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The role of complement in the antiphospholipid syndrome-associated pathology
Ingrid Avalos1, George C Tsokos
1Division of Rheumatology, Department of Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, USA. iavalos@bidmc.harvard.edu
Insights
Antiphospholipid syndrome (APS) involves blood clots and pregnancy loss, driven by antiphospholipid antibodies. Complement pathway activation is increasingly recognized as a key factor in APS development and severity.
Area of Science:
- Immunology
- Hematology
- Reproductive Medicine
Background:
- Antiphospholipid syndrome (APS) is an autoimmune disorder.
- Characterized by thrombosis, pregnancy morbidity, and antiphospholipid antibodies.
- Pathogenic mechanisms remain incompletely understood.
Purpose of the Study:
- To investigate the role of complement activation in APS pathogenesis.
- To explore the contribution of complement to pregnancy morbidity and thrombosis in APS.
Main Methods:
- Utilized complement-deficient murine models.
- Studied features of pregnancy morbidity and thrombosis in these models.
Main Results:
- Complement activation plays a significant role in APS pathogenesis.
- Complement deficiency impacts thrombosis and pregnancy outcomes in APS models.
Conclusions:
- Complement activation is a key contributor to APS.
- Complement-deficient models provide insights into APS mechanisms.
- Findings support developing new therapeutic strategies targeting the complement pathway for APS management.
Abstract:
The antiphospholipid syndrome (APS) is characterized by arterial and/or venous thromboses, pregnancy loss, and the presence of anticardiolipin antibodies. The pathogenic mechanisms that lead to these clinical manifestations are incompletely understood. Although a direct pathogenic role of antiphospholipid antibodies has been established, including their role in endothelial cell and platelet activation, there is growing evidence that activation of the complement pathway may contribute to the pathogenesis of APS. Vital information has been obtained from studies exploring the features of pregnancy morbidity and thrombosis using complement deficient murine models. These studies are providing the foundation for the development of new therapeutic options to optimize the management of APS.
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