Abstract

BackgroundExposure of chondroitin sulfate A (CS-A) on the surface of activated platelets is well established. The aim of the present study was to investigate to what extent CS-A contributes to the binding of the complement recognition molecule C1q and the complement regulators C1 inhibitor (C1INH), C4b-binding protein (C4BP), and factor H to platelets.Principal FindingsHuman blood serum was passed over Sepharose conjugated with CS-A, and CS-A-specific binding proteins were identified by Western blotting and mass spectrometric analysis. C1q was shown to be the main protein that specifically bound to CS-A, but C4BP and factor H were also shown to interact. Binding of C1INH was dependent of the presence of C1q and then not bound to CS-A from C1q-depleted serum. The specific interactions observed of these proteins with CS-A were subsequently confirmed by surface plasmon resonance analysis using purified proteins. Importantly, C1q, C4BP, and factor H were also shown to bind to activated platelets and this interaction was inhibited by a CS-A-specific monoclonal antibody, thereby linking the binding of C1q, C4BP, and factor H to exposure of CS-A on activated platelets. CS-A-bound C1q was also shown to amplify the binding of model immune complexes to both microtiter plate-bound CS-A and to activated platelets.ConclusionsThis study supports the concept that CS-A contributes to the binding of C1q, C4BP, and factor H to platelets, thereby adding CS-A to the previously reported binding sites for these proteins on the platelet surface. CS-A-bound C1q also seems to amplify the binding of immune complexes to activated platelets, suggesting a role for this molecule in immune complex diseases.

Highlights

  • Glycosaminoglycans (GAG) are important structures in the extracellular matrix (ECM)

  • This study supports the concept that chondroitin sulfate A (CS-A) contributes to the binding of C1q, C4b-binding protein (C4BP), and factor H to platelets, thereby adding Chondroitin sulfate (CS)-A to the previously reported binding sites for these proteins on the platelet surface

  • CS-A-bound C1q seems to amplify the binding of immune complexes to activated platelets, suggesting a role for this molecule in immune complex diseases

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Summary

Introduction

Glycosaminoglycans (GAG) are important structures in the extracellular matrix (ECM). Well-known GAGs include heparin, heparan sulfate, dermatan sulfate, and chondroitin sulfate [1]. Conventionally viewed as important because of its structural role in the extracellular matrix, CS has recently received growing attention because of its other cellular functions, such as in cell communication [3,4]. Formerly known as CSB, is often described together with CS but differs more radically from the other forms of CS, mainly because of its frequent epimerization of the glucoronic acid to iduronic acid [6]. Exposure of chondroitin sulfate A (CS-A) on the surface of activated platelets is well established. The aim of the present study was to investigate to what extent CS-A contributes to the binding of the complement recognition molecule C1q and the complement regulators C1 inhibitor (C1INH), C4b-binding protein (C4BP), and factor H to platelets

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