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Novel complement regulatory mechanisms in disease

Author

  • Emelie Holmquist

Summary, in English

The complement system is one of the most important defence mechanisms against bacteria and pathogens. It acts within the framework of both innate and adaptive immunity. In addition to direct elimination of pathogens, complement also supports waste removal (dying cells, immune complexes, and misfolded proteins) and guides effector mechanisms of the adaptive immune response. Key events in complement activation are the formation of the C3 and C5 convertase enzyme complexes, the release of chemoattractants, the opsonization with C3b, and cell lysis due to the assembly of the membrane-attack complex (MAC). The proteolytic cascade of the complement system must be tightly regulated, since both excessive and insufficient activation significantly contributes to the pathology of many diseases. To protect its own cells and tissues, our body expresses several soluble and membrane-bound complement regulators. Here, we study the function of three of these regulators.



Sushi Domain-Containing Protein 4 (SUSD4) is a poorly studied human protein. We show that SUSD4 is a novel complement inhibitor that interferes with the formation of the C3 converts. Additionally, we found that SUSD4 is expressed by breast cancer cells, and that this expression is correlated with a better patient prognosis.



Factor I is a well-known complement inhibitor involved in the degradation of the activation products C4b and C3b. We detected factor I expression in breast cancer, and determined that breast cancer cells are able to produce the proteolytically active form of this protein. Analysis of patient data revealed that factor I expression correlates with poor survival rates.



Cartilage Oligomeric Matrix Protein (COMP) is a large protein involved in the organisation of collagen in the extracellular matrix. We have previously shown that it can both activate and inhibit the complement system. Here, we determined that COMP expression is unregulated in breast cancer tissue where it contributes to a more aggressive form of cancer. COMP expression correlates with poor prognosis and faster recurrence of the disease. Tumors expressing COMP, grown in vivo, were significantly larger and more invasive as compared to control tumors. Interestingly, COMP affected the metabolism and protein processing machinery of the cancer cells, helping them adapt better to a harsh environment.



In summary, this thesis describes novel, disease-related, functions of three complement regulators.

Department/s

Publishing year

2015

Language

English

Publication/Series

Lund University Faculty of Medicine Doctoral Dissertation Series

Volume

2015:100

Document type

Dissertation

Publisher

Department of Medical protein chemistry

Topic

  • Immunology in the medical area
  • Cell and Molecular Biology

Status

Published

Research group

  • Protein Chemistry, Malmö

Supervisor

ISBN/ISSN/Other

  • ISSN: 1652-8220
  • ISBN: 978-91-7619-179-8

Defence date

27 November 2015

Defence time

09:00

Defence place

Medelhavet, Wallenberg laboratory, Skånes Universitetssjukhus, Malmö

Opponent

  • Michael Kirschfink (Prof)