Complement and mannose-binding lectin 2 polymorphism in meningococcal disease
Alberto Lima Filho1, Rodrigo Carmo, Maria Cavalcanti
1Federal University of Pernambuco (UFPE), Brazil. albertodebarroslima@bol.com.br
Clinical Laboratory
|January 8, 2013
Summary
Complement deficiencies and MBL2 gene variations may predispose children to meningococcal disease. Evaluating complement function is recommended for affected individuals to understand susceptibility.
Area of Science:
- Immunology
- Pediatrics
- Genetics
Background:
- Meningococcal disease is a significant cause of childhood mortality.
- Individual susceptibility to meningococcal infections remains poorly understood.
- The complement system is crucial for innate immunity against Neisseria meningitidis.
Purpose of the Study:
- To investigate complement system deficiencies in children with prior meningococcal disease.
- To analyze Mannose-binding lectin 2 (MBL2) gene polymorphism in these patients.
Main Methods:
- Studied 40 children diagnosed with meningococcal disease.
- Quantified complement components C3, C4, and CH50.
- Genotyped the MBL2 gene for polymorphisms.
Main Results:
- Complement C4 deficiency was observed in 27.5% of patients.
- C3 and CH50 deficiencies were found in 2.5% of patients.
- MBL2 gene analysis revealed 55.3% AA, 36.8% AO, and 7.9% OO genotypes.
Conclusions:
- Complement deficiencies and MBL2 gene variants are potential risk factors for meningococcal disease.
- Assessing complement levels may be beneficial for children who have experienced meningococcal illness.
Related Concept Videos
Bacterial Meningitis II: Pathophysiology
Bacterial meningitis typically begins when pathogens such as Neisseria meningitidis and Streptococcus pneumoniae colonize the nasopharynx and invade the bloodstream. This process is facilitated by bacterial virulence factors, such as polysaccharide capsules, which resist phagocytosis and complement-mediated killing. Less commonly, bacteria reach the central nervous system via contiguous spread from infections like otitis media or sinusitis, through congenital or acquired dural defects, or...
Complement System
The complement system is a group of approximately 20 plasma proteins that strengthen the body's defenses against infections through opsonization, inflammation, and cell lysis. Opsonization involves coating pathogens with complement proteins, making them more recognizable and facilitating phagocyte engulfment. Certain complement proteins induce inflammation that attracts immune cells to the site of infection. Cell lysis involves the destruction of pathogens through the formation of a membrane...
Selectins
Cell adhesion is an essential aspect of multicellularity. While stable cell interactions usually occur between cells of the same type, transient cell interactions occur between cells of different tissue types, such as between neutrophils and endothelial cells. Selectins are one class of cell adhesion molecules (CAMs) that bind carbohydrate ligands to form transient cell adhesion. They are rod-like proteins with a long extracellular part of variable length ending with the lectin domain, which...
Clinical Significance of Antibiotic Resistance
Methicillin-resistant Staphylococcus aureus (MRSA) presents a critical public health threat, arising from its capacity to resist β-lactam antibiotics due to acquisition of the mecA gene within the staphylococcal cassette chromosome mec (SCCmec). This gene encodes penicillin-binding protein 2a (PBP2a), which impairs binding efficacy of methicillin and other β-lactams. MRSA has evolved into distinct clonal lineages impacting humans and animals alike, reinforcing its significance within the One...
Immunoglobulin-like Cell Adhesion Molecules
Immunoglobulin-like cell adhesion molecules or Ig-CAMs are a versatile group of cell surface glycoproteins belonging to the immunoglobulin protein superfamily. Ig-CAMs possess the characteristic immunoglobulin protein domains and other domains such as the fibronectin type III domain. The Ig domains are glycosylated to varying degrees in different Ig-CAMs.
Ig-CAMs exhibit either homophilic binding (to other Ig-CAMs) or heterophilic binding (to other ligands such as integrins). While most Ig-CAMs...
Ig-CAMs exhibit either homophilic binding (to other Ig-CAMs) or heterophilic binding (to other ligands such as integrins). While most Ig-CAMs...
Complementation Tests
A complementation test is a simple cross to identify whether the two mutations are located on the same gene or different genes. It was first performed by Edward Lewis in the 1940s while working on fruit flies. He developed the test to identify the location and arrangement of different mutations on chromosomes.
Organisms heterozygous for different mutations are crossed pairwise in all combinations. If present on different genes, the mutations can complement each other by providing the missing...
Organisms heterozygous for different mutations are crossed pairwise in all combinations. If present on different genes, the mutations can complement each other by providing the missing...


