Diverse Functions of C4b-Binding Protein in Health and Disease
Lacie M Werner1, Alison K Criss1
1Department of Microbiology, Immunology, and Cancer Biology, University of Virginia School of Medicine, Charlottesville, VA.
Insights
C4b-binding protein (C4BP) is a complement inhibitor that prevents pathway activation. Emerging research reveals C4BP also has complement-independent roles in cell survival and protecting against autoimmune damage.
Area of Science:
- Immunology
- Biochemistry
Background:
- C4b-binding protein (C4BP) is a key fluid-phase inhibitor of the classical and lectin complement pathways.
- C4BP is known to promote apoptotic cell death and is utilized by pathogens and tumors for immune evasion.
Approach:
- This review synthesizes current knowledge on human C4BP structure and function.
- Focuses on C4BP activities beyond its established role in complement inhibition.
Key Points:
- C4BP exhibits complement-independent functions.
- These functions include promoting cell survival and protecting against autoimmune damage.
- C4BP also modulates the virulence of microbial pathogens.
Conclusions:
- C4BP possesses multifaceted roles extending beyond complement regulation.
- Understanding these diverse functions is crucial for therapeutic development.
Abstract:
C4b-binding protein (C4BP) is a fluid-phase complement inhibitor that prevents uncontrolled activation of the classical and lectin complement pathways. As a complement inhibitor, C4BP also promotes apoptotic cell death and is hijacked by microbes and tumors for complement evasion. Although initially characterized for its role in complement inhibition, there is an emerging recognition that C4BP functions in a complement-independent manner to promote cell survival, protect against autoimmune damage, and modulate the virulence of microbial pathogens. In this Brief Review, we summarize the structure and functions of human C4BP, with a special focus on activities that extend beyond the canonical role of C4BP in complement inhibition.
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