Ex vivo assays to detect complement activation in complementopathies.

Ex vivo assays to detect complement activation in complementopathies.
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DOI:
10.1016/j.clim.2020.108616
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发表时间:
2020-12
期刊:
Clinical immunology (Orlando, Fla.)
影响因子:
--
通讯作者:
Brodsky RA
Brodsky RA
中科院分区:
其他
文献类型:
--
作者:
Yuan X;Yu J;Gerber G;Chaturvedi S;Cole M;Chen H;Metjian A;Sperati CJ;Braunstein EM;Brodsky RA

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在补体驱动的血栓性微血管病中,补体激活调节失败导致终末器官损伤。改进的Ham (mHam)测试测量补体介导的体外有核细胞杀伤,但缺乏验证性分析和可靠的阳性对照。我们证明了C5b-9在TF1 PIGAnull细胞表面的积累与mHam中的细胞杀伤有关。我们还发现,唾液酸酶处理细胞或在人血清中添加志贺毒素1比眼镜蛇毒液因子或脂多糖更可靠地作为mHam的阳性对照。在添加补体途径特异性抑制剂(抗c5抗体或因子D抑制剂ACH-145951)的情况下,同时进行mHam和测量C5b-9在GVB++或GVB0 MgEGTA缓冲液中的积累,可用于定位补体调节缺陷。随着更多靶向补体抑制剂的出现,这些检测可能有助于选择补体介导疾病患者的个性化治疗方法。
In complement-driven thrombotic microangiopathies, failure to regulate complement activation leads to end-organ damage. The modified Ham (mHam) test measures complement-mediated killing of a nucleated cell in vitro but lacks a confirmatory assay and reliable positive controls. We demonstrate that C5b-9 accumulation on the surface of TF1 PIGAnull cells correlates with cell killing in the mHam. We also show that Sialidase treatment of cells or addition of Shiga toxin 1 to human serum serve as a more reliable positive control for the mHam than cobra venom factor or lipopolysaccharide. Simultaneously performing the mHam and measuring C5b-9 accumulation either in GVB++ or GVB0 MgEGTA buffer with the addition of complement pathway specific inhibitors (anti-C5 antibody or a factor D inhibitor, ACH-145951) can be used to localize defects in complement regulation. As more targeted complement inhibitors become available, these assays may aid in the selection of personalized treatments for patients with complement-mediated diseases.
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