Complement Dysregulation and Disease: Insights from Contemporary Genetics
M Kathryn Liszewski1, Anuja Java2, Elizabeth C Schramm3
1Division of Rheumatology, Department of Internal Medicine, Washington University School of Medicine, St. Louis, Missouri 63110;
Insights
Dysregulation of the complement system
Area of Science:
- Immunology
- Genetics
- Molecular Biology
Background:
- The vertebrate complement system is a crucial part of innate immunity, involving numerous proteins and three activation pathways.
- Complement system overactivity, particularly the alternative pathway, is linked to serious human diseases.
- Genetic variations in complement inhibitors are increasingly recognized as disease-causing factors.
Purpose of the Study:
- To review the role of complement system dysregulation in human diseases.
- To explore the connection between genetic variations in complement inhibitors and disease pathogenesis.
- To highlight the alternative pathway's involvement in atypical hemolytic uremic syndrome and age-related macular degeneration.
Main Methods:
- Review of contemporary genetic studies.
- Analysis of the complement system's activation and regulatory pathways.
- Correlation of genetic variations with disease phenotypes.
Main Results:
- Variations in complement inhibitors predispose individuals to atypical hemolytic uremic syndrome and age-related macular degeneration.
- Both diseases share a common mechanism of alternative pathway overactivation.
- Genetics provides insights into how complement dysregulation leads to these pathologies.
Conclusions:
- The complement system's alternative pathway is a key player in the pathogenesis of atypical hemolytic uremic syndrome and age-related macular degeneration.
- Understanding the genetic basis of complement dysregulation is vital for developing targeted therapies.
- This review underscores the link between innate immunity defects and complex human diseases.
Abstract:
The vertebrate complement system consists of sequentially interacting proteins that provide for a rapid and powerful host defense. Nearly 60 proteins comprise three activation pathways (classical, alternative, and lectin) and a terminal cytolytic pathway common to all. Attesting to its potency, nearly half of the system's components are engaged in its regulation. An emerging theme over the past decade is that variations in these inhibitors predispose to two scourges of modern humans. One, occurring most often in childhood, is a rare but deadly thrombomicroangiopathy called atypical hemolytic uremic syndrome. The other, age-related macular degeneration, is the most common form of blindness in the elderly. Their seemingly unrelated clinical presentations and pathologies share the common theme of overactivity of the complement system's alternative pathway. This review summarizes insights gained from contemporary genetics for understanding how dysregulation of this powerful innate immune system leads to these human diseases.
Related Concept Videos
Pharmacogenomics: Identification of New Drug Targets
Human Genetics
The complex relationship between genetics and psychology is observable through common biological components such...
Complementation Tests
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...
Incomplete Dominance
Genome-wide Association Studies-GWAS
GWAS does not require the identification of the target gene involved in...
Pharmacogenetics and Pharmacogenomics: Overview


