[HTML][HTML] An extended mini-complement factor H molecule ameliorates experimental C3 glomerulopathy

EM Nichols, TD Barbour, IY Pappworth, EKS Wong… - Kidney international, 2015 - Elsevier
EM Nichols, TD Barbour, IY Pappworth, EKS Wong, JM Palmer, NS Sheerin, MC Pickering
Kidney international, 2015Elsevier
Abnormal regulation of the complement alternative pathway is associated with C3
glomerulopathy. Complement factor H is the main plasma regulator of the alternative
pathway and consists of 20 short consensus repeat (SCR) domains. Although recombinant
full-length factor H represents a logical treatment for C3 glomerulopathy, its production has
proved challenging. We and others have designed recombinant mini-factor H proteins in
which 'non-essential'SCR domains have been removed. Here, we report the in vitro and in …
Abnormal regulation of the complement alternative pathway is associated with C3 glomerulopathy. Complement factor H is the main plasma regulator of the alternative pathway and consists of 20 short consensus repeat (SCR) domains. Although recombinant full-length factor H represents a logical treatment for C3 glomerulopathy, its production has proved challenging. We and others have designed recombinant mini-factor H proteins in which ‘non-essential’ SCR domains have been removed. Here, we report the in vitro and in vivo effects of a mini-complement factor H protein, FH1–5^18–20, using the unique factor H–deficient (Cfh-/-) mouse model of C3 glomerulopathy. FH1–5^18–20 is comprised of the key complement regulatory domains (SCRs 1–5) linked to the surface recognition domains (SCRs 18–20). Intraperitoneal injection of FH1–5^18–20 in Cfh-/- mice reduced abnormal glomerular C3 deposition, similar to full-length factor H. Systemic effects on plasma alternative pathway control were comparatively modest, in association with a short half-life. Thus, FH1–5^18–20 is a potential therapeutic agent for C3 glomerulopathy and other renal conditions with alternative pathway-mediated tissue injury.
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