Insights into the Effects of Complement Factor H on the Assembly and Decay of the Alternative Pathway C3

Serena Bettoni1, Elena Bresin1, Giuseppe Remuzzi2

  • 1From the IRCCS-Istituto di Ricerche Farmacologiche Mario Negri, Clinical Research Center for Rare Diseases Aldo e Cele Daccò, 24020 Ranica, Bergamo.

Insights

Factor H (FH) does not prevent C3bB assembly but inhibits its conversion to C3bBb. FH accelerates C3bBb decay, impacting complement alternative pathway regulation.

Area of Science:

  • Immunology
  • Biochemistry

Background:

  • The complement alternative pathway is crucial for innate immunity.
  • Factor H (FH) is a key regulator, but its precise role in C3 proconvertase (C3bB) and C3 convertase (C3bBb) formation and decay is not fully understood.
  • Previous studies suggest FH competes with factor B for C3b binding, but this has not been thoroughly investigated regarding C3bB assembly.

Purpose of the Study:

  • To investigate the effect of Factor H (FH) on the assembly, decay, and formation of complement C3 proconvertase (C3bB) and C3 convertase (C3bBb).
  • To clarify the mechanism by which FH regulates the alternative complement pathway.

Main Methods:

  • Development of user-friendly assays combining microplate and Western blotting techniques.
  • Specific detection of C3bB and C3bBb complexes.
  • Investigation of FH's impact on C3bB/C3bBb assembly, decay, and formation.

Main Results:

  • FH does not affect C3bB assembly, indicating it does not efficiently compete with factor B for C3b binding.
  • FH does not dissociate pre-formed C3bB complexes.
  • FH exhibits strong C3bBb decay-accelerating activity and inhibits C3bBb formation by preventing the conversion of C3bB to C3bBb.
  • FH prevents the release of factor Bb (Ba) subunit from C3bB, suggesting inhibition of C3bB to C3bBb conversion.

Conclusions:

  • FH's inhibitory effect on C3bBb formation is a combination of inhibiting C3bB conversion to C3bBb and accelerating C3bBb decay.
  • FH does not prevent C3bB assembly but regulates downstream convertase formation and stability.
  • Further cell-based studies are needed to confirm these findings in physiological settings.

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