Adding MASP1 to the lectin pathway-Leprosy association puzzle: Hints from gene polymorphisms and protein levels

Hellen Weinschutz Mendes1, Angelica Beate Winter Boldt1,2, Ewalda von Rosen Seeling Stahlke3

  • 1Laboratory of Molecular Immunopathology, Department of Clinical Pathology, Clinical Hospital, Federal University of Paraná, Curitiba, Brazil.

Abstract

Insights

MASP1 gene variants and lower MASP-3/MAp44 serum levels are linked to increased leprosy susceptibility. These findings highlight the lectin pathway

Area of Science:

  • Immunology
  • Genetics
  • Infectious Diseases

Background:

  • Complement factors deposited on Mycobacterium leprae can enhance phagocytosis via the lectin complement pathway.
  • The MASP1 gene produces three key lectin pathway proteins: Mannan-binding lectin-associated serine protease 1 (MASP-1), MASP-3, and mannan-binding lectin-associated protein of 44 kDa (MAp44).
  • The specific roles of MASP-1, MASP-3, and MAp44 in leprosy pathogenesis remain uninvestigated.

Purpose of the Study:

  • To investigate the association between MASP1 gene polymorphisms and serum levels of MASP-1, MASP-3, and MAp44 in leprosy patients.
  • To determine the role of these lectin pathway proteins in modulating susceptibility to leprosy.

Main Methods:

  • Haplotype analysis of five MASP1 polymorphisms using multiplex sequence-specific PCR.
  • Quantification of serum MASP-1, MASP-3, and MAp44 levels in 196 leprosy patients and 193 controls.
  • Comparison of genetic variants and protein levels between patient and control groups, and between lepromatous and non-lepromatous leprosy.

Main Results:

  • Lower serum levels of MASP-3 and MAp44 were observed in leprosy patients compared to controls.
  • Lepromatous leprosy patients exhibited lower MASP-3 and MAp44 levels than non-lepromatous patients.
  • Specific MASP1 variants and haplotypes were associated with altered MASP-1, MASP-3, and MAp44 levels, influencing leprosy susceptibility and resistance.

Conclusions:

  • MASP1 gene polymorphisms that affect MASP-3 and MAp44 serum concentrations play a role in modulating leprosy susceptibility.
  • The regulation of the lectin pathway is crucial in combating pathogens like Mycobacterium leprae that utilize phagocytosis for host cell invasion.

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