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Published on: July 14, 2016
Functional basis of protection against age-related macular degeneration conferred by a common polymorphism in
Tamara Montes1, Agustín Tortajada, B Paul Morgan
1Consejo Superior de Investigaciones Cientificas, Centro de Investigación Biomédica en Red de Enfermedades Raras and Fundación Renal Iñigo Alvarez de Toledo, Ramiro de Maeztu 9, 28040 Madrid, Spain.
Insights
The factor B (fB) Gln (fB(32Q)) allele, protective against age-related macular degeneration, shows reduced complement system activation. This finding offers insights into predicting and treating complement-related disorders.
Area of Science:
- Immunology
- Genetics
- Biochemistry
Background:
- Complement gene mutations are linked to various disorders.
- Factor B (fB) has three common alleles: Arg (fB(32R)), Gln (fB(32Q)), and Trp (fB(32W)).
- The fB(32Q) allele is protective against age-related macular degeneration.
Purpose of the Study:
- To investigate the functional differences between fB variants.
- To understand the mechanism behind the protective effect of fB(32Q).
Main Methods:
- Purification and functional testing of fB variants from plasma.
- Hemolysis assays to measure complement activity.
- Biacore analysis to determine binding affinities and kinetics.
- Testing of recombinant fB variants.
Main Results:
- The protective fB(32Q) variant exhibited decreased activity compared to fB(32R).
- fB(32R) showed a 4-fold higher affinity for C3b, enhancing convertase formation.
- fB(32W) displayed intermediate binding affinity.
- The Ba domain of fB(32R) had a 3-fold higher affinity for C3b than fB(32Q).
Conclusions:
- The protective effect of fB(32Q) is due to its reduced capacity to form convertase and amplify complement activation.
- Understanding functional consequences of complement gene polymorphisms aids disease prediction and therapeutic targeting.
Abstract:
Mutations and polymorphisms in complement genes have been linked with numerous rare and prevalent disorders, implicating dysregulation of complement in pathogenesis. The 3 common alleles of factor B (fB) encode Arg (fB(32R)), Gln (fB(32Q)), or Trp (fB(32W)) at position 32 in the Ba domain. The fB(32Q) allele is protective for age-related macular degeneration, the commonest cause of blindness in developed countries. Factor B variants were purified from plasma of homozygous individuals and were tested in hemolysis assays. The protective variant fB(32Q) had decreased activity compared with fB(32R). Biacore comparison revealed markedly different proenzyme formation; fB(32R) bound C3b with 4-fold higher affinity, and formation of activated convertase was enhanced. Binding and functional differences were confirmed with recombinant fB(32R) and fB(32Q); an intermediate affinity was revealed for fB(32W). To confirm contribution of Ba to binding, affinity of Ba for C3b was determined. Ba-fB(32R) had 3-fold higher affinity compared with Ba-fB(32Q). We demonstrate that the disease-protective effect of fB(32Q) is consequent on decreased potential to form convertase and amplify complement activation. Knowledge of the functional consequences of polymorphisms in complement activators and regulators will aid disease prediction and inform targeting of diagnostics and therapeutics.
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