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Schaefer, N.* ; Grosche, A.* ; Reinders, J.* ; Hauck, S.M. ; Pouw, R.B.* ; Kuijpers, T.W.* ; Wouters, D.* ; Ehrenstein, B.* ; Enzmann, V.* ; Zipfel, P.F.* ; Skerka, C.* ; Pauly, D.*

Complement regulator FHR-3 is elevated either locally or systemically in a selection of autoimmune diseases.

Front. Immunol. 7, 542:542 (2016)
Publ. Version/Full Text Research data DOI PMC
Open Access Gold
Creative Commons Lizenzvertrag
The human complement factor H-related protein-3 (FHR-3) is a soluble regulator of the complement system. Homozygous cfhr3/1 deletion is a genetic risk factor for the autoimmune form of atypical hemolytic-uremic syndrome (aHUS), while also found to be protective in age-related macular degeneration (AMD). The precise function of FHR-3 remains to be fully characterized. We generated four mouse monoclonal antibodies (mAbs) for FHR-3 (RETC) without cross-reactivity to the complement factor H (FH)-family. These antibodies detected FHR-3 from human serum with a mean concentration of 1 μg/mL. FHR-3 levels in patients were significantly increased in sera from systemic lupus erythematosus, rheumatoid arthritis, and polymyalgia rheumatica but remained almost unchanged in samples from AMD or aHUS patients. Moreover, by immunostaining of an aged human donor retina, we discovered a local FHR-3 production by microglia/macrophages. The mAb RETC-2 modulated FHR-3 binding to C3b but not the binding of FHR-3 to heparin. Interestingly, FHR-3 competed with FH for binding C3b and the mAb RETC-2 reduced the interaction of FHR-3 and C3b, resulting in increased FH binding. Our results unveil a previously unknown systemic involvement of FHR-3 in rheumatoid diseases and a putative local role of FHR-3 mediated by microglia/macrophages in the damaged retina. We conclude that the local FHR-3/FH equilibrium in AMD is a potential therapeutic target, which can be modulated by our specific mAb RETC-2.
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Publication type Article: Journal article
Document type Scientific Article
Corresponding Author
Keywords Fh Competition ; Fhr-3/cfhr3 ; Immune Therapy ; Microglia/macrophage ; Retinal Degeneration ; Rheumatic Disease ; Specific Antibody; H-related Proteins; Hemolytic-uremic Syndrome; Giant-cell Arteritis; Macular Degeneration; Polymyalgia-rheumatica; Monoclonal-antibodies; Immune-complexes; Binding; Cfh; Activation
ISSN (print) / ISBN 1664-3224
e-ISSN 1664-3224
Quellenangaben Volume: 7, Issue: , Pages: 542 Article Number: 542 Supplement: ,
Publisher Frontiers
Publishing Place Lausanne
Non-patent literature Publications
Reviewing status Peer reviewed