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Published on: June 29, 2016
Mannan-binding-lectin-associated serine proteases, characteristics and disease associations
Rikke Sørensen1, Steffen Thiel, Jens C Jensenius
1Department of Medical Microbiology and Immunology, Wilhelm Meyers Allé, University of Aarhus, 8000 Aarhus, Denmark. rs@microbiology.au.dk
Abstract:
Mannan-binding lectin (MBL)-associated serine proteases (MASPs) circulate in plasma as zymogens in complexes with MBL and with L- and H-ficolin. Upon binding of MBL or ficolin to pathogen-associated molecular patterns, the MASPs are activated. MASP-2 can now cleave C4 and C2 to generate the C3 convertase, C4bC2b. The functions of the other two MASPs, MASP-1 and MASP-3 have not been elucidated. MASP-1 can cleave C2, and with low efficiency also C3, and may serve a function through direct C3 activation. No natural substrate for MASP-3 has been identified. MBL deficiency, occurring at a frequency of about 10%, is the most common congenital immunodeficiency and is associated with susceptibility to infections and autoimmune disorders. Inherited MASP-2 deficiency has been described as the result of a mutation causing the exchange of aspartic acid with a glycine at position 105, a position in the first domain, CUB1, involved in calcium binding. This mutation abolishes the binding to MBL and ficolins, and deprives MASP-2 of functional activity. The index case suffered from recurrent severe infections and autoimmune reactions. The gene frequency of the mutation among Caucasians is 3.6%. It is not found in Chinese, who present a different mutation also associated with MASP-2 deficiency.
Insights
Mannan-binding lectin (MBL)-associated serine protease 2 (MASP-2) deficiency, caused by a specific mutation, leads to impaired immune function and increased susceptibility to infections and autoimmune disorders. This genetic defect impacts complement system activation.
Area of Science:
- Immunology
- Complement System Biology
Background:
- Mannan-binding lectin (MBL)-associated serine proteases (MASPs) are crucial for the lectin pathway of complement activation.
- MASP-2 cleaves C4 and C2, forming the C3 convertase, essential for immune responses.
- MBL deficiency is common and linked to infections and autoimmunity; MASP functions are less understood.
Purpose of the Study:
- To elucidate the role of MASP-2 in the complement system.
- To describe a specific mutation causing inherited MASP-2 deficiency.
- To investigate the clinical consequences of MASP-2 deficiency.
Main Methods:
- Analysis of complement pathway activation.
- Genetic sequencing to identify mutations.
- Clinical case study of an affected individual.
Main Results:
- A mutation (Asp105Gly) in the CUB1 domain of MASP-2 was identified, disrupting MBL/ficolin binding and abolishing MASP-2 activity.
- The index case presented with severe recurrent infections and autoimmune reactions.
- The mutation frequency in Caucasians is 3.6%, with different mutations found in other populations.
Conclusions:
- Inherited MASP-2 deficiency results from specific genetic mutations.
- MASP-2 is critical for complement activation and immune homeostasis.
- MASP-2 deficiency leads to significant clinical manifestations, including infections and autoimmunity.
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