A review of human diseases caused or exacerbated by aberrant complement activation

Abstract Complement is the backbone of our innate immune system. It is of ancient evolutionary origin, being traced back to horseshoe crabs 350 million years ago. It consists today of more than 25 proteins which must work together like clockwork in order to distinguish friend from foe. Self attack b...

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Veröffentlicht in:Neurobiology of aging 2017-04, Vol.52, p.12-22
Hauptverfasser: McGeer, Patrick L, Lee, Moonhee, McGeer, Edith G
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Lee, Moonhee
McGeer, Edith G
description Abstract Complement is the backbone of our innate immune system. It is of ancient evolutionary origin, being traced back to horseshoe crabs 350 million years ago. It consists today of more than 25 proteins which must work together like clockwork in order to distinguish friend from foe. Self attack by the complement system can occur whenever it fails to do so. This failure has been reported to occur in an estimated 22 human diseases. A significant number of these are chronic degenerative neurological disorders. In some, there is overwhelming evidence that complement self attack causes the disease. In many others, it is considered only to contribute to the overall pathology. Finding effective therapeutic agents should be a high priority for medical research. To date, the monoclonal antibody eculizumab is the only approved agent. Molecules under development include other monoclonal antibodies directed at C5, C3, and properdin, various aptamers to C3, and small molecules that are orally available.
doi_str_mv 10.1016/j.neurobiolaging.2016.12.017
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subjects Amyotrophic Lateral Sclerosis - genetics
Amyotrophic Lateral Sclerosis - immunology
Antibodies, Monoclonal - therapeutic use
Antibodies, Monoclonal, Humanized - therapeutic use
Arthritis, Rheumatoid - genetics
Arthritis, Rheumatoid - immunology
Chronic Disease
Complement
Complement Activation - immunology
Complement Pathway, Alternative - genetics
Complement Pathway, Classical - genetics
Complement receptors
Complement-mediated diseases
Humans
Internal Medicine
Macular Degeneration - genetics
Macular Degeneration - immunology
Membrane attack complex
Molecular Targeted Therapy
Multiple Sclerosis - genetics
Multiple Sclerosis - immunology
Neurodegenerative Diseases - drug therapy
Neurodegenerative Diseases - genetics
Neurodegenerative Diseases - immunology
Neurology
Parkinson Disease - genetics
Parkinson Disease - immunology
Receptors, Complement
title A review of human diseases caused or exacerbated by aberrant complement activation
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