Skip to main content

C1 Inhibitor

Functional Analysis of Naturally-Occurring Mutant Proteins

  • Chapter

Part of the book series: Advances in Experimental Medicine and Biology ((AEMB,volume 425))

Abstract

C1 inhibitor, although frequently considered primarily a complement protein, is able to inactivate proteinases that participate in several different proteolytic cascades, and is essential in the regulation of activation of both the complement system and the contact system of kinin formation. It also may serve a backup function in regulation of coagulation and of fibrinolysis. C1 inhibitor, therefore, is most important in host defense and in the mediation of vascular permeability. Its name is derived from its discovery as the inactivator of the first complement component. This came about as a result of the studies of Lepow and his colleagues in the late 1950s and early 1960s; these were directed toward the isolation of C1 and its constituent subunits: C1q, C1r and C1s1–5. C1 inhibitor was characterized as a heat labile serum protein that inhibited the esterolytic activity of C1 and its proteolytic activity against C4 and C2. It subsequently was shown to inactivate several other plasma proteases, including kallikrein, plasmin, tissue plasminogen activator, and coagulation factors XIa and XIIa (Hageman factor)5–10. The fact that C1 inhibitor inactivated proteases by formation of denaturant stable equimolar complexes was first clearly shown by Harpel and Cooper with both C1s and plasmin6. Cl inhibitor does not appear to differ in any significant way from other serpins in its mechanism of action. The P1 and P1’ residues are arginine and threonine, respectively11.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Pensky, J., L. R. Levy, and I. H. Lepow. 1961. Partial purification of a serum inhibitor of C’1 esterase. J Biol Chem. 236:1674–1679.

    PubMed  CAS  Google Scholar 

  2. Lepow, I. H., O. D. Ratnoff, F. S. Rosen, and L. Pillemer. 1956. Observations on a proesterase associated with partially purified first component of complement (C1). Proc Soc Exp Biol Med. 92:32 –37.

    PubMed  CAS  Google Scholar 

  3. Lepow, I. H., O. D. Ratnoff, and L. R. Levy. 1958. Studies on the activation of a proesterase associated with partially purified first component of human complement. J Exp Med. 107:451–474.

    Article  PubMed  CAS  Google Scholar 

  4. Levy, L. R., and I. H. Lepow. 1959. Assay and properties of serum inhibitor of C’ 1 esterase. Proc Soc Exp Biol Med. 101:608–611.

    PubMed  CAS  Google Scholar 

  5. Ratnoff, O. D., and I. H. Lepow. 1957. Some properties of an esterase derived from preparations of the first component of complement. J Exp Med. 106:327–343.

    Article  PubMed  CAS  Google Scholar 

  6. Harpel, P. C., and N. R. Cooper. 1975. Studies on human plasma C1–inactivator–enzyme interactions. I. Mechanisms of interaction with C1s, plasmin and trypsin. J Clin Invest. 55:593–604.

    Article  PubMed  CAS  Google Scholar 

  7. Ratnoff, O. D., J. Pensky, D. Ogston, and G. B. Naff. 1969. The inhibition of plasmin, plasma kallikrein, plasma permeability factor, and the C1’r subcomponent of complement by serum C1’ esterase inhibitor. J Exp Med. 129:315–331.

    Article  PubMed  CAS  Google Scholar 

  8. Gigli, I., J. W. Mason, R. W. Colman, and K. F. Austen. 1970. Interaction of plasma kallikrein with the C1 inhibitor. Jlmmunol. 104:574–581.

    CAS  Google Scholar 

  9. Forbes, C. D., J. Pensky, and O. D. Ratnoff. 1970. Inhibition of activated Hageman factor and activated plasma thromboplastin antecedent by purified C1 inactivator. J Lab Clin Med. 76:809–815.

    PubMed  CAS  Google Scholar 

  10. Schreiber, A. D., A. P. Kaplan, and K. F. Austen. 1973. Inhibition by C1–INH of Hageman factor fragment activation of coagulation, fibrinolysis, and kinin generation. J Clin Invest. 52:1402–1409.

    Article  PubMed  CAS  Google Scholar 

  11. Salvesen, G. S., J. J. Catanese, L. F. Kress, and J. Travis. 1985. Primary structure of the reactive site of human C1–inhibitor. J Biol Chem. 260:2432–6.

    PubMed  CAS  Google Scholar 

  12. Donaldson, V. H., and R. R. Evans. 1963. A biochemical abnormality in hereditary angioneurotic edema. Am J Med. 35:37–44.

    Article  PubMed  CAS  Google Scholar 

  13. Landerman, N. S., M. E. Webster, E. L. Becker, and H. H. Ratcliffe. 1962. Hereditary angioneurotic edema. II. Deficiency of inhibitor for serum globulin permeability factor and/or plasma kallikrein. J Allergy. 33:330–341.

    Article  PubMed  CAS  Google Scholar 

  14. Haupt, H., N. Heimburger, T. Kranz, and H. G. Schwick. 1970. Ein beitrag zur isolierung und characterisierung des C1–inaktivators aus humanplasma. Eur J Biochem. 17:254–261.

    Article  PubMed  CAS  Google Scholar 

  15. Bock, S. C., K. Skriver, E. Nielsen, H. C. Thogersen, B. Wiman, V. H. Donaldson, R. L. Eddy, J. Marrinan, E. Radziejewska, R. Huber, T. B. Shows, and S. Magnussen. 1986. Human C1 inhibitor: primary structure, cDNA cloning, and chromosomal localization. Biochemistry. 25:4292–4301.

    Article  PubMed  CAS  Google Scholar 

  16. Reboul, A., G. J. Arlaud, R. B. Sim, and M. G. Colomb. 1977. A simplified procedure for the purification of C1–inactivator from human plasma. Interaction with complement subcomponents C1r and C1 s. FEBS Lett. 79:45–50.

    Article  PubMed  CAS  Google Scholar 

  17. Harrison, R. A. 1983. Human C1 inhibitor: improved isolation and preliminary structural characterization. Biochemistry. 22:5001–5007.

    Article  PubMed  CAS  Google Scholar 

  18. Nilsson, T., and B. Wiman. 1982. Purification and characterization of human C1–esterase inhibitor. Biochim Biophys Acta. 705:271–276.

    Article  PubMed  CAS  Google Scholar 

  19. Perkins, S. J., K. F. Smith, S. Amatayakul, D. Ashford, T. W. Rademacher, R. A. Dwek, P. J. Lachmann, and R. A. Harrison. 1990. Two–domain structure of the native and reactive centre cleaved forms of C1 inhibitor of human complement by neutron scattering. J Mol Biol. 214:751–763.

    Article  PubMed  CAS  Google Scholar 

  20. Odermatt, E., H. Berger, and Y. Sano. 1981. Size and shape of human C1–inhibitor. FEBS Lett. 131:283–285.

    Article  PubMed  CAS  Google Scholar 

  21. Eldering, E., E. Verpy, D. Roem, T. Meo, and M. Tosi. 1995. COOH–terminal substitutions in the serpin C1 inhibitor that cause loop overinsertion and subsequent multimerization. J Biol Chem. 270:2579–2587.

    Article  PubMed  CAS  Google Scholar 

  22. Theriault, A., K. Whaley, A. R. McPhaden, E. Boyd, and J. M. Connor. 1989. Regional assignment of the human C1–inhibitor gene to 11q11–q13.1. Human Genetics. 84:477–479.

    Google Scholar 

  23. Sim, R. B., A. Reboul, G. J. Arlaud, C. L. Villiers, and M. G. Colomb. 1979. Interaction of 125–labelled complement components C1r and C1 s with protease inhibitors in plasma. FEBS Lett. 97:111–115.

    Article  PubMed  CAS  Google Scholar 

  24. Ziccardi, R. J. 1981. Activation of the early components of the classical complement pathway under physiological conditions. J Immunol. 126:1768–1773.

    Google Scholar 

  25. Lennick, M., S. A. Brew, and K. C. Ingham. 1986. Kinetics of interaction of C1 inhibitor with complement C1s. Biochemistry. 25:3890–8.

    Article  PubMed  CAS  Google Scholar 

  26. Sim, R., G. Arlaud, and M. Colomb. 1980. Kinetics of reaction of human C1–inhibitor with the human complement system proteases C1r and C1s. Biochim Biophys Acta. 612:433–449.

    Article  PubMed  CAS  Google Scholar 

  27. Ziccardi, R. J., and N. R. Cooper. 1977. The subunit composition and sedimentation properties of human C1. Jlmmunol. 118:2047–2052.

    CAS  Google Scholar 

  28. Laurell, A. B., U. Martensson, and A. G. Sjoholm. 1976. C1 subcomponent complexes in normal and pathological sera studied by crossed immunoelectrophoresis. Acta Pathol Microbiol Scand. 84:455–464.

    Google Scholar 

  29. Ziccardi, R. J., and N. R. Cooper. 1979. Active disassembly of the first complement component C1 by C1–inhibitor. Jlmmunol. 123:788–792.

    CAS  Google Scholar 

  30. Tenner, A. J., and M. M. Frank. 1986. Activator–bound Cl is less susceptible to inactivation by C1 inhibition than is fluid–phase C1. Jlmmunol. 137:625–6630.

    CAS  Google Scholar 

  31. Doekes, G., L. A. van Es, and M. R. Daha. 1983. C1 inactivator: its efficiency as a regulator of classical complement pathway activation by soluble IgG aggregates. Immunology. 49:215–222.

    PubMed  CAS  Google Scholar 

  32. Minta, J. O. 1981. The role of sialic acid in the functional activity and the hepatic clearance of C1–INH. J Immunol. 126:245–249.

    PubMed  CAS  Google Scholar 

  33. Prandini, M. H. 1986. Biosynthesis of complement C1 inhibitor by HepG2 cells. Reactivity of different glycosylated forms of the inhibitor with C1 s. Biochem J. 237:93–98.

    PubMed  CAS  Google Scholar 

  34. Reboul, A., M. H. Prandini, and M. G. Colomb. 1987. Proteolysis and deglycosylation of human C1 inhibitor. Biochem J. 244:117–121.

    PubMed  CAS  Google Scholar 

  35. Patston, P. A., M. Qi, J. A. Schifferli, and M. Schapira. 1995. The effect of cleavage by a Crotalus atrox alpha–proteinase fraction on the properties of C1–inhibitor. Toxicon. 33:53–61.

    Article  PubMed  CAS  Google Scholar 

  36. Coutinho, M., K. S. Aulak, and A. E. Davis III. 1994. Functional analysis of the serpin domain of C1 inhibitor. J Immunol 153:3648,–3654.

    PubMed  CAS  Google Scholar 

  37. Gigli, I., S. Ruddy, and K. F. Austen. 1968. The stoichiometric measurement of the serum inhibitor of the first component of complement by the inhibition of immune hemolysis.J Immunol 100:1154–1164.

    PubMed  CAS  Google Scholar 

  38. Schapira, M., C. F. Scott, and R. W. Colman. 1982. Contribution of plasma protease inhibitors to the inactivation of kallikrein in plasma. J Clin Invest. 69:462–468.

    Article  PubMed  CAS  Google Scholar 

  39. van der Graaf, F., J. A. Koedam, and B. N. Bouma. 1983. Inactivation of kallikrein in human plasma. J Clin Invest 71:149–158

    Article  PubMed  Google Scholar 

  40. Harpel, P. C., M. F. Lewin, and A. P. Kaplan. 1985. Distribution of plasma kallikrein between C1 inactiva–tor and a2–macroglobulin in plasma utilizing a new assay for a2–macroglobulin–kallikrein complexes. J Biol Chem. 260:4257–4263.

    PubMed  CAS  Google Scholar 

  41. de Agostini, A., H. R. Lijnen, R. A. Pixley, R. W. Colman, and M. Schapira. 1984. Inactivation of factor XII active fragment in normal plasma. Predominant role of C1–inhibitor. J Clin Invest. 73:1542–1549.

    Article  PubMed  Google Scholar 

  42. Pixley, R. A., M. Schapira, and R. W. Colman. 1985. The regulation of human factor XIIa by plasma proteinase inhibitors. J Biol Chem. 260:1723 –1729.

    PubMed  CAS  Google Scholar 

  43. Nuijens, J. H., A. J. M. Eerenberg–Belmer, C. C. M. Huijbregts, W. O. Schreuder, R. J. F. Felt–Bersma, J. J. Abbink, L. G. Thijs, and C. E. Hack. 1989. Proteolytic inactivation of plasma C1 inhibitor in sepsis. J Clin Invest:443–450.

    Google Scholar 

  44. Nuijens, J. H., C. C. M. Huijbregts, A. J. M. Eerenberg–Belmer, J. J. Abbink, R. J. M. Strack van Schijndel, R. J. M. Felt–Bersma, L. G. Thijs, and C. E. Hack. 1988. Quantification of plasma factor Xlia–C1–inhibitor and kallikrein–C1–inhibitor complexes in sepsis. Blood. 72:1841–1848.

    PubMed  CAS  Google Scholar 

  45. Guerrero, R., F. Velasco, M. Rodriguez, A. Lopez, R. Rojas, M. A. Alvarez, R. Villalba, V. Rubio, A. Torres, and D. d. Castillo. 1993. Endotoxin–induced pulmonary dysfunction is prevented by C1–esterase inhibitor. J Clin Invest. 91:2754–2760.

    Article  PubMed  CAS  Google Scholar 

  46. Shoemaker, L. R., S. J. Schurman, V. H. Donaldson, A. E. Davis III. 1994. Hereditary angioneurotic edema: Characterization of plasma kinin and vascular permeability–enhancing activities. Clin Exp Immunol. 95:22–28.

    Article  PubMed  CAS  Google Scholar 

  47. Zahedi, R., J. J. Bissler, A. E. Davis III, C. Andreadis, and J. J. Wisnieske. 1995. Unique C1 inhibitor dysfunction in a kindred without angioedema. II. Identification of an Ala443–Val substitution and functional analysis of the recombinant mutant protein. J Clin Invest. 95:1299–1305.

    Article  PubMed  CAS  Google Scholar 

  48. Skriver, K., W. R. Wikkoff, P. A. Patston, F. Tausk, M. Schapira, A. P. Kaplan, and S. C. Bock. 1991. Substrate properties of C1 inhibitor Ma (alanine 434 glutamic acid). Genetic and structural evidence suggesting that the P12–region contains critical determinants of serine protease inhibitor/substrate status. J Biol Chem. 266:9216–9221.

    PubMed  CAS  Google Scholar 

  49. Davis III, A. E., K. S. Aulak, R. B. Parad, H. P. Stecklein, E. Eldering, C. E. Hack, J. Kramer, R. C. Strunk, J. Bissler, and F. S. Rosen. 1992. C1 inhibitor hinge region mutations produce dysfunction by different mechanisms. Nature Genetics. 1:354–358.

    Article  PubMed  CAS  Google Scholar 

  50. Stein, P. E., A. G. Leslie, J. T. Finch, W. G. Turnell, P. J. McLaughlin, and R. W. Carrell. 1990. Crystal structure of ovalbumin as a model for the reactive centre of serpins. Nature. 347:99–102.

    Article  PubMed  CAS  Google Scholar 

  51. Loebermann, H., R. Tokuoka, J. Deisenhofer, and R. Huber. 1984. Human alpha 1–proteinase inhibitor. Crystal structure analysis of two crystal modifications, molecular model and preliminary analysis of the implications for function. J Mol Biol 177:531–557.

    Article  PubMed  CAS  Google Scholar 

  52. Carrell, R. W., D. L. Evans, and P. E. Stein. 1991. Mobile reactive centre of serpins and the control of thrombosis. Nature. 353:576–8.

    Article  PubMed  CAS  Google Scholar 

  53. Schulze, A. J., U. Baumann, S. Knof, E. Jaeger, R. Huber, and C. B. Laurell. 1990. Structural transition of alpha 1–antitrypsin by a peptide sequentially similar to beta–strand s4A. Eur J Biochem. 194:51–6.

    Article  PubMed  CAS  Google Scholar 

  54. Levy, N. J., N. Ramesh, M. Cicardi, R. A. Harrison, and A. E. Davis III. 1990. Type II hereditary angioneurotic edema that may result from a single nucleotide change in the codon for alanine–436 in the C1 inhibitor gene. Proc Natl Acad Sci USA. 87:265–8.

    Article  PubMed  CAS  Google Scholar 

  55. Aulak, K. S., E. Eldering, C. E. Hack, Y. P. T. Lubbers, R. A. Harrison, A. Mast, M. Cicardi, and A. E. Davis III. 1993. A hinge region mutation in C1–inhibitor (Ala436Thr) results in nonsubstrate–like behavior and in polymerization of the molecule. J Biol Chem. 268:18088–94.

    PubMed  CAS  Google Scholar 

  56. Carrell, R. W., D. L. Evans, and P. E. Stein. 1994. Biological implications of a 3 Å structure of dimeric antithrombin. Structure. 2:257–270.

    Article  PubMed  CAS  Google Scholar 

  57. Schreuder, H. A., B. de Boer, R. Dijkema, J. Mulders, H. J. M. Theunissen, P. D. J. Grootenhuis, and W. G. J. Hol. 1994. The intact and cleaved human antithrombin III complex as a model for serpin–proteinase interactions. Structural Biology. 1:48–54.

    Article  PubMed  CAS  Google Scholar 

  58. Stein, P. E., and R. W. Carrell. 1995. What do dysfunctional serpins tell us about molecular mobility and disease? Structural Biology. 2:96–113.

    Article  PubMed  CAS  Google Scholar 

  59. Parad, R. B., J. Kramer, R. C. Strunk, F. S. Rosen, and A. E. Davis III. 1990. Dysfunctional C1 inhibitor Ta: deletion of Lys–251 results in acquisition of an N–glycosylation site. Proc Natl Acad Sci USA. 87:6786–6790.

    Article  PubMed  CAS  Google Scholar 

  60. Zahedi, R., K. S. Aulak, E. Eldering, and A. E. Davis III. 1996. Characterization of C1 inhibitor–Ta: A dysfunctional C1 INH with deletion of lysine–251. J Biol Chem, submitted.

    Google Scholar 

  61. Stein, P. E., and C. Chothia. 1991. Serpin tertiary structure transformation. JMolecular Biology. 221:99–102.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1997 Springer Science+Business Media New York

About this chapter

Cite this chapter

Davis, A.E. (1997). C1 Inhibitor. In: Church, F.C., Cunningham, D.D., Ginsburg, D., Hoffman, M., Stone, S.R., Tollefsen, D.M. (eds) Chemistry and Biology of Serpins. Advances in Experimental Medicine and Biology, vol 425. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-5391-5_18

Download citation

  • DOI: https://doi.org/10.1007/978-1-4615-5391-5_18

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-7461-9

  • Online ISBN: 978-1-4615-5391-5

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics