Abstract

Systemic lupus erythematosus is a complement-mediated autoimmune disease. While genetic deficiencies of classical pathway components lead to an increased risk of developing systemic lupus erythematosus, end organ damage is associated with complement activation and immune complex deposition. The role of classical pathway regulators in systemic lupus erythematosus is unknown. C4 binding protein (C4bp) is a major negative regulator of the classical pathway. In order to study the role of C4bp deficiency in an established murine model of lupus nephritis, mice with a targeted deletion in the gene encoding C4bp were backcrossed into the MRL/lpr genetic background. Compared with control MRL/lpr mice, C4bp knockout MLR/lpr mice had similar mortality and similar degrees of lymphoproliferation. There were no differences in the extent of proteinuria or renal inflammation. Staining for complement proteins and immunoglobulins in the kidneys of diseased mice revealed no significant strain differences. Moreover, there was no difference in autoantibody production or in levels of circulating immune complexes. In comparison with C57BL/6 mice, MRL/lpr mice had depressed C4 levels as early as 3 weeks of age. The absence of C4bp did not impact serum C4 levels or alter classical pathway hemolytic activity. Given that immune complex renal injury in the MRL/lpr mouse is independent of Fc receptors as well as the major negative regulator of the classical pathway, new mechanisms for immune-complex-mediated renal injury need to be considered.

Highlights

  • The complement system is an important mediator of tissue injury in systemic lupus erythematosus (SLE) and other immune complex diseases

  • Given that immune complex renal injury in the MRL/lpr mouse is independent of Fc receptors as well as the major negative regulator of the classical pathway, new mechanisms for immunecomplex-mediated renal injury need to be considered

  • Given that the MRL mouse has long been held as a murine model of the immune complex renal injury seen in patients with lupus nephritis, it was surprising that mice lacking the critical regulator of the classical pathway of complement activation had no differences in mortality or morbidity compared with C4 binding protein (C4bp)-sufficient littermate control mice

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Summary

Introduction

The complement system is an important mediator of tissue injury in systemic lupus erythematosus (SLE) and other immune complex diseases. Lupus nephritis is mediated in part by local deposition of circulating immune complexes and complement activation products. Genetic deficiencies in the early components of the classical complement pathway (C1 inhibitor, C1q/r/s, C2, or C4) are some of the strongest risk factors for the development of SLE [1]. This is thought to be due to the role of the early classical pathway of complement activation in the clearance of immune complexes and apoptotic cells. Systemic complement activation marked by depression of serum C3 and C4 levels and peripheral deposition of these proteins, is associated with increased disease activity [2,3]

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