri S, Koistinen V, Miettinen A, Tornroth T, Seppala IJ (1992) Activation of the alternative pathway of complement by monoclonal lambda light chains in membranoproliferative glomerulonephritis. J Exp Med 175: 939–950
Jokiranta TS, Solomon A, Pangburn MK, Zipfel PF, Meri S (1999) Nephritogenic l light chain dimer: A unique human miniautoantibody against complement factor H. J Immunol 163: 4590–4596
Hogasen K, Jansen JH (1995) Porcine membranoproliferative glomerulonephritis type II is caused by factor H deficiency. J Clin Invest 95: 1054–1061
Pickering MC, Cook HT, Warren J, Bygrave AER, Moss J, Walport MJ, Botto M (2002) Uncontrolled C3 activation causes membranoproliferative glomerulonephritis in mice deficient in complement factor H. Nat Genet 31: 424–428
Jansen JH, Hogasen K, Mollnes TE (1993) Extensive complement activation in hereditary porcine membranoproliferative glomerulonephritis type II (porcine dense deposit disease). Am J Pathol 143: 1356–1365
Jansen JH, Hogasen K, Harboe M, Hovig T (1998) In situ complement activation in porcine membranoproliferative glomerulonephritis type II. Kidney Int 53: 331–349
Alexander JJ, Pickering MC, Haas M, Osawe I, Quigg RJ (2005) Complement factor h limits immune complex deposition and prevents inflammation and scarring in glomeruli of mice with chronic serum sickness. J Am Soc Nephrol 16: 52–57
Daha MR, Van Es LA (1981) Stabilization of homologous and heterologous cell-bound amplification convertases, C3bBb, by C3 nephritic factor. Immunol 43: 33–38
Daha MR (1998) C3 Nephritic Factor. In: K Rother, GO Till, GM Hänsch (eds): The Complement System. Springer, Berlin, 456–462
Weiler JM, Daha MR, Austen KF, Fearon DT (1976) Control of the amplification convertase of complement by the plasma protein b1H. Proc Natl Acad Sci USA 73: 3268–3272
West CD, Witte DP, McAdams JA (2001) Composition of Nephritic Factor-Generated Glomerular Deposits in Membranoproliferative Glomerulunephritis Type 2. Am J Kidney Dis 37: 1120–1130
West CD (1994) Nephritic factors predispose to chronic glomerulonephritis. Am J Kidney Dis 24: 956–963
West C (1998) Complement and glomerular Diseases. In: JE Volonakis, MM Frank (eds): The Human Complement System in Health and Disease. M. Dekker, Inc., New York, 571–596
Mathieson PW, Wurzner R, Oliveria DB, Lachmann PJ, Peters DK (1993) Complement-mediated adipocyte lysis by nephritic factor sera. J Exp Med 177: 1827–1831
Schwertz R, Rother U, Anders D, Gretz N, Scharer K, Kirschfink M (2001) Complement analysis in children with idiopathic membranoproliferative glomerulonephritis: A long-term follow-up. Pediatr Allergy Immunol 12: 166–172
Mason RM, Wahab NA (2003) Extracellular matrix metabolism in diabetic nephropathy. J Am Soc Nephrol 14: 1358–1373
Leys A, Proesmans W, Van Damme-Lombaerts R, Van Damme B (1991) Specific eye fundus lesions in type II membranoproliferative glomerulonephritis. Pediatr Nephrol 5: 189–192
Mullins RF, Russell SR, Anderson DH, Hageman GS (2000) Drusen associated with aging and age-related macular degeneration contain proteins common to extracellular deposits associated with atherosclerosis, elastosis, amyloidosis, and dense deposit disease. FASEB J 14: 835–846
Klein RJ, Zeiss C, Chew EY, Tsai JY, Sackler RS, Haynes C, Henning AK, Sangiovanni JP, Mane SM, Mayne ST et al (2005) Complement Factor H polymorphism in age-related macular degeneration. Science 308: 385–389
Haines JL, Hauser MA, Schmidt S, Scott WK, Olson LM, Gallins P, Spencer KL, Kwan SY, Noureddine M, Gilbert JR, Schnetz-Boutaud N et al (2005) Complement Factor H variant increases the risk of age-related macular degeneration. Science 308: 419–421
Edwards AO, Ritter R 3rd, Abel KJ, Manning A, Panhuysen C, Farrer LA (2005) Complement Factor H polymorphism and age-related macular degeneration. Science 308: 421–424
Hageman GS, Anderson DH, Johnson LV, Hancox LS, Taiber AJ, Hardisty LI, Hageman JL, Stockman HA, Borchardt JD, Gehrs KM et al (2005) A common haplotype in the complement regulatory gene factor H (HF1/CFH) predisposes individuals to age-related macular degeneration. Proc Natl Acad Sci USA 102: 7227–7232
Licht C, Weyersberg A, Heinen S, Stapenhorst L, Devenge J, Beck B, Waldherr R, Kirschfink M, Zipfel PF, Hoppe B (2005) Factor H deficiency and atypical hemolytic uremic syndrome successful plasma therapy for atypical hemolytic uremic syndrome (aHUS) caused by Factor H deficiency due to a mutation in the complement cofactor protein (CCP) domain 15. Am J Kidney Dis 45: 415–421
Gerber A, Kirchhoff-Moradpour AH, Obieglo S, Brandis M, Kirschfink M, Zipfel PF, Goodship JA, Zimmerhackl, LB (2003) Successful (?) therapy of hemolytic-uremic syndrome with factor H abnormality. Pediatr Nephrol 18: 52–55
Loirat C, Niaudet P (2003) The risk of recurrence of hemolytic uremic syndrome after renal transplantation in children. Pediatr Nephrol 18: 1095–1101
Neumann HP, Salzmann M, Bohnert-Iwan B, Mannuelian T, Skerka C, Lenk D, Bender BU, Cybulla M, Riegler P, Konigsrainer A et al (2003) Haemolytic uraemic syndrome and mutations of the factor H gene: a registry-based study of German speaking countries. J Med Genet 40: 676–681
Remuzzi G, Ruggenenti P, Codazzi D, Noris M, Caprioli J, Locatelli G, Gridelli B (2002) Combined kidney and liver transplantation for familial haemolytic uraemic syndrome. Lancet 359: 1671–1672
Remuzzi G, Ruggenenti P, Colledan M, Gridelli B, Bertani A Bettinaglio P, Bucchioni S, Sonzogni A, Bonanomi E, Sonzogni V et al (2005) Hemolytic uremic syndrome: a fatal outcome after kidney and liver transplantation performed to correct factor H gene mutation. Am J Transplant 5: 1146–1150
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Zipfel, P.F., Smith, R.J., Heinen, S. (2006). The role of complement in membranoproliferative glomerulonephritis. In: Zipfel, P.F. (eds) Complement and Kidney Disease. Progress in Inflammation Research. Birkhäuser Basel. https://doi.org/10.1007/3-7643-7428-4_11
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